Sunday, January 5, 2014

Head injury - intracranial bleeding.

Sesungguhnya....aku takkan lupakan saat ini.
Saat di mana anakku cedera kerana kelalaian mamanya.

30 Dec 2013, Monday, 9pm:
Aku sedang duduk di atas lantai sambil membuat kerja2 personal ku...membelakangkan Iri.
At that time, baby Iri was crawling around...main sensorang..mama biarkan je..
Then when mama was about to look at him..that time he was trying to change his position - from crawling to sitting. Macamanepun, he didn't manage to sit. So, he fell backward and hit over left side of his head. Everything happened in a sudden. The were no external injuries & he remains well the whole night. Sleeping soundly with only 1 interruption sebab haus nak susu.

31 Dec 2013, Tuesday :
Next morning..kol 8am mama already at clinic.
Mama received call from M.Lang Dewi...saying Iri was not responsive & limp.
Tok & Anchik quickly brought Iri to GP. Kt sane, Iri vomited x1. Die open eyes but still weak.

Mama quickly drove back. Kt umah, mmg die dh open eyes but still drowsy. Baring je.  gerak sikit2 je. Nobody witnessed whether there was any fit episode (fit in children cam susah sket nak perasan - adult ye lah, tonic clonic). Sampai dekat kol 12 t/hari, 6x Iri vomit. So, mmg kene admit ni!

12pm - at ED Hosp Tuanku Jaafar Seremban :
Iri masih drowsy. Aku dah NBM (Nil By Mouth @ puasakan) die. So mmg ler dh x muntah. Mmg 'full house' kat Yellow Zone tu. Seb bek time kami dtg masih ada katil. Ade yg sampai duduk atas kusi je even IVD (drip) tergantung. Iri termenung je (mmg x aktif lgsg + tak playful dah). Tengok2 dah tetido.

2pm - Iri dah bangun. Mase tu die senyum + playful + kembali aktif. Apekah? Is it post ictal drowsiness? Bilekah fit tu jadi? Takkan ICB kot camni? Mcm2 bende bermain di kepala. Feeding back to normal - x vomit dah.

2.30pm - Calling for CT Brain. Tido balik after given Syr. Chloral Hydrate 50mg/kg.

3.00pm - Back to Yellow Zone. ED doctor referred case to Surgical MO Oncall. Tapi biaselah lame baru dating. Aku x kesah pun sbb aku tau doktor2 (Especially HO) mmg busy . Dalam hati aku terus doa agar takde emergengy case in the middle (which mean...cases tersebut akan diutamakan dari case anakku ini).

4.00pm - Aku rase time ni baru ade ? HO dtg review CT Brain anak aku. Aku review skali. Mmg no obvious bleeding.

4.30pm - Anggaran time ni SMO post-call, Dr Lim R/V - ? EDH (extradural haemorrhage). For admission.

5.00pm - Tok Wan register untuk masuk wad 5D.

5.30pm - Dah masuk wad. Kat wad, mmg aktif cam biase. Tapi on+off vomit jgk.
Yang tak tahan...cam biase...Iri mmg kuat nangis. Lenguh tangan mama mendokongnye (dukung)..

Inpatient, was S/B
1.  Surgical Specialists & MOs : Mr Syafferi & Miss ? Azlina (x perasan nama), Dr Kosh
2.  Paeds Medical Specialist & MOs : Dr. Airina, Dr. Ng, Dr Lim
CT BRAIN reporting came back as -> LEFT FRONTO-TEMPORO-PARIETAL ACUTE SUBDURAL HAEMORRHAGE.
Tak dilupa HOs yang sgt bekerja keras - x henti review Iri.
Semua nurses & PPKs yang tolong jage Iri mase mama nak mandi, gosok gigi, buat susu, makan. Jasa u ols mmg tak akan dilupakan.

3 Jan 2014 - Iri discharge (even Dr. Ng still nak keep him in ward). Dorang suspect NAI :(

Sampai rini kat umah..Iri aktif even ada on+off minimal vomiting
Mama akan terus observe....

4 comments:

Enjoy your reading.
And please come again next time.
~ Dr. Shikin @ Nazeck ~