52F IBS constipation piles 20 years WB PaJR

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.

Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.

Our patient is 52 years old femele who has shared her problem that she is facing stomach pain all the time. She takes medicine daily for stomach pain. She feels trouble while bowel movement. Sometimes blood comes & sometimes she faces black stool. She has infection. 

The PHR, patient journey record PaJR transcripts below reflect the therapeutic uncertainties around the patient and their resolution through team based learning :

Here's the rest of the discussions not yet updated in the case report 👇

[9/27, 9:21 PM] PA: Anar pet sb smy betha kore .roj bethar tablet khai .paykhana korte kosto hoy majhe majhe blood ase paykhanar sathe .abr majhe majhe kalo paykhana o kore.paykhanar naki te gha o ache molom lagai

[9/27, 9:21 PM] PaJR PHR Moderator: অনুগ্রহ করে রোগীর পেট এবং বাহুর পেশীর ক্লিনিকাল ফটো পোস্ট করুন যেমনটি নীচের ছবিতে দেখানো হয়েছে:

https://userdrivenhealthcare.blogspot.com/2024/08/template-for-pajr-user-driven-history.html?m=1

এবং অন্য কোনো সমস্যাযুক্ত শারীরিক অংশের ছবি পোস্ট করুন যাতে রোগীর পরিচয় প্রকাশ না হয়

[9/27, 9:28 PM] PaJR PHR Moderator: Side theke tule pahthate parle bhalo hoto jemon link tate dekhano hoyeche

[9/27, 9:33 PM] PaJR PHR Moderator: Bahur peshi ti dekha jawa dorkar jemon ekhane 👇

https://chat.whatsapp.com/F691Ysd8QihDBdqlu44WZR

[9/28, 9:30 AM] PaJR PHR Moderator: @⁨~PA⁩ etar right side ta kete geche, puro report ta pora jacche na. Tokhonkar kono discharge er photo thakle share korun

[9/28, 9:36 AM] PaJR PHR Moderator: Right side er lekha ta pora jacchena

[9/28, 9:36 AM] PaJR PHR Moderator: LN medical er discharge ta?

[9/28, 9:30 AM] PaJR PHR Moderator: @⁨~😎 Ham Ha⁩ etar right side ta kete geche, puro report ta pora jacche na. Tokhonkar kono discharge er photo thakle share korun

[9/28, 9:36 AM] PaJR PHR Moderator: Right side er lekha ta pora jacchena

[9/28, 9:36 AM] PaJR PHR Moderator: LN medical er discharge ta?

[9/28, 9:37 AM]PA: Sir ata onek ager report

[9/28, 9:38 AM] PaJR PHR Moderator: Biopsy report ta?

[9/28, 9:38 AM] PA: 2018 te kamineni insttiute a j report kora hyechilo se ta tokhon amra hate pai ni

[9/28, 9:38 AM] PaJR PHR Moderator: Eta LN Medical college er

[9/28, 9:39 AM] PA: Ota r ana hoy ni.

[9/28, 9:39 AM] PaJR PHR Moderator: 👆Aer bhetorer ebong pichoner pata guno share korle pawa jabe

[9/28, 9:40 AM] PaJR PHR Moderator: Discharge tai patient er naam dekha jacche bole delete korte baddho holam patient er goponiyota rokkharthe

[9/28, 9:40 AM] PA: J k Hospital and research center

[9/28, 9:41 AM] PA: 0

[9/28, 9:41 AM] PaJR PHR Moderator: Ota abar uporer nam tam crop kore share korun

[9/28, 9:44 AM] PaJR PHR Moderator: @⁨PAJR TRAINEE⁩ can you train @PA H⁩ to prepare this patient's case report and also collect the signed informed consent form?

[9/28, 9:47 AM] PA: Ok

[9/28, 10:22 AM] PAJR TRAINEE: Oky

[10/13, 10:28 PM] PA: Sir

[10/13, 10:28 PM]PA: Subho bijoya

[10/14, 6:24 PM]PA: Sir r o 2 jon patient jabe

[10/14, 6:24 PM] PA: Peter somosa niye

[10/14, 6:25 PM] PA19 October onara rouna dibe sir .11 jon total

[10/19, 4:33 PM] PA: Sir nomoskar

[10/19, 4:33 PM]PA: Gd evening

[10/19, 4:34 PM] PA: Sir onara sbi train a uthe porlo

[10/19, 5:13 PM] PA: Thanku sir

[10/21, 1:26 PM]PA: Sir nomoskar

[10/21, 1:27 PM] PA: Train let hou r jonno onara rat 8 tay nambe nalgonda station a .sir tokhon ki apnader hospital a onara shift hote parbe?

[10/21, 1:29 PM] PaJR PHR Moderator: Hain

Casualty te giye bollei habe ebong ekhane unader group a janaleo habe

Kojon achen? Kojone bhorti hoben? Amio amar team ke janiye rakhbo tahole

[10/21, 2:02 PM]PA: Total 11 jon achen .onara sobai vorti hoben

[10/21, 2:04 PM] PA:  Thanku sir

[10/21, 7:06 PM] PaJR PHR Moderator: Janiye diyechi. Okhane amader department a Dr Venkanna ebong Dr Nithin help korben

[10/21, 7:07 PM] PA: Ok sir .thanku sir

[10/21, 9:17 PM] PA: Sir onara station a neme geche

[10/21, 9:18 PM] +PA: Akhon auto pelei jabe

[10/22, 7:28 AM]PA: 26 tarikh sokale onara beriye porben onader train se din asar

 ta?

[9/28, 9:37 AM] PA: Sir ata onek ager report

[9/28, 9:38 AM] PaJR PHR Moderator: Biopsy report ta?

[9/28, 9:38 AM] PA: 2018 te kamineni insttiute a j report kora hyechilo se ta tokhon amra hate pai ni

[9/28, 9:38 AM] PaJR PHR Moderator: Eta LN Medical college er

[9/28, 9:39 AM] PA: Ota r ana hoy ni.

[9/28, 9:39 AM] PaJR PHR Moderator: 👆Aer bhetorer ebong pichoner pata guno share korle pawa jabe

[9/28, 9:40 AM] PaJR PHR Moderator: Discharge tai patient er naam dekha jacche bole delete korte baddho holam patient er goponiyota rokkharthe

[9/28, 9:40 AM] PA: J k Hospital and research center

[9/28, 9:41 AM] PA: 0

[9/28, 9:41 AM] PaJR PHR Moderator: Ota abar uporer nam tam crop kore share korun

[9/28, 9:44 AM] PaJR PHR Moderator: @⁨PAJR TRAINEE⁩ can you train@PA Ham Ha⁩ to prepare this patient's case report and also collect the signed informed consent form?

[9/28, 9:47 AM] PA: Ok

[9/28, 10:22 AM]PAJR TRAINEE: Oky

[10/13, 10:28 PM] PA: Sir

[10/13, 10:28 PM] PA: Subho bijoya

[10/14, 6:24 PM]PA: Sir r o 2 jon patient jabe

[10/14, 6:24 PM] PA: Peter somosa niye

[10/14, 6:25 PM] PA: 19 October onara rouna dibe sir .11 jon total

[10/19, 4:33 PM] PA: Sir nomoskar

PAJR DOCTOR: 

Casualty te giye bollei habe ebong ekhane unader group a janaleo habe

Kojon achen? Kojone bhorti hoben? Amio amar team ke janiye rakhbo tahole

[10/21, 2:02 PM] PA: Total 11 jon achen .onara sobai vorti hoben

[10/21, 2:04 PM] PA: Thanku sir

[10/21, 7:06 PM] PaJR PHR Moderator: Janiye diyechi. Okhane amader department a Dr Venkanna ebong Dr Nithin help korben

[10/21, 7:07 PM] PA: Ok sir .thanku sir

[10/21, 9:17 PM] PA: Sir onara station a neme geche

[10/21, 9:18 PM] PA: Akhon auto pelei jabe

[10/21, 9:50 PM] PA: Sir onara auto te uthe gelo

[10/21, 10:34 PM] PA:  Sir onara dhuke gelo

[10/22, 1:51 AM] PA: Sir nomoskar

[10/22, 1:58 AM]PA: Sir 2019 a amra  j giyechilam se samy r thaka r bebostha ta khub vlo chilo .otar asa kore sobai abar giyeche sathe notun patient ra o se sb sune geche bt aj to okhane giye onno rokom dekh6e taii onara ghabre ge6e

[10/22, 2 AM] PA: Sir aktu dekhben pls .sobai onara apnar vorsa te giyeche

[10/22, 7:28 AM] PA: 26 tarikh sokale onara beriye porben onader train se din asar

[10/22, 10:50 AM] PaJR PHR Moderator: Unader PaJR group link guno ektu share korun ekhane please

[10/22, 10:52 AM] PaJR PHR Moderator: Ami aekhon ekjon 67M ke dekhchi OPD te. Unar PaJR group link ta aage dorkar

[10/22, 3:04 PM] PA: Sir gd afternoon

[10/22, 4:23 PM] PaJR PHR Moderator: X-ray suggestive of significant grade sacroileitis right more than left

[10/22, 4:29 PM] PaJR PHR Moderator: @⁨pajr_trainee⁩ please add this x-ray and text to the case report here 👇

https://24fpatientblog.blogspot.com/2024/10/52f-ibs-constipation-piles-20-years-wb.html