Tuesday, May 26, 2026

11M Nocturnal enuresis Metabolic syn OSA childhood obesity post COVID Telangana PaJR

 
26-05-2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[3.02 pm, 26/05/2026] PPM 1: @PPM4 @PPM3 his lateral view of abdomen and arms                                                   



42F Acute Fever with Cytopenia and body pains Telangana PaJR

 
26-05-2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASD INPUTS.

[12:12 pm, 26/05/2026] PPM 1: @PPM3 @PPM4 please ask someone to share the full fever charts since admission and also a deidentified copy of the discharge summary
[12:12 pm, 26/05/2026] PPM 3: Ok sir
 

[1.08 pm, 26/05/2026] PPM 1: Thanks now let's find out which is day 1, day 2, day 3 etc



29M Alopecia Universalis 9 years Telangana PaJR

 
26/05/2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[8.44 am, 26/05/2026] PPM 1: @PPM4 @PPM3 please share his clinical images asap
[8.50 am, 26/05/2026] PPM 4: Ok sir
  
[8.54 am, 26/05/2026] PPM 1: Thanks. Please also share his total history if possible
[9.42 am, 26/05/2026] PPM 4: 
                                                










Monday, May 25, 2026

38F Rheumatoid arthritis Bell's palsy Thyroid dysfunction Telangana PaJR

 
25-05-2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[4.46 pm, 25/05/2026] PPM 1: Please remove all identifiers, patient as well as institutional before uploading
Also hope you are sharing the lateral view of the abdomen and arms in the clinical images
                                   
[4.50 pm, 25/05/2026] PPM 3: https://youtube.com/shorts/Knprhuzw0Dk?is=H2VU7hbTinUD1cUb
[3:48 pm, 26/05/2026] PPM 1: Please share them @PPM4
[4:08 pm, 26/05/2026] PPM4: X rays of hand was done sir for the patient
[4:29 pm, 26/05/2026] PPM 1: Yes I guess @PPM3 has those images if not we may have to ask @PA  to take one and share
[4:30 pm, 26/05/2026] PPM 3: No they haven’t done X-ray sir
[4:31 pm, 26/05/2026] PPM 1: Today they had come to OPD and said that they had and we found a X-ray hands shared here yesterday which was quickly deleted and we assumed because it probably had identifiers
[4:36 pm, 26/05/2026] PPM 1: 👆can you share the patient's other prescription which contained more history details after cropping the identifiers
[4:39 pm, 26/05/2026] PPM 2: She's very obviously right handed and looks like she hardly ever uses her left hand.
[4:41 pm, 26/05/2026] PPM 2: What about the Thyroid here?
[4:55 pm, 26/05/2026] PPM 1: Thyroid function turned out to be normal

68M Foot edema SOB Telangana PaJR






THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

 [4:43 pm, 25/05/2026] PPM 1: @PPM4 is this your patient?
[4:43 pm, 25/05/2026] PPM 3: Yes sir
[4:46 pm, 25/05/2026] PPM 1: Please share his history and clinical images
[4:53 pm, 25/05/2026] PPM 4: Patient is a k/c/o Parkinson’s disease since 6 months sir
With chronic eczema
Now came with complaints of swelling in bilateral foot with sob on exertion sir
Patient went for investigations sir
[4:55 pm, 25/05/2026] PPM 1: He's 68M right but may have entered the age wrong?
Alright will need his clinical images of lateral abdomen and arm muscle and his pedal edema
[4:58 pm, 25/05/2026] PPM 4: Okay sir

42M Alcoholism 10 yrs, Metabolic syn, Diabetes 2 yrs, Liver failure, alc hepatitis, recent WB PaJR

 
25-05-2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[2:17 pm, 25/05/2026] PPM 1: @PPM3 @PPM5 @PPM4 Can you share this patient's history, perhaps the hand written ones from the file after proper deidentification removing all patient and hospital identifiers?
[2:26 pm, 25/05/2026] PPM 4: Sure sir
[2:37 pm, 25/05/2026] PPM 3: Ok sir
[2.41 pm, 25/05/2026] PPM 1: 
[2:41 pm, 25/05/2026] PPM 1: The patient is currently being presented by @+91 88974 46881 and I have shared the data she has collected and organised into a PPT here
[2:42 pm, 25/05/2026] PPM 1: @PaJR Health would you like to prepare an imrad format summary of the case report and share a few Socratic questions?
                                                     
https://youtube.com/shorts/9HFcpuu8-GQ?is=MBvxgiptBaNjRyfw

                                               
                                                                                                  LFT report on day 1 of admission
                              
                                                   LFT report on day 2 of admission
                                    
[11:24 am, 26/05/2026] PPM 1: Just let me know if the bilirubin is increasing or decreasing after admission
[11:33 am, 26/05/2026] PPM 4: It is decreasing sir and we have advised for a repeat lft today sir
[3.00 pm, 26/05/2026] PPM 1: @PPM4 @PPM3 what about his SBP work up?


[4:00 pm, 26/05/2026] PPM 1: 👏 relieved
Total WBCs in ascitic fluid is only 5
So let's put his fever as due to thrombophlebitis
But please share the entire fever chart so that we can make out Day 1,2,3,n etc
[4:01 pm, 26/05/2026] PPM 3: Ok sir