HYPOCHONDRIA EXEMPLIFIED
Hypochondria isn’t a rare finding but you find it in diverse
forms and once when it crosses
pathological threshold it presents in different forms like OCD, hysteria or
mauchean’s, and sometimes being excessive vigilant smart ass ends up having the
real ass red.(No pun intended).
CASE 1
This patient once had a fractured hand. He went into shock
that how in any possibility this could ever happen. As his argument, he always had
balance diet and kept thorough score on his calcium supply. It was later
explained to him that his vit D3 plunged and hence he ended up having a hairline
fracture in his phalanges.
Though his middle finger fracture and his pain was under
control but the curiosity to see his finger healed made him undergo various
x-ray films from different radiology lab. He had at least 15 x-ray of that
injured finger. He only stopped when his stomach snatched all the limelight for
the little finger. His gut failed to digest anything. Everything that went in instantly
reversed back.
Running from pillars to post different doctors took two months,
no relief and five kg weight loss. Finally one wise doctor gave footage to his
recent history and saw the pictorial display of his injured finger.
Now he is undergoing treatment for x-rays poisoning.
CASE-2
This particular 16year old boy was diagnosed with Urticaria.
He become so disgusted with even a little scratching that he started popping
anti- histamine as candy.
Though it put him under drug induced haze but put itching at
bay. That was a done deal from him even when his doctors asked him to cut short
his dosage.
Six months down the line, his GI tract revolted. Doctors were
‘on’ with another ‘irritable bowel syndrome’ diagnosis with is liver enzymes
(SGOT, SGPT) going sky rocketing.
It was again drug induced. He was put under treatment. He was
improving too but trust is not the word in his dictionary. Every fifteen days
he got his blood investigated for SGOT and SGPT and once those numbers dips his
confidence increases. He goes for repeated investigation against the advice of
his doctors.
CASE-3
This woman is atypically well read, so proficient that she
can read between sentences as well as spoken words. They say ignorance is bliss.
But thanks to Google that bliss have long ago fainted away. It became very
difficult for a doctor when Wikipedia trained patient contribute in DDX or ask
you to pen few extra unwanted investigation. Belonging to such species, this
woman came with prepared thesis on her symptoms as well as probable diagnoses.
And any symptom that appears on the scanner is to be checked by doctor
instantly and thoroughly or she loose sanity and become ICU hysterical.
Now here is the problem, when you drawn your doctor with
symptoms it becomes difficult to fish out the genuine treatable one and authenticity
of everything is lost in mid air.
So patients, be aware but beware of your idiosyncrasies.
CASE-4
They are high alert patients of Dengue, malaria and chickenguniya
seasons because every mosquito bite makes them go into anaphylactic shock. The
most shocking reaction to mosquito bite is about a patient, who after being hit
by a random astray mosquito went into completely inconsolable state beyond any
comprehension.
His blood sugar dipped and he almost fainted creating panic
in household.
In the hospital, where each and every test known is med books
was performed and all came under normalcy limits.
Three days after when he was discharged, he had a shameless grin
on his face, ‘’Sorry False Alarm!’’, while his father was holding a fifty
thousand bill.
MORAL
Don’t be a boy who called fox. Because when the real fox come
no one will believe you.
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