Favor

February 25th, 2008 by just-a-thought

well, heto post again ng blog….

wanted to share GOD’s goodness in my life…

For the month of Feb, Im working at Hurley ER. Supposedly im only to do Pediatric ER but due to some circumstances I cant control I was assigned to do Adult ER as well.

I tried to keep an open mind about it since I like ER work. U get killed for about 8hours and then go home…no paperwork, no follow-ups…and the pay of course is pretty good too.

So, I did three Adult shifts in a row; from 9pm-7am. In the end, I got sick coz it was essentially non-stop work and i have to stay until maybe an hour or so just to clean up or dispose patients-either send home or admit.

QUE Horror is how I can describe it. Maybe shifts during the daytime wouldnt be so bad…but since I got sick..i missed out on one shift.

I do have another one coming up this week..my last…yipee!!!

anyway, what i wanted to talk about is Pediatric ER. Its kinda cool actually.Usually chief complaints are fever, colds, cough etc..and kids are fun..they’re so cute!

last night was the last shift i did in a row at Peds ER. Worked with a certain Peds ER Doc. She was really nice. At first she double checked all my work..i was like..whatever..but then after that she let me do whatever I want.

For the past three nights, she will let me go home an hour earlier before my shift ends.Last night she told me to sign out to another resident an hour and a half earlier and told me to go home.

I was like…wow…you know, i was working like a dog in ER.Especially in Adult ER.

For some reason, I couldnt keep up last night at Peds; the patients kept coming and coming and coming…but she told me im doing fine and not to worry about it.

Today, I got a call from one of the Peds resident at Hurley. I worked with her twice and so i got to know her quite well. We were supposed to switch calls because she has to do a presentation this week.

But it was re-scheduled and she called to tell me that we dont have to switch calls anymore.

We got to talking for a bit; she told me that i was lucky that i get to go home early since the Peds ER attending I was working with usually doesnt let residents go home that early and tells them to stay until all the labs and workups of a certain patient are back and then either admit or discharge them.

Needless to say, I was shocked! Of course,I knew the Peds Res is  telling me the truth because she has worked there for three years now. Every year they have to do Peds ER for one month.

I realized there and then that God’s favor does surround me like a shield as He has said in His Word (check out Psalm 5:12)

And so I am so thankful and so grateful to Him; because although that might be a small thing to some but going home early is a HUGE issue for me. Who wouldnt want an extra hour of rest or sleep?

To God be all the glory and praise. AMEN!

Death and Dying

January 12th, 2008 by just-a-thought

Well, tama bang mag-blog eh sa dinami-daming kelangan gawin heto nag post ng blog….

linis ng apartment, mag-aral, mag-hanap ng trabaho, gumawa ng CV……

hayy, whatever..

anyways, here goes…..

For the month of January, Im night float (no, i dont float at night po). I mean i work at nights starting 6pm to 8am excepts Mondays (I start at 1pm in the office seeing patients then at 5pm i rush to the hospital) and Fridays (at 8:30am i have clinics din).

So a week ago, i admitted a patient with intracerebral bleed with SAH. Shes a transfer from another hospital which doesnt have a neurosurgeon. She was rushed to MRI/MRA facility and was found to have an anuerysm.I did the admission on a Thurs night so Friday I was in the clinic in the AM and i was off after noon.Therefore, i didnt know what happened til after Monday when i came back.

Over the weekend, the neurosurgeon did clipping of the aneurysm, but i was told that before he was able to clip the aneurysm, it burst. So, instead of one bleed, she now has two. An emergent head CT scan showed irreversible brain damage (according to the neurosurg who saw the CT).

The sons of the woman whom i met earlier were heartbroken.They decided on No code. The patient was disconnected from all life support and was only on Morphine and Lorazepam for comfort measures.

She was transferred to the floors from the ICU on Monday Night when I started my shift. Amazingly, she was still breathing the next day.

Day after day, we were expecting she would expire. But she went on for 4days. She was unresponsive but breathing.GCS 3 ikanga.

Our attending discussed with the family that she is a candidate for hospice since we wouldnt really know when she’d actually expire.Case manager got involved and found out the patient doesnt have insurance (ouch!)

Wednesday night I was so restless. It was a relatively quiet night.So far, only outside calls and one admission, no deliveries.No toxic patient that needs constant monitoring. That time was a perfect opportunity to study but i cant concentrate.

It seemed that God was telling me to pray for this particular patient.

I felt so sorry for her sons.They were very nice when i met them.Initially, they gave my junior a hard time when he tried to get the history but when i came over and explained to them that time was of essence,they became cooperative after that.

I honestly didnt know HOW to pray for this woman; much less know WHAT to say. All I know is that she needed a miracle because we’ve done all that we can do.

Needless to say, I ignored the prompting and chose to rest that night.I thought to myself, maybe she’ll stop breathing in the morning.

But when I came back Thursday night, she’s still there.

I argued with God. What am I suppose to say? He replied, what does My Word say?

OK, I got out my Bible (which I always carry in my backpack) and turned to the book of Luke - the story of Lazarus; the bleeding woman; the Roman Soldier; the father with a dead daughter; all these stories i re-read in no particular order.

But God said in my spirit, does she know Me as her personal Lord and Savior?

I truly dont know and how on earth can i possibly find that out now?

Armed with my Bible, i went to her room, pulled out a chair and sat beside her bed. I read the stories in the Bible, told her some verses in the Bible and laid hands on her. Finally, I told her about Jesus and that He is the only way, the truth and the Life and no one can come to the Father except through Him.

I prayed the prayer of acceptance and told her i know she heard me. She maybe brain dead but she has a soul and a spirit so she can see and hear me.

Of course, in those moments I spent with her, i couldnt help feeling foolish. Fear, doubt poured in but I was determined to do what God told me to do no matter what I felt.

I left her side that night assured that my efforts were not in vain.

The next day, at past 6am; 45 minutes before my shift ended, a nurse paged me. I was told that the patient expired at this certain time and she was just letting me know.

I was tired and sleep deprived after that night. What is it about Thursday nights that its always so busy??? Yet I found time to go and pray for this woman.

After hanging up the phone with the nurse, it seemed to me that God waited for me to do exactly what He wanted me to do before letting her die.

Or is it just pure coincidence?

Whatever it was, i felt a surge of relief that day. Relieved that I obeyed God no matter how absurd it sounded. I delayed but didnt deny His prompting.