General medicine · Psychiatry · Occupational health

One complaint. Two readings. One doctor.

An MD in General Medicine and a postgraduate qualification in psychiatry, in one doctor. Thirty-five years of it.

Tamil Nadu Medical Council 48470

Case sheet
Presenting complaint

The physician looks for
    The psychiatrist looks for
      Illustration only. Not medical advice.
      What is different here

      Most patients only ever get one column

      A physician reads the body. A psychiatrist reads the life it is being lived in. Getting both normally means two rooms, two appointments and telling the story twice — and the second one usually never happens. Both qualifications sit with one doctor here, so one sitting produces both columns.

      • The tests, the readings, the shape of the symptom
      • Occupational exposure — dust, heat, noise, rotating shifts
      • What is already being taken, and what it may be doing
      MD General Medicine, 2004 · 13 years as consultant physician
      • Sleep, mood and fear arriving dressed as a physical symptom
      • Control that slipped after a bereavement, a job loss, a move
      • Alcohol and missed doses — the things nobody volunteers unasked
      DPM Psychiatry, 1996 · Life Fellow, Indian Psychiatric Society

      You can watch this happen to your own answers: in the patient intake, every tap sorts itself into both columns as you go.

      Where would you like to start?

      Pick one thing

      Nothing else opens until you choose, and you can always come back here.

      Triage

      Clinic today, or hospital right now?

      This does not tell you what you have. It only tells you how fast you need to be seen. Tick anything true for you today.

      If in any doubt at all, go to an emergency department. Do not wait for this page.

      Nothing is sent anywhere. Everything you tap on this page stays on your own device.

      Before you come

      The intake, without any typing

      Not a long form. Questions appear according to what you tap — anything that does not apply to you is never shown at all. At the end it makes one page you can print and hand across the desk.

      Nothing is sent anywhere. It all stays on your device, and you can stop and pick it up again later.

      Toolkit · general medicine

      Do the preparation here. Spend the consult talking.

      None of these names or recommends a medicine or a dose — that is the doctor's job, in person.

      Tool 01

      What you are actually taking

      Copy what is printed on the strip, exactly as written. This page suggests nothing — it only lists what you already take. If you have seen more than one doctor, this single page is the most useful thing you can bring.

      Do not stop any medicine or change any dose without speaking to a doctor. Bring the actual strips to the consult as well — a strip is more reliable than a remembered name.

      Tool 02

      Readings you took at home

      This page will not tell you whether a reading is good or bad — that judgement needs a doctor who knows your history. What it does is keep the sequence, and a month of readings is worth far more than one.

      Tool 03

      What to bring with you

      Tick the long-standing problems you have. You get a list of documents to bring — nothing about treatment. Half of a first consult is usually spent asking for papers that were at home.

      Tool 04

      The questions people mean to ask and forget

      Tick the ones you want. Hold this list in your hand when you walk in — the questions vanish the moment the door opens.

      Toolkit · mind

      What a psychiatric consultation actually needs

      This is not a test. It gives no score and names no condition. What these tools do is hold on to how your days have actually been, because that is the part nobody can recall once they are in the room.

      Tool 01

      Sleep, and how the day went

      Fifteen seconds a day. After two weeks a shape appears that nobody can describe from memory. The number is your own scale and nothing else — it is not a score and means nothing outside your own record.

      Tool 02

      What changed in your life

      This is the part most often left out, and often the part that explains the rest. Tick whatever applies — you do not have to explain any of it here.

      Tool 03

      The honest log

      A doctor needs the honest figure, not the polite one, because the honest figure changes what is safe to prescribe. This stays on your device and nobody sees it. What you say in the room is entirely your decision.

      No judgement, no score, no advice. A record, that is all.

      Tool 04

      One page for the worst day

      Fill this in now, while things are steady, so that later there is nothing to work out. If you can, fill it in together with someone you trust — a plan another person knows about works better than one nobody has seen.

      If you are having thoughts of harming yourself right now, do not fill in this form. Call Tele-MANAS on 14416, or tell whoever is nearest to you. That line exists for exactly this and it is a reasonable thing to use.

      Between visits

      Taught in the room. Practised at home.

      These are the exercises a psychiatrist teaches during a consultation. They only do anything if they are practised — and practice is exactly the part that falls apart once you are home and cannot remember how it went. Each one keeps its own count, on this device.

      These are not treatment. They do not cure anything, they do not replace a medicine, and they do not replace seeing someone. They are practice — a place to keep going with whatever a doctor has actually taught you.

      None of them score you, name a condition, or measure progress. If things are bad right now, this is not the right place to start — Tele-MANAS 14416.

      01

      Slow the breath down

      Fast breathing keeps fear going; lengthening the breath — the out-breath in particular — turns it round. Follow the ring. You can do this in a queue or a meeting and nobody will notice.

      02

      Five, four, three, two, one

      When the mind has gone somewhere else, this walks it back into the room. At each rung actually look, actually listen, actually touch — then tap the dots off.

      03

      Tighten, then let go

      Tighten each group for five seconds, then let it drop. Most people cannot feel what loose is until they have felt tight first. The figure shows you where to go next.

      04

      Put the worry down for now

      Telling yourself to stop worrying does not work. Postponing it usually does. Tap what is nagging, pick a time to come back to it, and until then it sits in the jar rather than in your head.

      What is nagging?
      When will you come back to it?

      The jar stays on this device. When the time comes, open it yourself — that is the whole point of the exercise.

      05

      Do not wait to feel like it

      When mood is low, waiting until you feel like doing something means nothing gets done; the feeling usually arrives after the doing, not before. Pick one or two small things for today. Smaller is better — small is the point.

      06

      The hour before bed

      Preparing for sleep does not begin in bed. Set the time you mean to be asleep and the hour before it lays itself out below. Tap off whatever you actually managed.

      What time do you mean to be asleep?
      For employers and plant HR

      Workplace and industrial health

      Eight years running the medical room of a public-sector mining operation, a formal qualification in industrial hygiene, and thirty-five years of internal medicine behind the judgement calls.

      Why the combination matters: most workplace health contracts produce paperwork. A physician qualified in both internal medicine and psychiatry can put the lungs, the sugars, the sleep and the drinking into one assessment instead of three that never meet.

      The doctor

      One patient, looked at three ways

      Most doctors are trained in one of these and refer out for the others. Here all three qualifications sit in the same room — the body, the mind, and the place the patient spends eight hours a day.

      Contact

      How to reach him

      WhatsApp is the practical channel. Put the essentials in the first message and a useful reply can come back in one, instead of four.

      WhatsApp+91 90431 83580
      Emailsudhaguru1@gmail.com
      Consulting atTODO — clinic name and address
      LanguagesTamil · English

      Put this in the first message

      Tap your way through and the message writes itself.

      If someone needs help right now, do not wait for an appointment: Tele-MANAS 14416 Emergency 112 Ambulance 108