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Male
patient Mr.SK
age 44 comes
with chief complaint
of psoriasis
since 1977.
Started as a
small spot on
scalp &
then started
spreading all
over body. Now
all over body
& also on
both legs.
All
joints are also
affected, Joint
pains +++. Can’t
even press the
horn of motorcycle,
causes pain.
Small joints
of fingers pains++.
< Draft of
Air +++ ( Fan)
< Exertion
+
< Sitting
for a long time
< Sitting
on floor (cold
floor)
Sinus
complaints since
childhood. Pain
left side face.
Sensation of
electric current
left side of
face when the
teeth’s touch
together.
Appetite
: Good. Prefers
warm food.
Craving:
Sweets+++
Aversion:
Vegetables,
Bitter
Thirst:
Thirstless
Stools:
Constipated.
Doesn’t feel
fresh in mornings.
Urine:
NAD
Perspiration:
Feels more on
left side
Sleep:
Good Dreams:
NIL
THERMAL
MODALITY:
FAN:
Can’t tolerate
fan. Sleeps
away from fan.
Slow in summer
BATH:
Warm Water throughout
COVERING:
Has to take
always
WEATHER:
Can tolerate
summer more
than winter.
PAST
HISTORY:
FAMILY
HISTORY:
F : Died of
cancer ’84
M : Hypertension
LIFE
SPACE:
Patient
from a middle
class family
had to struggle
a lot in his
life. He is
5th
in his family.
2 elder brothers,
2 elder sisters
& 1 younger
brother. He
has 2 daughters,
6 yrs old &
1 yr. old. Married
at age of 38.
Q:
Why married
Late??
A:
Because
of Family problems
& brothers
dispute. 2nd
elder brother
is mentally
retarded. He
creates problem
in house. He
washes his eating
plate 4 times
before eating.
Harassing others
a lot because
of his problem.
So I had to
take care of
him. I had sisters
to get married.
Eldest brother
was good before
marriage but
once he got
married he left
house &
started living
separately.
So all responsibility
came on me.
I got my 2nd
brother treated
(Now he is improved),
got my sisters
married, made
my younger brother
complete his
education &
stand on his
own feet. So
till that time
I could not
think of marrying.
After all problems
got solved &
everybody was
settled I decided
to get married.
I don’t like
unnecessary
fightings so
I got separated
after marriage.
I started living
independently.
Q:
Why??
A:
I’m self-dependent.
I studied on
my own, &
took care of
all my family
members. Once
everybody was
happy I got
separated. I
didn’t take
any share from
my fathers property.
I don’t want
anything. I
will create
everything on
my own.
Q:
Why??
A:I
don’t like to
take anybody’s
help. Whatever
I have decided
in my life to
achieve, I have
achieved. I
never had any
ambition for
false things
or excess. I
want to leave
my life peacefully.
I’m engineer
in BMC. I have
selected planning
department.
Nobody wants
to come in this
department because
you cannot make
money from this
department.
But I purposely
selected this
department because
in this department
there is no
contact with
people so there
is no chance
of corruption.
I hate corruption.
Q:
Why you don’t
like corruption.
A:
Everybody
should do their
work honestly
then only this
country can
survive. Even
with my brothers
I’m honest.
We had a big
property. But
because they(brothers)
could not handle
that, &
all tenants
had grabbed
that property.
I intervened
in that matter
& convinced
tenants to develop
this land. I
constructed
a building there
& gave everybody
555 sq. ft.
flat. This was
not possible
but since I
was knowing
law, I helped
my brothers
to get the land
& some money.
I didn’t wanted
any benefit
for myself,
but it was my
duty to help
my brothers.
Q:
What tensions
you have?
A:
Tensions about
my family. Today’s
world is very
bad. Females
are not capable
to handle everything.
So I have tension
about my family.
All are females
in my family.
I have become
old now. Though
I have made
all arrangements
financially
but still I
have tensions.
Now since none
of my brothers
are taking care
of my mother,
so I have brought
her to my place.
I also have
tensions about
her because
she is not keeping
well.
Q:
When do you
get most angry??
A:
I
never get angry.
Why should one
get angry.
Q:
What do you
fear most??
A:
I
only fear that
there should
be no mistake
from my side.
I don’t like
if I make any
mistake. I can’t
tolerate this.
If some mistake
happens from
my side I think
a lot on that.
I ALWAYS TRY
THAT THERE SHOULD
BE NO MISTAKE
FROM MY SIDE.
Q:
Can you give
an example
A:
Once
we had to give
a permission
for construction
of a petrol
pump. This proposal
came to me.
I send my assistant
to check the
spot & take
measurement.
He verified
& based
on his report
I gave the permission.
But still there
should be no
mistake so I
went personally
to that place
& checked
again. I found
that my assistant
had made a mistake.
Though this
was his mistake
I took it personally
& then went
to various departments
to again revoke
the permission.
That whole week
I was disturbed.
Though this
was not my fault,
& I was
no where guilty,
nobody can question
me on this point
as I have acted
on the report
submitted, but
still I took
all the trouble
so that there
should be no
mistake from
my side.
Q:
What will happen
if you make
a mistake??
A:
I
can’t afford
to make mistake.
My career has
been clean.
I don’t want
anybody to attack
on my career.
If I make a
mistake then
my superiors
will attack
me & then
I have to defend
myself. Also
this is a joint
responsibility.
I just cannot
escape from
my responsibilities.
Though my assistant
gave the report
it was my duty
to recheck the
measurement
& then only
give the permission
Q:What
dreams do you
get.
A:
Nothing specific.
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