41 F WB patient

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

[1/22, 2:50 PM] PaJR PHR Moderator: She?

[1/22, 2:52 PM] PAJR TRAINEE: "She" is the patient, and "he" is the patient advocate

[1/22, 3:23 PM] +PA: Ami he..advocate bolchi.. Emni sob Normal cholchilo... hatat kichudin agey she .. notice korchilo tar latrin thik hochhe na regular basis e. Olpo hochhe konodin hochhei na Trpr dherey dhreey sokal bela mukh ta bhishon tok.hoye jetey suru korlo kichu khelei .j mon biscuit,tea .khelei sokal theke mukh tok, mukh e jol uthey aschilo .trpr suru holo buke e,peter opor portion e, shoulder e pain,byatha, jolkhabar, lunch khele aro beshi berey jetey laglo, buke er bhitor pal petition hotey laglo, komor e,pithey,panjor e byatha, bhishon ekta kosto sara sarir e hotey laglo ekta osowasti.pressure high hoye gyalo..140/86.bhoy petey suru hoye gyalo,, trpr khidey tai choley gyalo.. golar kachey ekta jyano kichu kunduli pakiye achey jeta onek dhekur uthley hoyto thik hobey emon feeling hotey laglo..fish khetey pochondo korey.. kintu setao ekhon chhutey perchey na..mathai ekta kosto hotey laglo,,kan gulo gorom hoye thakchhe beshir bhag somoy..dirgho niswas felchey pray somoy..

[1/22, 3:42 PM] PaJR PHR Moderator: Ask him to share the phenotype

[1/22, 4:00 PM] PAJR TRAINEE: ওপরের share করা লিঙ্ক টা ক্লিক করে ওখানে দেখানো আছে যেভাবে , সেভাবে ছবি পাঠান। দয়া করে লক্ষ্য রাখবেন , কোনো ভাবে যেনো রোগীর পরিচয় প্রকাশ না পায়।

[1/24, 10:38 AM] PaJR PHR Moderator: Shune bhoyer kichu mone hocche na

Jei diagnosis ta group name a diyechi shetai obosheshe unar diagnosis hoye darabe asha korchi

BP ta jekono ekta chutir deene ontoto 10 bar puro 24 ghonta cover kore janate parle bojha jeto koto ta significant

Baki somosya guno unar khaddo nali ebong puro intestine er current ta thik moto na cholar jonye

[1/24, 7:52 PM] PAJR TRAINEE: Remedies ki achey..ki korley komey jabey kosto gulo

[1/24, 9:43 PM] PaJR PHR Moderator: Remedies for:

1) Large intestinal dysmotility manifesting with symptoms of:

"... hatat kichudin agey she .. notice korchilo tar latrin thik hochhe na regular basis e. Olpo hochhe konodin hochhei na 

2) Esophageal dysmotility presenting with symptoms of:

Trpr dherey dhreey sokal bela mukh ta bhishon tok.hoye jetey suru korlo kichu khelei .j mon biscuit,tea .khelei sokal theke mukh tok, mukh e jol uthey aschilo .trpr suru holo buke e,peter opor portion e, shoulder e pain,byatha, jolkhabar, lunch khele aro beshi berey jetey laglo, buke er bhitor pal petition hotey laglo, 

3) Stomach and small intestinal dysmotility:

komor e,pithey,panjor e byatha, bhishon ekta kosto sara sarir e hotey laglo ekta osowasti.

2 and 3 are collectively called NUD 

BP effects due to the pain and fear : pressure high hoye gyalo..140/86.

GAD: bhoy petey suru hoye gyalo,, trpr khidey tai choley gyalo.. golar kachey ekta jyano kichu kunduli pakiye achey jeta onek dhekur uthley hoyto thik hobey emon feeling hotey laglo..fish khetey pochondo korey.. kintu setao ekhon chhutey perchey na..mathai ekta kosto hotey laglo,,kan gulo gorom hoye thakchhe beshir bhag somoy..dirgho niswas felchey pray somoy..

Remedy:

Diet as shown here 👇

https://medicinedepartment.blogspot.com/2023/09/the-healthy-plate-diet-in-bengali-telegu.html?m=1

Exercise: Regular sharing of routine hourly activities in the group that can be later optimised by the team as illustrated previously here 👇

https://24fpatient.blogspot.com/2024/06/pajr-patient-advocate-driven-phr.html?m=1

[1/24, 9:54 PM] PAJR TRAINEE: Ok

[1/25, 12:03 AM] PA: Diet to pelam.. kintu khabey ki korey jodi na gas, acidity ta komey.khabar tai khete perchey na..gas er pain ta to continue hocchey...kichui mukhey ditey perchey na..

[1/25, 8:50 AM] PaJR PHR Moderator: Ekbar clinically examine kore kichu test kora jete pare

[1/25, 9:51 AM] +PA: Ami to besh kichu report koriye post o korechi.. group e..arr ki korano jetey parey..jodi boley den ektu..

[1/25, 10:04 AM] PaJR PHR Moderator: 👆 ekhane duto blood report dekhchi

[1/25, 10:04 AM] PaJR PHR Moderator: Mainly upper and lower GI endoscopy

[1/25, 10:05 AM] PaJR PHR Moderator: Upper and lower GI endoscopy may come normal with the diagnosis of intestinal dysmotility we have in mind but it will still be useful to bring down the possibility of any other pathological abnormality of the intestine

[1/25, 10:07 AM]PA: Aro 2 to achey

[1/25, 10:07 AM] PaJR PHR Moderator: A clinical examination is needed.

One of our doctors here @PAJR_DOC is currently in Kolkata for a conference and you can even meet her there after fixing a convenient time through texts here?

[1/25, 10:09 AM] PA: Ami meet kortey chai..uni jodi ektu time den tahole obosoi meet korbo

[1/25, 10:10 AM] PaJR PHR Moderator: I guess this 👇

Moon Plaza, 62, Lenin Sarani, 2nd FL, Flat-2D, Kolkata-700013

is @⁨~PAJR_DOC 's current address in the conference venue.

https://www.apiconkolkata2025.com/

Let's see if she reverts back to confirm here

[1/25, 10:12 AM] PA: Okay..jodi uni bolen tahole ami ekai meet kortey pari ajj e..amr office er kachei achey ei address

[1/25, 10:14 AM] PaJR PHR Moderator: Clinical examination er jonye patient keu dorkar habe

Dekhi @⁨PAJR_TRAINEE hoito alhada bhabe @⁨PAJR_DOC ke janate paren

[1/25, 10:15 AMPA: Hya se thik achey ami onar sathey kotha to boltey pari..trpr niye jabo patient ke..

[1/25, 10:16 AM] +PA: Jodi kal sombhob hoy..kal..e niye jetey pari

[1/25, 10:47 AM] +PA:  I am currently in new town sir

[1/25, 10:51 AM] +PA: Kono somossa nei apni jodi bikelbela ei address e asen amake phone e ba group e agey theke janiye diley ami thakbo dekha korar jonno

[1/25, 10:53 AM] PaJR PHR Moderator: Uni Bangla bojhen na

[1/25, 10:57 AM] +PA: Okay no problem if you come on above mentioned address after 2 to 5 p.m. please acknowledge in the group.. I must have to wait for your presence

[1/25, 11:03 AM] PAJR_DOC: Okay sure 

B 52 street 169 New town is my address

[1/25, 11:03 AM] +PA: I’ll let you know once I reach my home

[1/25, 11:03 AM]PAJR_TRAINEE: Okay.. pls..

[1/25, 12:47 PM] PaJR PHR Moderator: Home or hotel?

[1/25, 12:48 PM] +PA: Home sir

[1/25, 12:48 PM] +PA: This is an Airbnb

[1/25, 12:53 PM] PaJR PHR Moderator: All our 10 PGs are staying there?

[1/25, 12:54 PM] +PA: Similar one near by sir

[1/25, 12:55 PM] +PAJR DOC:  My husband accompanied me so we took a separate one

[1/25, 12:55 PM] +pajr doc: The rest all took another double bedroom home

[1/25, 1:11 PM] PaJR PHR Moderator: Our patient advocate @⁨PA can provide some good suggestions on the best places to see and eat locally

[1/25, 1:28 PM] PAJR DOC: We tried Bengali cuisine at Kasturi, biryani at Arsilan as advised by local people 

Kasturi food was good, place ambience is okayish

Arsilan is not to our appetite sir

[1/25, 1:29 PM] +PAJR DOC: One of the localities suggested Paturi. Yet to try it

[1/25, 1:30 PM] +PAJR DOC: Sweets are really good

[1/25, 1:31 PM] P DOC: Had terrible experience at Kalighat mandir

The pandas are all so smart😄. Did not expect their tricks at temple place.

[1/25, 1:50 PM] Pa: Those people are very very smart..

[1/25, 1:50 PM] +PA: Bengali sweets always good in test..

[1/25, 1:51 PM] PAJR DOC: Yeah I agree

[1/25, 1:53 PM] +PA: Yes,sure

[1/25, 2:27 PM] PaJR PHR Moderator: Can have it in "Oh Calcutta" near Shilparamam in Hyderabad! Had very nice one there few weeks back

[1/27, 1:54 PM] +PA: Ekta remedies kichu bolun jeta she ke relief debey.. primarily.. erokom continue holey hospitalized hoye jabey kichui khete perchey na..book e, pithey,Ghaar e,panjor e sudhu byatha ar pain feeling hocche..

[1/27, 7:48 PM] PaJR PHR Moderator: Clinically examine na kore bola mushkil

[1/27, 7:49 PM]Pa: Ekhaner keu ekjon nei je bhalo clinically examine kortey perbey apnar moto korey ...??

[1/27, 7:51 PM] +PA: Apnar moto korey she ke examine kortey perbey erokm keu ekjon

[1/27, 7:51 PM] PaJR PHR Moderator: @⁨~DOC2⁩ bortomane Durgapur a achen. Unake jodi dekhate paren

[1/27, 7:52 PM] PA: Edikey ki asen uni?? Bardhaman ba Kolkata ba chandannagar?

[1/27, 7:52 PM] PA: Ki name onar..??

[1/27, 7:53 PM] PaJR PHR Moderator: Dr AG, IQ City

[1/27, 7:53 PM] PA: Ohhhh achha.. Kolkata o ki asen??

[1/27, 8:02 PM] +DOC2: Ami durgapur e achi

Majhe majhe chinsurah te jai jekhane amar bari

[1/27, 8:03 PM] PA: Sir apnar barite dekhate pari? Jodi apni permission den khub upokar hoy..

[1/27, 8:03 PM] DOC2: Chuchura amar kachakachi area..ami Pandua te thaki

[1/27, 8:05 PM] PA: Jodi apni permission den.. kobey asben.. chuchura sedin apnar somoy moto dekhate jabo..

[1/27, 8:19 PM] +PA: Pls ektu boley deben..

[1/27, 8:26 PM] +PA: Hain ami apnake janiye debo

[1/27, 8:26 PM]DOC2: Emnite patient er ki hoyeche ?

[1/27, 8:32 PM] PaJR PHR Moderator: [22/01, 15:23] Patient Advocate 48M Knee Ligament Tear WB: Ami he..advocate bolchi.. Emni sob Normal cholchilo... hatat kichudin agey she .. notice korchilo tar latrin thik hochhe na regular basis e. Olpo hochhe konodin hochhei na Trpr dherey dhreey sokal bela mukh ta bhishon tok.hoye jetey suru korlo kichu khelei .j mon biscuit,tea .khelei sokal theke mukh tok, mukh e jol uthey aschilo .trpr suru holo buke e,peter opor portion e, shoulder e pain,byatha, jolkhabar, lunch khele aro beshi berey jetey laglo, buke er bhitor pal petition hotey laglo, komor e,pithey,panjor e byatha, bhishon ekta kosto sara sarir e hotey laglo ekta osowasti.pressure high hoye gyalo..140/86.bhoy petey suru hoye gyalo,, trpr khidey tai choley gyalo.. golar kachey ekta jyano kichu kunduli pakiye achey jeta onek dhekur uthley hoyto thik hobey emon feeling hotey laglo..fish khetey pochondo korey.. kintu setao ekhon chhutey perchey na..mathai ekta kosto hotey laglo,,kan gulo gorom hoye thakchhe beshir bhag somoy..dirgho niswas felchey pray somoy..

[24/01, 10:38]pajr_moderator : Shune bhoyer kichu mone hocche na

Jei diagnosis ta group name a diyechi shetai obosheshe unar diagnosis hoye darabe asha korchi

BP ta jekono ekta chutir deene ontoto 10 bar puro 24 ghonta cover kore janate parle bojha jeto koto ta significant

Baki somosya guno unar khaddo nali ebong puro intestine er current ta thik moto na cholar jonye

[24/01, 19:52] Patient Advocate 48M Knee Ligament Tear WB: Remedies ki achey..ki korley komey jabey kosto gulo

[24/01, 21:43]pajr moderator: Remedies for:

1) Large intestinal dysmotility manifesting with symptoms of:

"... hatat kichudin agey she .. notice korchilo tar latrin thik hochhe na regular basis e. Olpo hochhe konodin hochhei na 

2) Esophageal dysmotility presenting with symptoms of:

Trpr dherey dhreey sokal bela mukh ta bhishon tok.hoye jetey suru korlo kichu khelei .j mon biscuit,tea .khelei sokal theke mukh tok, mukh e jol uthey aschilo .trpr suru holo buke e,peter opor portion e, shoulder e pain,byatha, jolkhabar, lunch khele aro beshi berey jetey laglo, buke er bhitor pal petition hotey laglo, 

3) Stomach and small intestinal dysmotility:

komor e,pithey,panjor e byatha, bhishon ekta kosto sara sarir e hotey laglo ekta osowasti.

2 and 3 are collectively called NUD 

BP effects due to the pain and fear : pressure high hoye gyalo..140/86.

GAD: bhoy petey suru hoye gyalo,, trpr khidey tai choley gyalo.. golar kachey ekta jyano kichu kunduli pakiye achey jeta onek dhekur uthley hoyto thik hobey emon feeling hotey laglo..fish khetey pochondo korey.. kintu setao ekhon chhutey perchey na..mathai ekta kosto hotey laglo,,kan gulo gorom hoye thakchhe beshir bhag somoy..dirgho niswas felchey pray somoy..

Remedy:

Diet as shown here 👇

https://medicinedepartment.blogspot.com/2023/09/the-healthy-plate-diet-in-bengali-telegu.html?m=1

Exercise: Regular sharing of routine hourly activities in the group that can be later optimised by the team as illustrated previously here 👇

https://24fpatient.blogspot.com/2024/06/pajr-patient-advocate-driven-phr.html?m=1

[25/01, 00:03] Patient Advocate 48M Knee Ligament Tear WB: Diet to pelam.. kintu khabey ki korey jodi na gas, acidity ta komey.khabar tai khete perchey na..gas er pain ta to continue hocchey...kichui mukhey ditey perchey na..

[25/01, 08:50] moderator: Ekbar clinically examine kore kichu test kora jete pare

[25/01, 09:51] Patient Advocate 48M Knee Ligament Tear WB: Ami to besh kichu report koriye post o korechi.. group e..arr ki korano jetey parey..jodi boley den ektu..

[25/01, 10:04] moderator: Mainly upper and lower GI endoscopy

[25/01, 10:05] moderator: Upper and lower GI endoscopy may come normal with the diagnosis of intestinal dysmotility we have in mind but it will still be useful to bring down the possibility of any other pathological abnormality of the intestine

[25/01, 10:07] pajr_moderator : A clinical examination is needed.

One of our doctors here @⁨doc⁩ is currently in Kolkata for a conference and you can even meet her there after fixing a convenient time through texts here?

[1/28, 7:09 AM] PaJR PHR Moderator: Uni ja ja khacchen roj khawar aage chobi tule ekhane share korben. 

Unari moton somosyai bhugchen arek jone amader ekhane kichu din bhorti chilen ebong shob test korar por mulotoh unar khawar plate ebong unar roj kar doinondin ghontai ghontai kaaj kormo jante pere unar diagnosis ta aro sohoj holo.

Unar details ekhane dekhte paren 👇

https://pajrcasereporter.blogspot.com/2024/12/44f-diabetes-nud-ccf-wb-pajr.html?m=1