And pumatol ako sa isang lasing na kasama ng pasyente sa ER.
Medyo marami ang patients ko that night (Thanks to JR, na pinalangin na sana matoxic ako!) and the wave of patients continued even after I have taken my ARVs.
I only have one nurse for that shift. So I have to do some errands as well. Utos ko, gawa ko.
A patient bathed with blood was rushed in by some of his hysterical, drunken friends. My nurse then interviewed the patient, while I was inserting a Foley catheter on another patient.
According to the interview, the patient was driving a motorcycle while under the influence of alcohol, without any helmet on. He allegedly went off-balance, thus falling from his bike sustaining multiple abrasions on his arms, elbows, legs and knees, and a big lacerated wound on his head.
My nurse was then asking for the personal information of the patient, when...
alcohol-influenced friend: Ano ba yang mga tinatanong mo? Nakita mo na ngang sugatan yung pasyente, gamutin niyo muna yung pasyente! Mamaya na yang interview na yan! First aid muna dapat.
Medyo kinakaya-kaya niya yung nurse ko and so I butted in.
Efavirenz-influenced me, irritated: Sir, tinitignan na namin yung pasyente mo. Ini-interview namin para alam namin kung ano mga dapat gawin sa pasyente. (Like pano kung may cervical spine injury pala, at ginalaw-galaw na namin yung pasyente? But of course, I didn't bother telling him that. Sayang lang sa effort ng pagpapaliwanag.)
friend: Ganun ba yun? Hindi ba pwedeng kahit first-aid muna tapos mamaya na yang interview? Or interview-hin niyo habang may nagbibigay ng first-aid na isa.
Obviously, dalawa lang kami ng nurse ko ang tao na nakaduty sa ER.
He continued ranting, until...
me: O sige! Ikaw na dito, at ako na diyan!
friend: Kung alam ko lang ano gagawin sa pasyente, ako na gumawa. Hindi ko na dinala dito.
me: Pwede ba lumabas ka na lang muna at hayaan mo na lang kami dito na i-manage yang pasyente mo.
I attended to the patient, and asked for a plain cranial CT scan (though, I know it wasn't really necessary), a trauma series X-ray (skull, chest, and pelvis) including those which the patient complained of being very painful, though I know again it wasn't necessary.
You don't mess with the doctor under the influence of Efavirenz! Hahaha!