Sunday, September 14, 2008

Round Notes

A few exerpts from work

On rounds we see this manic patient ( it seems to be the season for maina!) and the history is presented and diagnosis confirmed. But what the heck it's supposed to be "teaching rounds" so Chief decides to ask the resident to do a Mental Status Examination (MSE) on the patient and asks the resident for his impression in the various areas assessed. The chap (resident) was looking stumped when it came to his impression of personal judgement: the patient had responeded to his question of "What would you do in the future?" with " I want to serve you all here and this institution!" Chief helped him out with the obviously right answer "Social judgement impaired!" His and ours!

India's such a collectivistic culture etc etc I never cease to hear that in our Depart-mentals, nevertheless this was the heights of it. . . Hospital rules have it that all patients in the open ward must have an attender 24 hours. There's this manic chap (a rather disruptive one at that) who'd been with us for over a week. Owing to his symptoms his caretakers had fled since he'd been giving them more than a blue eye! On rounds we decide he's better and since he has no attendent he ought to be discharged- we ask nevertheless " how are you feeling now? etc etc and who is with you- looking after you here? "My wife ran away and my relatives are'nt willing to come but thats not a problem- my neighbour's attender s now my attender! Love thy neighbour no sir!" Real collectivist!

Yet another Manic being assessed on "insight" into illness. Patient says he's in a hospital and the JR asks " But what kind of people come to this type of hospital?" trying to elicit the response indicating someone slightly mental. The guy goes "Why sir, doctors like you!"

7 comments:

Jyo said...

EN-joyed!:)
Loved the way u picked them raw, cleaned, sliced and cooked with few spices:)
Only few !!
:)
keep posting!!

Ajay said...

Good one, yah patients over their serving the doctors for nothing but time.....

Anonymous said...

rounds are half the time about standing in circles and voting for what some unhappy (or then, unusually happy)guy is suffering from. but they sure have more insight about the world than the professional scratching his head on the other end of the table does :-)

Anonymous said...

And I'm sure you keep a straight snooty face (as usual!!) through it all!

Anonymous said...

hahaha..too funny.. i can literally hear you!!

Unknown said...

:) Good one... Keep up the good work...

Anonymous said...

:)