Night at PAC

Salam alayk...

[please pardon my grammar error]

Last night I was oncalled at PAC (Patient Admission Centre). My shift started at 8 pm but I came at 8.30 pm because I was overslept. So the first patient I saw was a Myanmar lady, came in labour. The registrar oncall last night was Dr. T. I was not able to clerk this patient due to language barrier (how I wish the hospital hire a Myanmar interpretor... huhu). She was sent directly to labour room as the os was opened 4 cm. Subsequently, another Malay lady came with hyperemesis gravidarum. She was admitted due to dehydration. 3 patients came to take blood for BSP (blood sugar profile). Then a Chinese couple came. The husband looked like very familiar. When I clerked the wife, the husband stands behind me. Then I came to know that the husband is an Orthopedic registrar. After I finished clerking, the husband asked me: "Ni houseman ke student?" I answered: "Student." He said: "OK." Then when I presented the case to Dr. T, the husband said: "Sure you can look at the notes? During my time, we can't look at the notes during presentation. Everything must be in the head." Dr. T replied: "It's OK..." Haha~ Dr. T is very nice. Actually Dr. T and the husband are the classmate during their medical school. Dr. T told about her medical school which is in India. Very strict! I can imagine the college is like the one in Mohabbatein movie... Haha~

The patients kept coming and the last patient came at about 1.30 am. All the patients were admitted, either to ward or labour room. Then I went to rest while finishing the forensic notes. I was sound asleep when an Indian lady came at 3.30 am due to per vaginal bleeding and lower abdominal pain. I quickly woke up and clerked her while waiting for Dr. T. She was admitted because we suspected she had threatened miscarriage. The next patient came at 5.30 am in labour. She was also admitted to labour room as the os was already 7 cm. Dr. T let me to do vaginal examination and she taught me how to feel the opening of os at 1 cm, 2 cm, 3 cm and 4 cm. Next patient was an Orang Asli lady, in latent phase of labour. She was admitted to the ward. During clerking this patient, Dr. T told me about her experience worked in an Orang Asli place. She once had a patient named 'Itik a/k Beruang' and 'Kacang Panjang a/k Bendi'. Haha~ It's very funny, but that's the reality. Orang Asli people is very close to the nature hence they are named after the flora and fauna.

I realized that more and more immigrant came to our hospital to deliver baby. This is because our hospital fee is less than KKM hospital. But, the flooding of immigrant in Malaysia is a very serious issue as it can be associated with the increase in crime in our society...

Thanks to the nice Dr. T, staff nurse and akak PK at PAC, my night call at PAC was wonderful~

Maido ari, jaa~