Dengue! How severe can it be (part 2)

First day of hospitalization:-

  • When I finally woke up from my dizzy delirium, I found myself in emergency ward of Medical College in my hometown (which is not my alma mater)

This is a peripheral Medical College, anyways as I knew the pathology I was so sure that dengue can’t be this severe! Surely the private path lab who did my blood reports messed up some where! That’s the problem with majority of us young doctors, we have so much confidence in ourselves that we often forget there are 5% cases where things can go wrong beyond our calculized margins!

Platelet count read 19,000, so I was transfused with 5 units of platelet which should increase my platelets count by more 20k.

I was lucky to have been admitted in a cabin, which had both plus and negative points!

Two of my guardians were allowed to stay with me.

And Me : the patient was so weak that was even unable to stand alone due to severe myalgia. And the bathroom was far! 

I was advised caripill which is an extract of papaya leaves and was having general aversion towards food.

There was mild respiratory distress. And fever was coming back very frequently with temperature reaching upto 104 degree F.

My stint with Dengue (part 1)

Hi all,

As you already know I am a doctor, so this time I was sick . No not just 104 F temperature I mean, I was sick to an extent of life and death and am glad that I made out alive.

So how the healer needed healing? Yes like you I also believe that I picked up the infection of dengue from ward. For those who do not know my workplace is a government medical college which is particularly a breeding ground for mosquitoes.

Yes, that’s the view.

And while the fight among government agencies and college authorities on the ground of cleaning and hygiene of college, well this is the site.

So , back to the story as a careless fella to own health as I am, I asked my parents to take me to home only when things gone out of my hand, platelet went down to 26k, fever was not at all coming down under 102 ( I was given oral paracetamol 650) , with shivering and peripheral cyanosis and even in that condition I refused to visit physician, self medicated and went unconscious for a considerable time.

Maths and Medicine

​Can mathematics save someone’s life?

Yes, it can. Literally.

Body fluids drains out very rapidly after extensive burns. The lost fluid must be re-introduced in the form of Intra venous Infusion. Now the rate at which fluid to be given has to be calculated. Most commonly used formula(parkland formula).

The Parkland formula is mathematically expressed as:

V=4.m.(A.100)

where m=mass is in kilograms (kg), A=area as a percentage of total body surface area, and V=volume in milliliters (mL). For example, a person weighing 50 kg with burns to 20% of his or her body surface area would require 4 x 50 x 20 = 4,000 mL of fluid replacement within 24 hours. The first half of this amount is delivered within 8 hours from the burn incident, and the remaining fluid is delivered in the next 16 hours.