The lift principle…..
You come to our apartment and there’s a couple of lifts (elevators for the Americans!). If you want to go up and you see the lift is above the ground floor then I have seen people pressing the down button because they want the lift to come down!…. But that’s not how it works!… If you want to go up then you need to press the up button only!…. The lift would then come down and take you up!…. What you learn is that the lift knows where it has to go!… You just tell the lift where you want to go rather than trying to teach the lift where it has to go!!!!…..
So this is a story of an ENT pal of mine….😉..
This patient walked in and announced he had a sinus!…. So my pal corrected him saying that everyone has sinus but do you mean that you have a sinus problem?
He said,” yes that’s what I meant! I wouldn’t know the technical thing but you should know that right!!?”
So he was asked,”let’s leave it there and tell me your symptoms?”
The discussion then went like this….
I sneeze a lot…..
Do you have headache?
No
Then why do you say you have sinus problem?
Because I have sneezing and occasional nose block!
Oh but that’s not sinus problem but allergy!
What’s the difference doctor!!??
Well usually sinus problem means that you have infected sinuses which usually cause headache!….
I do have headache doctor when I don’t sleep well or when I think or am under stress or when I get exposed to loud noise for a long time!…..
Well in an these situations I would be more bothered if you didn’t have headache!!…
Also I get headache when I skip a meal!..
Hey same pinch!…. Everyone does by the way!!
But doctor can’t you just take a scan just to be sure!??….
This is when the button of the lift was pressed….. But my friend understood where it was going….. If he didn’t get the scan the patient would shop till he gets the scan….. So a scan was ordered and it revealed mild mucous collection with otherwise normal sinuses!..….
Now anyone who gets a scan done in Bangalore will get this finding more so when he or she has a mild cold…..
But who can try to explain this to the patient who actually has sinus problem in his mind than in his sinuses!……
A course of Anti allergy was ordered and a review after couple of weeks was ordered….. Both were not satisfied….. But that’s the way it is…..
Next patient…. Doctor, ” I get severe headache and nose block Esp after taking Head bath”…..
My pal told him after examination that he may have a sinus problem and needs a scan also for getting to know the grade and severity of the problem….
The button again….”Is the scan really necessary doctor!!?”……
The lift just sighs and goes on trying to make you reach where you want to go……