How to Enter a Case in Mind Method

Unearthing (Bring to light) Missing Links

“Missing links” woh issues hote hain jo physician aur patient ki understanding ke beech gap create karte hain.

Kai baar physician ko lagta hai ke usne patient ko samajh liya hai aur medicine prescribe kar di, lekin patient better feel nahi karta.

Physician baar baar try karta hai phir bhi success nahi milti aur aakhir me patient lose ho jata hai. Har baar exact target hit karna possible nahi hota.

Kai baar hum missing link ko samajh nahi pate jiski wajah se case solve nahi hota.

Physical aur mental symptoms ke alawa bhi kuch aise issues hote hain jo case taking me ignore ho jate hain ya unko importance nahi di jati.

Patient apni problem ko apne tareeqe se communicate karta hai aur physician symptoms ko apne tareeqe se dekhta hai. Isi wajah se mismatch hota hai.

Har patient directly apni sickness ya concern ke baare me hi baat kare yeh zaroori nahi.

Woh social issues, business, family matters wagairah ke baare me bhi baat kar sakta hai jo sickness ki direct cause ho sakte hain ya sickness ke saath increase/decrease hote hain.

Har individual ka apni problem express karne ka alag style hota hai.

Physician aksar rare aur uncommon expressions dhoondta hai aur common expressions ko ignore kar deta hai, jaise:

“Doctor, what is the cause of my problem?”

“Please tell me Doctor in how many days I shall get better.”

“Please give me a strong medicine by which I can get quick relief.”

“He has come with lot of hopes/faith that his problem will get solved by homoeopathy.”

“He wishes to know in how much time his problem will get better.

”Yeh sab common expressions bhi case ke important entry points ho sakte hain.

First Point

• Dr : aapko hamare bare me kisi ne bataya hai ???
• 2 posible answer is there …
  • 1= yes (refrence hai)
  • 2= No (refrence nahi hai)

If a patient visit to a doctor after he gets reference:

• Dr = Aap ko hamare clinic ke bare me kaise pata chala ?
• Patient may say
  • version 1= Mujhe mere ek dost ne apke bare me bataya jisko aapne treat kiya tha
  • version 2 =Maine aapke baare me kisi se suna tha
• Dr= aapne mere baare kya suna tha jiski wajah se aapne mere paas aane le liye socha ?
• Patient May say
  • version 1 :Mujhe kisi ne mujhe bataya aap bahut zyada experience dr ho,aur mere jaise aapne bahut saare case theek kiye hai.
  • version 2 = Maine suna hai aap patient ko accha waqt dete ho.
  • version 3 = Aap bahut acche doctor ho etc.
• Dr= Mere pass aane se pahle mere baare me kuch pata lagaya ? Ya bina kisi se hamare bare me pooche clinic chale aaye.?
• Pt = Maine koi varification nahi kiya ;Jaise hi mujhe aapke bare me pata chala turant maine apko call karke appointment fix kar liya.
• Dr:=tumne mere bare me pata kyu nahi lagaya ??
• Patient may say
  • version 1 = kyunki mujhe uski zarurat mehsoos nahi lagi
  • version 2 = Mujhe us admi par hi bharosa hai jisne aapke pass bheja hai .
  • version 3 =agar mere kisi qareebi ya dost ne kisi ke bare me acchi tarah bataya ho to uspar bharosa karna mere liye koi mushkil nahi.
• Certain rubrics can be used for above versions:•
  • CREDULOUS : bar-c, bell, puls, staph•
  • NAIVE : bell, bov, cic, falco-p, lava-f, stram

ii. If a patient visits a doctor, on his own without any reference then:

• Dr = hamare clinic ke bare me kis ne bataya ?
• Pt = kisi ne bhi nahi,yeh mara apna decision hai.
• Dr=tumhein mere baare me kaise pata chala ?
• Patient may say :
  • Version 1=Mai internet par doctor search kar raha tha waha se pata chala .
  • Version 2= mai chalte huye ja raha tha aapke clinic ka board dekha uspar aapka naam ke neeche Homeopath likha dekha To mujhe laga apni health problem ke bare me batane ke liye milna chahiye.
    • INQUISITIVE (11) : agar, aur, choc, hyos, lach, laur,lyc, puls, sep, sulph, verat
  • Version 3= Mujhe medical article ya journal padhne mi adat hai .
    • READING; passion to read medical books (5) calc,nux-v, puls, staph, sulph
  • Version 4= Maine helpline number par call karke pooche mere aaju baju me koi Homeopathic doctor hai.
    • LIGHT; desire for (21) acon, am-m, asar, BELL, calc,cann-s, carb-an, choc, GELS, grin, haliae-lc, irid, lac-c, nat-m, phos, plb, ruta, sanic, STRAM, stront, valer

Above Rubrics which can be used for a patient who visit a doctor without any reference .

2nd Point:

Pt ko kya zarurat doctor ke pass layi ?

• Dr: bolo kyu milna tha aapko mujhse ?
• Pt: Mujhe doctor aapse baat karne ka waqt nahi mila, mai aapse apne problem ke bare me batana chahata tha .
• Dr : apne problem ke bare me batao ? Aap mujh se kya chahte ho?
• Pt : usually answer mujhe kya chahiye,bus aap mera ilaj karo , mujhe accha kar do
• Mostly patient aapke pass kis liye aaya hai,ilaj q karana cahta hai ,uske man me kya chal raha hai ,aapse ilaj ke baad uske kya expectations hai.
• Aap agar poocho ge kya chate ho to patient commonly bolenge .
  • 1)Mujhe is problem se bahar nikaalo
  • 2)Main jeena chahta hun
  • 3)Mujhe tandurust hona hai
  • 4)Main Hamesha apni jindagi bed per nahin gujarna chahta
  • 5)Main chahta Hun Meri jindagi se sabhi bimariyan dur Ho jaaye aur main Azadi se rah saku.
  • 6)Koi Mujhe bimaar kahe yah main Sun nahin Sakta
  • 7)Main bimar Hun Aisa kisi Ko nahin dikhana chahta
  • 8)Main kuchh kaam ke layek rahna chahta hu
  • 9)Main kisi ke upar dependent nahin rahana chahta
  • 10)Mujhe Meri independency chahie
  • 11)Main Apni jindagi ko enjoy karna chahta hun
  • 12)Main bardasht nahin kar sakta
  • 13)Ab To had Ho gai.

Hamein woh patient jis situation se nikalana chatata hai woh aisa q chahta hai woh pata karna hai : For example

• Dr : aap kya chahte ho ?
• Pt : mai healthy hona cahta hu ?
• Dr : healthy matlab???
• Pt: healthy matlab
  • i)Mai apna kaam kar saku
  • ii)Jo mera man kare woh kha saku.
  • iii)Jaha mera man kare waha ja saku.
  • iv)Mai accha dikhna chata hu.
  • v)Mai apne kaam kar man laga kar kar bina rok tok ke kar saku
• Dr: to kya tumhe lagta hai abhi tum healthy nahi ho ?
• Pt:haa , jabse mai bimar hua hu tab se lagta hai meri puri energy kam ho gayi hai.
• Dr:tum mere pass kis liye aaye ho apni bimari ke liye ya healthy hone ke liye ya energy ke liye ?
• Pt: basically mai dawa lene aaya hu jis se meri takleef dur ho jaye aur mai fir se healthy ho jau

Note:dr ko prejudiced nahi hona hai, patient jo bol raha hai uske peeche uska kya concern hai woh janna hai.

Yaha patient ka main concern kya hai uska Healthy hona hai.

Patient ke hisab se uska healthy hone main concern hai yani agar woh healthy raha to woh asani se apne kaam karega ,jaha man karega jayega ,jo man karega khaayega .

Ab uske baqi complaints jaise ,loose motions, headache,joint pain, chest pain etc theek bhi ho jaye woh complete cure nahi hoga jab tak uski woh healthy hone wali feeling theek nahi ho jati .

Isliye hamein main feeling ko dekhna hai ke woh asal me kyu aaya hai.

• General Rubrics:•
  • ANXIETY; health; about
  • DESPAIR; health; of : calc,staph•
  • LOQUACITY; health; about his : NUX-V•
  • SADNESS; health; about the : sep, staph

• But the in depth rubrics behind feeling of being healthy issue are:•
  • DELUSIONS; poor; he is : bell, calc-f, hep, mez, nux-v, psor, sep, stram etc
  • FASTIDIOUS : alum, anac, ars, CARC, con,graph, nat-m, nat-s, nux-v, PULS, thuj etc
  • FEAR; society; of his position in : sep, staph etc
  • FEAR; observed; of her condition being : CALC, chel, choc etc
  • VANITY : bell, lyc, nux-v, plat,puls, sulph etc

3rd Point:

• Patient apne problem ke baare me kya sochta hai ?
  • doctor kya meri yeh bimari theek hogi ?
  • kya Homeopathy me aisi koi dawa hai jo mera problem solve kar de
• Dr: Kya tum har waqt iske baare me sochte rahte ho ? Ya jab free rahte ho ya kisi specific reason par sochte ho ???
• Patient may say,
  • i)Mai har waqt yeh nahi sochta kr theek hoga ke nahi , lekin jab dard hota hai tab sochta hu yeh treatment se theek hoga ya nahi Waise to main nahi sochta lekin jab kisi se baat cheet ke time mere sickness ki baat aati hai tab mai apne bimari ke bare me sochne lagta hu
• Dr: accha kis tarah ki baat soch me aane lagti hai ??
• Pt : soch jaise ke .
  • 1) mai theek hounga ya nahi
  • i) agar haa to kitna time lagega
  • ii) agar nahi to,mere pass ilaj karane ke ilawah dusra option kya hai
• Dr: kya tumhare thoughts negative rahte hai ya positive?
• (Note:Agar patient ko lagta hai ke woh theek ho jayega fir bhi uske man me negative thoughts aasakte hai aur agar theek nahi ho sakta ,theek hone ka bilkul chance nahi hai , fir bhi usko positive thoughts asakte )
• Negative patient= Aise log jo asaani se himmat har jate hai ,unko bimari se ladne ke liye bahut himmat dilana padta hai , treatment lo aap theek ho jaoge tab jakar woh treatment lega ,treatment se agar improvement bhi woh satisfied nahi rahega , bolega dr mujhe jitna fayda hona chahiye utna hua.
• Positive patient=Hamesha umeed ke saath rahte hai Bimari se ladne ke liye Hamesha tayyar bhale unko results na mile treatment seIstarah hum unbiased hokar proper Rubric dhund payenge.
• Rubrics for negative state, with no hope, incurable feeling, when there is no change in sickness or even if there is a little or substantial improvement in the case.•
  • DELUSIONS; fail; everything will (7) •
  • DESPAIR; recovery; of (49)
  • DESPAIR; recovery; of; convalescence; during (1) psor•
  • DISCONCERTED (2) •
  • DISCONTENTED; displeased; dissatisfied (169)•
  • DISCOURAGED; impatience; with(1)•
  • DISCOURAGED; pain; from (4) •
  • DOUBTFUL; recovery; of (31)•
  • DOUBTFUL; recovery; of; medicine is useless (2) •
  • FEAR; disease; incurable of being (15) •
  • INDIFFERENCE; recovery; about his (3) •
  • PESSIMIST (19)•
  • RESIGNATION (15) •
  • SUICIDAL (100)•
  • UNFORTUNATE, FEELS (20)
• Rubrics for positive state, with hope, curable feeling, when there is change in sickness, or get assurance or belief in God or even if there is a no, little or substantial improvement in the case, the positive feelings remain intact, for such state rubrics are:•
  • DEFIANT (25) •
  • HOPEFUL (14) •
  • OPTIMISTIC (20) •
  • OPTIMISTIC; in spite of the weakness (3) •
  • PERSEVERANCE (12) •
  • POSITIVENESS (17) •
  • REST; when things not to proper place; cannot (3)

4th Point:

• How the problem is affecting the life?
• Dr : yeh problem se apki life me kya diqqat ho rahi hai ??
• Pt : jabse bimar hua hu ,tab se meri Personal aur professional life me bahot badlav aaya hai .Jaise Ab kaam/business karne ke liye motivate nahi rahta Ab kisi ke saath rahna ya usse kuch discuss/interaction karne ka man nahi karta na ghar walo ke saath ,na dosto aur na colleague ke saath
• Dr: aisa kya reason hai jiski wajah se tu apni motivation kho rahe ho aur kyu Kisi ki company nahi pasnad hai??
• Pt : Is bimari ki wajah se thakawat si mehsoos hoti hai ,susti rahti hai,pura badan me mano jaan nahi rahti isiliye kaam karne ka man nahi lagta .Ab kisi ke saath raho to usse baat karne ke liye taqat hi nahi hai.Isliye company pasnad nahi kar raha.
• Dr :Ab kaam karne ka man hai ya nahi ??Kya energy kam hone ki wajah se kaam nahi kar pa rahe ho.?
• Pt: Ab koi bhi kaam karne ka man nahi hai Ab kaam karne ka man hai lekin energy hi nahi hai.•
  • BED; remain in desires to; (18) •
  • DUTY; aversion to domestic (4) •
  • DUTY; no sense of duty (12) •
  • EAT; refuses to (22) •
  • INDIFFERENCE; lies with eyes closed (3) .•
  • INDIFFERENCE; life; to (14) •
  • INDIFFERENCE; pleasure; to (46) •
  • TORPOR (27) a

5th Point:

• Dr : jab se bimar huye ho aapke mood me kya badlav aye hai.
• Answer may be 2 type
• Type :1 Kuch patient ko clear pata hota hai ke jab se bimar hua hu mere mood me yeh woh badlav aaye hai.aur Aise patient ke mental status ko catch karna asaan hota hai.
• Type 2 kuch patient ko clear nahi pata hota hai.Ya hosakta hai ke woh confuse ho gaye ke Physician mere mood ke bare me kyu pooch raha hai
• Physician ko chahiye ke kuch clue de ke aapka reaction kya hota hai .
  • Kya tumhein baatien karne ka man ho raha hai
  • Kya shor sharaba se koi diqqat.
  • Kya akelapan mehsoos kar rahe ho etc
• Kabhi kabhi is se patient ko pata chal jata hai Usne apne attitude aur behaviour me changes dekhe the lekin usko nahi laga yeh mere illness ka ek part hai isliye usne nahi bataya
• Bahut baar humein hesitation hoti hai patient se personal ya professional questions karne me ke kahi patient ko bura na lag jaye.ho sakta hai kuch log bura maan jaye shuru me lekin ek baar jab baat cheet start hogi to woh bhi settle ho jayega aur apne emotions ke bare me khul kar asaani se bata payega.aur hamari hesitation bhi kam ho jati hai.
• Patient may say….Jabse bimar hua hu koi mujhe samjhaye aisa mat karo waisa karo to aur mujhe takleef hoti hai
  • ADMONITION; agg (9)
• pata nahi kyu choti choti baat par gussa aa raha hai .•
  • ANGER; trifles; at
• Man karta hai ,koi mujhe acche se care kare
  • CARRIED; caressed and; desires to be
• Koi mere dukh ka bojh apne kandhe par utha le mujhe shara de de•
  • CARRIED; desires to be; shoulder; over
• Mujhe koi bhi nahi pasand mere aas pass koi bhi dikhna nahi chahiye •
  • COMPANY; aversion; avoids the sight of people
• Jab mai akela rahta hu to takleef badh jati hai fir sochtaa hu koi saath hota to accha hota
  • COMPANY; desires; alone agg while
• Mai apni buri guzre huye yadon ke bare me soch me pad jata hu.•
  • DWELLS; on past disagreeable occurrences
• Bahut akela sa mehsoos hone laga hai FORSAKEN, FEELING
• Mai turnat ghabra jata hu
  • FRIGHTENED; easily
• Isi tarah aur bhi type ke reply
  • MOOD; repulsive
  • QUIET; wants to be
  • TALK; indisposed to; desire to be silent; taciturn
  • MUSIC; agg
  • MUSIC; amel
• Aise aur bho answer aasakte hai .