19M GTCS since 3 months on Levetiracitam Telangana PaJR

 

16-11-2025

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 EXPERTSS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[11.29 am, 15/11/2025] PPM 1: OPD now:

19M with cognitive impairment since childhood because of which he sometimes forgets his way back home. Dropped out of school but is a fantastic storyteller which, is also his family vocation.

His grandparents gave him country liquor alcohol 90 ml since he was a toddler and since 9 years of age he has switched to drinking toddy.

                                        

[11.48 am, 15/11/2025] PPM 1: Mini mental screening examination improvised testing calculating ability using rupee notes and he could count well although was a bit slow as per the intern.

Had generalized seizures three months back started on levetiracitam and stopped two days back and seizures recurred yesterday

[11:50 am, 15/11/2025] PPM 1: Other than his family's story telling legacy which is an indian traditional cultural liturgy @42M PA they are nomadic hunters too and regularly consume bush meat including rats and rabbits.

                                                    

[12.19 pm, 15/11/2025] PPM 1: Intern's MMSE record.

[12:27 pm, 16/11/2025] PPM 1: @PPM3 @PPM4 I guess we may need to, as a matter of routine workflow, try and communicate with all our new PaJR patient advocates on telephone, not just to tie up the loose ends in the history and clinical findings but also to make the advocates feel at home here? @PPM2

[3:46 pm, 16/11/2025] PPM 2: And how will we find the resources to do that sir?

[4:00 pm, 16/11/2025] PPM 1: I'll have to do it myself I guess

[4:01 pm, 16/11/2025] PPM 2: I wouldn't endorse this because it may not be the best value for your time.

[4:03 pm, 16/11/2025] PPM 1: Till we can find more volunteers

[4:04 pm, 16/11/2025] PPM 2: We will not find more volunteers because we don't pay them. This is why we must innovate on how to streamline this process.

I've been held up with my Endocrine board exam, the baby, travel and stuff but I am happy to have a chat on how to scale this a bit further.

Surely not zero sum ways of us doing everything though!

[4:17 pm, 16/11/2025] PPM 1: No hurry. Let's take this slowly.

Your prime focus needs to be the board exam and family right now.