Saturday, October 17, 2009

Of late night patient hunts,festival of light and gifted hands

1. Was planning to clerk an IVDU patient who is under psychiatric evaluation for my log book. Patient went out for a walk. Guess I'll come back tomorrow, since it's already 10.30pm.
Update: Had a chat with the patient,nice guy whom was actually married with 4 children - he did shared about his life as a former drug addict for 10 years, sleeping by the drains for months and being in-and-out of jail for years - which was why he did not get to see his daughter when she was born until she was 2 years old. Despite this, his wife stood by him for the past 15 years. He was admitted for splenomegaly, pain on his back and ribs, and there was a heart murmur. The diagnosis on the chart mentioned infective endocarditis, with vegetation on the aortic valve, and he is on antibiotics. Last week, test results came back that he was HIV positive, but his CD4 has yet to hit <200. I asked him indirectly whether he had any medical illness, but he said no - either he knew and preferred not to talk about it, or nobody has informed him of his condition..

2. Happy Deepavali, and have a wonderful long weekend :-)


3. Benjamin Carson starts out life with everything against him: an African American child from a single parent home with failing grades at school, ridiculed by others, glued to the television screen, and in need of glasses. But his mother, who dropped out in the third grade, experienced financial struggles, and at one stage was hospitalised for depression, never gave up on him, but instead started making decisions for him and his brother, shutting off their TV habits and ordering them to read two books per week from the library and writing a report of what they read, and Ben started developing his intelligence, imagination and belief in himself. Despite the odds, she also moves them to better schools, as Ben eventually tops the class.

He learns to spell, explore the world of books, grows in creativity. But he also begins to mix with the wrong crowd, and as a result of his short temper, nearly killed somebody. He runs to his room and cries out to God, praying for deliverance from his temper.

The foundation his mother helped to lay in his early days would later proved to be a driving force, as with hard work and a strong desire, he gets a scholarship to college, passing the exam which enables him to enter medical school. Carson faces adversity from fellow doctors and students while working at Johns Hopkins Hospital in MD. It is here he performed a surgery as a resident without attending supervision, risking his medical career to save a man's life. At one point, he also had to deal with the loss of his twins. Eventually it came to a point where he was tasked with performing a complex surgery to separate 2 7-month old German conjoint twins, and he worked out a miracle with success. Today, he is one of the world's leading neurosurgeons, and a professor and director of paediatric neurosurgery at Johns Hopkins University Hospital.

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