E-LOGS MEDICINE EXPERIENCES
MY EXPERIENCES WHICH INCREASED MY LOVE FOR MEDICINE !!!
( Insidious in onset and gradual in progression 😁 )
Greetings everybody !! This is Rithika , a final year medical student in India. This blog of mine is a depiction of my journey in my medical school along with many patient interactions and learning outcomes. So,come and dive into my journey & fall in love with the subject along with me!!
👉 THE BEGINNING
So to start with , all of this journey has begun when I've attended a YOUNG DOCTOR'S CAMP in a hospital when I was in my 8th standard . Though I always found this stream fascinating , attending the camp and being a part of the medical team for approx 10 days created an immense impact on me. It left me wanting to be a part of this for the rest of my life! And that is how I ended up in a medical college in 2019.
The first class on my first day of college was of physiology ( related to nervous system ) and it was quite an interesting one. The further classes made me more intersted in knowing this beautifully designed yet complicated human body ✨
Almost 6 months later , COVID happened & everything was suddenly halted. We all were at our homes ...very far from our colleges which left us with zero exposure. But then few months later , our General Medicine HOD ,Dr.Biswas sir had made virtual postings a thing!!
We were all in a dilemma in the beginning about how this would go forward as virtual theory classes was something we were aware of...but practical classes virtually......that was a mystery!
Through online classes sir took us to every bed in AMC,ICU and the general wards.We could literally see the patients from our homes and everyday sir discussed about the patients at bed side and left few unanswered mysteries for us to get intrigued and solve them!
Then later we were assigned cases online too! We would interact with the PGs and the interns and they would very kindly send us the details of the patients online even in the midst of the COVID situation ! They are among the reasons of how we could be a part of the team and learn a lot even during our home stay.
Biswas sir has always encouraged us in logging the cases which helped us to always be in touch with the memory concerned with that particular case. In the beginning , I would just log few of them and most of the times all my case entries were in my notes cause' I felt logging was very hectic and time taking😶 . But now when I look back , pause and think , although I've seen many cases than I've logged , I barely remember them and only the logged ones serve as a memory roll for me !!! So this year I'll be more involved in logging too!!
So come and dive with me into a few patient scenarios and learning outcomes:
CASE 1: https://rithika59.blogspot.com/2021/07/59-k-rithika-vasantha.html
A 75 Yr old male with CKD
This was my very first case which I've taken via a phone call ☺️. This was my first experience interacting with a patient and his attendent and it was one of a kind experience!
So the patient presented with itching all over the body , SOB and pedal edema and then we took a detailed history of him and got to know he was a chronic hypertensive patient too. He was also addicted to alcohol and smoking and after examination and investigations , he was diagnosed to have CKD with uremic pruritis.He got treated for the same and later got discharged.
CASE 2 : https://rithika59.blogspot.com/2021/08/59-k-rithika-vasantha.html
A 60 yr old male with altered sensorium under evaluation
This is another memorable case as this made me a little thick skinned...This was my first case which I lost to death!
So the patient presented with fever associated with generalized weakness , irrelevant talk and drowsiness. On history we found he had a history of binge drinking since 4-5 days. He also has a habit of smoking chutta. So he was treated as altered sensorium due to acute alcohol intoxication and was yet under further evaluation. And the next day the patient expired at 1:30pm after being intubated for
CASE 3 : https://rithika59.blogspot.com/2022/03/59-k-rithika-vasantha.html
A 17 yr old girl with severe iron deficiency anemia
Though this seems to be like a simple case , it's actually not!
Patient presented with SOB on exertion and generalized weakness.With H/O of pica nd clinical signs she was diagnosed as a case of iron deficiency anemia and was treated with medication. But the twist comes when she wasn't cured despite the treatment. We thought it was non-compliance to oral iron and started her on parenteral therapy despite which no progress occured. Then , I still remember Biswas sir asked me to present the entire iron metabolism that day and we felt it was something to do with the absorption and metabolism of iron !
CASE 4 : https://rithika59.blogspot.com/2022/08/gen-med-e-log-august-1.html
A 25 yr old with alcoholic liver disease
Patient presented with fever , stomach tightness and bloating , nausea & vomitings , SOB. On taking his daily routine before and after illness we got to know he was a chronic alcoholic and also has a history of smoking. Upon investigating he was diagnosed with Alcoholic liver disease with right sided pleural effusion with grade 1 hepatic encephalopathy. And later he was treated for the same.
CASE 5 :. https://rithika59.blogspot.com/2023/06/gm-final-yr-elog-1.html
A 45 yr old female with weakness in both upper and lower limbs
This was my first CNS case as most of the times I was alloted with CKD cases and liver pathologies. So this was learning experience for me along with the detailed CNS examination
So the patient presented with excessive weakness and fatigue in both her legend upper limbs. She was also seen to have very lo potassium and was treated for the same. She responded very well and regained all her movements by the next 4 days.😃
CASE 6 : https://rithika59.blogspot.com/2023/06/k-rithika-59_87.html
A case of recurrent CVA
I'm very excited even when I'm writing about this case cause' this was the first time I had elicited hyperreflexia completely on my own without any senior or PG guidance ! I was really overwhelmed when I could see all the reflexes responding to my hammer in such an expressive way!! Indeed that was a very special day!
Patient presented to casuality with complaints of inability to speak , weakness in right upper and lower limbs and deviation of angle of mouth to left. He also was an untreated Htn patient..
Although I agree the last 2-3 blogs aren't upto the mark..I would justify myself saying I was really active during the posting hours as well as 4-6 pm around the patients and didn't really focus on updating them😥 . But all of them are now being followed up via PaJr groups ( Patient journey record system) .PaJr are records of patients that are created from the time of presentation and maintained even after discharge for continued surveillance and monitoring of the patients health status and to maximize the benefits of the treatment plan over a long period of time!
I personally am a part of nearly 5-6 PaJR groups and all I could see is a good interaction among the patient attenders and the treating team aiming at the well being of the patient.
To conclude ,
Only 5-6 cases have been attached here , but I've seen many through my eyes , heard many cries of agony and have touched many painful wounds & stories!
All of this has made nothing but more closer to this subject of medicine and whatever branch I'll be taking in the future , I 💯 guarantee that this knowledge will be an integral part of my understanding!!!!
Hope there's a take home message for everybody reading this!!Have a great day and continue to fall in love with this subject !☺️
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