1/17/2024 0 Comments Tiny tim wikiHe eventually turned to medical texts from the mid-19th century. Lewis, who is also an assistant professor of pediatrics and neurology at Norfolk's Medical College of Hampton Roads, assumed that Tiny Tim was illustrative of some true-life cases in Dickens's era and started using the case as a teaching tool for medical students on clinical problem-solving. My wife humiliated me into figuring it out." "I suggested cerebral palsy or muscular dystrophy," recalled Lewis, and "she asked, 'Do you get better?' and I said no. She wondered what was wrong with Tiny Tim. Naval Hospital in Portsmouth, began his quest after watching a film version of "A Christmas Carol" with his wife, Penelope. ![]() Lewis, a pediatric neurologist at the U.S. Lewis's own story was published this month in the American Journal of Diseases of Children, a specialty journal of the American Medical Association. But it was potentially reversible if Scrooge intervened in time. If untreated, it could have caused the short stature, crippled leg, withered hand, intermittent weakness and other problems that afflicted Tiny Tim. With this condition, acid accumulates in the blood, creating a cascade of problems. His diagnosis: a potentially deadly kidney ailment known now as distal renal tubular acidosis or RTA-1. Lewis, who practices in Norfolk, Va., spent about four years studying the clues available. Generations of children know him as Tiny Tim, the "good as gold" lad who softened the hard heart of miserly Ebenezer Scrooge in "A Christmas Carol."īut what was wrong with Tiny Tim? Despite the vivid image by author Charles Dickens of a fragile child carried through the dirty streets of 1840s London, Tiny Tim's ailment remained mysterious. ![]() Lewis's most famous patient is a crippled English boy who's nearly 150 years old.
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