Week Starter - The Ward Rounds . . Hernia/Hydrocele, Post-Operative Recovery . . Delusion/Hysteria . . Convulsion - Fits . . High Fever

July 28th

Monday morning ward-rounds were mine to conduct.

I went about them with some of the nursing staff.

I observed that certain notable patients such as the 12 year old with the Enteritis, had over the weekend been discharged and replaced by new cases.

Our Hernia/Hydrocele case seemed to be fairly recovering post-operatively, today being the 6th day.

I later settled down at the out-patients clinic.

I admitted this woman who acted demented, not saying a word to me as I tried to engage her. This was after she walked into my consulting room all by herself.

She was brought to hospital by a colleague of hers who would later act as the informant, and later joined by the patient's older and younger siblings who had been called.

At one point during the information gathering, she became slightly aggitated and confused-looking, never uttering a word.

A widow of 2 years who lives with her kids, the oldest being 13 years, she had exhibited a mild trait of delusion for which she had been seen by a doctor 3 weeks back.

Shortly after she had been confined to the female ward, I had to rush upstairs when she began to throw a fit.

My boss however was of the notion that the convulsions may have been part and parcel of the diagnosed Hysteria.

In any case I started her on a full work-up. More of her later.

July 26th, July 27th

Stayed indoors all through my off-duty weekend. Did a lot of planning in my head.

I'm evolving the details of a venture soon to be launched and embarked on.

It's secret. I may tell it here, later.

Oh yeah, our staff nurse/midwife called me out of my week-end reverie on Sunday, to review her sister in-law whom Dr Larry had admitted with a High Fever.

The same staff nurse/mid-wife who had a difficult first child-birth. She has since resumed duty, back from her maternity leave.

She didn't hide her frustration with her sister in-law for haven earlier on refused medical attention when her condition could then sooner have been salvaged.

I think she said something of the sort that would suggest her sister in-law rather prefering to cling soley unto her faith.

Comments

Post a Comment

Say something... Anything!... I'll shout right back at you inside 24 hours.

Popular posts from this blog

Vanishing Testes... Uterine Evacuation

I was mad with the father of a 10-year old whose child proved to have both his scrotal sacs empty - a case of bilateral Congenital Undescended Testes. The point is both parents had known for years the condition and were hoping against all hope that one day the testes would appear, never once thinking to seek medical advice. The poor young chap would have to visit the Paediatrics Surgeon soon. I'm just back from the labour room where I had to evacuate the womb of this married lady who began to bleed just a week after finding out she was in early pregnancy; she being childless till date - she's had a couple of miscarriages in the recent past and a scan today proved once again the same matter of a miscarriage with some products of pregnancy retained, hence the needed evacuation. She'll need to see the Gynaecologist for a thorough check, the poor woman.
Read more

Sudden Unconsciousness - No Head Scans Available

You know when a medical emergency has arrived when the noise of several heavy, clumsy feet grow louder and louder towards you. So it was, as I sat in my consulting room three days ago, when this young man was rushed in semi-conscious. The accompanying elder sister calmly narrated how they had both eaten lunch at home before setting out on their journey to a popular open market quite close to the hospital where I work - when he began complaining of feeling ill; later leaning over on a stall just before passing-out on the ground. He was "drowsy" but rousable when I called out his name. I pondered what the diagnosis could be as the nurse gave the steroid (Hydrocortisone 200mg) shot through the i.v. line secured - no recent fever or complaints of ill-health whatsoever nor was there any history of Seizure Disorders. Then the fact came forward that he fell backward and hit his head while shooting basket ball hoops at home - but that was four days ago and he then didn't appear h...
Read more

Hypoglycaemic Coma

Unfortunately, 14 hours had elapsed before one Mr Nwokocha was brought to us deeply unconscious. A known Type 1 Diabetic , he had usually injected himself daily with Insulin - the hormone that his body lacked in the right configuration, making him unable to properly utilize blood glucose. He had given himself the usual Insulin shot the morning of the previous day. Apparently he then must have gone into low blood sugar mode; his brain suffering the lack of glucose thereof, he then slipping off into an unconscious state. Unfortunately he was home alone. Eventually a neighbour managed, somehow, to find the poor man deeply unconscious the next morning. He still appears in a vegetative state, even now. His blood sugar count was very down indeed, a fast check showed, and of course he was infused with hypertonic glucose infusions, amongst other measures done to carefully bring him round. I'm afraid he already may have suffered irreversible brain tissue damage. I told this to his ...
Read more