Rhus glabra : Case of chest pain, dyspnea in hypertension

A case of Hypertension :

Pt greet to dr

Kal rat ko 2 baje me utha achanak jese me uthake betha khasi ho rahi thi pani piya wapas betha , fir leta Dry khasi ho rahi thi 1-2 min k bad wapas khasi ho rahi thi

Chest (heart k paas ) Pe hat lagake dekha to palpitation ho raha tha Muje sunai de rahi thi dhadkan

Pasina aa raha tha bethke thik lag raha tha

Sone ja raha tha tab taklif ho rahi thi bethke thik lag raha tha to relax lag raha tha

gala chock hua asa lag raha tha Bahot breathing prob ho rahi thi gala uncha karke lambi sans le raha tha
(Deep breathing pe accha lag raha tha )

Dar gaya tha me ,kuch ho jayega kabhi bhi

Gala dabaya ho kisine aisa lag raha tha
Suffocate ho raha tha so hi nahi paa raha tha adha lit pani piya
Left side nahi so paa raha tha pain ho raha tha
BP ki tab li to laga thik lagega par aisa nahi hua

Subha 5 baje tak wahi chal raha tha
Body thanda pad gaya tha
Msg kiya (dr friend ko?? )
1 hr nind aai hogi

One moment laga kuch ho hi jayega ab Muje

Subha uthke me dukan pe jane tak breathless chest pain ho raha tha
Phone kiya cactus 200 lene ko kaha

1 hr tak thik laga par
Wapas prob hua chest pain heavy lag raha Thorat pe pain chocked Aur kuch chub raha he aisa feeling sweating ho raha tha

Breathing ka prob nahi he par chest pain he Abhi bhi

Dr :dr k pas nahi gaye ?
Pt:aaj OPD nahi hoti he army hospital me bp k liye Cardiologist;nephrology k pass bhejte he ,ek duje k pass kya kiya puchte he report kiye 3 bar kiya
(24 hr ki )

G dr k pas pain killer dete he mera kuch hua to isme mene kya karna he puchne wala hu dr ko tum hi sari dava do

Pyarathyroid karaya 2 bar kiya unhone kaha wapas karo

test karne ko kehte he lagta he unko hi unke test pe bharosa nahi he ghumate he
Proper diagnosis nahi de rahe

Dr-Army hospital me kyo jate ho ? Baher kyo nahi dikhaya ?
Dr-Kon he army me ?
Pt ; (confused ) pehlese hi wahi jata hu army hospital me

Pt:Papa he army me

Dr-Army hospital me hi kyo gaye ? Itna emergency he bahar kyo nahi gaye ? Kyo ?

Pt ;pata nahi ,kal subha jane wala hu

Dr :Ab kesa he aaj rat ka ? Kya karne wale the?

Pt : Abhi me thik hu kal jitna prob nahi he kal karne wala hu sab

Dr;Aur ?
Kya soch rahe ho ye sab ho raha he ? Abhi k situation Pe ?

Pt ; me Bahot dar gaya ,mere papa ko hua ,Wese Muje hoga ?

Dr : Kya hua ?
Pt ; kal me Bahot dar gaya tha , Papa ko 3 bar heart attack hua ,angioplasty hua Muje bhi laga Asia hoga , mere dimag me wahi tha jo dekha ,Muje bhi aisa hi kuch hoga ?

Dr:itni taklif hui aaj kyo nahi dikhaya

Pt;Aunty ko dm ka prob he unka suger high hua tha , hospital le gaya
Uncle ko le gaya

Dr:Waha nahi dikhaya ? Tumhe nahi laga waha dikhane ka ?
Pt ;Nahi BP chk kiya pucha chakkar aa rahe he kya unko laga pehli bar hua mene kaha BP ka prob he dava leta hu
160/100 tha 1 Pm baje

Dr;Kabse prob hua ?
Pt ;June se

Dr ;Kya hua tha aur ye hua ?
Pt ; ghar pe hua pehli bar itne din ghar pe raha
Ghar me tha tabse hua ,ghar ke logo ke behaviour k wajah se (spl maa ka behaviour!) torcher kar rahe the jese samj nahi rahe the k COVID k karan ghar pe hu Lockdown k karan me gahr Pe tha
Bahar ja kuch kam kar kuch kama

Dr; Lockdown k pehle kya kar rahe the

Pt ; Master kar raha tha anthropology me Pune university

Dr ; Torcher kya tha ? Kama iske liye ?

Pt ; Mere age k bacche kama rahe ,tu ghar pe Betha ,ghar ke choti choti bate

Dr ; Maa se ,kya prob hya ? Spl maa se hi prob kyo ?

Pt ; Maa ko hatred he , respect nahj use care nahi dikhana he bas he kuch nahi khana ka bhi kuch nahi ghar hoke bhi mere hak ka kuch nahi papa ko pension he sab accha he jo chahiye o nahi milta sab mast he 2 jan k liye 10 hajar ka saman bharte he

Bhai he Muje chota o second yr he ba kar raha ,free lancer karta he

Dr; Bhai ka aur tumhara compare hota he ?

Un (parents ) dono ko asa he ham dono ghar pe na rahe

Dr ; Iska kya asar hua ?
Pt ; Pune me tha thik tha master kar raha bsc kyo Kia army kyo nahi kiya
Muje tha me CBSC kiya me top me tha me ground me kyo jau jo acche mark k nahi o ground Pe hote he me kyo jau ? Jo 10 th me kese bhi pass hote he o ground Pe hote he mera ego tha k me merit me hu to me nahi jaunga as a officer jaunga

Parents ko koi kimat nahi koi appreciation nahi ,nam tak kam kar
Job kar kuch to ham sabko kahe kuch karta he hamara beta gao k mentality kesi hoti he
Gao me 10 hajar bhi kamaye to kehte he dekho o kamata he

Dr ; Gao se aye yane ?
Yavatmal

Dr ; Kese manage karte ho fir ? (Parents ko )

Me bat nahi karta 15 days ke ek bar karta hu kuch khas nahi me mere room me hota hu upar
Sirf  khana Khane ko jata hu baki sare relative k sath me accha hu mere hi ghar me nahi ghumake ata hu

Unko beta he pehlese ? Shadi hui aur ek ,unke shadi ko 5 sal hua unke bete se Muje prob nahi

Dr ; Me samja nai ?
2 parents he ?

Pt ; 2 maa he , meri maa uske ghar pe he ( maternal )
4 sal se hi bat hui meri khudke maa se
10 sal kabhi bat nahi ki Muje nahi pata tha meri maa kesi dikhti he
First yr me ek din uske ghar k pas se gaya tha to contct hua

Dr ; Parents ko pata he maa se bat karte ho ?
Mene nahi bataya ghar pe par unko pata chala isi bat pe hi jagde hote he

Me papa k side se tha 10 tak badme Muje samja kya prob hua ek hat se tali nahi bajati
Muej aaj bhi nahi pata kya hua in logo k bich me

Meri maa aaj bhi Apke nam ka sindur lagati he name lagati he
Usne jada sacrifice kiya ,Apki jada galati he mene papa ko samjane ki koshish ki fir Bahot jagde ho jate he

Papa kehte he ; itna pyar ata he ab to pehle kyo nahi aya

Dr ; kya lagta he Bahot chal hua ?
Pt ; Ab me jada dhyan nahi deta maa nahi he ,papa k liye he k parents he papa ka he maa ka nahi , jab bhi jarurat thi sath nahi the ,
Me mera kama lunga 
Me Pune me rehta hu ab

Ab mene mere maa (sagi) se finically available kiya , friend se hota he
Ab lagta he Job karuna

Defence me jana he Muje
Joining lena he railway ka uska hope gaya (end tak sare interview huve )
Icmr ka he trial exam preparation kiya

Efforts le raha hu

Sab jagah se Failur jada he kahi bhi ek percent se reh jata he

Phase depression jese he

Insan har jata he sehan nahi hota 5 round karne ka bad 5 din se wapas aao

Dr ; 2 attempt kese manage kiya ?

Trial karta hu Exam clear karne ki is bar hard gaya paper

(Discussion on paper pattern )

Dr; Aur kuch batana he ?

Pt. ; Hamm , ha , 5 yrs ek ladki k sath accha tha engagement karna dec me , tha fir usne mana kar diya uske bad taklif hui ye sab

Depression family matter Aur o ladki
Relation tutata to kuch nahi lagta par
Relation kisi tisare karan tuta

Lockdown me usne kaha pehlese jise pyar karti thi uske contct me aai use wahi cahhiye tha

Ke us ladki k sath tha uska kahi aur hi tha pehle se tha cheat jese hua
Confirm kiya Frinds ko phone kiye

Ghar pe aake gai bat karke gai meri maa ko bola uske parents se mile marriage tak bat ho gai thi

Pata nahi lockdown me kya hua

3 month blank tha khana bhi nahi gaya yaha waha jake Bethana kisike ghar jake gana sunana ,bathroom me bethe rehna , lockdown me koi nahi tha kisko bat karta
Kuch samaj nahi aya kya tha
Ghar ka tamasha aur ye relationship

Meri maa ko nahi milane ja paa raha tha (lockdown ke karan )
mila use bat ki thoda thik laga tha

Involve Bahot tha extreme had tak bas Shadi ka label baki tha
Khana pina sona 24 Hr sath 5 yrs

Dr: Badla nahi lene ko man nahi hua ?

Pt ; Uske maa ko phone kiya par uske maa uske side me thi unke sanskar aise honge
5 sal kya tha fir ? Kya prob hua ? Me  kya pasand nahi tha ?
Uski maa ne kaha chod dena fir aise bhi ladke hote he chod dete he me kya aisa nahi ,

Usne blame kiya k mene Mara and all zhute blame kiye

Usko karna hi nahi tha pehlese
Usko sikhao , sanskar do

Sab senseless tha usko hi karna nahi tha , har ek chij batai
Sirf boyfriend nahi tha uske father jese bhi role nibhaya

Kisiko bhi puch lene mere pith piche

Mere character pe koi ungali nahi utha sakta ,,,,

In short ,patient sharing how he stand for her in her bad days ,injustice can’t support
He went as guardian to protect her
Her frined said only cause of you she might be improve her self as everyone’s opinion is not good about her
This person felt uske loyal hone k karan uske sath bura hua uske sath bura hua ye feeling he , jab yad ata he itna feeling hota he isne feeling the blank kiya
Jab pehla ladka chodke gaya tab iske sath rahi uska pehla wapas aya to wapas chali gai
Her fiends told him you the were only one good boy in her entire life.

Rubrics Selected :

A/f betrayed being
Delusion betrayed that she is
A/f love disappointed
Detached
Hatred revengeful and
Delusion cheated being

Rhus glabra 30 3doses

Follow up :

0n 10th day

Greet to dr
Dr ;How r u
Pt ;I am fine
Dr : Pls explain in detail how’s feeling
Pt: I was suffering breathlessness and chest pain for whole day now there is no pain and fresh
After meal heaviness was there but now lighter feeling
Whole day I was feeling breathless but now nothing
Even my fear also reduced earlier was like I was thinking I have to stop somewhere cause of breathless ness pain ,suffocation everything is better

Dr :How’s thoughts spl past ?

Pt: Hamm ;yes I am having it ,still everyday before sleep but
Reduced than earlier

Dr :Have u done 2Decho
Pt: It’s normal no clot nothing

Dr :How’s with mother and father
Pt :No I am still not talking with ,sometimes only one call when I needed them
They were never there for me so talk over for work purpose only

Dr :Okay

Rx SL continued

Phos : case chronic acid peptic disorder, Anxiety

Dentist professional
Acidity recurrent since
10:12 yrs
Took homeopathic also
3;4 yrs back gastroscopy
H pillory infection ?
Visit Gastrologoist Solapur
Dr Said anxiety related and psychological issues nothing else taking antacid for that
Habitual hua hu , kabhi kabhi taklif hoti he vertigo ho rahe the ,rest liya to thik lagta tha par kabhi accha hua hi nahi he ,,,bich me 10:15 din kuch nahi hota he fir ekdam se hota he
Kabhi kabhi hota he mark nahi kiya koi relate nahi kiya stress se
Kabhi kabhi hota he stress se u know reason hota he man k Khilaf hua practise me kuch hua to stress hota he par continue nahi he

Staf k sath accha he 30 ;40 pt dekhta hu patient pe nahi chidata acchi practise he finically I am stable
Kabhi koi patient pareshan karta he par me dikhata nahi man me rakhta hu
Staf pe bhi nahi chidta

Sara ghussa shayad mera meri beti nikalta he sunti nahj he pani manage to badme degi Exzeesize karo bola to karti he ek do bar fir bhul jati he ladki 10 sal ki he 2 sal se hi uspe chidta hu
Lagta he o sune ek hi bar me Kahu to

Ghar pe wife son and daughter he sabke sath thik he
Wife k sath bhi accha coordination he use homeopathy karne k liye support kiya supporting hu lions club me bhi use karaya age conflict hota he family matter pe kabhi kabhi meri family ko leke hota he kabhi meri family uneducated he use Thoda pasand nahi baki itna nahi he
Me rishtedar aur family k isme jada involve nahi rehta career oriented hu meri family ko time deta hu wife and kids but baki sare relative ko jada priority nahi deta mera time hua to chala jata hu

Kisi relative ka kuch nahi he me Akela hi jada educates hu meri family Bahot garibise age aai he ,unko abhiman he mera ,mere papa k jesa hu me ,mere papa bhi apne family ko accha samay dete he baki family relative ko itna imp nahi he unko bhi asehi problem he mere acidity jese unko bhi he Muje bhi he nature bhi same he ,mere papa ko Mujse koi problem nahi he ,hoga to bhi bataya nahi he ,maa Thoda darti he Mujse ,Muje koi chij use pata he nahi bolti he fir ,Muje finicial and all mater pe dekhta hu unko nahi samjta fir me jada dhyan nahi deta hu

Other dr k sath acha he mera mere second ko ki practise he jr k sath to accha repo ahe kisise koi compition nahj he ek sr k sath me rakhta he man me hi par uske jesa ya usase age par jealous nahi hu na rakhta hu
Mene apne apko bandha hua rakha he kisike status ya pese ka kuch nahi he mere papa ka floor mil he Abhi bhi o uspe kam karte he me khud bhi waha kam karta tha free time pe Bahot pehle ,chota bada sara kam kiya he itna me rakhta nahi Muje pata he mera

Lions club ka president reh chuka hu ,acche friends he ,social status accha he har ek program me bulate he pesa secondary he , mene banaya he mera status ,4 sal se change hua he sab maintane karta hu ab social involvement karta hu pehle nahi karta tha pehle Carrier oriented hi tha par ab sab karta hu

Ek sr he 7:8 yrs bade he ,unke yaha kam bhi kiya he unse age nahi par unke jitna hona he ,unethical nahi karna chata par lagta he no 1 to ho sakta hu

Choti bimari ,bhi badi lagti he kabhi kabhi wife ka usko sinus bronchitis ka lagta he ,md ko dikhao usko bolta rehta hu chalo bade Dr k pass jayege ,mere pehchan k he dr waha opinion le sakte he ,ladki ko bhi le jata hu health related conscious rehta hu

Health related hi thodi rehti he jada anxiety mera batch mate gujar gaya 3 sal pehle MI
Mene bhi mera ecg kiya chest pain hua tha tab 1:2 bar karke aya wife ko
Bhi nahi pata shayad

Thoda suffocation jesa hota he train me bhi ,hua tha local
Se nahi kiya travle ,us din Bahot gardi nahi thi badme Bahot gardi hone lagi to Muje aur bhi taklif hone lagi ,irritate hone laga ,,,,

Pani me gir jaunga sea k pas lagta he k dub jaunga kabhi bus se gaye train ulat jayegi pani me

Extrme level ka dar thought ata ,acidity ,khudse invistigate karke ata hu ,ek patient aya uski wife gai ,pet cancer hua tha ,uska suna to stress hua ,fir mene bhi sonography karke aai khudko koi prob na ho

Ek bar anal bleeding hua tha 7;8 yrs pehle fir badme 5 sal bad hua surgeon ko dikhaya kuch nahi nikala
Gastric related sare problem he isliye laga fir karta hu

Thoda restless hota he rule out karne ka rehta he
Cough bhi hua to rule out kare miss nahi karna he
Allergic sinusitis he 12 sal se wife ko uska bhi test karaya usko bhi treatment karaya
Allergic bronchitis he o badme copd hoga fir usko old age me asthamatic hua to usko hi prob hoga so usko bhi abhi Treatment karaaya

Bichme 1 .1/2month se jada patient Pune se aa rahe the band karaaya bichme barshi me sabne decide kiya tha one and one half month band kiya corona k karan April me OPD chalu kiya

Dr friend ko pucha dar nahi lagta kya fir usne kaha uske bad fir mene bhi start kiya tension Thoda ata tha fir bhi kiya

Fir ek din sardi hui ,exposure hua hoga so homeopathy ka mindset nahi tha so mene anti cold le liya use pata bhi nahi hoga

Azithromycine li thi 3 din

Sham ko nahi jata ab thode din
100 patient ho gaye ab Roj ke  ,pata chala ek friend gujar gaya to back of mind stress hua 2 din Thoda lagta he fir wapas karta hu

Wife on call ;- I am only dominating
Husband is co operative patience he khup me hi chidti hu  chije bhi feki to bhi ek shabd nahi bolate

Kids aur mere liye bhi Bahot cautious he thoda darte jaldi he
Pehle se strong ho gaye pehle stage pe nahi bol pathe the ,ab accha hua he

Ek unka friend gaya to dar gaye the

0 se start kiya poor family se aye khud achieve kiya ambitious he family ka care karte he investment karte he finically sound he to uska problem nahi he

Thoda alasi he saman yaha waha rakhte he khate wakt girate he choti choti chije me fastidious hu unko dhul me bhi kam chalta he

Unko lagta bhi nahi me dominate karti hu

Kisiko kuch kehte nahi hurt nahi karte par
Silently badla lete he ,usko realise karayenge kisko galati he
Kisine kuch kaha to achieve karte he baher k logo ne ego hurt kiya to dil pe leke achieve karenge
Par family walo k sath kuch nahi he sun lete he me kuch kahu to

Rubric selected :

Ambition increased
Anxiety health about relatives of
Delusion wealth of
Communicative
Indifference relations to
Light desire for
Patience
Pompous important

Phos 200 tds 3 days

F/u after 2wks :
In between felt acidity but did not take antacid.

Then follow up after 1 month :
No complaint as such but one dentist expired from Covid 19. Feeling anxious.

Phos 200 in water dose

Then follow up after 2 months :

Everything is fine.
Thank you so much doctor.
I never thought it will be cured permanently.
Thank you once again.

Difference between naive n credulous

Dr Sanjay Jadhav: Difference between naive n credulous

naive :-

No one likes being called naive, since it means you lack sophistication or street smarts.

Definitions of
naive
1
adj marked by or showing unaffected simplicity and lack of guile or worldly experience
“a teenager's naive ignorance of life”
“the naive assumption that things can only get better”
“this naive simple creature with wide friendly eyes so eager to believe appearances”

adj. inexperienced
Synonyms:
innate, unconditioned, unlearned
not established by conditioning or learning

credulous :-

disposed to believe on little evidence

Thats why get deceived easily

credulous :-
People who believe things easily without having to be convinced are credulous. Sales people are always hoping that someone credulous picks up the phone during a sales call.

Definitions of
credulous
1
adj showing a lack of judgment or experience
“so credulous he believes everything he reads”

Main difference is...

Credulous person does not learn from his or her experiences...

Naive person learns from experiences...

Bambusa : Covid 19 case

Dr Sanjay Jadhav: Ye ek General practitioner ki case hai......He is my friend so talking friendly with me.

Age 37yrs/M

C/O -fever
         -Malaise
         -Cough with
         expectoration
         -Headach
          Since 2-3 days
First 3 days of an admission,no fever,no bodyache,cough in less intensity......

On 4th day,at evening temp spikes to 99.8 with headache,leg pains,cough increased with spo2 95-paracetamol taken

5th day again fever spikes 100.5 with same complaints with spo2 showing 93, patient becames anxious........his friend suggest him to consult dr.Sanjay sir n at 11.40 pm case was taken. Conversation taken place as follow

Dr.ha boliye kya taklif hai?

Pt-Ha sanju....

Dr.bolo,kya taklif hai

Pt-Admit hu yaha...COVID positive

Dr.Ok,how are you?
Pt-Saturation abhi kam hai,thodi khansi hai(tone low)

Dr.spo2 kitna hai?
Pt-93-94

Dr.Admission k waqt kitna tha?
Pt-97

Dr-ok,then....
Pt-khansi badh gai hai,malaise hai,fever aa raha hai,sir गच्च (congested)hai

Dr.abhi mind ki condition kya hai?
Pt-thoda darr lag raha hai aur kya...(tone anxious)

Dr.kis baat ka darr?
Pt-bacchon ko leke.....
Dr.means?
Pt-with embarrased smile.......fear of death..etc..etc

Dr.jo bhi bolna khulke bolo...short cut mat bolo...
Pt.darr lag raha hai.....rona bhi aaya dopeher me...😔 ladke ki photo dekh k,wo bol raha tha ki papa muze aap k pas ana hai,aap ko hug karna hai.............to usse zuth bolke me idhar aaya.....

Dr.hmm...aur
Pt.pause.........phir se mil paunga k nahi usse..

Dr.Itna sab soch liya🤨
Pt.taklif he itni zyada ho rahi thi...but me turrant mind divert kar deta hu....kuch pal k liye khali aisa lagta hai.........

Dr.-kab pata chala positive report hai aisa?
Pt.-aap ko call kiya....aap k mutabik 5pm tak fever nahi kam hua to me gadi nikala aur hosp gaya

Waha isne HRCT,CXR,blood test kiye.sab normal aaye...ghar chala aaya...RT-PCR kiya...found POSITIVE...admit ho gaya

Dr.positive aane k bad mann me kya chal raha hai?
Pt.Kal tak sab accha tha,but kal evening se fever suddenly badha,cough badh gaya......pehle din ki tarah condition ho gayi

Dr.sirf ladke ki yaad aayi?
Pt-nahi....ladka,ladki,wife ki yaad aayi na😊 maa-baap ki bhi yaad nahi aayi(embarrased smile)

Dr.nahi,tumne biwi ka nasm nahi liya so mene pucha....
Pt.nahi..bacchon ka sabse pehle yaad aayi

Dr.phir se mil payenge ya nahi itne tak laga aap ko??
Pt.Hmm...

Dr.anything else?
Pt.hmmmmm...pause.
Dr.bolo bhaiya....
Pt.kya bolu...kuch samaz nahi aa raha......(like confused people)
Kuch positiveness k liye mob me dekhta hu par mann nahi lagta....

Dr.admit hone k baad pehle kya kiya?
Pt-sir k pair chua.....(coz he was there in past for RMO ship)

Dr.after a pause........bacchon se phir se milna hoga k nahi itne tak laga...
Pt.hmmm
Dr.aur...
Pt.pause...............
Dr.boliye.?
Pt-aur kya bolu kuch samaz nahi aa raha hai...positiveness k liye kuch dekhta hu par mann nahi lagta

Dr.admit hone k bad pehle kya kiya?
Pt-sir k pair chua..mere guru he hai wo.....

Dr.tum pehle se decide kar k waha gaye?

Pt-sir ko report bheje...to wo bole 2-3din admit ho jao..
Dr.gharwalon ka kya kehna hai??
Pt-unko bola ki kuch nahi fever hai..normal hai

Dr.ab aap kya expect karte ho?
Pt.accha hoke ghar chala jau jaldi....pause................(spontaniously) aur ek mann kehta hai ki pichle KAND(करतुत) ka to parinam nahi hai na....

Dr.kya..kya..🤨
Pt.(with embarrased smile)pehlewale लडतरं(premarriage affair)the na....kahi uski wajah se to nahi na hua...

Dr.main samza nahi..?
Pt-mera mumbai me affair tha....mene us ladki ko phasaya.....phasaya bole to...vaisa nahi lekin kahi cursing-birsing...shap vagaira to nahi na aisa lagta hai........(smile)

Dr.okkkk,aur?
Pt-subah dharmik naam vagaira leta hu....
Dr.to aap bhagwan ka nam lete ho
Pt-ha..
Dr.regularly lete ho ya phir abhi abhi......?
Pt.nahi regularly..but abhi jyada he.....

Dr.dr ne phir samzaya k aap bahut kam bol rahe ho...muze selection k liye information zaruri hai.....aisa-vaisa....
Pt.meri  mann sthiti he nahi na re sanju......(nervous tone)my mental state is not so good.....

Dr.what is going on in ur mind,plz tell me....
Pt-mind 1dum dull ho gaya hai...सुदुर-बुदुर ho gaya hai(सैरभैर)........aisa kyon hua yahi sochta hu....logon k liye itna kiya phir bhi aisa hua karke....

Dr.to usme kisko doshi mante ho aap?
Pt-dosh nahi...smileउदास....destiny aur kya..

Dr.kaise?
Pt-nahi to kya phir........

.nature(निसर्ग)ne muze yaha khada kar diya..

Dr.matlab aap k hath me,bhagwan k hath me ya phir destiny k hath me???
Pt-muze lagta hai ki mere ku-karmo ki wajah se......☺️
Dr.okk.....to kya lagta hai ab bhagwan kar rahe hai ye sab ya tumhari destiny tay hai ye??
Pt-nahi muze lagta hai ki usi wajah se(ku-karma)...

Dr.to apko lagta hai ki bhagwan aap ko jan buz k taklif de rahe hai uskliye.??
Pt-ha..hota hoga par mene abhi CONFESS kiya hai abhi k future me aisa phir se nahi karunga.......aisi phasva-phasvi(cheating) phir se nahi.....pause................
Phasavnuk me spouse k context me bol raha hu haan.......in relation to spouse

Dr.aap ka wife relation itna strong nahi hai kya?
Pt-aisa kuch nahi.....

Dr.nahi...tum her baar bacchon k naam pehle le rahe ho na....
Pt-nahi...wo to pehle hai..usk baad bacche ayenge na...

Dr.ok....with this limited information i have to think n then have to prescribe.......

This is the case.....audio ka max feel dene ki koshish ki hai.....if any doubt dnt hesitate to ask me or dr.sanju🙏🙏

Rubrics -
1. Despair - fear of death, with - death will separate him from his children
2. Despair - destiny - everything is controlled by

Remedy -
Bambusa 200 3doses at 15 min interval

Follow up :-
Next day evening

((((SPO2 was 93 at the time of admission in covid care center)))
SPO2 97
Feeling fresh
No fever
Cough is there but less intensity
According to protocol has to continue on Remdecivir n all...

Discharged from covid center on 4th day evening after Homoeopathy medicine...

Vanilla : Case of Vaginal itching in pregnant lady

18/8/20 : 

Dr Amruta Ambekar Vaijapur: Hello sir.. M dr. Amruta... I have a doubt regarding one of my pt.will u pls guide me..

Dr Amruta Ambekar Vaijapur: Pt of 29 yrs 6 mths pregnant lady suffering from intense itching at vulva n vagina since 8-10 days. Burning sometimes but itching makes her more problmatic.. Leucorrhea is normal. N no burning micturation.. She has taken allopathic medicine for rash.. There is rash in between thighs due to walking.. But itching is tremendous continuesly..

Dr Amruta Ambekar Vaijapur: There is swelling n redness over the area due to continue scratching.. Otherwise she is ok with usg reports n cbc count. Urine reports also normal.. No UTI. No pain over vagina.. Just itching is the problem..

Dr Amruta Ambekar Vaijapur: Pls guide me as she can't bear itching n condition become worse day by day..

Dr Sanjay Jadhav: What she feels having severe itching in 6th month of pregnancy?

Dr Amruta Ambekar Vaijapur: It just irritating her daily routine due to itching..

Dr Amruta Ambekar Vaijapur: While cooking or any other work she has to for wash continue..

Dr Amruta Ambekar Vaijapur: N liitle bit anxiety abt baby..

Dr Sanjay Jadhav: How

Dr Amruta Ambekar Vaijapur: She thinks that her baby is healthy or not.. She is active but her weight is not increasing as per growth of baby... Means in last mth she is 61 n in recent she is same. So she thinks her baby is developing in proper or not

Dr Amruta Ambekar Vaijapur: But gynacolost said her baby's growth is normal.. Doctor gave her protein powder n multivitamin as condition..

{{ It just irritating her daily routine due to itching..}}
Dr Sanjay Jadhav: Explain it ☝️

Dr Amruta Ambekar Vaijapur: While doing cooking n if it itches she has to leave her work n go for washroom.. During 10 minutes she goes 3-4 times for wash. As it awkwards her for going continue for wash..

Dr Amruta Ambekar Vaijapur: She feels it shameful for her to do cooking in such condition

Dr Amruta Ambekar Vaijapur: As like other household works she feels ashamed. N becomes irritable..

Dr Sanjay Jadhav: How Irritability is expressed ?

Dr Amruta Ambekar Vaijapur: She is not expressing her irritability to anyone. Becomes irritable on herself but does nothing. As by talking she seems to be mild in nature. N takes care of her family member..

Dr Amruta Ambekar Vaijapur: She was little in tense about her family member.. Means she wants that all her members should be happy n healthy. So she tries to make them happy. Calm quiet nature.. Controls every situation..

Rubrics : 

1. Anxiety children about his

2. A/f embarrassment

3. Cares full of relatives about

4. Irritability himself with

5. Harmony desire for

6. Pleasing - desire to please others

Rx -

 Vanilla aromatica 30 1 dose

On 18 Aug 20

Follow up :

(20/8/20)

Dr Amruta Ambekar Vaijapur: The pt feels very relax after giving vanilla... Only single dose did it job very well.

She is so happy n no itching at all... Thnku so much sir.. I m very astonished 😱by such single dose reaction.. M very much thankful to u sir.. For attending me n guiding me.. Thnku once again... 🙏🙏🤗

Feedback :-

Dr Amruta Ambekar Vaijapur: M practicing more on physical symptoms.. By mind method m little weak😀

So gave apis n echinacea to her.. But no relief.. I have read all our chat on group. But it is always better to take advice from such a great senior rather doing many experiments... 😛

M really Thnk ful to sir.. Again... Coz she is in really grt pain. N we can feel it..

Muscle refuse to obey the will when attention is turned way : Explanation

+91 98203 25562: Mind -Confusion of mind muscles refuse obey the will when attention is turned away 

Can anyone tell me when this rubric is applicable  and when it will use and meaning  of this ?

Dr Sanjay Jadhav:
It means as long as attention is kept on one work or thing no confusion of mind

Dr Sanjay Jadhav: https://youtu.be/yiuv6KaF5H8
(Kaho na pyar hain..Movie video clip)

Go through it....
Its Johny Lever's rubric ....

J lever tries hard to have a control over *#loss of control over stool#* so he deliberately tries to *#focus#* only on his problem. Because he knows if lose my concentration or focus i will lose control over anal sphincter.

And at last after tragedy he loses it..And we saw what happens in vdo...

This is ...

Muscle refuse to obey the will when attention is turned away...

This is for Gels

Now Lil tig :

*#Conflict between regious matter and sexual excitement#*

जर त्याने religious मॅटर वर लक्ष नाही दिलं तर आपोआपच तो sexuality कडे ओढला जातो
Because, it has one important rubric...

*#Fear - moral obliquity, of#*

नीती भ्रष्टतेची भीती

So he has to focus on religious matter at any cost....No option

That's why....

Busy - must keep himself busy

Busy - fruitlessly

Busy - must keep - to repress sexual desire...Single Lil tig

Dr Sanjay Jadhav:

Now Anac :

*#Confusion between Angel and devil#*

Angel thoughts tells him to do good things and devil thoughts compels him to do creul deeds...

So, if he does not focus on one things another thought will take over his mind

Chronic Suppurative Otitis Media (CSOM) : Sulph

Pt Greets dr here with namaste gave referance of dr name and asking case leni he na ?
Pt ; Kuch nahi wesa Muje
Right side ear 👂 hole hai
Left sided hole cured (pt said here he did bhramari ( specific type of breathing technique ) cured left ear hole

Right sided since childhood
(After bath or bal badh gaye ya jada der gila raha ,environment change hua to ) pani ata he ismese
Infection jesa hota he

2 to 3 ENT surgeons ko dikhaya

Bich bich me infection hota he infection pe unke student se 2 or 3 dose repate kiye he par kam nahi ho raha he

Dr : ab kya taklif ho rahi he

Pt : Abhi koi taklif nahi he thoda  pus hota he pani ata he
Brain tak infection nahi jaye isliye me care karta hu

Future me ise operation kara lunga eardrum nahi cure hua to
Lockdown k karan Abhi nahi infection kam karenge pehle
Dr ne bhi wahi kaha allopathic walo ne kaha naya bitha lenge

Cover nahi hua he so medicine lena he

Aur ek taklif he
Urine ka force sufficient nahi he ruk ruke hota he X-ray karaaya prostste gland badh gaye he
BP he dm he control me he
Itna sara he ( laughing slightly)

Paralysis hua tha  2005 me aur 2006 me ase do bar hua left side me allopathic treatment ki uske liye
One month admit tha

Sonography kiya tha prostate gland ka operation nahi kiya o reh gaya (accha ho gaya tha bichme )
Jalan nahi hoti he undergarment gili hoti he
Bich bich me uski dava leta tha fir band karne ko kaha
Dr ne kaha mat lo ab nahi leta
Bichme
Dehydration hua tha uspe dose liya tha 2:4 month accha tha force konsi dava suit hui thi nahi pata
Homeopathy ne clear hua tha
Shayad

Dr : kan se sunane k liye koi taklif hoti he ?
Pt : test ki he uski bhi thoda sunane me hota he right se left se ekdam sahi he

Right se bhi hota he par easy nahi dr ne kaha infection ja sakta he brain tak to tum dhyan rakho

Aur corn he Muje ayurvedic liya surgery bhi ki left side ek he Abhi bhi gaya nahi o
Kisi bhi chij se accha nahi hua he
Surgeon ne 3 bar oparet kiya he itna jalaya he use surgen ne o kehte he kis liye hote he pata nahi
Panch dhatu se jalaya
Homeopathy bhi liya par nahi hua

usko chod diya mene ab

Dr :Retirement kab hui ?

Pt : 9 yrs ho gaye

Kuch din stres me tha 11 :se 2015 par ab me bindhast rehta hu
2011 se 15 bacchonka settlement shadi
Ab nahi asa ab relax hu

Ab stress factor nahi
Pune me yoga pranayama group he mera Young logo k sath rehta hu me class nahi leta society me ek sath pese nahi leta trekking me jana laughing club karna Sat Sunday khana khaana sabke sath ase

Family k hisab se me accha hu finicially mentally satisfied hu

Abhi koi tension nahi he

Dr ; Koi to tension hoga kuch bhi?

Pt : nahi abhi nahi

Abhi tour karke aya veena world  k sath ghumana pasand he Muje Pata he khush kese rehna he mera bada group he akele nahi rehta me trip karte he Morning walk karte he

Dr : group me rehne ki adat he to lockdown k group k touch me nahi ho to

Pt ;asa nahi Muje radio pasand he pranayam karna
Idhar bhi karta hu relax me ghumne ana subha nahake puja karna gane sunana bore nahi hota ab adat ho gai ab

Dr : Kam aur retirement ka kese adjest kiya
Pt ;Pehle 2:4 month taklif hui khane ka thoda adjest kiya profesar tha 3500 student the logo k bich me rehne ki adat vice principle tha promotion hua tha
Fir retire hua

7;8 month me Bhakti bhav me badal hua pehle me bhagvan ko nahi manata tha waha mujpe sanskar huve samja khana parosna kitna seva dete he sab sikha

Dr :Waha se ate wakt kya hua?
Pt :Thoda bura laga waha se ate wakt usko ham badal nahi sakte option nahi tha retirement ho gaya

Retirement me karan kya change hua

Work ka tension tha uska koi tension nahi raha uske bad tab rehta tha ab nahi uska koi bhi tension

Dr :Wife k sath kesa he relation
Pt ...ha ,,, accha he kesa he ye meri second wife he ye meri student he 11 sal ka gap he age me usko me sikhata tha
Tuning he achanak ghatna hui ye he sambhalne k liye thoda to sabko adjest karna hota he

85 me achanak se o gaye ( first wife ) tab me 5 sal Bahot stress me tha

Second wife ne bacchonko accha sambhala Maa jese
(bacchonko 16 k age pe pata chala k uske dusri ma he
itni acchi he

Bacche aur daughter in law k sath kesa behave he
Accha he sabke sath

(Dr beta ) k sath thoda prob hua tha me keh raha tha mix practise karo par usko jo karna he kiya thora argument hua tha 13 sal huve ab

2012 shadi hui Dr ki mrs unke argument huve waha hamare argument huve

O sal mera thoda stress me gaya me America gaya waha dusre bete k sath waha jake mera tension kam hua

Argument na ho islye me kam contact karta hua me khud nahi puchta bacchonko nahi lage k usme bichme nahi ana suggestions nahi acche lagte accha he ham dono ka

Dr ; do bat hoti he ek hota he ghussa aur situation asi hoti he hame acchi nahi lagti sunana nahi use
Asi konsi situation thi jo apko laga nahi sunaana he

Pt :aisa kuch nahi barish k dino me Pune me tha environment ka hoga shayad sar se pani nahi liya to prob hoti he
Sar se pani nahi liya to nahi lagta nahaye he par
Leta hu to thora balo me bas ati he
Sar se pani nahi liya to koi prob nahi hoti he

Koi ghussa ya man me kisika kuch nahi he

Bacche pe bhi ghussa nahi he

Dr : Apko laga apki galati hui pehle apne force kiya ab apko yehsas hua apki galati samaj me aai
Pt :Ha aisa laga tha o galati kar raha he homeopathy kesa chalega sirf kesa hoga uska progress kesa hoga par ab lagta he uske decision acche the
Kisika koi tension nahi he 100 percent sure hua sahi he o jo kar raha he

Rubric Considered :

1. Anxiety - children, about his
2. Delusion - wealth, of
3. Sociability
4. Affectation

Sulphur 30 : tds : 3 days

90% better within 15 days

Now, he postponed surgery as homoeopathy medicine is giving result!!!

Diabetes and Layman : Dr Prasad Rasal sir

https://youtu.be/st4snc-b_kQ

It's link of lecture by My Beloved Guru Dr Prasad Rasal sir delivered on FB live for general public for awareness about diabetes.

Lilium tig : Case of Peripheral Neuropathy and remedy journey

Pune Seminar case :17 June 20

I am posting a case of Peripheral Neuropathy...Burning of palms n soles, k/c/o uric acid diathesis, pain in heel which is severe

This pt is DHMS doing GP
Age 48 yrs

Jt pains are pricking of needle

This pt came to me from another homeopath where he took 4 months of treatment with no result

Wo bole us homeopath ne fees nahi li

Ap lijiyega

Treat me like pt and not like dr

Ipr

Wife
Son ... Younger
daughter..elder

Bahot pareshan hu isse

Sah sah k kaam kar raha hu

Jad se khatam kar do

Kaam rok nahi sakta hu

Pt tut jayenge

Link tut jayegi

Gabapantin chalu hain bole for neuralgic pains

4 months hom tt li

Farak nahi pada

Homoeopathy pe vishwas hain lekin result nahi mila 

He feels my family is depend on me

Muze kuch hua to unka kya hoga

Burning

Tingling from heel to almost top of head on left side

He feels he is responsible person for fmly members

Jababdari ka bojh lagta hain...Jan pe aake dragg karta hu

With will or against will

Feels irritated

Father died when he was in 12th std
He misses his support
Education under economical stress

Daughter had PCOD which is better with our tt now

Son has anxiety neurosis, forgetfulness

Wife is better with our tt
She had fibroid uterus

Gharwalo ti tabiyat thik rahe

Baccho ki padai thik se ho aisi chinta hoti hain

Ye bimari thik hogi ki nahi

Muze to lagne laga hain thik hogi hi nahi

Aaisi konsi azib bimari ho gayi hain muze

Kya hain n kya nahi

Kabhi idhar dukhta kabhi udhar dukhta

He has shifting pain

Usko sleep ka bhi problem hain

Sound sleep nahi ati aisa bolte rahte hain

Hamesha family ke security k bare me sochta hain

Ladki abhi shadi ki umar ki ho gayi hain

Lekin fat hain...Uska marriage kaisa hoga

Relation with wife :

Actually sex desire is there but poor response from wife...

As she had metrorhagia

Even pt feels apni shakti kam hoti hain isliye main bhi talta hu

Pehle hi bahot physical problem hain

Aur bahot jina hain
प्रापंचिक life se dhyan kam karna hain aur bacchon k liye khada hona hain

Dusre auraton ka khayal dimag me ata hain

Lekin dr aisa nahi hona chahiye na

He says
Aisa khayal nahi ana chahiye lekin ate hain

My 1st remedy gone partial...Little bit better for 1 month

I understood this pt very well during follow ups...After right simillmum prescription

 he misses his dad...

But recently ek aurat ne suicide kar li

Isko bahot dukh hua

Pucha koi relative thi?

Nahi ..muboli bahan thi

विरह सहन होत नाही
जवळची व्यक्ती गेली तर

1st father

Now this lady

Difficult to forget their presence

Pyar k sambandh they...Usne aisa nahi karna chahiye tha.....

After 2 follow ups:

Feeling getting thin
Will be better or not
May be i will not be cured

Mai mere bacchon ka shadi dekh paunga ki nahi

Dusri aurat ke bare me khayal nahi ane chahiye

Uske beauty ki tarif honi chahiye lekin attraction k vichar nahi ane chahiye Meri taraf se

Vikrut vichar ate hain, vo nahi ane chahiye

This is the case........

Bolo ?????

 

Dr Sanjay Jadhav:
I have given this pt  Phos considering business attitude, extroverted talk, celibacy ....

Celibacy was wrong interpretation by me....

Till 1 month it gave partial relief...

So this was 2nd prescription...Lil tig

Rubrics considered :-

Responsibility taking too seriously

Cares business about

Religious affections too occupied with religion alt with sexual excitement

Fear moral obliquity alt with sexual excitement..नीती भ्रष्टतेची भीती

These are the rubrics on which I prescribed

I want to share my habit :

After prescription, during follow ups i write down important says of pts that denotes or reconfirms remedy.

Through this habit we get another rubrics of same remedy

On retro i got

Muscle refuse to obey the will when attention is turned away....

Bhagwan ka naam lo nahi to sexual thoughts will crowd in mind...

That's why he was saying I am deliberately trying to take Gods name (chanting) so that these thoughts should not come in my mind

I am sharing follow ups says with rubrics that gives more explanation
..

Nature :

Fly members say apko hamesha jaldi hoti hain

Even bike riding is also.

Ye bhi hona chahiye vo bhi hona chahiye

Koi kam tal nahi sakta sab karna padta hain to ek sath bahot kam karna chahta hu...

*Hurry always in a
*Hurry occupation in desire to do several things at once
*Hurry - duties; as by imperative

Imperative : 

1. an obligatory act or duty
2. That which can not avoided 

Concerned about muscle wasting (wt loss)..... which was not so much.

Aisa kam kam hote jayega wt aur kuchtobhi badi bimari ho jayegi.

3 yrs back did HIV test...Came negative

Why?

As daily handling of pts may be the reason (?)
(पटलं नाही राव)

*Del disease he has an incurable
*Fear disease impending of incurable, of being
*Fear disease impending of unrecognized (kuchtobhi badi bimari)

Unrecognized : 

not identified, detected, or knowna problem that has gone eg. 1.unrecognized for months
2.unrecognized symptoms

Kiya kuch nahi to HIV test kyu karvaya ?

Just handling pts?

So this pt though saying "muboli" bahan.....lafda tha...Isliye to itna affect hua....

धुर बाहेर आला!!!! म्हणजे आत काहीतरी पेटतंय

In follow up he said papa se jyada didi ki maut ka jyada sadma pahucha

So he was lying

Vichar fluctuate hote hain kabhi dharmik to kabhi vasanake...

Apna life kaisa nishkalank hona chahiye
Ayyashi nahi karna

*Fear moral obliquity
*Fear moral obliquity alt with sexual excitement
*Religious affection too occupied with religion alt with Sexual excitement

Hamesha bimari k bare me sochta rahta hu..Usi me atka rahta hu...Kya kare isse kaise bahar nikle...

Brooding over his disease

Datt bhagwan ka jap karta hu...Taki apna paap minus (-) ho jaye...
Dekhna, vichar ana bhi to paap hain na!

Doubtful salvation about

I am responsible person for family members
Mera piche unka kya hoga...Etc etc

Delusion - depending on him, everything is

Follow up :-

Neuralgia better, heel pain better, feeling relaxed especially in hurriedness

Potency :-

30 3doses

Then

200

Then

1m

After 3 months of treatment also...
"Mentally thik hu lekin pain n burning still there..."

Then 30 OD HS 1wk

Next time after a month 200 Od Hs 1wk
Experimented with potencies

Then he got completly better.

Now no such sexual thoughts
Full concentration on opd

"Behan ke khayal" band hain

******************************************

MIND - BUSY - must keep - sexual desire; to repress: (1) lil-t.

ab ye iccha itani badhti hai k isko REPRESS karna padta hai

lil-tig ko desire hi itana zyada hai k kheenchna padta hai andar desire ko

jiske liye lil-tig bohot busy ho jata hai

Busy - fruitlessly

isi liye BUSY rakta hai khud ko

kuch na kuch kaam mei

bhale wo fruitful ho , na ho

dhyaan ye hai k kahi concentration nikal gaya

toh.........................

MIND - CONFUSION OF MIND - muscles refuse to obey the will when attention is turned away: (7) anac. aster. gels. Hell. lil-t. phys. tarent.

galat khayaal aaenge dimaag mei

pata hai k GALAT HAI PAR ROK NAHI SAKTA KHAYAALON KO - LIL-TIG

lil-tog ki ye hai CONFLICT B/N MORALITY AND SEXUALITY

so isi gadbad mei ye BOHOT KUCH EK SAATH KAR LETA HAI

HUME LAGEGA KITANA RESPONSIBLE HAI

PAR YE HUA SUPERFICIAL

To be busy he does many to things at a time... thoda be relax hua to thoughts shuru...He does so much not due to true responsibility but because of fear of thoughts which makes him anxious.

Dr Sanjay Jadhav:
Ye bimari thik hogi ki nahi

Muze to lagne laga hain thik hogi hi nahi

Aaisi konsi azib bimari ho gayi hain muze

MIND - DELUSIONS - disease - incurable disease; he has an: (25) acon. adam. alum. Arg-n. arn. cact. calc. calc-sil. chel. Ign. lac-c. Lach. Lil-t. macro. mag-c. nit-ac. petr-ra. phos. plb. podo. positr. Sabad. spect. Stann. Syph.

AJEEB SI BIMAARI

Ye ajeeb hi to bimari hain...iske thoughts

MEANS HE ALSO KNOWS , ESI BIMAARI HAI JISNE ISKI PURI LIFE PE KABZA KAR LIYA HAIN & NOW ITS A POINT OF NO RETURN

Means no salvation!!!

Anxiety salvation of
Doubtful salvation of
Despair - religious despair of salvation.....

MIND - DELUSIONS - family, does not belong to her own - get along with her; cannot: (1) lil-t.

FAMILY NAHI BELONG AKRTI Q KI YE KHUD K THOUGHTS SE CHUTAKARA CHAHTA HAI

FAMILY KO SAMJHA TOH BELONG KAISE DIKAHEGI

YE MERA BAAP HAIN, aisa?

MIND - DELUSIONS - forsaken; is - care for her; no one would: (4) Ham. hura lat-h. lil-t.

KON HELP KAREGA WHEN I NEED THE MOST?

{{{{AUR YAHI SALVATION NA MILNE KI ANXIETY HAI))))))

AFTER KNOWING WHAT I THINK ABOUT THEM

KABHI NA KABHI TOH LAGEGA HI EMBARRASSMENT K YE MERE FAMILY SE HAI

YA YE MERA FRIEND HAI..

MIND - DESPAIR - religious despair of salvation - alternating with - sexual excitement: (2) Lil-t. Plat.

YE UMAR NAHI IS SAB KI DR , LEKIN KYA KARU , NAHI HOTA CONTROL

SALVATION MEANS - SOMEONE WHO WILL HELP IN THE MOST WORST SITUATION

finding a log while drowning .....

jo sahara mile , even if it is a tinka

MOKSH

if the deeds r bad then no moksh

no salvation

Lil tig highest hai

Q ki karma Ganda hai aur kal ko bhagwaan k darwaaje pe mu dikhana hai

Thank you all 🙏🙏

Dr Sanjay S. Jadhav
MD (Hom)
Dr Jadhav Homoeopathic Clinic,
13, 2nd floor, B A Marathe complex, Station road, Pachora-424201 Dist. Jalgaon (Maharashtra)
Pachora : Pahur : Nasik

drsanjayjadhav5.blogspot.com
9970831063

Ars alb : Core feeling through rubrics

Core of Ars alb through rubrics :-

As we all know Ars alb is known as one of the most fastidious remedies in our materia medica.

In Kent's Repertory, Master Kent has given only 2 remedies under rubric :

MIND - FASTIDIOUS - Ars, Nux

So, let us explain it's journey of Ars with this.
Fastidious is understood as being neat and clean, perfect in work etc but it's not complete meaning.
If we see it's proper dictionary meaning we get :

1. having high and often capricious  standards 
2. difficult to please
3.reflecting a meticulous, sensitive, or demanding attitude

So, what we understand from this is fastidious persons are hard to please. We can not satisfy their demand. They expect more and more perfection.
Ars is under this rubric due to...

Mind - Rest - can not rest when things are not in the proper place

We known example from MM is though Ars is weak he wakes up from bed and corrects the tilted frame on the wall.
Second clinical example i will give is, unless and untill Ars is completely cured he does not feels relaxed and does not let others feel relaxed. He feels how can others take rest while i am sick. If I can not take rest, you should not. Ars tortures the family members who actually help him in sickness.

Mind - Tormenting  - others
Mind - Biting - tumbler

He feels i have taken care and took responsibility of all when I was sick.

MIND - CARES, full of - relatives, about
MIND - CARES, full of - others, about
MIND - RESPONSIBILITY - taking responsibility too seriously

This is because Ars loves his family a lot.

MIND - LOVE - family, for

So, it's now their turn to help me. This is BUSINESS of ars.
So, the rubric...

MIND - TALKING - BUSINESS, OF

Business means give and take phenomenon. That too with the intention of getting profit.

At this point if doctor says Ars why you are so rude and making others suffer for you.
Ars says if they will not help me out then who will ? It's okay to order them to help me when I am sick. So, here he does not feels guilty of being rude with others.

MIND - CRUELTY - loves to make people and animal suffer
MIND - MORAL FEELING, WANT OF - criminal, without remorse; disposition to become a

Second facet of fastidious of Ars alb is presentation.

Ars alb is fastidious only externally as per his cleanliness is concerned.
Ars's table is neat and clean from others side but very messy, disordered and sometimes even dirty from his side which is hidden properly. He will not let others know this.

MIND - HIDING - himself - fear, on account of

Ars is in general very caring and anxious about children. Their education, career and future.

MIND - ANXIETY - children, about his

But he is very miser. He does not easily spend money.

MIND - AVARICE

But, when his children squanders his hard earned money he gets hurted. He becomes anxious about his future now.

MIND - ANXIETY - future, about

Now, he feels children especially sons will expect money from me and I will not let them squander it. At this time safe place is daughters place. It is said 'Everyone should have at least one daughter because she loves and takes care of parents in their last days'. And ars feels daughter will not demand money from me...This is again business sense of Ars.
So, he shifts to daughters place.

MIND - ESCAPE , attempts to - visit his daughter; wants to

Thank you !

Dr Sanjay Jadhav MD (Repertory)
Dr Jadhav's Homeopathic Clinic,
13, 2nd floor, B A Marathe Complex, Station Road, PACHORA - 424201 Dist - Jalgaon (M.S.)
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Rubric : Objective reasonable

Dr Sanjay Jadhav:

MIND - OBJECTIVE, REASONABLE: (17) alum.gl1.fr bell.gl1.fr falco-pe.nl2 galeoc-c-h.gms1 hep.gl1.fr lach.gl1.fr lat-h.thj1 merc.gl1.fr nat-m.gl1.fr nit-ac.gl1.fr plat.gl1.fr rutafd4.de sep.ctc,gk0 sil.gl1.fr symph.fd3.de tax.jsj7 Tritic-vg.fd5.de

 Meaning of this rubric ?

An objective is something you plan to achieve. A military objective is the overall plan for a mission. The objective for a bake sale is to raise money. If your objective is to learn a new word, you have succeeded.

objective is the point of something. If you don’t understand the objective of a class, then you don’t know what you were supposed to learn. The word itself is often used in business or work. Another meaning of objective is “looking at things in a detached, impartial, fact-based way.” If a police officer falls in love with a witness, it might be hard for her to stay objective. The word comes from the Latin ob "against" + jacere "to throw.”

Matlab it's a plan ,a goal , ek laksh hai

the goal intended to be attained (and which is believed to be attainable)

Today I've to finish 3 chapters before I sleep

My goal for today

My objective for today

My most important goal for today

Now let's see what is reasonable

Reasonable describes someone or something that's sensible and fair, like your teacher who gives reasonable homework assignments — they don't take you forever to do and they relate to what you are studying.

If you're reasonable, you have good sense and judgment. A reasonable decision is rational and thought out, like your mom's reasonable rule about not eating crumbly foods in her car. When you describe a store's prices as reasonable, you mean they're fair — not too high. And if you are given a reasonable amount of time to do a project for school, you have no excuse for it being late.

A rational and intelligent sense making decisions

Example now

I did not study because mood nahi tha

I did not study because I have Sports day tomorrow. I've to score in it to get into nationals

Which one you found reasonable

Second one

Why

Because the target is different

Nationals in sports is her target

N not the marks in academics

Exactly

So sensible n rational decision tha to be practicing in nets

Instead of books

The reason behind a event that a patient does or is gonna do, we cannot argue over it

Coz there is no loophole in it to discuss on

So just using this rubric when patient gives reason behind it ....is WRONG

it should be logical

Ur head should nod in yes

It should appeal to ur logical mind

बरोबर आहे तुझं ...असं डॉ च्या मनात आलंच पाहिजे

तेव्हा हा रुब्रिक वापरायचा

जर patient त्यावर काहीतरीच कारण देत असेल तर

Theorizing
Or
Philosophy ability for
Or
Superstitious
हे rubrics येऊ शकतील

 

 Crystal clear difference :

बार बार जताना पडता है की मेरी बात reasonable हैं वो.... Reason power increased👍👍

जतानेकीं जरूरत नही, वो हैं ही reasonable बात ...वो Objective reasonable

Thank you.....