THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT The individualizing examination of a case of disease demand following qualities from the physician Sound senses Attention in observing Fidelity in tracing the picture of the disease Freedom from prejudice


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT Taking care to request them at the commencement to speak slowly that he may be enabled to follow them in taking down whatever he deems necessary. One of the most important thing in securing the image of a sickness is to preserve in simplicity what the patient tells us in his own way


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT The patient narrates his sufferings. His relative will tell what he has complained of, how he has behaved himself, and all that they have noted in him. The physician sees, hears and perceive with his other senses what there is of an altered or unusual character about him.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT He writes all this down in the exact words which the latter and the persons around him make use of. He permits them to continue speaking to the end without interruption, except where they wander into useless digressions.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT Let him tell it in his own way without interruption and in the record use his own language, only correcting his grammatical errors for the purpose of procuring the record as perfect as possible. If you use synonyms be sure that they are synonyms and cannot be perverted.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT When the woman speaks of her menstrual period as "monthlies" or as her "show", the more suitable medical term is "menses," which is synonym for those expressions, and is more expressive than her own way of calling it "a show". So in general terms you can substitute terms of expression so long as you do not change the idea.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT Of course, the changing of "legs" into "limbs" if you feel like making such a change is not a change of thought, but be sure in making a change it is not a change of thought.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT After the patient has detailed his sufferings in his own way and you have gone through them and discovered all the things that you can predicate of his symptoms then you can proceed to make enquiry of some one who has been with this patient.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT Now, this should to decide whether the observer is overanxious, if a wife whether she is not frightened concerning her husband and so intermingles many of her notions and fears, which you must accept with discretion. It is important to have the statement from one who is disinterested.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT It has been the study for hundreds of years to find the best way to question witnesses in court, and as a result they have settled upon certain rules for obtaining evidence. homoeopathy also has rules for examining the case that must be followed with exactitude through private practice.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT If you neglect making a careful examination the patient will be the first sufferer, but in the end you will suffer from it, and Homoeopathy also. The questions themselves that Hahnemann gives are not important, but they are suggestive and will lead you in a certain direction.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT Question the patient, then the friends, and observe for yourself; if you do not obtain enough to prescribe on, go back to particulars. After much experience you will become expert in questioning patients so as to bring out the truth.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT You must put yourself on a level with the form of speech your patient use. Be sure you have not put any words into your patient's mouth or biased his expression. You want to know all the particulars but without asking about it directly.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT If you ask a direct question, you must not put the symptom in the record, for ninety-nine times out of a hundred the patient will answer by 'Yes' or 'No'. If the patient's answer is 'yes' or 'No', your question is badly formed. If a question brings no answer let it alone, for he does not know or has not noticed.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT Questions giving a choice of answers are defective. Ascertain the precise part of the body the pain was in and the character of the pain, etc. In investigating a case there are many things to learn, The length of the attack, Appearance of the discharge Its character, The time of day, etc., Every student should go over these questions framing & collateral questions, and practicing case-taking. Leave the patient in freedom always.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT Never allow yourself to hurry a patient; get into a fixed habit of examination, then it will stay with you. It is only when you sustain the sharpest kind of work that you can keep your reputation and fulfill your highest use.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT Say as little as you can, but keep the patient talking and keep him talking close to the line. If he will only talk, you can find out symptoms in general and particular. If he goes off, bring him back to the line quietly and without disturbing him.


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT It is one of the most important things in forming the record of a patient to be able to read it at a subsequent examination, without being disturbed by the repeated statements of the patient. Record Keeping


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT If you write a record in consecutive sentences, you will be so confused when hunting out the symptoms of the patient It is truly impossible when the mind is full with the effort at hunting out something to listen with proper and concentrated attention. Record Keeping


THE EXAMINATION OF THE PATIENT :THE EXAMINATION OF THE PATIENT You should divide your page in such a manner that when the patient is talking to you about this thing and that thing and the other thing of her symptoms, you can with one glance of the eye look down over the page of the record and see everything there is in that page. If your record is not so arranged, it is defective. Record Keeping