Showing posts with label blood. Show all posts
Showing posts with label blood. Show all posts

Wednesday, December 30, 2009

Patients and Patience

Visiting hours is the worst time to review or take blood from patients.
When you ask the patient a question, the relative will help with the answer.
All of a sudden, you get a heap of complaints, sometimes not from the patients, but from the relatives.

Today, a friend of mine wanted to take blood for a dengue patient,
When he pricked the patient, her daughter was the one 'tsk'-ing in pain (don't know how else to put it).
Won't you find that disturbing?

Another short story - I was reviewing a patient.
I was just going through her previous notes before I started asking her questions when another lady by her side suddenly asked me something (I forgot the question). I answered and continued with my work.

All of a sudden, this lady asks me, u are doctor...and I told my name.
Then, she told me, "I am Dato' XYZ".
I thought, "So?"
Does she think I am going to treat her differently just because she is a Dato'?
Do I have to go around and introduce myself with a Doctor in front?
Come on!
It's not like you were born with it...so why introduce yourself with it?

However, this I MUST say...people do treat you differently based on your profession.
Teachers get respect.
Policemen/policewomen are feared.
Doctors are ...I don't know.
All I know, when I am wearing my labcoat, more people tend to look at me and smile at me compared to when I am not wearing my labcoat.

I just have one message to everyone out there - when/if you are a patient, please remember this few things :
1 - tell us your complaints, no problem, but please, don't go on and on and on! Keep it short and informative.
2- please do not change your answers. There have been many times when when I ask a patient a question, and when the MO or specialist ask the same question, the answer changes. The diagnosis depends on your answer. You give a different answer, the specialist says we didn't get a proper history!
3- please remember that you being in the ward means more work for us - extra 1 person to review, extra 1 person to take blood from, extra one bed occupied. If it were up to us, we would dischage everyone and keep the hospital empty. I am getting SICK of people who tell us that we like keeping them in the ward and not discharging them.
4- if you are given medication, please that them at home. Don't not take your medication, don't default your follow up. In the end, you are the one who is going to suffer - and when you are readmitted for your non-compliance, we will not be as nice to you as we previously are because you simply REFUSE to listen to us!

That's all for now, can't think of anything else.
Stay healthy!

Thursday, February 19, 2009

It Will Just Hurt A Bit

Do you know how strong kids are?

Twice in the same day,the other day, I had to take blood from 2 3-year-old kids.

The thing about blood taking in kids is this :

- the really small ones, few months old - you can just push them aside position them in a way that is convenient for you, hold their hand, prick and take blood from them. The most they would do is cry and kick, which won't affect you too much.

- the ones more than 10 years old are usually matured enough to not fight and USUALLY can remain quiet while you take blood from them.

- the in between ones are the problematic ones. Those between 1 and 10 years old. They cry and they kick and they scream and they make you feel like screaming as well. The younger ones, I can accept them crying..but then sometimes you get 12-year-olds who cry and that is SO DAMN IRRITATING!

The whole crying-kicking thing, it not only makes it harder for you to take blood (and hence prolonging your work-time), it also makes your blood pressure go up and makes you feel irritated and tired.

Anyway, as I was saying, the other day, I had to take blood from 2 3-year-old kids, one after the other. I was shocked at how strong they were! 3 people had to hold 1 kid down just so that the blood taking could be done without much hard done to the kid (and also to the person taking the blood). 3 adults and 1 kid. I never knew kids were that strong!

This reminds me about a primary school friend of mine. We have always known that she is afraid of needles, but then we only knew how bad her fear was on the day that we were getting our BCG shots. At first she was OK, because it was not her turn yet. When it was, she cried and she struggled and she had to be held down by about 4 or 5 people before they managed to give her the shot. A while later, we asked her whether or not she thought the injection was painful - she claimed that she did not even feel the injection! All that fuss for nothing!

Well, life goes on. Tomorrow I will still have to face the kids, who probably hate us doctors for pricking them, but hey, we don't like taking blood too! We are forced to do it!

Argh..I think I am crapping already...Good night!