The Pink Rose

31 10 2008

Mrs. Peone was a relatively young woman, fifty-something. Too young, for the Fate handed to her. She had been diagnosed with breast cancer just a few months before.

Unfortunately, the initial surgery and harvest of lymph nodes showed widespread disease. The cancer had taken root. Her plastic surgeon tried to reconstruct the breast area after that initial surgery. It was a valiant effort, but complicated by infection. Microbes took advantage of the patient’s weakness, festering into the area. I saw redness and breakdown of the tissues. The pain was palpable: this was as much a psychological wound as physical. Read the rest of this entry »





Saving a kid from rabies

15 09 2007

It just so happened I was traveling with a fellow doctor in the Philippines.  We were on the outskirts of Manila, a mega-metropolis pulsating with the life of 14 million souls.  We had stopped at a road-side stand for a cool drink because of the oppressive heat.  The humidity was stifling and sweating didn’t help much. 

My friend was conversing with some people in the shop.  They soon learned we were doctors, as Filipino’s are an interested and inquisitive lot.  One of the men claimed a rabid dog had been seen around the neighborhood just recently.  We were surprised and quite interested to know more, because of the significant public health threat for that neighborhood.  The man said the dog had bitten two people before it died.  We asked if the people had gotten anti-rabies treatment, but he didn’t know.  We realized we had better find out.  One more draught of iced cold coconut juice and off we went!

The man took us to the neighborhood or barrio where the dog had roamed the streets.  The locals confirmed that indeed a mangey street dog had been staggering around the area just 3 weeks ago.  The dog had bitten a man and a young girl, before it died several days later.  Certainly the description of the dog sounded rabid:  foaming at the mouth, running and biting at everything in its path.  These bite victims were in real trouble unless we could confirm they were getting anti-rabies treatments.  After 3 weeks of incubation, it would be quite possible these victims could develop clinical rabies at any time unless properly treated.  There wasn’t much time left.

Read the rest of this entry »








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