MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE

 

MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE

Hello, 

This is S MD ZIAUDDIN. Currently pursuing my final year of MBBS. 

Medical study is very fascinating with endless new things to learn from. The human body is a temple of all kinds of emotions and biochemistries and disturbances in their ecosystem or balance leads to diseased state. 

To me studying medicine was a goal from my childhood and with increasing age I was intrested more and more in this holistic approach towards human body and it's behaviour. Whenever I used to see a prescription I used to go through the medicines prescribed and know their uses like as simple as for what are they used ex: paracetamol for fever, citrizine for allergies and so on. But as I started my medical journey it attracted me more towards the bodies functioning it's way of reaction towards outside world and so on.

Coming to my final year to be honest due to some medical issues of my own and some personal stuff going on in life I was never regular to college so had missed out a lot on case taking and it's application.

As the course came to its end I started attending regular case scenarios and our GENERAL MEDICINE department made it more easy for me by making learning groups online portfolios to learn from. We were asked to get involved into interactions with esteemed doctors our own PG's professors and mainly our HOD SIR.

Without any inhibitions I was able to message them any time to clear up my doubts and they were there to assist me and guide me.

With the help mentioned above am now at a stage where I can take a case on my own and also apply the medical aspect of learning towards medical learning. Am more confident now about my approach towards case taking and application.

My first encounters, 

As of my first encounter I used to just go through the cases which my friends used to make and learn about it each and every aspect I would search online or learn from my professors and the interaction groups made by our HOD sir 

Then as I became confident with my cases 

I proceeded towards my first case.

It was a 88 years old male with chief complaints of hearing loss with heaviness.

My first impression as soon as I saw the patient was he was very old but yet was very active. He was resting in the genral ward I was unable to trace him so I shouted for his name and he reacted to it very actively and within fraction of seconds got up and say on the bed. I was amused to see his active nature. 

As I continued with my case taking I got to know that he is a farmer by occupation and was very active in farming. With time he developed hearing loss in his right year which was very recent. But in my view his ability to hear was good only but I guess it might have diminished.

As I asked what were his chief complaints I discovered a new complaint that was pains in his joints. He was unable to walk without the support of a cane and this made him feel dependent on the cane for movement.

Thought ought examination of his joints and the location of pains showed restricted joint movements but were of minimal extent. He was referred for xray and other investigations. And at the end of my interaction with him I gave him a hope of betterment and that he will be well soon, this made the patient smile and he thanked me again and again. I felt very happy and overwhelmed after his reaction.

https://smdziauddin203.blogspot.com/2022/12/88-year-old-male-with-chief-complaints.html

This case taking made me more confident and I started actively participating in case taking and it's presentation as blogs.

Then recently I was given an opportunity to take a telephonic case which was referred by my HOD sir. Here the task was to interact with the patient on phone and take down his history and case taking.

The patient was from West bangal. 

The case was 52 years old male with htn diabetes and low back ache.

Upon interacting with the patient I discovered many things for example he had a job which required him to sit for long duration of hours and he had to deal with his sons medical condition which influenced his economical and emotional condition.

After the case was taken he was carefully guided and followed up for about 2 weeks in which his diet was being checked on regular basis and also the medications which were prescribed to him. 

After this 2 weeks of span hus reports were very good as he had improved well metabolically and showed a good prognosis.

https://smdziauddin203.blogspot.com/2023/05/52-years-male-with-hypertention.html?m=1

The above 2 experiences of mine teached me a lot about medicine and human beings. 

There is now no limit to patient doctor communication as technology has advanced and it is the way we doctors communicate with the patients brings about a lot of change in our case taking follow up and prognosis.

This is because it influences the patients mood and emotions towards us and his ability to share his life issues and experiences with us. So more the patient feels comfortable more good will be our case report and our ability to understand his case.

The smile and the happiness of the patients at the time of their discharge or when they feel a positive change in their condition boosts my morale and the doctor in me becomes more passionate and focused towards helping the humanity and bringing about a change in their lives.

At last I would like to say our profession here is termed noble as it requires a lot of humanity kindness patience and our shear will to help the individuals who come for our help.

These experiences of mine in this online learning portfolios, group interactions and the support of my PGs SRs and HOD SIR made me a more focused confident doctor and am very thankful to them for what am today.

This is just the start there is more to learn and apply in the life of medicine.