Thread: Hepatitis - B
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Old 7th February 2003, 06:16 PM
Dr. Aamir Shahzad's Avatar
Dr. Aamir Shahzad Dr. Aamir Shahzad is offline
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Join Date: Jun 2001
Location: Pakistan
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Dr. Aamir Shahzad
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First Name:
Age: 25
Height: 5 feet 6 inches
Weight: 50 kg

1. What is your chief complaint (CC)? Tell as much about it as you can, including what is the worst part of it and why it's the worst: the sensations, the kind of pain, the location, how your energy has been affected (for example, has the complaint made you restless, weak, nervous, anxious, irritable, hypersensitive, effected your thirst and appetite, your body temperature, and so on). In other words, how you are different since you became sick?
I don't know the chief complain but I am hepatitis b positive
2. When did this problem begin? What happened in
your life around that time? What do you think
caused it?

In my village, this problem is spreading day by day. I was asked to check my blood for lab investigation. The lab reports reveals that I am Hepatitis B +ive
3. What aggravates the CC and what brings it on?(for example, certain types of food or weather, movement, light, noise, company, talking,
heat/cold, or anything else that you can think
of; please be specific) and what makes the CC better (for example hot or cold, massage, eating, lying still, music, company...)? In other words, what does it make you do to try to feel better, to cope?

No Aggrevation but after eating feels discomfort. uneasy ness and slight burning but I am feeling much more after diagnosing Hepatitis C
4. At what time of the day or night is the CC the
worst? Specify an hour if you can.

Not any specific -
5. What symptoms can you identify that accompany
the CC (whether directly related or not; for example, headache with nausea; or menstrual cramps with diarrhea; a cold with irritability and anger)?

Nothing
GENERAL QUESTIONS
6. Environment: With regard to the seasons, weather, outdoor temperature, indoor temperature, drafts, air quality, airconditioning, ocean air, mountain air, humidity, the sun/rain/thunderstorms/clouds/fog, etc.: what environmental factors give you comfort and relief, and which ones cause discomfort and distress? Try to give examples.
Coryza in cold or on change of weather
7. What position is most uncomfortable for you?
No
8. a)Do you tend to be chilly or warm? Are there parts of your body that are colder or warmer than the rest of you? Is there a special time of day or night when they are colder or warmer? b) Do you perspire a great deal? If so, when? And where on the body? (feet, head, hair, chest, armpits, etc) Does it leave a stain of a particular color? Is there a particular odor?
balance
[b]9. Describe what your tongue looks like./[b]
clear
MENTAL/EMOTIONAL
10. What do you worry about? How do you deal with
worries?

Never bothered but I am worry about my present disease Hepatitis
11. How do you keep your house/your desk/your room/your study/your bathroom?
clean
12. How easily do you cry? In what situations?
I generally face the problem
13. When you are upset, what do you do to help yourself feel better?
Nothing special in this question for me
14. What makes you angry? What do you do when you're angry?
The patient is loughing on each question (Doctor's comments)
15. Do you have an emotion that predominates; such as anger, depression, irritability, anxiety, jealousy, joy...or possibly two emotions that tend to alternate predictably?
anxiety about hepatitis and now anxiety about answering this long list
16. What fears do you have?
Hepatitis B
17. What have been the most difficult circumstances in your life? How did you cope?
Hepatitis
18. What are the greatest joys you have had in
your life?

Earlier I was but not this time. I am thinking about my hepatitis
19. What was your childhood like?
My mother is not the world . Please ask this question to my mother. I don't have any idea.
20. What bothers you most in other people? How,
if at all, do you express it?

I never think about this...
21. What causes the most problems in your relationships?
I did not understand
22. Do you have any recurring dreams? What are they about?
About hepatitis problem :razz:
23. What would you need to feel happy?
when I will be recover from my ailness
24. What do you do for work? Ideally, what would
you like to do?

not understood
25. If you were made President for a day, what would you change?
don't joke with me doctor. I am very much serious about my disease and you are joking with me. I think you are not taking my problem seriously. If you don't want to treat me. Tell me I will see another doctor who will take care about my disease.
26. When people have criticized you, what were they complaining about? Similarly, when people have praised you, what did you receive praise for?
27. What would you like to change most about
yourself?

Don't waste my time. I am tired now.
FOOD
28. How do you feel before, during and after
meals? How do you feel if you go without a
meal?

When I am hungry. I suffer with frequent urination problem.
29. What would you most like to eat (if you did
not have to consider calories, fat, anything
you've read about the right way to eat)?

Not special
30. What foods do you dislike and refuse to eat?
What foods do you react badly to, and in what
way?

feel discomfort after eating sweet things.
31. How much do you drink in a day? Include
sodas, juice, coffee, tea, milk, and
alcoholic beverages as well as water. How
thirsty do you tend to get? What temperature would you like your drinks to be?

one glass. weather is cold. tea two cups now a days.
SLEEP
32. How is your sleep?
was better but now slightly irregular. You know it is due to the news that I am hepatitis B patient.
33. Do you do anything during sleep? (speak,
laugh, shriek, toss about, grind your teeth, drool, snore, walk, talk, etc.)

My wife never complained about such things. it means nothing special to observe.
34. Do you have trouble falling asleep? What keeps you awake? Do you wake always at a certain time? What causes you to wake up? What position do you sleep in?
No

HEALTH HISTORY
40. What medications are you taking at present?
thinking about homeopathic medicine. No medication earlier
41. How frequently do you get colds and flus?
after three to four months
42. Have you had any childhood illnesses twice,
or in a very severe form, or after puberty?

can't say
43. Have you had any vaccinations since the
standard childhood ones? Have you ever had an
adverse or unusual reaction to a vaccination?

no
44. Have you had any surgery? What and when?
minor surgery in the form of circumcission.
45. Have you had at any time (mention year):
warts, cysts, Polyps, or tumors? Where were they located? How were they treated?

nose polyps slightly enlarge
46. Do you tend to have any discharges (nasal,
vaginal, etc.)? What is the color, consistency?

no
SENSITIVITY
47. a) Do you tend to need a smaller dose of
medications than most other people?

small quantity
b) Do you need less anaesthesia than others,
or have a hard time coming out of it?

no experience
c) Do you tend to react to vitamins and herbs
and/or need hypoallergenic vitamins?

no
d) Are you sensitive to paint fumes, exhuast,
dry cleaning fluid, fragrances etc.?

no
48. Family history: Mention diseases, causes
and ages of deaths of father, mother,
sisters, brothers and grandparents on both
sides.

father: respiratory infection and phlem formation common
mother: died after typhoid attack
49. Construct a time line: Mention from birth
on to the present day, all IMPORTANT events
(emotional and physical traumas,
heartbreaks, divorces, work-related events,
diseases or traumas your mother had while
being pregnant with you, family stress,
death in the family or of friends,
disappointment, etc.) Mention the symptoms
experienced at those moments or which you
can date to those traumas.

hepatiitis conscious
50. When you stand in line at the bank or supermarket, how do you feel?
In Pakistan we don't have any such kind of tradition.
51. When your family member was last sick, what did you do?
no remember
52. How is your sexual energy?
weak after listening hepatitis news
53. How do you react to consolation
not believe on lie consolation
54. What part of your life do you have the most difficulty coping with.
no
55. What are your hobbies?
no hobbies. but like to play cricket and football
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