False alarm

Today my patient scared the hell out of me

i was meant to numb her teeth up before doing the extraction.
Nothing abnormal with her medical history except penicillin allergy
As soon as i gave the ID block, she started trembling, with her hands shaking uncontrollably followed by her mouth

"Is it normal to have this reaction after having the injection?" The patient looked apprehensive

Oh No! What have i done??

"Are u feeling nervous?" i tried to reassure her by putting my hand on hers

"No..not really...i mean i'm not afraid of needles or dentist usually...nothing can be as bad as childbirth really"

Okay, that wasn't what i wanted to hear. In fact, i started to feel adrenaline rushing through my body. ADRENALINE! That should be a clue to...erhmm...anaphalaxis?!?! Damn!

"Have you eaten since this morning?'' i tried to contemplate other possibilities ...i know i just did HHD last week so i should be able to handle medical emergency but seriously, this cant be happening..NOT NOW!

"No, i haven't had anything since this morning. You see, the pain is killing me. I know i should have eaten something b4 i came but i jz couldn't," i could see her lips quavering as she talked

I asked the nurse to get me some sugary drink. When the patient was sipping it i quickly flipped through the notes...no heart trouble, no hypertension, no liver problem, renal is fine....

"feeling anything funny, such as dizzy,itchy and nauseous?" i tried to squeeze the symptoms of anaphalaxis out of my head.

'No...should I?" She looked more concerned

Hell no!
Allright, there is only one sign so far which is tremor...could be hypoglycaemia but just in case....start with ABC, call 2222, oxygen, adrenaline...ermmm...chlorphenamine, hydrocortisone... what else? saline..then? C'mon, think harderrrrr, yin hui!!

"i think my lip is numb now..oh look, the shake has gone...funny, isn't it??" she looked at her hands, fascinated with the sudden cease of shiver.

#@@X%$#!&*x%$%#@@*#&!*%
That wasn't funny at all. I felt like bawling at her!

After i sent her off, the nurse came to me and went
"I think she was just anxious.''

What a false alarm! After all the thrills i had just put myself through, i began to feel limp.

Guess i need oxygen more than the patient