i gotta rant to keep my BP in check...
had an extremely stressful sat round
sat rounds r bad to start with... coz 1 HO to 2 blocks...not to mention the wierd & wonderful blue letter referrals on a sat
den tdy was X consultant rounding...ggxx practically running on rounds up & down da stairs
hur i prerounded all da pts at HD centre... & instead of ok or at least a tks... it was oh why u rounded all da stable pts... not worth it...hur so HD patient no need to round meh? ha wait tyl some BP goes gg

den comes da PD pts...how wld a HO noe wad to do...low BP? hold off rite? ha no...newest orders is to continue...den sian asked da irritating nurses to PREPARE the adrenaline...comes to da ward 1/2h lata if consultant... everything NOT dere... am i supposed to go to the prep cupboard & take that vial of adrenaline MYSELF during rounds?

den our new blue letter who was passed to mi lyke 5mins ago? how am i miraculously supposed to examine the exit site when i havent even touched da file? how i noe got pus dere... den da nurses supposed to freakin bring the patient down for HD STAT...patient wif exit site infxn gg for US abd? wad for hur? use ur brains la!!! Had to call da ward myself bring da pt down ggxx

phew

at the end of every month i feel so sad... juz when u get so used to ur comfort zone & ur team (like it or hate it...so far is alwayz like it mostly :p) its time to MOVE!

Today is Dr LimEK's last dae... i am sooo sad...
He's the only reg i'd eva dare & have only dared to call at 3am when he's not on call...
such a friendly smilely & extremely nice teddy bear... even if he oni slept at 2am trying to save us juniors from doing a presentation
Always bearing da madness from our 2 bosses who dun usu agree on things or haf definitely diff views on most things...
Sigh bye dr lim... hope nxt time if i can do renal i can be as good as him in lines & everthing else

tis wk has been a busy wk full of tests & courses... now its finally time to wind down & prepare for yet another wk...
After today... again my decision has been challenged...
I like to do lines / needles and play wif stuff that is no brainer... or at least zap less of ur brains
Setting lines makes my dae...
so dr loh said... u want smtk? muz make it happen...
u wanna work under da shen of Azxxx? ...& he even offered to get mi a place
i shoud've taken da offer... but here im stuck in renal life for da nxt 2 months
sigh

being in renal feels lyke belonging to nowhere...
everidae i report to renal centre to pts i dun noe or noe via dialysis charts...
no nice aunty/uncle/family to sae hi... no nice nurses ard...
i wish i were back at ward 76
so empty :(

hi its 1st dae of renal...
i dun like it here...
every pt is Mr X with
1. ESRF 2' to DM/HTN
2. HD 135 or 246, via ________ site
3. dry wt, UF,
4. Hep B Hep C HIV status
5. dialysis cx eg hypoTN..., other cx esp anaemia +++

currently in here for sepsis or social issues until proven otherwise.
dialysis bloods
Ca Mg PO4, PTH, anaemia panel 1/11, bld c/s coz of sepsis, vanco trough... KIV dialysis Abx

i am nothing but a scribe... da bosses dun talk to u much and da situation is just sooo tense between da bosses during rounds i tremble. I am not allowed to see even da blue letters alone... feel so useless sigh

2 months of tis... gg

by 5pm i was literally jumped when someone said dere's a DKA case in da wards... almost felt like saying can i help u clerk & do da abg plzzz,

i miss 76 sooosoooo much....
i miss having patients under my care from 7am to 5pm everidae instead of juz seeing em for 5 mins... it becomes the patient in ward __ bed__ for HD 135/246... yikes