Blogskin done by 16thday with image from Taringa .

I am absolutely exhausted. Day to day people keep coming in to the ER. Day to day there'll be cases like fever for 1 day, constipation, stomach pain, vomiting for 1 day, etc. Maybe I can understand if you come and fill up the ER after 8pm or so because the clinics are closed and all, or if the clinics themselves have no clue what to do with you and referred you to us. But in the day time, go to the clinics la. Do you understand what is an emergency or not? You should only come to the ER if you think you/your child will die without prompt treatment. Stop hogging the space and time in the ER can or not? And then you complain about the 4 hours waiting time. Oh my God.

I just think the public really needs a lot of education. Maybe they should include the module "When to Go to the ER" in school.

Seriously, I would much rather have back to back Code Blue's and Trauma Codes, like one after another, than attending to all the Fever for 1 day, Vomit 2 times, Headache for 2 days, Constipation, bla bla bla. The whole point of me selecting A&E as my first choice is because I like the fast pace of trying to resuscitate a critically ill patient, especially trauma, not the fast pace of running back and forth to complete the orders on the procedure forms of 300 far-from-dying patients.

One time when the waiting time to see the doctor was SO long, one parent came up to me and informed me that the disposable cups at the water dispenser located at the patient waiting area needed topping up. I was quite dreading going out there to top up the cups because I was so afraid people will come up to me and demand something else and assault me because I didn't give the answer they want. Wah. Good thing nothing happened except for people coming up to get some water. I mean, really, I've heard and seen people yelling and screaming at the nurses. This kind of people make me hate my job. And I hate that I'm hating my job. I don't want to hate my job. I want to be happy.

Anyway, on to another mood.

I've had an encounter with this kid who was constipated for one week. The doctor ordered Fleet Enema. Result was poor with the kid crying with stomach pain and straining with difficulty to pass out the stool(shit). So Glycerin suppository was ordered to help soften the stool. The kid was laid down on the bed. When I spread open the butt cheeks, there was the brownish-greenish stool, just in the opening of the anus. It was like the shape of one side of a tennis ball. So with the supp in one hand and spreading the cheeks open with the other I went 'Hmmmm.. I don't know if I can put this supp in.. Maybe if I pushed aside the stool a little bit.....' It wouldn't freaking budge! There was no space for the small suppository to go in. I was so tempted to dig the rock-hard stool out because it was just there, within sight, but I'm not trained to do a manual evacuation and I didn't want to traumatize the lining of the GI tract. So I got the doctor to come and see what he'd like to do with this kid. At first he said just try to put the supp in, so I tried to force the supp in, running my finger around the stool to see if there's some space beside it. That was the first time I ever had to physically touch a stool for long periods of time. I guess it was the 'stimulation' that finally caused the tip of the stool to come out. Finally my supp was able to go in. The kid then went to the toilet to try to pass the rest of his dried up stool. But came back without success. So Dr. Kong said "OK. Let's do manual evac. No choice." And back to the bed the boy went and got some anal digging from the doctor who kept saying "Wah. The stool is very hard. So hard. Tsk tsk." And came out more stool that looked like stones. After all that, I had to clear the stool and clean the kids butt.

So are you able to eat now? Amazing thing about nurses is, after this, we can. I can. Except that, every time I clear my bowels, I will think of him. Bloody hell.
In my own world,
2:33 AM