27F Rheumatoid Arthritis Telangana PaJR

 

17-09-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTITIFIED 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.

This is the case of a 27 year old female with Rheumatoid arthritis.

[18-09-2025 07:16] PA: Good morning  doctor

[18-09-2025 07:16] PA: Yesterday se be aaj jara pain relief hai but some pain in right shoulder and left hand wrist.

[18-09-2025 07:56] PPM 1: Thali kaisa hona chahiye yahan dekh lijiye 👇

https://nutritionsource.hsph.harvard.edu/healthy-eating-plate/

https://medicinedepartment.blogspot.com/2023/10/healthy-harvard-plate-in-telugu.html?m=1

[18-09-2025 19:07] PA: Good evening Doctor evening se knee me & left hand wrist and fingers joints me jyada pain hora

[18-09-2025 20:22] PPM 1: Tablet Ultracet half tablet har 6 ghante mein ekbar din mein char bar do din ke liye le sakte hain

[18-09-2025 21:15] PA: OK, Thank you sir

[19-09-2025 07.21] PA: Rice with tomato curry

[20-09-2025 07:17] PA: Good morning Doctor knees and right & left hand fingers and wrist & neck me pain hora. early morning  jara jyada pains dera Doctor

[20-09-2025 07:53] PPM 1: Kal jo pain kam karne wali goli bataye the woh liya? Uska photo yahan par share karna

[20-09-2025 19.00] PPM 1: Kitne bar or kaise liya kal poora din?

[20-09-2025 19:01] PPM 1: Baki dawai jo kha rahe hain uska bhi photo share kijiye

[20-09-2025 19:04] PA: Yesterday evening lali tablets and half tablet 3 times liyi thi

[20-09-2025 19:04] PA: Ok

[20-09-2025 19:37] PPM 1: Khoon ka report share kijiye.

Yeh khoon badhane ki goli kyun kisne diya

Doosra dain taraf wala dawai ko ulta karke dikhaiye taki uska naam dekh saken

[22-09-2025 09:48] PA: Good morning Doctor left hand wirst me jyada pain hai Doctor kuch b hold karne nai dera & left knee me b pain hai

[22-09-2025 09:51] PPM 1: 👆Yeh dawai to hepatitis B ke liye hai! Unko hepatitis B kab se hai?

[22-09-2025 09:53] PPM 1: 👆 Ismen prednisolone tablet 10 mg nazar nahi aa raha hai.  OPD mein Dr @PPM3 ne tablet prednisolone 10 mg bhi lene ke liye kaha tha. Kya woh goli le rahe hain? Uska photo share kijiye.

Tablet Sazo goli bandh kar sakte hain

[22-09-2025 10.03] PA: Haan tablet tho 10 mg ka he hai  

Tablets lethe  wakth check karke he liyi

[22-09-2025 10:10] PPM 1: Nahi yeh to Folvite likha hua hai. Yeh tablet hafte mein ekbar doosra wala tablet methotrexate jis din le rahe hain uske agle din lena hai.

Aisa lagta hai ki jo zaroori goli Tablet Prednisolone 10 mg, @PPM3 ne prescription mein likha tha woh apne abhi tak liya hi nahi hai aur isliye aaram nahi aaya

Woh likha hua prescription ekbar share karenge?

[22-09-2025 10:12] PPM 1: @PPM4 @PPM5@PPM6 @PPM7 any volunteers to take this patient's history in toto so that we can understand the sequence of events in her disease better as currently the data in her case report is grossly inadequate.

[22-09-2025 10:16] PPM 1: 👆sabse niche bayin taraf 2 number bolke likha hai woh dawai mangwa lijiye jaldi

[22-09-2025 10:16] PA: Ok Doctor

[22-09-2025 12:00] PA: Nai hai

[22-09-2025 12:05] PPM 1: Woh dawai ekbar fir se ulat ke uska picture dikhayie usme asli dawai kaunsa hai jaanne ke liye

[22-09-2025 12:20] PPM 1: Okay

Yeh din mein ekbar le rahe hain?

[22-09-2025 12:20] PA: Haan

[22-09-2025 12:21] PA: Kiss liye a tablet, kab lena

[22-09-2025 12:26] PA: A konsi tablet aur kiss liye a kab lena

[22-09-2025 12:28] PPM 1: Yehi hai dard kamane wala tablet aapke patient ke arthritis ke waaste jo jaldi kaam karega.

Jo hafte mein ekbar le rahe hain woh char hafte baad kaam karega

[22-09-2025 12:28] PPM 1: Yeh hafte mein sirf ek din lena

[22-09-2025 12:31] PA: Fir a wali

[22-09-2025 12:37] PPM 1: Yeh pehle wala tablet jo hafte mein ek din le rahe hain usse nuksan na ho isliye uske lene ke ek din baad yeh bhi hafte mein ekdin lena hai

[22-09-2025 12:37] PPM 1: 👆Yeh wali main hai abhi

[22-09-2025 12:38] PPM 1: Yeh subah ekbar lena

[22-09-2025 12:41] PA: Hai

[22-09-2025 12:41] PA: Ok

[22-09-2025 12:42] PA: Aab bolijaisehi lerim tablets

[22-09-2025 12:42] PPM 1: 👆yeh abhi tak nahi liya tha?

[22-09-2025 12:42] PA: Liye na

[22-09-2025 12:43] PA: Morning breakfast k badh

[22-09-2025 12:45] PPM 1: Kabse?

[22-09-2025 12:45] PPM 1: Aajse?

[22-09-2025 12:47] PA: Thursday se

[22-09-2025 12:48] PPM 1: 👆is tablet se to dard kam ho jana chahiye tha ab tak

[22-09-2025 12:48] PPM 1: 👆yeh wala bandh kar sakte hain

[22-09-2025 12:49] PPM 1: 👆yeh goli kabse aur din mein kitni bar liya?

[22-09-2025 12:49] PA: 6 hours 1 bar

[22-09-2025 12:51] PPM 1: Din mein char bar?

6 ghante baad baad?

Yeh kitne din liya?

[22-09-2025 12:52] PA: 2 days

[22-09-2025 12:57] PPM 1: Kab bandh kiya?

[22-09-2025 12:57] PA: Left hand ka pain tho assal Kam nai hora.

Kabi kabi night times me shoulder and  neck pain b ayya tha

[22-09-2025 12:57] PA: Aaj he

[22-09-2025 12:58] PPM1: Agar aaj bhi kam nahi hota hai to Tablet Naproxen 250 mg din mein teen bar le sakte hain do din.

Saath mein tablet pantoprazole 40 mg ekbar

[22-09-2025 13:01] PA: Jyada dose se sida effects ka problem kuch b nai na

[22-09-2025 14:19] PPM 1: Yeh jo dawai abhi diya hai woh zyada lene se side effects ho sakta hai isliye sirf do din lena hai