everyday at Sassoon Hospital...

                                                                        Part A The exprience...

"Please help me, Its paining...& I can't walk.."were the cries of a 35 plus female, in the medicine ward of Sassoon hopsital...I, with two of my seniors,one intern & one batchmate,were there to treat her... it was my 5th day at Sassoon Government Hospital, Pune..


"Take her case history"...ordered one of my seniors to me & my batchmate.....well obviously, we have to act obedient in front of our seniors, so we quietly obliged, & started asking her things,which doctors need to know, so as to begin assessment...by the way there's a particular format, & we must comply with it....or else we are termed "stupid" & the information we have collected is termed as "incomplete"...

Anyway, as we tried to make her stop crying and start answering out questions, I wondered whether it was right to manipulate a person like this so as to make him or her listen to our commands & demands...I brushed aside that thought & concentrated on making her answer the questions we are supposed to ask,, after lots of sweet-talking, diplomacy & tactfulness, we finally managed to get her talking & completed case history, by recording her chief complaints, HOPI (history of present illness), past medical history, pain assessment, pain grading & many other things....big list...

After heaving a sigh of relief my batchmate & me looked at one another & we went to our incharge intern to present our case,, After much discussion & stuff...He said, " Its ok, but you have to improve, get things done more faster & correct whatever I have told you...."...he gave us a disdainful & disapproving look, but was smiling at himself as he walked away...My batchmate's face was red already...I guess she was losing her patience...she said " yeah, so easy for him to say this, we do all the work & all he does is arrive at the last scene & tell us how wrong we are.."...

I gave here some water & asked her to chill....after all the interns have gone through the same stuff which we go through and they are almost on their way to becoming a full-fleged physiotherapist...& we still have a long way ahead....

After that we both batchmates were separated & asked to assist our seniors who were treating other patients....I was fascinated to watch how my senior managed make a sixty-five plus old lady stand on her feet, all by her own..I mean, a few days before, she wasn't even able to sit by herself...(she is diagnosed with polyneuropathy). I won't go into details of how & what treatment we gave her that day, but strengthening, stretching,mobilising,finger-nose test,heel knee test,sensory & reflex testing, MMT (manual muscle testing) were few of the things we did on our patient........

Soon, it was time to go back to college & attend lectures, clinics over for the day.....gosh, I was tired & my feet were aching......I mentioned it to my senior, she smiled & told me that this is just the beginning.....still lots more to follow..

                                               Part B Feeling comfortable...

Its been a few weeks for me at the hospital, by now I have become used to the stinking smell of the wards, the suffocating feeling of wearing a mask while in the wards & my eyes have become accustomed to seeing the salines, IV injections & poorly kept beds....I am more open to talking to the people from low socio-economic background as the patients admitted there are very poor... actually poor is not the only word....they are dirty, unclean & stupid, YET, they are happy & smiling. Even if they cry in pain sometimes, they are simple enough to believe us when we tell them that everything is going to be alright...Their eyes gleam with joy,through their dark faces when they see us everyday....

Yes, its tough & difficult to smile & tell patients that they will be alright even though we know that they have a few days left, its tough to handle the patients who are stubborn & keep telling us that they don't need to be treated....But the comfort & satisfaction of trying to make someone better is enough to keep us going....we students go there to learn academics...but along with that we also learn what is it to give our best & what are the meanings of the words "patience" & "satisfaction".....

By the way, as I am thinking of all this, I am in the medicine ward...I watch the the polyneuropathy patient, who gradually stands on her own starts walking slowly around with the instructions of my senior.....she sits down on the bed for a moment, drinks water with her trembling hands....and I smile......

Comments

nikhil said…
its really nice,
finger nose test, heel knee test, rhomberg test etc are for cerebellar functions,

hey if u gonna post more of such incidence,i would surely gonna read,

if possible u can send me feeds on niks00789@gmail.com

thanks
Dr.nikhil prabhu