PAEDS

i think i will like paeds more... at current stage, my department has more than enough houseman to work. there are only two wards to cover, a normal ward and SCN (special care for neonates). generally we have around 4 houseman to cover a ward, and i can say it is very luxurious... job can be done faster, and more systematically. it really sounds good!

i am still tagging, my last few days at the normal ward. in ward, it will be less dramatic as compared to the SCN. the age of the patients here are ranging from 1 month old to 12 years old. the problem in paeds is taking blood or setting an intravenous line. as for the older age group patients, it will be easier as the veins are much visible.

for far, i have done two ET (exchange transfusion, aka 'tukar darah'), umbilical artery and vein catheterization, attempted intubate the baby (but failed). ET, something that most of the houseman hate to do especially when oncall. it is indicated for the baby who has severe jaundice, and the procedure takes about two hours to complete, provided uneventful procedure. just sit beside the baby, withdraw and pump in new blood... so boring!

i going to start oncall on next monday.... wish me luck then:- )