H MANDEL ENTERPRISES LLC

Clinical Exam Review Case History from the H Mandel Enterprises School of Natural Health Care:

[This case review is of Dr Harold Mandel earlier in life.]

A 27 year old medical student who is about to begin his residency training soon after his coming graduation from medical school is feeling a little under the weather. He has been seen drinking socially slightly more than usual. His family life has been difficult his entire life. His mother abused alcohol and valium her entire adult life. His father who was a heavy gambler and drinker who often mixed narcotic agents with his booze. This medical student was interested in getting a fresh start in life and heading out to the Hawaiian islands for training but was being pressured by his parents to stay around the family in Philadelphia and help them out. Although this medical student knew his material well and had great recommendations from most of his clinical professors throughout medical school he felt overwhelmed by his families problems and was therefore not as confident about making his own career choices as he should have been. This medical student had been an honor student in college and excelled in much of his clinical work in medical school.

This medical student was a normal heterosexual who had lost touch with his girlfriend at the time partially due to the rigors of the medical education system. His father did not approve of his girlfriend who was an extremely liberal minded young woman and challenged his father's right wing conservative attitudes about everything. His father's pressures for him to split up with his girlfriend also ruined the relationship. However, the medical student remained well adjusted in dealing with women and was always open minded about other women coming into his life to replace his lost girlfriend.

This medical student's advisor in medical school was a psychiatrist. The medical student decided to confide in the psychiatrist feeling at the time that perhaps a little positive psychotherapy would help him work out the conflicts he was dealing with regarding his relations with his family.

The psychiatrist in this case would be right to diagnose this medical student with:

a) Schizophrenia

b) Bipolar Disorder

c) Anxiety Neurosis

d) Adjustment Reaction

The correct answer he is obviously d, an adjustment reaction. A highly well educated and bright medical student is not at all likely to fit into the 1% or less of the population that is anticipated to suffer from schizophrenia. His premorbid personality structure has nothing at all to do with schizophrenia. And bipolar disorder also is not at all likely with someone with this background. The "excess" sex that his father complained he felt his son was having with his old girlfriend had nothing to do with psychopathology. Social attitudes effect normal sexual behavior and people's attitudes and experiences with sex change depending on who they are with and where they are at different times in their lives. Anxiety neurosis is also unlikely for this medical student since the problems he was dealing with were real and not imagined. It is likely this soon to be young physician was simply suffering from a standard adjustment reaction with an excellent prognosis if the right treatment were offered to him.

The best treatment for this young physician would therefore be:

a) Neuroleptics

b) Lithium

c) Valium

d) Natural Health Care

The best treatment for this young physician would be natural health care. Any drugs which could cloud his judgement would be dangerous for him. Neuroleptics, the drug often used for schizophrenia, would be contraindicated for someone with this background and would cause problems as serious as schizophrenia itself. Lithium, the drug often used for bipolar disorder, would slow this type of person's brain down and ruin his career. Medical students and doctors have to be able to think fast and any drugs which would slow down their thinking could be fatal for their careers. Valium, the drug often used for anxiety, also would therefore not be indicated since this drug like all other tranquilizers could harm the young physicians intellectual response rate and emotional capacity. What this young doctor needs is an aggressive natural health care approach. Good nutrition, daily rest, daily exercise, preferably in the fresh air and sunshine, vitamin and mineral supplements, strong advice to cut out all alcohol and drugs, and aggressive positive counselling aimed at helping this young physician maintain his self-esteem and confidence are indicated. With this approach this young physician could be anticipated to have a bright future.