Monday, September 10, 2012

Planning Family, Planning a life: case studies


Neha Mathur had been married to Gautam Mathur for eight years. In these eight years of married life, the couple has had two children. They are aged five and two years. Problems arose when Neha conceived her third child only within a year of giving birth to her two year old. The general health of Neha saw a marked deterioration. She was not in the physical condition that was healthy enough for childbirth. On the other hand, the financial condition of the family was in no way enough to support three children at the time. As a result of the difficult times, tension arose between the family members and it was directly affecting the health of Neha as well as the mental conditions of the children in the house. Gautam had too much load at work and this problem only added to his stress. The only solution that seemed possible in this situation was that of an abortion. However, abortion is a process that requires skilled surgery and also counseling is important. Clearly, the couple had not made any family planning.
Summary of Neha’s condition before treatment
Neha had lost a lot weight in an unhealthy way and her physical condition was weak. She was not being able to communicate with her husband as they were having tension in the relation. The alienation of Neha was acting as an agent of manic depression, which was not only harmful for her health and her children, but also for her unborn child. Apart from that, being a mother in an Indian culture, she was not completely ready for an abortion and she was also scared of the whole process. Therefore, it can be said that Neha Mathur was wrecked emotionally as well as physically. It could have been avoided with proper family planning.
The stage of Neha’s treatment: before surgery
Neha Mathur needed psychological counseling before she could be ready for the surgical abortion. It was important that she felt courageous and grew a strong heart so that she could withstand the strain of a surgery. Therefore, the first step of Neha’s treatment included several sessions of counseling that opened her up emotionally. She was made ready by empathetic interactions for aborting her child. The counselor managed to convince her that aborting the child was the best option for bringing back the stability in her life. The session was important for Neha to free herself from the stigmatized mentality imposed upon her by the society. It was only after her depression was mended completely that the doctors brought her to the operation theatre.
Treatment: post surgery:
The treatment was not over after the surgery. This segment was the most important part of the treatment. The segment not only needed Neha but also required Gautam to participate. In this segment, the couple was educated about family planning. They were given a full and detailed lecture in the availability and the functionality of the different modes of contraceptives. This was important so that they do not have to face such situations again. Family planning is the key to healthy living of a family.

Neha’s final condition:
At the end of the treatment, Neha was healed as far as her depression was concerned. She was a confident woman and now she knew how to take care of herself. Her health was medically perfect and it was only a matter of time before she regained her physical strength again. As you know a proper family plan is a must. 

Disclaimer:  This is a scripted document based on the actual problems prevailing in the medical spheres. The characters referred here are fictitious but the problems and symptoms discussed and remedies suggested are based on real life experiences. 

Dr TIRTHANKAR  DASGUPTA
9051503332
MONER ALO

CASE STUDIES...MANIA - Dr.Tirthankar Dasgupta

Mrs.X a  housewife - repeated hanswashing ,repititive thoughts - treated at one of my clinic  in kolkata with SSRI(an antidepressant group),she is not having any comorbid hypothyroidism or other metabolic problems ,not taking other medicines,she was initially scared to take medicines,finally convinced on noticing improvement - now after 3 months doing lot better,she is being motivated ,now to take the medicine for more than 18 month.

Dr.Tirthankar Dasgupta
Psychiatist 
MONER ALO
9051503332