wisdom vs genius

jam dinding ward ni dah 11.30pm ..jam iphone 11.20pm baru..

Dr Awang : Dr Mek ke?sorry ..ermm..assalamualaikum.. saya Awang dari pead general ward nk refer satu patient kat doctor :"this patient 6 m.o malay girl with no known medical illness admitted to our ward with complaint of right forearm swelling till the level just above her elbow joint..she presented to us today as the mother worries of the increasing in size of the affected limb.."blom sempat abis ceriter..suddenly ditanya

Dr Mek : so apa diagnosisnya??

Dr Awang : our differential is abscess(pus collection) and the least possible diagnosis is cellulitis(inflammation).we have started high dose iv cloxacillin n iv gentamycin

Dr Mek : patient ni masuk pukul berapa?awak ni tengok patient pukul berapa?kenapa sekarang baru nk refer ..why petang2td x refer..??ni kn dh pukul 11.30pm(jam dinding ward lg accurate ke?)

Dr Awang : MasyaAllah Dr Mek (dlm hati dh panas ni)..mcmana saya xrefer awal saya baru je tengok pt ni.dia admitted pun jam 7pm.biasala kalo kerja banyak ..HO saya tengok dulu sbb saya kena focus la pada more unstable patients (of course we ve to attend them first).kalo saya xfikir pasal patient xder saya nak refer2ni (tangan ke dada n mata ke atas) untuk minta courtesy awak review.with my limited experience this is not merely simple cellulitis.if u dont want to see the case..its ok since i ve tried my best to get your opinion as so called expert review..

Dr Mek : Okla .. okla..nanti saya gi review dia..

**surprisingly, Dr Mek was towards completing her internship who havent done pediatrc posting yet.

The patient actually had multiple intramuscular abscesses of the arm and she underwent emergency opt for evacuation of the pus..the plan was carried out after she was reviewed by the senior doctors n surgeon.

my goodness ..now i can see what Sir Cyril Chantler From British Medical Association used to say:"medicine used to be simple,ineffective and relatively safe".but it is now complex,effective and potentially dangerous.(but i dont really understand the meaning of the word of effective here)
http://www.publications.parliament.uk/pa/cm200809/cmselect/cmhealth/151/15104.html.

***see how UK saw n tackled this problem years before us (from the link.).(i found this infos somewhere on the softboard in our resource room).

For doctors -either you are an HO or MO- As to diseases, make a habit of two things—to help, or at least to do no harm—Hippocrates, Epidemics (Book I, Chapter XI), c. 400 BC

Not harming the patients has been a key principle of professional medical practice for at least 2,500 years. Even so, a great deal of harm has been done to patients over the centuries.

since we have been focusing so much on the 'do no harm' we have forgotten the word 'to help'.now it is a time for us to work openly with partnership
..with our colleagues in health care/KK/district hospitals n the patients also -of course.

moral of the story : .Dr Awang perhaps also learnt something from that 'stormy'event..huhuhu..

Sepertimana Sabda Nabi Muhammad S.A.W..

***tips percuma : Rasulullah SAW bersabda: خير الناس أنفعهم للناس
Sebaik-baik manusia ialah yang paling bermanfaat kepada manusia.renung2kn..***

sstu yg biasa bg kita boleh jadi luar biasa utk org lain-SH.


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