Grand Rounds

The jist:
Good day today with grand rounds. My luggage is "on its way" and I bought my first sari.

The Medicine:
Today was grand rounds where the whole neurology team of about 12 residents and two attendings rounds on every patient (approximately 50). There is an astonishing variety of cases here. One girl presented with persistent headache of several months. It was diagnosed today as disseminated tuberculosis with chronic meningitis. TB is very common here and I think I will return home with a positive PPD test. There is no quarantining here. In the US you will find many patients on isolation for VRE or MRSA and definitely TB, but I don't think the facilities would accomodate that here. Many of the patients present not due to an acute event necessarily but because they have been finally brought to medical attention after dealing with something for years. We have a young boy on the service with a strange congenital myopathy yet to be biopsied, who walks with a leg descrepancy and pes cavus with hammer toe. This is his first time to see a doctor at age 10.

Final Thoughts:
We had a good Indian lunch today at China Town. Chicken masala with stuffed paneer - excellent.

Indian women are downright beautiful, their clothes are always colorful and many wear nose rings, earrings, necklaces, toerings, and bangle bracelets.

The nurses here dress in solid white saris with a plastic nurse hat.

"The Gift of Pain" by Dr. Paul Brand is a great book.