Paediatric Posting..as a Houseman

it's almost a month since i entered Paeds Posting..as a HO..
now, i've been posted to SCN (known as NICU)..for neonates..
takut tu memang takut nk masuk posting paeds..semua kecik dan nano..
lagi lagi bila kena psoting kat NICU..triple kecik..kena set line kat budak2 kecik..mula2 memang takut n kesian la nk cucuk tp bila dh terpaksa cucuk..buat jugak..

afraid and not confident to do all the procedurews especially setting up the line..all are small in size..but it's my work to save lives..u want or dun want, u have to set the line, the branula so that the medication can reach the baby's circulation.

Edward Syndrome
- in NICU, again, for the 2nd time in my life i encounter with baby with Edward Syndrome, trisomy 18.
this baby is a girl, weight 1.7..currently 1.980kg..very small and cute. she will cry everytime she feel someone touches her..today is her 32 days of life.
prognosis for her is very poor. she also got some cardiac murmur at left sternal edge and we already planned for ECHO fo her later on..currently, she's been feed via Ryle's Tube..a tube inserted through the mouth to the gastric..she drinks 40cc every 3 hour.
Just now i searched for some information about Edward Syndrome. Usually they will die becoz of heart, kidney abnormalities and also due to apnea (stop breathing). Try search for the information in the Wikipedia..it's already will make u feel sad and pity for this girl..
i nearly drop my tears when i review this baby at 9pm just now..
She's got high nasal bridge (dia akan nampak ada hidung yg mancung), micrognathia (small jaw), trisomy fingers (overlapping of 2nd and 3rd fingers) and few more characters that currently i forgot..sorry..

during my student years, one Edward Sydrome baby only last for 8 days before she RIP.
i always tell the staff nurse at NICU to take care of this child, to comb the hair, to clean the face and hair everyday..so that she will look more tidy and cuter.

on this monday, we will repeat the blood investigation for her..i think i'm not able to do the blood taking. maybe i will ask help form other HO..if can't, i will do it myself..OMG..

well..already sleepy..nedd to sleep...post call..
next time i will story about Treacher Collin Syndrome..
if u want to know more about this two syndrome, just search from the search engine..
we dunno who will have this kind of baby later on..so, better know than not..

3-1...

abe najmi kato kelate menang 3-1..tp terbalik la pulok...
3 tu hok N9..

ayyyaaaaa....

ramalan tidak tepat langsung..

abih la stadium bukit jalil..luar stadium guano eh..mitok2 xdop gapo..

Kijang Mengganas..

Baru jah habih tagging posting Paeds..

kebetule buleh off Saktu Ahad..

buleh la tengok bola kat rumoh aDa..

ni tengoh berlangsung siare langsung final bola Liga Malaysia Kije lawe Ruso..

daging ruso sedap weiii...

baru jah 7 minit main..xdop gapo lagi ni..awal lagi..

Ruso main ganah la..hk no 17 tu buat 2x doh kesalahan...

dapat free kick ko Kelate tp xmasuk gol pun...

mujur..

penyokong Kelate 65ribu..total tiket 85 ribu..huahuahua...

hok bestnyo..sepupu sepapat 7 ore hok gi tengok live kat stadium..sore siap bawok kamera nk zoom lube idung Indra..

hk pasti, maso ni, semua ore kelate bersatu hati..xkiro hok duk mano..Gerik (tapi melarikan diri ke Penang nk gi tgok kat Kedai makan..), UKM (dengan TV hok xdop kala..hahaha), Batu Pahat, Belando, Kajang, Pekan, Pasir Puteh, Kuantan, Kg Tok Betek hok tengoh banjir, Kuala Krai dan di mana sajo...

Tahniah Tahniah...

k..nok concentrate tgok bola...

Gomo Kelate Gomo...cumo jange la penyokong Kelate wak jahak..x juruh..

minit ke 18 - N9 dapat gol sebutir...tidakkkkkkkkkk!!!!!!!!!!!!!!!!!......lopat Kije Lopat..

minit ke 20-huje turun..boh boh...Indra xgerok molek lagi tu..nyaghih Kelate masuk gol sedighi..bukey Indra la..

hattan gi tgok wakil n9..mano la Sabri Yunuh...hahaha