My first patient with rabies

I will always remember Joey, the first patient
I ever saw with rabies.

I was a medical resident on a rotation at San Lazaro Hospital, in the heart of Manila, 10,000 miles from home.

Joey was a small boy, not more than 5 years old. Two months ago, he suffered a dog bite on his leg from the neighbor’s puppy. It was just a small nip in the skin, with only a few drops of blood produced. The puppy seemed alright, but it died a few days later – seemingly a victim of the stifling Manila heat. The parents struggled to make ends meet for their family of 5, it would be too much to take Joey to see a doctor – instead they would visit a local faith healer.

After some incantations and a procedure where a black porous stone was affixed to the wound (tandok), the family felt reassured rabies would not strike. The family had heard of rabies, but trusted the faith healer, as he proclaimed to have saved many lives from that cursed illness.

When Joey started to get sick 7 weeks later, the parents thought it was just a cold. He didn’t have much appetite and had some headache. A few days later he had some fever and felt tired. Then, he started to complain about itching on the leg where he had been bitten before. That night, he didn’t eat any dinner. His older sister thought he should at least try to drink something, so she brought him a glass of water. Joey suddenly shrieked and held his hand to his mouth when he saw the water, trying to get away from the threat in front of him. Terrified, the mother realized her son had rabies!

Miracles Happen - the story of Jeanna Giese

This story isn’t really a ‘small miracle’ at all, but a really big one!  You may have heard of it before, but it’s worth repeating here.

 

I was lucky because I got to see with my own eyes, hear with my own ears and touch with my own hands the teenager Jeanna Giese who was miraculously saved from rabies.  Whether by a true miracle of prayer or a miracle of science through a treatment developed by Dr. Rodney Willoughby and colleagues at the Centers for Disease Control and Prevention (CDC), Jeanna survived rabies - a disease that should have killed her.

 

Jeanna was a teenage kid who loved animals.  One month before these events, she had picked up a bat in her church – the bat was sick and had fallen from the choir onto the floor.  Jeanna wanted to help the poor creature, so she asked her mom if she could pick it up and take it outside.  Jeanna did so, yet the bat latched onto her finger with its teeth and wouldn’t let go!  Although she didn’t realize it at the time, the bat had rabies.  (of course it’s never a good idea to pick up any wild animal – an animal’s natural instinct even without rabies is to bite). The bat fluttered off, and Jeanna and her family thought that was the end of that strange incident.

 

One month later though, she developed some bizarre symptoms which took doctors several days to recognize as rabies.  She had fevers, double vision and tingling of the arm.  She developed speech problems and gradually got worse over the next few days – slipping into a state near coma.  After rabies was confirmed from blood tests, Dr. Willoughby decided to try a new treatment by trying to protect the brain with sedation while the body ‘fought’ the virus.