Sunday, August 26, 2012

A PERFECT GUIDE TO CHOOSING YOUR MEDICAL SPECIALTY.

Saw this and couldn't resist sharing it(You may need to zoom in to read it). Source is onsurg.com










Source

Thursday, August 23, 2012

WHEN A TEENAGER LOSES THE WILL TO LIVE.



Linda was a seventeen year old girl. Like other girls her age, she liked going out without telling her parents. On one such occasion, she returned home and was scolded by her mother. In a fit of rage, Linda went into her room, opened a bottle of insecticide and swallowed the contents. She was dead a short while later.

Samuel was a 14 year old whose parents had decided to separate; he stayed with relatives under questionable conditions. One day Samuel disappeared. He was found 4 days later, hanging from a rope tied to a fan in a nondescript building. An apparent suicide.

We hear countless stories of teenagers who decide to take their lives for reasons that may not be clear or logical to us. In their own thinking, there is no point in continuing to live. It could be due to repeated failure in an exam, excessive bullying at school or displeasure over parents separation. Other reasons may be rejection from a loved one or substance abuse; the reasons are numerous and complicated.

SIGNS TO WATCH OUT FOR.

Depression:

A child that is constantly unhappy without any obvious reason should be closely monitored.

Withdrawal:

A child that becomes withdrawn and displays a lack of interest in things that usually excite him or her.

Mood swings:

Going from one emotional extreme to the other within a short time.

Sudden changes in behaviour.





WHAT TO DO

1. Create more time to attend to your child's needs
2. The child should be carried along and considered when major decisions affecting the family are being made.
3. Children at risk should undergo counselling and should be followed up.


How do you think parents can help their teenagers go through seemingly rough times?


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Wednesday, August 22, 2012

MALE URINARY PROBLEM.



"HELP! I CAN'T URINATE."

Imagine - it is time for your evening meal - a plate of your favourite native delicacy, crowned with a bottle of your favourite drink, chilled to perfection.

" Aah!, life is good," you down the glistening liquid and settle down for a nap (afterall you've worked really hard).





Midway into your slumber, you have that expected urge to relieve yourself; lazily, you hobble to the bathroom, unzip in preparation to urinate
and nothing comes out. You try again, still nothing.

Panic!
Imagine the shock a grown man would feel, when he discovers he wants to urinate, has the energy to urinate, has all the resources to urinate, but urine just won't come out.




The above could be a symptom of an enlargement of the Prostate gland or worse still, an initial presentation of a Cancer of the Prostate gland.

WHAT IS THIS PROSTATE GLAND?

Let's think of a road with freely flowing traffic. Imagine two trees on both sides of the road; imagine both trees falling onto the road, blocking traffic.
The road is the opening through which men urinate, the trees are the prostate gland. When the prostate enlarges, it reduces the opening to urinate.

WHO IS AT RISK OF PROSTATE GLAND ENLARGEMENT?

Men above the age of 50.

WHAT ARE OTHER SYMPTOMS TO WATCH OUT FOR?

Blood in the urine.
A feeling you haven't completely emptied your bladder.
Weight loss.
Straining to urinate.
Swelling of the abdomen.
In advanced cases, back pain and inability to walk.

WHAT TO DO.

Go to your local clinic, after initial emergency is addressed (a catheter may be passed), ask for a referral to see an Urologist.

Note: Enlargement of the prostate is not the same thing as Cancer of the Prostate, but it could be an initial sign.


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Monday, August 20, 2012

RAT KILLER / POISON.


He must have been serious about taking his life - he didn't take one or two tablets; not even four or five tablets - he took ten.

He didn't just take any random drug. No, that wouldn't have been effective, he took indocid (indomethacin), a drug used for pain and inflammation which has a side effect of causing bleeding ulcers especially in the stomach and intestine.

More popularly, in this environment, it is used as a rat killer.

Since one capsule is capable of killing a rat, ten capsules would more than likely send him to the great beyond. Or so he thought.




He almost succeeded, but for prompt medical attention. However, the worst was not over.

I tried my best to get him to say why a young man in his early twenties would want to commit suicide - best I could get was his elder sister was frustrating his life (he was from a polygamous home).

Anyway, that was not the problem now.

His problem now was that he couldn't urinate.

And whatever urine that came out now was bloody...

The drug had eroded the lining of his internal organs.

No wonder it is such an effective rat killer.





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Thursday, August 16, 2012

CAN YOUR PHONE SAVE YOUR LIFE?


What names do you use for storing important numbers on your phone?

What should be the first few numbers on your phone list?

In case of Emergency, can your phone save your life?

I realised the importance or otherwise of a phone and relevant numbers when I became a telephone operator for an unconscious patient.


He was brought in by a good Samaritan after he slumped, his name unknown, relatives unavailable. All we had to work with were his phones. Easy peasy, all we had to do was call numbers on his phone and they would come rushing to the hospital.

Not so easy.

I decided to take on the roll of a call operator - I had two options. First, I could scroll down his contact list and find the name of somebody responsible that could shed light on his medical condition, probably, I would find his wife listed under "Darlyn", "Sweetheart", "Dear" or possibly "Wifey". No luck. Scrolling through his contact list almost gave me a headache, I gave up on that route.


My next tactic was using his recent calls log.

So I started calling...

First call was a stammerer, wasn't much help there.

Second denied knowing him.

Third said, "are you serious?".

That's when I knew I had a long day ahead. I was already tired.

Fourth, in a cool detached voice said he was just an in-Law and would try to call the wife .

All this while, his phones kept ringing and I kept answering, some hanging up before I could explain anything.

Finally, his wife called...

From the caller ID she wasn't listed as Darlyn, sweetheart, wifey or Honey

She wasn't hyserical or anxious.

She was cool and calm..


I asked her if she was on her way to the hospital, she said yes.

She didn't sound as if she was on her way anywhere.

Then I asked her the address of the hospital she was coming to - she said she didn't know.

The line cut.

She didn't call back...



What numbers are on your phone?

Can your phone save your life?



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Saturday, August 11, 2012

GETTING INTO THE BRAIN.




I could imagine her sorrow, even though I could not actually see her face behind the hijab she wore.

She struggled with her emotions until she could no longer hold back the dam keeping her tears - the tears rushed down her face - I still could not see her face but I heard the distinct sobs and almost felt them as they cascaded down her face entering her nostril and mouth.

The tears of a mother afraid to lose her beloved son - the son was comatose - and somehow she may have, by acts of omission or commission contributed to his state.

It was just malaria, common malaria, but now, the parasite had crossed into her son's brain, his chances of survival slim.





Is Malaria really that dangerous?


Yes. Read Here.

Good news and Bad news.


Good news - He woke up after two days in coma.

Bad news - He started talking irrationally, and having hallucinations.



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Thursday, August 9, 2012

EVER TASTED YOUR URINE?





Seriously, have you ever tasted your urine?

Well, my patient did - and - he enjoyed it.

Or more precisely, it tasted sweet.



Well, he had enough supply of urine anyway as he Urinated excessively.

That would be Clue 1.


Of serious concern to him was the fact that he could no longer satisfy his wife.





That would be Clue 2.


He did a test before coming to see me that morning which clinched the diagnosis that explains all the above.

That would be Clue 3.


Question : What was the Diagnosis?





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Wednesday, August 8, 2012

IT'S ALL IN YOUR HEAD.



TREATING ANXIETY.


Fear, or should I say anxiety, is not something that can be easily wished away . So the patient taught me.

Knowing it is all in your head is not enough to make the symptoms go away; because ,the symptoms are real...at least...they feel real.

It all started with some minor complaints, that soon became frequent, soon - the patient found himself continually at the Doctor's clinic, soon - he became convinced there was always something wrong with him.

Then - the fear started, the chest tightness, the feeling that all was not well - now, it had almost crippled him. He carried a face-mask around for fear that germs would enter his nostrils, and from there into his lungs.

He was also scared to fly.


He anticipated the fear before he entered the plane, he had to leave for the Doctor's clinic just before his flight because he knew the fear would come. And come it did.

He sat, weak and unable to breathe throughout the short flight to his destination, his chest tight and gripping.

I was his first port of call after landing.

I examined his chest and heart, I found nothing wrong. I tried to reassure him and told him it was all in his head.

Frustrated, he looked at me and asked me if knowing it was just in his head was enough to make his symptoms go away.

Oops! I guess not - but then I'm no Psychiatrist.


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