Setting the scene in
OPD
As a general tradition and mode of
opportunity for the new comers in Homœopathy, the Homœopathic Medical Colleges deputes
the BHMS final passed out students during their internship in the college’s
OPDs, to make them learn the mode of practicing & prescribing.
At their full extent the colleges direct their Internees to learn
practically the Art & Science of Homœopathy.
During this period the colleges sharpen the skill of their Internee to
serve the community as a healer.
I’m not about to write just golden words about colleges & their
OPDs. I’m just to say how to set the
scene in OPD.
It is obvious that Internees are always guided by the Senior Doctors,
but it is must for them to know that during a CASE TAKING, what is there to
do, what is not to do, and how to take the case, as well.
Let we start. When a patient comes to you, just tell them to sit at
first but with neutral behavior and exclude the power of position or attitude
whatever you have. You must remove the arrogance and attitude from you before
the patient & their attendant. You are healers, neither the rulers nor the
dictators.
And now switch them on by just saying :-
“Tell me, what lead you here?” (Kaise
aana hua?) or “What has been happened to you?” ( Kya hua aapko?) And stay back listening and observing them.
And first of all try to have sympathy towards the patient and try to
feel the suffering and pain of the patient, this will stop you from spoiling
the case.
Do not interrupt the patient or their attendant until they complete
their talk or at least their sentence. And do not ask the suggestive questions
as been guided in the Organon Of Medicine.
Once the patient has stopped, ask
them if they would like to tell you something more.
They will never show the
Soul of their suffering until you established the Rapport. The Rapport is
the familiar and happy relationship between the physician and the patient.
You will have to become the friend of the patient
at that very time of Case Taking.
You will have to console them at sometimes.
You will have to boost-up them by making them
confident.
You will have to make them sure about their secrecy
from your side.
Once the Rapport is established, they will most
of the time lead you to the similimum without much exercise over the case.
When the patient is
uttering his/her symptoms do not ignore them and do not displace your attention
from them. And never ask or talk to your colleague or your senior until the
patient has finished his/her sentence.
And if you’re not taking the case, just sit quite, watch the scenario
and do not interrupt or suggest until, unless asked by the one who is taking
the case. Even do not move when the patient is uttering and is in between the
sentence.
And the above paragraph should be strictly followed.
And at the end when you and
the patient have finished, you must discuss the case with your colleagues and
your seniors but not in front of the patient.
Dr.
Sarfraz Ali Siddiqui, et al.
