Today the ward not so busy. Thank God that I have chances to draw blood from some patients, but still didn't get a chance to insert a branula or take ABG. Yet today I know that there is something more difficult than taking ABG, and HO need to know how to do, that is to set up a central line, mainly to measure the CVP to check the hydration state of the patient. It can be either long line (insert from a peripheral vein) or short line (insert from internal jugular vein). When that HO knows he need to set up a long line, his expression like =_=. He mananged to get helps from few HOs, but after 3 attempts, they still fail. In the afternoon, the MO came to set up a short line, with guidance from other MOs and a specialist. After 3 attempts she also fail, because she keep insert the line into carotid artery. The specialist takes over, but few attempts he managed to insert the short line successfully.
Today I keep hearing doctors mention about this patient is NAR or DNR. NAR is need active resuscitation and DNR is do not resuscitate. But I still don't understand why there is a DNR option for patient. Shouldn't doctors do everything that they could to save the patients.
Today a consultant of ward 18 came again. I assumed that he is a specialist in GI department because he just want to GI patient only. He is a very good doctor, and he is the first doctor that bother me and ask me questions. Other specialists see me like an invisible person or a furniture only. One specialist only talk to me when she is seeing a patient from Myanmar, and she says to me,"You know how to speak Myanmar? Don't know? Why you didn't learn how to speak?" =_=...... Another specialist talks to me because he want me to speak to the patient's family in chinese. =_=...... I am a medical student or a translator?
Anyway, that GI specialist said something quite interesting. He said that everyone in this society has his own responsibility. Doctor can only diagnose the disease and give treatment to the patient. At the end of the day, patient has to take care of himself and compliant to his treatment. Doctor can't do everything. If you try do everything, at the end of the day, you just exhaust youselve only, but patient don't appreciate what doctor did. He keep saying "at the end of the day" many many times. The other day he also said that sometime he feels very lost interest in medicine, not because we can't do anything, in fact the hospital got many advance equipments and the best drugs, but the patient just not compliant to their treatment, and didn't follow up at the clinic. What he said is very true, but suddenly I remember what Paul said to the believers in Thessalonica.
And as for you, brothers, never tire of doing what is right.
2 Thessalonians 3:13
May the daily routine work in the hospital will not make our heart becomes harden and callous. Let us not forget the initial passion that we has when we choose doctor as our profession.
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