Day8 - Second Night Duty ( Part 1)

Hey all !

Each day holds a surprise. But only if we expect it  can we see , hear , or feel it when it comes to us .

It opens new space in your heart , where we celebrate , welcome new people in our lives.

 The best and the worst thing about night duty is you are by your own discretion . But thats when you make memories and use the IQ you have!

To start with ,it was just a regular day with moderate work load . A conversation with a colleague of mine made me realise that I had not utilised Alternate Sunday Day off feature at the Fever hospital . To fuel up the misery , I would have to be doing Night duty on the First Day of Ramadan followed by next day Outpatient and Emergency Outpatient cases.

So , the impromptu decision was to try , request and reschedule my night shift. The attender who does it ,took a leave the same day. Till date KG to PG , I have had the history of dragging a friend to be a sidekick for all the administrative department . But here as a transfer intern , you are your hero , you are your side kick. 


I chose to speak up to the DMO and the Chief about it . To my surprise they were rather co-operative and decided to help me out with it . They asked me to exchange it with somebody , and that somebody was not reachable. After several failed attempts, they decided to let me do the night duty one day earlier without an exchange. So , it was a yaay ! situation. 

The co-interns

Out of the 3 interns , I knew one , had said *hey * to the second one once and the third was totally a stranger. It seemed fun to start though.

The food

The lunch had tasteless food . After gulping 2 morsels . I gave up . I took Marie Gold from my bag which I had saved for an occasion like this. 

The food served in my first night duty was so yum that I told my mother not to worry about the food. *Slapped back with this food in the next night duty.*

Greedy Patients

So , the OP started . After treating , non stop dehydration cases came to me a person who had fever with chills  and vomitings , since ONE HOUR . To add to it came his attendant who asked me if the medicines I had given ( In emergency OP , we become pharmacists too!)  was sufficient ? I nodded . He says:

Madam ye laal goli dediye na. Theek hai. Ye blue bhi dediye. Acha. Wo hari goli kaiki hai?

"Antibiotic hai."

He says :" Zara dedo na. Wo bhi 2-4 ! "

I almost chuckled , then realised that I have to behave.

 * Nai . Ek antibiotic bus hai. *

Attendant : Itni door aaye so utne ko 2-4 aur goliya dedo na zara aap! 

Somehow I managed to shoo them away .
Indians and free goods , they take everything thats free.

Religious Blackmail

Wearing hijab to work has its own pros and cons. You are scorned on by some patients . The people of the same community look at you , like you can solve every problem from treating them to fixing their marital issues and household mess.

Now entered the next patient.

All her vital were stable . She had some vomiting and loose motions , wanted a glucose ka bottle as usual. What made the matter SPECIAL was her mother's request. 

She : Inke dadi yahi admit hai. Aap inko bhi admit kardo na. Ghar pe bhi koi nai hai. Hospital me ek hi attendant ko aane dere . Main bachchi ko (The girl was 20 something) akele bhi nai chod sakti.

I laughed it off. 

Amma, aisa kuch nai karsakte. 

Religious Blackmail now started.

Amma inlog nai samajhte hunlog ko. Muslim hai na aap bhi. Samajhiye . Mushkil me hu main!

I smiled . Refused . Screamed *next*

There were heavy admissions . There are people who try every other antibiotic and end up here . Probably the practicing doctor there could not zero down the cause . And they expect you , a 2 month old intern to treat them with glucose and one injection to relief the ailment.

Power-cut

Hyderabad and Power Cut . Yeah I need not throw a rant about it. So, there comes a patient , directly goes to the senior doctor who was next to me , goes on. I went on to attend the next patient.

Randomly , the doctor asks me :

Wajeeha , diagnose this lesion. 

I look at the patient and *Powercut*. 

Pehle se dermatology paani me , and she asked me for spot diagnosis and the powercut was like the icing on the cake. I scanned through the affected area , whole trunk with a torch like a detective , all I could see was a rash . Just then she started iching on her neck , thats where I found few fresh vesicles . 

Chicken pox ? I answered . She nodded her head.

Happy to have survived the situation , I moved back to my desk with the OP. She called me back after 2 minutes. The same patient was still there. She pointed at the attendant. Just check , if he has it too or not. There were few lesions here and there . I found one or two vesicles. I went to ask him more questions. He then said itching in the groin area. 

The senior doctor and I looked at each other for a while and said in unison * Admit both* .

Anxious Patient 
Now we were in leisure, chit chatting . A patient went to the senior doctor directly. He began mumbling something to the doctor and was pointing his finger down. I thought , venereal disease it must be. Thats why he has paranoia.
 After the mumbling in telugu ( I am bad at it ) (The chief complaint) the doubts arose.
* Madam how do I know that virus has entered the body ?*
You won't know. Youll have to wait for sometime for the symptoms to appear *
*What symptoms*
*It could be anything , fever , difficulty in drinking water , black outs , giddiness etc *
I have had all of these! I read about it on the internet.
See, it could be anything. The doctor held her laughter and the conversation continued.
I thought definitely HIV , this man has not used protection may be and is worried now.
Later he showed his leg. There was hardly a scratch. Then the doctor turned to us for discussion.
A rabies dog was about to bite him , but didnt . This person got scared , neverbothered much then but the anxiety started later.
We held our laugh. Quietly refered him to the *neurology urf Psychiatry* department of osmania.
Wiikipedia does more harm to such patients than good.
So far so mich . There was a story mein twist... That will be posted on next Sunday.