My experience in general medicine department.

 

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

June 11 2023

Iam ReethikaReddy vookanti currently in my final year, am here today to share my experience in detail throughout my course of undergraduation in the medicine department.

Fisrt mention goes to the method of introducing online elog. 

Online mode of entering all the information each individual gathered, from their first encounter with patient till his discharge from the hospital, including his subsequent visits to our hospital.

We learn from various departments not just from general medicine ward, when we try to make a blog,whuch wouldn't be possible if it weren't for the online blogs and presenting to our mentors during postings.

Questions posed to us during our presentation and while attending rounds, helped us learn the subject in detail from the pathology point of view, endemic relations of the disease, how the treatment varies from individual to individual, and the follow up. 

I also got to observe and learn various procedures, like paracentesis, lumbar puncture, pleural tap, dialysis. 

I also learned how to interact with the patient, which I was poor at in the beginning of my 2nd yr( the first time I attended the postings). Initially I was only concerned with gathering the information from the patient. Few of them were agitated and they didn't share enough information, that would help me understand the disease in depth.When my fellow students gathered more information on the history than me, I decided to change the way I interact with patients. 

I began to start the conversation with basic questions like "How are you feeling today" 

"Have you had your food" "Are you feeling better than yesterday" " Are the doctors taking good care of you". 

Then I slowly slide into asking why he came to the hospital in the first place, what were his complaints, about his family, his lifestyle, his daily environment, gradually HIS TOTAL JOURNEY THROUGH HIS ILLNESS. 

Then I ask his permission for examining and  tell  him that allowing me to examine him would help me in the learning process. 

AND ask him to mention when ever he is uncomfortable, because his comfort is my first priority. 

When iam done with examination I would THANK him for his cooperation and give him HOPE that the doctors are gonna take care of him, to their fullest. 

I observed a lot of change, in terms of the information they share with me, their discomforts and even information they didn't tell my fellow students. 

Soo I ended up having suffient amount of information, sometimes even more than my fellow students and continued to following the same method. 

I also talked to their family memembers for the problems that they encountered. 

Eventually from being agitated by my questions patients started to share more information while being friendly and respectful. 

 

Few of them still used to shout at us after being very nice to them, as they were very few in number, they didn't bother me that much. 

NOW IAM GONNA SHARE MY EXPERIENCE IN DETAIL WITH ONE PATIENT. 

https://reethikareddyrollno174.blogspot.com/2023/04/anemic-patient-with-blood-in-stools.html

He was 35 yr old male who presented with chief complaints of 

BLOOD in stools

Shivering 

Lightheadness

Black spots all over his body

Fever and headache. 

I was the first one to encounter him after he was admitted in the AMC. 

MY first impression of him was that he is very restless, anxious and shared all his discomforts with me. 

He was very anxious to share his problems and to know come to a conclusion for his illness. 

From this case, I learned the following points

1. I learnt to localise the disease by asking various questions for one symptom. For example how the color of blood changes depending on the source of blood. 

Then i made a list of disease that would effect the region, then I asked various associated symptoms to narrow the cause for the disease. 

Then I asked about his lifestyle, food habits, stress levels, environment he lives in to get an in depth relation between the cause and his illness. 

This would help to suggest the patient any changes in that respect that would alter his disease outcome. 

He was admitted for 6 days. And I observed he was feeling better day by day, untill he was discharged. 

2. I joined a PAJR group for updates regarding the patient and to discuss the learning points with my fellow students, my mentors, senior residents and our HOD sir. 

I THANK THE WHOLE GENERAL MEDICINE DEPARTMENT FOR  PROVIDING A PATH FOR US TO LEARN THE SUBJECT IN A BETTER WAY. I THANK OUR HOD SIR WHO GUIDED THE ENTIRE DEPARTMENT FOR INTRODUCING THIS INTERACTIVE WAY OF LEARNING, WHICH IS VERY HELPFUL AND I WILL CONTINUE THIS TYPE OF ACTIVE LEARNING IN MY FUTURE FOR A COMPLETE SATISFACTION.