{"id":227625,"date":"2019-09-09T14:00:05","date_gmt":"2019-09-09T12:00:05","guid":{"rendered":"https:\/\/slf.dgstage.se\/sylf\/moderna-lakare\/?p=227625"},"modified":"2019-09-09T14:32:08","modified_gmt":"2019-09-09T12:32:08","slug":"dr-agnes-nr-3-2019","status":"publish","type":"post","link":"https:\/\/slf.se\/sylf\/moderna-lakare\/dr-agnes-nr-3-2019\/","title":{"rendered":"Dr Agnes nr 3 2019"},"content":{"rendered":"<p><strong>Klockan \u00e4r halv fem<\/strong> p\u00e5 morgonen och jag har jobbat sedan klockan fem kv\u00e4llen f\u00f6re. Jag och min AT-kollega har jobbat undan p\u00e5 akuten och jag ser fram emot att f\u00e5 g\u00e5 och l\u00e4gga mig ett par timmar. Jag har just kommit upp p\u00e5 jourrummet, tagit av mig skyltar, stetoskop, ficklampa och allt annat jag belamrar fickorna med p\u00e5 jourerna och tagit upp tandborsten ur v\u00e4skan n\u00e4r kollegan ringer. \u201dDet \u00e4r tv\u00e5 orangeprioriterade patienter p\u00e5 v\u00e4g in, en allergi och en intoxikation, kan du komma och hj\u00e4lpa mig med intoxen?\u201d s\u00e4ger han. Att patienterna \u00e4r prioriterade som orange i akutmottagningens prioriteringssystem betyder f\u00f6rvisso att de \u00e4r s\u00e5 sjuka att de ska bed\u00f6mas av l\u00e4kare inom tjugo minuter, men jag hinner i min tr\u00f6tta hj\u00e4rna t\u00e4nka \u201dDu kan v\u00e4l v\u00e4nta tills de kommer och se om du beh\u00f6ver min hj\u00e4lp eller inte?\u201d <\/p>\n<p><strong>N\u00e4r jag gjorde mitt f\u00f6rsta<\/strong> underl\u00e4karvikariat p\u00e5 ett universitetssjukhus fick jag, efter tv\u00e5 timmar f\u00f6rsta dagen p\u00e5 jobbet, h\u00f6ra att \u201ddet vore bra om du blev sj\u00e4lvg\u00e5ende s\u00e5 fort som m\u00f6jligt\u201d. Jag hade ingen aning om hur en rond egent\u00adligen gick till, hur man skrev recept, hur mycket syrgas man egentligen kan ge till en patient med sv\u00e5r KOL eller hur man behandlar \u00e5ngest i livets slutskede. Det var en h\u00f6gspecialiserad avdelning och alla patienter var sv\u00e5rt sjuka och inte s\u00e4llan d\u00f6ende. Jag minns k\u00e4nslan n\u00e4r jag var ensam p\u00e5 avdelningen och en sk\u00f6terska kom och stressat meddelade att patienten p\u00e5 rum 8 var medvets\u00adl\u00f6s. Medvetsl\u00f6s? Panik! F\u00f6rsta veckan gr\u00e4t jag varje dag i kopieringsrummet. <\/p>\n<p><strong>Under AT p\u00e5 ett mindre sjukhus<\/strong> har jag f\u00e5tt det st\u00f6d jag beh\u00f6ver under natt\u00adjourerna och jag har, \u00e5tminstone oftast, k\u00e4nt mig trygg. Inf\u00f6r en medvetsl\u00f6s patients ankomst till akuten k\u00e4nner jag nu \u201dmedvetsl\u00f6s, jaha\u201d. Noll panik. Jag k\u00e4nner till och med att jag med lugn och sans kan handleda kollegan som ringer efter hj\u00e4lp (\u201dpatienten \u00e4r medvetsl\u00f6s, panik!\u201d). Det trodde jag aldrig. <\/p>\n<p><strong>Jag l\u00e4gger ned min tandborste<\/strong> i v\u00e4skan igen, stoppar p\u00e5 mig prylar och skyltar och sl\u00e4par mig g\u00e4spande tillbaka till akuten. Den unge man som druckit f\u00f6r mycket alkohol i l\u00f6rdagsnatten har nykt\u00adrat till under ambulansf\u00e4rden. Jag beh\u00f6ver inte g\u00f6ra n\u00e5gonting. Men jag vet att jag har besparat min kollega k\u00e4nslan av panik \u00f6ver att eventuellt inte kunna hantera situationen. Jag har gett honom den trygghet som mina seniora kollegor gav mig n\u00e4r jag var AT-l\u00e4kare. N\u00e4sta g\u00e5ng kanske han k\u00e4nner s\u00e4kerheten i att v\u00e4nta med att ringa tills han sett hur patienten verkar m\u00e5. Oavsett \u00e4r det v\u00e4rt det, t\u00e4nker jag, n\u00e4r jag plockar av mig skyltarna och prylarna f\u00f6r andra g\u00e5ngen den h\u00e4r natten.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Klockan \u00e4r halv fem p\u00e5 morgonen och jag har jobbat sedan klockan fem kv\u00e4llen f\u00f6re. Jag och min AT-kollega har jobbat undan p\u00e5 akuten och jag ser fram emot att f\u00e5 g\u00e5 och l\u00e4gga mig ett par timmar. Jag har just kommit upp p\u00e5 jourrummet, tagit av mig skyltar, stetoskop, ficklampa och allt annat jag &hellip; <a href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/dr-agnes-nr-3-2019\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":5,"featured_media":169921,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5],"local_restriction":[],"class_list":["post-227625","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-basfackligt"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Moderna L\u00e4kare<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slf.se\/sylf\/moderna-lakare\/dr-agnes-nr-3-2019\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dr Agnes nr 3 2019\" \/>\n<meta property=\"og:description\" content=\"Klockan \u00e4r halv fem p\u00e5 morgonen och jag har jobbat sedan klockan fem kv\u00e4llen f\u00f6re. 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