I’ve been covering the Dengue/Haemato/Nephro wards known as G3 these past few days. Any mortality due to dengue is a huge deal, so everyone is anal about it. TDS rounds actually do mean TDS rounds, and post bolus review are done on time! I’ve learnt quite a bit during my stint here, but they weren’t all boring medical management. There were some exciting moments too. Here are some epic moments.
"Boss, the patient, 32 year old female, DF day 4 in febrile phase is currently undergoing her menses, day 2, claims heavy flow, current HB 10.5 perhaps I can do a GXM and hold for 1 pint of whole blood?”
“Joe, give her some Provera and take a chill pill la dei, no need GXM all.”
Another case where there was a patient who has had a history of his IJC bleeding throughout the day finally got his IJC changed. However, the bleed at the new site restarted.
“Boss, the new IJC site we added yesterday is bleeding. We’ve already compressed with some adrenaline, how boss?”
“I’m not gonna change his IJC on a weekend, just continue compression.”
Another case where a dengue patient is leaking.
“Oh Hell No, he is leaking! HOUSEMEN, DON’T JUST STAND THERE, THERE’S A PATIENT HERE LEAKING, GET YOUR BUTTS HERE AND BRING A BUCKET”.
In a case where I’ve given a patient some IV Nexium; Presenting the case in the morning;
“So, 42 year old female k/c/o HPT/DM being treated for DF d6, early defervescence w/ warning signs, started her on some IV metoclopramide for her vomiting and some IV Nexium for…”
“WHAAAAAAAAT! Karthik, you don’t have to give them the BEST that we have, if all you jokers keep prescribing esomeprazole for everything, it’s gonna be Nil in HTAR just like IV Augmentin! Give Zantac!”
Later that evening the specialist changed it back to Nexium..
There are more cases like this, but the reaction of MO’s and Specialists at times is quite funny 
It is hard to describe, but when you’re there, you’ll know what I mean.
Anyways, enough of that, back to consuming more beer.
what’s TDS, GXM, IJC, DF d6?
@Anna Amin –
TDS – ter die sumendum (three times a day)
GXM – Group Cross Match (Before transfusing blood, to find blood group and antibody match)
IJC – intrajugular catheter
DF D6 – Dengue Fever Day 6.
When you’ve started working, you’ll be talking like this all the time. The first week you’ll be completely lost, the next week, you’ll hate yourself.
oooohhh… thanks! >_< u're not making me feel any better about working…
You’ll be excited on your first day, curious on your second, and will want to quit your job within the first week. After that, you’ll start getting into the flow of things.
Anyone who says they never felt like quitting the first few weeks in, is obviously lying to sound cool.
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