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...
