Author: Mari Suárez Editor: Akihiko Ozaki M.D., A complicated life as a lawyer in Venezuela. Being a lawyer in Venezuela is not easy. I am 23 years old right now but ended my career in 2016, when I was 21 years old. I felt like a teenager with a huge responsibility at that time, although in that moment, my country was in a better situation than it is right now. A lawyer role appeared to be an excellent job to me because a lawyer has the responsibility of righting wrongs and is able to apply the law in a positive way, achieving justice for all of the people who believe in the system. However, being a lawyer is difficult when you have faith in the system and in the process but it does not work
Debunking the myth -Brain tumours can be treated in Nepal with results comparable to developed count
Author: Gopal Sedain M.D., Assistant professor of neurosurgery at Tribhuvan University Teaching Hospital Jun 17, 2018-I frequently encounter patients who come to me complaining of headache. Many times, the most important concern is not the headache but whether there is some underlying problem inside the brain, a brain tumour. With advances in diagnostics and management technology, the risks have substantially been lessened. A brain tumour may arise from the brain which is called primary, or it may have spread from the lungs, breast or intestine which is called secondary. We seldom know why one person has a tumour and the other doesn’t. Studies have shown that ionising radiation (high dose X-
To err is inhuman -Surgical teams should adhere to checklists before, during and after procedures to
Author: Dr Gopal Sedain, M.D., Assistant professor of neurosurgery at Tribhuvan University Teaching Hospital These ‘wrong-site, wrong-procedure, wrong-patient errors’ (WSPEs) are rightly termed ‘never’ events—errors that should never occur and indicate serious underlying safety problems Apr 27, 2018-It was planned for Rita to have brain surgery. She was taken into the operation theatre and brought out after a few hours. When she woke up, she was surprised to know that the operating surgeon had operated on the right side of her brain instead of the left side where she had a tumour. The family was devastated and so was the surgeon. This is a hypothetical situation, but who should be blamed in
Author: Deepika Shrestha Editor: Akihiko Ozaki M.D., Asaka Higuchi R.N. On December 6, 2017, I visited Iwaki city, which is located in the southeastern coastal area of the Fukushima Prefecture, Japan. The visit to Iwaki was memorable to me. I was lucky to visit multiple facilities belonging to the Tokiwa Foundation, the big healthcare group located in this area. Coming from Nepal, a lot of things looked new to me, and I would like to thank the entire staff at the Tokiwa Foundation for this opportunity. This trip was kindly coordinated by my friend, Asaka Higuchi, a researcher at the Medical Governance Research Institute (MEGRI) in Tokyo. We boarded the Super Hitachi, a bullet train that conn
Author: Mariko Morita, M.D. Editor: Naoko Matumoto What do I want to do as a doctor in the future? This spring, after asking this question ever since entering medical school, I finally got my answer. When I was a high school student, I was convinced that saving someone’s life is good conduct. That was the main reason I chose to be a medical doctor. At that time, I didn’t realize how naïve I was. After entering medical school, I became interested in the relationships between medicine and society and was engaged in various unique activities. For example, I participated in a medical symposium and helped its receptionists as a student staff member. Other times, I participated in fighting the ref
