Tuesday 5 July 2011

We Can Only Refine Our Therapeutics When We Refine Our Diagnostic Abilities

Surgeons have to be as thorough as physicians in history taking & clinical examination.Lots of diagnostics rely on opd based endoscopies/microscopy in ENT.Especially in pediatric population lots can be assessed in airway & swallowing as outpatient flexible scopy.this can complement with images of ct/mri  & better diagnosis can be reached.
ENT has lots of daycare & opd procedures which should be performed more frequently.If enough time is spent explaining in detail,patients will also prefer local anaesthetic opd procedure rather than general anaesthesia.best example in my practise is grommet insertion in adults.

Daycare in not reallya new concept. during my training in KEM mumbai - nurses used to take care of tonsilletomy patients & send them home by evening.most of the tonsillectomies were also local anaesthetic!unimaginable now.

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