Medicine is art

Mood today: Good.
It's holiday time, Bali is getting crowded with tourists, which means I'll be busy at work. 
Today I got an interesting case of vaginal bleeding. It's more likely to be DUB. But that women was bleeding a lot. However, she was very calmed and had minimal complains. I was tempted to consult obgyn. But I decided to give 5 days of primolut and see how it goes. Her Hb was quite concerning however still by clinical judgement she looked fine. These are those cases where u use ur instincts to work. I'll follow up in 5 days and call her for her progress. (have to write it down in my to do list).
Talking about clinical judgement, my emergency call patient on  Sunday is a case of unmatching clinical findings and test reult. I had a 69 male patient with sudden hemiparese of the left side. He was sleeping at that time. Clinically I diagnosed him as non hemorhagic stroke. But he ct scan did show a hyperdense area at the central sulcus, possible bleeding? I was still unsure when I consulted the neurologist. But she confirmed it was a subarachnoid bleed. Today the patient worsened, and the repeated ct scan did show an ischemic area concordance to the clinical findings.
As I always said medicines is art.
My last case at "injury time" was a teenager with open fracture. She was crying and screaming and there was also vomit. I thought she had a massive head injury. Luckily there were no other injuries. I'm quite content because the process went quite smooth until I handed over to the ward doc. 
When everything goes smooth I just feel happy and proud of myself. Hopefully the surgery tonight will go well.
Now I'm getting ready for my uncle's 60th birthday. I'm excited to open the champagne I bought from Singapore :)