
Medical
Technology can be divided into four categories: blood transfusion
technology, diagnostic, research and preparation of sera and
vaccines, with diagnostic forming the major share. Here the
medical technologist provides analytical information to the
medical doctor enabling him to make a diagnosis and provide the
relevant treatment.
DIAGNOSTIC MEDICAL TECHNOLOGY
There are five main disciplines within a diagnostic laboratory.
1. HAEMATOLOGY
This is the study of blood. Counts are performed to establish the
number of white cells, red cells and platelets. The size and
haemoglobin content of the red cell determine whether the patient
is anaemic. Leukaemia is also diagnosed from cell counts.
Determination of clotting times and coagulation factors establish
whether a patient might have a bleeding disorder e.g.,
haemophilia.
2. CHEMICAL PATHOLOGY
This discipline entails the analysis of body fluids such as
blood, urine etc. For example the levels of cholesterol, glucose,
magnesium, iron, various enzymes and hormones can be determined.
3. HISTOPATHOLOGY
The study of diseases affecting the body tissues is studied in
this discipline e.g. various forms of cancer. Here the medical
technologist is mainly concerned with the preparation and
staining of tissue sections.
4. MICROBIOLOGY
Encompasses the study of disease-causing bacteria, fungi and
viruses. The medical technologist is responsible for culturing
pathogenic organisms to study their growth, morphology and
sensitivity to certain antimicrobials. Slides may also be
prepared and stained for microscopic examination. Various
immunological and serological tests may be performed in cases of
suspected typhoid, brucellosis, syphilis and AIDS amongst other
infectious diseases.
5. CYTOLOGY
Cytology is closely related to histology, but in this instance
the cells analysed are those that the body exfoliates rather than
surgically removed tissue. A smear of the cells is made on a
glass slide and then stained. This stained preparation is then
examined microscopically for cellular abnormalities.
BLOOD TRANSFUSION
In this field medical technologists perform tests on blood that
has been donated to ensure compatibility with the recipient i.e.
identification of blood group antibodies and Rhesus factors.
Donated blood is also tested for diseases e.g. AIDS and
hepatitis. An extensive classification and registration system is
used in every medical laboratory to ensure that samples cannot be
exchanged. The medical technologist must keep reports of test
results and ensure that these are available at all times and for
years to come.
WORKING CONDITIONS
In the larger cities, many medical laboratories are connected to
hospitals and are generally equipped with sophisticated, modern
analytical instruments. Due to the hazards of working with
infectious material, all laboratories conform to stringent safety
procedures. Working conditions are pleasant and working hours
about 40 hours a week. In laboratories offering a 24-hour service
a qualified medical technologist would be expected to perform
after hours emergency work which could include weekends and/ or
nights.
REQUIREMENTS
Accuracy is of the utmost importance as negligence could endanger
a patient`s life. Suitable persons must be able to maintain high
concentration levels and are expected to give close attention to
their work. They must be responsible and adhere to a professional
code of ethics.