All day that image lingered with me – not so much his face but the memory of that big blood stain on the ground, like a pillow for his head. Right after Eve, the next woman mentioned by name in the Bible is Sarah, the wife of Abraham. . Dotado de las virtudes de los grandes novelistas del siglo XIX, el médico y escritor Abraham Verghese -de origen indio y criado en Etiopía- ha escrito una historia apasionante que sigue a sus protagonistas a través de la India, África y América a lo largo de cinco décadas, creando así un gran fresco de un país desconocido para la mayoría.Sold by: Amazon.com Services LLCThere's a problem loading this menu right now.There's a problem previewing your cart right now.Mientras la India celebra su flamante independencia, la abadesa de un convento de carmelitas en Madrás hace realidad uno de sus sueños más audaces: enviar a África dos jóvenes monjas enfermeras con la noble misión de transmitir el amor de Cristo ayudando a mitigar el dolor de los que sufren. Verghese postulated that event had triggered a “cascade of catastrophes”: a drop in pressure, along with her history of irregular heart rhythms, had caused a clot to break loose and disrupt blood flow to the brain.Verghese’s summary of research interests remains blank on his faculty web page.When it came time to do his residency, Verghese chose a newly fledged program in internal medicine at East Tennessee State University in the foothills of the Smoky Mountains. But he still micromanaged, insisted on approving all appointments and promotions, kept his ministers on edge, played them against each other. Modern medicine can be high-tech, research-oriented, data-driven and time-crunched in ways that are alienating to both patient and physician. “We teach them to convert into our language, which we need for diagnosis. I didn't know that Mengistu would rule for nearly two decades, and that it would not be until 1991 that a liberation army led by a medical student one year my junior, Meles Zenawi, would drive Mengistu into exile (and Meles would become prime minister of Ethiopia). Examining a patient can come as an afterthought, neglected in the onslaught of laboratory test results, medical scans, numbers on the computer screen. “Medicine is so beautiful, and yet it has its seamy underbelly,” Verghese says. He sees patients, teaches students and writes. Her blood pressure was an alarming 230 over 170. Before leaving, Verghese told the woman in the bed not only that he’d like to send her home, but that she was lucky to have a daughter who took such good care of her.Medical training in Madras was “intense at the bedside every day,” Verghese recalls. Sure enough, the radiologist pointed out evidence of small bleeds in her brain. His main office in the department of medicine contains the medical handbooks, the imposing desk, the ready assistant who copes with the physician’s complicated schedule. At the time I'd felt resentful of their abandoning the place, but on "Bloody Saturday" I was grateful they were not around to witness the end. His secret office bears someone else’s name outside. It's great to be a part of this. Many of the physical signs he was taught to notice at the bedside were named after great doctors of the past. But then he walked out into the hospital and led his first rounds. The doctor's job was to check the pupils, check the mentation and decide if further observation was needed. Verghese, who lives with his wife, Sylvia, and their 11-year-old son, Tristan, hosted a speaker’s evening with an expert on evidence-based physical diagnosis. As though he had to pinch himself.Johnson City and the rural towns and hollers around it were a long way from any medical Mecca, but they turned out to be the opportunity of a lifetime for Verghese as both doctor and writer. Verghese reassured them that in this case they could trust their observations. He felt immediately at home at patients’ bedsides. They’d identify all these diseases you’d never find in Western textbooks.” He watched them almost with a sense he was witnessing “wizardry.” He admired not just their ability to diagnose, but also the way they dealt with patients, “the gentleness of the way they taught us” and the love for medicine they conveyed. Verghese postulated that event had triggered a “cascade of catastrophes”: a drop in pressure, along with her history of irregular heart rhythms, had caused a clot to break loose and disrupt blood flow to the brain.Verghese’s summary of research interests remains blank on his faculty web page.When it came time to do his residency, Verghese chose a newly fledged program in internal medicine at East Tennessee State University in the foothills of the Smoky Mountains.
She also followed him on rounds like a student, to see how he interacted with patients and taught. Verghese took these complaints for what they were: a caring daughter’s anxiety over her mother’s illness.