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A note should be made that ENT specialists will see their hospital patients, that they have operated on, on a daily basis. Treatment orders are given to the nursing staff until the patient is discharged. Over the weekends, specialists who are on call for the hospital will be responsible for their patients, as well as patients managed by other ENT specialists.
ENT specialists will divide the week to be on call for the hospital depending on how many doctors are available. These specialists may end up being on call 2-3 times a week and they can be consulted frequently. Very seldom are there emergency cases that need immediate surgical intervention, but there can be such cases such as an obstructed airway due to enlarged tonsils or adenoids or an emergency tracheostomy that needs to be done.
If an on call evening was particularly busy, then the following day may start a bit later in order for the specialist to get some rest. A colleague could possibly cover seeing patients for 1-2 hours or an elective surgery list could start a bit later.
The ENT specialist will use a Monday to organise their week in terms of patient consultations, making sure about their surgical lists, making time available for emergency consultations and sorting out other administrative issues such as meetings with reps and hospital management.
The specialist will also consult with patients on this day, managing patients conservatively in their rooms or booking patients for surgery if they need to be treated via surgical intervention. These specialists will perform procedures such as laryngoscopies where they use instruments to be able to visualise an area, such as the vocal cords, if the patients complain of any issues involving this part of the throat.
Tuesdays are surgical days and the ENT specialist will try and focus on specific types of surgeries to be performed on specific days. Tuesday may include focusing on performing ear, nose and throat procedures such as tonsillectomies and adenoidectomies on children and adults, inserting Grommets in the tympanic membrane of the ear, rinsing of sinus cavities and tympanoplasties (where the ear-drum is repaired).
Wednesdays can also be surgical days where the specialist may want to focus on more complex operations such as head and neck surgeries that include removing oral cavity and throat tumours. These specialists can also perform procedures such as removing superficial tumours that involve the areas of the head and neck.
The specialist will consult and manage patients on this day, in the same way as has been mentioned above, and will perform any necessary procedures in their rooms or book the patient for the following week's surgical list.
The doctor may also use this day to offer training to under- and post-graduates if they are involved with the academic programme of the ENT department of the local medical school. The specialist may also choose to perform their own research or brush up on their academic knowledge.
Mornings are used to either consult with patients again or to perform minor surgical procedures. The afternoon is then used to finalise any unresolved or pending administrative issues or duties so that the work week ends. The surgical list for the following week in then printed and confirmed, as well.