MR ROMEO

Yesterday call was really busy.
But the best moment was managing this patient, i called him Mr Romeo. I will remember him forever for the rest of my carrier.


It was 8.30pm. I was just finished doing appendicectomy. Then I've received a call from ER doctor.

ER doctor: Bond...i got this patient la...he wanted to commit suicide..using a knife he stabbed him self over the abdomen..so far he stable la.

Dr BOND: ok la, admit him to male surgical ward..i see him in the ward...he is stable right????

ER doctor: ya ..he is stable..ok going to admit him to the ward now.

Soon he was admitted to the ward. He was surrounded with his family members. Patient look OK..appear calm. He is a tall young man, dark skinned and skinny.

Emmm...so surprise..why he want to commit suicide on second day of hari raya??
I was tired..i didn't bother to ask him or his family members.

from my clinical examination, there were two entry wounds over the abdomen (tummy)...look superficial...he was stable..blood pressure and heart rate was normal.

".the wound just superficial...i don't think it serious".
I just give him usual painkillers and antibiotics.

So far everything was ok till at 4am...then my nurse called me..

Dr BOND...Mr Romeo blood pressure was low...he vomited out blood. His pulse rate was raised.

Me: WHATT???

I was panicked and rushed to see him..
Ya his blood pressure was low...it could be internal bleeding..

NURSE! prepare him to OT now!! i really shouted like mad at 4am.

he underwent emergency laparotomy (opening up the abdomen)...it's started at 4.30 am and finished at 8.30 am. to my surprise the wounds were penetrated the whole layer of the abdomen.
and the knife actually make a hole in the stomach...that's why he vomited out blood. there was bleeding from the stomach wall.

He was damn lucky (or lucky me)...his knife only hit the stomach. If the knife hit the liver, spleen or heart there will torrential bleeding and he will die. he was stable on admission as the bleeding was slow and minimal which didn't show any early clinical deterioration.
i just repaired the hole and his stable thru out the surgery.

after the surgery completed, the whole family members came to see me..

Patient's sister: Dr BOND...how is my younger brother???
Dr BOND: so far his ok..the surgery went smooth..he is stable.
Patient's sister: Alhamdulillah..

Gosh!! Didn't Mr Romeo think of his loved one (mother, sisters) before committing suicide???

Then i asked this question..Why Mr Romeo want to kill himself????
Patient's sister: err....errr.....errr.


Question. Please choose single best answer.
Why Mr Romeo want to commit suicide?
A. his girlfriend left him, and find another man.
B. he is gay, his boyfriend left him, and find another man.
C. he is stress like Dr BOND because his bos didn't give cuti raya.
D. he is stress because he got no money to "pinang" his girlfriend.
E. none of above.