i was attending to a 3 year boy who had degloving injury over the right arm when the uncle over the next bed had a severe bad, productive cough. he was breathing harshly with polyphonic wheeze. he was still able to speak in full sentence. there was sputum on the anterior aspect of his chest. i attended to him stat, put my stetoscope deligently over his chest, straining my ears to listen to his breath sounds. he had prolonged respiratory phase with ronchi. he must be having an acute asthma attack. i put him in propped up position, ordered the nurse to nebulised him stat with ventolin.
Then, he was pretty much comfortable. i probed for more history and found out that he has LOW of 1.5kg, LOA and had TB contact. we did a mantoux test for him.
out of a sudden, he called me..........
patient : Dr, u sudah kahwin ke?
me : tak tau...................i don't want my patient to know anything about my personal life
patient : mari lah... Dr... kalau you belum kahwin, jom kahwin dengan saya
me : tak mau
patient : kenapa??????????????????????????
I ran out from the cubicle, stunned. when i read his social history. he is a 61 years old / malay / male who is unemployed, married, stays in an old folks home and has 4 children
how is he going to take care of me?
i am not that stupid to become a stepmother of 4 ok?
Tuesday, April 13, 2010
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