Saturday, July 17, 2010

Plausible Deniability

The truth is people are born, grow old, get sick and eventually die. Its a life cycle.. Its the fact that we must admit. Standing at the entrance of the hospital, i see many ppl come and go. People that walks in with wheel chairs ,crutches, casts with the head or limbs bandaged or even with bruises all over the body.They are here to be treated and mostly are due to trauma or sickness.. In their faces, i can see mixed emotions ~ irritated, sickly and frustrated. Somehow, there are people who are happy go lucky type and just laugh it off with their sickness. The truth is no one wants to be in the hospital if nothing goes wrong.

Walking along the way to the ward, there are thosef ppl who are more sickly that need to be admitted for further management. In the ward, you can see more intense emotions in them. As in orthopaedic, ppl come in with trauma.. with the limbs got fracture or lacerations. Everyone of them come in with pain which varies in term of intensity as each ppl has different threshold of pain. The utmost part of it is the anger, the frustrations and the denial whereby they dont want to be admitted. They are here due to accidents,industrial injury, trivial injury or even domestic injuries at home.. Accidents happen. Its life.. we cannot control these from happening but it does happen out of our will. Unfortunately, all of us have our superego inside. We denies it.and it ends up in anger and frustrations. So, the pain threshold gettting lower and lower. The pain will get more intense for sure.

I see many ppl came in with tears.. However, as a first liner, we could not let them cool down and let the family members take care of it before we try to attend them. We need to ask them what happen and what miseries they had gone thru in no time. Hell i know that asking things like allergy , personal history will make ppl more irritated.What to do, thats the routine part of it.. Its so not good when we are asking these things when they are held up in tears.

In trauma cases especially open fracture, we need to do irrigation on the wound. It is the most cruel part where we are using copious amount of salines to flush off the dirts and contaminations of the wound. The patients will be yelling and screaming in pain and begging us to stop torturing them. Its not up to them to decide it as we are doing the right thing at the right time. We try to manipulate it as gentle as we could not help it but the pain is there. I had experience it all the time but the most frustrated part is when i am doing it in the middle of the night. They will scream until it echoed to the whole ward. The toughest part that i need to go thru is they will hate me for life as i am inducing more pain for good. I am the devil !!

Some ppl cant accept the fact that it is just an accident. No one wants it. With a fracture on, they just don want to accept that they need to be operated to get cured. Though the person are in their fifties or sixties , they will undergo transitions of becoming a kid who couldnt decide maturely. What they want is to go back and no one will ever touch them again..

I undertstand this point as if i am in their shoes, i will do that too (touch wood). But the funniest part i ever seen is that the whole family has the same thinking. Opt for conservative treatment~ massage or chiropractic therapy for a fracture?? oh my god. All the persuasions and explainations play no roles in changing their mind. They jus want to be discharged home at their own risk. What a plausible deniability .... How is it possible for a person to go back home with the limbs deformed and unable to move with additions of pain and swelling.. Sweat (-_-)'''

Its hard to understand human.. and its hard to change ppl's mind. I guess all we can do is to decide the best for them besides giving them alternatives.

2 comments:

  1. there are doctors smoking even though they knew the risk...its just a variation of human beings, so as long as you did your job, you did what you COULD do, then its up to the patient to decide

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