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By Gurpreet Dhillon

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Extra info for Clinical Information System: A Case of Misleading Design Decisions

Sample text

Much more pressing were the questions: ‘Will she survive? ’ Christina asked, with a faint voice and fainter smile, after we had checked her spinal fluid. ‘You’ve got this inflammation, this neuritis ... ‘ we began, and told her all we knew. When we forgot something, or hedged, her clear questions brought us back. ’ she demanded. ’ The sense of the body, I told her, is given by three things: vision, balance organs (the vestibular system), and proprioception—which she’d lost. Normally all of these worked together.

Recovery from such attacks is prompt and complete—yet they are, in a sense, the most horrifying of ‘little strokes’ in their power absolutely to annul or obliterate decades of richly lived, richly achieving, richly memoried life. The horror, typically, is only felt by others—the patient, unaware, amnesiac for his amnesia, may continue what he is doing, quite unconcerned, and only discover later that he lost not only a day (as is common with ordinary alcoholic ‘blackouts’), but half a lifetime, and never knew it.

This was an amazing thing to hear, confounded, confounding. ‘Disembodied’—was she crazy? But what of her physical state then? The collapse of tone and muscle posture, from top to toe; the wandering of her hands, which she seemed unaware of; the flailing and overshooting, as if she were receiving no information from the periphery, as if the control loops for tone and movement had catastrophically broken down. ‘It’s a strange statement,’ I said to the residents. ’ ‘Yes, he did. But have you ever seen a hysteria like this?

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