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It's Raining, It's Pouring: Why the old man couldn't get up in the morning - The Stroke Blog
Disclaimer: Read no further if you have a special fondness for nursery rhymes and do not wish to have one ruined for you permanently. Today I awoke to a rainy morning in Charlotte, North Carolina, and it continued to rain throughout most of the day. This evening, the steady rain transitioned into a downpour. One of my children said: “It’s raining, it’s pouring…” Most of us are familiar with the well known nursery rhyme: It’s raining, it’s pouring; The old man is snoring. He went to bed and bumped his head, and couldn’t get up in the morning. I vividly recall this nursery rhyme carrying an entirely different meaning for me after I started my neurology residency. It was a rainy day in Seattle, and as this rhyme came to mind while I was driving, it suddenly struck me – the old man sustained either a subdural hemorrhage or an epidural hemorrhage. He experienced a period of lucidity after hitting his head (enough such that he was able to get to bed), but he did not get up the following morning. The story became grim. The meninges, or the thin tissue coating the surface of the brain, have …