When one is on call (on a weekday), there are only certain types of cases that one expects to see.
For instance, in Paeds, you expect children to come with fits, asthma attacks, sudden high fever, severe diarrhoea and vomiting - things like that.
In Ortho, you expect people to come due to fractures due to accident or falls.
However, that is not the case.
Can you imagine clerking a case of sacral sore at 3am?
The sore would have been there for a few weeks or even months.
Why do they have to come in at 3am?
Better still - diarrhoea for the past 1 week, decreasing in frequency.
Getting admitted in the middle of the night.
If the diarrhoea did not have to be checked for the last 7 days, why can't it wait for another 7 hours?
My friend said she once clerked a patient who came for menorrhagia for the past 3 months.
She came to the hospital in the middle of the night because the husband only had time to bring her to the hospital then.
The husband must be a really, really busy man to not have any spare time for 3 whole months, don't you think?
I recently clerked a patient who had dry gangrene of the toe for the past one week.
What prompted him to come to the hospital at 11pm and not earlier?
I have no idea.
If we get such cases in the ward, imagine just what the A+E people see each day.
People come to the A+E for every minor thing that can wait.
The A+E is for accidents and emergency.
If your leg has hurt for the past two years and you suddenly decide to get it checked up, you can wait until the next day, when the outpatient department will be open.
You do NOT have to come to the hospital at 2am for a wound that you have had for the past month; it can wait a few more hours.
People, be considerate.
Today I learnt that wedding banns are announced (?read) for 3 consequtive weeks before a couple gets married. So, if anyone has any objections regarding the marriage, they have 3 whole weeks to bring up the matter.
For instance, in Paeds, you expect children to come with fits, asthma attacks, sudden high fever, severe diarrhoea and vomiting - things like that.
In Ortho, you expect people to come due to fractures due to accident or falls.
However, that is not the case.
Can you imagine clerking a case of sacral sore at 3am?
The sore would have been there for a few weeks or even months.
Why do they have to come in at 3am?
Better still - diarrhoea for the past 1 week, decreasing in frequency.
Getting admitted in the middle of the night.
If the diarrhoea did not have to be checked for the last 7 days, why can't it wait for another 7 hours?
My friend said she once clerked a patient who came for menorrhagia for the past 3 months.
She came to the hospital in the middle of the night because the husband only had time to bring her to the hospital then.
The husband must be a really, really busy man to not have any spare time for 3 whole months, don't you think?
I recently clerked a patient who had dry gangrene of the toe for the past one week.
What prompted him to come to the hospital at 11pm and not earlier?
I have no idea.
If we get such cases in the ward, imagine just what the A+E people see each day.
People come to the A+E for every minor thing that can wait.
The A+E is for accidents and emergency.
If your leg has hurt for the past two years and you suddenly decide to get it checked up, you can wait until the next day, when the outpatient department will be open.
You do NOT have to come to the hospital at 2am for a wound that you have had for the past month; it can wait a few more hours.
People, be considerate.
Today I learnt that wedding banns are announced (?read) for 3 consequtive weeks before a couple gets married. So, if anyone has any objections regarding the marriage, they have 3 whole weeks to bring up the matter.
2 comments:
Perhaps that is our nature? ha :D They have to do it at the last-minute...or wee hour.
totally understand how u feel..
i had 1 call prev in ortho.. 4 cases come in subsequently for DM foot. which was there for at least 2 weeks or so.. but they all hav to come in past midnite..i hate it!!!!!
and a patient post fracture 7days.. come in middle in the nite.. does tat make sense.. argh!!
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