15th Jan, 2009

Soviet- Afghani war

I’m in between two internships and have some time to do other stuff, so I was listening to a podcast about the Soviet invasion of Afghanistan. To be able to remember this better i started writing things down and ended up with an summary of events.

I might as well post it  on my blog, maybe there are people out there who want to read it or who can even add or correct the information I collected.

Soviet interference in Afghanistan

1979 christmas day –>

Soviet “red army” invaded Afghanistan; this marks the onset of a decade of occupation. This followed a power struggle within Afghanistan between leftist leaders Hafizullah Amin and Nur Mohammed Taraki in Kabul; won by Amin. Revolts in countryside continue and Afghan army faces collapse. Soviet Union, afraid to lose a communistic ally finally sends in troops to help remove Amin, who was then executed.

Communist, with help of the Soviet union, have send teachers in remote country side and enabled woman to participate in social live. However, at the same time they controlled every one and were broadcasting only propaganda. They raved about giving freedom, yet the contrary happened, people were oppressed. There was a strong hold of the KGB in Kabul at this time, people lived in fear. Afraid they would be talking to,- or overheard by, a KGB spy.

1980 –>

Babrak Karmal, leader of the People’s Democratic Party Parcham faction, is installed as ruler, backed by Soviet troops.

But anti-regime resistance intensifies with various Mujahideen groups fighting Soviet forces; declaring the holy war, jihad, against soviet unbelievers. The resistance started in the country side. Russian army was bad equipped and not trained for a guerilla war. The mountains, like the Hindu Kush, offered a perfect set for the mujahideen.

US, Pakistan, China, Iran and Saudi Arabia started to supply money and arms.

1985 –>

Approximately half of the Afghan population is now estimated to be displaced by the war, part of them fleeing from political oppression and violence to Iran and Pakistan.

The new Soviet leader Mikhail Gorbachev says he will withdraw troops from Afghanistan.

Meanwhile the Mujahideen unite and keep giving resistance. 

1986 –>

The Russians “planted” a great amount of landmines. Also they started to search people’s houses looking for mujahideen members. Ca 1 million Afghani have died by now. Villages were destroyed and monstrosities were reported.

Babrak Kar mal replaced by Najibullah as head of Soviet-backed Afghan regime.

Afganistan has become the biggest front of the cold war at this stage, and America’s post Vietnam political leaders regarded it as a good opportunity to “kill” Russians. US conyinues to supply the mujahideen through the Pakistani army with among others Stinger missiles, enabling them to shoot down Soviet helicopter gunships. The guerilla aspect of the war results in chaos on the Russian side.

Milton Bearden was the Texan representative of the CIA in Islamabad the last years of the war. He helped arming the Mujahideen on behave of America.

1988 —>

Approximately 15.000 Russian soldiers had died by now. Afghanistan, USSR, the US and Pakistan sign peace accords and Soviet Union begins pulling out troops.

1989 –>

At the end of 1989 the last Russian troops have left. However the civil war continues mujahideen push to overthrow Najibullah.

The defeat of the Soviet union in Afghanistan, by one of the poorest population in the world (with help from the USA) speeded up the downfall of the soviet union, annd ending the cold war.

Most members of the CIA were  over the top about their achievements by this stage, others though had their considerations about what has unfolded in the Hindu Kush. This war had inspired and activated militants from across the Muslim world, among them Mular Omar and Osama Bin Laden. “if they could concur one super power why not another?”

In addition, the trouble for the Afghan people was far from over.

I wrote more about the faith of the Mujahideen and the rise of the Taleban. I’ll publish this some other time.

 

Specially for Mike Seyfang!

On his advice I signed up to the PLoS of Neglected Tropical Diseases. Thanks Mike, it’s great! I promised you write a blog about it one day, and now i finally do.

PLoS Neglected Tropical Diseases is published online by the Public Library of Science (PLoS), a nonprofit organization. The journal’s start-up phase is supported by a grant from the Bill and Melinda Gates Foundation.

One of the core principles of the PLOS is open access, what I think is a great idea. Everyone can share their knowledge with everyone, enabling much faster development in medical science. The PLoS produces journals on several topics, like medicine, genetics and biology.

They sure have some obstacles to overcome, however, I can only hope more journals will follow their example.

 

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A very interesting post for everyone who’s interested in medicine. As KevinMD blogged it:

Linda Sanders: “The problem for Decter was one that doctors face regularly: how to reconcile tests that contradict one another. Often patients, and even doctors, think that test results provide a definitive answer — like the solution in today’s paper to yesterday’s crossword. But every test carries a risk of being wrong, and all tests need to be interpreted. This is never clearer than when different tests seem to tell different stories. Could these apparently contradictory results be shaped into a single narrative that made sense?”

Beside reminding us of the relativity of a single test result, it is a very interesting clinical case.

Read this article- “When Is a Heart Attack Not a Heart Attack?”- on the website of “The New York Times”.

 

Nothing medical, but a very, very cool act showed on maniacworld.com. Well done guys!

This is a prank on a “grand” scale.  Over 200 people gathered at Grand Central Station in New York to pull off a ‘frozen in place’ act.  The onlooking travellers who weren’t part of the act were mystified as to what was going on.

Click here to see the movie, or use this www.maniacworld.com/frozen-in-grand-central-station.html.

Thanks to Daniel’s dad who send the link to me.

Next to my study I’m making some money once in a while with being gp-assistant and doing nursing tasks for people in their home situation (e.g. helping them eat, washing and dressing them, give medication etc.). While doing the last the other day, i found myself in quite an interesting situation:

The client was a ca 40 year old man, who’s more or less restricted to bed rest for a terminal illness. I had to apply a crème on his intertrigo/shaving lesions to cure them / prevent them of getting worse. Since i didn’t know this client, i asked him for some directions on where to find his lesions. Here is where it gets interesting. He wanted me to apply the substance on his bum-cheeks, his groins (very normal so far) and his prostate……..?? Instantly my brain started to evaluate the situation. Did this guy ask me to do a, for this circumstance, very inappropriate act; or did he have no clue on where to find his own prostate? (In case you’re not familiar with this, the only way for me to reach his prostate in this situation was to insert my finger in his ass…) Taking everything into account I decided it was not fare to judge the guy for the first option if i didn’t rule out the second one first. So i had to make clear what exactly he meant with prostate. Luckily for the situation he meant his scrotum, and i managed to find this out without embarrassing him with his lack of knowledge of his own anatomy. 

Though i think this little anecdote is a quite funny example, i sometimes wonder about the lack of knowledge people have of their own bodies. I think that people would respect their body a lot more if they were roughly more aware of (the function of) their own organs. And if they have more respect for this beautiful system, maybe they will take care of it a little bit better…

There you are, that was my little reflection for today’s post.

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26th Feb, 2008

Better be careful…

(Cave!!: you haven’t seen the movie “Butterfly on a Wheel” jet, but planned to do so? Stop reading. This post will definitely ruin the climax.)

If just integrity is not a good enough motivation for you not to cheat on your partner, maybe “Butterfly on a Wheel” is. I like the movie, a very, very sweet revenge…. 

So Daniel, you better be careful. ;-)

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25th Feb, 2008

The big brainscan hype

I have to say this is kind of nonsense, not even kind of actually….

Anyway, a few of the medical blogs i try to read posted this. It is some kind of medical geek cool fashion or so. Since I’m terribly frightened to be out of date and have a very uncool blog …..  I decided that I want my brain scanned too. Both my “pseudonym” and my real name went through the test. These are the results; don’t ask me what it says about me though…..

Petrafied

Petra Koenders


 

Technorati tags: brainscan, medical geek cool

ICU:Mortal Combat with the Angel of Death

As the icu doc describes it himself this blog gives its reader updates from the front lines of medical care. Reports of one doctor’s daily struggle in an Intensive Care Unit, as he fights the Angel of Death over the fate of the sickest patients in the hospital.

It may be because so far intensivist (icu doctor) is very, very high on my list of what i want to do with my medical degree. It may be because it’s medical. But there is no doubt that his posts keep my attention. I like his style of writing, how he uses the angel of death (metaphor or not) to reflect the struggle of his “job” in an interesting and philosophical way.

The angel will always win, not every battle, but in the end. As a icu dotor , day in day out, he is being confronted with the delicacy of live. No matter what, in the end there is nothing but the angel of death.

 

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13th Feb, 2008

Physical Examination

Hmmm, i’m pretty slack on writing posts. Guess me having a blog has more to do with having a geek boyfriend than with being a good writer with hypes of inspiration. I keep on trying though; don’t want to give up yet. Maybe my internship will provide me with some good stories.

After waiting 2.5 months, I finally started my internship. First 5 weeks we practice on other students and on trained patients. It seems kind of weird having study mates examine your body. Since year one the physical examinations are coming closer step by step, like the final exams in high school, dark and heavy. But, as we say in Dutch, “one can get used to anything”. And yes, even getting a breast examination of the guy you just had lunch with is not that weird at all.

Today i did my first genital and rectal examination (just for the record, not on study mates but with trained coaches). I’m very happy to practice it before i have to examine a real patient in the clinic. So to everyone doing this, thanks a lot for teaching us!!!!! On behalf of me, and my future patients maybe even more! Previous to this lesson I was a bit nerves about the genital and rectal examination. What to expect? Isn’t it weird to do, it seems to be so intimate? Well, i can assure any one, for the examiner it is just as technical as examining any other part of your body, and just as normal.

Ok, enough of all this physical stuff now. I’m off to study some more before i go to bed. Early start tomorrow as I have to be in the hospital 7:15 to practice vena punctures (drawing blood).

 

24th Dec, 2007

Christmas present

In the mean time, i do have another picture to show, the picture of my Christmas present. Her name is Phe, which she got from Daniels idea about having a cat, Catastrophe. Despite all his prejudices, he just loves having her and can’t stop asking for her attention.

Phe 004

Week 2 011

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