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.
[5.08 pm, 18/11/2025] PPM 1: @PPM3 can you share an image of the history written by the intern during my OPD dictation today morning?
@PPM4 I guess you have exam and can't meet her and take a more detailed history today evening?
[5:09 pm, 18/11/2025] PPM 4: sorry sir, I wouldn't be able to 😅
[11:49 am, 19/11/2025] PPM 1: 👆@PPM5 please check if the tests and consults ordered here have been sent and if not then please send ASAP
[12:00 pm, 19/11/2025] PPM 1: Also send her HbSAg @PPM5
[12:04 pm, 19/11/2025] PPM 5: Ok sir
[11:29 am, 21/11/2025] PPM 1: @PPM5 please send her to dermatology for hair fall asap
[1:16 pm, 21/11/2025] PPM 5: Ok sir
[8:45 am, 22/11/2025] PA: Sir aj chuti kariye diben sir
[8:51 am, 22/11/2025] PPM 1: @PPM5 please prepare her discharge and share the deidentified EMR summary draft as shared by @PPM3 yesterday for the other long distance patient
[8:51 am, 22/11/2025] PPM 3: Ok sir
[11:03 am, 22/11/2025] PPM 1: 👆@PPM5 check out one of the diagnosis here
[11:08 am, 22/11/2025] PPM 1: 👆 check out the duration of menorrhagia here @PPM5
Ask the OBG PG to confirm
@PPM6 @PPM2@PPM7 this is perhaps the only current practically translatable usage of PaJR that helps in communication of epistemic and hermeneutic certainties while the actual much lauded (by academics) workflow of using PaJR to navigate epistemic and hermeneutic uncertainty aka clinical complexity is not what is actually delivered on the ground. Hope this insight will be shared in the upcoming ecis conference @PPM8
[11:40 am, 22/11/2025] PPM 5: Ok sir








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