The head of a particular department called me last week to inform me about a staff in his department. He was surprised to note that I knew the person and had referred him for more detailed work. I then told him where I see staff in his campus (without regn) to decrease #stigma
Today I saw three patients from his dept. He had sent them. He had enough trust. Would continue to work with all of them.
It is a great joy when people in your hospital start recognizing your work. Nothing pleases a clinician more than referrals from colleagues.
One of the three had optic neuritis. He is off #alcohol now. He is struggling with #tobacco. I told him it is understandable that he couldn't stop even though he knows the price he is paying is hugh. This is how #Addiction is. Told him to consider a quit date.
Told him we can discuss use of medication to help him quit (next visit).
I have grown more patient in the last one year, giving more time for patients to process info to take decisions and make changes. What taught is not just age or experience but the long list of failures. END

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More from @askdheeraj

Mar 18
Reviewed a 67 year old lady with reccurent #depression. She has developed sleep disturbance for the past 10 days. The family suspected she might have a major breakdown and reviewed today.
Her brother and a daughter were her caregivers.
Tried to see if she had any stress. Indeed there was. Her BCom educated grand daughter was in love with a BCom educated classmate of hers. Both were 22 years old, working and were interested in marriage. The only issue was #caste.
The daughter of the patient actually had married parent's brother. She eloped with someone leaving the daughter. The man brought up the girl with assistance from his sister (also kids maternal grandma).
He couldn't digest daughter falling in love in another caste guy.
Read 7 tweets

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