medicine

stuff related to medicine

I finished gynecology and obstetrics

  • (insert here a very common interjection that is usually cut out from TV and films in Egypt. Alexandrians consider it a harmless preposition)
  • (insert here the Arabic slang for what gynaecologists work around all day.) + (insert the Arabic word for mother)
  • (insert here the Arabic slang for the position in which a woman gives birth)

repeat the above loudly and hysterically while driving back home from the last day in the round.

A case of Female Genital Mutilation

On the day the tragic attacks on Sharm El-Sheikh, a different tragedy occurred and continues to occur but with a different magnitude. Although it affects the lives of more people than that of the bombings of Sinai, it however usually goes unreported. And mostly unseen.

Mona (name changed) a 10 year old girl was admitted with post-circumcision bleeding at around 2 a.m. that morning.

ROC phase IIIa

Finished phase IIIa of the Research Orientation Course. It was a fascinating experience as usual. This time we had Shawky Galal, Youmna Tareef El-Kholy presenting and discussing with us Thomas Kuhn and Karl Popper's philosophy of science. In an earlier session we watched Ordinary Fascism by Mikhael Romm and discussed it with Mrs. Arab Lotfy. Those sessions made the course very special.

Other sessions were about scientific reasoning, data management, tabular and graphical presentation of data and statistical analysis. Unfortunately we were going to have sessions about critical appraisal of scientific papers and ethics in medical research but things did not go as scheduled. Those two sessions will be added to phase IIIb together with several sessions about management.

No such hospital exists today in Cairo

The following is an excerpt from a series of lectures titled [The Evolution of Modern Medicine|http://www.gutenberg.org/dirs/etext98/teomm10.txt] delivered in 1913 by [Sir Wiliam Osler|http://en.wikipedia.org/wiki/William_Osler]. He is one of the founders of 20th century medicine and known to the masses by several Eponyms carrying his last name.

Unfortunately, his statement '''"No such hospital exists today in Cairo as that which was built by al-Mansur Gilafun in 1283"''' is still true today, which is based on an account by Al Makrizi. I am not sure who is Gilafun exactly. But it looks like he knew how to build and manage hospitals.

;:"No such hospital exists today in Cairo as that which was built by al-Mansur Gilafun in 1283. The description of it by Makrizi, quoted by Neuburger,[16] reads like that of a twentieth century institution with hospital units.

Release Mohammed Sahfik NOW

Yesterday I was outraged to know that Dr. Mohammed Shafik ,a fresh medical graduate and a House Officer in Ain Shams University Hospitals, was arrested on Tuesday for distributing Kifaya pamphlets.

Mohammed Sahfik is a colleague and works in the same place I work and train in.

Phlebotomy

After almost a month in Pediatrics, I finally managed to break an important psychological barrier. I managed to draw blood from a 2 months old. I was mostly lucky, the boy had a single visible vein. Which I attacked like a hungry leopard. With no fear I poked the needle in it. When the blood started oozing from the needle it was a great relief, I felt self confidence running through my veins. No more hesitation and avoiding venipunture for those underweight malnourished sick kids.

Go to Heaven

To all the assholes, who think that it is appropriate to leave the emergency room and go to the Al Fajr prayer. While the ER is full of patients and a dying 1 year old with only 2 doctors giving him CPR.

FUCK YOU

I hate Lebb even more now

Last Sunday, a father and mother came to the ER with their young daughter. A cute 1 year old was in severe stridor, dyspneic and breathing rapidly.

The mother said that the girl's father was watching TV and enjoying some Lebb. He offered his daughter one, the girl choked on it in seconds.

"What the .." I shouted in their face. "Why would you do that ? Don't you know that ..." I found it ridiculous to lecture the parents while the girl is making all those noises. I stopped turned to the resident doctor who told me to stop complaining and take the girl to the x-ray and cardio-thoracic.

I couldn't help myself, I just treated the father the worst treatment ever. While taking the girl to the cardio-thoracic surgeons. I gave him looks called him "Mr. Smart", "Mr. Genius", "Mr. Responsible". But they were so cold, gah I am sure they didn't bring their daughter right away. May be the noises she was making didn't let them sleep.

Pediatrics take 2 ... and more

Started the pediatrics round, again.

Well, I need to explain this. The first ten days in the my internship. We were randomly distributed. I went to the pediatrics hospital in those few days. There, I got the worst flu in 15 years and had a good amount of grief and distress from the conditions of some children and the death of two of them.

After that, I had two months in Surgery. I learned lots of practical stuff. I didn't manage to attend lots of outpatient clinics, so I didn't really feel that I increased my knowledge of surgery. I enjoyed the Accidents and Emergency though. Lots of appendicitis, cholecystitis and renal colic. Most interesting were wounds and poly-trauma patients. Despite the most annoying thing about poly-trauma patients. They need lots of work.

Today, I couldn't find any information about Aya. The girl with a huge Subcutaneous Heamangioma. She was transferred to another unit.

Hepatitis C

Here are some depressing facts about Hepatitis C in Egypt.

  • Egypt has the highest HCV prevelance worldwide, rural areas have the highest level of infection.
  • In the rural areas of the Delta, prevelance rate of positive HCV antibodies is around 24%. Cairo; 19%.
  • It is the most common cause of liver disease in Egypt.
  • In Egypt people who did the following are in a higher risk for infection: ** previous injection chemotherapy for Bilharziasis*, ** blood transfusion, ** surgery, ** repeated use of syringes and needles.
  • 91% of Egyptian HCV carriers are carrying genotype 4. Which has a poor response to therapy, compared to other 6 genotypes.

Pages