A Nurse's Diary
Nursing had long been misunderstood as a job that run after the patients. So I thought I shared some of my real life experiences up here. Please note that all names are highly confidential, and certain conversations and lines had to be edited for confidential and privacy of others.
Tuesday, November 16, 2021
Impromptu Booster ð
Wednesday, August 4, 2021
Interesting Phone Calls I Received #10 (They Just Keep On Coming...)
"I demand you get me a bed now!"
Sorry, there's no such thing in getting a bed now. We can only slot your names into the waiting list and hope for the best.
"I will drive up here now!"
When there's no bed, you end up wasting your time. When it comes to severe cases, every second counts. You can try your luck by going to the government sector emergency departments, at the very least they are experts when it comes to severe cases, so you are in good hands.
"During vaccination, I was fine, but after the jab, you gave me the Covid!"
Every vaccine has a small amount of virus inside... That's how vaccines are made. Just like flu vaccines has a small amount of flu virus inside. This is why we said some slight fever, numbness, pain are normal. If the side effects are prolonged, that is when we have to seek treatment. Regarding the Covid part, mainly it's just unluckiness.
"I stayed at home all the time! How can I still get Covid?"
The entire air is already contaminated. It doesn't matter where you are. The moment your immunity is low, say hello to not just Covid, but everything.
"I already have everyone in the family tested positive. Why should I wear a mask? It's so uncomfortable!"
Just because you're at home with everyone who is positive doesn't mean you should ignore wearing a mask. You don't want to spread the illness more, right? The only time you can take out the mask is when you're sleeping, I do not expect you to wear a mask while sleeping, it's a little impractical, but at the same time, you should wear one. Basically, there's no right or wrong when it comes to wearing masks while sleeping, it depends on the environment and each individual.
"Can you explain this term for me - You will need a referral form/ letter from the cardiologists for this scan."
Look, just book the appointment, then approach the staff and inform that you are with your family. No one is going to ask you to wait an hour each, I hope...
"I need to get PCR Result urgently. Can I get it on the same day?"
PCR takes 24 hours to be ready. It's impossible to get it within a day, the only thing I can advise is you come to do the test as soon as possible, and highlight to the team that you need your test urgently, but don't do it last minute, because it's impossible.
"If you don't give me <insert demand here>, I'll expose/ <insert all sort of threats here> you!"
We get that a lot, and I'm sorry. It won't work. It'll work with junior staff, but with someone who was getting constant verbal harassments/ threats/ lawsuits, we're used to it.
Source: Let's shield (hexagonal type) - Real Time VFX, created by Mar' 19 in March 2019, published in Real-Time VFX
There's a whole lot more where that came from but I'm going to stop here.
Thursday, July 29, 2021
Tears Kept Flowing
Friend: "Sis, is that you?"
Me: "Yeah. How can you not know it's me?"
Friend: "You sound different, like tired. Are you okay?"
Me: "Lack of sleep."
Friend: "Hang in there."
Woman Shares How Father Was Ignored & Died From COVID-19 At An Overwhelmed Public Hospital, published on Says, written by May Vin Ang — 29 Jul 2021, 12:34 PM
I thought my tears had dried up but a friend shared me this story via FB and now I can't stop crying, because people who kept claiming that everywhere is sunshine and daisies are WRONG. We're all desperate and tired, yet we kept going because we have to. This story is sad, and I'm not going to say one side is totally at fault here. I read through despite the tears kept flowing, I even went to to the original Mandarin post and read it. I can't say it's hundred percent that one side is at fault here, and healthcare workers really are tired and burnout. It came to the point where the demand is now higher than the supply, and everywhere is overflowing and congested. I get that both side are frustrated, believe me, I get it. I'm trying to keep it together but judging from the conversation, it seems that I'm mentally drained. Even my family commented on it. They said I looked freakishly pale and I looked as though I didn't get enough sleep. I tried, I like putting my favourite music on at night, but lately I seem to sleep for two or three hours and then ended up waking up and unable to sleep.
I took a call from a person who were increasingly becoming frustrated and was biting my head off, but I let them, because what else can I do? They have checked everywhere and everyone had said the same thing. They thought maybe we could perhaps give him some sort of miracle. They were agitated and started telling me how the family were feeling weak and they wanted to get a x-ray and blood tests done because they scared that it could be pneumonia. I have been getting a lot of these enquiries lately, especially during night times so I asked my doctors what can I do: Advise them to go to their local CAC to get checked. They went on how the CAC queue is so long that they refuse to send their families there because they are feeling weak. I don't blame them, to be honest, I would get frustrated too. I'm thankful that my family members are taking their health seriously, and we keep other in check, because trust me, you do not want to get Miss Rona. After they vented their frustrations, the person apologized for biting my head, but I told them politely, "It's okay, I understand you're frustrated. All of us are, except we are trying not to say it outloud." They understood and thanked me for my time. So, it's good I guess I managed to make someone's day...
One person really irked me, because they send an enquiry regarding antibodies. So I sent the flier just be sure I'm getting my facts right, then they said, no, they want another test regarding the Covid antibodies, so I showed another flier. Then I explained that you will need to get your second vaccination first, and after two weeks only then you should do the test. Then the person said, "I never took the vaccination, nor did I have covid, I'm just asking whether I can do the test to see if I can get naturally acquired immunity or not."
Mary, Mother of God.
Um, the only way to get naturally acquired immunity is to get it, like chicken pox, which I do not recommend. And I do not recommend getting Miss Rona, no way. I had pneumonia once and it was bad, and my doctor stressed to me several times, just because you got it once doesn't mean that you are hundred percent safe. Honest to God, if that's the case, then we don't need to be scared of diseases. Nothing is ever hundred percent in medical line. This is the one thing we have stressed over and over again. There is no miracle in medicines, we can only depend on science and research and facts, not Google, Facebook, Whatsapp, and certainly not psuedo-science.
I was hovering around Khairy's Twitter and usually I like to check on the people who I admired, like Uncle Steve, JK Rowling and the gang, so I hopped a little to one of the artists whom I admired, and oh gosh. I do not have Youtube, Twitter nor Tiktok accounts, so I'm going to say it from my previous posts. Stop bashing Social Repose already, God. His last video wasn't offensive, I got the context, and I understand he's strange, but for crying out loud, stop taking his narrative and twist everything out of turn. Why don't you all put himself in his shoes and see how it feels like? I mentioned it before, not everything is seen in a black and white mindset. He makes great music and art content, you don't know what you're missing out on. I was like that at one point, but the people around me told me several times, Not Everything Is Always Black and White. There will always be a grey area where no one will know. I'm glad I gave his content another chance because it is artistic and you can see the passion he poured into. Don't like someone, ignore and disengage. This is why stans scare me. JUDGE YE NOT LEST BE JUDGED. The funny thing is my doctors thought his music are great since I often put his music (and many others) on while working, and they joked maybe the mob should come down and help us out in the frontlines to make use of their productive time because we are seriously understaffed. I love my doctors, they're awesome.
*Today's case: 17,170 (Ah, I'm going to watch some comedy. This is depressing)
Wednesday, July 28, 2021
Plea
Dr Dhivya Dhyana (@dhivyadhyana) • Instagram photos and videos sums everything up perfectly. Please watch her videos if you have time and give her and our healthcare workers some love
The video sums up the entire point. If you have seen my previous posts, I have already said, several times, stop treating things lightly. It's almost always the same. It's always I went to point A just for a while, or I just go out with just this one friend. Enough is enough. We have already surpassed Italy and India cases. It's almost like the apocalypse is upon us yet we still see people flaunting the rules and regulations. Everytime the number goes down, everyone cheered, then the next day it goes back up. And you wonder why we can't have nice things?
The last week of working night shifts made me cry so much. Cases are rising, people were calling me in the middle of the night begging me for help, which I can't because everywhere is full. Most cases were already so critical that we don't have critical beds and our patients are already on ventilators. It came to the point where healthcare workers are now forced to choose who to save. It's now come down to survival of the fittest. "But I have the money! I can pay you!'' I don't want your money, I don't have beds, don't you understand? How can we give patients the proper care they deserve if we can't give them critical beds and the sufficient equipment and manpower?
One call in particular made me cry so hard after our conversation ended. They were begging me for help because patient was suspected having hypoxia. They have called everywhere and everywhere is already full. When I asked them to call 999, they told me they did, and this is what they told me.
"Unless the patient is having difficulty in breathing or dying, they will not send an ambulance over..."
Yes, it was that dire. We do not have enough ambulances anymore, everywhere is congested, it's like a friend told me, "Air mata tidak boleh meliuh dah." (Roughly translated to (Our) Tears can't flow anymore) They're right. What's the point of us crying anymore? I cried so hard the last few days because I do not know what else to advise. And I'm trying my best not to say too much because times like these are depressing. Everyone is already mentally stressed out and depressed, I do not need to add more fuel to the fire. This is why I shared briefly regarding my job, because everyone knows working in healthcare is not easy. I don't need to do a deep dive on how scary it is. Not to mention there's huge clusters of breakout happening everywhere.
Please, I implore you, get vaccinated, stop vaccine shopping, take care of your health, go out for your essential shopping if needed, but most importantly, WEAR A MASK, WASH YOUR HANDS, MAINTAIN A SAFE DISTANCE AND PRACTICE YOUR SOP. And remember, just because you have been fully vaccinated, this does not mean that you are 100% safe.
As of few days ago, we just struck past 1 million. Jackpot (That's sarcasm right there)
Source: Hurdles for 'Devil May Cry 5' and What Should Be Fixed | Goomba Stomp Magazine, written by Jason Rocha, published on August 27, 2018
*Today's case: 17,405 (Everyone is putting out bets on when we're going to hit 20,000...I sincerely hope not)
**Just a fun fact, I don't really play Devil May Cry. Not my taste, but I like watching the walkthroughs and they have a good storyline.
Source: Contract Negotiations With Morons, Published by Jason Leong, premiered Jul 26, 2021
Code Black! Code Black!
And Dr Jason, congratulations for hitting 100,000 subscribers.
Monday, July 19, 2021
Interesting Phone Calls I Received #9 (More Than A Year Later...)
We are already a year plus into the pandemic, and the phone calls that comes in can be baffling... I didn't even plan to post this because my arm and ear hurt from the constant phone calls (and because I needed a break from the constant posts), but I need to get this off my shoulders.
Vaccine Shopping
Pfizer, Sinovac, Astra Zeneca...
Lots of decisions to ponder,
Either way it doesn't matter,
As long as you get your jab...
You can see I didn't take any creative writing courses....
Cancelling Your Vaccination Appointment Unnecessarily
I said it once, I said it again, I'll say it till you get tired of me. Unless it is necessary, don't cancel your vaccination appointment unnecessarily! You got it at your finger tips, and you cancel it because "I do not want <insert brand>, I want <insert brand>" People are already dying because of covid, it's important to get vaccinated, because that way, you have at least a layer of protection. Stop choosing and get vaccinated! Please, I'm begging you, unless it is due to unfortunate circumstances, then yes, you can change the appointment.
Fully Vaccinated Means I Can Ditch The Mask And I'm Safe
No, you may not ditch the mask. It is still compulsory, practice your SOP and stay safe. Vaccine is a layer of protection, it's not a 100% cure. And no, don't travel unnecessarily as everywhere covid is on the rise again.
Covid Enquiries
It can range from many things, but the most common one I get is "Difficulty in breathing" / "Shortness of breath" / "Saturation level is less than 90%" CALL 999 OR HEAD TO THE NEAREST GOVERNMENT HOSPITAL IMMEDIATELY! But - but - I don't want the government. For God's sake, the patient is in severe condition and you still don't want to call 999? Which also brings us to -
I Don't Like The Government Sector
"Service is awful" / "No one cares about me" / "Food is terrible" I wish to transfer out immediately. You have to help me. Do you realize...that you are lucky to even get a bed? I have patients who really requires bed, and they can't get any due to the congested cases. I have patients who lost their lives because of covid because they couldn't get treatment on time, and you want to transfer out because the service is bad? Everyone is fighting for the pandemic right now, and there's a huge shortage of staffs that everyone is burnout, and yet you are making a fuss just because the service is bad? It's not even that people were neglecting them, when I query further, it's mainly about hospitality... The food is terrible part irked us to the point where my Medical Officer went into a launch telling that everyone is trying their best to survive and they wanted to transfer out because of the food. You can't even transfer out because everywhere is FULL. Oh, and the government choose you. You can't just waltz into the government hospital and demand for a bed, they choose you.
Since we're here, is private better than government? The answer is they are equally the same. For certain things, I go for the government, because not everyone can afford private healthcare. When I went to the government sector for scaling, it cost me around three ringgit. If I go to private sector, it cost around hundred plus. The only thing is...in government you have to wait for a long time, and most of the time you are not allowed to negotiate. That's the only one thing about government, otherwise, I can say their treatment is on par with private.
Fake News Circulating
We kept getting news that the vaccines are fake, that it is just water, and that empty syringes are being jabbed. Need I remind you again that spreading fake news is damaging everyone's reputation and business. Everyone is already mentally drained, stop making things worse for us and yourself... Get away from social media, and if you see a news that looks suspicious, verify with the source first instead of spreading it all around. I'm glad a local family owned business is filing a police report due to defamation and slander, because it seems that people who spread fake news think it's funny or that they can get away with it.
Using the Emergency Line as Your Own Personal Hotline
I don't know how many times the emergency phone rang that I drop everything and run to attend to it, because it is what it is stated. It is an emergency line, it's a matter of life or death, but every time when we answer it, people called us for the most mundane of things. It got to a point where I got annoyed and I told one person firmly, "We'll call you through our landline, kindly do not call this line because it is meant for emergency only." Till this day, no one seems to get it.
We Should Know Everything
Yes, every nook and cranny, like what's going on in the operating theatre, the wards, other hospitals etc etc. Sorry, we do not. This is why you need to call the respective departments or hospitals. You are not going to call a McDonald's to order pizza right? When I was in the wards, or as a patient who is hospitalized, there is something call ward orientation, meaning we explain everything from A to Z, regarding the bed controls, the TV, the storage vault, the washroom, the call bells, do and don'ts, fall prevention, everything. Once we explain everything, you need to sign the paper as acknowledgement that you understood. If something is going on in the ward, you use the call bell to call for help. Why would you call us??? It's the same for surgeries. You can call the landline and ask for the operating theatre reception counter to ask. We don't have access to the operating theatre system.
Can You Give Me The Doctor's Personal Mobile? It's Very Important
The answer that we will give till the end of time is a big NO. No one sane is going to give you the doctor's personal mobile. You need to call through the general clinic extension and ask for them. From experience, once you give your personal mobile to a patient, they are going to hound you even when you're not on duty. If the doctor is the one who personally gave their mobile, then there's nothing we can do about it, but we'll never give it out.
Appointment(s)
Please call the clinic directly to make an appointment. I find it so weird to go through six, seven different channels just to get an appointment. You want to make a reservation at Chili's? Call or email them. You want to see Dr Moustache? You call their clinic directly or email, if you are able to. You want to find out if Popular Bookstore have your favourite books in stock? You call or email them directly. Sorry, I went a little off track. The point is.. if you want to make an appointment (or something), go directly to the source. If you can't wait, the emergency is open 24 hours.
Overseas/ Outstation to Get Covid Treatment
Most of the time patients are already between life and death, yet they still ask to seek help far away. When it comes to life and death, seconds counts. Head to the nearest healthcare facility or call 999. You're not going to travel down for 6 hours to get help. It's not logic, and you risk spreading covid everywhere. Most places have basic healthcare facilities and decent hospitals, don't tell me that there's none, even our rural areas have at least one or two.
I'm so tired... Most of the things are repetitive, but it seems that people are unable to comprehend what we're trying to say. Stop calling us heartless monsters, or asking us to burn in Hell, we're trying our best to help everyone, and sometimes we're too late to save people. Just because we don't say it doesn't mean we are okay.
*Today's case: 10,972 (We can get through this...)
Source: A Delusional Review of My Proton Wira, published by Jason Leong on 17th February 2020
Oh doctor...
Saturday, July 17, 2021
Lockdown 3.0 Diaries #47
Oh Lord, the morning shift is plain crazy. My ear hurts, and I have to put Acustop on my shoulder, and my heart is pounding hard. If you could check my saturation level, I think you can see that I'm close to hyperventilating. Please, make it stop...
From 7am onwards, people are demanding for rooms again. As much as I would like to say okay, let's get you in, I can't. We don't have rooms anymore. Everywhere is full, everywhere is seriously full. Cases are already getting serious, I was practically begging people to get help but they outright refused and insist on waiting for private beds. Please, please, please, stop gambling with your life already. If you can even get a bed in government sector, it's considered good. There are some people who are already in government sector wards and they demand to be transferred. Why? "The food taste awful." Oh my LORD, you're getting admitted for covid, not for the food. My goodness, I told some of the people to stay put at the government sector and they demand why. Well, first of all, you aren't fit for transfer. No one is going to risk transferring you inter-hospital, what's going to happen if something happen to you? And the second point that we have always stressed, government sector is the best place to get admitted because they have sufficient backup and they are expert in handling severe cases. Most of the cases I had to give them health advice because most of them were at a lost.
I pretty much ignored the enquiry due to the constant phone ringing. Everytime we drop a phone, it rings second later. It's an endless cycle, and once a covid case comes in, we spend a long time with them. It's unavoidable. And no matter what people say, phone calls are the main priority. If you can Whatsapp, it means you are willing to wait. Phone calls are mainly urgent cases. This is why I always stressed, if it's urgent, please call. Do not whatsapp.
EMCO has been lifted in Selangor, here’s what you can do, written by FMT Reporters, published in Free Malaysia Today on 16th July 2021
Wait just a minute, no more lockdown? FREEDOM!
Well, not exactly. Rona is still around, and all of us still got to practice on our SOP guidelines, wear masks and wash your hands (And get your vaccines). Since the lockdown is over, this will be the last entry of the lockdown diaries. I never intended to do this challenge, it was constantly in my head, but it was my friend who gave me the shove. "It's probably a good way to challenge yourself to write throughout the lockdown..." Except for missing one small post by six minutes, I managed to post throughout the lockdown days. It was originally intended to be two weeks, then it got extended, and extended to the point where I was basically just writing as long as the government said keep going.
It was tiring to be honest, in between juggling shifts, editing and working on writings. The main goal of the challenge was to write everyday without missing a beat. In fact, I even doubt myself when the lockdown extended, not to mention I don't know what I could write during my off days. How do I post something during my off days? My topics mainly focused on books, music, arts, people that has inspired me.... Let's be honest, I'm not going to talk much about my work life during my off days, but this blog is meant to share about my nursing life, so I still have to sprinkle in a little of it, and since I'm no longer dealing with dressings, injections, procedures and such, things has probably gone stale... I actually left blogging for a few years with little intention of reviving it. You can thank my friends who were asking me to share how life is during the first MCO.... Besides, I did started out blogging first before writing novels.
Does this mean you can do the NanWoWriMo? I can't, because it is more suited for people who are free for a month. Lockdown diaries is something that I could attempt because I'm not writing full length novels. If you are attempting to write a novel, you need to at least hit a minimum of 50,000 words, and from experience, that is roughly around 200 pages. Now if you recall Tolkien's Lord of the Rings trilogy (1,137 pages), Stephen King's IT (1,138 pages) and JK Rowling's Harry Potter and the Order of the Phoenix (766 pages).... Those are a lot of words...
Will you ever write more about your nursing life? Well, you made it this far haven't you? I know I pretty much float around, but yeah, 47 entries of diaries should made a fun read, don't you think? Thanks for making it through my ups and down. So, once again, wear your mask (double mask if you can), wash your hands, get vaccinated and stay hydrated.
*How COVID-19 Spreads, Last Updated July 14, 2021
Content source: National Center for Immunization and Respiratory Diseases (NCIRD), Division of Viral Diseases
**Today's case: 12,528 (Well, back to the drawing board, I guess. Anyone got their lucky number yet?)