The following article appears in Yale Medicine Online:
A month in Indonesia
Chickens in the house, the price of clinical acumen, and the practice of medicine with few resources.
Our patient had a broken back. After falling from a tree three weeks earlier, he was unable to move his legs. Now he was in our clinic with his family, asking for advice, showing us an X-ray he’d had taken days ago by the nearest machine, two hours’ drive away. Things had improved, he told us, since a traditional healer had manipulated his spine. Now he could twitch his quadriceps, and he’d regained some feeling in his calves. But he still couldn’t walk. Could anything else be done?