MBBS – A CLINICAL CASE HAVING EXCELLENT PROGNOSIS

MBBS – A CLINICAL CASE HAVING EXCELLENT PROGNOSIS

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A 19-year-old male patient by name Mr. ECG presented to Dr. SMC (that’s my college) with chief complaints of an ambition to become a doctor since childhood. He was apparently asymptomatic before the thought, and the presenting complaint was sudden in onset after seeing, gradual in progression, with an ever-increasing severity since the past 2 years and was stimulating in character, aggravated by seeing the successful doctors, and relieved after enjoying with the non-medical friends.

His past history – No similar complaints in the past. He is not a known ‘ratta’ master. There were no similar complaints from the other members of the family. On general examination, he was conscious, coherent, cooperative, well oriented to time, space and person, but is little disturbed. Higher functions – normal. Attitude – ambitious. No abnormality was detected on clinical examination. He was admitted, for observation to relieve his complaint, and was subjected to a battery of investigations spanning over a 5 and a half years, involving all the senior members of the college.

At first, he was reluctant to get treated (ragging) but gradually was cooperative. He was put under tremendous pressure in the latter part of the first year. Complained of palpitations and nausea the day before the exam. Was not prescribed anything. He ultimately cleared the first year exam. This phenomenon continued until the third year, and a good response was noted as his chief complaint started to show some sort of improvement. All of his engineering friends were well settled. He was aging. He was feeling insecure. Somehow, by God’s grace, he was able to clear the final MBBS exam. BUT, that journey– was filled with a lot of pressure, tension, insecurity, etc. He became tired of the investigations and even questioned his mind during the announcement of results. He did not have any previous experience of doing this. Ultimately he did it.

Today he doubts, he doubts of his intellectual curiosity, whether he really needed this. He is even more confused than before about his ambition. He wants to achieve and prove it to the world that he is something in the world. He realizes that the journey which he faced is just a preview of the future. Digging his own road, he found himself landed nowhere. Now he wants to go back to that every time, and then change everything, but then he is confused again as what to change. The treatment and investigations the college gave were too much for him. And suddenly he realizes one thing. … it is this journey which makes him unique. it is this very journey that makes a man out of you, that gives you all the stress needed in the world, and top of all the individuality which is also a by-product of this arduous journey. He did a bit of soul searching and realized that this is the way life here is and hence his complaint grew in terms of severity. He realized that every person who joins medicine and is ambitious in finishing the journey is a successful person. Every doctor represents a success story. There is nothing like an unsuccessful or a successful practitioner. A physician is always a physician. This chap now realizes that he was just ground mentally and physically, and finally, he became a doctor, without realizing.

MORAL – MBBS TEACHES YOU A LOT OF THINGS, SOME OF WHICH LIKE EXAM FEAR TO GET THE HELL OUT OF YOU. ENJOY THE JOURNEY AND FORGET ABOUT STRESS. RESULT WILL BE A BY-PRODUCT OF YOUR UNFORGETTABLE JOURNEY.

but it is after your MBBS life starts part of which is an awful lacuna which gets filled up with joy when you get through your entrances and embark towards your final destination.

Post-graduation begins with a new story…….

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Yasir Bhat | Proud member of MEDGAG | Author

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