75M WB Hepatitis

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


[6/21, 7:08 AM] PaJR PHR Moderator: Fine

Now let's get his history.

All we know till now is he has hepatitis C for 4 years.

What was his first symptom before that?

Why did he go to the doctor then and how did he get him tested for hepatitis C?

[7/5, 12:45 AM] Patient Advocate: 24rth guly25 দুপুর 1-30 pm Secondrabad পৌঁছানোর সম্ভাবনা...

[7/5, 1:01 AM] Patient Advocate: Mouth ulsar

[7/5, 6:22 PM]  Patient Advocate: Confirmed my train ticket reach at Secondrabad 24rth guly25 at noon 1-30pm. and I want to go to KIMS Medical Hospital so Please arrange a room for stay there...

[7/5, 6:24 PM]  Patient Advocate: Please Conferm
[7/5, 7:33 PM] PaJR PHR Moderator: Confirmed

[7/5, 7:34 PM] PaJR PHR Moderator: @⁨doctor 2 :)⁩ I guess he's coming all the way here so that we can take a better history!

[7/5, 8:36 PM] doctor 2: sir I'll send the history on Tuesday sir I don't have it with me right now

[7/7, 6:09 AM]  Patient Advocate:  মা সুপ্রভাত ও শুভেচ্ছা, আজ মা Kanyakumari যাত্রা করছি...29th July Kanyakumari পৌঁছানোর কথা এরপর Rameshwaram,Madurai ও Sreerangam হয়ে 24rth July Secondrabad পৌঁছানোর কথা.....

[7/7, 6:41 AM] PaJR PHR Moderator: আশা করি আপনার যাত্রা শুভ হবে। আপনি কখন যাত্রা শুরু করছেন?

[7/7, 6:51 AM] PaJR PHR Moderator: পঞ্চভূত স্থল, কন্যাকুমারী, রামেশ্বরম, মদুরাই ও শ্রীরঙ্গপটনম — এই স্থানগুলির মধ্যে একটি সাধারণ সাযুজ্য রয়েছে *দেবী উপাসনা*র দৃষ্টিকোণ থেকে। এই সমস্ত স্থানই কোনো না কোনোভাবে *শক্তি সাধনা*, বিশেষ করে *শ্রীবিদ্যা*, *মীনাক্ষী*, *কুমারী*, বা *দুর্গা* উপাসনার সঙ্গে গভীরভাবে যুক্ত।

*বিস্তারিতভাবে:*

1. *কন্যাকুমারী* – এখানে দেবী পূজিত হন *ভগবতী কুমারী* রূপে, চিরকুমারী শক্তি হিসাবে, যিনি শ্রীবিদ্যার ধারায় একান্ত তপস্যার প্রতীক।

2. *মদুরাই* – এখানে পূজিত হন *মীনাক্ষী দেবী*, যিনি পার্বতীর এক রূপ এবং শক্তি-পীঠ রূপেও বিবেচিত। তিনি শ্রীবিদ্যা উপাসনায় বিশেষ স্থান অধিকার করেন।

3. *রামেশ্বরম* – শিবের উপাসনার জন্য প্রসিদ্ধ হলেও, *পার্বতী দেবী* (পার্বতাবর্ধিনী) এখানকার উপাসনার গুরুত্বপূর্ণ অংশ। অনেক শ্রীবিদ্যা সাধক এখানে শক্তি তীর্থ হিসাবে আসেন।

4. *শ্রীরঙ্গপটনম* – যদিও এটি বিষ্ণুর (রঙ্গনাথ) জন্য প্রসিদ্ধ, কিন্তু তার সহধর্মিণী *রঙ্গনায়কী দেবী*রও এখানে পূজা হয়, যিনি শ্রীবিদ্যা ধারায় লক্ষ্মী-নারায়ণী বা ললিতার সূক্ষ্ম রূপ হিসেবে পূজিত।

5. *পঞ্চভূত স্থল* – যদিও এগুলি মূলত শিবের উপাসনার কেন্দ্র, তবু প্রতিটি স্থানে একটি করে *শক্তি রূপ* যুক্ত আছেন। শ্রীবিদ্যা উপাসনায় এগুলি শিব-শক্তি তত্ত্বের মাধ্যমে একত্রে ধ্যান করা হয়।

*সারাংশে:*

এই স্থানগুলিতে দেবীর বিভিন্ন রূপ যেমন কুমারী, রাণী, সহধর্মিণী ও মহাশক্তি রূপে উপাসনা হয়। এই রূপগুলি *শক্তি তত্ত্ব* বা *দেবী তত্ত্ব*র বিভিন্ন দিককে তুলে ধরে, যা *দেবী উপাসনা ও শ্রীবিদ্যা সাধনা*য় গুরুত্বপূর্ণ।

[7/7, 7:50 AM]  Patient Advocate: আজ শুভ যাত্রা

[7/7, 7:51 AM] Patient Advocate: নমস্কার শুভেচ্ছা ও শুপ্রভাত জানাই

[7/7, 7:51 AM] PaJR PHR Moderator: Confirmed for 25th July.

Apnar patient er privacy rokkharte unar uporer text ta delete kore dichchi jehetu etai unar naam thikana ebong roger bornona dekha jacche.

Amader daktari shashtre privacy ta amader nyayaloi guno khub kothor bhabe dekhe tai amader shotorko thakte hoi.

Amra apnar patient er jatra shubho hok eta kamona kori ebong unar saathe ekhane 25th July dekha korar asha rakhi

[7/7, 8:01 AM]  Patient Advocate: Patient Ashram e Bhagabat Seva o Social Welfare e jukta thaken se jony ektu sudha pabitra pariskar o satantra thakar bybstha hole bhal hoy.

[7/7, 8:07 AM] Patient Advocate: Allready todays before teli Conversation with Dr2  about discussion of Patient details case History

[7/7, 8:17 AM] PaJR PHR Moderator: Asha korchi ekhankar suddhota ebong pobitrota mon mugdho korar moto na holeo otyonto kharap mone habe na

[7/7, 8:17 AM] PaJR PHR Moderator: Hain @⁨~doctor 2:)⁩ ekhane achen ebong uni shetar details shighrohi amader ekhane janaben janiyechen

[7/7, 9:03 AM Patient Advocate: Many many thanks Dr. 

[7/7, 9:18 AM] 
 Patient advocate: Patiens today is starting from Kolkata at first go to visit Kanyakumari Mata Temples & stay at Ramanuj Math of Anantasree Thakur Sitaramdas Omkarnath Dev's Kanyakumari Ashram and next Rameshwaram,Madurai & after darshan of Sreerangam Rangnath Jew Bhagaban then go to Secondhand Hyderabad for the treatment of KIMS reach at Secondhand 24rth July 25 at approx time is at noon 1 -30 pm maybe.....

[7/7, 9:19 AM] PaJR PHR Moderator: 2PM to 3PM I shall be in ICU and will meet you there

[7/7, 9:19 AM] PaJR PHR Moderator: My OPD is 9:00AM to 12:00 PM

[7/7, 8:36 PM]  Patient Advocate: Patient's also try to meet with you

[7/7, 8:42 PM]  Patient Advocate: Then Please arrange room aomodetions for out comer patiens

[7/7, 9:03 PM] PaJR PHR Moderator: All patients can get rooms here. There's no shortage

[7/7, 9:04 PM] PaJR PHR Moderator: We'll need to create a separate PaJR group for him if he wants to discuss his gastro problem and to protect his privacy I'll need to delete the text mentioning his name above

[7/7, 9:05 PM]  Patient Advocate: I add the this Doctor

[7/7, 9:07 PM] PaJR PHR Moderator: I'll create a separate group for his problems.

Please share his age and problems and since when he's suffering from them

[7/7, 9:08 PM] PaJR PHR Moderator: He can be here as a doctor. We are happy to have his inputs

[7/7, 9:09 PM]  Patient Advocate: He send his case history by Nibedita Pal

[7/7, 9:09 PM] PaJR PHR Moderator: @⁨paht_member please create a separate group for him

[7/7, 9:37 PM]  Patient Advocate: Age -33
 Ekta gallbladder stone usg te finding chilo

[7/7, 9:38 PM]  Patient Advocate: Then ami nije self medicine choose kore khai 10-12 din

[7/7, 9:38 PM]  Patient Advocate: Then usg kori

[7/7, 9:38 PM]  Patient Advocate: Tokhn dekhi usg report bolche stone nei

[7/7, 9:38 PM]  Patient Advocate: Polyp hoyeche

[7/8, 7:57 AM] PaJR PHR Moderator: 👆@⁨pajr_trainee can you create this PaJR group?

[7/8, 8:39 AM] pajr trainee: Ok I'm making

[7/8, 8:41 AM] pajr trainee: Done

[7/8, 8:41 AM] pajr trainee: Follow this link to join my WhatsApp group: https://chat.whatsapp.com/FZu87f9Uvb268bRpBG37ym?mode=ac_c

[7/8, 9:25 AM] PaJR PHR Moderator: Please delete the patient's deidentified documents above to protect his privacy and confidentiality.

Will take the discussion around this patient's requirements in that group using Web 2.0-3.0 tools

[7/8, 10:08 AM] Patient Advocate: Follow this link to join my WhatsApp group: https://chat.whatsapp.com/FZu87f9Uvb268bRpBG37ym?mode=r_c

[7/8, 10:11 AM] pajr trainee: It can't be deleted now

[7/8, 10:22 AM] PaJR PHR Moderator: Done

[7/8, 10:23 AM] Pajr Trainee: Forwarded and cropped to another group


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