Huge, Inflamed Appendix. . . Nuliparous Labour. . Breech vs. Cephalic. . Pueperal Sepsis. . Road Traffic Accident With Collar Bone Dislocation
April 25th
Assisted Dr Nsisi in the Theatre today. I haven't seen an inflamed appendix that huge and ready to rupture in a long while. Surgery was a success, thank goodness.
One of our very own; a Staff Nurse/Midwife, is in labour even as I type this entry. She is nuliparous, and so, her first time in labour.
She had a lucky break ealier at 8 months gestation when the baby turned, changing its position from the breech posture, to the cephalic one. She very likely would have required surgery otherwise.
Now in labour, she appears edgy. It's proving to be a difficult one; painfully slow in its progress.
April 24th
The female with the macerated twin who was delivered through Caesarean Section 3 weeks ago, was rushed in today as an emergency, bleeding severely, per vaginam. Diagnosis was Pueperal, Post-operative Sepsis. It appeared that the powerful antibiotic cover she ought to have received post-operatively, were inadequately administered . . .
She unavoidably was transfused, by the way, with two pints of blood.
She pulled-through; yes.
April 23rd
Radiology (x-ray) studies of this male Road Traffic Accident victim, clearly showed he had diasthesis of the right Sterno-clavicular joint. Ouch! This must be really painful, seeing as the Sterno-clavicular joint is an immobile, fixed joint - The one between the collar bone and the chest bone.
In any case I consider him lucky as he suffered no Head Injury. Suffice is to say that he shall be visited by our Orthopaedic surgeon, haven admitted him for stabilization.
April 22nd
Off-duty today.
Pregnancy Induced Hypertension (P.I.H.) . . Health Maintainance Organisations
(H.M.O.s) . . M.D. Maverick . . Caesarean Section
April 21st
I promised details about the PIH case admitted yesterday. But first, today, quickly - I Caesarean Sectioned a woman with Dr Larry assisting. Her induced labour just wasn't going anywhere; wasn't progressing. It was her first. Both mum and baby are stable. A baby girl.
Now, back to yesterday when I hinted that the admitted PIH case took an unexpected turn.
Well, she opted to, and discharged herself same yesterday! You wonder why; I know.
It's my maverick M.D. whom I shall one day fully introduce. Now, this patient is of the H.M.O. stock and by that virtue is not a cash-paying patient. H.M.O, remember? - Health Maintainance Organizations. They act as go-betweens, between hospitals and patients. Yet many hospital M.D.s, mine not excluded, insist that they get ripped-off by them.
My boss insisted that she pays the hospital, cash. She refused, called her huband and left for another H.M.O. hospital, so she told me.
April 20th
I'm on call duty this weekend, all of 48 hours. The Ante-natal clinic's today.
The Obstetrician admits a woman in advanced pregnancy, who has developed Pregnancy Induced Hypertention (P.I.H.).
However, this admission takes a strange turn of events. I'll bring you details, later.
Assisted Dr Nsisi in the Theatre today. I haven't seen an inflamed appendix that huge and ready to rupture in a long while. Surgery was a success, thank goodness.
One of our very own; a Staff Nurse/Midwife, is in labour even as I type this entry. She is nuliparous, and so, her first time in labour.
She had a lucky break ealier at 8 months gestation when the baby turned, changing its position from the breech posture, to the cephalic one. She very likely would have required surgery otherwise.
Now in labour, she appears edgy. It's proving to be a difficult one; painfully slow in its progress.
April 24th
The female with the macerated twin who was delivered through Caesarean Section 3 weeks ago, was rushed in today as an emergency, bleeding severely, per vaginam. Diagnosis was Pueperal, Post-operative Sepsis. It appeared that the powerful antibiotic cover she ought to have received post-operatively, were inadequately administered . . .
She unavoidably was transfused, by the way, with two pints of blood.
She pulled-through; yes.
April 23rd
Radiology (x-ray) studies of this male Road Traffic Accident victim, clearly showed he had diasthesis of the right Sterno-clavicular joint. Ouch! This must be really painful, seeing as the Sterno-clavicular joint is an immobile, fixed joint - The one between the collar bone and the chest bone.
In any case I consider him lucky as he suffered no Head Injury. Suffice is to say that he shall be visited by our Orthopaedic surgeon, haven admitted him for stabilization.
April 22nd
Off-duty today.
Pregnancy Induced Hypertension (P.I.H.) . . Health Maintainance Organisations
(H.M.O.s) . . M.D. Maverick . . Caesarean Section
April 21st
I promised details about the PIH case admitted yesterday. But first, today, quickly - I Caesarean Sectioned a woman with Dr Larry assisting. Her induced labour just wasn't going anywhere; wasn't progressing. It was her first. Both mum and baby are stable. A baby girl.
Now, back to yesterday when I hinted that the admitted PIH case took an unexpected turn.
Well, she opted to, and discharged herself same yesterday! You wonder why; I know.
It's my maverick M.D. whom I shall one day fully introduce. Now, this patient is of the H.M.O. stock and by that virtue is not a cash-paying patient. H.M.O, remember? - Health Maintainance Organizations. They act as go-betweens, between hospitals and patients. Yet many hospital M.D.s, mine not excluded, insist that they get ripped-off by them.
My boss insisted that she pays the hospital, cash. She refused, called her huband and left for another H.M.O. hospital, so she told me.
April 20th
I'm on call duty this weekend, all of 48 hours. The Ante-natal clinic's today.
The Obstetrician admits a woman in advanced pregnancy, who has developed Pregnancy Induced Hypertention (P.I.H.).
However, this admission takes a strange turn of events. I'll bring you details, later.
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