This past two weeks I’ve been going to
The most common symptoms his patients present with are back and neck pains, also known as PC syndrome because they are usually office workers who have to sit in front of a computer for several hours every day. The treatments are often quite simple, first relieve the pain with pain relievers and muscle relaxants, and then prevent future pain through physiotherapy and posture adjustment.
I also got to see Dr. Ratanpal perform a couple of internal fixation operations. One was on a mother who received a compound fracture of her tibia when a delivery boy hit her with his bike as she got down from a rickshaw. Using screws and a surgical steel plate Dr. Ratanpal properly realigned the bone with no complications, which was great for the mother since her daughter was getting engaged that weekend.
The other operation was much more difficult, with the patient being an 86 year-old woman with a fracture in the neck of the femur that also extended down to the shaft of the bone. She had further complications of anemia and diabetes, and the hip fracture had left her completely immobilized. If the fracture was not repaired then she would never be able to get out of bed. The operation began well, but as Dr. Ratanpal began to screw in the plate, the brittle bone began to chip badly. Eventually he and the doctor assisting him were able to get a good fixation, but it will still be at least two months before she’ll be able to get out of bed.
Orthopedic operations are a quite an experience compared to the other surgeries I’ve seen, with the OT often resembling a mechanic’s workshop. My anatomy professor once told me that orthopedic surgeons operate with a tool belt, and he is quite right. In addition to the scalpels, forceps, and clamps used by all surgeons, Dr. Ratanpal’s bench had a variety of screwdrivers, pliers, wire cutters, and of course a drill. If you only looked at the doctors’ hands and not at the patient on the table, you could almost believe it was a machine they were repairing and not a human being.