24-12-2024
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
This 64yr old male patient is a diabetic since 2012 followed by myocardial infarction in 2014 and recurrent strokes with left hemiparesis during 2018, 2020 and 2022! Currently bilateral frozen shoulders adhesive capsulitis since October 2024.
Plan @PPM3 @PPM4 to evaluate current glycemic control with four point fasting, and two hours post prandial along with RFT, LFT, Chest X-ray, ECG, Fundoscopy and Physiotherapy for adhesive capsulitis shoulder strengthening exercises and palliation.
PPM 1 - @PPM3 @PPM4 please check his seven point sugar profile other than the investigations mentioned in the description box.
PPM 3 - Okay sir.
27-12-2024
PPM 1 - Please share his current sugar profile since admission.
Update
Strangely his blood sugars appear well controlled on these drugs that he says hes been regular with. Difficult to explain his adhesive capsulitis since 4 months. Also complains of stable angina symptoms ever since he the myocardial infarction 15 years back.
28-12-2024
PPM 1 - @PPM3 @PPM5 his physiotherapy appears to not have been done yesterday as the sister couldn't send him due to some problem with his paper work! Can you please check and let me know?
PPM 3 - Will see that he goes to physiotherapy today sir.
PPM 1 - 👍
PA -"Sir, the pain hasn't reduced at all. If possible, please take a look today."
PPM 1 - "Yes, that problem of so many months won't go away so quickly. It will take time, and you'll need to regularly share your food plate and activities here."
PPM 1 - To better understand your symptoms, I need a bit more detail. Do you notice this anxiety and dizziness after any specific activity, like exercise or during stressful situations?
PPM 1 - @PPM3 Please share his current updated sugar profile since admission.
PPM 1 - Update from 29-12-2024.
Caretaker - "Sir, they haven't got the ticket, so let them stay today. They will leave tomorrow sir.
PPM 1 - Yes, there's no problem."
PPM 1 - @PPM3 don't discharge them today as they haven't yet been able to get the return tickets.
05-01-2025
PA -
PPM 1 - Any other leafy vegetables?
06-01-2025
PA -
PA - "Sir, everything will be fine until 12."
PPM 1 - Please post the inputs outputs in a proper manner in time.
08-01-2025
PA - Roti and suji for dinner.
PPM 1 - Suji and Roti?
This type of food is not correct! Look here. 👇
PA - Ok sir.
Sir this flour will work.
PPM 1 - "Sir, this bread will not work. Each type of grain flour will work, like wheat, sorghum, millet, finger millet, and corn."
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