Sunday, December 6, 2009
I was taking care a person with CA vaginal and uterus and vaginal fistula plus laparotomy sigmoidectomy with terminal colostomy.
When first day taking care her i almost took one hour for the sponging and vaginal toilet.I was taking her for 3 days...I was feel sympathy to her...she just 50 plus years old and she suffer so many illness.She was very week when POD 1 after surgery.
Doctor was order 2 unit fresh frozen plasma (FFP)for her daily....I have no chance to give FFP for the first two days..When last day working means Friday my clinical instructor was asking me to do the blood transfusion procedure with her.
At first the blood transfusion is started at 1035 than the FFP was very slow...At 1120 patient develop low graded fever..Panadol 1gm given.Ice pack apply.When 1st unit FFP finish i check temperature with ear scan is 37.6 is still low grade.So i start to give 2nd unit FFP to her at 1150 that time temperature still 37.6.1200 i check the vital sign the temperature is 38 and blood pressure shoot up to 170/100 i inform the staff nurse than they ask me to stop the transfusion disconnect everything and run the normal saline.The staff call the main doctor via phone.The whole packed of blood was send back to main lab to do some test.
When the incident was happen i was very nervous.I feel like I'm doing nothing the the patient.
Anyway thank Gos that she is fine.....
Friday, November 20, 2009
Saturday, November 7, 2009
no body know how stress i am....
God know....and i know...
i have no rest for this whole week....
Monday was working under RC to transfer patient to Taiping Hospital.
Tuesday morning was so rush..my daddy call me 1045am and ask me go to help them open the shop.The business is start at 11am.I haven have any bath....After all thing settle i rush back to have my bath than went to class.....After class was going to meet my tuitor.After meet her i was rush to go do my Psychology assignment at my aunt shop.Reach home is about 830pm.
Wednesday morning was going to help my aunt work than evening time was rush to take my assignment for practical.I was so rush to do my assignment in the college.Is because my house don't have any Internet assess.When i finish my assignment is about 1am in the morning.
Thursday was wake up early in the morning 5am to get ready for practical.After the practical need to go practice skill in skill lab...After all day done in college when i reach home is about 4pm.I was too tired to do everything.Night time was rushing to complete my assignment and my Psychology assignment.
Friday wake up at the same time 5am to get ready everything.Today schedule is same like Thursday.When reach home is about 4pm.My friend was so kind that when he know my problem he really help me a lot even thought he himself having a problem too.I was so appreciate that he treat me as his good friend.Than Friday night was going out with friend because she wan to use my laptop to type minutes.So i have no choice i just help her.When i reach home is about 1230am.I couldn't sleep cause when i think back that when i need help from my friend that owe me money,i ask her may be she can paid me some money back because i have no money to use.She dint said anything to me that weather can or not.Luckily my another friend that i just really treat him as normal friend.He really help me a lot.He have no doubt that give me the money to paid for my subject fees.I really dunno what to said to him.I was felt a sleep around 3am.
Saturday morning wake up at 530 am to get ready to go duty.I'm now start go duty is because i need money.hehehehe The duty is in Dell and finish at 1030am.Reach HQ is around 11am.My daddy call me why i dd not turn up to work at my aunt's shop i told him that i just finish my job.Hmmmmm..i'm so sleepy now at i know that i have no time to rest.Is because after finish work at my aunt shop i need to go back have bath than continue my journey to HQ to clean hall.What time i will work till,i really dunno.
Than Sunday morning need to go Bukit Gedung for cycling duty.After the duty i need to come my aunt shop to work till evening and i need to attend a dinner on the night.Than start Monday i need to start my 4 days clinical and practice.
I dunno when will i fall sick...i really tired.i have my whole body ache.
Saturday, October 31, 2009
After wake up still feel sleepy...take a warm shower and wash my dirty cloth.....than lying on bed wait to be sleep...dunno what happen last night...suddenly feel restless and difficult in breath.....keep on turning on bed and sit up than lying back to bed....after dunno how long that i struggle on bed finally sleep till 5am wake up....
I have no idea why i wake up at that time.....keep struggle to sleep but cannot..so planning that wake up and tidy my bed...lying on bed and look at the ceiling waiting the time to be past....
when the clock reach 730 am i have nothing to do than just changed to sport cloth and go jogging.I saw my primary class teacher there....having some chat with her....
Actually i plan that to cook at home but when i cooked half way..my daddy ask me to go shop help my aunty...so just bring my food to the shop...feel very tired and sleepy now......
Saturday, October 24, 2009
Almost 3 weeks already.....3weeks ago i went to a training at Kedah UUM.....is involve all the people from Asia Pacific...for me is very excited....cause i never been that event before.... In the training really let me know a lot of thing.....Oops....i forget that the course title is Emergency Response Unit(ERU)..Organize by International Federation Red Cross. I have all my friend come from different country....Fiji Island,Solomon Island,France,Hong Kong,Japan,Bangladesh,Afghanistan and many more.....is very nice feeling to join them together... Malaysia Red Crescent send 4 representative including me to attend the course.We are bring the Malaysia name to there...is very hard to said about my feeling when i first step in the hotel and stay with the room mate that i dunno who is she... Her name Betty Lau from Hong Kong....At first i feel nervous cause this is my second time share room with people that i dunno her...Hmmm After we introduce to each other by Teo from IPK than we start chat along...she is very nice girl.... when the second day we start our class.....i feel that my heart going to jump out cause all the people from different is looking at 4 of us....they speak English very well and I'm only speak broken English...like a duck talking to a chicken...After all the introduce we started separate group...thank god that all my friends is very kind,help and teach me a lot.... The training for ERU really different from what we learn at penang.ERU is most focus in paper work and reporting in disaster field and what we learn last time is only basic like mass cooking,tracing and first aid.....Now only know that is involve international relief is so much different that only involve RC in Malaysia. There is 21 participant and 6 facilitator we live along together for 6 days.is really fun....I never have this feeling before...may be they are from different country and their mind are different with 4 of us...they more open mined than us...and their experience is much much netter than us...they going to mission is more than ten time and for of us is never been to any mission except in Malaysia only.I really miss them so miss them so much.....dunno when we can meet again.....
Thursday, April 30, 2009
Sunday, April 26, 2009
you know we are worried you.one whole night you dint come back you also dint wan to call us,you hand phone no battery you also can call from public phone or you can borrow you friend's hand phone to sms or call us.
We already make appointment together that we go breakfast together but you didn't turn up.We really worried about you,what are you thinking now?If you told us,we will try our best to help you.We are looking for you at gurney.We look every single of coffee shop...We just want you to be alright.Sometime i really think did you treat the us as family?Did you know that what meaning of FAMILY?
Daddy ask me about you today,i don't know how to answer him.He said me didn't care about you..Did i?i really don't know what to answer him d.i can see daddy is very about,just he pretend that he is OK only.
If really can,i don't want you go but you stay here is only between life and dead.When you go China you still have the 50% chance.We have to take the risk rather than you stay here.We have no choice,we want you be a good guy.Sound like we forcing you to go there.
Yesterday i almost quarrel with ah hou cause making decision which day of flight that want to let you go.I want you go there asap,i don't wan you stay long here,cause i worried about your safety.I hope you will understand us.
Please don't let us worried about you.I wait you come back home every night,but yet you dint come back.We always support you.....always.Please let us know if you have any problem.
Saturday, April 25, 2009
Thursday, April 23, 2009