I am sorry for not uploading in so long. However, I have a special treat: I will be uploading the rest of my week of work experience.
On Wednesday I spent the morning in the A & E department, with its senior consultant. He took me around the area showing all the different features that needed to be present (e.g. windows for ventilation, hand wash, and enough windows and vents to allow for good circulation). I learnt the process of putting on a cast, as I have never seen the process, and he wanted to show it to me. I learnt that an exothermic reaction occurs when one puts the bandage in the water, after that it is simply layering the bandages over each other, and leaving it to set, to create a cast; sadly no one was having one than currently, so I unable to see the full process. The doctor explained to me the importance of history; 90% of diagnosing a patient’s illness is down to their history. For example, if a patient had come in with pains in the stomach, one would have little idea of what form of treatment should be used for them, but if we found out they had taken an excess of a certain tablet, we could help them efficiently and quickly. We saw a patient that was having migraines. Another patient was a homeless person who had come if because he believed he was having blackouts. It was quite hard to get the story out of him, as it was constantly changing; this did make the doctors quite doubtful seeing if had needed to come in. The doctor tested his reflexes and sensitivity in areas, as he realised that the patient had been drinking a lot of alcohol. He tracked his ability to watch a pen move left and right, touch a pen with his finger and nose, and then touch the bottom of his feet. After that, we saw a patient who was 107 years old; the second oldest person I have ever met (the oldest being 109). She had fallen over and had bruised her eye badly. She had tried to crawl outside as she couldn’t reach her phone, so she was quite hurt once she got to A & E. However, the doctors treated her well, and she was soon looking and feeling better.
In the evening, I sat in a clinic with two doctors, and two medical students from that university that were there for a few weeks. The clinic was for pregnant women suffering from diabetes; they made sure the diabetes wasn’t getting out of hand, and that the baby wouldn’t be affected by diabetes.
So, overall, a hectic day, especially in A&E, where I learnt even more how the hospital worked.
I had the chance to spend a morning with a nurse. She is a specialist nurse in diabetes. We went to see one man that had been recently diagnosed with diabetes; he was a chef at a restaurant. He had been diagnosed with type 1 diabetes. She had to explain to him what he had to do to ensure he would be alright throughout the day. She taught him how to inject insulin into his blood, and the different tubes he had to use for his long-term and short-term glucose injections. She also gave him leaflets on living with diabetes and asked him if he drives, as one is not properly insured if they drive and haven’t told their insurer they have diabetes. Although this process did take a long time, it did show me that there is a wealth of support through the NHS and there are lots of questions needed for little things, even if they may not seem important. For the second patient, the nurse had to increase the volume of long-term insulin the patient’s blood, and decrease the volume of long-term insulin; this was because she had symptoms of hypoglycemia. As we went around the wards, I realised how big the hospital was! I would have been easily lost without the nurse with me.
For lunch, a rep came in for a talk for the endocrinology department; he bought a rack of subway sandwiches, so I was very happy that day!
In the evening, I sat in a clinic concerning hormones. We were seeing people who were suffering from problems from hormones like testosterone. I have to say during this clinic I did learn quite a lot about hormones, and that my GCSE biology was only touching the surface of it!
On Friday morning, I spent another morning in A&E, with a doctor. He was showing me the way the listing of patients works, where the patient is put on a list when they arrive with their condition, and how urgent it is. They are then put on a timer, where there is 4 hours before the patient must be seen, having been given the correct treatment. The first patient I saw was one that had fractured their hand, with a ‘boxer’s fracture’, where one of the metacarpal bones was cracked. She already had a cast on, but was experiencing great pain; she prescribed some paracetamol and carried out an x-ray scan to make sure she was ok. Another person had fallen, she was a small child, and the parents were unsure if she had fractured anything; after some short tests he realised that she was fine, and just needed some calpol to ease the pain.
I finished off my week with another clinic in the cardiology department.
So overall, a hectic week, full of learning, and a lot of fun. It gave me a good insight into medicine and helped me to realise whether I had the right skills to become a doctor. I was glad to have been able to go to the different departments, and have the rare chance of doing this.