Friday, April 27, 2007

Throat Examination

Hi again,
In DGH we gather daily for meeting in the morning for discussing admitted cases (yes nowadays we discuss cases whereas previously we used to quarrel in those meetings).
Anyway in that meeting, it is an unwritten rule to describe the throat condition of every patient i.e. throat clean or sore throat. So every doctor tells about it like:

• Patient admitted with alleged history of RTA with multiple injuries to chest and abdomen, unconscious but throat clear.
• Patient admitted in medical OPD with complaints of loss of consciousness and immobile left half of body with sore throat.
• Patient admitted with eruptions all over the body with history of drug ingestion some time back and sore throat.
There is one more issue related with the throat examination which was raised by our NWG Doctor. Why the ENT doctors in DGH examine throat by tongue depressor only while in other hospitals otoscope, nasal speculum and laryngeal mirror are also used for this purpose ( my mind is bemused, isn’t yours?). And I am damn sure that if they would be given more time they would ask that why do the doctors here do USG by USG machine only and not by CT or MRI machine and also why don’t they do any other procedure by USG machine like x ray or ct scan? (Really it is the misuse of USG machine.)
So if anybody is planning to join the DGH, please be prepared for doing throat examination whatever the case may be and also practice to do this examination by all the available instruments otherwise you will be declared inefficient.

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