Besarnya jasa ibu mengandung …
Tomorrow i’ll be having my clinical exam for obstetric posting.. Before i go further just wanna warn you all that my language is going to be rojak coz i just finish my speed study for tomorrow exam.. plan to sleep after this and weak up early tomorrow.. England will play againts serbia montenegro at 12 … it would be nice to watch but better sleep lah .. got to be clear on my priority .. tapi bleh plak tulih blog memalam nih kan .. saje lepas tensen kononnya ..
Anyway, for the past 5 weeks i’ve been seen lots of delivery and diseases related to pregnancy.. some got admitted due to post date pregnancy, some got bleeding trough her vagina, some got hypertension during delivery, some got anemia due to poor diet intake and memacamla .. so we need to help these mother so that they can go into labour and deliver her baby.. like i said before, our job is to provide good out come of the pregnancy …
Semalam aku oncall ngan shangkeree sampai pukul 10 .. we were in the operation theater .. ade seorang ibu nih dia punya tali pusat tercabut masa kita cuba nak keluarkan uri(placenta) dia. Aku ngan shank jumpa dia kat dalam labour room then kitaorg follow dia naik OT kat tingkat 3. Bincang2 sikit ngan Dr. Leong dan Dr. Aaron then we wait for the anesteologist to insert epidural to numb the lower part of the patient… Mula2 aku ingat it’s goin to be a short procedure .. it is actually .. cumanya masa anesthetis to nak masukkan epidural kat spinal cord patient tuh which is between L4 and L5 kalau tak silap aku,, suddenly blood pressure akak tuh drop to 51/22 mmHg (normal bp 120/80mmHg) .. it’s not so good because she can die due to insufficient blood supply to vital organ like brain, heart, kidney and adrenal gland .. because of that we cant continue giving her anasthesia and have to stabilize her by blood transfusion.. a pine of blood already been transfuse tapi bp akak nih masih tak naik .. dalam sibuk2 tuh the second blood cannot be given to her sebab surat kebenaran pemindahan darah tak ditemui .. Oh my god .. benda nih jadi kat depan mata aku .. Dr. anes tuh repeatedly suruh prepare blood tuh tapi sister OT insisted of getting the consent letter first .. there are 2 issue which arise here .. both are medicolegal issue .. to give or not to give .. dengan kebijaksanaan dr anes tuh, after calling her consultant, bp patient tuh dapat di naikkan tanpa perlu blood transfusion .. she did mention that the bp wont remain high very long .. so blood transfusion must be done eventually .. the sister incharge did prepare the blood but i didn’t see any second blood transfusion .. we manage to put into sleep and Dr. Leong buat manual removal of placenta untuk keluarkan uri yg tertinggal kat dalam tuh … it ended shortly afterward ..
Terlintas dalam kepala aku masa kat dalam OT tadi, betapa seorang ibu bersambung nyawa demi melahirkan seorang anak.. akak tadi bole mati kalau tiada tindakan pantas dilakukan untuk menyelamatkan nyawanya …
On seperate occasion pulak Kat ward aku, ada seorang pesakit yang mengalami tekanan jiwa selepas kematian anaknya.. Sekarang nih dia mengandung lagi dan dimasukkan ke ward sebab komplikasi kandungannya.. anak dalam kandungannya didapati menghidap kecacatan tulang belakang..
Kandungan ni pun hasil perkahwinan dia ngan suami kedua .. masa mula2 aku tak sedar dia pessakit mental sampai satu hari masa ward round ngan dr krishna, akak nih buat perangai gile dia.. then masa hari dia dijadualkan untuk pembedahan c-section dia lari ke hujung ward melaung-laung sampai hentak2 kepala kat pintu ward.. kesian dia, dia tak sedar ape yg berlaku sebanrnya … On daily bases, setiap kali aku pintas katil dia, dia pasti akan tegur aku .. ape yang aku bole buat hanya senyum balik dan balas sapaan dia ..
selamat hari ibu untuk semua ibu dan bakal ibu .. and mama i love you so much …
June 15th, 2006 at 8:55 am
hey.here’s sum comment.ha,bl dh tgk mcm mana seksanya nak beranak tuh br sedar n terigt our mothers eh?hehe i hd my share of bad experiences too. the worst case was whn a mother died frm ecclampsia n she died frm waiting 4 an ambulance to come cos we hd to refer her to the main hosp in bdg.tht time i was in sum far2 away kg.tht’s the sh**iest thing tht owez2 happen here.sigh.n last 2days suring my surgical oncall, a drunk trauma patient cough out blood allover me.it ws jst great.sigh again.anyhow, whn ru finishing ur medschool?