Case Date 25/4/2021
Dr. Hello
Pt's wife. Hello Good eve
Mere Husband ko raat ko thoda bukhar aaya aur Gale mein khich khich start hua.Fir hamane crocin shuru Kiya doubt aya COVID ka thoda aur crocin ke baad bhi bukhar 3_4 hrs baad wapas aata tha.Hamane test karava liya positive Aya isolate Kar Diya aur covid ka sab treatment chalu Kiya per jaise asar kum hota hai bukhar 100 wapas aa jata hai to blood test karvaya.
CRP 93 aaya aur Dr ne CT advice kiya.
CT bhi karvaya report pending hai.
Unako aise lagata hai ki etana medicine lene ke baad bhi infection kyu raise ho raha hai? Treatment to time pe shuru Kiya aisa nahi socha ki koi viral infection hai normally fir bhi kyu raise ho raha hai?
Hamari society pura contaminated hai 250 houses mein almost 100_150 house mein covid hai.
Usi time Mera aur baccho ka bhi test kiya negative aaya.
2_3 days baad baccho ko bukhar aaya aur Mera bhi Headache hone laga to fir se test kiya aur positive aaye hum Tino bhi.
Lekin abhi muze etani taklif nahi hai no headache .hamane already Azee etc chalu Kar Diya tha .baccho ko 1_2 days fever tha fir Chala gaya.
Mera ye concern hai ki unhe hospitalized na karna pade.kyuki yaha hum akele hai aur Baki sab relatives gaon mein hai.pura treatment Ghar pe hi ho to accha hoga.
Doctor. Abhi pt kaha hai?
Wife_ wo room mein hai. CT karvake aaye thoda thak gaye hai .Etane din se fever hai to bhuk bhi kum ho gayi hai.kum kha rahe hai garam pani pine ko bhi bolana padata hai.shayad unako weakness lag raha hai.
Mein unaka thoda specially batana chahati hu.unaka pramotion nahi hua jab ki last 3_4 mnth se unaka performance accha tha. Unako laga tha pramotion hoga per nahi hua.To unake mind mein chal raha hai ki jinaka pramotion hua unaka accha chal raha hai aur Mera pramoy bhi nahi hua aur Paisa..
Doctor_. What?
Wife. _. Aur kharcha bhi badh gaya hai upar se ye bimari...
Dr. Ok
Wife. Maine unako kaha ke hum 4 positive hai to no need of isolation.
To wo bole nahi Mera infection baccho ko ho jayega.i ll stay isolated.
Room se bahar bhi wo mask lagake aate hai.Hand wash 22 sec karna padta hai to wo pura 1 min Tak karate hai.
Wo thoda jyada careful hai fir bhi unako pehle aaya.
Mein to clinic bhi jati thi abhi 10 days se nahi ja rahi kyoki area mein cases badh gaya hai.online consultation i started.
Mein opd jati thi Ghar ka saman bhi lati thi.wo to work from home karate the Ghar se bahar bhi nahi Gaye fir bhi unhe pehla hua.
Doctor _ Usake bare mein unaka kya kehna hai?
Wife. _ Usake bare mein to wo kuch nahi bole.
Per jab Maine bola Chalo bahar balcony mein dhoop se vit D milega immunity badhegi.aur unako 8_10 yrs se neend ka prob hai.bahot medicine liye fayada tha usase.per 1 wk se unaka fir se shuru hua.raat ko neend mein jagana usase unaka immunity kum ho jata hai.
Dr. _ Right.
Wife_ Raat ko neend nahi hogi to immunity kum hogi na??
Dr. _Esaka reason Kya hai neend na aane ka?
Wife_. Samazo mosquito bite Kiya aur wo uth Gaye ya fir baccho ka pair lag gaya to uth jate hai.fir neend nahi aati.wo bolate hai Mera zero hai ya fir one bich mein nahi hai.ya to nein sota hu ya fir uthata hu.ek baar uth Gaye to wapas so Gaye aisa stage unako nahi ata hai.
Dr_. To usaka unake routine pe Kya asar hota hai.
Wife_. Routine wahi bolate hai muze neend nahi ati hai.work from home hai to bich mein bhi so jate hai.mein unako bolati hu ki dopahar mein mat soya karo raat ko isliye neend thik nahi aati hai.to bolate hai mein raat mein nahi sou dopahar mein nahi sou to sounga kab?
I said ki aap try karo 1_2 days dopahar mein nahi sone ka raat ko apaneaap neend aa jayegi per sunate nahi cross karate hai.
Dr. _Cross karate hai Matlab.?
Wife. _matlab hum samazate hai to unako lagata hai hum galat salah de rahe hai.aisa nahi ki unhe Meri value nahi hai magar kaisa hai ki unake mind mein baith gaya na ki aisa hai to unaka soch badalane mein bahot time lagata hai.
Unaka manana hai ki muze dopahar mein Sona hi hai.fir mein dantu zagada karu fir bhi wo soyenge to soyenge hi.
Dr. _ jabase unako korona ki taklif hai tabse unake mijaj mein Kya badal hai?
Wife _ mijaj mein to unaka wahi that ki baccho ko prob nahi hona chahiye.1-2 din se unako lagata hai ki prob chalata hi ja raha hai ye khatm kab hoga?
Dr aur kaise hai wo shant. Hai?
Wife. _ no wiase to shant nahi hai.khush rahate hai to gana gate hai Citi bajate rehate hai baccho so masti karate hai bus abhi poora shant hai.darwaja khula tha to Maine bola thoda smile karo harmones positive secret hote hai to jaldi cure hoga.fir Jake halka sa smile Kiya fir bole nahi hoga muzase muzame. Takad nahi hai.pura dull ho Gaye hai.
Dr _ chidchidapan nahi hai bilkul?
Wife_. Tha chidchidapan per 2_3 days pehle Meri unase unchi awaj mein baat hui.ek baar wo washroom ke liye bahar aaye tab ladka wahi that fir muze bole tuze samaz nahi ata dhyan nahi rakhati mein bahar aaya hu ladake ko kyu aane Diya yaha?Mera infection lag jayega
Maine bola wo already positive hai fir aap kyu etana chid rahe hai? Aur mein balcony mein kapade sukha rahi thi muze pata nahi tha ladaka bahar aaya hai .
Baccho ko kuch jyada ho na jaye isliye jyada chidchidapan.
Doctor._ Baccho se jyada lagav hai kya?
Wife _ Bahot
Doctor. Matlab aapase jyada baccho se lagav hai?
Wife. _ no mere se bhi hai lagav .hamara love marriage hai.bus baccho ko jyada nahi kuch hona chahiye aisa hai.mera bhi care karate hai.mein 3_4 mnths pehle bimar thi Mera bhi care Kiya.
Maine unchi aawaj mein bola aap Mera bhi socho jara .hum 4 bimar hai sabaka alag alag steam dena medicine Dena main bhi thak jati hu.thoda edhar udhar ho jata hai .
Dr. Unako aage piche nahi chalata Kya? Sub time pe hi chahiye?
Wife _ nahi aisa nahi ye ki sub time pe chahiye.bus mein sabaka alag alag karake thak jati hu
Baccha 12 th mein online classes chalu to sunb break fast khana jagah pe Dena padata hai ladaki 9 saal ki hai
Bacche help karate hai thoda thoda.
Dr_. Aur kuch unake bare mein spl changes?
Wife. Main to wo thoda shant ho Gaye hai.pura din baccho se masti gana gana citi bajana sub shant ho gaya hai.ladki bhi boli ki Pappa git gaoge to accha lagega hum samaz jayenge ki aap thik ho rahe ho.
Per unake mind mein wahi lag raha hai ki pramotion nahi hua performance accha hoke bhi.
Dr. _ To aapako lagata hai ki bimari ke darmyan bhi unake Mann mein yahi chal raha hai?
Wife. _yes kyunki wo bole ki thik nahi ho raha hai. Blood test kiya ct scan karvaya etc.Office ke ek bande ko pramotion bhi hua aur usako COVID vagaira bhi nahi hua Mera to pramotion bhi nahi aur covid bhi ho gaya hai.
Dr okk
Wife. Aur kuch puchana hai?
Dr. _ nahi mein deta hu medicine wo ct ka report bhej do.
1 st Follow up on 28 th april
Dr. Hello
Wife Hello
Husband ko bukhar aaya hai
Dr Kitna
Wife. 100 vaise to thik the per jub bukhar aaya to dull ho gaye.sochane lage kyu bukhar aaya wapus.
Doctor ne already steroids ka dose high Kar Diya hai 3 days se ja raha hai steroids aur Aapaka medicine bhi.aaj 4 th day hai steroid chalu hai fir bhi dopahar mein 100 aur sham mein 100 tha.to fir se dull feel ho raha hai ke kyu. Aaya bukhar.
Dr paracetamol Diya Kya?
Wife. Yess
Dr ok .hamane 200 potency di thi.to abhi usaka. Water dose denge. 5 cup method explained by doctor
2 nd follow up
29 th April
Wife. Her 2 hrly medicine Diya hai.energy level to thik hai per aaj bhi aisa hua ke 99.4 temp ho jata hai.stetoid ka last day hai.
Kal steroid band karenge
Dr. 99.4 thik hai na madam 100 se kam hai
Wife I told him ke dolo bhi 100 hoga temp to hi lenge.lekin medicine chalu hai to kyu aise 99.4 etc temp ho jata hai.
Dr unaka energy level better hai na.
Wife yess
Dr khana pinakausa hai?
Wife yess accha hai bhuk bhi lag rahi hai.
Dr family mein mix hona?
Wife wo bhi accha hai
Dr to tension mat lo
Wife her 2 hrly chalu rakhu na .
Dr. Yess
Wife. Ok hai vaise o2 level bhi 98 _97 mein rehta hai.bus temp na aa jaye aisa lagata hai.prone position mein bhi letate hai . O2 maintain karane ke liye.
Dr.: Ghar mein ghumate hai kya?
Wife yess
2 days se gana bhi gana shuru Kiya.
Dr : gana Gane mein saans bhi lagati hai jyada .Matlab wo thik hai. dyspnoea etc nahi hai na?
Wife no breathlessness aisa kuch nahi hai.lekin aaj fir se nahi gaya but ok unaka energy level to hai unaka ok.
Dr : unaka 6 min walking test karawayenge
Wife. Wo karate hai hum
O2 main 1_2 points ka farak ata hai bus
Dr : it's normal then...
3rd follow up on 30th April
Wife. _Sir unako thoda thik hai.energy level bhi accha hai unhone thoda kaam bhi kiya computer pe.
Dr. : Very good
Wife. : Lekin sir Kya hai na unake dimag mein ghumata rehta hai ki Meri neend nahi hui to mein fir se bimar ho jaunga. Fir bukhar aa jayega.unaka temp around 99 rehta hai.
Maine unako samazaya ki aap socho hi mat ki muze bukhar hai ye normal hai.lekin aaj bhi subah koyal ki awaj se 5 bahe unaki neend khul gayi aur en ergy level accha hai bhi neend puri nahi hui to mood off karke baith Gaye.
Dr : to din mein soye nahi kya wo?
Wife.: Lete the per neend nahi aayi din mein unako
Dr : thik hai kaam Kar rahe routine back aa raha hai na
Wife : yes
Dr. : Khana pina kaam karna routine ho raha hai Matlab cure ho rahe hai
Wife : Mera wo neend ko leke concern hai ki aap 10.30 so Gaye raat ko subah 5 baje uth Gaye ho to puri ho gayi hai neend.lekin unako fir bhi lagata hai ki Meri neend puri nahi huyi hai.
Dr: hum potency kitana 200 diye hai na
Wife. : Ha 200
Abhi water mein de rahe hai. Every 2 hrly one spoon
Dr. : Abhi din mein 3 ya 4 baar rakho. 1 M available Kar lo.
Wife : kab Dena hai ?
Dr : neend ko leke jo hatkar baithe hai usliye 1m Dena tha.nahi hai to water dose chalu rakho
Wife : 1 M kitana Dena hai
Dr : mila to 3 night single dose Dena hai
Wife. : I ll try .nahi to water dose continue karati hu.
Waise mere side. Se to pure ok hai unako kuch nahi hai
Bus ye neend ka pakadake rakhate hai.
Room se bahar bhi nahi aate the sub positive the to bhi unako lagata that ki infection spread ho jayega.
To mein bhi ab room mein Jake baithane lagi dheere dheere wo bhi bahar aane lage.khana hamare saath nahi khate lagata hai infection fail jayega unaka thoda jyada hai aisa lagata hai .
Aap medico ho unako samazana kathin hai.
Thought hum nahi nikal sakate kya?
Dr. High potency andar jayega 1 m mil jaye to kaaam ho jayega
Wife : ok sir I ll try.
5 th may follow up:---
Wife : husband ok
Sepia 1m 3 days night ko Diya
Neend bhi accha hai per muze lagata hai unaka wo thoda nature hai ki neend kum ho gayi hai.
Dr. : Jyada laga to 8_15 din baad 10 m ka dose dedo
Neend ke liye.
Wife : muze ye neend ka khatm karana hi hai unaka
Dr : wo jo unaka thought hai na wo nikalne ke liye higher potency ka dose Dena padega.
10 M ka 8_15 days mein roj raat ek aise 3 doses dena
Baki all ok!!! kaam Kar rahe hai.
Masti majak kaam sub ok. Hai
Thanks sir
