Saturday, October 31, 2009

Day two: My Beautiful House Officer

I got to work much earlier today though I am still about 5 minutes late.

In my unit we have a house officer, 2 medical officers, a registrar and a consultant. Though the other medical officer commences his annual leave tomorrow. House officers spend only 4 weeks in each department in surgery.

My present house officer is beautiful, nice and hard-working lady and I even thought of asking her to marry me but I was told in time, she is in serious relationship with a fellow medical officer.

Yesterday I told you about the bad case we have in our unit. Today was the decision time; do we continue on chloramphenicol or change to routine unit antibiotics. Personally I believe the fever was dropping because patient immune system could no more fight whatever is causing the fever.General surgeon advised us to stop all antibiotics while consultant microbiologist suggested we discontinued chloramphenicol.

My own argument is that you can’t use ceftriaxone and chloramphenicol together because one is bacteriostatic while the other is bactericidal. Eventually we stopped chloramphenicol, I have a feeling we were too late because the patient is now in acute renal failure from the latest renal function test.

Today is consultant ward round and I thank God it is Friday.

We commence patient on oxygen with plan to transfer to intensive care unit.

I spent my remaining time reading in the library.

I eventually got to my house around 7:30pm, I ate noodles and feeling very happy that today is Friday. For I will sleep with both my eyes closed.

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