The Medical Consultation

The medical consultation provides the opportunity for both doctor and patient to meet in person, and to discuss in detail the health problems that have prompted the patient to seek professional advice.

Dr Hasn will take the patient’s full history including medical history, and following this he will perform a physical examination. Dr Hasn will assess the X-rays that have been taken prior to the consultation, and will determine whether further X-rays or any other investigative testing may be needed before a final decision can be made.

Any medication that the patient is already taking will be discussed. In the event that surgery is to proceed, any changes to the patient’s medication schedule, including medications that can be continued and those that must be discontinued, will be clearly outlined.

Discussion will also take place regarding the potential need for blood transfusion or blood products. Routine blood tests will be ordered, as well as a cardiograph. At this time, the patient’s hip or knee X-rays will be kept by Dr Hasn for pre-operative templating; these will be returned after surgery.

For patients with pre-existing medical problems, discussion will take place regarding whether additional Medical Specialist consultation prior to surgery may be necessary. Dr Hasn will take the opportunity to write to other relevant Medical Specialists if he feels that their input may potentially impact on your surgery or its outcome, for example, if diabetes, heart problems, respiratory problems and vascular problems are a concern.

If the patient smokes, Dr Hasn will encourage that cigarette consumption should be cut down, or preferably ceased, prior to surgery.

In the event that a patient is having current problems with infection, wounds, cuts or ulcers, it is advisable to wait until these have cleared prior to undergoing surgery. In order to minimise the potential risk of infection, it is preferable that the operation takes place through skin in as normal condition as possible.

Dr Hasn will also discuss the patient’s home situation, with particularly regards as to whether they have dependents to look after, or whether someone else cares you them.

The secretarial staff will discuss the booking procedures for the particular hospital where the surgery will take place, as well as follow-up arrangements for X-rays with their doctor. Notification will be provided about confirming the surgery time in the days prior to the procedure, and the patient will be advised of any medications that they may need to cease or substitute in the meantime.

The results of blood investigations and the cardiograph will be personally checked by Dr Hasn, and forwarded to the Anaesthetist if there are any concerns arising from the results.

Patients will normally be admitted to hospital on the morning of surgery. The hospital will contact patients to advise of the exact time when they should arrive, and will discuss in detail the guidelines regarding eating and drinking prior to anaesthesia and surgery.