Last night I slept close to 2am and woke up to a houseman calling me to inform their patient that was referred to me in ED for a surgical consult has arrived in their ward, and that they don't think it's their problem.
The case was actually seen by their own MO in ED and she decided to admit to her ward, and when she called me she said it was non urgent and I can review in their ward later.
I asked the HO regarding the general condition of the patient and I surmised that the kid was not dying, stable, pain controlled and not in distress.
Then I looked at the time. I wondered what kind of MO told their HO to wake a person up at 4.30am to inform this kind of thing. The patient is not going anywhere. What difference does it make from calling me at a more humane hour? I have no idea.
"You're not thinking of transferring patient at 4.30am right?"
She seemed hesitant, as that wouldn't have been her decision.
"Anyway, what are you guys doing for this patient?"
She started a whole list of history and background so I stopped her. I should have known better than to ask open ended questions at this hour. It doesn't help me to focus.
"Are you giving him IV drip?"
"Since his hydration is good-"
"It's a yes or no question." I sounded gruff. I hope she forgave me for being EOD oncall and sleep deprived.
"No."
"Okay. Later I'll go see. Thanks."
And then I hung up after she has said her thanks.
I went back to sleep. I dreamed of Pali but he was older, hair greyer and appeared shabby. As I wrote this I don't remember the details of it, but when I woke up at 6.30am I decided I should text him (I just did) to inform that I've passed my exam and going to Kuching next. I hope he'll do well for his next two years in PPUM.
I reviewed that patient at 7.30am. Kid was still sleeping, but the mom seems rested. I brought my registrar to see the case at 8.15am and he discharged the kid. Haha.
