Dear Dr Sushil
Very interesting questions. I begin by saying that I believe what the patient says is their truth for them. They are believing what they say. If they are 'lying' then we may discover that over time, by speaking with other family members, or when they say contradictory remarks, or perhaps even through their body and facial gestures that expose areas of sensitivity.
As homeopaths, we can use all of this information.
To understand the patient wholly? I think every human being is in a process of self discovery throughout their life time. We are always learning about self and others. Always something new to learn.
Or we are taken by the attendents or relatives of patient to his bed. We observe that she is gasping and yelling...i "i am unable to take breath, is restless, resp rate 30/min,wheezing sound audible from distance, and Haemoptysis occuring."
suddenly after few minutes, condition getting more worse. Suddenly she begins to say...call all relatives " i am going to die."
In this type of situation...i ordered Antim tart 30 to be given in alteration with Aconite 30 dissolved in water..teaspoonful.
The patient ,known case of MOTOR NEURONE DISEASE....survives again due to Homoeopathy...and in her own home.
Case Taking........or say CASE Receiving is something which is a process to understand a person....and his/her suffering.We have to Observe like third person....and question ourselves How is Patient reacting ....behaving, what is the condition of lung,heart, etc.... What symptoms He /she is exhibiting, of which medicine and which disease?
I feel like.....after,Before, during, along with, Due to ,Bad effect of, Time feel worse ,feel better, etc......
We have to concentrate on this phrases ....which helps us to convert the patient symptoms in language of our Materia Medica.
In the situation like this..we have no question whether patient is telling truth or false.
In Hysteria or other we can suspect patient to speak lie...otherwise..most of time patient speaks truth...
In acute emergencies,we may not even ask any question, except to collect details from immediate relatives, who bring the patients.
It start with chronic cases, where patients some time start hiding the facts, which they feel are of extreme personal in nature and consequently they tend to manipulate the doctor by cooking some thing which is not truth.
Similarly, there are patients, who don't want to reveal certain facts, since they feel that Doctor may feel low of them. Some patients, are in the habit of exaggerating the pain. Even little pain, they claim to be very severe.Some time patients are compelled to hide something in the presence of person or persons accompanying them.And many more instances.
This is true observation, and everyone will agree with it.In this type of patient , we have to be tactful. These observation allows one to interpret medicine on this aspect too, or to tell patient straightway if appropriate, not to keep back the information.
Past history and family history....is often not told properly by patient, they think its useless to tell, or they feel might feel embarrasing to tell about disease of family members or self in first interview or in crowd.
Tactful undertaking is required in these situations.