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Date Posted: 23:00:06 01/24/09 Sat
Author: Ashish (joy)
Subject: My friend's story - Part 1

Though i was desperate during my school days to joining medicine i missed the overall merit ranking by fraction of points..couple of my close friends joined medicine and today they are real doctors working in government hospitals as well their own nursing home...one is based in gujarat and one in chennai..We talk quite a lot about many things and administering injection sometimes becomes a part of it. Since i was so keen on the subject, i usually ask for more cases and how my friend used to treat..this is one of the cases which i thought to share with you all.

My friend connects well with people and he is well known in his locality..though he has a nursing home he also does lots of housecalls for the immobile patients..one such thing happend that he got a call from local number around 11pm and since the family was known to him he accepted to visit them. The patient herself spoke to him and over the phone he understood that she is suffering from severe stomach ache with vomiting. Since her husband had left to outstation for some marriage she had no option but to call the doctor to home with help of her son and daughter. My friend went to her home immediatly and the door was opened by her son who was a young kid. the patient was lying in the bed and after hearing doctor's arrival she made herself sit on the bed. After checking the pulse and the bp, my friend asked her to lie on the bed to check her stomach. She was asked to lower her saree and she did. After checking her stomach he diagonised that she has severe infection due to food/water and he asked few questions on her diet for the past one day. He confirmed later to her that it is the case of infection and she has to take some dosage of antibiotics with medicines to control her dehydration.Now he wrote a prescription on the medicines and asked her kids but both were too small that they cant go out in the midnight to shop the medicines. Hence my friend decided to go by himself to the local medical shop. After sometime he bought the medicines and entered the house. He went inside the bedroom and asked her to be prepared for three injections. She looked very concerned on hearing my friend but without saying anything she said ok. She was around 35 years of age. Since both the kids were around their mom, my friend asked them to stay out as he wanted her to relax while taking the injection. All three were 2cc injection and in which one was antibiotic with thick fluid while rest are paracetamol and antivomit. While preparing the shots my friend advised her to relax and checked if she had any alergy to any antibiotics before. After she mentioned no, he asked her to losen her saree and lie on her tummy and advised her to take two shots on one side of her buttocks and rest on the another.

While he adjusted her inner skirt he finished preparing all three injections. He took the first injection and came close to her and asked her to lie on her tummy. While she turned herself and gave little gap on her hip for the injection, my friend asked her to pull the inner skirt to more and advised her the more the low he injects is good to her with less pain. She lowered her skirt little more that upper butt was exposed to the doctor. Doctor applied some water and removed it with the dry cotton. He further took a pinch of her butt muscle and inserted the injection on to her. She felt the pain and started making a huge hisssss until he completed the shot. After removing the needle of the first injection, my friend massage a little with the cotton and asked her to relax. He then took the second injection and without asking her, he pulled further the inskirt that nearly half of her buttocks was exposed. By then she was more of non reactive posture that she accepted whatever was happening. Doctor again applied water and rubbed the portion with cotton and pinched a large buttock muscle and inserted at the centre of it. Again this continued for 30 seconds. This time she didnt made any sound but my friend found later that she was in tears wiping the water in her eyes.

Having done with two she was fuming with pain and my friend was so friendly convincing her to stay cool and turn her back towards him for the final one. This time it is the antibiotic medicine and doctor apprised her that it might be little more painful then the other ones...While she turned herself, doctor took the opportunity and pulled her saree and inskirt while she didnt try to do anything. He pulled inskirt to a position to expose her buttocks to half-way and ensure he gets the right place to inject. He took the third and after cleaning the portion he inserted it directly...this time it was worse that she cried a lot that she couldnt tolerate the pain...after asking her relax a bit the doctor finished administering the shot and massaged the injection site. He further advised to turn herself having her back on the back and to relax for 5 minutes. The doctor by then cleared all the medicines and place. since everything was fine for 5 minutes, he asked the kids to comein and advised her diet for next two days. Further he did mentioned that one more dosage of antiobiotic needs to go and so he asked her to visit his clinic the next day evening after her husbands comes back.

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