I have decided that neuro is the most tragic and that I basically hate it. It makes me too sad to see young people devastated by brain injuries in the prime of life. I had another young patient yesterday, a 20 yr old Mexican woman. Social history was that she had snuck into the United States in order to follow the father of her now 4 yr old child. She got pregnant again by him, he dumped her so she went to live with relatives here. She had a normal, healthy delivery, but the next day the OB nurse noticed ataxia on ambulation. CT scan revealed a large brain tumor. She went for surgery, and now she's been in the hospital for a month and a half, has required a shunt, and is neurologically compromised. Her baby is fortunately being raised by her uncle's wife who seemed very loving and has other small children. Her prospects are poor. Her older child is in the hands of a friend of its father because he took off to California. The pt's own father has now snuck across the border in order to get the child into the hands of their side of the family. Because of these people's illegal status they have to handle their own affairs outside of the rule of law. It's so sad. Life is so uncertain and every day is a gift.