32F Right Tibia Fibula Fracture 2 Months Hypothyroidism and Pregnancy DM2 3 yrs Telangana PaJR

 

19-05-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED IFORMED 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.

[19-05-2025 10.45] PPM 1: OPD now:

An amazing tryst with Indian indigenous systems of bone setting still surviving in remote villages inspite of the dominance of Western Medicine!

32F presented to our OPD just now as she had a history of gestational diabetes and hypothyroidism 3 years back. However our attention was caught by her left leg fracture for which they didn't approach Western Medicine help but relied on a bone setter in their village https://en.m.wikipedia.org/wiki/Chandur,_Telangana practicing since 35 years and who confidently treated it with leaves and sticks for splintage! They didn't even think of approaching our Orthopedics department here and just came to medicine for investigations for her gestational diabetes and hypothyroidism!

3M With Osteogenesis Imperfecta With Bilateral Femur and Tibia Telangana PaJR

 

25-04-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS GUARDIAN'S 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.

[25-04-2025 13.08] PPM 1: OPD now: @PPM2 @PPM3 interesting UK and India training angle

3 years old toddler with osteogenesis imperfecta with fractures of bilateral femur and tibia who couldn't be operated at our top government centers in Hyderabad like NIMs but the visiting card in the attached image of the person who got trained in pediatric orthopedic surgery to finally do an IM nailing of all the four bones.

Now they need help to buy a splint and a walker. 

6F On Levetiracitam since 2023 WB PaJR

19-04-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER GUARDIAN'S 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.

[20-04-2025 11:16] PA: Seeking advice on behalf of the child patient. Her parents want to know the next course of treatment here. Is it advisable if they stop the medication now as they are unsure of the same and let them know how to stop. Is it like not taking dose from a certain days? And what precautions can be taken in case of further epilepsy occurences.

The treating doctor had advised to keep medistat nasal spray 5mg/ml (3 puff in both nose ) for any SOS/emergency. Will this be same now as well.