其实,神在你的周围预备了许多"天使",在你感到困惑的时候给你开解。只要我们不要以为神一定会如我们所预料般行事,生活会好过很多。还有,你知道吗?做别人的天使,比接受别的天使的服事更让人兴奋。真希望你也能成为多人的天使。-蔡颂辉传道
Tuesday, December 28, 2021
The Little Happiness 小幸福
Monday, November 1, 2021
Another good memory added!
the nurse accompanying the little girl |
farewell luncheon with colleagues |
my last day in ward 1, thank you everyone |
Saturday, October 30, 2021
Life is as fragile as it can be
Lonely Death due to COVID-19
Day 4: Yesterday, the son of Madam L called the hospital and asked me how's the mother's condition. I told him that she is not doing well. The next day when I went to work, I got to know that Madam L passed away already at 9pm the night before. It was quite a lonely death, whereby the family cannot go in and see her, be with her at her very last few hours in this world.
Oncall: We have one new patient, Madam T, 78 years old with underlying hypertension, dyslipidemia (high cholesterol) and diabetes mellitus. She contracted the COVID-19 infection from her husband. He was admitted to another COVID ward, his condition was more severe. Inside my ward, she refused all the oxygen support. She was very aggressive, she told us that she would rather die than getting the oxygen supplication. During my oncall, I went in to see the patient, she is already unconscious by that time. Managed to talk to her that, "Jesus is son of God, He died for your sin, He can save you. Trust him and you will be saved."
12 hours later, at around 6am, I was informed by the nurse that she passed away. I pronounced death to her family members over the phone and signed her death certificate. It is an indescribable feeling, people just left, one by one due to COVID-19. The day I was oncall, there was 11 deaths due to COVID in the hospital, and another 3 brought in dead, tested COVID positive too.
COVID-19 Deployment
This is my second time deployment to handle COVID-19 patients. Last time I was deployed to low risk quarantine centre. However, this time around, I requested to go to the COVID ward, a COVID ward where they also parked the pregnant ladies there.
Day 1
I went into the COVID ward to review patients. After settling all my jobs, initially I plan to pray for a baby, because she kept crying non stop. Pity the mother. However, in the end I invited other patients to come and we prayed together. They were mostly Iban but I prayed in English. A bit headache when I was too long inside, probably it was too hot. When doffing, my whole attire were wet, water drippling when I squeezed it. It was all wet!
Met my specialist in-charged today. She was very cheerful, nice and very approachable person. Thank God for giving me a good superior.
Day 2
Today, again it is my turn to don in (means I need to wear full PPE and enter COVID ward to see patients). After everything settled, I "beh tahan" with the heat already, want to leave immediately. However, I still walked to the back cubicle and asked, if the patients yesterday, still need prayers or not. To my surprise, this is the reply from one of the patient: "Dr, saya nak minta tolong kamu berdoa untuk saya dan anak lagi, tapi tadi saya nampak Dr busy, tak jadi saya minta tolong Dr." I smiled, invited the rest of the patients who wanted to join us and we prayed together.
Friday, September 3, 2021
The 690g Baby
There is no emergency in a pandemic. I am covering COVID-19 in pregnancy for this one whole week. Yesterday we had one pregnant lady, 26 weeker who went into labour in our COVID-19 antenatal isolation room. She was initially admitted for leaking liqour with no contraction pain. Yesterday morning, she complained of strong contraction pain and she was attended immediately by my nurse after wearing her full PPE. At the same time, the nurse had called me for help. Upon attending by my nurse, noted that the "opening" was already full and patient was ready for bearing down. After wearing my full PPE, as soon as I arrived in the antenatal isolation ward, the baby was just been delivered. After cord clamp, I immediately brought the baby to the warmer.
Baby was limped and floppy. Being the only doctor inside, I resuscitated the baby while awaiting for the Paediatric team to arrive. Just for info, all of us went through neonatal resuscitation training when we were a houseman in Paediatric posting. For me, it was 5 years ago. The baby was so tiny, size of my two palms. Later on, I learnt that the baby was 690g only.
It was a big relieved when I saw the paediatric consultant arrived outside the isolation area. While presenting the case to her, she asked me to continue bagging first. The resuscitation was later took over by the Paeds medical officer. By that time, the baby's condition had already improved. She apologized to me for the delay and told me that she had already rushed here. I told her that it is ok, I understand that all of us need to wear the full PPE first and that took up some times.
This is one of the situation where there is no emergency in a pandemic. We can't do everything immediately. So when we call for help, deep inside our heart we know that the help will only arrive in a while. We are being told to protect ourselves first before saving the patients. Do not rush into the isolation wards without a full PPE.
Usually when we call for help from paediatric team's help, they will arrive as soon as possible. They will run for the baby's life. Within a few seconds, u will see them appeared in front of you. However, not in this pandemic. No one could have thought that the patient will deliver the baby so fast in view of she has no contraction pain.
I was taken aback by the incident. However, after doing some reflection with my nurses, I told them, we had already done our best. I thanked them for the teamworks. The baby is extremely premature. Hopefully, the baby will survive well with the least health issue in future.
Wednesday, July 21, 2021
2 months Deployment in COVID medical
Have been wanting to write this post for quite some times. I was deployed to PKRC (Quarantine and Low-Risk Treatment Centre for COVID-19). I went there during the peak season of COVID-19.
Started off my first day there, been scolded by a couple. The wife broke down emotionally due to long duration of quarantine. She refused to listen to our explanation. Despite all the drama, we still couldn\"t grant her request for home quarantine at that point of time.
There was once a lady with COVID-19, admitted here. She requested to see her mum for one last time. However, she was not allowed to do so because:
(1) She herself is a COVID patient, need to be quarantined.
(2) Her mum passed away due to COVID, hence, no one is allow to go near her in the mortuary there, only the men in full PPE handling the corpse.
After discussed with my team leader, the most we can offer her is to allow her to go to the gate there when the hearse passed by. The whole scene was a heartbreaking one. After seeing her mum off to cemetery from far, she called me and thanked me. She thanked me for the arrangement. Honestly I felt bad for not being able to allow her to go near her mum. Little did I know that, she was grateful to us for letting her to the gate and sent her mum off for the last time.
Been there for 2 months, I also encountered a patient with suicidal attempt. I am grateful to work with a group of very approachable physicians for consultation. Not to forget also to the great team in ILKKM (PKRC where I was stationed). They are the nurses, medical assistant, PPK etc. The teamwork by them make my life there better.
Blessing: 3 layered tea by a Paeds MO, sushi by a MA. |
thank you :) |
Tuesday, May 4, 2021
COVID-19, still a long way to go
I have been deployed to medical COVID for a month already.
Yesterday I got to know that one of my colleague\"s kids were tested positive. Both her kids are still young, one of them just a few months old, yet, he needs to go through all this hassle.
She texted me last night, once she got to know that both her kids were tested positive. She was so worried. She told me, she was so worried about her kids. She just hoped that her kids will be fine. She is now in the canopies, COVID zone outside our hospital. And it is raining with storms outside. It should be very cold. I am thinking about the kids and the elderly. I pray that everything goes well with her and her kids. I know that another 4 family members of her were tested positive too.
We know that, India is now in a crisis. Burning of corpses, people gasping for oxygen, patients lying outside the hospital waiting for treatment. How about the healtcare workers. It is not easy for them.
Still a long way to go, before we can finally hear, "COVID-19 is finally gone." We don\"t know when. Looking at the current situation in Sarawak now, there is only a tinge of hope. By now, people should have some insights.
picture taken last month |