ate of Medical Observation 
October 2007
                                    Narration
                                    A 30-year-old male consulted me complaining of feeling of bloatedness and easy
                                    fatigability. 
                                    He claimed to be 40 lbs heavier. His waistline enlarged so as his belly.
                                    What used to be a “no sweat” two straight games of basketball now
                                    seems to be an insurmountable task. 
                                    Climbing up a flight of stairs was enough to put him out of breath. 
                                    These would have not bothered him if not for two other persons known to him
                                    who complained of somehow similar symptoms and was diagnosed with heart ailments. 
                                    He recalled few years back when he had an episode of palpitations and was found
                                    out to have Atrial Fibrillation on ECG. 
                                    This thing of the past was kept buried on his memory only to be awakened
                                    by the recent turn of events. 
                                    Fear of failing health… 
                                    Shouldn’t he be talking to an Internist? 
                                    As I turned to tell him just that, I realized that I was actually looking at
                                    the mirror… talking to myself. 
                                    ….. seeing all the flab and unsightly bulges
                                    that were not there just two years back. 
                                    Those days before I entered my residency training.
                                    
                                    INSIGHT
                                    Physical, Ethical, Psycho-social
                                    Discovery, Stimulus, Re-inforcement 
                                    We treat people.
                                    We  heal their ailments.
                                    We promote health. 
                                    All the days of my life here in the hospital will start and end with caring
                                    for my patient.
                                    Just recently, I paused and taught for a while.
                                    When was the last time I considered my own health?
                                    Am I eating right?
                                    When was the last time I played ball or even jogged around the neighborhood?
                                    
                                    Am I still healthy?
                                    Am I still fit to meet the demands of my job? of my
                                    family?
                                    I know of one surgeon who was on the peak of his career but died of heart attack
                                    while playing golf.              
                                    I don’t want that similar fate to happen to me.
                                    Something must be done and the time to start is now. 
                                    END