23/6/09

I think I should write a summary here after my 2wks clinical attachment in nephro ward... to remind myself how lucky I am... of so many patients I encounter, plan to record 2 pts tht I learned the most...

Thr's this 50++ woman admitted due to diet intolerance... vomitted out all food she eat... a regular dialysis pt. I knew her, cz i gave her medicine b4 & I rmb her cz she is very kind & obedient... talk softly n rmb indication, dose n frequency of all medications eventho she was on 12types of medications daily... She said she rmb me as well... She said I am very patient when explain avthg to her lasttime not like othr pharmacists (wow so happy I told myself I must concern abt this pt more...)

She talked with us, smile n laugh n eat all medicines we gave... She told me hw happy she was cz her son goin to get married soon etc... & I told her I will counsel her on insulin the next morning...

BUT, da next morning... She passed away... I swear v re-checked avthg adi... no treatment error no mistake but she has just gone...

& I am angry cz his son never visit her thruout her 3 days of hospital stay... whn his son came to da hosp n nurse asked him abt his mum's condition, he knows ntg... GOOD SON u may faster go get married n have son/daughter n I wish next time ur son/daughter will treat u as how ur treat ur mum...

I will never forget the expression she showed when she tells me she is very happy cz her son is going to get married soon...


Another patient who is only 33... got diabetes & kidney failure due to diabetes... Specialist suspected he ate some medications outside eg NSAIDs, but he denied... Specialist explained to us he is very sure that he took some medicines w/o us knowing b4 admit to hosp, otherwise his kidney function wnt get worse in such a rate... Agn & agn doctor told him not to take medicine outside since lasttime... but he didnt listen...

I counsel him on new insulin... spent near 2 hours explain to him slowly cz I know he is such a stubborn person... explain agn n agn... talked abt complications of diabetes etc etc etc... what food shldnt eat etc etc... He said yes yes yes will follow wat i said...

the next morning... I saw him eating bread with a thick layer of KAYA... with Teh Tarik... the thgs tht i asked him to avoid yday... I swear the kaya was so thick that is enuf to cover his whole obese body if it's to be used as a cream... nvm, counsel him agn... N he said yes yes yes...

Afternoon, I saw him eating alot of malay kuih-muih... with COKE... also the foods tht I asked him to avoid... n the thg tht make me almost fainted is tht all these were bought by his wife... Im confused maybe if her husband died she cn get alot of money or anythg...

Suddenly Im thinking of tht woman who has passed away... I felt like scolding him did he really know that thr are many plp who wana live also no chance but he is putting his own health into risk... eating medicine tht doctor not allowed, eating all food n drink tht we are not allowed...

In this world, plp oways tot anythg happened on a patient is tht patient's own business... a son that dont know what his mother's problem eventho they r staying together... a wife who supply food that will harm her husband etc etc... Do u still rmb how ur parents take care of u whn u were still small... Do u still remember what did u promise before u say 'I DO' during ur wedding... y suddenly loves & cares bcum a burden for u guys/gals ?? haih...

My intestine got an abscess & need to have operation to remove it asap... from A&E to specialist to ultrasound to operation avthg juz happened within few hours... I saw many loves... my daddy went to buy whateva food tht i wana eat... my mummy knew I dunlik to use pillow outside & purposely go home & get 1 for me... I saw them worried alot eventho they told me not 2 worry b4 I go into operation theathe...

N also my othr prp frens who came to visit me... luyi jokes alot made me 4got abt the pain... my uncle aunties etc, my bro n sis in law etc... N lil prince brandon who played with me till my wound pain agn hehe... n ofcz many sms from othrs...

I feel so hang fook... Middle of the nite I cnt zzz... I compared myself with those pts in hosp... my tears dropped... I am just having a small operation that so many plp concerned abt me... But I see othr plp in my hosp that having severe disease yet nobody visit them... I was staring at Dear middle of the nite whn she's zzzing... She took 1 day off to teman me in the hosp... by thking of how she gv me water, cover me with jacket, keep asking me if I am very painful etc... I asked myself what good thgs I've done during my previous life that the god give me this person... If I cn spend the rest of my life with her, what shld I afraid of??

I am imagine my future house staying with my parents, dear n 2 babies...