2008年9月28日 星期日

Taiwan headache society and giant professors facing typhoons

Today and yesterday i attended the conference of TW headache society, and i found it's interesting and educational to know the reversible central vasocontriction syndrome and its association with thunderclap headche. Actually i met similar patient before, and i remember a old female with diagnosis of multiple sclerosis visited our hospital and was admitted and acute onset of hemiparesis occurred at the first night after amdission. i was on duty as on-call neurologist R4 that time. She also had DM, poorly controlled and one possible cause of acute neurological deficit in the patient is ischemic stroke, which was documented by diffuse weighted image of brain MRI.
Another case is recently met a England sister Lorra who visited Taiwan and would stay for 3 days and would plan to fly to Australia. But she experieced the worst headahce ever known and SAH from the left P-com aneurysm was discovered at our hospital. She received angiography and then surgical clipping of the aneurysm. Peacefully she passed the difficult period in the neurosurgical ICU and no complication of vasospam occurred. But she had right hemiparesis, and expressive language problem when i visited her on 2008/9/26 night and her hushand George thanked for Christian visting them and prayer for Lorra. Typhoon is big now and i would like to express my thanksgiving to the Lord Jesus that I met with two giant professors, Prof. David Dodick from Mayo clinic, Phoenix, Azizona, USA, who is very productive hardworking with less than 4 hours sleep i would guess; and Professor Fumihiko Sakai, who is the chairman of medicine (neurology) at Kitasato University, who said that there was about 9000 neurologists in Japan and about 4000 board-certified neurologists there. I exhorted Professor Sakai to the Grand Hotel and he is very hardworking and he bought a internet card for 24 hours (NTD 500). He hopes to go back to Japan by Monday but the weather is very windy this afternoon on 9/28 Sunday. I will pray for him to the Lord Jesus Christ that he will fly to Japan peacefully. God bless all of us in Taiwan and know His economy and eternal plan toward us on this island of Lord's recovery.
Lukas 2008/09/28 3:26 pm at room 713, CPH, NTU

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