|
Post by mrakhtar on Mar 17, 2007 13:48:37 GMT
Maybe she was trying to impress you NMA with her sparkly shades? That could be it...
|
|
|
Post by Sana :) on Mar 18, 2007 13:26:56 GMT
Sorry i dont really know how to use ur differential diagnosis list. Im not in clinics yet, however ill attempt anyways, please feel free to laugh if i get this horribly embarrassingly wrong Direct effects of the action. Her view is darker: maybe she has some sort of eye problem. she has difficulty adjusting to changes in light. Or she has epilepsy and its triggered by flashing lights so she's trying to prevent an attack. She moves less as she is clearly trying to maintain balance-->effect is that her body is stiller. preventing epileptic attack triggered by jerking tube movements, or maybe moves less to reduce nausea (motion sickness?) or to prevent exacerbating some (eg muscle, headache) pain which is enhanced by movement. Indirect effects: she can close her eyes with out anyone knowing. she doesn't have to look at other people, moving objects, moving train. maybe this could trigger some sort of panic attack, due to fear of transport, fear of people... or some other psychological disorder (see below for more random guesses) other reasons: -maybe she is blind and wanted people to know so they dont bother her. maybe she wasnt blind but thought she'd pretend so they give up their seat for her. -maybe she because she likes playing a game with herself called who can move the least in tubes. or because she needs to dim her world in order to concentrate on revising in her head for the exam she's about to sit. -maybe she had a really really bad week and was on the brink of a nervous breakdown which could be triggered by any small movement or eye contact with people. -or she has some psychological disorder: agorophobia- ie panic attacks? anorexia nervosa ? paranoia (she needs to look at other people to see if they are after her...so she wears sunglasses so she can look at ppl freely/some sort of disguise?)? fashionista (large suglasses are cool i hear these days)? -maybe she was ill already (not acute) and she knew what triggers her symptoms eg movement and nausea, bright lights, so she prevents this as much as possible. -maybe she has a migraine (acute) so she put on her sunglasses as shes a little sensitive to the bright shiny tube lights. shes not moving as she's worried head movements may exacerbate the headache. -maybe she's pregnant. She's feeling morning sickness but needs to get to work. she moves as little as possible to prevent from throwing up. sunglasses so she can block out as much as possible-- ie quiet down the world to prevent sickness
|
|
|
Post by NMA on Mar 19, 2007 23:51:06 GMT
AA, MrAkhtar, I shall ignore that remark... it barely merits even this much of a response Sana, you may not be in clinics yet (which has nothing to do with reasoning ability) but you clearly are a medical student. No, I won't laugh. It's a fairly extensive list you have there, mostly focusing on the sunglasses being some sort of therapy/ prevention. It's a good start, but as you quite rightly say, is mostly random guess work. What you have to do now is see what evidence you already have to support or debunk each of your theories. And what evidence you might need to consolidate each theory. As an example: Ok, this actually has 2 suggestions. I will take the latter first: that shes not blind but is pretending to be so as to get a seat. This is very unlikely... in the original passage it says she was already in her seat when she put her glasses on. As she was already in a seat, she does not need to pretend to be blind to get one. For this to be true, would require a very specific circumstance, for instance she is too stupid to realise that 1/ she is already in a seat 2/ everyone else saw her get there, and then put on the sunglasses, hence are unlikely to fall for it. so as I say, unlikely. As for the first of the quoted suggestions: The evidence around this is slightly more obscure... nowhere in the passage are obvious visual difficulties mentioned, neither does it say she carries a white stick. However absence of evidence is not evidence of absence. Assumptions CAN however be made to the contrary... she made it to a seat before other people who boarded the train, so if she is blind, she has excelled with her other senses. But we also have the difficulty that if she doesn't want to be bothered, why wait until once within the train to put on the sunglasses? Well, this is almost circumstantial evidence, and I did say you could ask questions, so you might ask if she showed any signs of blindness, or moved with difficulty, etc, to try to obtain more descicive evidence. Try that. What questions do you then want answered? wslm NMA
|
|
|
Post by Sana :) on Mar 21, 2007 0:55:14 GMT
Salaam Reading my previous response, I am surprised you managed to get through it without laughing, as I found many parts of it (unintentionally) ridiculous Maybe one day when im a doc (inshaallah!) ill look back on these forums and appreciate how far i (hopefully) will have come, and also have a good laugh in the meanwhile....lol! Moving on i think the only points i made which may bear any sort of credit are as follows. Next to each point I will (as requested) post a list of questions i would like answering. Again, pardon the lack of medical terminology/basic intelligence as after post numero 1 i honestly wonder how i made it thus far in rums 1. Visual problem. Is she sensitive to light? did she move with difficulty or show any signs of visual disturbance. was she squinting before she put on the glasses. 2. Migraine/headache. Is she showing any signs of being sensitive to light/ sound? how long was she on the train before she put on the glasses? was she covering her ears or did she have her hands holding up/massaging her head? 3. other q's. did she look ill?pale? generally malaise? was she showing any other signs/symtoms ? leaning forward or hugging abdomen if she was feeling nausea? panicked /nervous/worried? tired? was she noticably sweating? did she have a runny/red nose or a cough? was she wearing appropriate clothing for the temperature in the tube / the weather outside 4. is she pregnant? im sure you wouldnt know that. 5. still on a moving train. did she look like she was making a conscious effort to avoid moving with the train? is there a particular part of her body she seemed more concerned with keeping still? what was her posture like? was she relaxed or tense? was her head leaning against something? 6. was she with anyone? was she talking to them or anyone? did she make any movements whatsoever . ie looking around, taking out a tube map, check phone etc. did she get off the tube before or after you Thats all for now. Hopefully this post is less embarrassing than the last. Wassalam
|
|
|
Post by NMA on Mar 22, 2007 0:12:12 GMT
AA, hmm, thats quite a list of questions. I guess I'll just go through your post point by point. Maybe, but why wait to become a doc? being a doc has nothing to do with anything. It's just a title you eventually get to hold. It certainly isn't relevent with this problem. Whatever. Right now you are doing better than most on this. On to your points. I make no apologies for answering some questions with questions. Light sensitivity- is it brighter outside, on the platform, or within the tube? No obvious squint or movement difficulty. light sensitivity- see point 1. sound- is it quiet on the tube? It says in the passage that she put on the sunglasses as the train was starting to pull away from the platform. covering ears? no. massaging head? no- it says in the passage that she was staying still. No other obvious signs. No symptoms expressed. No sweating/ coryza. Appropriateness of clothing is subjective. If iI were opportunistic, I would be using this opportunity to mention other recent announcements about appropriateness of clothing, but that should be on a different thread ideally. Yes, her clothing was appropriate. I am 95% confident she was not prgnant at the time. Have you ever tried keeping still on a moving train? It takes effort. posture- leaning back into the seat more than anything else. She was not obviously accompanied by anyone when boarding. After putting on the sunglasses she stayed pretty much still, see above. Before that she glanced around the cabin, as most people do. She left the train before I did. Embarrassment is prompted by different stimuli in different people, based on past experiances. NEVER feel embarrassed when you have tried your best. Your questions and points seem to generally assume that the sunglasses are a form of therapy or prevention strategy. Is this correct? Sorry if I don't seem to have answered something satisfactorily... point out which bit and I will try to elaborate. wslm NMA Edit : corrected spelling mistakes. There are probably many moore.
|
|
|
Post by Sana :) on Mar 23, 2007 2:36:07 GMT
Wow. You are very analytical. Im afraid however your answers seemed to have invalidated most of my hypothesis, and I am back to sq 1 .....wondering why anyone would want to keep still on a moving train, and how sunglasses could possibly be linked to this, if at all. Becoming slightly suspicious however that the answer is either a) beyond my scope or b) that there was nothing medically wrong with her... Pain or (motion related?) nausea may explain her rigid posture but not the sunglasses. Im guessing there was something in your comment ''she put on the sunglasses once the train started moving''. Not really sure why though, if it wasnt to sleep (which I assume it wasnt because she was trying not to move). What about the paranoia theory? She seems anxious. Unless its some movement induced rare condition that i am blissfully unaware of. OK so I think I have officially reached a dead end.... you don't seem the type to hand out any sympathy clues...? Wassalam p.s. I assume the train is more well lit than the platform, in answer to your question.
|
|
|
Post by NMA on Mar 24, 2007 0:32:03 GMT
AA, Analytical... not sure if I should take that as a complement or an insult My answers were not meant to invalidate anything- just to give you something to think about for each hypothesis. on the paranoia front, what do you think she is paranoid about? My comment that she put the sunglasses on as the train was pulling away refers to the passage in the first post on this thread. It contained the answer to your question about how long she was on the train before putting the sunglasses on for. Indirectly, it gives a big clue to why she put the sunglasses on. It's interesting that you noted that comment. I'll come back to this. As for sympathy clues, you don't need them. Beyond your scope? I seriously doubt it. If lost, fall back to the differential list. The 4 headings I listed for a differential list cover every possible answer, hence the answer exists within one of those headings. If you want a more direct method, just list the chain of events. That should give you a few pointers. Finally, your possibility that there is nothing medically wrong with her... and of course I said I would come back to comments that you pick up on. Yes, each of my comments means something, although sometimes not easy to spot. I don't know if there was anything medically wrong with her. I never said there was. Don't give up yet... you already have half of the answer... you just may not see it. wslm NMA P.S. I don't knwo which is brighter- train or platform. have a look next time you on the underground.
|
|
|
Post by Sana :) on Mar 24, 2007 1:13:29 GMT
Being recognised. Is she a 'celebrity'? I had this thought earlier today but your above comment only furthers my theory With regards to Neither... merely an observation, though I admit I was impressed. Not an insult in the slightest, nor a complement, as complementing people for their skills is praise due to only to Allah swt. Encouraging people is a different matter however. Sorry for that confusion, hope you'll forgive me for my error So I rephrase. MashaAllah. You are very analytical. Wassalam
|
|
|
Post by NMA on Mar 24, 2007 1:39:36 GMT
AA, re. analytical- twas a jest. The ability to analyse something is important to truely understand it. As for the world of celebrity, I know next to nothing about that, so I could not say if this was a celebrity or not. wslm NMA
|
|
|
Post by Shayan on Mar 26, 2007 17:39:57 GMT
AA,
My two bits worth - I haven't had a chance to read through all the previous posts so apologies if I duplicate previous Q's.
NMA: Whilst on the train, besides keeping still did she say/do anything else?
You stated she left the train before you, did she remove the sunglasses before she left the train or was she still wearing them as she left?
Did she walk off the train normally?
That'll do for the time being. I'll get back to you with some more Q's.
WS,
Shayan
|
|
|
Post by NMA on Mar 26, 2007 21:11:52 GMT
AA, Shayan, 3 excellent questions. If you don't mind, may I ask you why you asked those and how the answers might influence your thinking? Either way, I shall post the answers to these 3 questions within 24 hours inshallah. thanks. wslm NMA
|
|
|
Post by NMA on Mar 27, 2007 20:58:36 GMT
AA, well, here are the answers to Shayans questions: 1, no, I didn't notice her doing anything else of note. 2, She wore the sunglasses as she left the train. 3. Normal is subjective, however I can say the manner she left the train, whilst appropriate for certain circumstances, might not be considered normal per se. Hope that helps wslm, NMA
|
|
|
Post by abir on Mar 31, 2007 15:40:08 GMT
Salaam
I'm a little confused she wore the glasses when she sat down is what you originally said and then in your last post you said she wore the glasses when she got of the train. Was there a time in between when she took the glasses off.
Wsalaam
Abir
|
|
|
Post by abir on Mar 31, 2007 15:42:06 GMT
Oh and i forgot to ask what was so strange about the way in which she left the train.
|
|
|
Post by Sana :) on Mar 31, 2007 21:20:24 GMT
Salam Finally someone is on the right track, or has some lead. Too bad it wasnt me lol! Ah well gives the rest of us some direction anyways.... What was so abnormal abt the manner in which she left the train? Was she limping? running? walking realllly slowly? bumping into stuff? crawling? walking backwards? dancing lol? I can't think of any more. Actually I can but they are even more ridiculous than some of above suggestions (did she tiptoe/sneak out? skip? walk on hands? ride piggy back on nearest passenger) Lol. Please, someone say something intelligent, as clearly its not coming from me! Wassalam
|
|