Monday, February 12, 2018

"Doc In , Doc out :Wala po doc , head injury edition"


"Doc In , Doc out :Wala po doc  , head injury edition"
by:
Virgilio F. De leon Jr.MD


A patient came in due to dimming of vision and numbness from the back of his head all the way to his face , after neuro exams and checking that he has stable vital signs I asked for several questions and suspected a past head injury.

Me: Meron po ba kayong mga head injury dati?
Patient: Wala po.
Me: Mga time na tinamaan ang ulo ninyo o nawalan kayo ng malay tao? 
Patient: Wala po.
Me: Hmmm. Hindi po kayo nasuntok sa ulo ni minsan?
Patient: Wala po.

Still in doubt about this patient. I decided on one final question.

Me: Ganito na lang. Ano po ang sport ninyo?
Patient: Boxing po.
Me: Aha! Pero di ka tinatamaan ng mga suntok? Feeling ko naman simula pa lang training , sparring hanggang sa actual matches eh may mga tumatama sa iyo.
Patient:....
Me:Ilang taon kang nagboxing?
Patient: 6 na taon po.(sheepish)
Me:(trying to hold all of my collective frustration) Ok. 

I then begin a series of neuro lectures that ended with the patient seeking Neuro consult.Sigh. 

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