One calm evening, 3.30pm,
Operation Theater RSWS..
Anesthesiologist :What
is the best solution that you use as the peri-operative solution?
Coass : Compared
to all the isotonic solution doc, the best option that we have is the Ringer
Lactate
Anesthesiologist : And why is that so?
Coass : Because
Ringer Lactate has the most nearest
osmolarity with the plasma.. 273 compared to plasma with the osmolarity
285-290. The second reason is that the RL contine the most complete substances
such as Na,K,Cl and Ca. this content is similar to body’s electrolyte
component. Last but not least, RL are capable to stay in the blood vessel
longer then others…
Spesialist : Good
After 5 minutes….
Anesthesiologist : “What is the Starling Law is all
about?”
Coass :
Starling Law stated that….”
Knock!! Knock!! Knock!!
Another specialist :
doc, the ToF patient hemodinamically not stable. His rate keep dropping!”
The anesthesiologist and the other specialist quickly leave
the Recovery room (where the examination is held)and run into the operation
theater that located next to the RR.
Coass :
OOHHH NOOOOOO!!! @_@##$$**##
REVINE……
7.30 am this morning,
RS WS:
Coass : doc,
sorry to disturb, but I am the one that make the appointment with you several
days ago. I would like to take the exam for this department doc
Anesthesiologist :hmmm…let me see my
timetable.. how about meeting me at RS Ibnu Sina at 8.00am? I’m having several operation over
there.
Coass :
okay doc. Thank you very much..
8.00 am, Operation
Theater RS Ibnu Sina.
The anesthesiologist looks very busy take care of several operation and also keep
answering several calls that came in. the co-ass also keep her hand busy
helping PPDS to take control of the patient on the table. It’s been 3 hours but
the anesthesiologist still get busy and didn’t get a chance to give the exam. The
co-ass keep waiting patiently. Until 11.30am. the doctor then said:
Anesthesiologist : it seem I can’t give you the
exam right now.. It’s Jumah pray. How about meeting me at RSWS after Jumaah? I’ll
got a meeting to attend but I’ll try my best to give you the exam today.
Co-ass :
okay doc, thank you very much [patience]
1.00pm, Meeting Hall,
RSWS:
The co-ass was waiting patiently while reading her mini
notes. The Anesthesiologist had come but went for a medical board meeting at
the hall. Actually, she’d been promised to be examined 2 days ago. But all of
her waits become nonsense as the anesthesiologist never show up due to some
problems at distreet hospitals. Well, he’s the man. The most busiest one on the
earth!!
3.00 pm, Intensive
Care Unit, RSWS:
Anesthesiologist : I got ToF (tetrology of Fallot) operation
at COT (Central Operation Theater). I need to handle it myself because it’s an
off-pump operation. (the patient’s blood need to be withdraw from the body as
the heart will be stopped by several heart relaxant drug. It will be circulated
through the machines that function as the “temporary heart” to supply oxygen
and nutrition to the body).
Co-ass : okay doc.[patient…again]
how on earth difficult
just take the exam.. that’s when I have to apply the word of PATIENT in my
vocabulary…
3.00 pm, Operation
Theater, RSWS:
Anesthesiologist
: okay, now I’ll give you the exam..come here
Co-ass : yes doc.
[with blinking eyes and rosy face]
Got so exited to take
the exam as she was tired of waiting and uncertain status of exam..she will end
this soon. Very soon.
--------------------------------------x----------------------------------x--------------------------------
5.00 pm, Operation Theater, RSWS:
Co-ass was told to enter the operation theater after a long
wait and to exam in the operation room. The Anesthesiologist questioning the
co-ass while keeping his eyes on the monitor and giving some kind of instructions
to the PPDS. After few chains of questions, he said
Anesthesiologist : okay, where’s your report card? Where should
I sign?
Co-ass : here doc. [giving her report card and smiling as the
torture come to end..blinking eyes..flying smile]
Anesthesiologist : you’re able to do well in your exam after
a long wait and helping hand. Be a good doctor in the future.okay??
Co-ass : thank you doc. Thank you very much…
She open the report card…dup..dap..dup…dapp…
“A”
Alhamdulillah..alhamdulillah.. most of time, what make you a
good doctor is not just your brilliant brain. But beyond that is your patience
and your attitude. ^__^v
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