Elective Posting~~

Today is the third day I join elective posting in Hospital Duchess of Kent. I followed Dr. Sharon this morning and I learned a lot of things from her today. Apart from that,I also visited to female and male wards this morning as well.Unfortunately,there are no operations and procedures but Dr. Azlam asked me to leave my handphone no. so that they can contact me when there is any procedure and operation.


I saw many different cases these 3 days, but from my observation, cardiovascular diseases or illnesses are the most common. There are at least 5 cases everyday. For sure,mainly cvs cases are due to hypertension.In the first day, Dr. Mahen told me that inferior cardiac infarct will mostly results in bradycardia and weak pulses together with a T wave elevation in the ECG.Besides, I also learned some ethnic issues and social issues these days. I was told that non local residents are probably not admitted.When we want to intubate patient, we must consider and think precisely whether patient's condition is alarming enough to be intubated or not since there is limited intubator in our hospital.For sure,it's important to inform patient's family or relatives what we decide to do before actions are taken,for example,when we want to do CT scan or intubate patient.


Another interesting cases is that an unknown woman was brought in dead by police this afternoon.I believed that she was murdered because she was brought into hospital in naked.I asked Dr. Sharon's permission to have a look on the corpse and I followed her while she was checking the woman.Her neck was strangulated and I believed it was the cause of her dead since her head and face was obviously congested.Posterior to her head were hurted and with blood.Bruises were seen on both her arms and forearms. Photos of her was taken by Dr. Sharon and a call was made to the forensic doctor in KK so that she can come over to postmortem the corpse to rule out the cause of death.


It was not an end to my elective posting.I learned TNS as well. Yesterday,there was a primary 3 boy who hurted his head.His wound was big and TNS was needed to beautify the wound.A 5mm needle was used to surture his wound on his forehead.It was a nice experience to me because steps are quite simple but mistakes cannot be done.2mm apart from wound should be estimated accurately everytime when I surture it.To me,the experience is quite disgusting because blood is bleeding continously although injection was given but once the wound was sewed nicely the bleeding stops.


Although I find that elective posting is quite bored especially in the early morning,once reaches 9am,new cases in the A&E department coming on and on and each cases are different.Hope I can get more new knowledges for the following days there...