Dr Sayed Tanvir Hussain
Dear friends! As we know that “a proper case taken is half the field won”. So after case taking when we translate the very words of the patient into our reportorial language i.e. rubrics many of us especially the beginners sometimes commit mistakes. We select wrong rubric instead of choosing right one because of the very close resemblance in the rubrics. They look so similar and are so closely related to each other that it really becomes difficult for most of us to select the right rubric. And if we will choose the wrong rubrics then ultimately we will come with wrong medicine which will lead us to failure. So here I have tried to differentiate the very closely related rubrics to the main rubric IMPATIENCE, so that we can exactly understand them and can utilise them into our daily practice.
Impatience is a feeling of haste along with restlessness. It is almost always accompanied by irritability and intolerability. The impatient person cannot wait for anybody or anything. In the waiting room he cannot sit with patience rather he will keep on moving restlessly for his turn, or he can ask again and again to the receptionist about his turn. Even he can ask for another appointment instead of waiting for few minutes. He wants to be attended at once. He becomes annoyed because of slight delay. He has restless eagerness to do something or to go somewhere. In a traffic jam or on the railway crossings if there is red light he will prefer to turn off into side streets. If he want to go on to fifth floor he will not wait for the lift rather he will go by stairs. We can recognise the impatience of the patient by his body language, facial expressions, or the very wording he uses.
Impatience is considered to be a career stopper for many major corporations. Impatient people are not considered to be good managers or leaders for a company. Many factors can lead a person down the road to impatience. One of the biggest causes is stress.
2. Answering abruptly:
Here the patient gives the answer of the question very suddenly or unexpectedly. He answers roughly or in a harsh tone.
3. Answering hastily:
Here the person answers the question quickly, hurriedly and with too little thought. It can show irritation or impatience of the person.
Hurry means to cause to move or act more rapidly or too rapidly than is comfortable and natural.
E.g. he will drive the car faster than is comfortable or natural.
We can recognise the hurried person easily from his attitude and speech. He does everything in great haste. He can undertake even several tasks at the same time. Actually there is no logical reason for this hurriedness. If anybody does everything rapidly simply because he is pressed for time and has much to do then we should not take this rubric into consideration.
Impetuous means moving with great force, energy, or violence. So it is a forceful, energetic, violent or emotional behaviour of the person which does not limit itself to the simple fit of anger, but goes beyond the aggressiveness (aggressive implies a bold and energetic pursuit of one’s ends, connoting, in derogatory usage, a ruthless desire to dominate and, in a favourable sense, enterprise or initiative). Here the person does or acts abruptly, suddenly, unexpectedly, hastily or rashly with little thought but with a force that is almost violent. He answers rapidly and intensely which shows strong emotions, firm purpose and great seriousness.
An impulse is a wish or urge, particularly a sudden one. Impulsiveness is a type of human behavior characterized by the inclination of an individual to act on impulse rather than thought. Impulsive person never thinks before he acts, he has the inability to anticipate the consequences. He does not act intentionally or deliberately. He reacts suddenly either verbally or physically, to the momentary impression and realizes and sometimes regrets about his actions afterwards.
It means lack of tolerance. Here a person cannot tolerate slightest factors like contradiction, interruption, noise, music, etc., as these affect him tremendously.
8. Irritability questioned, when:
Here a person becomes irritable whenever he is asked or questioned anything.
9. Quick to act:
Here a person reacts very fast since his mind is active and he has abundant ideas and active memory. These persons have very quick reflexes.
Rash means too hasty or incautious while acting or speaking. These people would not hesitate to fight someone stronger than themselves or indeed to do anything extremely dangerous. They do not worry about the consequences of his actions. These people have a very casual approach towards life.
It means uneasiness. It is an emotional state of excitement. It is characterized by inability to rest or relax. Restless person never or almost never gets quiet or still. He cannot be at ease mentally and physically. He is always active and seeks change. He is not contented.
Selfish means too much concerned with one’s own welfare or interests and having little or no concern for others. Selfishness denotes the precedence given in thought or deed to the self, i.e., self interest or self concern. It is the act of placing one’s own needs or desires above the needs or desires of others. So the selfish person thinks only of himself. He overlooks the interests of other people. He never gives anything to anybody, never shares his belongings. A selfish child will eat his fruits or chocolates alone and hide them from his friends or brother sisters. The unscrupulous person who takes advantage of other people for his own ends is also selfish.
13. Speech hasty: Here the person speaks hastily. He is quick in speaking.
14. Time passes too slowly, appears longer: Here the person feels as if the time is passing very slowly. A minute seem an hour and an hour seems a day and a day seems a week etc.
15. Weeping impatience, from: Here the person weeps out of impatience.
At the end of this paper I request to my dear colleagues especially beginners to make a regular habit to perceive the rubrics, to be able to differentiate them exactly, to get the best results.