Tuesday, September 2, 2008

Orthopedic - 1

Before I left the O&G department, I had gone to the clerk in charge of the HO posting. I wanted to do orthopedic as I lack experience in such field. I was told the medical was very short and orthopedic was packed at the time. I told the clerk I preferred orthopedic and I found that when you asked properly and politely you would get what you want...so I joined the orthopedic department after I finished my medical. The orthopedic department was headed by a chinese, Mr Ong. There were lots of Mr instead of Dr in the department. Well, unlike the US system, the UK surgeon was known as Mr or Ms instead of Dr. Back in the old days, surgeon was not regarded as doctor - some of them were barber actually. So they did not carry the title of Dr. But later the title of Mr had become symbol of surgical specialist. Mr Ong was a pakar perunding kanan(Senior consultant) but he was retiring - I had worked under him for 2 wks.


Life in the orthopedic department was much more easy then the Surgical department. The HO calls for surgical deparmtent were decided by the amount of HO in the ward. If 3 HOs was posted in one ward - the HO do a call every 3 days. If 2 HOs then the call would be every odd day. If only 1 HO left - that means the HO do call every day( that means he/she stayed in the ward and cannot go home - and would be called anytime when something need to be attended to).
The HO in ortho do call every 3 days. 2 type of calls was noted - the A&E ward and the ortho ward. The ortho ward HO covered the OT, but unless it was a life threatening condition ( gangrenous limbs which needed urgent amputation) - no ops would be done in the night becoz the Head of Anesthesia department said his medical officer might make mistake when "Giving Gas" in the night.....
The A&E ward was actually the surgical ED. There ED was called the Accident and Emergency department (A&E department) in HTAR. The A&E department saw the medical case and minor trauma. For major trauma, the case would be admitted to the A&E ward straight and managed by relevant surgical or orthopedic MO/HO. There was a call room in the A&E ward: 2 beds : 1 for surgical HO and the other for the ortho HO.
The call was less hazard in the ortho - I was happy then and started my preparation for the MRCP part 1....


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