Difference

Lately, I had been so lazy to blog and surprisingly, I have nothing to tell besides to whine about how much I miss pediatrics. Hihi. Well, maybe I am speaking too soon, because I am pretty sure that in a months time, I will start telling how surgery is so beautiful! One of the things I miss about paeds is the kids, I just love working with children. They are so adorable, and you wont mind if they throw tantrums, because they are kids! But... when my adult patient throw tantrums, sometimes I feel like being rude but I know I can't and it doesn't portray a good image of a muslimah doctor. So I have no choice but to try to understand the patient's condition and give them the benefit of the doubt. It's not easy being in pain. Being in the surgical ward has also made me feel very grateful about myself, especially my healthy. It's so scary looking at how they are in pain, loosing weight because of the disease complications, dying of cancer and many more. We just cannot complain, Allah has blessed us with so many things and yet we tend to take them for granted.

The work load is also different compared to paeds, I don't know whether it's because we have too many housemans in the ward, or it's the actual workload. The admissions are very minimal, around 3-4 patients in a day and the ward is not full. I am now in charge of one cubicle in the male ward... blissful! The on call was not so bad as we have 3 housemans every night and we get to help each other out so on call nights are no longer quiet and lonely.

Tomorrow I am on call again! Hope I have a good call!

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As for my previous post regarding absolute contraindication of blood transfusion in a renal failure patient with anuria, here is why...

Blood transfusion can cause hyperkalemia, and this is dangerous as it can cause cardiac arrythmias, so we don't want that to happen. Potassium is mainly excreted in urine through the kidneys, so imagine if the patient cannot excrete the extra potassium and it accumulates in the body! That is all! I thought it was something good to know. I realize that when working, it all boils down to your basic physiology! So for the first years, do understand and a build a strong base of your physiology as it is very crucial in understanding how our body functions!