A Day in the Life of a Solitary Specialist

Went to work at 8 AM instead of  9 AM   expecting a heavier load on Monday as usual. Completed ward round of 15 inpatients, made the discharges and updated the patient files. Did a lumbar puncture and a  bone marrow. Went to Echo Lab and did 7 Echo-cardiograms in half an our(patients with prior appointments) and then reached the OPD to see a huge heap of prescriptions....it was 11:20 then....and in the next few hours( had no time to peep into my watch afterwards), managed to score a CENTURY! Meaning that I had to see exactly 100 patients( don't ask me how much time I gave to each patient). It was 2:30 PM then!( Thanks to my loving wife, she managed to send me a cup of tea in between).Obliged to a Echo request from the medical ward during which  another echo request came all the way from Trashigang Hospital. Did that also...Then some one reminded me of another Echo waiting in Maty ward. Did that also. It was 3:30 PM and I called it a day!

Summary:  one and half hours extra! Rounds, OPDs, Clerking, Discharges, Procedures , all by one man.

Hundred OPD patients ( with several phone interruptions in between !) Ten Echos in between!

And oh , forgot to mention: At least 4 telephone calls last night that robbed my sleep off!

Must think again before we talk about quality of services we can provide!

Specialist Clinic at Lhuntse Hospital

A team of four specialists ( Gynecologist, Pediatrician, Radiologist and Orthopedic Surgeon) conducted clinic at Lhuntse Hospital from 9 AM to 12 :30 PM at Lhuntse Hospital. A crowd of over 100 patients turned up for the clinic. Both ward  and OPD patients were seen. 

More than 15 patients also had an Ultrasound Scan, which otherwise is not possible at Lhuntse.

Specialist will be visiting the hospital every alternate month as per the instructions from the Ministry of Health.Similar clinics will be conducted in other district hospitals in the region.

Annual Hospital Rimdro

The two day Annual Hospital Rimdro was organized from 25th to 26th April at the hospital compound. This has been  a regular annual event for the last few years .It saw an excellent participation and contribution from the staff members.

Mortality Meeting

In the first of its kind(Mortality Meeting) at MRRH, the Medical Specialist Dr Kesang Namgyel, presented a case of  possible Pulmonary Embolism that took the life of a patient recently.The patient was initially referred from Kanglung to the Ortho Unit here.

The attendance was good with mainly nursing staff. Some other useful topics like IV Canulations, Catheters were also discussed.

The officiating MS, Dr Sonam briefed the meeting on the rationale of organizing such a meeting and plan to continue in the future.

General Body Meeting

The first meeting , after the Officiating MS, Dr Sonam Gyamtsho, took over the charges, was conducted yesterday ( 4th April) for almost three hours. A wide range of issues were discussed and the attendance to the meeting was good with a packed hall. Some of  the issues discussed were:

• TA/DA claims and tour proposals
• Hospital Quarter Allocations.
• Dress codes
• Lab issues
• Training nominations and many more!

Meeting on Sweepers !

The entire hospital sweepers and some of the administrative officials including some doctors had to meet to sort out some of the issues related to hospital cleanliness and  gardening. It was found that the gardening aspect had been neglected after the departure of the previous MS, who was particular with cleanliness and flower garden around the new hospital.

The relevant staff were instructed to sincerely work towards making the hospital clean, beautiful and patient friendly.

Friendly Khuru

The doctors team, this time, was  defeated by the Nurses/Tech team in the friendly Khuru match organised as usual , as a time pass , on Sunday, the first of April. Despite a larger "BAH', there was a paucity of Kareys overall. 

The loosing team sponsored the lunch and drinks served during the match