Sunday, December 30, 2012

PRETTY LITTLE LIAR.





This is the third time In recent times, I have had to deal with a fake 'comatose' patient.

The first was this woman who wanted to milk her husband for being unfaithful to her.

Second was a patient who had just been convicted and conveniently slumped on his way to jail.

Third was this young girl :

I was called in the middle of the night to see her, I reluctantly got up, hoping it was a case I could see in a few minutes.

Something struck me as being odd in her posture, she was in a very calm 'coma'.

I asked what had happened, I was told by her uncle that she was sitting down and fell and slumped.

I asked what she had been sitting on.

I was told she had been sitting on the floor.

HUH?

" So you mean to tell me she fell down while sitting on the floor?"

I took a second look at her.

I opened her eyes and shone a light, her pupils danced around like a merry go round

I lifted her hand to let it drop to her face, she suspended her arm in mid air.


HUH?

The young girl was faking it.

I wanted to go to sleep but had to talk to her relatives.

Was she being maltreated?

Did she have some social problems?

Was she overworked?

I could only gather she had lost her dad recently and was staying with the aunt, but was unable to resume school because she missed the September window

They denied any further issues that could lead to an attention seeking behaviour by the girl.

I was too tired anyway.



Saturday, December 29, 2012

DOES MARRYING LATE MESS WITH THE MIND.





What age does a woman get to before she really gets worried about her unmarried status?

At what age does this worry become so pronounced that it begins to mess with her mind? At what age does the messing with her mind become so bad that she actually breaks down and loses her mind?

Is that even possible?
Can a woman become mentally deranged simply because she has reached a certain age and is unmarried?

Recall this post about a 38 year old unmarried woman who was having a series of headaches related to her unmarried status


THE PATIENT.
The stench coming from her was so nauseating that I became uncomfortable, she was brought in by her brother.

She had lost her mind.

According her brother, she had worried relentlessly about being unmarried.
She was 45.
She now talked and behaved irrationally.
She refused to have her bath.
She would sit at one spot for days on end.

I tried talking to her - she would talk, then suddenly become quiet as if her mind had left the room, then smile awkwardly.

Who places the burden on such a woman?

Is it the society?
Family?
Friends?
The media?
Or herself?

What is your take on this?

Image

Wednesday, December 12, 2012

THE MYTH ABOUT DOCTORS' HANDWRITING.





I never thought an actual patient could ask me this - and ask me seriously. The patient was a retired accountant in his sixties and he asked me, with all seriousness if we are taught in medical school how to write horribly.

I told him he was wrong, that we actually have nice handwriting though various reasons could account for our writing being sloppy occasionally, some reasons being:

1. large number of patients
2. Emergencies
3. Might not want patient to see what you are writing (eg his bill).

But being a scientific kind of guy, I set out to disprove his assertion; I checked the different case notes around me and what I saw shocked me; I will attempt to reproduce what I saw using my own artistic impression here:

HANDWRITING 1


HANDWRITING 2

HANDWRITING 3


HANDWRITING 4


By the way, one of the above is mine:)

Quiz: Can you decipher what is written? Kindly score the handwritings.