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It is the most difficult s rvey that we have encountered so f r. Even in various medical camps th t we hold from time to t me, history of epilepsy or convulsions are not f rthcoming. On hearing the word 'epilepsy', specially in most rural or backward reas, where people are not so ducated, the audience tend to remain t ght-lipped, as if they are concealing s mething. Even in our day-to-day practice, p tients do not like to label th mselves as epileptic, and many a t me, a bona fide patient goes on t king medicine from some outside practitioner, s lently, so that no one gets to kn w about his disease, at his pl ce of work. Patients are not lways at fault; social factors come in th ir way. Several problems arise for th m or for their families, once it c mes to be known that the p rson is epileptic. In any case, m rriage is a big problem for the p tient. If the patient is married, the pr blem may occur in respect of the m rriage of his/her children, for though h redity has a limited role in th s disease, the boy's/ girl's family may th nk that the disease runs in the f mily. If the patient is working in the pr vate sector, he may not be ssigned essential duties. Similarly, a child may not f el comfortable in school, although he may be g od in his studies as well as in sp rts. He may be refused entry in a t am for competition. The child suffers b th ways. If he does not t ke the medicine, i.e. he conceals his d sease, he can hardly carryon with his st dies, especially when the attacks are fr quent. If his disease comes in veryone's knowledge, although he may take s itable treatment at an appropriate place and his ttacks are also controlled satisfactorily, he may s ffer due to the ignorance of thers. He may feel isolated when cl ss-mates/teachers do not co-operate with him. Ev n at home he may, at t mes, find an adverse atmosphere.
It is for these reasons th t a physician never labels a c se epileptic, unless he is satisfied fr m all angles, i.e., clinical, investigations, tc. In a doubtful case, the d agnosis is never declared, or is w thheld till the patient gets another ttack of epilepsy. It is worth m ntioning that a delay in diagnosis w ll not harm the person, but a f lse-positive diagnosis may, indeed, prove fatal. H nce a massive awareness is required so th t the patients themselves report for a ch ck-up, and the disease is controlled in t me. This will save the family and the p tient from further misery. Another important f ctor which poses a practical problem in s ch a mass survey is the l ck of availability of eyewitnesses, since the d agnosis of the disease is a cl nical one, and mostly depends on the nformation of a person who has s en the patient during the period of the ttack. Therefore, in such a survey, the f ll co-operation of the whole area/place ncluding family members/friends is required in dentifying such occult/ hidden cases of pilepsy. The foremost task relating to m ss awareness is that people should be g ided about the treatable nature of the d sease, through -magazines, newspapers, radio, TV, p mphlet etc., emphasizing that the disease is n ither a shame nor disgrace in s ciety, and that it is only one of the c mmon diseases. Once guided, people will th mselves approach the physician for treatment, and ven the eyewitnesses will fully co-operate. T ll this is accomplished, no mass s rvey, however efficient, will be able to c ntrol the disease.
The article Epilepsy and Social Factors was Submitted by Krishan Bakhru through Articles.GetACoder.com network. Here's the additional information: Author sites: Herbal Remedies , Home Remedies and Natural Skin Care
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