Friday, October 30, 2009

Day One: A Very Bad Case in Our Unit

I woke up this morning around 7am Nigerian time. So I got to work around 30 minute late, though this is normal occurrence here but personally I try as much as possible to come to work early.

About 20 days ago we admitted a patient on account of multiple fractures involving tibia and fibula on both legs, left femur, right hip and right radio-ulna bones, following road traffic accident. We subsequently did multiple open reduction and internal fixation with fantastic post operative state.

However, around 8 days post operative day patient developed malignant like hyperthermia of unknown cause which has defied all form of treatment by combined team of microbiologist, general surgeon, physician and our unit.

Surprisingly today the fever came down with the use of chloramphenicol which we no longer use. Though I personally assume the man system has stopped fighting because aside temperature all other vital signs are poor. And this is a patient who we are about to discharge home.

Ordinary I officially close at work by 4pm if my unit is not on call but today I have to stay longer in the hospital to assist the nurses in monitoring this case; ‘don’t ever leave bad case for nurses to monitor for you’

Around 8pm I decided to go home finally. Remember I am not married, so I have no one to assist me at home. I think I should do something about this, oh God I need a wife, I mean good one. Of course I have female friends but they all are more interested in marrying me than loving me.

On getting home I saw 2 ladies waiting for me. Yes I know them but I am too tired to think clearly. Well one has to leave while the other fed me, got me a hot water to bath and off I am on my bed typing this diary.

I hope to type good story tomorrow…….. Snores

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