Saturday, December 5, 2015

case - 7

           31 year old engineering male student
C/o :-

  • Depression. says people call him insane!
  • wearing bright clothes & lots of jewellery, seems very restless, pacing up and down the waiting room. he is mumbling to himself and intermittently starts singing rather loudly.
  • when the assistant doctor approaches to calm him, he starts shouting and swearing loudly and becomes quite intimidating and threatening.
  • for the past 15 days he has had broken sleep, but despite that he feels full of energy. on asking about reason for broken sleep he said he is working on a breakthrough invention that would revolutionize his field.
  • there isn't any known adverse medical history.
  • no psychiatric history apart from the depressive episodes.
  • lives in PG. doesn't have any as such friends! likes to be left alone with his work. wants to be millionaire as soon as it is possible!
  • smokes 15-20 cigarettes a day and engages in social drinking using no more than two units a week.
Does these details are enough to initiate treatment?

  • If NO, what should be further questions / investigations? 
  • If YES, what should be further management?


please, give your expert opinions through comment(s)...

Saturday, November 28, 2015

case - 6

                           38 years old male
C/o :-

  • Dry cough since 10-12 days.
  • started after night driving on bike at highway road.
  • aggravates at night while going to sleep.
  • chronic complain of occasional headaches which also aggravates at night. very severe headache. can not bare slightest light. need to go in dark room, and sleep by putting head under pillow with firm pressure.
  • workaholic. does over work to earn more and to live happy life!
  • thirsty. desire for cold water.
  • desire for draft of cold air even though it aggravates!

Does these details are enough to initiate treatment?

  • If NO, what should be further questions / investigations? 
  • If YES, what should be further management?


please, give your expert opinions through comment(s)...

Saturday, November 21, 2015

case 5


  • This child lost her voice after a vehicle sounded horn too close to her ear for standing in the middle of the road.
  • Before the incident she had begun to talk like a normal child.
  • This happened two years back. she is now four years old.
  • Always hilarity like seen in the picture.
  • Her teachers say she is snatching other children's things and doesn't wants to give them back.

Does these details are enough to initiate treatment?

  • If NO, what should be further questions / investigations? 
  • If YES, what should be further management?

please, give your expert opinions through comment(s)...

Saturday, November 14, 2015

case 4

          44 years old married female having 3 children.
C/o:-

  • Swollen painful knees along with painful left ankle bone.
  • Constant headache since two days, afternoon aggravation.
  • Lassitude.
  • Tonsils operated 10 years back.
  • Bulging in centre of chest from gas inhaling etc but not from food.
  • Mild diabetes but desire sweets.
  • No good sleep, only dozing & unrefreshing. sleepy at 2.30 pm.
  • Hot, wants fan.
  • Menses early in 27 days.
  • Likes lemon pickles, but not tamarind. likes curds, averse salt.
  • Wakes at 4.30 or 5 am.
  • Loss of sleep aggravates headache.
  • Tastelessness and poor appetite.
  • Bathes warm, drinks lukewarm water.
  • General aversion to move.
  • Thyroid stimulating hormone tested high (7.7 against the normal range of 0.3 to 5.5)


Does these details are enough to initiate treatment?

  • If NO, what should be further questions / investigations? 
  • If YES, what should be further management?


please, give your expert opinions through comment(s)...

Saturday, November 7, 2015

case - 3

                19 year engineering student girl 
C/o:-

  • Very delicate fair complexioned skin, contract with clothes, hand or even wearing  a bindi on forehead immediately causes fine crop of itchy eruptions.
  • Also complains frequent infection in genital region with itching.
  • Frequent attacks of burning in urethra after urination.
  • Frequent urination if drinks water but poor thirst.
  • Menses in 30 days.
  • Likes milk, salty foods, cool water. coffee is liked but drinks only occasionally.
  • Stays in PG accommodation. Uses fan in PG. covers body but except the face.


Does these details are enough to initiate treatment?

  • If NO, what should be further questions / investigations? 
  • If YES, what should be further management?


please, give your expert opinions through comment(s)...

Saturday, October 31, 2015

case - 2

                 24 year old unmarried female

C/o :-

  • Occasional cramps in small muscles , specially of arms and hands since 2 years.
  • No history of any injury or trauma.
  • Aggravates at night, feels better by walking in open air.
  • Can not sleep without listening songs ( romantic and or inspirational ) Even though it aggravates!
  • Desire for cold water, salty food, wafers.
  • Emotionally very sentimental, tries to make everyone happy, feels dejected later on! Can not tolerate contradiction.



Does these details are enough to initiate treatment?



  • If NO, what should be further questions / investigations? 
  • If YES, what should be further management?


please, give your expert opinions through comment(s)...

Saturday, October 24, 2015

case - 1

                          26 year old male

C/o :- 

  • hemetemesis, 2 episodes on the same day.
  • Distension of abdomen since 7 days with generalised pain.
  • Black coloured stool since 2 days.
  • No fever / chills.
  • No pedal oedema.
  • No dyspnoea.
  • No other complain.
  • Pt. is chronic alcoholic, seems like in delirious state because of withdrawal effect of alcohol as he is not able to consume alcohol since 4-5 days.
  • wants to get well soon and go home.
  • Thirsty.
  • kicks off his cloths and tries to run away from bed.

On investigation :-

  • Abdominal and pelvic ultrasound shows hepatomegaly with fatty changes, with early changes of cirrhosis.
  • Spleenomegaly.
  • mild ascites.

  • Liver function test shows,
  • S.Bilirubin -
  • Total     - 6.31 mg/dL 
  • Direct    - 2.72 mg/dL
  • Indirect - 3.59 mg/dL


  • SGPT (ALT) :- 22 U/L 
  •  SGOT (AST) :- 290 U/L 
  •  S.ALP            :- 288 U/L 
  •  S.protein        :- 
  • Total protein                     :- 7.4 gm/dL 
  • Albumin                            :- 3.4 gm/dL 
  •  Globulin                            :- 4 gm/dL 
  •  Albumin-Globulin Ratio :- 0.57


  • Haemostasis profile shows, 
  • Prothrombin time :- 17.5 sec 
  •  INR                        :- 1.2 
  •  PT Control            :- 14.7 sec 
  •  ISI                                        :- 1.10


  • APTT 
  •  patient's value :- 33.1 sec 
  •  control              :- 30.0 sec


  • Biochemistry report shows,
  • Anions 
  •  S.Sodium      :- 134 mEq/L 
  •  S.Potassium :- 4.6 mEq/L 
  •  S.Creatinine :- 1.2 mg/dL


  • Complete blood count shows,
  • Haemoglobin          :- 8.9 gm/dL 
  •  Total WBC Count :- 8500 / micro litre 
  •  Neutrophils            :- 74% 
  •  Oeosenophils          :- 03% 
  •  Basophils                :- 00% 
  •  Lymphocytes          :- 20% 
  •  Monocytes               :- 03% 


  • RBC Count               :- 2.67 millions / micro litre 
  •  Hematocrit (PCV)   :- 25.8 % 
  •  MCV            :- 96.4 fl 
  •  MCH           :- 33.4 pg 
  •  MCHC        :- 34.7 gm / dL 
  •  RDW - CV  :- 17.1 %

  •  Platelet count                   :- 52000 / micro litre 
  •  Mean platelet volume      :- 8.4 fl 
  •  PCT                                   :- 0.04 % 
  •  PDW                                  :- 13.6 10


  • Biochemistry Report shows,
  • Anions :- 
  •  S.sodium         :-134 mEq/L 
  •  S.potassium    :- 4.6 mEq/L 
  •  S.creatinin      :- 12 mg / dL


  • Urine analysis shows,
  • Amount               :- 10 ml 
  • Colour                 :- Deep yellow 
  • Appearance        :- Turbid 
  • Reaction              :- 6.0 
  • Specific gravity   :- 1.020


  •  Chemical examination :-
  • Albumin           :- 2 % 
  •  Glucose            :- Nil 
  •  Urobilinogen   :- Normal 
  •  Bilirubin          :- 1 + 
  •  Ketone              :- Absent 
  •  Blood                :- Absent


  • Microscopic examination shows,
  • Pus cells              :- 10-12 / HPF 
  •  RBCs                  :- 35-40 / HPF 
  •  Epithelial cells   :- 1-2 / HPF 
  •  Casts                   :- Absent 
  •  Crystals              :- Absent 
  •  Bacteria              :- Absent 
  •  Trichomonas      :- Absent







Does these details are enough to initiate treatment?

  • If NO, what should be further questions / investigations? 
  • If YES, what should be further management?


please, give your expert opinions through comment(s)...

Friday, October 2, 2015

Disclaimer

Since long time many of my friends and colleagues are asking me that, "once you were talking all about IDEAL CURE, and now you have changed your tagline to "Searching for all about IDEAL CURE" Does it mean that your IDEAL CURE is left behind somewhere!???
I must say, oh yes it is!!
Initially, while studying homoeopathy theoretically, it seems that only homoeopathy is having that IDEAL CURE.
And even Why should I doubt where master Hahnemann clearly stated everything, whatsoever a genuine physician needs to know in regards to ascertain IDEAL CURE.
But now, at the time of its practical implementation, I am wondering for how to implement that precious words in this era!?
Here, no ways, I am not doubting work of master Hahnemann, nor I am doubting power of homoeopathy.
Obviously, homoeopathy is having a straight way towards IDEAL CURE but does really all homoeopaths are  able to walk on that straight way?
Whose fault it is when a patient gets disappointment from homoeopath?
Okay, let we assume, it is failure of homoeopathy, so, Let me ask, what is the way of success? where is that IDEAL CURE?
I really don't mind anywhere it is, I just need it. For me and I believe, for all the genuine physicians, patient is more important, hence, It doesn't matter either it is homoeopathy, allopathy, Ayurveda, yunani, siddha or anything else, what each and every genuine physician seeks is all about CURE, an IDEAL CURE. and exactly that's what here, we are searching for.
Will you dare to help us to find it out??
A huge number of students are already working for it who will bring  various different cases for us, which will be published here for open discussions from this dasherah onwards.
Each case will be kept open for the purpose of genuine discussions for one week, where we will talk about the details we able to perceive in the case, the details we could not get hence are in doubt and all the possible way of management with all the possibly known reasons.
after that much of discussion, next week, one new case will be posted for the same purpose. And this chain of circle we expect to repeat with all of your support.
Here, no ways I am not claiming that there will be perfection in our work, but as such nothing is perfect! After all efforts are more important then perfection! And ultimately that is the reason we are going to meet here, to learn about getting perfection.
With all of you, I am eger to start our journey towards cure, will wait for you.
Thank you.