65M Metabolic Syn 20 yrs CAD Prostatism 1 year WB PaJR

 

16-04-2025

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.

[19-04-2025 08.20] PA: Morning A Cha muri 8 am

[20-04-2025 22:11] PA: Daktar Babu Amar Bukay Abong petay Halka Akta Batha hoay ke korbo Janaben

[20-04-2025 22:11] PA: Daktar Aponi tho kono Osud delan na

[21-04-2025 06.58] PPM 1: I didn't see his blood sugar reports earlier

Please share his glucometer fasting,

Two hours post breakfast

Two hours post lunch

Two hours post dinner today ASAP

Continue the tablet Tamsulosin 0.4 mg once at night

[21-04-2025 06:58] PPM 1: Please don't share any patient identifiers so that we can protect the patient's privacy and confidentiality

[26-04-2025 12:39] PA: Ok

[28-05-2025 15:49] PPM 1: Sokal theke raat obdhi patient ghontai ghontai ki koren ebong kone ghontai ki korar somoi byatha ta anubhob koren sheta janaben

[28-05-2025 15:52] PPM 1: 👆unake amra aer aageo barite blood sugar fasting ebong two hours after breakfast, lunch and dinner kore janate bolechilam @PA 

[28-05-2025 15:53] PA: Akhon ke korbo

[28-05-2025 15:56] PA: Sokal 8 am A Gum thakay Uthi

[28-05-2025 15:56] PA: 1 hours Hata hati kori

[28-05-2025 15:57] PA: 10 Am A Latrin A jai

[28-05-2025 15:58] PA: Kentu Latrin poriskar hoay na

[28-05-2025 15:58] PPM 1: Apnar 65M patient er signed informed consent ta share korun taratari

[28-05-2025 16:00] PPM 1: 👆unake amra aer aageo barite blood sugar fasting ebong two hours after breakfast, lunch and dinner kore janate bolechilam @PA

[28-05-2025 16:01] PPM 1: 👆 unar ekta sugar value ekhane sanghatik high dekhacchilo

[28-05-2025 16:10] PA: Akhon Amar  Buk batha tar jono ke korbo

[28-05-2025 16:11] PPM 1: Aage unar blood sugar ta aajke theke janan. Ajke lunch kotai korchen uni?

[28-05-2025 16:13] PPM 1: Goto kal 10AM-11:00AM ki korechilen?

Tarpor 11:00AM-12:00PM ki korechilen?

Buk byatha ta unar kokhon hoyechilo ebong oi somoi ta uni ki korchilen?

[28-05-2025 16:14] PA: Gumiya takla hoya

[28-05-2025 16:15] PPM 1: Goto kaal uni kotar somoi ghumiye theke ter peyechilen?

[28-05-2025 16:16] PA: Ratay Jokhon gumai thokhon  halka batha hoay

[28-05-2025 16:18] PA: Morning A Jokhon Uti  Thokhon Batha ta Bashi Ainuvob hoay

[28-05-2025 16:19] PA: Saradin Komay Abong bashi hoay

[28-05-2025 16:21] PA: Jokhon Jagna pai Tik Thokhon  bujthay pari Ja batha hochay

[28-05-2025 16:22] PA: Khathay Ischa ta Akdom kom

[28-05-2025 16:23] PA: Latrin ta poriskar hoay na

[28-05-2025 16.47] PPM 1: Local daktarer saathe alochona kore ekta ECG koran ebong ekhane share korun

Unar khawar du ghonta baade lunch, dinner breakfast ebong kalker khali peter sugar ta janaben siggiri

[28-05-2025 21:10] PA: Ok

[31-05-2025 08.46] PA: Fasting blood sugar 269mg/dl

[31-05-2025 09:00] PPM 1: Please also share two hours post breakfast, post lunch and dinner and then we shall suggest his medicines for the newly detected diabetes

[31-05-2025 12:48] PA: 31.05.25, 12.40 pm -- 453(pp)

[01-06-2025 10:42] PPM 1: After discussing with the patient's local doctor he should start

Tablet Glimiperide 1 mg once daily before breakfast

Tablet Metformin 500mg after breakfast, lunch and dinner

[07-06-2025 11.14] PA: 

[07-06-2025 11:24] PA: Dakther Babu Osud  Charai  Sugar ta komar dekay  Khayoa, 

Control korche, 2 km Hata Hate korche,  Bayam korchi 

Akhon ke Osud ta khaytha Suru korbo Janaben

[07-06-2025 11:28] PA: Bortho manay kono kosto nai Sudhu hatu nechay Je je koray Ar mathar pechonay Chap deya thakay, Chest A Chap deya mazay modhay  Bake Sob Tik Achay

[07-06-2025 12:05] PPM 1: @PPM2 @44F PA @PPM4 He's feeling his sugars are kind of coming down with diet and exercise alone from when he started at 453 pp on 31/5/25 to fasting 291and 321 pp today!

He's a fantastically motivated patient who was albeit in denial for quite sometime as he was asymptomatic!

[07-06-2025 12:55] PA: Osud ta ke Suru korbo Akhon

[07-06-2025 12:59] PPM 1: Aro kichudin cheshta kore dekhte paren tabe hoito kichu maash lagbe

[07-06-2025 13:07] PA: Akhon Suru korbo Dakthar babu

[07-06-2025 17.06] PPM 2: Yes and the insulin resistance phenotype is apparent.

[07-06-2025 20:05] PA: Osud khala hobay na

[07-06-2025 20:07] PA: Insulin ke  Netha hobay

[08-06-2025 11:08] PPM 1: Oahudh khelei habe. Insulin nite hobena.

Patient oshudh shuru korar saathe saathe jeno rojkar khali peter fasting sugar ebong proti ti khawar du ghonta baader sugar test guno glucometer a dekhe share koren

[08-06-2025 15:18] PA: Tik Achay