Thursday, 3 August 2017

Shift to OT Stat



Please Note: This article is intended only for medicos, especially hospital owners, trauma surgeons, general surgeons and orthopedicians. Non-medicos please skip this post.

In seriously injured patients or whom the relatives consider serious, some surgeons have found taking the patient directly to Operation Theater (OT) after investigations that can only be done outside OT, such as x-rays, ultra-sound, has multiple advantages.

In OT full resuscitation equipment and drugs is at hand. Patient’s wounds, etc, can be stitched or explored better with proper instruments and illumination. Patient’s attendant are also satisfied that the doctors are taking prompt care, by taking to OT, even if inside the OT, the patient is just being examined, given first aid, parts being prepared (shaved), etc. They are also impressed by the long time taken for ‘operation’.

Most importantly, the treating doctors and staff are not bothered by the crowds of attendants surrounding the patient, questioning their every move, and repeated questioning by every new attendant arriving at the hospital. Being sterile closed area, the relatives are kept outside.

Any request to talk with the treating doctor can be politely turned down by the reception staff, by informing them, as the doctor is busy in operation, he cannot talk now, even if he is sitting and sipping coffee inside, while waiting for the anesthetist to arrive.

Addendum: This may not work with some of the hadoti’s netas (politicians). E.g. one MLA walked into the Major Emergency OT of Government Hospital with his followers wearing shoes, etc, to know the status of and direct the doctors to give proper care to one patient being operated for injuries suffered in road accident, who belonged from his legislative constituency.

(Based on true incident)
— ND
© Author. All rights reserved. 

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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 


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Tuesday, 1 August 2017

The Timing – Part 3



Dr. Geetika Agrawal (fictional name) was famous pediatrician of the city. Although, her consultations timings were from 9.00 a.m. to 1.00 p.m., she preferred to see patients from 11.00 a.m. to 1.00 p.m. She was also socially conscious and wanted to extend some help to the economically disadvantaged patients coming to here.

With an aim to fulfill two goals with one move, she put notice in her clinic announcing 50 % reduction, i.e. only half the normal consultation charges, to patients coming for consultation between 11.00  a.m. to 1.00 p.m.

This had a desired effect and the maximum number of patients started coming at 11.00 a.m.to 1.00 p.m. Also, if a patient request a reduction in consultation charges, she could rightly say, that you pay the normal charges now but next time come between 11.00 a.m. to 1.00 p.m. and pay only half the consultation charges.

So, if you want the patients to come preferably at some particular time giving them some financial incentive like reduction in charges can work wonders. The hospitality industry (hotels & restaurants, etc.) are using this concept for ages with special discounts, happy hours, etc. in off-season or during lunch or early evening hours

 (Based on true incident)
— ND
© Author. All rights reserved. 

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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

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Saturday, 29 July 2017

The Timing – Part 2



Dr. Ramesh Bhargava (fictional name) was a senior renowned physician of his city. His consultation timing in the hospital where he used to work was 9.00 to 1.00 p.m. After coming from the hospital he used to see patients at his residence from 1.00 to 2.00 p.m. and again in the evening from 5.00 to 7.00 p.m.

          For the convenience of the patients he had put a board outside his residence announcing his consultation timings: Afternoon 1.00 to 2.00 p.m. and Evening from 5.00 to 7.00 p.m.
         
          One fine day, when Dr Bhargava reached his residence cum clinic from the hospital, he found an army captain, pacing like an angry caged panther in his waiting area.

          Looking angrily at Dr Bhargava the army captain demanded, “Doctor, what is the time now?”
          Taken aback at this sudden questioning Dr Bhargava looked at his watch and replied “It’s 20 minutes past 1 o’clock (1.20 p.m.).”

“And what time is written here?” asked the captain pointing towards the board bearing Dr Bhargava's consultation timings. Dr Bhargava glanced at the board and said, “1 to 2 p.m.”

“Believing the timing written on your board I have been waiting for you since 1 p.m. here.” informed the captain.

Dr. Bhargava explained, “Err, I was having consultations in the hospital till 1.00 pm today. It takes 10 to 15 minutes to reach here from the hospital.”

“If you cannot be here at 1 o’clock then why have you written your timings as 1.00 to 2.00 p.m. here?” demanded the captain.  

Dr Bhargava was speechless. He realized that like many other doctors he had failed to keep some time for commuting from one hospital to another. His new consultation timings were now from 1.15 p.m. to 2.00 p.m. reflecting the average time taken to travel from the hospital to his residence.

It is common to see doctor’s timings as 8.00 to 9.00 a.m. at home, 9.00 to 12.00 noon at hospital X, 12.00 to 2.00 p.m. at hospital Y, 2.00 p.m. to 3.00 p.m. clinic Z, even when the hospitals or clinics are far apart. This may lead to embarrassment and angry patients.
It may also pose a risk to the doctor and others if the doctor tries to rush in high speed on the road from one hospital to another. Let us all resolve to have realistic and practical timings.

 (Based on true incident)
— ND
© Author. All rights reserved. 
If viewing from Mobile, switch to Webpage view to see a list of popular posts and index of topics of previous posts.

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

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