The Day I Would Never Forget..

DUMM!!!

Bunyi dentuman yang kuat beserta siulan angin yang bertiup kencang mengejutkan aku dari tidur yang lena. Astaghfirullah al azim... Beristighfar panjang aku dibuatnya. Langsir ditingkap sebelah katilku berkibaran mengikut rentak tiupan angin yang menganas. Cepat2 aku bergegas menutup tingkap yang sudah separuh terbuka. Memang menjadi kebiasaanku membiarkan jendela tingkap terbuka sedikit dimalam hari. Aku mencapai telefon bimbit yg berhampiran dgn tmpt tidurku. Ya ALLAH dah pukul 3.45am! Kononnya, semalam tidur awal dengan harapan dapat bangun awal untuk menelaah pelajaran. Alhamdulillah. Dengan rasa badan yang sgt lemah, kugagahkan jua untuk bangkit dari pembaringan. Menghayunkan langkah untuk bersiap2 solat sunat dan melaksanakan tugasan yang tergendala malam tadi. 

8.15am

Setibanya diwad cardiology hospital X, aku mengajak sahabat sepostingku untuk melihat pesakitku untuk di clerk dan buat PE (Physical Examination) setelah aku mendapat tahu yang pts ni ada byk finding. Sehari sebelumnya, sempat jua aku bertegur sapa dgn mak cik A ni. Alhamdulillah, dapat  ambil short history form her sebab nak fully clerking tak sampai hati. Satu soalan yang ditanya, sepatah dijawab itu pun dalam keadaan tercungap-cungap. Jawab sepatah berhenti and then sambung ckp lagi. Disisi katil pts ada oxygen mask, very look ill, anemic and  tachypniec. Definitely memang ada finding. Namun disebabkan pts looks too ill, aku mengambil keputusan untuk datang lagi hari ini dgn harapan mak cik lebih stabil.

Hurm, kecewa bila melihatkan keadaan mak cik yang semakin deteriorate. She looks very ill, tacypniec, anemic and still on oxygen mask. Kelihatan 2 org specialist sedang berusaha set line kt mak cik. Aku hanya memerhatikan setiap gerak geri doktor2 tersebut dgn harapan dapat membantu apa2 yang boleh dibantu. Tiba2, Dr A memanggil kami, "Medical student ke?can u help me to ...., WE gonna do pleural tap for this pts." Alhamdulillah, akhirnya kehadiran kami dihargai. First time, we'r trusted to be involved in managing pts in acute condition at ward (walaupun dulu pernahla time kt ED). So, kami tolongla ape2 yg patut. Kebetulan pulak, dalam wad tu cume ada 3 org HO je.

Dr B ckp, we shud stabilized pts first before we do the pleural tap sebab tiba2 je O2 dia drop. After about minutes, Dr A do the pleural tap and the fluid that came out as hemorrhagic pleural effusion! Its more likely look as a malignant causes. About a minutes passes, then patient became restless, everything going down. Her oxygen saturation became only about 70++%. Pts deteriorate abruptly! Then, Dr A ask HO to call anest for intubation. 

About 15min, anest team came. Dr. C (anest team) ask med student to use glove and face mask as protective method. We work as a team (even xtolong byk sgt pun,huuhu), clear up everything around the pts. We take the oppurtunity to do ECG on pts, even actually we had put the lead at wrong side. Huhu -_-" (but the HO said its ok, its a good try anyway =).. Tapi alhamdulillah ECG pts normal je cume sinus tachycardia meaning that heart rate increased.

While waiting for the auto assisted ventilator to be set up, doktor2 dan nurse bergilir-gilir pump O2 to maintain the oxygen saturation level. Suddenly, Dr A cakap dgn nada yg tenang, PULSE ABSENT! Prepared for CPR. Please call all HO to help us here! (malangnya HO mmg ada 2-3 org je). Dgn  tak semena-mena kami medical student yg memang telah diajar utk CPR time ED dulu berbaris sebelah katil pts untuk ambil giliran masing2 utk buat CPR kt pts. Tapi alhamdulillah about 15min CPR, nadi dpt di detect semula. So, doktor start to pump O2 manually on pts. From 60% its going up a bit by bit up to 80% (supposely at least kene more than 95%). 

10++am

Then auto ventilator is attached to pts mask, but 1st attempt failed. O2 makin turun dan turun. So sekali lagi doktor2 bergilir pump manually until 3rd attempt for auto ventilator failed to increased the O2 saturation. So, Dr A said, pts will be admitted to the CCU. Just continue the pumping manually. So student2 pun bergilir2la pump O2 tu until other devices from ICU came.....

Jauh disudut hatiku, "semoga Allah selamatkan mak cik, hanya Dia yg berkuasa berbuat apa sahaja terhadap apa sahaja"

- to be continued