Back in 2008, we were having our medicine ward rotations. Well, there was this old man in the ward too. The medical specialist on round was just having a round with the team in the ward and evaluating each patient. On his turn, he assessed him and declared him stable and carried on to other patient. Well just a few minutes later, he started to suffocate (his body movement for the craving for air showed it) and i just noticed it and asked the nurse to see him as i was very much junior to know what is the issue and how to fix it! and she calmly said me to tell the doctor, not her! And well, i rushed to the doctor and said him that this patient is deteriorating and he just replied, well go call the emergency department! WTF! the patient in dying in your ward under your observation! and i shall call emergency department? Dude! Well, then i realized why he said so . . . because there was no ECG machine in the MEDICINE WARD of ISLAMIC INTERNATIONAL MEDICAL COLLEGE TRUST – PAKISTAN RAILWAY HOSPITAL (IIMCT/PRH). I rushed to the emergency department down stairs (oh ya, they don’t have the telephone/intercom in the ward too) to call the emergency people and get their instruments! The man came along with me and and started to stabilize the patient. Well, it was just going on and he was about to enter the endotracheal tube, and guess what? a lady doctor asked him (a fresh doctor maybe) that she wants to enter it! Remember that the emergency guy had already entered the tube properly, but took it out to let the lady enter it again! and guess what! she entered it wrong! (don’t know into the esophagus or not!) and the patient collapsed after fighting for the air! And that lady doctor. . . Started to put a hand on her mouth and laugh! i felt so annoyed though! but . . . anyway! the patient died!
Well life and death is in God’s hands, but how stupid is it not to have instruments and trained staff in the ward? and how can that damn SPECIALIST miss the condition of the patient when he just assessed him! . . .