So as you can see from my blog post, it is mainly going to be about the patients that we saw at the Sivananda Rehabilitation Center. Generally in the US, most patients (except apparently in the VA) would cower at the site of seeing 8 or so random people asking to do a physical exam to see some “cool” physical findings. For those of you who are not medical, when a physician sees something that is cool and wants a colleague to see it, it is generally not a good thing.
These patients with leprosy were the exact opposite. Not only were they not timid at the prospect of us examining them, they wanted us to. They wanted us to learn from the manifestations on their body, they wanted to show us the progress that they made, and they were proud of what they had. They would try to point to the enlarged ulnar nerve or motion to their foot to examine their foot drop. When the patients saw that we were coming to observe them, more people with leprosy came out and sat on the bench so that we could have more numbers. It was just amazing.
This pride didn’t just stop in their own selves as the pride that they had in the rehabilitation center was noticeable. Dr. Reddy was telling us that patients in the outpatient program noticed and complained that there was not enough room for them to sit outside of the hospital waiting for care. Rather than complaining about that situation and just letting the situation go (which is likely what I would have done), they did something about it. The patients got some concrete and made a circular bench around some of the trees which allowed them to have more places to sit. To enhance the beauty outside of the hospital, several of the inpatients would tend to the garden and grow some beautiful flowers and plants. Since they are not able to pay for their care, they are paying back in other ways, ways that can enhance the rehabilitation center in the future.
This time, so far, has made me reflect on what I would do if i was a patient in a hospital. I would like to say that I would love for everyone to come and check me out if I had something interesting or “cool”. I am not sure that would be the case and would much rather be anonymous. It definitely is hypocritical of me to want to teach physical signs from other people but not want to show my own.