Days of life in medicine

38 year old woman  currently on hemodialysis in our hospital for renal failure.  She presented to our hospital 1 month back with the complains of :       Dypnea at rest since 5 days       Bilateral pedal edema since 4 days She tells me that she has been feeling depression ever since her mother passed away in `1995 due to a medical condition ( reason not known )  who was apparently a known diabetic and a known hypertensive. In 1998, her father passed away because of an unknown cardiac condition. She got married in 2000 to her husband who works at a rice mill industry and owns a Pharmacy store. She has 2 daughters, the elder daughter is 19yrs of age and currently in her Btech 2nd year, 2nd daughter is 17yrs old and is in her inter 2nd year.  In 2006 she paid a visit to her dentist for getting a  rootcanal done that was when she got diagnosed with type 2 diabetes mellitus and was put on Tab Zoryl 2mg BD. She has been switching from Tab Zoryl 2mg to 1mg depending on her blood sugar levels

  35 year old man working as a food caterer  presented to our OPD with the chief complains of  Dyspnea at rest since 5 days Cough with expectoration since 5 days Bilateral pedal edema since 4 days Abdominal distension since 3 days Patient was born and brought up in *********. He was born to a farmer and a housewife. He has 2 elder siblings, his elder sister is married to an advocate and has 2 children and his elder brother is working as a software engineer. He pursued his degree in electronics but was not successful in finding a job in this branch, so he moved to another state 10 years back and started working in a food catering business along with his friends. During his stay outside his hometown, he says he used to often feel lonely and used to often consume whiskey along with his friends which got to a point that he started consuming around 180 ml of whiskey everyday. He also tells that he would occasionally smoke cigarette once in a while along with his friends. In those 10 years h