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Grand Rounds From The Shores Of South Africa

It’s not just the soccer world cup that’s on South African shores, but the great Grand Rounds (something that some would say is far more important than the world cup — okay, only one guy would actually say that, and he’s in a psychiatric institution in Outer Mongolia) is also presently hosted in South Africa! Proudly South African!

Time to see what the bloggers have dished up for us this week. Read more »

*This blog post was originally published at other things amanzi*

A Significant Pediatric Moment

I hate pediatrics. People who don’t understand the life of surgery may think this means I don’t like children, but in fact the contrast is true.

Surgery is suffering and heartache. Surgery is pain and misery. It’s stuff children aren’t supposed to experience.

Children are supposed to be caught up in the joys of life. They’re supposed to play and smell the roses along life’s paths. Pain will come later, but childhood is supposed to be a sanctuary, albeit temporary from the harsh realities of life. And when life gets harsh, they may need to come to me.

I once spoke about a very special boy who crossed my path. His death still haunts me, but there was another incident which drove the wedge between myself and pediatric surgery forever. Read more »

*This blog post was originally published at other things amanzi*

Police-Escorted Paramedics?

This isn’t really my story, but in a sense it belongs to all South Africans. It’s our shame and may be part of our downfall.

We are a people at war. We war against ourselves and we war against peace. Each fights for himself and bugger the rest. But who heals the fallen? It seems in South Africa that quite soon it may be no one.

Recently a story made the news. It was shocking, but it actually gives an inclination of how morally decayed South African society has become. An ambulance was despatched to some informal settlement after a household fire burned a child. The caretakers of the child brought the child to an intersection that the ambulance would actually be able to find. quite soon the paramedics were hard at work stabilising the screaming child. At about this stage, two armed thugs turned up. They threatened the child’s caretakers with their lives and forced them to flee. Then, while the child continued to scream in pain, they raped the female paramedic. They were not caught. Read more »

*This blog post was originally published at other things amanzi*

Watching A Man Die

The myth of the glory of war is perpetuated in part due to the fact that the stories are only told by survivors. If the guy that took one through the neck in no man’s land in world war one and then slowly faded away in a mess of saliva mixed with blood, lying in his own stools, crying for his mother were to tell his story from beyond the grave it wouldn’t look so glorious at all. It would maybe be a better reflection, though, of the reality of it. In a certain sense we run the risk of glossing over medicine too. I would hope this blog does not.

I am extremely affected by the patient calling out to me to save him in strained monosyllabic speech at the last moment of his life. It is almost too much to bear. And yet I am the survivor. I walk away to live another day or to tell the story or to enjoy a sunrise in the African bush. Read more »

*This blog post was originally published at other things amanzi*

Bad Behavior In South Africa – A Gory Story

South African society is a completely lawless society. Pretty much everyone does just what they like and more often than not they get away with it. Red lights are just a suggestion, yet it is not uncommon to see a taxi stop in the middle of the road without warning. This attitude goes through almost all levels.

Yet there are some laws that people do obey. The law of gravity comes to mind. Mostly if you trip or fall off a wall or out a window you do approach the earth with increasing velocity and finally come to rest in some form of disrepair when you finally meet said earth, even if you are South African.  Another law that is obeyed was well illustrated by a patient we once saw in the old days. Read more »

*This blog post was originally published at other things amanzi*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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