Yesterday was an eventful day! Oh, i forgot to tell you that we are now posted in Ophthalmology department. (Ophthal dep of KMC is one of the academically very strict departments of Kannur Medical College. We dont usually stand with a ease in the department OP always. Coz, dont know when will the sharp arrows by the teachers will strike us! Ophthal professors always ask questions, but i must say that it is very good for us, for we learn from then and there itself. But there is one exception, i dont often like the way the senior most of the dep asks questions. If questions are asked and if we dont know, they must teach us; thats why we are there, or otherways we would sit in hostel and read the text book on our own. I dont like just simply being questioned without teaching back if we dont know what they ask. {This is my space, pls read my Disclaimer)
Ok, so yesterday, we dont know how, but was a very interesting day in ophthal department. Very interesting cases were coming to the OP (Out Patient Depratment, for those who dont know 
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Most of the cases, we could diagnose. Most of the questions asked, we answered! We felt the day interesting. Many new knowledges we got that day!
There came a 17 year old boy with head ache to the department accompanied by his parents. He was medium complexed, with neatly combed hair and with a guise of anxiety on his face. He did never bother to spread his lips apart for he felt something wrong with his being!
He didnot have any problems except head ache. He gives a history of morning head ache since weeks sometimes associated with vomiting. He had shown to some ENT doctor and was referred to Vasan Eye Care for ophtalmic problems. He had slight difficulty in vision in right eye. But it was not significant. From Vasan Eye Care (the most renowned eye care corporate) the case was diagnosed as papillitis (Wiki). He had a severe bilateral papilloedema too. So, he was advised treatment with high dose Methyl Prednisolone ( A Steroid) inj from Vasan. The injection costs 1000 Rs. per vial and such 3 injections were done. But his symptoms did not recede.
They at last came to our Ophthal department this day. Dr. Lalith approached Ranjini mam because of this abnormal findings. The case gathered interests of all the faculty of the department. A group discussion about the case was put up, which is not always common in the department; though one or two doctors talk each other of the cases. Professors provisionally diagnosed of something that is increasing the pressure within the skull cavity (Intra Cranial Space Occupying Lesion). Papilloedema is always associated with raised intra cranial tension.
He was referred to Dr, Sujith, the cheif neurologist of the college as an emergency case. Our ophthal professors asked us to accompany the patient. We went with the patient to the department and entered the neuro OP least bothering about the long queue; because we smelled something serious with this case. He was examined by Dr. Sujith and after a discussion with the ophthal department through phone call, an emergency CT scan of head was ordered. We could make out that they were not financially strong. But doctor ordered it as an emergency.
I noted Dr. Sujith scribing ” ? ICSOL ” in the OP card of the patient. After about an hour, report of the CT came as a tomour in the the fourth ventricle 
!!
Though i felt so sorry of his CT report, the very next moment i recollected my old thought, ‘never be emotional to your patient’. Thats simple for me now. A 17 year old boy is having a brain tumour to put it straight. What else to say? We have taken up a field where we are destined to face the unexpected! Lets pray to God for that poor boy.
Its all worldcup talks in the campus! Hostel, lecture back seats, labs, clinics, everywhere… setup a huge live projection screen in the boys hostel.. i am sure this time cup is with Argentina!!!!