So , I took train to work , as usual . Room 20 . Changed to afternoon shift with Olive ...
There was Jane and Goh Y.C . Bay passed over the patient to me .
Was totally pissed off with the Muslim patient ... she was so very restless ! Her CVVHDF kept on alarming ! Access pressure high ! Mad Mad Mad ! I started Glucerna 20mls/ hour . Complained nausea . Headache , leg pain / cramp !
Goh Y.C , Jane , Jieling tried to help me ... but failed . In the end , got to call the dialysis nurse to restart back the dialysis .
The dialysis nurse just switched off the machine even though I TOLD her that I needed to copy the things ! But she said never mind , she would use to same machine , so I can copy down later .
Passed over to Jasmine ... luckily she never ask anything ... Hopefully everything was aright . My dialysis was negative , so she was asking if is it counted inside the output or input . My patients arterial line came out as well , blood pressure low . MAP barley reached 65 .
She was on dobutamine maximum at 20mcg/kg/hour already . Jasmine checked patient and the MAP via the non invasive blood pressure was only 40 plus . Informed the on call and started on nor adrenaline - just 0.2mcg/kg/hour ....
Changed her hydration to dextrose as well . There were 2 admission during afternoon - night over lap time . Busy busy busy . My dialysis machine came back just in time and I managed to copy down the previous hours charting - lucky . I did not pass over anything to Jasmine .
Called Mum during break , Cousin Hui Zhen answered . She wanted me to send Mum to her house tomorrow since I'm not working . I asked her to get Brother to be her chauffeur . It was then I knew that Brother went to Malaysia .
Never mind ...
No wonder Brother's phone was off .
I rode home myself - without showering . Since I need to bath again when I reach home , and I can't wait to leave the place . Saw the another station guy as well .
Went home and Face book . Brother messaged . He went with the BITCH .
Was so angry ! HELLO ?! I pay $300 every month for him to chauffeur the slut everywhere ? For that dirty female to be like a FAKE princess ? HA ! FAT HOPE , loose shameless woman . Don't even DREAM of me ever attending your miserable wedding . Yeah , and let MY relatives question .
And Mum , let's just all see how much more bias and unfair you can get . It's quite obvious that you showed all your favouritism to your only precious beloved smart son .
Maybe , $100 per month is even too much , for you .
There was Jane and Goh Y.C . Bay passed over the patient to me .
Was totally pissed off with the Muslim patient ... she was so very restless ! Her CVVHDF kept on alarming ! Access pressure high ! Mad Mad Mad ! I started Glucerna 20mls/ hour . Complained nausea . Headache , leg pain / cramp !
Goh Y.C , Jane , Jieling tried to help me ... but failed . In the end , got to call the dialysis nurse to restart back the dialysis .
The dialysis nurse just switched off the machine even though I TOLD her that I needed to copy the things ! But she said never mind , she would use to same machine , so I can copy down later .
Passed over to Jasmine ... luckily she never ask anything ... Hopefully everything was aright . My dialysis was negative , so she was asking if is it counted inside the output or input . My patients arterial line came out as well , blood pressure low . MAP barley reached 65 .
She was on dobutamine maximum at 20mcg/kg/hour already . Jasmine checked patient and the MAP via the non invasive blood pressure was only 40 plus . Informed the on call and started on nor adrenaline - just 0.2mcg/kg/hour ....
Changed her hydration to dextrose as well . There were 2 admission during afternoon - night over lap time . Busy busy busy . My dialysis machine came back just in time and I managed to copy down the previous hours charting - lucky . I did not pass over anything to Jasmine .
Called Mum during break , Cousin Hui Zhen answered . She wanted me to send Mum to her house tomorrow since I'm not working . I asked her to get Brother to be her chauffeur . It was then I knew that Brother went to Malaysia .
Never mind ...
No wonder Brother's phone was off .
I rode home myself - without showering . Since I need to bath again when I reach home , and I can't wait to leave the place . Saw the another station guy as well .
Went home and Face book . Brother messaged . He went with the BITCH .
Was so angry ! HELLO ?! I pay $300 every month for him to chauffeur the slut everywhere ? For that dirty female to be like a FAKE princess ? HA ! FAT HOPE , loose shameless woman . Don't even DREAM of me ever attending your miserable wedding . Yeah , and let MY relatives question .
And Mum , let's just all see how much more bias and unfair you can get . It's quite obvious that you showed all your favouritism to your only precious beloved smart son .
Maybe , $100 per month is even too much , for you .