at 10PM we entered the vicinity LATE, heavy traffic jammed our way at paseo de. sta rosa, leaving us with no choice but to wait for the slow roll to move for an hour or so. The area was full of commotion, ER nurses running here and there, IV insertions done at max speed, ambu-bagging at a cubicle, crying stabbed patients at the triage - the whole set up was so much different from the scene we usually see. Reminds me of Sir Falculan's words, "Say Mary Med ER, CMC-ER, or MAMC-ER? Consider OSMUN-ER a different one, different cases will come in.. most of which involved crime scenes, and the drama? jeez. you don't wanna get involved. Most of the time it'll look like a prison place with lots of police invading the place."
I was assigned at the Triage area - the place where you segregate and prioritize patients. oh HELL it was so HOT there.. oops.. re-thinking.. i sweat a lot! specially in hot under-ventilated areas.. so yeah.. i kept my cool, been so wet for the whole shift like i just did jump into a pool. I felt dehydrated while interviewing, but that didn't stop me from admitting at least (estimated)10-15 patients for the whole shift.. it was an easy job though, data gathering, and of course with the help of Besa, my co-sweat partner, its all good in a breeze.
1st admission came in.. a 19/M patient, traumatized at the (L) posterior aspect of her cranium by a chair.. after asking what happened, he irritatingly answered "I was involved in GANG fight, and was smashed with a school chair." "wow he went ghetto on this one," i contemplated silently while weighing the patient. To summarize, maybe around 5-6 of all the patients i admitted were involved in either b*tch fight, ghetto war, et al, and others? N&V, Chest Pains, and excitingly LABOR PAINS (yeah, some of the team were so much looking for DR SCRUBS.). One patient though was stabbed at the LLQ of his abdomen by an unknown person at around 2AM. Its pretty cool though, cause 2 of my blockmates finished their MINOR OR scrubs because of the flooding cases of suturing at the mini-OR.
One patient took all our curious minds' attention. GCS 4, under cardiac monitor w/ defibrillator on deck, and continuous ambubagging by relatives and neighbors. We approached the patient; V/S Done, Nuero Vi Done. BP = 220/170, PR=105, Temp = 38.1..... WOW.. the compensatory mechanism of our body does really do wonders. The patient had stroke, as what the relatives told us.. and theyre just waiting for his time to meet our Father above. I asked the lady doing the respi stuff, "Ate, Kaano-ano mo sya? (Ate, how are you related with the patient?) " She replied in frustration, "Ahh, wala, kapit bahay lang ako (am just his neighbor). WT*? Follow up questions were thrown, "Asan ung mga kasama nya? asawa nya? mga anak? (where are his relatives? his wife, children?)", she then replied, "Andun sa labas yung asawa, nag papahangin, tapos ung anak nasa bahay, COMA na kasi to, inaantay nalang ung oras nya, eh ayaw pumayag nung asawa na itigil lahat ng nag papabuhay sa kanya. (Shes there outside, breathing some fresh air. He's already on COMA, and just waiting for his time. Thing is, his wife doesn't wan't to sign the DNR form."
Then i asked what's the reason behind the refusal ,she then replied, "Yung panganay ata nilang anak ung mag sisign dapat kasi hindi nya kaya.." i then asked where the Kuya is, she said, "ANDON, nag BABASKETBALL."
Pretty COOL? Playing basketball while his dad's life is on the brink of being expired?..
At the end of the shift, the wife then signed the DNR form. She held the patient's hand, crying at the bedside, while doing the ambu-bag.
We may now know what's the Kuya's perspective on this... why he kept on playing BASKETBALL after all.. Maybe its his way to divert and Deny the facts..
What's your insight on this case? Encode them below the comment box..
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