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Life On Board

IS THERE A DOCTOR ON BOARD?

January 8, 2009

We Are Cunard

Posted in: Life On Board

As this is the first Blog of 2009 I would like to wish everyone a very happy and healthy new year. The beginning of the year is always a busy time for Cunard as the traditional World Cruises get under way. Queen Victoria is currently sailing across the Atlantic, beginning her second round world voyage, having left Southampton last Friday.  She will meet Queen Mary 2 on the 13th of January in Fort Lauderdale, to mark the beginning of her second world cruise. It has also been an eventful week as we look at Cunard’s history for the week from the 2nd to the 9th of January:

 

January 2 1969

QE2 arrives in Southampton for the first time.

 

January 4 1949

Caronia is launched is launched by Princess Elizabeth (H.M. Queen) at John Brown Shipyard, Clydebank. She becomes known as the ‘Green Goddess’ because of the colour of her hull.

 

January 4 1975

QE2 sails from Southampton on her first World Cruise – a journey of 38,000 miles.

 

January 8 2004

Queen Mary 2 is named by Her Majesty the Queen after 20,000 people have worked with 300,000 parts, 1,000 miles of welding in just 2 years of construction.

 

This week it is a great pleasure to introduce one of our Principal Medical Officers, Dr. Peter Hawthorne. I have had the pleasure of working with Peter many times including the maiden season on Queen Victoria where he is currently serving. Peter heads a vital department on board our ships and although they are always busy I am very grateful for him to spend so much time answering my questions and give us an insight to his life on board. It’s funny how many years you spend at sea I must admit there are always things you get to find out with these interviews, so thank you again Peter!

 

Interview With Queen Victoria’s Principal Medical Officer; Dr. Peter Hawthorne

 

 

Could you please give us an idea of your career so far?

Variety is the keyword. I have been qualified well over 30 years and have been at sea with Cunard for 8.  Prior to that after qualifying at Queens University in Belfast I worked in the Royal Air Force, and in the Middle East, Nigeria, Spain and Germany. I did my postgraduate training in General Practice and have also worked in a variety of specialties including emergency medicine, surgery, obstetrics andgynaecology, and tropical medicine. Although not the standard medical career path, this kind of varied medical background is probably ideal for marine medicine where we have to deal with just about anything and often in a remote situation without easy access to specialised back-up. I also believe change prevents stagnation in one’s career and provides an impetus for one to maintain and improve one’s professional knowledge and skills as the years go by. 

 

Please could you describe your role on board and how it differs from being a Doctor at home and do you have to have any additional qualifications to be a Doctor at sea?

My role on board as a Senior Doctor is an all encompassing one. I have overall responsibility for the running of the medical centre and am the leader of our on-board team of doctors and nurses. Our work not only involves direct out-patient and in-patient care but the maintenance of medical stores and equipment and the provision of an occupational health service for the crew and the provision of public and community health services for all souls on board. Examples would be the flu vaccination programme we run for the crew, our own in-house medical education program, crew educational programmes, the doctor’s involvement in the public health inspections of the ship etc. As team leader it falls to me to deal with personnel, disciplinary and other issues relating to the medical department and to co-ordinate our departmental continuing education programme. I am also a member of the ships executive (management) committee and will be called upon to advise the Captain and other Senior Executive officers on all things medical. With Cunard there are also social obligations as it is traditional for our officers to host guests at cocktail parties and in the dining room and the Senior Doctor has his role to play in this respect though not to the detriment of patient care of course!

 

Tell us a bit about the medical facilities on board and how much this has changed since you first came to sea?

On Queen Victoria we have a well equipped medical centre with 2 doctors consulting rooms, 2 treatment rooms and 5 single bedded wards for in-patients. All wards have piped oxygen, 3 have full bedside and remote monitoring facilities and we can ventilate a patient if necessary. We have basic but comprehensive lab, ECG and digital x-ray facilities with the possibility of getting a radiologist read on our x-ray films within 24 hours from a remote site.

 

Since I first came to sea the equipment has certainly become more sophisticated. Now our x-rays are digital, retained on computer for easy re-viewing and transmissible for remote site reading. We can give a patient a copy of their x-ray on CD for their doctor at home. Also our lab equipment is more comprehensive. We used to have to test for each parameter such as sodium one test at a time. Now we have a machine that gives us complete profiles such as a liver panel within 10 – 15 minutes and is much less labour intensive. All our ships have completely up to date and broadly similar equipment now so that if one is sent to work on a different ship it is not difficult to get up to speed with the equipment in a short space of time.

 

Our most valuable resource is of course the team itself, this is medical department on board Queen Victoria.

 

 

New staff are carefully screened – for example nursing candidates must have a CV which includes experience in one of the acute medical specialties such as intensive care, accident and emergency or acute cardiology. If short listed they will be interviewed and tested not just on their knowledge but on their psychological suitability for life at sea. Doctors are all expected to have experience in accident and emergency and primary care. 

 

Please could you tell us something about your job that would surprise us?

On our ships with kennels, for example, Queen Mary 2, the doctor also functions as the vet and I am available as required to look after their medical needs too! Fortunately these precious international travelling pets are usually in very good shape and my most severe canine case so far has been constipation which responded to increased fluids in the little one’s diet.

 

Where is your favourite place on board?

I’m not sure have a clear favourite as it depends on what I am doing. I spend quite a lot of time in the gym which is at the front of the ship and has a commanding view of wherever we are – I can look out the window at the scenery, listen to music and work-out at the same time –the ultimate in multi-tasking – I really do enjoy going to the gym in as much as all that pain is enjoyable!

 

What does “We Are Cunard” mean to you?

It means identifying with our product and what it stands for. I have worked for Cunard for 8 years apart from a few short stints with some of our corporate partners and I believe very much in the integrity of our brand. The cruise industry of today is a very broad industry catering for the needs of a wide variety of people across our complete social strata, providing a product at many different levels from casual to formal, and from cheap and cheerful to five star exclusive. In other words guests can pick and choose their voyage using a variety of parameters such as price, formality, style, service, itinerary, food, entertainment etc. to suit their personal needs.  I believe Cunard has a special place in this market. We offer our guests our famed white star service and high quality cuisine with formal nights, gala evenings and cocktail parties. Our ships are designed for the 21st century and yet pay their dues to the elegant liners of yesteryear. We are a brand steeped in tradition and legend and we take a special pride in that.  I believe it is important to maintain the stability of the officers and crew and nurture their belief in our brand as they are our greatest asset in meeting our guests’ expectation. After all the best salesmen for any product are those that have already sold the product to themselves!

 

If you could pick any shore excursion to go on what would it be?

The Taj Mahal in India. This is usually a 4-5 day side trip when we visit India on the World Cruise. Last year my wife got to see the Taj Mahal but of course I had to work so all I got to see were the photographs!

 

Where would you like to go in the world that you haven’t been to yet?

Macchu Picchu. My wife and I would plan to go hiking there when time permits and before we become too arthritic. Also Easter Island and the Galapagos Islands. I love remote places – but not for too long!

 

When you are on leave; what is your perfect night?

A good steak and a bottle of red wine on my terrace at home – with my wife across the table, dog at my feet, candles burning, and some relaxing music in the background of course!

 

What would be your favourite golden nugget of advice to guests coming on a voyage for the first time?

Don’t forget your travel insurance! Insurance is one of those things that you hope you will never need to use but if you do have to use it, it is worth its weight in gold. You are buying peace of mind and it is false economy to skimp on it or make a false declaration to your insurance company to lower the price.

 

On a lighter note – you don’t have to do it all the first day! Food, drink and sun are great temptations and we tend to supply them in copious amounts. New guests will have a healthier and more enjoyable voyage if they take a steady approach to these indulgences.

 

Do you have any unfulfilled dreams?

I think we all do. I believe the secret to continued happiness in life is always having something to look forward to. I would like to run a marathon some time but I will have to do a lot more training first! I would also like a Caterham Seven car. Maybe when my son finishes university!

 

What is the most important lesson that life has taught you?

Not to be too judgmental.  There are few people in life that we can really say we know well. Often we make our judgments on people based on very superficial criteria and regret it later.

 

What is your favourite quote and who said it?

‘What goes around comes around’   I don’t know who said it but I believe it implicitly. We all have to give a little to get a little in this life.

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  1. Jerry Nuovo says:

    Since tomorrow January 10,2009 is the second time that the Queen Victoria arrives in New York,here is a video from Youtube of Queen Victoria’a maiden arrival in New York almost a year ago on January 13,2008.This video was filmed from the deck of the QE2.Though I did not film this someone else did.Here is the link http://www.youtube.com/watch?v=oElAvIAg65o Regards,Jerry from New Jersey,USA

  2. Irene Gray says:

    I can certainly testify to the wonderful facilities in the Clinic on board and to Dr. Hawthorne and his staff, as my traveling buddy, Jo Freeman, was injured in Guatemala while we were there several days back and had to have a cast on her arm for her broken wrist. They did a great job and we appreciated all they did for her and her family did, too, when we returned home on the 28th.

  3. Mr James Horgan says:

    Dear Dr Hawthorne, Having read about you and the Medical facilities on board the Queen Victoria, I would be grateful to receive your candid advice. My wife, a reasonably experienced cruiser, is keen for us both to book a cruise on your ship. However, I am now 73 and very apprehensive having suffered sea sickness in the past, principally on a day crossing by ferry from Harwich to the Hook of Holland. I wanted to die. This, essentially put me off for life. My wife feels that with large stabilised ships and up-to-date medicinal drugs, etc. etc. I should be able to cope. Whilst I appreciate her comments I am reminded by a friend who sailed on the Queen Elizabeth II from New York some years ago when they were almost unable to leave their cabin for the duration. Accordingly, and as I am obviously susceptible to motion sickness, should I take the chance. Your comments would be appreciated. Kind regards, James Horgan.

  4. Michelle Khosla says:

    I took a cruise out of New York on the Queen Mary 2 and i got sea sick and they gave me a motion sickness medicine that came in a white, blue and yellow packaging that helped me tremendously but I cant remember the name. It was a pill form and did not require a prescription. Do you know the name of this?

    Michelle

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