Blog About Health & Medicine

Gautam was a normal lad of 14 years. For the past one week a very big change had come over him. He had become an introvert, and was always musing over his problems. He was always talking of his troubles or his problems. He had a bad cold and headache. He had not slept during the night and had unsatisfactory stool in the morning. His teacher had chided him for being irregular in his morning practice.. He was afraid of the examination which was a month away… He was in double mind whether he should accompany the excursion party which his class mates had planned. Such diverse subjects on which he talked, and which concerned only his person—every sentence that he spoke began with the world “I” or “My”. His family members were bored, and his friends were bored, having to listen to his never ending tale of personal problems and they avoided his company. He was distressed when alone and without a listener. Fits of depression was the end result.

“Mimulus” for fear of examination, and “HEATHER” remedy for his self-centredness were given T.D.S for 1 month. There was immediate relief in his depression. After 1 month “MIMULUS’ was discontinued as he had already shed-off his fear of examination, but “Heather’ was continued for another 2 months to remove any trace of negative Heather elements in him.

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Most people with spinal cord injuries don’t become severely depressed, but grief and sadness are common. Grief and mourning are normal responses to any significant loss. Normal grieving usually involves feelings of sadness related specifically to the lost person, object, or function. Crying spells, some transient sleep disturbance, and feelings of guilt or regret are usual. Normal grieving does not involve persistent and pervasive feelings of worthlessness, suicidal thoughts, or loss of pleasure in all activities. During a period of sadness or grief, the grieving person can respond positively to comfort and support from others, can benefit from talking about the loss, and can continue to perform everyday functions such as dressing, eating, and doing chores.

Recognizing that sadness and grief are normal responses to loss, allowing yourself a period of mourning, and above all talking to your loved ones about your feelings will help you work through your loss more quickly. In the rehabilitation hospital, social workers and often psychologists can help you talk about and cope with feelings of depression before they become overwhelming. They can help you sort through your reactions to your limitations and understand any initial difficulties in performing the physical and occupational therapy tasks that are part of your rehabilitation program.

For example, is your wheelchair mobility training bogged down because of weakness in your arms, because you don’t really understand the therapist’s directions, or because every time you get into the wheelchair you are filled with feelings of humiliation and inadequacy? Are you refusing the occupational therapist’s offer of specialized splints for writing because you don’t want to pay your own bills and write your own letters or because wearing the splints puts the disability “in your face” and makes you feel ugly, different, and depressed? Are you asking for help with dressing yourself because you haven’t yet mastered the techniques for independent dressing, or because you’re too depressed to put forth the energy, or because you can’t express your need for social contact except by asking for this type of assistance?

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The DCCT investigators-concluded that intensive management of type 1 diabetes, with a goal of normal or near-normal levels of glycemia, is associated with an increased risk of severe hypoglycemia. Individualization of therapeutic goals and methods was encouraged. In particular, future development of intensive treatment methods that afford the benefits of improved glucose control with reduced risks of hypoglycemia was advocated.

Hypoglycemia unawarerfess is frequently seen in type 1 diabetics after-prolonged periods of intensive glucose regulation and recurrent hypoglycemic attacks. This issue has received extensive study. It has been postulated that in hypoglycemia-aware type 1 patients, beta-adrenergic sensitivity is increased to compensate for impaired catecholamine response. With repeated episodes of hypoglycemia, this increased sensitivity is lost. The end result is hypoglycemia unawareness with reduced catecholamine response and reduced beta-adrenergic sensitivity. Recent studies have shown that this sensitivity may be restored in type 1 diabetes by avoiding hypoglycemia with less stringent blood glucose control. Thus, in patients with hypoglycemia unawareness, it is appropriate to modify the stringent HbA1 c and plasma glucose control goals to avoid recurrent hypoglycemia and hypoglycemic unawareness.

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