24F Gall Stone Pain 1st Episode 1 Week, Voice, Exam Stress Depression Years WB PaJR

03-05-2025

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.

JUNE 29, 2024

 A 24 years Female patient discussed about her mental stress problems and depression for upcoming exams. She shared that from childhood she has a fear at home, and for some reason she can't concentrate. She also shared her problem with sudden weight gain. She had broken voice due to cold once, and she took Steroids medicine, that's why she gained weight.The PHR, patient journey record PaJR transcripts below reflect the therapeutic uncertainties around the patient and their resolution through team based learning:

40F Since 1999 Gall Bladder Surgery and Recurrent Intestinal Obstruction Telangana PaJR

 

29-04-2025

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.

OPD now: Project optimizing clinical complexity in abdominal pain @PPM3 @PPM4 @SE this patient's story is similar to the one I shared about following up since 2005!

40F with problems since 1999 with pregnancy, post cesarean, gall bladder pain and lymph node issues 

1995 Marriage at the age of 12 (while studying in 7th standard, husband was in 10th)

1999: pregnancy with right hypochondrial pain and vomiting everday with weight loss till delivery by LSCS and yet pain abdomen didn't relieve. Referred to Hyderabad pvt hospital where lap cholecystectomy was done on December 1999 and she was alright till 2003 after which she noticed recurrence of pain abdomen and vomiting along with weight loss and cachexia! Went to OH in 2004 on OP basis and after one admission in 6/11/2004 to 26/11/2004 they gave up and asked her to go home and die! She went to GH and there they did an exploratory laparotomy and found a CBD structure which was rou-en-yed by joining the CBD with the jejunum. Then they also removed a lymph node from the abdomen that sent her on an oncology lymphoma wild goose chase @PPM5 

From 2005-2012 she was alright but developed similar symptoms of intermittent intestinal obstruction with pain abdomen, vomiting and abdominal distension which would last 24 hours and keep recurring every week till 2025 and she has avoided all marriage functions that involves eating!