And I got to thinking about a friend.(From the Bandolier: 'Evidence based thinking about healthcare"):
Average
"A measure for the central tendency of a sample of observations. The term average is most often used for the arithmetic mean, but sometimes also for the median. For instance, suppose the yearly income of five people is $50,000, $80,000, $100,000, $120,000, and $650,000. The arithmetic mean is the sum of these values divided by their number, that is, $200,000. The median is obtained by ranking the values (as above) and taking the one in the middle, that is, $100,000. When the distribution is asymmetric, as it is often with income, the mean and the median are not the same, and it can be the case that most people earn less than the mean.
Another example is with legs. Most people (99.9%) have two legs. But some have had amputations or accidents, so the average number of legs in the population is less than two. Therefore 99.9% of the population have more legs than average." (Should I be laughing here? Capt Calico Jack?)
She was hit by a drunk driver, on her engagement day, as she was unloading some stuff by the Ulu Klang Highway, near Kampung Pasir. As she stood at the boot of her small Kia, with two others, she suddenly heard a loud screech, turned and saw this BMW coming straight at her, smashing her in between the two cars. A drunk. A drunk Iranian came out of the car, blubbering, asking for her forgiveness as she lay on road in shock, unable to move her crushed legs.
A drunk driver who had previously hurt someone else, we later found out, but was let off by the police...he is a rich young man. The rich can buy their freedom. They can also buy people off.
Well, this time he couldn't buy my friend new legs. She lost one, and the other is shattered, and she faces a long route to rehabilitation and recovery. But she is a strong woman. With a loving and accepting fiancee, and supportive friends and family, she will make it.
When I visited her at the hospital, the doctors were fighting to save her legs, and I saw, how the crushed, bleeding and putrefying more seriously injured one was making her so ill. They didn't have a choice. They finally had to cut it off to save her life.
Recovery is a long, winding and challenging road ahead for her. And then you have the "phantom limb pain".
In layman's term:
From the Wikipedia: The term “phantom limb” was first coined by American neurologist Silas Weir Mitchell in 1871 (Halligan, 2002). Mitchell described that “thousands of spirit limbs were haunting as many good soldiers, every now and then tormenting them” (Bittar et al, 2005). However, in 1551, French military surgeon Ambroise ParĂ© recorded the first documentation of phantom limb pain when he reported that, “For the patients, long after the amputation is made, say that they still feel pain in the amputated part” (Bittar et al, 2005).It says here that:
"If phantom limb sensations are normal then so too, alas, is phantom limb pain. This occurs in a majority of those who lose their limbs. (1) In fact, limbs do not need to be lost; it also occurs in conditions in which the brain is disconnected from the body, such as peripheral nerve injuries and after spinal cord injury, when an area becomes insentient (and usually paralysed).
The pain is described in various ways: burning, aching, 'as if the hand is being crushed in a vice,' etc. Such words, however, cannot fully encompass the experience of living with such a pain. In those with chronic pain after spinal cord injury it is frequently the pain rather than the paralysis that interferes with work and social life. One woman has said that paralysis does not stop life, but pain may. "
One cannot help though but draw an analogy from all this... to marriage and divorce.
Gangrene and amputations.
The chronic pain of a missing part of you.

18 comments:
very sorry about your friend, nimr.
for what it's worth, it's very hard on the docs too...not easy to look the patient in the face the day after the op -- most will cringe inside while summoning up the courage to enter the room -- so most will act detached and clinical and matter-of-fact like...
ps the bandolier bit reminds me of what somebody said -- 'lies, damn lies and statistics', so be careful when looking at figures...especially the ones provided for Ops Sikap by the pdrm :)
Ahlan Capt,
She's actually already driving around now, belum lagi fitted with prosthesis pun...such is her determination. She is lucky to have an employer get her a specially equipped car and pay for her medical expenses.
And she has her beloved fiancee, accepting her the way she is now, and love can get one through anything.
Lack of it however, much like blood flow to the limbs being cut off, can lead to gangrene too, of the heart.
Can't amputate a heart. Or has medicine advanced since my dad last pushed me to become the doctor I never did become? ;-)
your friend's very brave, nimr. i salute her.
no we can't amputate the heart...technology has its limits :)
...but not so Allah's power:
"Allah sudah mentakdirkan sesuatu, dan Dia berbuat mengikut apa yang dikehendaki-Nya"
Got this du'a from a book by Zahazan Mohamed from UIA. I find it very useful.
Hi Tehsin, so sorry to hear about your friends accident. What's become of the driver? How long ago was this? You know, in UK a few years back there was a similar case where a doc had to amputate a patient's leg from knee down. Apparently there was a mix up and he cut off the wrong leg!! (A true story)
Hey Steven,
This was last year. Sad thing, I mentioned it to someone who likes to drink and drive and he joked about checking to see his car if any body parts were stuck there from the nite before.
Wrong leg? OMG...must have been a Stevie Wonder surgeon wannabe ;).
Hey, those entries are really something, the KLphotoawards...mine wouldnt have stood a chance lah...hahaha...buat malu only enter...hahaha
Oh Steven, Doc...also read about how some people cut off their own limbs...with ermmm pocketknives in dire situations like being crushed under boulder/tractor alone....wonder how they cut thru the bone?
Tiger,
When I was serving in the Armed Forces way back,,,I had to medevac not less than 200 cases of our soldiers stepping on booby traps, most lost more than their legs !.
Sometimes, they die on board my chopper and many a times, I still have dreams of such incidents/events as if its happening all over again and again,,,guess running away to an island still does not removes such memories.
I lost many friends,,,pilots/crew/police/army/surveyors/civilians etc,,,,but those that lost their limbs were plenty.
The word 'amputations' brings back many momories indeed for me !.
Capt
Pirate Kapas,
Wah, not only a pirate, also a hero ;).
Sorry to hear about those who lost their lives and limbs in the line of duty. Yeah, those kinda memories will definitely haunt one. Even a hardened pirate.
they cut thru the joint. cutting thru bone requires a bone saw...unless of course the bone is crushed.
ewwwww....A choice between life and death eh?
I read there are also people with a fetish for amputations...like removing their own limbs...menakutkan...
Saman tak?
Buat civil action. Claim for loss of limbs, loss of earnings (sbb tak boleh kerja), loss of future earnings, pain and suffering.
Kalau ada proof of stable income, the usual multiplier could bring the victim about half a million gak!
But, rationally, U can't put a price on those feet Allah gave us eh?
Just man made law to ease the burden of amputation kot?
VA,
you also komen riggghhht after I visit your blog...heheh...macam tau jer!
Ya, can't replace the legs, but at least can buy good prosthesis and pay for future medical bills and other expenses, kan?
Tak tau if they proceeded with the lawsuit, I hope they did. The Iranian tu kaya...
Iranian caviar..?!
Beluga? Belanja?
Boleh! Bila?
Sorry I am off at a tangent again..next week is good, a bit freer during the day.
Gimme a buzz then.
buzzzz.
will do
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