Post night..........

Had a good night shift yesterday....Thank God....
Green zone cases all finished by 2am......
Total cases I'd seen in Yellow from 9pm to 8 am - 4 cases.....
Case 1- Viral fever in 6 month old baby

Case 2- ? Pseudofainting....Patient came in for 3rd time within 2 days, first time was sent to Red zone because of GCS 3/15 but all vitals are normal, after a short while, GCS bcm full.2nd time was in the evening, also fainting episode. 3rd time during my shift la! After examination, patient looks like she doesn't wanna wake up, cause her eyelashes are still fluttering, and when we hold up her hands, those hands able to swift away from face, pupils reactive, tears rolling down, and later on, regain full GCS after Ammonnia smell. In the end, I had to clerk all her social history, sien, anyway, Psy team have to sort that problem out in the end.

Case 3- AECOAD secondary to Pneumonia

Case 4- 65 yo male, k/c/o HPT,Gouty arthritis, IGT, most importantly, he had IHD with CABG done in 2004 on life long Aspirin. Presented with strong dizziness, nausea, vomitting, chest pain, abdominal pain, with BP on arrival 186/115. ECG showed got some ST elevation only in V2, and T inversion in V1-V3. So sent patient to Red zone for better monitoring. Serial ECG shows no dynamic changes only ? deeper T inversion. Cardiac enzymes x2 not raised. Referred to Medical team, they also not sure if to treat as ACS. But still loaded him with Aspirin only. In the end, we noted main problem was dizziness, and later, dx as BPPV. Referred to ENT team, thought they will just give outpatient appointment, but instead, they quite unhappy, and said we never rule out the Central cause, asked whether did we do a CTB. WTH? CTB????? with no neurological deficit? So, maybe they had too many BPPV referral, so they were quick enough, to ask to send the patient to ENT clinic TRO BPPV at 7.30am.
When I came back from CME, the patient was discharged by the MO already, and the ENT dx and plans are the same as Medical plans.

Anyway, it's quite a quiet night yesterday. Red zone was totally empty with only one case which I sent in from yellow for ?ACS but was sent out after dx as BPPV.
Was busy with that only case, walk left right, up down for that ?MI case. And my others colleague were sitting there resting. So after settled the case, I just stay in Red zone for a short nap from 6am till 7.30am till a friend called me up from yellow zone asking me to refer that pseudofainting case to PSY and discharge her.

After bought some over night half price buns from Mita bread shop, reached home at 10am, quickly downloaded the latest episode of City hunter. Download speed was good enough to complete downloading not long after I finished my hot bath and breakfast.
Couldn't really concentrate on the series cause too sleepy already but still able to finish it though. haha..

Then started to sleep at 12 pm........ZZZzzzZZZzzz.....till 7.30pm.....woke up and commenced my gastro-resus. My sleeping day, was truly really a sleeping day.....