Pampered diagnosis !

-
Pampered diagnosis ! 
A young lady with dreams of bright future as a model had cough since six months. she had dry cough most of the time. Her throat would itch so severe that she would feel like scratching the inside of throat. The unpleasant sensation was a constant  trouble for her. As the time passed she got habituated with her cough. 

She was a conscious educated  person regarding her health. So, she took medical advice from a reputed doctor for her problem. She was assured of the benign nature of her cough. She also had some noisy breathing along with cough. Cough and noisy breathing came together like twin brothers. Any doctor with an average IQ would suspect  her  having bronchial asthma. 

She was given asthalin  puffs through inhalers. In addition to the asthalin, she was prescribed steroid based puffs. However her symptoms never subsided completely. She never had these symptoms in the past. Her abdomen was fine and had no urinary complaints as well. She had frequent visits with different doctors as her symptoms never went away. She had diagnosis of having asthma on each visit.The medications also didn't get luxury of change. It is usually seen that  the diagnosis made at first time follows as legacy in each visit because of ease of copying the same diagnosis. 

After these six months of her irritating cough, she had fever for 7 days. In the current scenario, he was admitted for the test of covid 19. When she was negative for covid 19 , she was transferred to general bed. On reviewing her history,  she had noticed gradual decrease in weight since four months. She was never asked the leading question about her weight. Noone recorded her weight in outpatient visits. She was more than happy with her weight loss. It had been difficult for her to be slim and glamorous. However, she never put any physical effort to decrease her weight. 

Her chest x-ray was normal. Her fever subsided in a few days. Her cough was still persistent and had some sputum production as well. It wasn't surprising that her sputum examination  revealed rod shaped pink bacilli consistent with mycobacterium tuberculosis. What was the  key symptom that received least care from herself and the doctors  ? What possibly  made Tuberculosis come to play ? 



Comments

Post a Comment

Popular posts from this blog

अन्नपूर्ण बेस क्याम्पको यात्रा आत्मसन्तुष्टि वा अहम् सन्तुष्टि !!

-
Image
अन्नपूर्ण बेस क्याम्पको यात्रा आत्मसन्तुष्टि वा अहम् सन्तुष्टि !! ( यो एउटा यात्रा अनुभव मात्रै हो । पट्यार लागेमा क्षमाप्रार्थी छु ।) प्रारम्भ : शरद रितु निकै मनोरम रितु हुन्छ । न धेरै गर्मी न धेरै जाडो । चाडपर्वको मौसम । दशैँ तिहार छठ पर्वको मौसम । सबैको विदा आदि पर्ने मौसम । अस्पतालको दैनिकीबाट टाढा हुन खोज्ने मनहरु मिल्न पुग्दा यात्राको तय हुने गर्छ। यसपटक पनि अचानक अन्नपूर्ण बेस क्याम्पको यात्रा तय हुन्छ । र झिनोमसिनो तयारी गरेर यात्राको लागि ६ जना निस्किन्छौँ । त्यसमाथि म तीन वर्ष फेरि डि एम कार्डियोलोजीको बन्धनमा घोडाजस्तै दौडिन पर्ने निकट भविष्य सम्झिएर घुम्ने इच्छा पूरा गर्नु पनि थियो । बुटवलबाट २ बजे निस्किएर पोखरा साँझ बस्ने गरी निस्किने भनेको हिँड्दा नै ४:३० बज्छ । इलेक्ट्रिक गाडीलाई चार्ज गर्न ढिला भएकोले समयमा हिंड्न नसकेको भन्दै थिए ड्राइभरले । सोही गाडीलाई पुनः स्याङ्जामा चार्जिङ गर्नुपर्ने रहेछ । यसो विचार गर्दा सार्वजनिक एलेक्ट्रिक गाडी प्रयोग गर्ने चार्जिङ स्टेसन आदिको  संरचनाको विकास अझै भइसकेको देखिन्न । त्यसैले मलाइ भने जाती लागेन । यात्रा प्रारम्भ ( प...
Read more

बाटो बिराएका रोगहरु ।

-
बाटो बिराएका रोग र ल्याब टेस्टहरु । पृष्ठभूमि : चिकित्सा पेशामा नजिकबाट अनुभव सङाल्न लागेको धेरै वर्ष बितिसक्यो । स्वास्थ्य सम्बन्धी जानकारीमा पनि धेरै परिवर्तन भएको छ ।  एउटा जमाना रेडियोको थियो । जसमा बि बि सि समाचार सुन्न राती पौने ९ बजे कुर्न पर्थ्यो । त्यो धुन सुन्न निकै मन पर्थ्यो । अचेल हात हातमा मोबाइल छन् । कुनै पनि समयमा मन लागेको समाग्री सुन्न र हेर्न पाइन्छ । सायद सजिलै प्राप्त हुने ज्ञान खँदिलो हुन्न रहेछ कि । सूचना सम्प्रेषण द्रुत गतिमा हुनु आफैमा एउटा विकासको खुड्किलो मान्न सकिन्छ । हरेक विकाससँग केही विकार पनि साथमा हुनु स्वभाविक हुन्छ। सुचना सामाग्री कतिपय प्रचार प्रसारका लागि हुन्छन् , कति केवल भियुज बढाउनको लागि हुन्छन् । थोरैमात्र ज्ञान सम्प्रेषणका उद्देश्यले हुने गर्दछन्। अचेल स्वास्थ्य सम्बन्धी सामाग्री सामाजिक संजालमा मनग्गै भेटिने गर्छ । स्वास्थ्य सम्बन्धी सामान्य जानकारी निकै नै सरल भाषामा सूचना प्रवाह गर्नु उचित हुन्छ । उदाहरणका लागि खुट्टा सुन्निने, बिहान उठ्दा आँखा वरपर सुन्निने भएमा किड्नीको समस्या हुन सक्छ भनेको सुनेर चेकजाँच गर्न अस्पताल जानु मुन...
Read more

नेपाल पूर्वको यात्रा , सिकाउँछ पाठ धेरै ।

-
Image
नेपाल पूर्वको यात्रा , सिकाउँछ पाठ धेरै । खण्ड   "क"   यात्रा पृष्ठभूमि यात्रा एउटा आफैलाई चिन्ने मौका हो। अरुलाई चिन्ने अवसर पनि हो। यात्रामा आफ्नो आशाअनुसार र आफ्नो अनुकूलको वातावरण नहुन सक्छ । कहिले सजिलो यात्रा हुन्छ त कहिले कठिन यात्रा हुन्छ । हरेक अवस्थामा आफूलाई अनुकूल बनाउने प्रशिक्षण पनि यात्राले प्रदान गर्छ । हामी यात्रा गर्न शौखिन हुनाले धेरै जना साथीहरु मिलेर जाने सल्लाह हुँदाहुँदै पनि कारणवश सबैको समय अनुकुल पर्दैन । त्यसैले भाइटिकाको अर्को दिन विहान हामी दुई जना (म र मेरी पत्नी सविता)  सल्लाह गरेर एकाएक निस्किन्छौँ  पूर्व नेपालको  यात्रामा । बुटवलबाट विर्तामोडसम्मको कटु यात्रा । वीरगन्जभन्दा उता कहिल्यै गएको थिइन । दिउँसो ३ बजेको काँकरभिट्टाको बसमा चढेर अर्को दिन बिहान १० बजे विर्तामोड उत्रिन्छौँ । सोचेको भन्दा गाडीले ढिलो पुर्याएको पक्कै हो । धन्य हाम्रो विकासोन्मुख सडकनिर्माणलाई !! हामीलाई विर्तामोडबाट उत्तर पर्ने ताप्लेजुङ जिल्लास्थित पाथिभरा मन्दिरको दर्शन गर्ने हेतुले गाडी खोज्छौँ । तर ताप्लेजुङ जाने गाडीको टिकेट बिहान ९ बजेसम्म मात्रै हुने र...
Read more