Most likely Artificial Intelligence in practice but still I cannot use AbiWord in my cellphone, hence I will never undertake to write a book on my cellphone.
But blog pieces would continue randomly.
This is one of them.
I stopped diagnosing cases at the age of 50 years but continued to teach until 65.
I am going to stop talking about Linux when I finish editing "Linux Essentials" and finally publish it as a print edition not digital.
If I do a digital edition, AI or some smart guys might take pieces from it an plagiarize the contents.
There are only about 600 known types of cancers.
They all manifest as a result of breakdown in our natural defense system.
If one lives up to 90 one invariably ends up with a cancer.
So kicking the bucket at 80s is welcome.
Some cancers manifest in multistage and my proposal for diagnosticians is to detect them in pre-clinical stage where mitigating the untoward effects are feasible.
If it is left up to the stage of unremitting exponential cell division stage, the outcome is universally bad.
Let me dish out the cases, I saw and in effect, I may have helped the victims.
I suppose, I did not make a big impact.
Not in a chronological order but in a narrative sense.
I was about to leave for United Kingdom and one day I saw a case of leukaemia in a boy under 7.
This was a son of a young M.R.C.P. consultant.
I was well read.
The father approached me and asked me about the prognosis.
I said good and bad.
I said, if you stay in Ceylon it is bad.
But if you go to United States (not United Kingdom, which was way behind in my time), it is good.
How come?
One can do a bone marrow transplant there.
But the bone marrow transplant does not cover the spinal deposits, one should quickly do a spinal irradiation in Ceylon before progressing to USA.
He did and the guy ended up as a doctor and probably a good a doctor in practice.
While on spinal deposits, I saw a case of Unusual Tonsillitis in UK who used to get admitted with febrile convulsions.
I made a distinct note that this child should be followed up.
Unfortunately, I did not see him first time round in which case he would have been under my follow up list.
I generally do a thorough examination even in a case of simple tonsillitis.
The usual procedure for tonsillitis is 10 days of antibiotics and thereafter the case is referred back to the GP.
This mother had known my instructions and had gone and sort second opinion under a different consultant bypassing my boss who was a very smart lady.
This boy had a lymphoma of the tonsils with secondaries in brain (too late). The febrile convulsions were atypical, probably due to leukamic cells entering the C.S.F.
Staining of the spinal fluid discovered the lymphoma cells.
She (my consultant), blasted everybody except me.
Then I saw a case of red cell leukaemia (confirmed by special staining) and my boss 40 years a Pathologist in service had not seen one.
She said you are a lucky guy to see one, very early in your life.
I wanted to do haematology in UK and I did a locum for a Ceylonese consultant in haematology but he did not offer me the Registrar Post under him.
He gave a flimsy reason.
I made it a point to blast him in our Ceylonese Doctors Get Together, saying guys like You are the ones who ruin prospects of Ceylonese Doctors in UK.
He was a bum sucker to British guys.
I told him I would not last even 5 years in UK and the very reason is guys like you.
Then I made two rare diagnosis in UK.
One was rhabdomyosarcoma in a baby who died within two days.
The other was a rare case of leukaemia (I forget what type it was) in another baby born dead.
I collected the Umbilical Blood and send it to London Research Laboratory.
They, while thanking me for sending the specimen of blood, posted a return of post final diagnosis slip, for my perusal.
I would now, go to the last case, many years later.
Bus conductor approached me and asked me what was the diagnosis of his daughter, under 12 years of age.
I said I do not do any diagnosis at all but asked why did he send his child to Dental School?
He said something which I cannot remember but I promised him to look into the case.
So, I asked for the slide and instantly made the diagnosis of Eosinophilic Granuloma which is rare, which I haven't seen before.
The prognosis at best was only two years and I had to tell him, so.
Take her home do not tell her the diagnosis but treat her like an angle, so that she will have a good life next time round.
Do lot of Buddhist Dhana and spiritual stuff was my prescription.
He did tell me that she lived only two years and she had a reasonable good quality life.
One can understand why I have become non practicing doctor, in my twilight years.
It is easy for us to break the bad news but the near and dear ones have to live with the pain.
Then I had one of my teachers who had to go through 3 painful episodes his son, his wife and he himself (he lived up to 80) having nasty cancers.
He had nobody to talk to, and rang me one day which was not normal.
I promptly said go to UK immediately, which he did but please do not bother to find me since. I may not be in Ceylon.
When I inquired before leaving Ceylon I was told he passed away peacefully in UK.
Then there was another guy who descended from Indian Chetty clan but bit head strong.
He was many years senior.
When I saw his erratic behavior, I had very private conversation with him and asked him to seek proper medical advice which he did not. He was diabetic and attributed it to his diabetes. Besides, he was reluctant to go for Hemilente.
By the way, his wife was a pathologist and a gossip king.
He adds insult to injury.
I got to know two years after his death that he died of Gall Bladder cancer.
I can distinctly remember telling him not to eat beef but he continued to do so.
There is a high risk of cancers on those who regularly eat beef.
Then there was another case, I was asking another Christian family in New Zealand to stop eating beef.
I said if not your wife might get problem with her knees.
She did have problem with one of her knees and they did come to see me in Ceylon for a brief consultation.
We had a nice meal at Bahirawa Kanda Hotel.
She is doing OK but she is home bound.
Their 3 daughters are doing well in New Zealand.
None of them in medicine which I discouraged point blank.
I promised to give them a call once I reach Australia but sure enough, I forgot to bring my telephone address book.
Both the original and the copy were left safely in Ceylon.
I have no inclination to go to Ceylon and fetch the note book..
Perhaps we may see them again in our next life.
They are Christians who may end up in heaven.
Good Souls.
I think some of these cases, I have stated have "Rebirth Connotations".
That is my firm belief.
Besides, I need to see our dog who is probably in heaven.
This piece should be read in a story like fashion or in a narrative sense but not (in medical parlance) as a medical text.
Belief in Rebirth is a good ploy to tamper down inborn depression tendency in old age.
I was looking for Clinical Pharmacology and Davidson's Medicine for over 10 years and I could not.
They were pretty good.
I gave them away free and probably ended up as "Kadala Gotu".
I did not have the wisdom to keep them with me, believing that never books would be more up to date.
Not so.
I did have a copies of Celobe Medicine and Harrions. I donated them to the Medical Library as reference copies.
To my astonishment, they too were discarded from the Library by the Library Staff.
However, I kept all my Linux books with me.
There is nobody to give them and Redhat and Suse Linux (corporate giants) have disconnected publishing books.
Linux Bible is with me.
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