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
