busy busy busy...

salam and good day

well, it's past 10 pm already.
it's been a very busy day with loads and loads of patients.. just imagine, up till 200pm, i still could not finish treating those patients coming from 10am.. what a hectic day.. sigh

i came across an extremely ude guy threatening to smack off my poor staff nurse, while she was trying to take the blood of his 7 days old baby boy? presented with jaundice, saying, no shouting to be exact, things like 'mu kerja lama jangan kurang ajar! Anak aku baru 7 hari mu reti dok?' that really really pissed me of! how could he say such threatening words' i asked the other staffs to call the security. Shame on him, and his kopiah!

luckily the wife hugged him, kissing his cheeks and calmed him down.. apologising to us for what he did/say. poor wife, not only she has to look after that small little baby, but also this below-age-seemingly-old-enough-but-very-rude-childish guy who behaves in a such silly manners...

now a relief.. i think if he lay his hand on my staff nurse, i'd have a smacked him down. I may not win, but surely i don't care and i've never been so pissed of like that for ages...

the felt strange.. do i really know myself?.. subhanallah.. all glory to Him!

That's the worst part. The good part is i learnt on how to manage a patient with SVT, stands for supraventricular tachyarrythmias.. very bad irreagular fast paced heart beat causing chest pain, palpitations and drop in blood pressure. I learn how to start iv esmolol 20mg, (unsuccessful) and then i cardioverted the patient under sedation of iv dormicum and fentanyl (100mg) pain relief using the defibrillator (as seen on TV) to God's glory, the pulse rate of 200 went down to 80-90 with nomal regulat heart beat.. I quickly arrange for admission after stabilizing the blood pressure with iv dopamine and dobutamine. the sad news that i heard later, he had a cardiogenic shock in cardica care unit. May Allah helps Him..

been coughing a lot lately.. sorethroat, feeling feverish.. thanks God i'm off for tomorrow..