This is one of the times when I question myself whether I made the right choice in becoming a doctor. It is already 2 am and although I am tired and sleepy, I can't bring myself to sleep. I do sleep at 6 am sometimes but only when I am feeding my addiction (read as blogging) not when I am kept awake worrying about a patient.

The bosses attended an out of town conference for 4 days so I was left in charge of one of the clinics. I couldn't wait to go home early this afternoon (ay, yesterday afternoon na pala) because it was supposed to be my last day at the boss' clinic, but I again gave my friend, M a reason to gloat - I admitted 3 patients for my boss! After doing my rounds, I left the hospital contented that those 3 kids are stable, no worries. Just as I was about to sleep, I received a text message, my tonsilitis patient is bleeding from the mouth.

The resident says they do not have any ENT doctor who can come in at this time to look at the patient. I almost panicked! Yes, I know theirs is just a small hospital but who do they call for emergencies? Although I didn't see the patient, my guess is that the bleeding is from her almost kissing tonsils with very prominent blood vessels so it means that we have to stop the bleeding ASAP because any blood or blood clots in that area can interfere with the little girl's breathing. I already asked them to give something to stop the bleeding but I still insisted that they contact an ENT.

So here I am fully awake praying that the medication I gave will stop my little patient's bleeding. I am also waiting for the resident to call back and tell me about the ENT referral. In the meantime, I will blog...



UPDATE: The resident just called, she was able to contact an ENT doctor who already gave her orders and promised to see the patient first thing tomorrow morning IF the bleeding stops. I think this is going to be a veerry early morning for both of us!