How, How?

Tuesday, October 21, 2008

Close to ending of Heavenly Life

Days in polyclinic ending soon...
Going back to hospital days...
Calls, wards, blood taking...
Arrgghh.. Too de conditioned liao
Siao liao la.. so used to office hours, how to do calls now?
now 11pm already feel like sleeping already, how to 'tong' whole night??

Must say i quite like the scope of the polyclinic, seeing many kinds of cases and more importantly, most of them very stable. If anything too hot to handle, then can send via ambulance to your friendly A and E colleague (who most probably curse you but you're not there to hear it..)
Old folks that come here are also generally nice, grateful. They are the ones who will really make your day when they keep thanking you/smiling at you/respecting your advise etc..

But of course, every job has its devil's tail...

1) MCs: 14 y/o girl, comes at 415pm to the polyclinic, well made up, well dressed up, complains of cough, runny nose in the morning, cannot wake up so come now. 'Can i have MC?'
'Wa lau, of course going somewhere to chiong la.. plan to cannot wake up one right?' But cannot say that, usually will give the benefit of doubt. Ok lor, so you so fit, recover in few hours, give lor. (else will argue for 5-10mins why i don't want to give MC, then next patient will walk in black faced...)

2) Referrals: working in ortho before really help me reflect ortho referrals better. At least can very confidently say to patients: if you don't want surgery now, refer to them now also will do same thing as here. Then can repeat a few times (cos confident liao) until they accept. Other disciplines a bit harder as really not sure if valid or not.
I usually try to satisfy patients, but some are really a bit ridiculous. What to do.. Either argue for 10mins to get them to understand that they dun need one, or just silently write the form..
Some patients opening statements really send chills down my spine: oh i come here for a referral (i.e. i actually dun want to see you one, you small lokun, but what to do? Dun see you the specialist price so expensive)

Some common remarks: wa!! see specialist must wait so long one ah??!!
(Ya lor.. cos before you already got like 10 persons ask for same referral although keep telling you all don't need to go one.. dun need to wait become need to wait liao)

(Don't get me wrong, if referral is justifiable, you don't even need to ask me to write, i'll offer..)

I didn't do any studies or statistical analysis, but i would dare say the crowd at the clinics can be much more manageable if it is an ideal world: i.e. only truly sick patients come to clinics. But like most of my colleagues say: you can't fight it man. So well... just have to enjoy the goods as much as possible and manage the bads as and when..
Anyway, will still prefer work in polyclinic anytime compared to hospitals....
Arrghhh calls!!

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