On Call again..

Was doing EOD (every other day) on call... really tiring and exhausting ..
Nowadays I prefer quite and simple life instead of thrilling, exciting, nerve wracking and sweat drenching moments.. Frankly speaking, I feel very tired...

My friend LT just mentioned in his blog that he had a busy day during his last on call whereby he had lotsa laparatomy cases...

The moment I stepped into the Operating Theatre yesterday morning at 7:45 am, I was told that there was a post op case with bleeding problem for Re-thoractomy, and patient was on the way already to the OT.. Aiyk... What a case to start my day :( The patient was intubated with Double Lumen Tube (DLT). Intra-op, we transfused several pints of blood & Fresh Frozen Plasma as well as DIVC regime. Problem to maintain oxygenation when he was put on One Lung Ventilation (OLV) and have to resort to giving him 100% oxygen instead with PEEP.. Manage to maintain SpO2 97% with FiO2 1.0. Otherwise, his other vital signs are stable. The surgeon manage to find the bleeder and identify the source of bleeding.

The next case I did was a young girl with abscess in the pinna(ear) which developed after she pierced several holes at her ear not long ago.. for I&D.. All these results from unsteril & unhygienic instruments during the ear piercing process...

Then I continued my day with EVD insertion for 5 months old ex-prem baby with chronic hydrocephalus. When I called the case, the neurosurgical MO informed me that there's another case on the way from the other hospital with Extra Dural Haematoma (EDH) which might required craniotomy & evacuation of haematoma.

The patient with EDH finally arrived. She didn't require craniotomy cos the EDH was small but she had multiple deep laceration wound, including deep inverted Y shaped laceration wound on the scalp, and severely injured lips (being torn into pieces) & tongue (almost cut into two, causing massive bleeding... cos tongue is a very vascular organ) and multiple facial bone fractures as well... Another bleeding case... The surgeon managed to secure the bleeding after the identifying the bleeder.. Even though it's just Toilet & Suturing (T&S), the whole surgery took almost 5 hours cos it involved meticulous stitching & suturing ... Few pints of blood was transfused as well. The plastic surgeon really did very good and fantastic job.. Good cosmetic effect despite the severe injury..

I had many many other cases as well and I'm not going to list down each of the cases cos it will take me ages to do so ;) ...

Doing the last case of my day at 6 am in the early morning, which finished around 7:30 am..

Received a sms from Gasman while half way doing the last case..