Patient data uploaded by ArogyaUDHC social worker, Mr Kar from Mathabhanga on Sept 2nd week 2013 (see below for the translation):
Gender : Male
Age 49
Height : 170 cm
Weight : 82 Kgs.
Present Blood Sugar : F 130/PP 200
2008 grishma kaal a Annyake Rakto dite giye prothom jante pari amar sarire
Hepatitis B+.
Autumn 2008 theke er treatment suru kari K. G. Hospital
ebong V. G. Hospital, Coimbatore (Tamil Nadu) a Dr. V. G. Mohan Prosad
ear adhine. Tin bachar lagatar medicine khabar par treatment bad dai.
Bartamane ki paristhiti jani na.
2009 er seser dike amar blood
sugar bere jai. samannya treatment ebong pranayam karar fale blood sugar
kome jai. 2011-er seser dike Patna Airport-a badli hoye asbar par blood
sugar bere jai. Takhan amar purbo karmasthal Bhubaneswar Airport-a
giye amar ager Dr. ke dehale tine Eurepa 0.5, Regly ebong Neurobion+ Khete balen. Regular medicine gulo khabar pareo amar blood sugar upre janano holo.
Patient data translated and interpreted by Mr Kaustav Bera, MBBS final year student on the same day:
Current Complaints - Patient cannot clearly describe current symptoms or signs. He can still work regularly. There is intermittent pain in the fingers. Swelling near the malleoli. Itching all over the body. Ulceration(?) all over the body.
Past illness - In mid 2008, Hepatitis B was discovered. Was on treatment for three years and then was discontinued voluntarily.
End of 2009, Increase in Blood Sugar. Was treated and also underwent yoga.
End of 2011, Blood Sugar levels again increased for which I was prescribed Eurepa 0.5, Regly and Neurobion+. My Blood sugar is as recorded inspite of the medications taken as above (Fasting 130/ PP 200)
Output from PCMS Medicine research lab (fall 2013):
1) Further tests for current hepatitis B and diabetes status (reports uploaded-attached in input page)
Testing in PCMS revealed a FBS and PPBS in the range of 300-400 and an HbA1c of 9.6 (patient was not on any treatment for diabetes since the last few months). An initial urine RM revealed Albumin ++ but on repeating in our research lab both with dipstick and heat test it turned out to be negative. His urine for microalbumin is still awaited.
2) For his diabetes, the patient was put on regular oral hypoglycemic agents and Metformin (prescription attached in input page) along with counseling for diet and exercise (his output1 on this website) and asked to follow up through the website.
3) For his Hepatitis B, his current LFTs revealed no raised liver enzymes (current LFT reports attached are essentially normal), His HBV-DNA copies haven't increased much from when he was last tested and still hovers at around 3000 to 4000 copies. In view of his normal LFTs and stable HBV-DNA a shared decision was made with the patient to continue to follow up his LFTs through our web-based updates and not restart his antivirals (he was previously on Telbevudine 600mg once daily for past 3 years and the current choice would have been Entecavir in terms of sustainability both in terms of cost and viral resistance).
ArogyaUDHC