How To Fill A Case History In General Medicine Form: Fill & Download for Free

I am a resident in a teaching hospital in North Bengal called North Bengal Medical College.It is a Government Hospital. Government hospitals in India are catastrophically overburdened all the time.While it is true that the state has many government hospitals most of them with good specialty and super-speciality support are located in the state capital city of Kolkata and southern part of the state. The total number of patients are divided among the 5–6 hospitals in the city and the three other hospitals in South Bengal.You can see how far away from the other colleges NBMC is located.In North Bengal there's no other Apex Institute. Every patient in a 500km radius is referred to this hospital. It doesn't need a lot of imagination to understand how busy the OPD and ER is. We're talking 10–15K attendance everyday only in the OPD. I'll put in the reference when I find it.And then there is the ER with its continuous inflow of patients 24x7.On top of all this, since it is a comparatively newer institute (50 years old this year!), the departments have fewer Residents/Post Graduate Trainees than the Kolkata hospitals.The department of General Medicine has less First Year Residents than Units. There are 4 Residents every year and 6 units like every other place.That means every resident works in TWO units - there are two admission days every week.What are admission days?Admission days (Ad days) are 24 hour long ordeals where the doctor's primary objective in this setting is to keep the patient alive. There is no time for anything else because there are approximately 70 - 100 admissions everyday, depending on the weather.That's around 3–4 patients every hour on an average (more during the day and less at night) with a peak of 6–8 per hour.History, examination, diagnosis, resuscitation and maintenance of 6 patients in an hour is a miraculous feat, believe me. I've been there.The beds are filled at 30–40 admissions. Then ward floors are filled. Then the corridors start filling up.The next day is the post-admission day (Post Ad day) for this resident. This is when they try to fix the underlying cause. The diagnostic dilemmas are dealt with.Imagine the rounds - they happen twice a day (morning and evening) with 70–100 patients. Easily 4 hours each. Add to that, writing the daily clinical notes. Sending refers. Transferring patients to other departments like Surgery or Obgy.Did you forget the existing patients from the previous admission day? They need to be followed up.Easily 12 hours of work.The next day is the “light day” or the Pre-admission day. The residents try to discharge as many patients as possible in preparation for the next day - the next admission day. Two rounds.9 hours of work.And then there are rotation weeks (every 3rd week) where the Sunday is also an admission day for this resident.Look at a rotational week:Sunday: Ad day 24 hoursMonday Post Ad day 12 hoursTuesday: Ad day 24 hoursWednesday: Post Ad day 12 hoursThursday: Pre Ad day 9 hours.Friday: Ad day 24 hoursSaturday: Post Ad day 12 hoursThat's a 117 hour work week. Out of the total 168 hours that a week supposedly has.On non rotation weeks, he has 90 hours every week.I could have been talking about ANY resident who lives like this and this question would have been answered.But I am not.I am specifically talking about my roommate.He is one of the most dedicated doctors that I have seen. Not because he does this, but because he does this with a hip joint that looks like this -Compare with the opposite side and see how different the femur bone looks. What you see is destruction of the femoral head that is a part of one of the most important weight bearing joints.This is what your hip looks like 14 years after you have had a misdiagnosed and untreated Septic Arthritis at 12 years of age.It is an orthopedic emergency which needs treatment to be initiated within 6–24 hours, roughly.If you don't go to a doctor or if he/she misdiagnoses it, you end up with permanent deformity. It rapidly damages your bones and joints.You walk with a limp.You end up with chronic pain that needs regular painkillers.(The House MD similarities stop right here. He is the warmest, kindest and the most selfless doctor I have seen.)You cannot run, squat, drive or ride a bike. There are several limitations on your range of movement.You should not stress the joint because it causes a lot of pain.For a person like me who becomes grumpy because their limbs hurt after an enthusiastic day at the gym, it becomes very difficult to imagine that this guy has not only been dealing with next level chronic pain since he was a 12 year old kid, he finished his med school and chose general medicine to specialise in because he is passionate about it.He chose to work 90–110 hour weeks. He chooses to do all this simply because he loves saving lives.Sometimes, he has to take Tramadol shots, an opioid derivative that is a potent analgesic given as an intra-muscular injection in the middle of his work just so that he can continue.Forget regular people, even other doctors like me have a hard time not being in awe of dedication like this.Moreover, remember, how many patients are admitted on the floor everyday?Can you imagine examining them on the floor? Or performing procedures like cannulation/ascitic taps/ lumbar punctures on the floor? Cramped spaces and awkward angles used to give me low back pain back in the day and I only did it for two months.Well, he's doing it. With that pain and with all those limitations.Right now, as I write this comfortably in my room, he is yet to return from his post ad day.He will return at around 11–12 and collapse on the bed.I'll ask him how it went.He never complains about the work (that's my job); he will instead tell me about the all the interesting cases and funny incidents because he knows I love brainstorming and discussing them. He will tell me how a particular patient died before he could intervene or he'll tell me about the murmurs he heard.The last admission day - Sunday- he had to return at 1 PM in the afternoon because someone had accidentally poured a bottle of Organophosphate on him. That's a weedkiller poison. The person who brought the bottle died of skin absorption. So he had to rush back to change and shower.Yet, he didn't hang back and rest for an hour. He rushed back as soon as he could.I sometimes ask him, “Do you regret taking General Medicine? Something like Radio-diagnosis or Pathology would have been easier for you.”The last time, he smiled at me and pointing at his stained dirty pants, he asked me, “Do you know why they stink no matter how many deodorants or perfume I use?”“Why?”“Because I sit on the floor and work. Thousands of people walk over those floors. A foot away, patients pee, poop, vomit 24x7. Sometimes I get some on my clothes. Who knows what's on my pants. Do you remember the feeling?”I nodded, thinking about the days of internship in the medicine department. Bitter-sweet memories.“Well, my patients poop, pee or throw up on me and I save them. There's no greater satisfaction.”As I sat there flabbergasted, he smirked and left for work.I decided to share his photo.This is Soumya Mukherjee. He returned right now, totally fake cried after reading this and decided to leave an upvote before he started snoring.This is how I used to see him before he started working here.And now?This is how I see him 90% of the time in our room.

Thanks for the request Naem Firoz !!Clinical postings if possible should be attended. As they form the base of Medicine. I'll tell you how ??• General Medicine :These people will tell you history taking which is the primary and the most important thing in making diagnosis. Probably half of the diagnosis you can make through history that you need just to confirm by signs, symptoms and test reports.Other thing you will get live demonstration on patients by residents or senior doctors which practically you'll not find in books.We were shown different cases like ascites, malaria, dengue, typhoid, meningitis etc• General Surgery :Same thing goes for the history taking in surgery posting also.Here you'll be shown live surgeries also (you can't do though). :PWe were shown gall bladder removal, a case of inguinal hernia, breast carcinoma etc.• Obstetrics and Gynaecology :Here also history taking, introduction to the instruments used in this field.We were shown 4–5 normal deliveries and 3–4 cesarean deliveries.Drugs used in this feild were also briefed to us.• Community Medicine :This is the most interesting part of the postings. We were posted in a village whose people are fed of these inquiry things. We were alloted different families.I was absent on first day so one of my friend told that we have got same joint family whose one brother is alloted to you and other one to me.Yesterday when she visited that family they shout at her and said they are in no mood to answer her questions.When she told me this I was scared but still I decided to visit that family alone without her. :DWhen I visited them I talked polietly and they welcomed me also gave every detail about their family be it earnings or their earlier history. This way I filled my register. (Not boasting) :PWhen I went back, she was surprised how I completed my task with such a rude family.This is the best part of the Community Medicine postings, doesn't matter how much you know but if you don't know how to talk to people than studying medicine is of no use.After filling my register I informed them that I'll meet them in next year too. :PThere were other postings like Radiology where we were shown ultrasound taking, TB and chest postings, Opthalmology and ENT postings were also there for 15–15 days each where we were introduced to each subject.So this is how our postings went in second year and as per me we made best utilization of time allotted to our postings.Pic Source : Google Images.(Just an effort) (:

Hi,Kharkiv National Medical University is one of the best medical universities in Ukraine. The city is good and people are friendly.Kharkiv National Medical University (KNMU), Ukraine is one of the oldest government universities in Ukraine. The University was founded in 1805 as the Medical Faculty of the Kharkiv University. It was later renamed as Kharkiv Medical Institute and then as Kharkiv State Medical University and presently it is known as Kharkiv National Medical University.Kharkiv National Medical University is amongst the best medical universities for MBBS in Ukraine for Indian students who wish to study medicine in Europe. Historically, the University has been a top medical educational institution in Ukraine. The Degree of MBBS (MD – General Medicine) of Kharkiv National Medical University is prestigious and it is recognized worldwide.Indian students are taught in English medium at the university. Practical training of the students starts from the 3rd year and is arranged in the municipal hospitals and clinics of Kharkiv city. Students are given the task to examine the patients, give urgent aid, fill case histories with their subsequent analysis, work at X-ray rooms, clinical and biochemical laboratories.Since 1951, Kharkiv National Medical University has been training doctors from different countries of Europe, Asia and Africa. Presently more 4,600 foreign citizens are studying at Kharkiv National Medical University (Medical / Dentistry / Pharmacy Faculties, and PG course). More than 7,500 international students have graduated from KNMU since 1951. Among former graduates of the University, there are ministers and members of parliaments in various countries, outstanding scientists and famous specialists who founded their own clinics abroad.