3) Long story short, his attending doctors were forced to operate within the confines of royal etiquette --> while dealing with a breech delivery --> with the patient under chloroform --> a relatively unknown substance.
4) Understandably, outcomes were far from perfect.
1. He had a level of birth asphyxia --> this left him with hyperactive and aberrant behaviour, limited social skills and poor decision making.
2. Erb's palsy of his L arm --> it was about 6 inches shorter than his R!
5) Various cruel and unusual (by modern standards) treatments were tried for his withered L arm. But none worked.
His behaviour worsened progressively, as he aged.
The end result --> a world war which destroyed the German empire and produced nearly 40 million deaths!
6) As an unofficial student of history, I can also say that the roots of the 2nd world war lay in the termination of the first.
The signficance of this birth injury may thus be appreciated.
It changed the world as his contemporaries knew it.
7) I am not an Obgyn specialist and I have never conduced an LSCS in my life. But I have great respect for those who do.
I consider obgyn to be harder than medicine for we are dealing with two lives here --> at the razor's edge of safety with no margin for error.
8) It is easy to criticize those who operate on this razor's edge but please don't forget that any mistake here can have certain ramifications.
Ramifications that can, potentially change the world.
9) My post is not in favour of or against LSCS which many external observers think the medical profession, is engaging in wantonly.
I simply don't know enough to comment.
10) But before we start forming opinions, it is essential to know the importance of proper obstetric care and everything it entails.
Mistakes here can last a lifetime and, change the world.
1) It must be hard being an MBBS student nowadays with everybody criticizing you for not having enough clinical knowledge/not going to the wards etc etc.
I don't think we should blame them for circumstances beyond their control.
2) Medical science has expanded so rapidly that you must now run, just to stay in the same place. Basic knowledge has also changed with along with our ideas of complications. Its no longer 'a simple case of anything'.
3) You will need an MBBS course lasting at least a decade if you need people to master all the skills that MBBS students of decades earlier could master. Medical science has far outpaced our capacity to learn.
1) A terrible crash at the Grand Prix today, but thankfully no lives were lost --> and it is all thanks to this man.
2) Who was he?
Dr Eric Sidney Watkins |(1928-2012) , commonly known in Formula 1 (F1) as Professor or Prof Watkins was an English neurosurgeon.
He was the FIA F1 Safety and Medical delegate, head of the F1 medical on track team and first responder for a period nearly 26 years.
3) He is most famous for treating Ayrton Senna, the Brazilian three-time F1 champion who died in 1994 in a crash at the San Marino Grand Prix in Italy. He was only 34 at that time.
1) Gen med residents are taught to think of secondary hypertension, especially primary hyperaldosteronism, if the following conditions are met.
- young onset HTN (age < 40)
- family history
- resistant HTN
- hypokalemia
2) First of all, young onset HTN is a controversial term nowadays --> with the rise of fast food and sedentary lifestyles with pediatric obesity and metabolic syndrome --> it is entirely possible that the age may need to be shifted even lower!
3) This study, done in AIIMS with @DrSarahAlam as the lead author looked at PA epidemiologically.
202 patients with young onset HTN (YH) were evaluated.