THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED FTER 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.
CHIEF COMPLAINT -
1] Generalized weight loss since 7 years
2] Feeling less energetic since 7 years
3] Facial dullness since 2 years
4] Mid back pain 8 months
5] Tail bone pain 7 months
HISTORY OF PRESENTING ILLNESS -
The patient of apparently asymptomatic 7 years back then he noticed a gradual weight loss which was generalized throughout the body. he also experienced thirstiness, generalized weakness and frequently felt hungry. for this he went to the doctor and got diagnosed with diabetes type 2 for which he was prescribed METFORMIN HCL 1000 mg which he takes usually before breakfast.
8-9 months back he developed lower back pain of the left side which was shooting and radiating type till the hamstring muscles. for this he went to nearby doctor and was prescribed TAB. NEUROKIND ? which he took for about one and a half month. and he got relieved using this medication within 15 days and he completed the course of one and a half month.
6 months back he developed pain in his tailbone which aggravated on prolonged sitting. for this he got advised to use a physio pillow after using which his pain got diminished. but without the use of this pillow or sitting on hard surfaces the pain aggravates.
2 years back the patient and the people around him noticed a marked change in his facial appearance which he describes as facial muscle loss and loose facial skin. this has effected the patients self confidence and his ability to mingle with people as he was always pointed out about how his face had become less attractive and dull.
Apart from the above mentioned issues his concentration has decreased in his general office work from past 1 year.
PAST HISTORY -
The patient is a known case of DM TYPE 2 since 7 YEARS for which he takes METFORMIN HCL 1000mg OD
The patient is a known case of HYPERTENTION since 5YEARS for which he takes OLMESARTAN which was of the following doses -
20mg - first 2 years
40mg- next 3 years
20mg -from this march 2023.
The patient got involved in a road traffic accident 7 years back in which he had a patella fracture and muscle tear in his lower mid back which got healed over time. upon general checkup 2 years back the issues were said to be resolved and healed,
No history of any surgeries.
No history of Tb, epilepsy, asthma.
FAMILY HISTORY-
His mother was known case of HTN and passed away last year due to heart stroke.
His father died of at the age of 65 from IDIOPATHIC LIVER CIRROHSIS [ no h/o alcohol consumption}
His elder brother has GRADE 2 FATTY LIVER.
PERSONAL HISTORY-
Patient is TAX CONSULTANT by occupation since the year 2002. his profession requires him to sit for about 10-12hrs a day at one place. he lives away from home as his work place is in a different city.
Patient belongs to the upper middle class was married the age of 34YEARS.He has a son [ 16YEARS ]
His son got diagnosed with brain tumor at the age of 3YEARS, surgery was not indicative as the age was a contraindicatory in his case so medications were continued and a minor supportive surgery was performed. At the age of 7YEARS his son was attacked by left facial paralysis after which he was again admitted and in the year 2008 he was operated and the tumor was removed.
in the year 2021 the patients son complained of severe headache and when on the way to the hospital he felt unconscious in the ambulance. Upon examination he was diagnosed with the reoccurrence of the brain tumor and internal bleeding for which he was operated. after the operation took place whole pf his left side got paralyzed which was treated with supportive PHYSIOTHERAPY. Now the patients son is able to move his limbs on the left side but still left with few restrictions in his fingers and wrist.
This scenario of his son's medical issue left the patient both FINANCIALLY and MENTALLY INVESTED. And with time it took a greater toll on his finances and emotional mental status.
Diet - mixed
appetite - normal
Sleep- adequate
bowel - regular but not relieved at once
bladder - normal.
Addictions - ALCOHOL - NO ADDICTION
CIGARRETTE - 5-6 CIGARRETTES per day since 10 years
DAILY ROUTINE-
Patient wakes up around 6;30 am cleans his room.
has chai biscuit and muri
prepares food
10am - breakfast
goes to work
2-2;30pm - lunch
resumes his work
5pm - walking for 1 hr and covers a distance around 4kms
consumes black tea after he is back from walk
10pm dinner
12:30 - sleeps.
Date - 10 June 2023
Follow up and prognosis -
This is a update about patients condition after about 17 days of initial case taking.
The patients investigations showed a good improvement. He is showing good prognosis.
During these 17 days the patient was adviced and followed up each and everyday keenly and this has made a marked change in his condition.
Upon interacting with the patient these were the following updates -
1- He is feeling more confident.
2- He seemed to be in a good mood.
3- From past 7 days he is feeling more energetic and lethargy has diminished.
New complaints -
1- Pain in his toes (explained as pain which usually is seen after playing sports or doing some activity)
His diets medicines which given and follow up reports are furnished below.
There are three samples of daily activities represented in Bengali in our PaJRs below:
We begin with a part of the 52M patient's case report details, which are published by our intern in the link below :
PaJR daily activities (energy outputs) and food plates (energy inputs) 52M Hypertension, Diabetes 5 years WB PaJR
৭:৩০ সাধারনতঃ সকাল সাড়ে সাতটা নাগাদ ঘুম থেকে উঠি। তারপর খালিপেটে দু-গ্লাস জল খাই। এবার হাত মুখ ধুয়ে ৫-৬টা ভেজানো কাঠবাদাম, ছোলা, কোনদিন একটু কারি পাতা, আদার টুকরো চিবিয়ে হাটতে বের হয়ে যাই। ৮:৩০ নাগাদ হেঁটে ফিরে এসে লাল চা মুড়ি খাই। তারপর ঘড়/চেম্বার পরিষ্কার, স্নান-পূজা ইত্যাদি করতে করতে বেলা দশটা বেজে যায়।
10:00 এবার খেজুর, কলা বিভিন্ন ফল ও দুধ দিয়ে ওটস ইত্যাদি দিয়ে প্রাতঃরাশ সারি, তারপর অফিসে সহকর্মীরা সবাই এসে গেলে তাদের কাজ বুঝিয়ে দিয়ে রান্না করি।
12:00 বারোটা নাগাদ সাধারনতঃ কিছুক্ষণের জন্য কোর্টে যেতে হয়।
২:৩০ কোর্ট থেকে ফিরে এসে আড়াইটা নাগাদ দুপুরের খাবার খাই। ঐসময়ের পর থেকে ক্লায়েন্টগণ আসতে থাকেন তাদের সঙ্গে সময় দেই।
৫:৩০ চা ও সামান্য জলযোগ করে আবার চেম্বারে ঢুকে যাই।
৯:০০ রাত নটা নাগাদ রাতের রান্না করে খেয়ে নিয়ে আবার কাজে বসে যাই। কাজ শেষ হতে হতে সাধারণতঃ রাত সারে এগারোটা বেজে যায় মাঝে মাঝে রাত সারে বারোটা বা একটাও হয়ে যায় তারপর শুয়ে পড়ি।
আবার যেদিন ৪৫ কিলোমিটার দূরে জেলা শহরে পরিবারের সঙ্গে থাকি সেদিন রুটিনের কিছুটা পরিবর্ত্তন ঘটে।
৭:৩0 সকালে অসুস্থ ছেলেকে নিয়ে স্কুলে দিয়ে আসা তারপর প্রাতঃরাশ করে ওখানকার কোর্ট ও ইনকাম ট্যাক্স অফিসে যেতে হয়। ওখানেও কিছু সাংসারিক কাজও করতে হয়। এবার প্রয়োজন হলে এখানে ফিরে আসি অথবা রাতে জেলা শহরে থেকে যাই।
কিন্তু গত জুন মাস থেকে কোমরের বাঁ দিকে এবং কক্সিস অংশে ব্যাথা শুরু হবার পর থেকে কাজ কর্মে প্রচন্ড ব্যাঘাত ঘটছে। বসতে বেশ কষ্ট হচ্ছে, চেয়ারের পেছনে একটা কুশন নিয়ে বসতে হচ্ছে তাতেও স্বাচ্ছন্দ পাচ্ছি না। চেয়ার থেকে উঠলে বেশ কিছুক্ষণ সোজা হতে পারছি না। বেশ কিছুটা পরে একটু হাঁটলে তবে কিছুটা স্বাভাবিক হয়। গাড়ি চালাতেও একই সমস্যার সন্মুখিন হতে হয়। ব্যাথা হবার আগে যেভাবে ঘন্টায় ঘন্টায় যা যা করতাম, এখনও একই কাজ করতে হচ্ছে।
বেশ কিছুদিন থেকে শরীর খুব দুর্বল লাগছে, মনে হচ্ছে পেশিগুলোও ঢিলে হয়ে যাচ্ছে।কাজে একদম এনার্জি পাচ্ছি না, এমনকি কাজে মনোযোগও দিতে পারছি না, মনে হচ্ছে স্মৃতিশক্তি কমে আসছে, খুব ভুলে যাচ্ছি। চোখের দৃষ্টিশক্তিও অনেকটাই কমেছে। চেহারার খুব অবনতি হচ্ছে। বাইরে বের হলেই সবাই আমাকে দেখে একবার জিজ্ঞাসা করছে হল টা কি? চেহারা এত কেন খারাপ হচ্ছে। এবং আমি নিজেও সেটা অনুভব করছি।
এই অবস্থায় আমার এখন কি করনীয় জানালে খুব উপকৃত হব।
পেশেন্ট এখন ওষুধ ব্রেকফাস্টের পর খাচ্ছে ১) অলমিসার্টেন ২০, ২) মেটফর্মিন হাইড্রোক্লোরাইড এস আর ১০০০ এম জি।
গত দেড় /২ বছর থেকে এই ঔষধ খাচ্ছি,তার আগে কয়েক বছর 1)Tablet Glycomet GP2 forte, 2) Tablet Olmygest 40 khetam, কিন্তু গত দেড়/২ বছর আগে চেন্নাইতে গেছিলাম, সেখানে medicine er power কমিয়ে দিয়েছে: 1) Met forming SR 1000 ,2) Olmygest 20, এই ঔষধগুলো খাচ্ছি।
Breakfast : posted at 11:49 AM
Lunch posted : 3:03 PM
Dinner posted at 10:06 PM
Goto Kal shara din 24 ghonta kemon chilen ghontai ghontai biboron dite parben niche jemone udaharon dewa ache?👇
আপনি কি আপনার রোগীর প্রতিদিনের ঘন্টার ক্রিয়াকলাপগুলি নীচের স্লটের মতো করে ভাগ করতে পারেন? 👇
08.02.2024 আপডেট
8.30 AM - ঘুম থেকে ওঠার সময়
8.30-9 AM - ফ্রেশআপ
9.30 AM - প্রাতঃরাশ (6 ভাদা + চাটনি) + এক কাপ কফি
10 AM - 1 PM - ক্লায়েন্ট কল
1.45 PM- দুপুরের খাবার (3 কাপ ভাত + চিকেন কারি প্রায় 300 গ্রাম)
2.15-5.30 PM - ক্লায়েন্টের কাজ চলতে থাকে
6 PM - 2 মাফিন + এক কাপ চা
6. PM- 9PM- সিস্টেমে ক্লায়েন্টের কাজ
9.30 PM - রাতের খাবার (2 কাপ ভাত + চিকেন কারি প্রায় 200 গ্রাম)
দ্রষ্টব্য- নীচের বাম দিকে ব্যথা সারা দিন উল্লেখযোগ্য ছিল। তিনি ঘন ঘন বিরতিতে একটি গরম জলের ব্যাগ দিয়ে স্থানীয় তাপ প্রয়োগ করার চেষ্টা করেছিলেন। আজ সকালে ঘুম থেকে ওঠার পর সে বলে একটু ভালো হয়েছে, হয়তো গতকাল তাপ প্রয়োগের কারণে।
22.05.24
8.30AM -ghum theke othar por sorir valo chhilo.fress legechhe
9.5am-cha, muri
10.40am-vat ,dal siddho,machh vaja
Kichhu khon por ORS er jol khelam .tar por TV dekhe
1.30pm-- snan kore
2pm---vat,dal,macher jhol.
Hata hati kore suye poren
8pm ---milk tea,muri papor vaja
11.20pm. ---dinner kore suye porechhe.
Kal Sara din valoi legechhe,
Jedin kharap Lage sedin sokal thekei ghum theke uthe sas kosto hoy r Sara din kharap Lage r jedin valo jay Sara din valo lage.dine 2-3 ltr jol Khan
But Sir, patient Sara din a 2 hour por por Smoke kore olpo olpo kore.
November 12, 2024
[11/13, 12:08 PM] PaJR PHR Moderator: @pajr_member how much calories here?
[11/13, 12:22 PM] PaJR PHR Moderator: @pajrtrainee please update the above to his case report
Pajr_member :
[11/16, 2:11 PM] Patient Advocate 63M: Message এ click করে August AI save করে নিন।
[11/16, 2:12 PM] Patient Advocate 63M: সেখানে ছবিটা পাঠান।
থালায় কি কি আছে তাদের নাম লিখুন
জিজ্ঞাসা করুন সেখানে কত ক্যালরি আছে সেটা জানাতে।
তাহলে একটা হিসাব পেয়ে যাবেন।
Lunch
[11/17, 11:43 AM] Patient Advocate 63M: 📸In this image, there are:
- Toast with peanut butter: 1 slice - approx 200 kcal
- Banana: 1 small - approx 90 kcal
- Apple slices: 1/2 apple - approx 50 kcal
- Guava slices: 1/2 guava - approx 40 kcal
- Boiled egg: 1 - approx 70 kcal
[11/17, 11:43 AM] Patient Advocate 63M: *Total:*
- Calories: 450 kcal 🍽️
- Proteins: 15 g 🥚
- Carbs: 70 g 🍞🍌🍏
- Sugars: 30 g 🍌🍏
- Fat: 15 g 🥜
- Fibers: 10 g 🍎🍏
[11/17, 11:43 AM] Patient Advocate 63M: This breakfast looks fantastic! 🌟 The combination of toast with peanut butter, fruits, and a boiled egg provides a great balance of nutrients.
[11/17, 11:43 AM] Patient Advocate 63M: If you're looking for a filling and energizing meal, this is definitely a winner! Keep up the great work with your healthy choices! 😊
[12-03-2025 08:27] PA: স্যার আমরা আগামীকাল(Thursday) 13/03/2025 Nalgonda Railway station এ morning 7.20 (schedule)তে নেমে আপনার hospital যাচ্ছি 🙏
[12-03-2025 09:14] PA: স্যার,আমাদের জন্যে ওখানে একটা কেবিনের ব্যবস্থা করে দিলে খুব ভালো হয়🙏
[13-03-2025 09:31] PA: Good morning Sir, আমরা হাসপাতালে পৌঁছে গেছি,এখন কার সাথে কথা বলবো?
[13-03-2025 09:33] PA: Registration করে নেবো?
[13-03-2025 09:44] PPM 1: Hain
[13-03-2025 09:44] PPM 1: OPD te aashchi class shere
[13-03-2025 10:19] PPM 1: Ami OPD te achi
[13-03-2025 10:27] PPM 1স্যার আমরা রেজিস্ট্রেশন করতে এসেছি,তারপর ওপিডি তে যাচ্ছি
[15-03-2025 12:37] PPM 1: @PPM 3 his FBS and ppbs two hours after every meal is not being done!
Also muscle strengthening exercises for his sarcopenia haven't been taught!
[15-03-2025 13:53] PPM 3: I'll follow it up sir
[15-03-2025 16:51] PPM 1: Please summarise the psy notes and plan @~PPM4 @~PPM5
Also please ensure that FBS and two hours post meal sugars are done in this patient everyday and values shared here
Suggest a few doable exercises for muscle strengthening to correct his sarcopenia
[15-03-2025 17:16] PPM 6: Ok sir
[15-03-2025 17:22] PPM 4: Okay sir
[15-03-2025 17:28] PPM 5: Okay sir
[15-03-2025 17:45] PPM 6: Patient is worried about son's health, anxious, dysphoric, occassional sleep distrubances, weakness, work stress and finishing targets diagnosed as adjustment disorder
[15-03-2025 17:48] PPM 6: He also c/o fearfulness and alpitations surrounded by a group of people
[15-03-2025 17:54] PPM 6: Patient counselled, brief psychotherapy done
Tab paroxetine 25 mg 1/2 hs
Tab ELCAFORT PLUS OD
RELAXATION AND DIVERSION TECHNIQUES EXPLAINED
[15-03-2025 17:55] PPM 6: Physiotherapy done
[15-03-2025 18:35] PA: স্যার গতকাল সাইকিয়াট্রি ডিপার্টমেন্টে আমার কাউন্সেলিং হয়েছে, physiothetapy কাল থেকে শুরু হবে বলে গেলো, HbA1c স্যাম্পল এইমাত্র নিয়ে গেলো আর মেডিসিন আনতে দিয়েছে এগুলো কি শুরু করবো?
[15-03-2025 18:39] PPM 7 Why physiotherapy please for this 52m?
[15-03-2025 20:57] PPM 1: He has sarcopenia as a part of his metabolic syn.
So physiotherapy largely to improve muscle mass and strength toward diabetes reversal
[15-03-2025 20:57] PPM 1: Aage PPM7 er theke report ta pai tarpor
[15-03-2025 21:52] PPM 7: Ok Sir
[18-03-2025 08:34] PPM 1: @CR this patient and his family are going to be discharged today and you have prepared the case reports of his wife and son.
Can you also discuss with our intern who is preparing his and his son's EMR discharge summaries today and prepare his case report also citing the three case reports already made for him and shared here in the description box with your additions on what more we may have achieved during his current visit with us here in our hospital.
[18-03-2025 14:26] PA: স্যার আমরা আজ বিকেল 5.30 এখান থেকে বেরিয়ে যাবো
[18-03-2025 14:38] PPM 1: Apnara discharge summary ta haathe peye gechen?
[18-03-2025 14:52] PA: এখনো পাইনি স্যার
[18-03-2025 16:39] PPM 1: Aekhon peyechen asha korchi
[18-03-2025 16:42] PA: এখনো পাইনি,তবে দেবে বলেছে ,স্ট্যাম্প লাগানো বাকী আছে
[18-03-2025 16:59] PA: ডিসচার্জ সামারী এখন পেলাম স্যার
[18-03-2025 17:00] PA: স্যার এখন আমরা বেরোচ্ছি,ভালো থাকবেন শুভকামনা রইলো 🙏🙏
[19-03-2025 08:53] PPM 1: For this patient's sarcopenia and diabetes reversal as well as other patients too, one can learn some of Dr Arvind Gupta's exercises regularly posted in my channel 👇
[01-04-2025 23:11] PA: স্যার কাইন্ডলি একটু দেখে যদি আপনার এডভাইস জানান
[02-04-2025 20:51] PA: দিনে ২/৪ বার করে পায়খানা হতো, kakhono sticky, kakhono loose ebhabe last 3 মাস ধরে hochhilo, pete konorakam byatha chilona, blood o jetona, ei test gulo ei March maserv23 theke 25 tarikher modhye hoyechilo
[02-04-2025 20:53] PA: Last 1 bachor dhore weight ekirakam ache kintu chehara chokhe parar mato din din khub kharap hoye jachhilo
[02-04-2025 20:59] PA: Sir, patient apnar okhane 12/03 tarikh theke 18/03 March bikel 5 ta porjyonta chilo, ei medicine gulo ki thik ache sir? report gulo dekhe ektu jodi janaten, medicine gulo khabo kina
[02-04-2025 21:01] PA: Lethargy,weakness, forgetfulness, egulo chilo sathe
[02-04-2025 21:05] PPM 1: Ileum er Biopsy report tao dekha dorkar. Unara endoscopy report a likhechen je biopsy niyechen.
[02-04-2025 21:09] PPM 1: Oi prescription a sugar er medicine chara are kono karjokori medicine dekhchina tabe sugar er jonyeo amra jeta diyechilam sheta unar jonye better habe mone hoi.
Bortomane uni sugar er jonye ki oshudh khacchen?
Kono ek chuthir dine
Fasting
Two hours post breakfast
Two hours post lunch
Two hours post dinner kore janaben
EMR summary by intern:
Age/Gender: 54 Years/Male
Address:
Discharge Type: Relieved
Admission Date: 13/03/2025 02:22 PM
Diagnosis
K/C/O TYPE 2 DM SINCE 5 YEARS(STOPPED MEDICATIONS 5 MONTHS AGO) K/C/O HTN SINCE 5 YEARS (STOPPED MEDICATIONS 5 MONTHS AGO)
Case History and Clinical Findings
COMPLAINTS OF TIREDNESS SINCE 2-3YEARS COMPLAINTS OF FORGETFULLNESS SINCE 3 YEARS COMPLAINTS OF COUGH SINCE 3 MONTHS
PATIENT WAS APPARENTLY ASYMPTOMATIC ASYMPTOMATIC 3 YEARS AGO, HE HAD TIREDNESS (INSIDIOUS IN ONSET, ON AND OFF EPISODES)
C/O FORGETFULLNESS SINCE 3 YEARS (LOOKING, THINGS ETC)
C/O COUGH SINCE 3 MONTHS ASSOCIATED WITH SPUTUM (ON AND OFF), NO EVENING RISE OF TEMPARATURE, NO VOMTING, NO LOOSE STOOLS,
PAST HISTORY:
NO SIMILAR COMPLAINTS IN THE PAST
K/C/O T2DM SINCE 5 YEARS ON TAB GLYCOMET SR 1GM (STOPPED 5 MONTHS AGO ) K/C/O HTN SINCE 5 YEARS ON TAB TELMA 20MG (STOPPED 5 MONTHS AGO)
NOT A K/C/O OF, ASTHMA, EPILEPSY, THYROID DISORDER, CAD, CVA PERSONAL HISTORY:
APPETITE - NORMAL BOWELS- REGULAR MICTURITION: NORMAL NO ALLERGIES ADDICTIONS -NO
GENERAL EXAMINATION:
PATIENT IS C/C/C TEMPERATURE - 98.6F BP - 130/80 MMHG
PR - 78 BPM RR - 16 CPM
SPO2 - 99% AT RA GRBS: 172MG/DL
CVS - S1 S2 HEARD, NO MURMURS
RS - BAE PRESENT, DYSPNEA GRADE 2
PER ABDOMEN - SOFT,, NON-TENDER, NO ORGANOMEGALY CNS -NFAD
TONE RIGHT LEFT UL N N
LL N N
POWER RIGHT LEFT UL 5/5 5/5
LL 5/5 5/5
REFLEXES B +2 +2
T+2 +2
S+2 +2
K +2 +2
A+2 +2
GLASGOW SCALE :15/15, E4 V5 M6
PSYCHIATRY REFERRAL WAS DONE ON 14/3/25 I/V/O DEPRESSION IMPRESSION :1.TAB.PAROXETINE 25MG MG X DAYS
2. TAB CLONAZEPAM 0.25MG MD/SOS
3. ELLAFORT PLUS FOR 10 DAYS
Investigation
FBS-189 mg/dl (13/3/25) HBAIC-6.7%
FBS - 154 mg/dl (15/3/25)
Treatment Given (Enter only Generic Name)
GRBS TWO MEALS AFTER EVERY MEAL
PHYSIOTHERAPY FOR MUSCLE STRENGTHENING EXERCISES I/V/O SARCOPENIA
Advice at Discharge
PHYSIOTHERAPY FOR MUSCLE STRENGTHENING EXERCISES I/V/O SARCOPENIA
Follow Up
REVIEW TO GM OP AFTER 1 WEEK/SOS
When to Obtain Urgent Care
IN CASE OF ANY EMERGENCY IMMEDIATELY CONTACT YOUR CONSULTANT DOCTOR OR ATTEND EMERGENCY DEPARTMENT.
Preventive Care
AVOID SELF MEDICATION WITHOUT DOCTORS ADVICE, DONOT MISS MEDICATIONS. In case
of Emergency or to speak to your treating FACULTY or For Appointments, Please Contact: For Treatment Enquiries Patient/Attendent Declaration: - The medicines prescribed and the advice regarding preventive aspects of care, when and how to obtain urgent care have been explained to me in my own language
SIGNATURE OF PATIENT /ATTENDER
SIGNATURE OF PG/INTERNEE
SIGNATURE OF ADMINISTRATOR
SIGNATURE OF FACULTY
Discharge Date Date:18/3/25 Ward:SUPERSPECIALITY
Unit:1
[08-04-2025 11.24] PA:
22.07
12.26
[09-04-2025 14.59] PPM 1: 👍
[13-04-2025 12.04] PA: 
[27-04-2025 08.55] PA: Breakfast 2 boiled eggs and veg salad.
[27-04-2025 11.06] PPM 1: 👍
[27-04-2025 11.25] PA: Puffed rice, banana, curd with grapes.
PPM 1: 👍
[28-04-2025 10.11] PA: Rice, veg curries dal curd and fruits
[28-04-2025 22.38] PA: Rice with fish curry, veggies and chutney.
PPM 1: 👍
[29-04-2025 10.51] PA: Rice with dal veg curry, paneer rajma and chutney
PPM 1: 👍
[02-05-2025 11.32] PA: 
[02-05-2025 14.08] PPM 3: Very nice diet looks yummy. Personally, I've enjoyed drum stick (moringa) in my sambar and drum stick leaf based green chutneys. I believe it has beneficial properties of reducing inflammation and hence vascular tone. I believe its safe to have Moringa Sambar at least twice a week.
[02-05-2025 14.09] PPM 3: Just thought I'll share this snippet for the physicians in the group for their expert opinion.
[03-05-2025 10.47] PA:
22.35
[05-05-2025 10.24] PPM 1: [05/05, 10:16] August AI: 📸In this image, there is a plate consisting of:
- Boiled eggs 🥚 2 pieces - approx 155 kcal
- Cucumber 🥒 slices - approx 16 kcal
- Green grapes 🍇 - approx 62 kcal
- Orange slices 🍊 - approx 47 kcal
- Apple slices 🍏 - approx 52 kcal
- Almonds (peeled) - approx 98 kcal
- Pumpkin seeds 🎃 - approx 126 kcal
- Dates 🌴 - approx 66 kcal
- Milk (in the bowl) 🥛 - approx 42 kcal
- Total Calories: 🔥 664 kcal
- Protein: 🥚 36g
- Carbs: 🍞 78g
- Sugars: 🍬 58g
- Fat: 🥑 32g
- Fibers: 🌾 12g
[05/05, 10:16] August AI: Wow, this meal is packed with nutrients! You've got a great source of protein from the eggs and a variety of fruits and nuts that provide healthy fats and fiber.
[05-05-2025 15.30] PA: 
[05-05-2025 15.40] PPM 1: 👍
[11-05-2025 11.27] PA: 
[11-05-2025 11:55] PPM 3: Looks yummy. Just out of curiosity, would like to know if you are using one of those exercise tracker smart watches?
[11-05-2025 14:14] PA: No I am not using exercise tracker smart watch
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