Category Archives: fear

Coxsackie,yuppie flu, post viral fatigue


Anybody who has not witnessed firsthand or experienced this evil is willy-nilly able to say that this vile vulgar viral disease is “all in your head”. I can tell you that there is no-one on this green earth who voluntarily goes through the ordeal that comes with this virus. It literally flattens you in more ways than one.

I have seen countless patients afflicted with it and whilst “science” on many levels questions this disease (instead of getting on with more accurate diagnosis) it is a disease that no-one wants and is more than happy to get rid of the day it leaves their bodies.

I have to ask though why the medical profession at large is sceptical and ridiculously pathetic when it comes to diagnosis as well as treatment (of which there is little). And once again in my mind it goes back to something similar to semelweiss. The washing of hands idea disdained by so many pompous egotistical physicians turned out to be one of the most important discoveries of science and prevention of transmission of disease. Why are we so arrogant? Who gave us this “god” complex?

When we don’t fully understand something or don’t know we simply say it must not/can not exist and therefore the patient themselves must be “mad” ????????????

Surely surely we have gone past this aged way of thinking ?

No, alas it seems we have not. We will not admit we don’t know. Rather make it the patients added problem.

I think it is sad and poor.

I only hope that none of these arrogant physicians ever actually come down with it as they may lose their egos in the process.viruss

Google the semelweiss history – it’s interesting and very very sad. Sad because why can we not drop ego and rather try to understand what the very truth of the matter indeed may be.

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On giving birth and what I have learnt


I believe that from the moment of conception something changes inside of you. Something that you can not quite put your finger on and something that eventually is what one might call motherhood. That in itself is a whole dimension of complicated intertwined emotion and a whole lot more.

From the moment I knew that I was essentially a “mom” I was changed and I wanted only the very very best for this little creature growing inside of me who was body, spirit, soul.

This, combined with hormones (and they were certainly not friendly to me) was a complicated mix of “stuff” to deal with.

I knew that conception is natural. I knew that for 1000s of years women delivered babies at home. I also knew the flip side (being a doctor) and that many things can and do go wrong. This was not a good combo for me personally.

I delivered two babies naturally with epidurals that only worked on one side (both times – apparently I have a filament). The first time was with a “doula” and quite an elating experience. The second was without  (you can read my birth story for reason , I still wish I had had one rather). The second time around I was 39 and things really just never actually

went according to plan.

Long story short I had a near-death and out of body experience. The pain I had AFTER delivering was something I never ever wish to experience again. Despite being a doctor and complaining of pain I was treated unkindly (to say the least)(there are many other phrases I could use). I was eventually resuscitated and taken to theatre. It was unpleasant mildly put. I was not even able to really bond with my little for at least 48 hours. All of this could have been prevented. Recently I had surgery and realised that I had actually ruptured my uterus with the birth (this healed miraculously by itself). There are many miracles that happen every day. I thank God for mine.

I am writing this in part as catharsis and in part to women out there at large.

Lessons I have learnt :

1.) If you are in pain – you really are in pain and don’t let anyone tell you that you are not

2.) Pain (extreme pain ) always means that there is something not right and it needs to be figure out and fixed

3.) When you are over the age of 35 it may be better to cut your losses and have a caesarian section – provisor – if all goes 100% to plan at dates (term) and your labour progresses as it should by all means go for it. However if one requires induction, long labour etc have a caesarian section.

4.) Miracles do happen but medical science is very clever now make sure your “carers” do all they can in terms of what we know to date.

 

 

 

 

 

Diabetes diabetic Ketoacidosis -a tribute “Distilled”


At medical school the precious few facts one is taught regarding diabetes is mental in the first place. But what is really scary is how they scare one regarding the dreaded DKA!!! One of the best lessons I learnt was from one of my guru’s : Prof Larry Distiller, he profoundly distilled any previous notion of fear and crystallised the information in a succinct way that has allowed me to treat DKA very easily ever since. Take a step back he said, interfering unnecessarily fast and crazily is what kills.

So now I apply the knowledge he distilled and only have the patient in for as quickly as it takes to essentially normalise all the crazy physiology and they go home happily between 24-48 hours later. Not lingering in a dreadful hospital environment for 10 days which is enough to induce psychosis in the most stable patient.

Yes DKA is scary, yes one comes very close to death, yes it can be a disaster. However if one proceeds with knowledge and applies that intellect to the problem in a team fashion it is so treatable and so rewarding to treat.