3 mths old male 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.
The PHR, patient journey record PaJR transcripts below reflect the therapeutic uncertainties around the patient and their resolution through team based learning :
[12/14, 9:40 AM] pajr_trainee: রোগীর অ্যাডভোকেটের জন্য প্রশ্ন;
অনুগ্রহ করে আপনার রোগীর ঘটনাগুলির ক্রম বর্ণনা করুন যা বর্তমান সমস্যার দিকে পরিচালিত করেছে। আপনার রোগীর একেবারে কোন সমস্যা না হওয়ার সময় থেকে ঘটনাগুলির ক্রম শুরু করুন।
[12/14, 9:55 AM] PaJR PHR Moderator: @pajr_trainee I'm assuming @pa Days is the patient advocate1 and he or she can even share the story over voice mail which one of you here can share in text?
[12/14, 9:58 AM] PA: 2mant 25 day amar bacha ami mathabanga thake bolchi ar ripot shere korchi
[12/14, 9:59 AM] PaJR PHR Moderator: Report pore
Aage ghotonaboli ta share korun
@PAJR_TRAINEE please guide her how to share the history
[12/14, 10:00 AM] PaJR PHR Moderator: Report jeguno dorkar habe amra cheye nebo
Aekhon report noi
Ghotonaboli share korun
[12/14, 10:03 AM] PAJR_TRAINEE: Yes
[12/14, 10:04 AM] Pakr_trainee: রোগীর অ্যাডভোকেটের জন্য প্রশ্ন;
অনুগ্রহ করে আপনার রোগীর ঘটনাগুলির ক্রম বর্ণনা করুন যা বর্তমান সমস্যার দিকে পরিচালিত করেছে। আপনার রোগীর একেবারে কোন সমস্যা না হওয়ার সময় থেকে ঘটনাগুলির ক্রম শুরু করুন।
[12/14, 10:05 AM] pajr_trainee: যখন আপনার বাচ্চার জন্য সমস্যা ছিলনা , তখন থেকে ঘটনা গুলো বলবেন
[12/14, 10:06 AM] PaJR PHR Moderator: Keep sharing the voice to text here
[12/14, 10:15 AM] pajr_trainee: local Doctor said the baby is affected from the womb ...the baby has stomach issues ...
[12/14, 10:16 AM] PA: Or samosa first month second month hai ki aur Shruti Kashi Johar aur loose motion loose motion take or pater chobi korlam thar por theke or pater pblm dora porlo or pakistol infection type a Kichu
[12/14, 10:17 AM] PaJR PHR Moderator: What are the stomach problems the mother has noticed?
Since when?
[12/14, 10:19 AM] PA: The baby's stool was white from the beginning, white with yellow mix
There was no problem before. But day by day the baby's problem is visible. Baby's stool has become yellow.
The baby's body is also became yellow
[12/14, 10:20 AM] PA: কি ধরনের পাকস্থলীর সমস্যা দেখা গেছে বাচ্চার, শুরু থেকে।
আর কবে থেকে
[12/14, 10:22 AM] PA: Ripot shere korbo
[12/14, 10:22 AM] PaJR PHR Moderator: Alright is that all?
Stool becoming yellow is normal stools
White stools are abnormal stools suggesting obstructive jaundice.
Is she confusing the colour sequence?
[12/14, 10:23 AM] PaJR PHR Moderator: Pore
Aage sompoorno janan ore ki somossa lokkho korechen
[12/14, 10:24 AM] PA: এই টুকুই সমস্যা ছিল কি??
ওর পটি হলুদ সেটা নরমাল,
সাদা পটি হলে সেটা অবস্ট্রাকটিভ jaundice এর লক্ষণ।
আপনি কি কালার নিয়ে কনফিউজ হচ্ছেন?
[12/14, 10:25 AM]PA: Dhin dhin or khaoyar Ruchi komche
[12/14, 10:26 AM] PaJR PHR Moderator: Ask her to share his image without the identifiers
[12/14, 10:28 AM] PA: বাচ্চার ছবি পাঠান , যাতে ওর মুখ বা ওকে চেনা যায় এমন কিছু প্রকাশ না পায় সেই ছবি তে
[12/14, 10:29 AM] PA: Evabe noy
[12/14, 10:30 AM] PAJR TRAINEE: ওর মুখের ছবি বা ওকে চেনা যায় এমন কিছু যেনো না আসে
[12/14, 10:30 AM] PAJR TRAINEE: https://userdrivenhealthcare.blogspot.com/2024/08/template-for-pajr-user-driven-history.html?m=1
[12/14, 10:30 AM] PAJR TRAINEE: এখানে যেভাবে দেওয়া আছে
[12/14, 10:31 AM] PAJR TRAINEE: বাচ্চার শরীরের সামনের অংশ , সাইডের অংশ।
[12/14, 10:31 AM]PAJR TRAINEE: কোনো ভাবেই যেনো ওর মুখ না আসে
[12/14, 10:31 AM] PAJR TRAINEE: Ar যা দিয়ে ওকে চেনা যায় ,সেরকম কিছু যেনো ছবি তে না থাকে
[12/14, 10:45 AM] PaJR PHR Moderator: 👆 please share the entire story of his problems
[12/14, 11:20 AM] PAJR TRAINEE: Somossa ta aro bistarito janale valo hoi
[12/14, 11:29 AM] PA: 30 mint pore valo kore bolchi akho gari the achi
[12/14, 12:28 PM] PA: 1mant sb kichu valo chilo suru holo 2 mant thake solt yellow colour and white colour miks Lush Mohsen dhin dhin or khaoyar Ruchi komche kana beshi kore
[12/14, 12:30 PM] PA: Thar por hospital a vorti chilam thar por jokon or solt komchilo na doctor Babu bollen pater chobi korte
[12/14, 12:30 PM] PA: : Pare jante parlam or pater pakistolic problem
[12/14, 1:12 PM] PaJR PHR
Moderator: Ebar clear holo @PAJR_TRAINEE
Loose motions and reduced appetite since 1 month age.
Ebar unar peter chobi ta share korun
Ebong tar report o share korun kothao jate karur naam na dekha jai moton
[12/14, 6:55 PM] PaJR PHR Moderator: Okhane operation koriye nite boleche?
[12/14, 6:58 PM] PaJR PHR Moderator: Rokto porikkha guno share korun
[12/14, 7:27 PM] PaJR PHR Moderator: Ei report tai aro kichu part thakar kotha jetake amra boli LFT
[12/14, 7:47 PM] PaJR PHR Moderator: @pajr_trainee please upload these ultrasound images to his case report after removing all identifiers
[12/15/2024, 8:45 PM] PA: Ek ki kono medicine chang ache
[12/15/2024, 8:48 PM] PaJR PHR Moderator: Operation
[12/23/2024, 6:31 PM] Pa: Sir Amara r akta report krechi ata aktu dhekun
[12/23/2024, 7:47 PM] PaJR PHR Moderator: Report aeki rokom dekhacche
[12/23/2024, 7:49 PM] PA 87 Days: Baby ke kothay niye gale bhalo hobe
[12/23/2024, 7:50 PM] PaJR PHR Moderator: Jekhane apni bhorsha korar moton kono surgeon paben
[12/23/2024, 7:53 PM] PA Days: Apnar Jankari modhe keo ba apni
[12/23/2024, 8:03 PM] PaJR PHR Moderator: Amader ekhane Hyderabad a government hospital a pediatric surgeon er saathe kotha bola hoyeche. Unara khub sombhoboto bhalo bhabe help korben
[12/23/2024, 8:25 PM] PaJR PHR Moderator: Ekhankar aei government hospital jekono beshorkari hospital theke anek beshi sundor ebong karjokori 👇
https://youtu.be/xEuqskOroEo?si=MvgT_0nXmG4FdJ61
[12/24/2024, 9:51 AM] PA: Sir Amara tho gorid manush thobuo ktho prbe
[12/24/2024, 9:53 AM] PAs: Khorcha
[12/24/2024, 9:54 AM] PaJR PHR Moderator: Government hospital a shob free
Jawa aashar ebong thaka khawar ja khorcha hoi
[12/24/2024, 9:55 AM] PA: Hospital ta ki purata ki shisur
[12/24/2024, 9:59 AM] PaJR PHR Moderator: Na shudhu unar department ta pediatric surgery
[12/24/2024, 10:05 AM] PA: Apni ki unake amader report dhekiye chen
[12/24/2024, 10:08 AM] PaJR PHR Moderator: Hain
[12/24/2024, 10:08 AM] PaJR PHR Moderator: Aei December er sheshe pahuchote paren
[12/24/2024, 1:39 PM] PA: Sir Hospital tar thikana ta aktu jodi ditels bolen ta hole amader subidha hoy
[12/24/2024, 2:02 PM] PaJR PHR Moderator: Gandhi Medical College
Musheerabad,
MIGH Colony, Walker Town,
Padmarao Nagar, Hyderabad
Secunderabad – 500003, Telangana
https://gmcsecunderabad.org/contact-us/
[12/24/2024, 2:07 PM] PA: Ok thanks
[12/24/2024, 8:31 PM] PA 87 Days: Sir tickit pachi na pouchate amader 2 January
[12/24/2024, 8:31 PM] PA 87 Days: Tahle ki kono ashubidha hobe
[12/24/2024, 8:38 PM] PaJR PHR Moderator: Thik achhe
[12/25/2024, 1:56 PM] PAv 87 Days: Sir amader tikit hoye geche.amra sukrobar rouna dibo
[12/25/2024, 1:58 PM] PaJR PHR Moderator: Ami Dr ke janiye dicchi
Kabe pahunchoben okhane?
[12/25/2024, 2:01 PM] Pa 87 Days: Amra okhane pouchabo Sunday bikale
[12/25/2024, 2:08 PM] PaJR PHR Moderator: Tahole unar saathe Monday dekha habe tai to?
[12/25/2024, 2:11 PM] PA : Ok
[12/28/2024, 4:21 AM] PA: Sir Amara trian utlam 4am
[12/28/2024, 9:28 PM] PA 87 Days: Sir trian too let thahole amer rate ki korboo
[12/29/2024, 3:39 PM] PaJR PHR Moderator: Okhane pahunche emergency teo apekkha korte paren
[12/29/2024, 3:50 PM] PA 87 Days: Gandhi hospital ki
[12/29/2024, 3:51 PM] PaJR PHR Moderator: Hain
[12/29/2024, 3:54 PM] PA 87 Days: Sir apner kache jai ter per manday Gandhi hospital joya jabe
[12/29/2024, 4:09 PM] PaJR PHR Moderator: Ajke Sunday
Kalkei Monday morning a Gandhi hospital pahuchote hole aajkei Hyderabad pahunche jawa better habe
Amader aro patient okhane ache unake phone kore kotha bolte paren.
Alok babu
+91 77974 16597
[12/29/2024, 9:38 PM] Pranav 87 Days: Sir apnar medical ar nam ki
[12/29/2024, 9:44 PM] PaJR PHR Moderator: Kamineni institute of Medical Sciences, Narketpally
https://en.m.wikipedia.org/wiki/Kamineni_Institute_of_Medical_Sciences
[12/29/2024, 10:05 PM] PA: dada ke ekta phn korbo
[12/30/2024, 4:45 AM] PA: dada too hm tole na
[12/30/2024, 8:07 AM] PaJR PHR Moderator: Aekhon apnara kothai? Gandhi medical college pahuche gechen?
[12/30/2024, 8:09 AM] PA: Hm sir ,kintu apnar shathe dheka korle bhalo htho
[12/30/2024, 8:10 AM] PA : dada ke phone korechilam , dada bolo asthechi
[12/30/2024, 8:11 AM] PaJR PHR Moderator: Okhane Dr shob bhalo moton kore deben ebong Alok babu o help korben
[12/30/2024, 5:46 PM] PA: Sir ektu dakben
[12/30/2024, 7:10 PM] PaJR PHR Moderator: Thik achhe
Dr keo janiye dicchi
[12/30/2024, 7:25 PM] PA: Ok sir
[12/30/2024, 7:25 PM] PA: Dr ki kal ke dakbe?
[12/30/2024, 7:33 PM] PaJR PHR Moderator: Hain aajke keno dekheni tai bhabchi
[12/30/2024, 7:43 PM] PaJR PHR Moderator: Kalke giye unar shonge third floor a giye pediatric surgery te unar departement a dekha korben.
Uni operation theatre a thakben kintu 10:00 AM er pore apni okhane giye janale uni theatre theke beriye apnar saathe dekhaa korben
[12/30/2024, 7:44 PM] PA : Thank you sir
[12/31/2024, 11:27 AM] PA : Sir Dr.sister pash Gaye too bole sheet lekear
[12/31/2024, 11:28 AM] PA : Picu may jr Dr. Visit kor raha hai.bacha ko ka nimoniya hai
[12/31/2024, 11:29 AM] PA: Too Kay kare sir
[12/31/2024, 11:33 AM] PaJR PHR Moderator: Aager moton banglai likhle bojha jeto
Aekhon ki likhechen bojha jacche na
[12/31/2024, 11:45 AM] PA : Dr. bolo ki ektu dake Jay.presend picu may addmission hay
[12/31/2024, 11:46 AM] PA : Ektu request karo sir
[12/31/2024, 11:46 AM] PaJR PHR Moderator: Unar shonge third floor a giye pediatric surgery te unar departement a dekha korben.
Uni operation theatre a thakben kintu 10:00 AM er pore apni okhane giye janale uni theatre theke beriye apnar saathe dekhaa korben
[12/31/2024, 11:58 AM] PA : Sir unhi sheet ta chan kintu akhan thake diche na
[12/31/2024, 11:58 AM] PA : Apni aktu onake bolen dhake jaben
[12/31/2024, 11:58 AM] PA: Bacha pchur siriyach
[12/31/2024, 11:59 AM] PaJR PHR Moderator: Apnake debe na. Unar junior daktar ke debe
Ami text kore janiyechi
Apnar saathe unar dekha hoini?
[12/31/2024, 11:59 AM] PA: Na
[12/31/2024, 12:03 PM] PaJR PHR Moderator: Oi serious byapar ta ore lungs er jonye ebong bortoman daktar jinara okhane dekhechen tarai samlabe.
Drshudhu ore choledochal cyst operation korar jonye help korben.
Baki bacchar bortoman lungs er jonye jei poristhiti sheta bortoman daktar ra okhane manage korben
@~doc can you send your intern to pediatrics department to share some information about what's happening around this current 3 month old child admitted in Gandhi? @~doc is also there and can guide to the exact location
[12/31/2024, 12:09 PM] PaJR PHR Moderator: Apnar phone number ta unake diyechi.
Uni call korben
[12/31/2024, 2:28 PM] +91PA2: Sir gato kal bachatake atmet kara pojjanto ami chilam sir +Dr zen shaber shateo dakha kare dr naga arjuner katha bale chilam sir
[12/31/2024, 2:32 PM] PA: Sir ktha hoyeche
[12/31/2024, 4:55 PM] PaJR PHR Moderator: Uni ki bollen?
[12/31/2024, 4:56 PM] PA: Oxigen samasha aache
[12/31/2024, 4:57 PM] PA: Bacha ter oxigen samasha ses hole surgery hobe eikane
[12/31/2024, 4:59 PM] PA: Ok
[1/1, 12:05 PM] PA: Sir eikhane jrn Dr. Bolche je din din cyst ta bere jache blood o infaction hochhe.baccha ta ajj ke pet ta fuley jacche.eidike shash kastota kichu tei Kom che na . Ki kori sir bolben ektu
[1/1, 12:23 PM] PaJR PHR Moderator: Unara unader jotha saddho moton korben. Unader haathe chere dewa tai shothik habe
[1/1, 12:24 PM] PA: Ok sir
[1/5, 3:50 PM] PA: Sir amar bacha akhon anek ta valo ache
[1/5, 3:50 PM] PA: Or buke je infection chilo akhon onek ta kome che
[1/5, 3:52 PM] PA: shas kosto ta bhalo hoyeche
[1/5, 3:52 PM] PA: Kintu or jaundy Mane blood infection bashi hoche
[1/5, 5:07 PM] PaJR PHR Moderator: Sheta operation korle shere jabe.
Buker infection ta bhalo moton kome gele aekhon jar kache bhorti achen tini Dr r unit a operation er jonye transfer kore deben
[1/5, 5:44 PM] PA: Kintu akhon Ara jaundice niye beshi ktha bolchen
[1/5, 5:47 PM] PA: Sir apni aktu jodi doctor sir ke bolten onar assistant ashe aktu doctor ar kache khobor niten
[1/5, 5:51 PM] PA: Karon shudu Ara bolchen jtho dhin jache atho jaundice barche
[1/5, 6:05 PM] PA: Or blood infection Mane jaundice ar jono medicine ar dose ektu bariye chen thar jano kalke thake jor ashe
[1/5, 6:18 PM] PaJR PHR Moderator: Jor ta proti 4 ghonta baade baade mepe ekhane janaben
[1/5, 6:18 PM] PA: Ha janachi
[1/5, 6:18 PM] PA: Abong aora jor ar induction Diksha
[1/5, 6:19 PM] PA: 🙏🙏
[1/6, 1:53 PM] PA: Sir please reply
[1/6, 1:54 PM] PA: Ajke doctor bollen bacha surgery jano redi
[1/6, 1:54 PM] PA: R bollen blood Kom ache se jono ach ke blood chorbe
[1/6, 2:13 PM] PA: 1b
[1/6, 4:48 PM] PaJR PHR Moderator: Tahole to bhaloi
Aebar unara surgery te shift kore deben Dr N 'r kache
[1/6, 8:06 PM] PA: Hm
[1/6, 8:06 PM] PA: Ajke blood chol che
[1/6, 8:08 PM] PA: Kal ke ki dairek surgery hobe
[1/6, 8:09 PM] Pa: Na aro ora test korbe
[1/6, 8:11 PM] PaJR PHR Moderator: Aro test korbe
Surgery te to aekhono shift koreni
[1/6, 8:12 PM] PA: Hm kalke korbe shift koreni akhno
[1/6, 8:16 PM] PA: Kalke ki nagarjun sir amar bacha ke dhekben
[1/6, 8:29 PM] PaJR PHR Moderator: Unake kalke phone kore jiggesh korte paren
[1/6, 8:30 PM] PA: Nambar
[1/6, 8:31 PM] PA: Nambar ta jodi Paya jatho
[1/6, 8:32 PM] PaJR PHR Moderator: 👆uni ekhane call korechilen to. Tokhon number save koren ni?
[1/6, 8:33 PM] PA: Na sir phone ta amar kache chilo na
[1/6, 8:33 PM] PA: Hasbend ai sab pare na
[1/6, 8:33 PM] PA: Jodi ar aktu kosto koten
[1/7, 4:46 PM] PA: Sir Amara upre
[1/7, 4:46 PM] PA: Ashi
[1/8, 9:21 AM] PaJR PHR Moderator: @~A eta ki apnar uddesshe
[1/8, 11:12 AM] PA: Na
[1/8, 11:40 AM] PaJR PHR Moderator: Tahole kar uddeshshe?
[1/8, 11:50 AM] PA: Surgery jano
[1/8, 11:53 AM] PaJR PHR Moderator: Tara ekhane nei bodh hoi
[1/8, 11:55 AM] PA: Apni ki bolchen ami bujhte parchi na
[1/8, 12:13 PM] PaJR PHR Moderator: Ekhane apni likhechen:
Amra upre
Jeta hoito
Amra Upore
Sheta keno likhechen bujhte chaichilam
[1/8, 12:15 PM] PA: Sir ekhan amader ke surgery bed achi
[1/8, 12:15 PM] PA: Shift korche kalke
[1/8, 12:15 PM] PaJR PHR Moderator: O accha ebar bujhlam
[1/8, 8:36 PM] PA: Sir amader moto tho anek ke ache surgery jono .
[1/8, 8:39 PM] PA: Amader mone hoy aktu taim lagbe surgery jano ,, amader shathe je ak jon ase chilen o bari bari korche ar amar hasbend atho sb kichu jane ne
[1/8, 8:40 PM] PA: Sir apni jodi aktu sir ke bolten amader surgery ta ni aktu vabten.... 🙏
[1/8, 8:44 PM] PaJR PHR Moderator: Janacchi
[1/8, 8:47 PM] PA: Jaaniye amake bolben 🙏
[1/8, 9:13 PM] PaJR PHR Moderator: Uni janalen unara aekhon operation er aage MRCP test tar date pawar opekkha korchen
[1/8, 9:14 PM] PA: Acha
[1/8, 9:16 PM] PA: Ach ke akta boro sir ashe chilen thini tho bollen karate
[1/8, 9:16 PM] PA: Kintu ata Jani na aita test naki
[1/9, 11:28 AM] PaJR PHR Moderator: Boro Sir bodh hoi Dr Nagarjuna?
[1/9, 12:17 PM] PaJR PHR Moderator: Unar saathe kotha hoyeche asha kori apnadero.
Aagami Thursday operation er plan roilo. Iti modhye MRI (jeta ke peter khetre MRCP bola hoi) ta koriye newa hobe. Aekhono ore ektu shaash koshto ache bole anesthesia dewa ta ektu asubidhe hote pare MRI korar jonyeo
[1/9, 12:18 PM] PaJR PHR Moderator: @PAjRTRAINEE please update the PaJR conversations after 14/12 here https://24fpatient.blogspot.com/2024/12/3-mths-old-male-wb-pajr.html?m=1
[1/9, 1:49 PM] PA: Ok sir Jai houk na keno ami apnake janabo
[1/9, 7:55 PM] PA: Mrcp report ashte ktho dhin lage
[1/10, 9:15 AM] PaJR PHR Moderator: Kobe hobe? Hoyegeche?
[1/10, 9:28 AM] PA: Na sir
[1/10, 9:28 AM] PA: Ajke hobe
[1/10, 9:41 AM] PA : ...
[1/10, 3:06 PM] PA: Sir
[1/10, 3:06 PM] PA: Mri skan chara ki r kno r upay nai
[1/10, 5:56 PM] PA: .
[1/10, 6:14 PM] PA: Ajke MRI Mane MRCP korte giye chilam kintu oke gumer syrup daoyar preo o gumay nai ... Ora bolche anesthesia dewar ktha kintu or bolchen rigsh tumader thakbe ...
[1/10, 6:15 PM] PA: Amra bolchi Boro sir ar songe kotha boli age
[1/10, 7:35 PM] PA: Sir please reply
[1/10, 7:46 PM] PaJR PHR Moderator: Kichu ta risk nite hote pare.
Unara khub shabdanei deben
[1/10, 7:55 PM] PaJR PHR Moderator: 👆
