You are in the ward you take your daily rounds and then you sit and relax. A certain patients relative comes to you, “sir can you please check on him, he is in very much pain and vomiting continously”, you get up from your chair and rush to the patient you check him he is sitting upright head down over a kidney tray vomiting continously, as a reflex you ask him to lay on his back as you prepare to examine his abdomen.
Abdomen soft tenderness present over right hypochondriac region and right Iliac Fossa, a list of differentials run through you mind. You turn back assuring the patient that it will subside. You are about to take your first step and order a urgent ultrasound when you realize fuck this govt. Run hospital doesn’t even has its own ultrasound and u need to refer the patient to another hospital. Determined to do something for the patient you call up your medicine Registrar who comes and prescribes the same medicines but in higher dose. Fine.. But complaints still persist, you call up the surgery Registrar only to find out that he is not there… Frustrated at this point you look at the patient and he is wincing in pain..
You decide to take a call and transfer this patient to a higher facility… You call the er where the other on call doctor says why you transferring him for vomiting… After explaining the situation he consults his seniors and says send the patient we will then decide weather to admit him or not. Relieved that atleast he will get some urgent investigations done you transfer the patient. As he passes you still extremely nauseated and vomiting you think..
Why isn’t there a bloody ultrasound in this hospital?
Where did all the taxpayers money go?
Why did the doctor in the er straightaway declined transfer?
Why do I need to feel so helpless after all these years?
What happens to the patient once he reaches the er? Will they admit him?
Hoping for the best you sign off from your duty.