Apart from the array of medical cases I have been seeing the time is come with it's own set of challenges.Yesterday was a difficult day.Early morning ,a lady was brought into the casualty screaming in pain.She was in the 32nd week of her pregnancy according to the LMP but was 35 weeks as per the ultrasound.She had delivered a premature baby by caeserian section just a year and half back,all of one and half KGs.She had severe scar tenderness and the relatives were insistant we go ahead with the C-sec ,they were willing to take the baby to a paediatric care post-delivary was there a problem.The USG weight of the baby was 2 and a half KGs .Just after we consented to do the surgery we found out that she had not had any blood tests done and was an unbooked case.
We did the tests and did the surgery as well.It was a tough surgery with old scars but the baby was healthy and cried lustily at birth.However while we proceeded to close the abdomen the baby started grunting.So we called the relatives to take the baby to a paediatric centre to see a paediatrician.
It was my first caeserian section,perhaps a wrong choice of patient but there was no other alternative.I reffered the baby with a heavy heart and a lot of prayer.I had a lot of questions in my mind,questions which have haunted me for better part of the last five years.
When I came to the ward ,the staffs immediately dragged me to see a patient which one of the juniors had admitted ,a man with chest pain with severe bradycardia with a heartrate of 35/min.The man with a complete heart block and NSTEMI had sat in the ward for about an hour,by the time I reached there he had reverted to normal sinus rythemn by GOD'S GRACE and was a nice gentleman who kept saying he felt better.After the antianginals and the LMW heparin he brightened up considerably.
Towards the end of the day one young man doodled into the OPD with a pericardial rub and a fortnight of symptoms.He had a cardiomegaly and early pericardial effusion in some of the pockets when viewed through an ultrasound.Susanah recorded the pericardial rub for me in her phone and sent it across but ofcourse I don't know how to upload it to the blog.
It had been a tough day by the time we made it to Shanker's for the bible study.I was sharing about the day.I had spent my one hour lunch break alone in the OPD just gathering myself and praying.Many a times I had this urge to just go to Katherine and pray with her but the demands of the OPD did not give me the time.
Katherine said something then which immediately put things into perspective.I might have been through all that I went through just to get that reminder.
She said ,'Remember you are doing God's work.'Suddenly my burden lightened and I realised I was carrying a burden I was not called to carry.I was called to do his work and the other side of the bargain was in His hands,it was His work.
Today a day later all the patients are on the mend by His grace,and I am enriched by the reminder that it is His work.
We did the tests and did the surgery as well.It was a tough surgery with old scars but the baby was healthy and cried lustily at birth.However while we proceeded to close the abdomen the baby started grunting.So we called the relatives to take the baby to a paediatric centre to see a paediatrician.
It was my first caeserian section,perhaps a wrong choice of patient but there was no other alternative.I reffered the baby with a heavy heart and a lot of prayer.I had a lot of questions in my mind,questions which have haunted me for better part of the last five years.
When I came to the ward ,the staffs immediately dragged me to see a patient which one of the juniors had admitted ,a man with chest pain with severe bradycardia with a heartrate of 35/min.The man with a complete heart block and NSTEMI had sat in the ward for about an hour,by the time I reached there he had reverted to normal sinus rythemn by GOD'S GRACE and was a nice gentleman who kept saying he felt better.After the antianginals and the LMW heparin he brightened up considerably.
Towards the end of the day one young man doodled into the OPD with a pericardial rub and a fortnight of symptoms.He had a cardiomegaly and early pericardial effusion in some of the pockets when viewed through an ultrasound.Susanah recorded the pericardial rub for me in her phone and sent it across but ofcourse I don't know how to upload it to the blog.
It had been a tough day by the time we made it to Shanker's for the bible study.I was sharing about the day.I had spent my one hour lunch break alone in the OPD just gathering myself and praying.Many a times I had this urge to just go to Katherine and pray with her but the demands of the OPD did not give me the time.
Katherine said something then which immediately put things into perspective.I might have been through all that I went through just to get that reminder.
She said ,'Remember you are doing God's work.'Suddenly my burden lightened and I realised I was carrying a burden I was not called to carry.I was called to do his work and the other side of the bargain was in His hands,it was His work.
Today a day later all the patients are on the mend by His grace,and I am enriched by the reminder that it is His work.
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