Monday, November 2, 2009

Elective Posting : Opthalmology

Today was my first day of ophthalmology posting for my electives.

Expectations :

1. Mostly cataract patients

2. Friendly and helpful consultant

3. Clerk and examine patient

Reality:

1. i was right.. 80% of patients came in because of cataract of various types (nuclear sclerosis, cortical, posterior subcapsular). Some had the cataract removed but came in for a check up on the IOL.

However, i did get to see some interesting cases that i did not have the opportunity to see in HTJ. I’ve got to see a case of vasculitis of retinal vessels, blow out fracture, macular haemorrhage, macular detachment, optic atrophy due to high myopia.

2. Yup he is friendly and helpful despite his very very busy clinic. I guess he didn’t even had the chance to eat a proper lunch. Only finish seeing patients around 230pm.

3. Nope, didn’t really get to do that. The clinic was too busy. Patients who had appointment at 1130 only go to see the doctor around 1pm. I did get to talk to the patients while the doctor is busy with phone calls and stuff.

Others : I’ve got to see some cool stuff that i didn’t have the chance to see in HTJ. I’ve got to see how a fluorosceine fundoscopy was performed. I’ve got to see ocular CT and also YAG laser treatment for a very hard and stubborn cataract.

I’ve got to see a referral letter by this doc who has MBBS, FRCSed Opth, M.Med, M.Surg!! Craazzzy stuff… Where did he get the time to study? Or is he a genius or something?

Well, all in all… Today’s experience was way more than I’ve expected. Hopefully that is the case for the rest of the posting.

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