2010年1月30日星期六

Referral

在oncall期间,收到无数的Referral。

当了MO call后,才体会之前学长学姐说的“令人抓狂的Referral”。


Referral A

时间:晚上10点
A     : Excuse me, is this Dr Ng? I wish to refer a case.
我   : Yes, please.
A     : I have this gentleman, who fell down 1 month ago, complaining of having lower back pain. We could not see any fracture from X-ray, but we would like your opinion.
我   : Ok…..What is the urgency of referring late this night? Is he having weakness or pain increasing?
A     : No, because my specialist did round just now and she thinks we need to refer to orthopedic.
我   : ...........

[感想:Refer case要分轻重,三更半夜才call说要refer minor case,人家不气才怪]


Referral B

B    : Dr Ng, I would like to refer you a case,patient had a fall 2 days ago, suddenly today he develops painful swelling of the right leg with blisters. X-ray done previously showed no fracture.
我   : Ok, what’s your impression?
B     : err……swelling right foot?
我    : Yes, what do your boss thinks?
B     : Dunno….but please come have a look, k.
我    : ...................

[感想:Refer case 前自己也该做一些功课,适当的检查,不然就像refer 病人shortness of breath [SOB] 给medical 却没有diagnosis,够无聊吧]



















Referral C

C    : Dr Ng, I am xx from Hospital xx, I would like to refer a case with fracture left leg. This is a 60 year-old gentleman……….
我   : Is he keen for operation?
C    : Yes, he is.
我   : Ok, sent the patient over.

两个小时后...........
我   : Pakcik, mengapa tak mau operation?
P     : Saya nak cuba ubat kampang dulu. Tadi dah bagi tau doktor sana, tapi dia kata nak hantar untuk jumpa doktor pakar untuk bincang.
我   : .....................

[感想:如果病人不想动手术,sent过来我又能做什么,只是可怜病人得自己乘车子回到遥远的家]


Referral D

D    : Dr Ng, I’m HO from medical, I would like to refer a case, a 82 y/o lady, known case of DM, blah….blah…..

三分钟后............
我   : What’s the diagnosis?
D    : Bed Sore.
我   : Why didn’t you mention at the first sentence?

[感想:要refer case 也得有些技巧,先告诉对方diagnosis,这样才能专心听下去。不然长篇大论后,谁还记得你在说什么]


在骨科当MO call时,脾气确实因为一些抓狂的referral变差了。
但现在总算可以卸下MO的外套,到实习期的下一站去:小儿科。

希望能在那里建立好的基础,学习更多的知识,好好地服务一群可爱的small people。

6 条评论:

maileng 说...

其他科要摆脱烫手山芋嘛,哈哈。

小儿科,更惨,剔净胡子面对病人父母呗。呵呵。

Darren Lee 说...

Ha..now you know bout MO's miserable on-call life! ;)

匿名 说...

interesting referral.....

小賢 说...

May the year of Tiger bring you more wealth, more prosper and good health...

May everything goes smoothly for you in the coming new year...

littlepolaris 说...

ahaha but u so nice lor never scold them. Our Medical MO here very screw up. B4 u refer case start scolding u and say tell ur MO to speak to me then hang up the phone.

littlepolaris 说...

ahaha but u so nice lor never scold them. Our Medical MO here very screw up. B4 u refer case start scolding u and say tell ur MO to speak to me then hang up the phone.

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