No pulse no problem, Dr LAU here to save the day
I have always feel been beaten down, so lethargic, not caring for anything or anyone. Till that day, which I will never forget, and that incident had remind me all the good things I have done as a doctor and all the bad, which include really saving lives and direct or indirectly taking lives.
Why lethargic, why beaten down; simple answer actually, following the same routine never to move out of things set in guidelines, just to meet your other peer opinion. As time goes on, you will start to become apathy, thinking life is just life without meaning and death having no impact whatsoever. However for a long time working in ED and sadly also the one taking care of mortuary, you soon see the impact it has. When you just look at the cool body and treating it as an object, sadly MO of ED in Sibu also have to face their family member, you then look in their eye of their love one, the disbelief and the sadness, also sometimes their guilt for not taking their complaint seriously, you then thinking once in their life before they were happy together like I am now with someone. Now the hard cold fact of that someone has left. You will now know the impact of death, and know the meaning of life.
Back to the main story, that day 7th august 2011, Sunday morning. A patient came in complaining of severe chest pain, the usual, did ECG, walla STEMI. So the routine starts, call medical to start streptokinase, call x-ray for portable, and so forth. Unfortunately the poor guy collapse while giving streptokinase, which once a while happens. But what is different is I notice even during asystole, he still maintaining his basic function which is to fight back. So knowing his brain is well perfuse with CPR, and the heart asystole owning to too much electrical shock. Is best to just continue cpr and waiting for the heart to revive. To hasten the revival of the heart, I order for dopamine and bolus adrenaline, from experience to prime the heart for adrenaline. True enough it really work, his heart later start kicking back and been maintain on adrenaline. So 2 days later, his is alive and well. Thanks to me, hihihihi, and the rest.
This good experience remind me and taught me that I ain’t some ordinary doctor, and actually better than most of the people, no wonder as houseofficer there are actually MO who are jealous of me and MO who respect me. Now I see. So to those who think they are smart, don’t think so, because you are not, there are more things than your shallow knowledge in been a doctor, it is call detail heart and spontaneous.
Why lethargic, why beaten down; simple answer actually, following the same routine never to move out of things set in guidelines, just to meet your other peer opinion. As time goes on, you will start to become apathy, thinking life is just life without meaning and death having no impact whatsoever. However for a long time working in ED and sadly also the one taking care of mortuary, you soon see the impact it has. When you just look at the cool body and treating it as an object, sadly MO of ED in Sibu also have to face their family member, you then look in their eye of their love one, the disbelief and the sadness, also sometimes their guilt for not taking their complaint seriously, you then thinking once in their life before they were happy together like I am now with someone. Now the hard cold fact of that someone has left. You will now know the impact of death, and know the meaning of life.
Back to the main story, that day 7th august 2011, Sunday morning. A patient came in complaining of severe chest pain, the usual, did ECG, walla STEMI. So the routine starts, call medical to start streptokinase, call x-ray for portable, and so forth. Unfortunately the poor guy collapse while giving streptokinase, which once a while happens. But what is different is I notice even during asystole, he still maintaining his basic function which is to fight back. So knowing his brain is well perfuse with CPR, and the heart asystole owning to too much electrical shock. Is best to just continue cpr and waiting for the heart to revive. To hasten the revival of the heart, I order for dopamine and bolus adrenaline, from experience to prime the heart for adrenaline. True enough it really work, his heart later start kicking back and been maintain on adrenaline. So 2 days later, his is alive and well. Thanks to me, hihihihi, and the rest.
This good experience remind me and taught me that I ain’t some ordinary doctor, and actually better than most of the people, no wonder as houseofficer there are actually MO who are jealous of me and MO who respect me. Now I see. So to those who think they are smart, don’t think so, because you are not, there are more things than your shallow knowledge in been a doctor, it is call detail heart and spontaneous.
posted by presidentlau at 12:19 AM
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