Kai Cheng Thyroid and Breast Surgery
First of all, I’d like to express my gratitude towards our hospital for providng me such a valuable opportunity to study in Austria, which has broadened my horizon, enriched my professional knowledge and understanding of the culture of European humanity. I think this experience will be of quite help for my work as well as life in the future. What I have studied will be put into practice in my work as soon as possible.
Krankenhaus (KAR) only had seven clinical departments when it was first founded in 1865. At present with the development of the hospital, KAR has 871 beds, 17 clinical departments and 5 medico-technical departments. I studied in surgical department 1st and surgical department 2nd for five weeks respectively. I learned a lot in the two departments. On the whole, the design of KAR is very good. It is convenient for the patients’admission. Both the doctors and nurses in KAR are clear about their responsibilities and they all work actively and dilligently.
1. The outpatient service
The outpatient team of surgical department 1st is made up of a doctor, a nurse and an intern(or a doctor for turning). The doctors on the outpatient draw blood for patients instantly. And if the patient needs a CT, anMRI or an ultrasound, the doctor will make an appointment with relevant deparment through the medial system on the net of KAR. They don’t have to go around the hospital. At anytime or anywhere, the doctor can get the results from the medical system, and can get them printed for the patients. So all these can improve the efficiency of work.
In addition, the doctors have a good communication with the patients because there are relatively less patients than in our clinic. For example, one doctor only provides medical service for four patients from 9am to 11:30am.
2. Shift exchange
The Multi-Discipline Team (MDT) is very good. On the morning conference, every day a radiologist joins in the conference to discuss the X-ray results of the patients, which can help the doctor make the specific treating plan for the patients. And then, the doctor on the ex-night shift introduces the situation of patients. Finally, arrangement of every doctor will be confirmed on the morning conference.
3. Ward round
Everyday there will be a doctor responsible for ward round. During the course of ward round, the doctor will complete the change of treatment plan instantly. If there is no family to stay with the patient, once they are in need of help, the nurse can give him/her a hand immediately. Most of the patients can look after themselves with the scientific design of beds, especially for the old patients.
4. Diagnosis and treatment of breast cancer
In Europe, the incidence of breast cancer is relatively high in the world. However, the age of onset is different from that in China. When I was on the outpatient shift with my tutor, I got the data of the age group which stage the patients were. There were twelve patients on that day in total, of whom two patients were younger than sixty years old, four patients were older than eighty years old, and the age of the remaining patients were from sixty to eighty years old. To some degree, the data above show the difference between Austria and China.
To my impression, the multi-discipline team in breast cancer is wonderful. When a patient was charged into hospital, there would be a meeting of discussion directing at the case with breast cancer including surgeon, oncologist, psychologist, radiologist, and Orthopaedic doctor. They would make a specific plan of treatment for all the patients with breast cancer.
5. Diagnosis and treatment of thyroid disease
In the surgical department 2nd, I was arranged to participate in the thyroid operation almost everyday. There was an obvious difference between Austria and China in thyroid operation. They use the nerve monitor to detect recurrent larynx nerve. I had learned the significance of the nerve monitor. In addition, parathyroid diseases were relatively more common in Austria. So the detection of parathyroid hormone is routine.
The design of operating room is aimed to provide convenience for patients, doctors, and nurses. They could get ready for the operation more easily because there were enough ready materials just between every two operating rooms.
In operating room, the nurses could be divided into three categories according to different tasks: one undertakes the work of operating instruments; the other undertakes the work of circuit; still the other are responsible for adjusting the operating light to the operation. They all did their work carefully. I was deeply impressed by the nurses who adjust the operating light with the eyes on the operation to change the angle of the light constantly.
All in all, I have learned a lot in Austria. The experience will be a lifelong benefit for me. I am thankful to all those who have helped me for my study abroad. And I will do my best to improve my work with the knowledge I have got in the future.