Diagnostic dilemmas are constant here. This comes from the fact that to diagnose different diseases there are a limited number of tests available, and even those are made more limited by patients refusing to do the ones we desire. Most…
#157 Shanksteps
It is Friday evening near sundown. Maliki comes to my door to have me come see a 13 year old boy. He says the boy may have meningitis, but is not sure and having bizarre reactions. He has borrowed the…
#156 Shanksteps
#156 Shanksteps Wednesday it was unbearably hot. It was 113deg F in the shade as it has been but then it felt much hotter. We had finished work and had gone home. About 5 PM the wind kicked up. It…
Shanksteps #155
Shanksteps #155 There was hushed sounds in front of the OR doors. I turned on my headlamp. A group of about 15 people are huddled around a gurney. On the gurney is a 30 year old man, speaking in a…