chapter four - the power to forgive
fine
this is probably the last bigtail kitchen... because amy is coming back on sunday!!! the plan was to make mushroom with cabbage & steam pork-cake... by the time i went to market... the butcher closed... so i only got the cha-siu and made only mushroom with cabbage... yingyingbird said it was better again... good job bigtail...
i wanna talk about things at work this week... firstly my call on tuesday... it was very mad... i got a status epilepticus whom i couldn't intubate... then i got 5 urgent consultations (including a pre-op assessment for electve TURP 3rd case mane for a patient with AF and HT)... for the first time i prescribed streptokinase, the patient went on VF like crazy... for the first time i got a neuroleptic malignant syndrome... and for the first time i diagnosed a free gas under diaphragm (that was a really faint rim and the A&E officer even treated it as ACS with aspirin!) very very smart... got only 2 hour sleep then i had ward round and clinic... very very tiring...
then i wanna talk about a b*tch in my ward... i have to emphasize again there're many many helpful & nice nurses who did plenty of good helpful things around me and i'm super grateful to... but there're a few who're quite the contrary, and they also happen to be around... i'm working in respiratory team therefore i took care of some ventilator beds... only 3 out of 6 patients have a hope of weaning... others are quite vegetative... so for one patient who did quite well on low ventilatory support... i gave her a trial off ventilator for 2 hours and she tolerated quite well... so few days ago during senior round we decided to put off ventilator for longer time... the nurse on duty happened to be very reluctant to help us in weaning... i have to say their help is much more important than our orders... knowing she's so reluctant to help us... i put down "senior round, oxyvent for 4 hours today"... and this b*tch, she paged me and told me the patient was on SIMV ventilation & that whether i was sure to switch to oxyvent right away... so i told her yes and confirmed my order... then she asked me to go back to the ward to write down on the notes to switch to oxyvent directly from SIMV mode or she won't do it... what the f*ck... but she's not doing it anyway... so i went all the way back to the ward and put down "oxyvent stat"... and this b*tch, she called my senior... and my senior had to put down "to S mode then to oxyvent"... i'm kinda upset by this, too... i'm 900% certain my senior did that just to satisfy the nurse... fyi, though SIMV gives more ventilatory support it's a weaning mode, too...
it was days ago but i'm still very very mad when thinking about it... my EQ is so low... i've been telling myself to calm down on my way back to the ward when i was almost burning... i should really improve my EQ... whenever i got irritated by a patient/relative/nurse i'm bothered for hours... still i don't wanna see the nurse again... i even thought of discussing with my senior about it... but i think it's probably too much... probably i should just forget it... the real power is the power to forgive... this is my favourite line from the schindler's list...
this is probably the last bigtail kitchen... because amy is coming back on sunday!!! the plan was to make mushroom with cabbage & steam pork-cake... by the time i went to market... the butcher closed... so i only got the cha-siu and made only mushroom with cabbage... yingyingbird said it was better again... good job bigtail...
i wanna talk about things at work this week... firstly my call on tuesday... it was very mad... i got a status epilepticus whom i couldn't intubate... then i got 5 urgent consultations (including a pre-op assessment for electve TURP 3rd case mane for a patient with AF and HT)... for the first time i prescribed streptokinase, the patient went on VF like crazy... for the first time i got a neuroleptic malignant syndrome... and for the first time i diagnosed a free gas under diaphragm (that was a really faint rim and the A&E officer even treated it as ACS with aspirin!) very very smart... got only 2 hour sleep then i had ward round and clinic... very very tiring...
then i wanna talk about a b*tch in my ward... i have to emphasize again there're many many helpful & nice nurses who did plenty of good helpful things around me and i'm super grateful to... but there're a few who're quite the contrary, and they also happen to be around... i'm working in respiratory team therefore i took care of some ventilator beds... only 3 out of 6 patients have a hope of weaning... others are quite vegetative... so for one patient who did quite well on low ventilatory support... i gave her a trial off ventilator for 2 hours and she tolerated quite well... so few days ago during senior round we decided to put off ventilator for longer time... the nurse on duty happened to be very reluctant to help us in weaning... i have to say their help is much more important than our orders... knowing she's so reluctant to help us... i put down "senior round, oxyvent for 4 hours today"... and this b*tch, she paged me and told me the patient was on SIMV ventilation & that whether i was sure to switch to oxyvent right away... so i told her yes and confirmed my order... then she asked me to go back to the ward to write down on the notes to switch to oxyvent directly from SIMV mode or she won't do it... what the f*ck... but she's not doing it anyway... so i went all the way back to the ward and put down "oxyvent stat"... and this b*tch, she called my senior... and my senior had to put down "to S mode then to oxyvent"... i'm kinda upset by this, too... i'm 900% certain my senior did that just to satisfy the nurse... fyi, though SIMV gives more ventilatory support it's a weaning mode, too...
it was days ago but i'm still very very mad when thinking about it... my EQ is so low... i've been telling myself to calm down on my way back to the ward when i was almost burning... i should really improve my EQ... whenever i got irritated by a patient/relative/nurse i'm bothered for hours... still i don't wanna see the nurse again... i even thought of discussing with my senior about it... but i think it's probably too much... probably i should just forget it... the real power is the power to forgive... this is my favourite line from the schindler's list...
posted by kewa at 23:54
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