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.
[13-08-2025 15.12] PPM 1: IP now: 92F with trunkal obesity driven metabolic syn and Diabetes since she was 82! Currently admitted with lower limb cellulitis and heart failure.
10/08/25 👇
10/08/25 👇
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13/08/25 👇
14/08/25 👇
PPM 1: Worsening of pulmonary edema on 14 other than the rotation
[14-08-2025 16.46] PPM 1: Afternoon session update from her 50M son who is already a diabetic since 10 years with sarcopenia and trunkal obesity which he claims to sport since he was 20!He says his mother is 94 not 92
Her husband, his father died at the age of 94 in the year 1990 and had no trunkal obesity, used to cycle 20 kms daily at the age of 90! He died of a mysterious illness that started with chills and fever that continued for 5 years before he died. The current 94F patient, his wife, was the sole caregiver at that time as children were away.
94F developed her trunkal obesity at the age of 30 and first developed diabetes at the age of 80! Her son developed trunkal obesity at 20 and diabetes 40! None of his 5 elder sisters have trunkal obesity or diabetes (sisters got father's genes?).
[14-08-2025 17:01] PPM 2: Very insightful but we are still unsure if she was on steroids - which as we all know is rampant in rural India.
[14-08-2025 17:18] PPM 2: We saw one such patient in the OPD today! @PPM3 can you update?
[16-08-2025 19:55] PPM 1: Update @PPM4 @PPM5
[16-08-2025 20:07] PA: Patient status sir
[16-08-2025 22:01] PPM 5: Sir patient saturation is maintaining had tachypnea and bicarb retension sir
[16-08-2025 22:01] PPM 5: Bp and pulse were normal sir
[17-08-2025 07:03] PPM 1: Still on T piece?
Sensorium?
Serial ABGs?
[17-08-2025 07:11] PPM 5: Sir not on T piece
2lit o2 she is maintaining
GCS: E3v4m5
PPM 1: 👍
[18-08-2025 14.58] PPM 1: Update.
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