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Today evening duty story
One female patient who is having cough and gastritis issues for so long so I immediately thought of Gerd which can also presents as cough too then noticed she is overweight. Though I don’t like to body shame anyone since chubby or not if a person is happy about how they feel about themselves we can let them be like that till it won’t affect their health. She is around 130 kg
Me : don’t mistake me if I say this I can see that you are little bit overweight and I think you are not taking food regularly or taking caffeine or spicy foods because of that you develop gastritis too , if you want help I know some hospitals are providing services for weight loss through approved injections since I suspect you might also having insulin resistance and PCOS if y don’t like it also fine but try to workout or have healthy foods if possible.
She : yeah I though about it too but she paused
Me : be positive I will be referring you there if you like
She : you are the only dr who spoke very positively about my condition
Me : no mention it is my pleasure 🙏
She : she opened up the most after that she said that from childhood she found comfort in food because of her family situations yet no body asked why she behaving like this then it get worse even her own mother made fun about her body , she even attended counseling but it won’t help it seems
Me : I said that I can understand you since people are there who find comfort in food 🍱
While she talking I noticed she clearly fulfilled the criteria for depression since her fiancée said to me that she is highly irritable , insomnia , lack of interest, change in appetite, lack of concentration then I politely told her that we will do complete work up now but if you need help I may suggest some psychologist or psychiatrist for counseling since you need it ! I assure her seeing psychiatrist means not necessarily you are insane but only you need more appropriate counseling she left happily with her fiancée who was very supportive of her even in this situation
So as a physician not only medicine 💊 helps but how you treat their mental health matters the most 🙏☦️ this is what Lord Jesus preached too ☦️✝️

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