‘The operating theatre is a stunning spot – the epicentre of exercise,’ says Jim Huntley.
Children’s orthopaedic surgery, paediatric orthopaedics, is a tiny sub-speciality concerned with surgery for musculoskeletal trauma, soreness and deformity. Children are not just small grownups – and they deserve the very best that humankind has to give. I function in 1 of the hubs, at the royal hospital for sick kids in Glasgow, where 6 consultants share the on-call (one week in 6), serving a massive population.
The alarm is set for 6.29am and placed far out of attain, so that to flip it off I in fact have to get up. I snatch some cereal and hopefully a quick second with my very own kids ahead of driving to function, listening to the Nowadays programme. I arrive at 7.30am, as the canteen opens, and pick up my very first coffee of a caffeine–fuelled day. I have three-quarters of an hour administration ahead of the 8.15-eight.30am trauma meeting – the place the on-call registrar presents the earlier 24 hours’ admissions, mostly sufferers with fractures.
This is a management and organizing meeting but also important for learning and instruction. The trainee registrars are lightly grilled deficiencies in knowledge are probed and the on-call day is planned. The meeting has to be incredibly centered. We would begin it at 8am but this would render us non-compliant with the European Operating Time Directive/New Deal – an example of a poorly imagined-out leading-down directive having unforeseen consequences compromising coaching and care. Most frustrations in our support stem from well-meant directives that are inappropriate or unworkable – this generates a huge quantity of time and hard work in bureaucratic fire-fighting.
My working week is split into 10 half-day sessions: 3 working, four clinic, two administrative, one particular supervisory/educating/analysis. Soon after a ward-round of inpatients eight.30-9am, my favourite morning clinic is the plaster clinic – for patients (specifically these with clubfeet, developmental dysplasia of the hip (DDH) and cerebral palsy) whose treatment method involves serial changes of casts, harnesses or splints. It is intensely practical, so I am lucky to operate with a wonderful crew of plaster nurses, a group whose technical expertise are typically taken for granted.
Packed lunch is in front of a computer, catching up on paperwork and emails. From 1pm, I see patients (and parents) just before their operations. There is the pre-operative brief with the anaesthetist and theatre staff at 1.30pm. The operating-theatre is a lovely location, the epicentre of action, yet again staffed by a highly skilled and minor shifting group. An afternoon record usually entails two tiny situations and one particular longer a single, finishing at 5pm.
Our theatre has a excellent see across the river: Glasgow University, in front of which, barely 400m away, is the statue of Joseph Lister, professor of surgical treatment. With a modest patient series of open fractures Lister launched the world to antisepsis, opening the age of present day surgical procedure.
Following a submit-operative ward round of patients, there is usually time to overview the focused piles of investigations and scans, organised by a amazing secretary. I depart function at about 7pm, a great time to miss most of the visitors.
Sport has often been a necessity for me, and I will do half an hour on the rowing machine at least every single other evening. At the weekend I actually appreciate taking part in squash with my kids. I wish I was a lark, but I am in truth an owl, and do most of my written perform in the little hours – it truly is a very good time to target. Everybody else is asleep.
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A day in the existence of ... a children"s orthopaedic surgeon
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