Today we saw another Case of cerebral palsy. 6 yr old with development of 6 month old (DQ was 27%, cooing sounds, sits with support and can recognise his family).
The boy does not hear, there is no bladder bowel control, he doesnt chew and does not stand on his own. Does not make eye contact and probably also comes under autistic spectrum. EEG shows epileptogenic discharges and child has had seizures since age 2 has been on rx. It is a case of Global Developmental Delay that is spastic quadriparetic Cerebral Palsy but of unknown etiology (most commonly, the causes are Intrauterine infections or Inborn Error of Metabolism)
Sir broke the news that there can be no improvement. Only vocational and physiotherapy can be done i.e rehabilitation measures. It is sad how these people wish to see their child 'cured'. Financially they are not stable and the mother has to carry her son for quite a distance to take a bus from Honnalli to Shimoga everytime they consult the doctor and all these money making doctors have fed them that child is going to be normal so that they can keep visiting. They have travelled to Davangere and around Shimoga seeking better treatment for their son. Thats just sick. They've already spent 1lac on this because someone gave them hope. Mother was in tears.
So basically he was saying same child in UK would be in a better condition. Self operated wheelchair, much more aggresive speech therapy and vocational therapy would be given. Atleast in the rural set up it is hard to get these facilities. Maybe scenario is better in urban areas. It is tough to handle such situations.. you need to do what is ideal for the patient.. Be practical; but not give up hope of improvement.
I have truckloads of work to do and I am in a state of panic about it rather than tackling each of these tasks one at a time!
The boy does not hear, there is no bladder bowel control, he doesnt chew and does not stand on his own. Does not make eye contact and probably also comes under autistic spectrum. EEG shows epileptogenic discharges and child has had seizures since age 2 has been on rx. It is a case of Global Developmental Delay that is spastic quadriparetic Cerebral Palsy but of unknown etiology (most commonly, the causes are Intrauterine infections or Inborn Error of Metabolism)
Sir broke the news that there can be no improvement. Only vocational and physiotherapy can be done i.e rehabilitation measures. It is sad how these people wish to see their child 'cured'. Financially they are not stable and the mother has to carry her son for quite a distance to take a bus from Honnalli to Shimoga everytime they consult the doctor and all these money making doctors have fed them that child is going to be normal so that they can keep visiting. They have travelled to Davangere and around Shimoga seeking better treatment for their son. Thats just sick. They've already spent 1lac on this because someone gave them hope. Mother was in tears.
So basically he was saying same child in UK would be in a better condition. Self operated wheelchair, much more aggresive speech therapy and vocational therapy would be given. Atleast in the rural set up it is hard to get these facilities. Maybe scenario is better in urban areas. It is tough to handle such situations.. you need to do what is ideal for the patient.. Be practical; but not give up hope of improvement.
I have truckloads of work to do and I am in a state of panic about it rather than tackling each of these tasks one at a time!
- I've got paediatric records to write.
- End posting next week for which I've got to study.
- The case presentation which I need to prepare for and present once in front of my college staff.
- I've got to prep for that debate that I signed up for (there is a need for more policies on adolescent health.. I've chosen to speak against it..)
- I'm also part of the basic life support workshop and they have a frikkin pre test they want us to qualify for by studying, so yeahh.
Another highlight of this month is Sanjana in Shimoga! So the much awaited visit from the Hassan medico happened last week and we had a lovely time as always. After much running around, I was lucky enough to get a gaadi for the weekend. We went on a ride on the Gajanur Sakrebyluru route (which most visitors to Shimoga always marvel) and spent some time in the hostel. Good food and good company always wins hands down. Here's to many more such medicomeetups ahead!
When you are sad, when you think you cannot exterminate the sorrow that engulfs you, when you thinking you are falling deeper and deeper into the well of regret and recollections; remember, you are worth much more. Remember, you deserve the best, remember everything you ever believed in and hold on to it, even if you are clinging to thin ropes that threaten to snap, hold on with every inch of your self worth. Remember, there is potential to better yourself to unforeseen heights.
When you are sad, when you think you cannot exterminate the sorrow that engulfs you, when you thinking you are falling deeper and deeper into the well of regret and recollections; remember, you are worth much more. Remember, you deserve the best, remember everything you ever believed in and hold on to it, even if you are clinging to thin ropes that threaten to snap, hold on with every inch of your self worth. Remember, there is potential to better yourself to unforeseen heights.
Immerse yourself in everything that might take you further, drown yourself in work, take a run in the sun or under the stars, break into a sweat until you taste the salt either way. Interact with positive energy and (try to) radiate positivity. Push yourself until you can no longer see where you started from.
And for heaven's sake, listen to the right kind of music. You'll be fine. Trust me, you've got to be fine.
I recently watched:
- American Beauty (what is that movie? -_-)
- Lost In Translation (Some similarity that I can now relate to, eh? Haha. The equation between the lead actors is one that leaves you wanting more but something whole and complete as it is, too. I loved the last sound track (Just Like Honey by Jesus and the Mary Chain)
- Rudy
Apart from this, I'm probably glad to have this happy hectic schedule and I'm thrilled about this upcoming trip. We're going to be 25 excited college kids! :)
Many of my old classmates (friends) are going overseas to pursue higher studies, some have been placed with generous pay packages and some are into new ventures. *slaps self for drawing comparisons.*
I probably sleeptalk. Or sleepytalk. Ugh. Lol.
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