Patient: R
Age: 33 years
Occupation: Service tax department me kaam karta tha aur usse pehle custom department me tha.
Presenting Complaints:
Patient 5 saal se tiredness aur sleepy feeling almost pura din rehne ki complaint ke saath aaya.Uske saath shoulder pain, kabhi kabhi body ke dusre parts me pain, aur stool pass karne ki constant urge 4-5 times/day rehti thi. Legs me cramps bhi rehte the.Urine: Yellow colour, 6-7 times/day aur 2-3 times night me.
Patient ne bataya ki usne apne parents ki wishes ke against aur different caste me marriage ki thi.
D: Aapne different caste me aur sabke against marriage karne ka decision kaise liya?
P: Pehli baat to love marriage thi. Dusri baat, bachpan se mera dream tha ki main out of caste marriage karunga. Kyunki bachpan me close relatives ko different caste marriage ke against bolte sunta tha. Tabhi maine decide kar liya tha ki main different caste me hi marriage karunga.Achhi marriage hone ke bawajood wife ke saath bahut differences the.Patient hamesha ambitious tha aur professionally grow karna chahta tha. Job ke saath higher course ki study bhi continue rakhi lekin success nahi mili. Failure ke bawajood give up nahi karna chahta tha.
P: Andar se kuch bhi please nahi karta. Main kabhi bhi so sakta hu. Main apni job se satisfied nahi hu.
D: Job se satisfied kyu nahi ho?
P: Mujhe meri sincerity ki wajah se transfers milte rahe hain.
D: Kya matlab?
P: Main hamesha innocent logon ki help karna chahta hu aur jo law break kare unke saath strict rehna chahta hu. Main sincerity se kaam karna chahta hu lekin mere colleagues aur boss ko ye pasand nahi. Is wajah se mujhe desired work nahi milta. Mujhe less important work dete hain jahan public dealing na ho.
Following rubrics ke basis par Nux vom 3 diya gaya:
GENEROSITY
Generous: Liberal, dusron ko space dene wala, unbiased.
ARDENT
Ardent: Intense in his thinking and working, committed, enthusiastic, keep making efforts.
SENSITIVE, rudeness to
Rudeness: Ill mannered, proper attention na dena, honor/status/position ko respect na dena, discourteous, blunt.
SENSITIVE, moral impression to
Moral: Ethical, blameless, principled, right aur wrong conduct regarding disciplined. Impression: Attack, issue.
PERSEVERANCE
Perseverance: Determination, continuously efforts karte rehna.“
Neither a Nux.vom patient can tolerate the slightest contradiction to her wishes nor will the gentlest persuasion make her do things differently from what she always does.”(Allen Encyclopedia)
Follow up after 6 weeks:
Patient ne report kiya ki medicine start karne ke next week se hi relief milna start ho gaya tha. Last report me urine, stool, shoulder pain, tiredness aur sleepy feeling sab gone the.
Physical symptoms ke relief ke saath office working condition, ambition aur wife ke relation ke towards attitude me bhi complete change aaya.
Change ye tha ki usne accept kar liya ki baar baar exams dene ka koi use nahi hai aur future attempts ka idea drop kar diya.
Uski thinking me change aaya ki morals compromise kiye bina colleagues aur boss ke saath good relation maintain karna hai.
Usne bataya ki ab wo un cheezon me adjust karna seekh gaya hai jinke regarding pehle rigid tha.
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