and finally....

and finally.... today is my off day..
it had been a hectic week for me! Seriously...
It had been a crazy 7 days...
Lots of my patients died due to sepsis..
Yes ... when u have a diabetic foot problems..
and u choosed to come to the hospital at the terminal stage..
there's nothing much doctors can do..
could hardly proceed with amputation coz u are already in sepsis
which lead to become "medically unstable ' hence the anaest team
would accept these unfit patients to undergo surgery....
so... the end for these patient... would be to die on the ot table...
or at the icu/ccu/hdw ward....
which mostly happened at the ward..
hardly on the ot table coz anaest wouldnt take the risk
bringing in unfit patients into ot...
sigh...

everytime we have these terminally ill patients came to us ...
and when they need to go for surgery...
we would have to battle against the anaesthesia team to push these
patient to go for op...
we cant do op without aneast team..
and anaest team wouldnt risk their ot mortalitly rate by bringing these patients into their ot..
coz we both "actually" understood what's the end result for these patients..

So please.. if u have a relative who's having diabetic foot problem
come and seek early treatment at the hospital..
not just at the gp.
if u come after all the treatment given at the gp -
most of time.. it would be.. too little too late for us to do anything....