42M Kidney Failure suspected WB

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 came from 2000 km far and shared his problem that he Has : 
1. kidney failure as said by the doctors, 
2. Stomach cancer detected by the doctors of Mathabhanga Hospital and referred to Slg for various tests
3. He can't go to Hyderabad due to his financial and physical problem , he is in very serious condition

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 👇



[11/18, 6:08 PM] Patient 42m Wb: Jor suru hoy se ta 3 din thake tar por sas kosto suru hoy r sathe komor betha

[11/18, 6:08 PM] Patient 42m Wb: Kasi ache r khida bole bt khete pare na.
[11/18, 6:09 PM] Patient 42m Wb: Akhaner hospital a vorti chilo 5 din.

[11/18, 6:10 PM] Patient 42m Wb: Hat pa fola chilo se ta akhon sukiye geche bt pet ta fola ache

[11/18, 8:11 PM] PaJR PHR Moderator: Kabe theke?

[11/18, 8:23 PM] Patient 42m Wb: 25 tarik thake

[11/18, 8:24 PM] PaJR PHR Moderator: 25th October er aage kono rokom somosya unar chilona?

[11/18, 8:24 PM] Patient 42m Wb: Na

[11/18, 8:25 PM] PaJR PHR Moderator: 25th October shobar prothom ki hoyechilo? Kotar somoi? Oi somoi uni ki korchilen?

[11/18, 8:26 PM] Patient 42m Wb: Ratre suya silo tarpor jor sas kosto kasi

[11/18, 8:27 PM] Patient 42m Wb: 12ta

[11/18, 8:28 PM] PaJR PHR Moderator: Shedin raate are ghumote pareni?


Tarpor protidin aekhon poryonto alhada alhada protidin er ghotona ki ki ghotechilo ektu mone kore dheere shushthe ekhane janan

[11/18, 8:33 PM] Patient 42m Wb: 25tarik ratre hospital a vorti kori tarpor 5din vorti silo takar por daktar bole harniya hoyshe

[11/18, 8:35 PM] Patient 42m Wb: Tarpor sob porikha kore jana jai j kidnir te poblem ase

[11/18, 8:37 PM] Patient 42m Wb: Tarpor potidin bomi kisho kaite pare na

[11/18, 8:47 PM] Patient 42m Wb: Sas kosto

[11/18, 9:17 PM] PaJR PHR Moderator: Unar chest X-ray r chobi ta share korun

[11/18, 9:17 PM] PaJR PHR Moderator: Goto kaal kotobar bomi hoyechilo?

[11/18, 9:17 PM] Patient 42m Wb: 1bar

[11/18, 9:17 PM] PaJR PHR Moderator: @⁨pajr_trainee⁩ teach her how to check respiratory rate

[11/18, 9:18 PM] PaJR PHR Moderator: Aager theke anek kom?

[11/18, 9:18 PM] Patient 42m Wb: Ha
[11/18, 9:19 PM] PaJR PHR Moderator: Are jor are saash koshto kemon?

[11/18, 9:19 PM] Patient 42m Wb: Akhon jor sas kosto hoy na

[11/18, 9:20 PM] Patient 42m Wb: Kintu besi jore hatte pare na kotha bolte pare na tahole sas kosto hoy

[11/18, 9:22 PM] Patient 42m Wb: Ar kisho kaite pare na kheda lage kaite pare na

[11/18, 9:31 PM] Patient 42m Wb: Chest x ray chobi

[11/18, 10:05 PM] PaJR PHR Moderator: @⁨pajr_trainee please guide her how to take the chest X-ray properly using the desktop computer screen as a backlight

[11/18, 10:05 PM] PaJR PHR Moderator: ECG?

PA : 

[11/18, 10:12 PM] PaJR PHR Moderator: Aer aage blood pressure kemon chilo?

[11/18, 10:15 PM] Patient 42m Wb: Blood pressure loo

[11/19, 10:29 PM] pajr trainee: āĻāĻ­াāĻŦে āĻ¨āĻ¯় , āĻ•āĻŽ্āĻĒিāĻ‰āĻŸাāĻ° āĻ¸্āĻ•্āĻ°িāĻ¨েāĻ° āĻ˛াāĻ‡āĻŸ āĻāĻ° āĻ¸াāĻŽāĻ¨ে āĻāĻ‡ āĻĒ্āĻ˛েāĻŸ āĻŸা āĻ§āĻ°ে āĻ›āĻŦি āĻ¤ুāĻ˛ে āĻĒাāĻ াāĻ¤ে āĻŦāĻ˛ুāĻ¨ āĻ†āĻĒāĻ¨াāĻ° āĻĒেāĻļেāĻ¨্āĻŸ āĻ•ে

[11/19, 10:37 Pm) pa2 Hyderabad Patient: Ok


[11/20, 8:47 PM] PaJR PHR Moderator: Shob dekhe mone hocche viral fever er saathe heart ebong renal failure hoyechilo.


Aaste aaste puro puri thik hoye jabe

[11/20, 9:12 PM] Patient 42m Wb: Ok

[11/20, 9:19 PM] Patient 42m Wb: A osud gula to akhon khitese tahole ki korbe agulo khabe

[11/20, 9:21 PM] PaJR PHR Moderator: Okhane kono oshudh lekha dekhchina

Oshudh ki khacchen shetar chobi share korun jaate naam tao dekha jai

[11/20, 9:29 PM] Patient 42m Wb: Kache

[11/20, 9:29 PM] Patient 42m Wb: Homeopathy osud

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