PaJR Patient Advocate Driven PHR

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.

Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.

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 :

[6/5, 11:00 AM] Patient Advocate 2: Hello 24F hope you are doing well 😊 

Can you introduce your Patient?

We are eagar to know about  her .Please feel free to share her thoughts 😊

[6/5, 11:35 AM] Patient Advocate 1: My patient is a 24 years female. Suffering from some mental illness ,throat soar & wait gain.

[6/5, 1:30 PM] PaJR PHR Moderator: Since when?

[6/5, 1:33 PM] Patient Advocate 1: Since 2- 3 months... Bt the trauma was from childhood for the circumstances

[6/5, 2:11 PM] +92 330 5072858: Ask the patient to feel free to connect with me for the counseling.

[6/5, 2:12 PM] Patient Advocate 1: Ok...when to tell her to connect with you ?

[6/5, 2:14 PM] +92 330 5072858: Ask the patient to inform the Day & time of their availability and we may schedule it accordingly.

[6/5, 2:16 PM] Patient Advocate 1: Ok... She is free at tomorrow 9 pm

[6/5, 2:17 PM] +92 330 5072858: Ok 👍

[6/5, 2:17 PM] Patient Advocate 1: Ok

[6/5, 4:38 PM] PaJR PHR Moderator: 👍

[6/5, 5:41 PM] Patient Advocate 2: 👍

[6/6, 2:09 PM] Patient Advocate 1: Yesterday's Activity of my patient : 

05. 06.2024

7 AM - ঘুম থেকে ওঠা, 

7 - 8 AM - স্নান এবং ফ্রেশআপ 

তার মাঝে complan meshano dudh এবং বিস্কিট

8 AM - 12 PM - tuition porano majhe 10.30 tay lunch -  

Rice , potol posto

12.00 - ektu rest 

12 .30 pm - 3ta : porasona korar chesta 

3 .PM - ghum  

4.pm - ghum theke uthe attar parota sabji dal , golabjamun tiffin 

4-6 PM - studying 

6.00 - 8.00- paratei friend er barite group study 

Okhane ampora sarbat khawa

8.00 - 9.30 : বাড়িতে tuition porano 

10.00 - dinner 

 

10.30 -  11.00 : porte porte ghumanor chesta

11. 30 - ghum

P.S - লাঞ্চ এবং ডিনার এর সময় বাড়ির সকলের সাথে একসাথে খাবার সময় কিছু ঝামেলার জন্য মনে চাপের সৃষ্টি হয়েছিল, তাই রাতে আর পড়াশোনা হয়নি, একটা ব্যাপারেই চিন্তা হচ্ছিলো । তারপর গান শুনতে শুনতে ঘুমিয়ে পড়েছে ।

[6/6, 8:48 PM] Patient Advocate 1: Ma'am are you free at 9 ? My patient will call you

[6/6, 8:49 PM] +92 330 5072858: Yes we will connect at 9pm. 👍

[6/6, 8:49 PM] Patient Advocate 1: Ok

[6/7, 8:41 AM] Patient Advocate 1: 8. AM - tea without milk & sugar with biscuit

[6/7, 8:42 AM] PaJR PHR Moderator: Should be without biscuit

[6/7, 8:43 AM] Patient Advocate 1: Ok

[6/7, 9:51 AM] Patient Advocate 1: Lunch : 

1. উচ্ছে আলু সেদ্ধ 

2. ঢেঁড়স সেদ্ধ

3. ঢেকি শাক কাসুন্দি দিয়ে 

4. মেশানো তরকারি

5. ডাল 

6. কচুর শাক 

7. সরষে দিয়ে সরপুঁটি মাছ

[6/7, 9:52 AM] PaJR PHR Moderator: Lunch at home?

[6/7, 9:52 AM] Patient Advocate 1: Yes

[6/7, 9:52 AM] PaJR PHR Moderator: The whole family together has it at this time?

[6/7, 9:53 AM] Patient Advocate 1: No , patient's mother was busy, only father and her

[6/7, 9:54 AM] PaJR PHR Moderator: Busy cooking for them?

[6/7, 9:54 AM] Patient Advocate 1: Yes, and getting ready for school

[6/7, 2:32 PM] Patient Advocate 1: Tiffin : Poha

[6/7, 2:39 PM] Patient Advocate 2: Ai poha te ki misti dewa na salted?

[6/7, 3:48 PM] Patient Advocate 1: Khejur paste & kismis dewa hoeche for sweetness

[6/7, 3:50 PM] Patient Advocate 1: made by my patient for whole family

[6/7, 7:00 PM] Patient Advocate 1: Evening refreshment : ampora sorbot, 

Patient's garden's mango, 

Used jaggery for sweetness

[6/7, 7:01 PM] PaJR Doctor: What exams?

[6/7, 7:33 PM] Patient Advocate 1: Govt job exams & UGC NET preparation

[6/7, 7:34 PM] PaJR Doctor: Okk..

When's NET date?

One of my friend's preparing for it as well..

What's your patients academic background?

[6/7, 7:35 PM] Patient Advocate 1: 18th June , but target is December,

Patient's academic background - M.A in English literature and B.Ed

[6/7, 7:36 PM] PaJR Doctor: Any DSC in your state for government teachers posts?

[6/7, 7:37 PM] PaJR Doctor: Can you ask your patient to fill this and send answer?

It'd objectively help us to better evaluate her

[6/7, 7:37 PM] Patient Advocate 1: No

[6/7, 7:37 PM] Patient Advocate 1: Sure!

[6/7, 7:37 PM] PaJR Doctor: December looks like a reachable target

[6/7, 7:37 PM] Patient Advocate 1: Hope so

[6/7, 7:38 PM] PaJR Doctor: Send individual answers for all the questions like..

0,2,1,3.....for 21 questions

[6/7, 7:39 PM] PaJR Doctor: Or can mark and send the pic..

Your patient's convenience

[6/7, 7:39 PM] Patient Advocate 1: Ok

7 .30 : seasonal Fruits

[6/7, 9:13 PM] Patient Advocate 1: 8.30 : Butter Nun and dal makhani at patient's friend's home ( homemade)

[6/7, 9:17 PM] PaJR Doctor: Are those lichis or strawberries?

[6/7, 9:18 PM] Patient Advocate 1: Lichis

[6/7, 9:19 PM] Patient Advocate 1: Is it like this or have to make a print out and then to share?

[6/7, 9:22 PM] PaJR Doctor: @⁨~Narmeen Shah⁩ how do you interpret this DASS 21 score?

[6/7, 9:22 PM] PaJR Doctor: It's fine..

[6/7, 9:22 PM] PaJR Doctor: Thanks a lot for sharing

Dinner... 

1. Musur daal

2. Mixed veg

3. Kochur shaak

4. Vendi fry

5. Fish

Morning tea: without milk & sugar & biscuit

Lunch: 

1. Cucumber & lemon 

2. Rice

3. Mixed veg 

4. Vendi posto

5. Fish

[6/8, 3:33 PM] Patient Advocate 1: Tiffin: 1.atta chiller

2 . Kuler achar

[6/8, 6:17 PM] PaJR Doctor: Bread omelette?

[6/8, 6:18 PM] Patient Advocate 1: Atta mixed with onion and other vegetables, fried in light oil 

Like without egg omlet with atta

[6/8, 6:19 PM] PaJR Doctor: Can you ask your patient to share her syllabus for exams?

Let's discuss one too two topics per day.

10mins per day,consistently,daily..

In this group

[6/8, 6:19 PM] Patient Advocate 1: Ok

[6/8, 6:20 PM] PaJR Doctor: First time hearing this recipe.

Will try it out and share how it tastes

[6/8, 6:20 PM] Patient Advocate 1: But there are different syllabus for different exams... Which to share

[6/8, 6:20 PM] Patient Advocate 1: Use salt and black pepper

[6/8, 6:21 PM] PaJR Doctor: Make list of all exams your patient is preparing for and share here in decreasing order of priority and dates.

And also syllabus of each exams.

Let's first complete common topics..

And then in order of priority and exam dates

[6/8, 6:24 PM] Patient Advocate 1: Ok sure

[6/8, 6:24 PM] PaJR Doctor: And share here

[6/8, 7:09 PM] Patient Advocate 2: 👍

[6/8, 9:03 PM] Patient Advocate 1: list of all exams my patient is preparing for : 

1. UGC NET (18th June but target is December, just to experience the exam)

2. KVS (date - not published)

3. School service commission (date - no information) 

4. School SI ( date - no information )

5. PSC ICDS supervisor ( no information 

6. Panchayet ( date not published yet)

[6/8, 9:03 PM] PaJR Doctor: And can you ask her to share UGC syllabus?

[6/8, 9:04 PM] PaJR Doctor: So only one exam to worry or stress right now

[6/8, 9:06 PM] Patient Advocate 1: Last December my patient experienced Madrasa school service exam, and she scored 56. The cut off may be 65 

And in the Primary TET exam she scored 89 where the pass marks was 90

[6/8, 9:06 PM] Patient Advocate 1: No ... actually the circumstances effects her to much

[6/8, 9:07 PM] Patient Advocate 1: Sure

[6/8, 9:07 PM] PaJR Doctor: Let's start doing last 10 Years papers of UGC NET for next 10 days.

Ask your patient to do one paper daily for 3 to 4 hrs every mrng

And let's discuss 1hr at evenings

[6/8, 9:07 PM] PaJR Doctor: Yes..

Let's change the circumstances.

It happens with preparation

[6/8, 9:07 PM] PaJR Doctor: And collaboratively learn

[6/8, 9:07 PM] Patient Advocate 1: That's why a little nervous ... These failures made effect

[6/8, 9:08 PM] Patient Advocate 1: Okays

[6/8, 9:08 PM] PaJR Doctor: It's fine..

Sab Hota Hai.

Your patient have our undivided admiration and support.

She's not alone

[6/8, 9:09 PM] PaJR Doctor: Ask her to start working on it asap.

Ping us at around 10 AM when she starts an exam.

Let her fail.No issues.

As long as shes learning,it's a good thing..

[6/8, 9:09 PM] Patient Advocate 1: Though she cleared CTEt exam in both papers.. still... Some little nervousness started after these failed attempts

[6/8, 9:10 PM] PaJR Doctor: That's past baggage.

List it out..put it on paper and throw it in dustbin

[6/8, 9:10 PM] PaJR Doctor: Or does she expect her to console her until December,even then she may not clear with this mindset..

[6/8, 9:11 PM] PaJR Doctor: Download previous 10 years question papers and share here

[6/8, 9:11 PM] Patient Advocate 1: Okay

[6/8, 9:11 PM] PaJR Doctor: And ask her to do one paper tomorrow morning before lunch.

And let's discuss in evening

[6/8, 9:11 PM] Patient Advocate 1: Ok

[6/8, 9:12 PM] PaJR Doctor: Let her fail or get 10%..

Doesn't matter.

Let her and us learn and grow

[6/8, 9:12 PM] PaJR Doctor: Be brave enough to face the failures and smile at it

[6/8, 9:15 PM] PaJR Doctor: Search for previous 10 Yeats question papers and share here

[6/8, 9:23 PM] Patient Advocate 1: Sending

[6/8, 9:24 PM] PaJR Doctor: That is just your patient's psychological profile.

Not an existential reality.

We can empathise with it but it won't help us or the patient.

What helps the patient is to start working on what's at hand

[6/8, 9:24 PM] PaJR Doctor: Nice..

[6/8, 9:25 PM] PaJR Doctor: Nice.

Total 3 papers for exam?

[6/8, 9:25 PM] Patient Advocate 1: Till 2018 there were 3 papers.. now it changed into two

[6/8, 9:26 PM] PaJR Doctor: And that we will support and guide.

Let her grow through her down times and become a leader she always wished to be..

[6/8, 9:26 PM] Patient Advocate 1: One general paper nd 2nd one for subject 

[6/8, 9:26 PM] PaJR Doctor: Okay..

Tomorrow..

By lunch,complete these 3 papers and share results.

Let her get 10%.

Doesn't matter.

Let's discuss in evening,learn together and grow and make her a successful person and leader

[6/8, 9:27 PM] Patient Advocate 1: Okay.. hope for the best

[6/8, 9:27 PM] PaJR Doctor: Once ask her if she wants to become a leader and inspiration...

Or to get consolation and suffer lifelong asking for support and help for her own failures?

[6/8, 9:28 PM] PaJR Doctor: And share here what she wants

[6/8, 9:28 PM] PaJR Doctor: Does she want sympathy and consolation?

Or does she want to be a leader and winner?

Anythings fine.

It's her choice

[6/8, 9:28 PM] PaJR Doctor: Based on her choice,we will support

[6/8, 9:30 PM] PaJR Doctor: We respect her autonomy and choice..

[6/8, 9:32 PM] PaJR Doctor: What's make her stop to give her best efforts for next  10 days,like doing previous qp and sharing here?

How many actually does it?

Just decide that u won't get seat this June 18th..

However What's stopping her to give her best for next 10 days?

Even with our support?

[6/8, 9:33 PM] Patient Advocate 1: She wants to be a dependent woman mentally & financially & succeed in life .... She doesn't need sympathy, just want to get rid of the circumstances where she is now for her family... and wants a happy & healthy  life .....

[6/8, 9:34 PM] PaJR Doctor: Ask her to start working.

Day by day and hour by hour and keep sharing us here.

That's how I became doctor and cracked MD.

She has it in her.

Prepare for worst.

She doesn't clear June 18th.

What stops her from giving her best?

It's after all 10 days..

10 previous papers..

With support.

If she can't do this,how can we expect her to do it for until December or for her life

[6/8, 9:35 PM] PaJR Doctor: Ask her to learn to survive

[6/8, 9:35 PM] Patient Advocate 1: Ok

[6/8, 9:35 PM] Patient Advocate 1: Let's see from tomorrow

[6/8, 9:36 PM] PaJR Doctor: Consider it as free coaching center for next 10 days.

If she misuses this opportunity,don't expect much more than consoling her in this group for rest of her life

[6/8, 9:37 PM] PaJR Doctor: Yes.

Let's see.

Shoulder broad,chins up,lips smiling-at this tough times.

That's how she becomes a leader and women whom we will be proud of

[6/8, 9:38 PM] PaJR Doctor: Ask her to go and get it.

Let it not just be a 'want' or 'desire'.

Lets make it happen

[6/8, 9:41 PM] PaJR Doctor: I'll go through the 3 papers tonight too..

Share it before lunch and let's discuss the mistakes and learn together by tomorrow evening.

And repeat it till June 18th

[6/8, 9:42 PM] PaJR Doctor: Which you are going to fail.

Mentally prepare for it.

But don't hinder preparation.

Demonstrate us what u can do in this 10 days..

So that,we will work on your patient centric stuff and care.

[6/8, 9:42 PM] PaJR Doctor: Key is in your patient's hands.

She has total autonomy

[6/8, 9:43 PM] Patient Advocate 1: Indeed

[6/8, 9:44 PM] PaJR Doctor: Prepare for worst.

Don't stop preparing

[6/8, 9:46 PM] PaJR Doctor: Don't think I'm tough or insensitive.

I'm your patient's wellwisher.

Can't be lifelong consoler.

[6/8, 9:48 PM] PaJR Doctor: If she fails this next 10 days,I'll take it as she needs psychological consoling and support.

Will leave group and will charge for sessions.

Capitalise these 10 days which I wish to do for free of cost

[6/8, 9:50 PM] PaJR Doctor: Her failing June 18th exam doesn't make me sad or angry.

But her not trying for next 10 days with support,will definitely do.

Key is in her hands

[6/8, 9:51 PM] Patient Advocate 1: Okay... let's see what she does... Let's her try and solve the exam papers from today.. and I will ask her to share the results from tomorrow

[6/8, 9:52 PM] PaJR Doctor: Looking forward to it.

Even if it's hard,let her share the reasons in her own words for it.

We will empathise

[6/8, 9:52 PM] PaJR Doctor: We are doctors,teachers and wellwishers.

Not sadists

[6/8, 9:57 PM] PaJR PHR Moderator: 👍

[6/8, 10:40 PM] PaJR Doctor: Or can work on other things like cooking,dishwashing,cleaning clothes,expecting your parents to get you a husband who may or may not be willing to carry this baggage,and trying to get free consolation and help from this group..

Are your parents millionaires?

[6/8, 10:40 PM] PaJR Doctor: Think what happens if you don't work or fail.

And make it fuel to your growth and leadership

[6/8, 10:41 PM] PaJR Doctor: Or do you want to lead them and be a leader and a women we all will be proud of?

And hire workers and choose dignified husband and lead life which you want to have?

[6/8, 10:43 PM] PaJR Doctor: Start working question papers and share here daily for next 10 days.

[6/8, 10:44 PM] Patient Advocate 1: Definitely not

[6/8, 10:44 PM] Patient Advocate 1: Sure

[6/8, 10:45 PM] PaJR Doctor: Prepare that you'll fail for June 18th exam.

Give it best shot.

Don't stop preparing.

Keep working,you'll find peace as soon as possible

[6/8, 10:45 PM] PaJR Doctor: Maybe June 18th NET ot Dec or any other in between

Find your niche by working

[6/8, 10:46 PM] PaJR Doctor: Don't stress out on it.

You have lots of time.

Make it productive

[6/8, 10:46 PM] PaJR Doctor: Day by day and hour by hour

[6/8, 10:48 PM] PaJR Doctor: Regardless of anything,you'll have support from this group anyways.

Capitalise on what's in your hands

[6/8, 10:48 PM] Patient Advocate 1: Sure

[6/8, 10:48 PM] PaJR Doctor: Learn to survive

[6/8, 10:57 PM] PaJR Doctor: That's not bad or wrong too..

Can still lead a happy and successful life with it.

However what the patient mentioned above is different.

Hence telling.

So,can start working or can atleast have realistic goals

[6/8, 10:57 PM] PaJR Doctor: ..

1st paper result: 60 questions carrying 2 marks each, 

My patient got

17 out of 60 

That means 34 out of 120

[6/9, 12:04 PM] Patient Advocate 1: 2nd paper - 50 questions 2 marks each...

She got 17 out of 50

That means 34 out of 100

[6/9, 12:06 PM] PaJR Doctor: Ask her to revise the wrong answers.

And any doubts,share here

[6/9, 12:10 PM] Patient Advocate 1: 3rd paper : 25 out of 75

[6/9, 12:10 PM] Patient Advocate 1: Ok

[6/9, 12:13 PM] PaJR Doctor: Get this book after June 18th.

Till then..do previous 10years papers

[6/9, 12:15 PM] PaJR Doctor: Nice..

Revise mistakes of 3 papers.

If any doubts,ask and let's discuss.

Evening again do, 3 papers and should get 100% in all three.

Don't mug up.

Or do these three papers tomorrow evening after doing another set of papers tomorrow morning

[6/9, 12:26 PM] PaJR Doctor: Can post her these books if not available.

[6/9, 12:26 PM] Patient Advocate 1: Patient has these books

[6/9, 12:28 PM] Patient Advocate 1: She has a huge fear in maths

[6/9, 12:33 PM] PaJR Doctor: Keep practicing

[6/9, 12:33 PM] Patient Advocate 1: Ok

[6/9, 12:34 PM] PaJR Doctor: Which areas in maths?

[6/9, 12:35 PM] Patient Advocate 1: Everything related to maths

[6/9, 12:35 PM] PaJR Doctor: Share few questions which she come across in previous papers here which she felt tough

[6/9, 12:36 PM] Patient Advocate 1: Sending

[6/9, 12:45 PM] PaJR Doctor: This is interesting concept.

Consider 8rs stamp as 2 and 4 rs stamp.

10 rs stamp as 2 and 5 rs stamp.

So denominations available are 2 4 5 7..

So,can buy 20rs stamp(4×5)(2×10)

Can buy 29rs(4×5)+(4+5)

Can by 23rs stamp..(2 +4+5+5+7)

Can't buy 19rs.

That'd be the answer..

Maybe wrong too..

What's the answer?

[6/9, 12:45 PM] PaJR Doctor: 33..

[6/9, 12:48 PM] Patient Advocate 1: A

[6/9, 12:48 PM] Patient Advocate 1: Sorry it's my bad

[6/9, 12:50 PM] PaJR Doctor: For 1st number to 2nd number,+1.

For 2nd to 3rd number,+3.

For 3rd to 4th number,+5.

And repeat.

So series would be 4,5,8,13,14,17,22,23,25,30,31,34,39,40,42,47.

Answer is 33

[6/9, 12:50 PM] Patient Advocate 1: Oh it was easy

[6/9, 1:28 PM] PaJR Doctor: D)29 = 7x3 = 21 + 1x8 B) 20= 10X2 C) 23 = 8 X2 16 +7X1

[6/9, 1:29 PM] PaJR Doctor: He did much simpler😂

[6/9, 1:30 PM] Patient Advocate 1: Oh 😅

[6/9, 5:17 PM] PaJR Doctor: Update?

[6/9, 5:31 PM] Patient Advocate 1: Will discuss in the evening

[6/9, 5:58 PM] Patient Advocate 1: The patient has not covered the whole syllabus of the paper 2 yet... that's why there is no confidence in some chapters... 

And from the covered syllabus she understood from this question paper that the question's are not just simple ... It is so much tricky

[6/9, 5:59 PM] PaJR Doctor: Yes let's start by understanding that she's not patient.

She's in a part of her journey and where she should work

[6/9, 5:59 PM] Patient Advocate 1: Oh yes

[6/9, 5:59 PM] PaJR Doctor: There will never be confidence.

What we need is clarity and assessment.

That happens by her sharing her work and mistakes,getting feedback and working more on it

[6/9, 6:00 PM] Patient Advocate 1: Ok

[6/9, 6:01 PM] PaJR Doctor: @⁨PaJR PHR Moderator⁩ 

@⁨~Narmeen Shah⁩ 

Any professional medical or psychological inputs?

[6/9, 6:17 PM] Patient Advocate 1: Checking the rest part ..will discuss again

[6/9, 7:25 PM] PaJR PHR Moderator: This is an amazing way to support and enable a person and deliver what perhaps matters most to the person 👏👏

[6/9, 7:27 PM] PaJR Doctor: Let's use asynchronous intelligence to work on it and how energy is utilised.

Is it on positive entropy(preparation etc).

Or consuming?(If that's the case for better predictive analytics,we can work on other skills like cooking,dishwashing,daydreaming etc)

[6/9, 7:27 PM] PaJR Doctor: 2nd law of thermodynamics in practical application

[6/9, 7:30 PM] PaJR Doctor: Just a small blurb.

Not indicated but just want to share.

I've cleared UGC NET in sociology 2023 and cleared UPSC prelims.

On May 28th,2023 after returning from g20 and Kedarnath.

I've failed to look at the UPSC mains date as I was chilling in Goa.

My bad.

[6/9, 7:31 PM] PaJR Doctor: Just attempted to try because fee for exam is like 100rs.

Already got established in govt MD seat.

[6/9, 7:32 PM] PaJR Doctor: @⁨PaJR PHR Moderator⁩ and from 2023 may to now.

At 2023 may,I was speaker in g20 in AIIMS.

Now,you know...in process of getting mental fitness certificate from lol..

You certifies whom?

[6/9, 7:34 PM] PaJR Doctor: @⁨Patient Advocate 1⁩ if any complaints,we can start you on tablets to dumb you down and suggest for lifelong psychological and sympathy support.

Your patient has autonomy

[6/9, 7:36 PM] PaJR Doctor: To be honest,MD Biochem in govt college is more flexible than what an IAS can have.

@⁨PaJR PHR Moderator⁩

[6/9, 7:36 PM] Patient Advocate 1: Nono I don't need any medicines ... I don't need sympathy and all ..may be my problem was not cleared here... I already shared with @⁨~Narmeen Shah⁩ ma'am... though I'm motivated for the exam... Result may be whatever bt I'll try my best from now

[6/9, 7:37 PM] PaJR Doctor: Yes..

Tell @⁨~Narmeen Shah⁩ mam that I'm not patient who needs psychologists help but just a human at low times who needs friends to support

[6/9, 7:37 PM] Patient Advocate 1: Ok

[6/9, 7:38 PM] PaJR Doctor: Share tonight's revision

[6/9, 7:39 PM] Patient Advocate 1: Okay

[6/9, 8:17 PM] PaJR PHR Moderator: Wow! 👏👏

Try the upsc again this year then

[6/9, 8:17 PM] PaJR Doctor: It's easy to clear.

But no reason lol..

[6/9, 8:18 PM] PaJR Doctor: Can't offer more flexibility than MD Biochem

[6/9, 8:19 PM] PaJR PHR Moderator: Can leverage both. An IAS stamp will offer faster route to the VC appointment

[6/9, 8:22 PM] PaJR Doctor: ?

[6/9, 8:22 PM] Patient Advocate 2: 👍

[6/9, 8:24 PM] PaJR Doctor: Only works if ias is posted in relevant domain/department,which is political too

[6/9, 8:26 PM] PaJR PHR Moderator: You can leave the IAS job and rejoin the university again as faculty

[6/9, 8:27 PM] Patient Advocate 2: Indian politics is an interesting subject. You can better do your job here @⁨PaJR Doctor⁩

[6/9, 8:27 PM] PaJR Doctor: And what do we get through it?

[6/9, 8:27 PM] PaJR Doctor: Exactly

[6/9, 8:27 PM] PaJR PHR Moderator: Experience

[6/9, 8:28 PM] PaJR Doctor: And how does it help more than PaJR and our failures?

[6/9, 8:28 PM] Patient Advocate 2: Make politics for best health care system

[6/9, 8:29 PM] PaJR Doctor: Politics is healthcare

[6/9, 8:30 PM] Patient Advocate 2: Erase politics from health care

[6/9, 8:32 PM] PaJR Doctor: That's impossible

[6/9, 8:58 PM] PaJR PHR Moderator: You could create a PaJR ABDM

[6/9, 11:12 PM] PaJR Doctor: Failed

[6/9, 11:23 PM] Patient Advocate 1: What failed

[6/9, 11:24 PM] PaJR Doctor: Didn't share and discussed

[6/9, 11:24 PM] Patient Advocate 1: Covering the part of literary criticism

[6/9, 11:24 PM] Patient Advocate 1: And it took tym

[6/9, 11:24 PM] Patient Advocate 1: Sorry for being late

[6/9, 11:25 PM] PaJR Doctor: Why are you covering a topic when you have to do papers and work on mistakes?

As your patient mentioned clearly,the goal is not June 18th.

These 10days are not for preparing for exam

For to prepare her to be frit and resilient

[6/9, 11:26 PM] Patient Advocate 1: Ok

[6/9, 11:26 PM] Patient Advocate 1: Bt I find some questions tricky in the qp that's why I thought

[6/9, 11:26 PM] Patient Advocate 1: And was curious about the topic

[6/9, 11:26 PM] PaJR Doctor: Tell more about this..

I've some literature.

Can your patient criticise it?

[6/9, 11:27 PM] PaJR Doctor: Share the questions

[6/9, 11:28 PM] Patient Advocate 1: Criticism is the assessments or philosophical discussions on any work of art or literature 

There are a lot of poets who gave theories about this topic. Starting from Plato, Aristotle to Wordsworth, Aristotle and many more... couldn't cover all of them

[6/9, 11:29 PM] PaJR Doctor: Yes..

Can't cover it.

Can cover questions around it for exam

Can work on own philosophy which will be in one way or related to theirs anyways.

It's called practical application

[6/9, 11:30 PM] Patient Advocate 1: Ok

[6/9, 11:30 PM] Patient Advocate 1: Sending

[6/9, 11:36 PM] PaJR Doctor: D

[6/9, 11:37 PM] PaJR Doctor: C,D,B

[6/9, 11:37 PM] Patient Advocate 1: That means A is right?

[6/9, 11:38 PM] PaJR Doctor: C for 68

D for 69

B for 70

[6/9, 11:38 PM] Patient Advocate 1: Oh got it

[6/9, 11:39 PM] PaJR Doctor: So the exam pattern looks at holistic learning and experiences on literature from childhood and critic analysis,rather than important topics.

It's fine.

Which subject are you appearing for NET?

[6/9, 11:39 PM] Patient Advocate 1: English literature

[6/9, 11:40 PM] PaJR Doctor: Okk

[6/9, 11:40 PM] PaJR Doctor: Can you share answers for above questions?

What all I told maybe wrong too

[6/9, 11:41 PM] PaJR Doctor: So..

You mayhave already came across them during your bachelor's and masters

[6/9, 11:41 PM] Patient Advocate 1: How to remember all the poems ..? Is there any suggestion doc?

[6/9, 11:41 PM] Patient Advocate 1: Bt I've forgotten many topics... Have to cover again

[6/9, 11:42 PM] PaJR Doctor: This one told D because I don't know all..

Just knew Aristotle-poetics and Dryden-discoveries...and only option on it is D.

Rest authors and works...I don't know

[6/9, 11:42 PM] PaJR Doctor: This is famous

[6/9, 11:43 PM] Patient Advocate 1: Here A is the right ans ...

[6/9, 11:43 PM] Patient Advocate 1: I knew ben johnson's discoveries

[6/9, 11:43 PM] PaJR Doctor: It's fine..

Do it asynchronously for next 10 days until exam...till next 10 days

[6/9, 11:44 PM] PaJR Doctor: A or D.

Once check it out.

Book key maybe wrong too

[6/9, 11:44 PM] PaJR Doctor: And after June 18th,let's dive deep in literature,English and others till Dec

[6/9, 11:45 PM] Patient Advocate 1: Yes that's true...bt I knew only 3 of them...so I put the A ans

[6/9, 11:45 PM] Patient Advocate 1: Ok

[6/9, 11:46 PM] Patient Advocate 1: So I'll prepare today's QP and will solve it again tomorrow...

[6/9, 11:46 PM] Patient Advocate 1: And tomorrow morning I'll send the next qp here

[6/9, 11:47 PM] PaJR Doctor: Yes.prepare today's question paper and sleep.

Tmrw mrng do another qp.

And let's discuss in evening.

Tmrw night,do today's qp again

[6/9, 11:47 PM] Patient Advocate 1: Okay

[6/10, 8:14 AM] Patient Advocate 1: Today's QP

[6/10, 8:24 AM] PaJR PHR Moderator: Counterview:

To me it looks at google memory based outputs that ChatGPT can easily answer! 

The questions need to be able to assess the candidate's ability to critically identify problems in the narrative data and offer solutions to the identified problem statements

[6/10, 8:27 AM] PaJR PHR Moderator: Counterpoint :

Who made it famous? 

The enslaved subjects of an imperialist master still suffering from IAS driven Stockholm syndrome after 77 years?

[6/10, 8:29 AM] PaJR PHR Moderator: Make them into Bengali songs by google translating them to Bengali and putting your own tune to them 

Insert the poet's name in your Bengali version to remember who'd written which

[6/10, 8:30 AM] PaJR PHR Moderator: 1) Google "‘Yellow Journalism" and share what you learn

[6/10, 8:31 AM] Patient Advocate 1: That's a great way

[6/10, 8:31 AM] PaJR PHR Moderator: 2) Google (A) Encoders (B) Decoders and share what you learn

[6/10, 8:34 AM] Patient Advocate 2: 👍

[6/10, 8:35 AM] Patient Advocate 1: Ok

[6/10, 9:21 AM] Patient Advocate 1: Yellow journalism is a style of journalism that uses eye catching  headlines and exaggerated news to attract attention. It's an American term. The English term of this style of journalism is called "Tabloid journalism".

[6/10, 9:23 AM] PaJR PHR Moderator: Will it be difficult still to remember the answer?

[6/10, 9:23 AM] Patient Advocate 1: No ... Now I can easily remember

[6/10, 9:29 AM] Patient Advocate 1: Encoder is a process that converts data one format to another 

Decoder is a process to comprehend the received information

[6/10, 5:16 PM] Patient Advocate 1: Paper 1: 24 out of 60

[6/10, 5:18 PM] PaJR Doctor: Rest 2 papers?

[6/10, 5:20 PM] Patient Advocate 1: Paper 2

[6/10, 5:21 PM] PaJR Doctor: 2017?

Were there 2 papers or 3 papers back then?

[6/10, 5:22 PM] Patient Advocate 1: No... I'm checking paper 3

[6/10, 5:22 PM] PaJR Doctor: Yes and then redo yesterday's papers and also let's discuss doubts

[6/10, 5:23 PM] Patient Advocate 1: Ok

[6/10, 5:27 PM] Patient Advocate 1: Paper 3: 19 out of 75

[6/10, 5:28 PM] PaJR Doctor: Nice

Share the tough topics of today's papers and let's discuss.

After that redo yesterday's papers

[6/10, 5:29 PM] Patient Advocate 1: The quotes and dialogues given by famous personalities and the lines of the unknown poems were tough to me

[6/10, 5:29 PM] Patient Advocate 1: Because I don't know all the poems or all the novels out there

[6/10, 5:30 PM] Patient Advocate 1: Bt now I'm enjoying giving this tests

[6/10, 6:37 PM] PaJR PHR Moderator: What's the answer to their question? 

What are your thoughts about this phrase, 

"every decoding is another encoding"

[6/10, 6:37 PM] PaJR Doctor: Qp's or job selection is currently not on Gaia/fractal science based?

[6/10, 6:41 PM] PaJR PHR Moderator: As you said before it's all going to change in the job front as humans will transform into paying forward people who's only ROI for their time will be happiness

[6/10, 10:07 PM] Patient Advocate 1: .

Paper 2

Paper 3 

 Today's QP 

[6/11, 9:52 AM] PaJR Doctor: @⁨PaJR PHR Moderator⁩ 1st question akin to Bloom's taxonomy,where we put Synthesis/creating at the highest level?

[6/11, 9:58 AM] PaJR PHR Moderator: Yes but they left it out of the answer options!

[6/11, 2:41 PM] Patient Advocate 1: My patient singing after recovering from throat infection

[6/11, 2:43 PM] PaJR Doctor: Which raga is this?

[6/11, 2:49 PM] Patient Advocate 1: Mixed kalyan?

[6/11, 2:49 PM] PaJR Doctor: Ragamalika?

[6/11, 2:51 PM] Patient Advocate 1: Is this from carnatic music

[6/11, 2:51 PM] Patient Advocate 1: ?

[6/11, 2:52 PM] PaJR Doctor: Yes..

Even in Hindustani,if we use more than 2 ragas in a song,we call it Ragamalika.

For example,the song you shared above has Kalyani..

Only Kalyani or any other?

@⁨PaJR PHR Moderator⁩

[6/11, 2:56 PM] Patient Advocate 1: Iman kalyan

[6/11, 4:23 PM] PaJR Doctor: https://youtu.be/-TqsbVhgwuA?si=QpzfvvXV-BywoUiZ

[6/11, 4:23 PM] PaJR Doctor: Can your patient try this?

[6/11, 4:24 PM] Patient Advocate 1: Ok... she'll definitely try

[6/11, 4:25 PM] PaJR Doctor: And ask her to document it

[6/11, 4:36 PM] PaJR PHR Moderator: Here's the original movie clip with Kishore and his first wife signing this song together 👇

https://youtu.be/hr61UPhqWjI?feature=shared

[6/11, 5:01 PM] Patient Advocate 1: Document means

[6/11, 5:01 PM] PaJR Doctor: Share here.

Let's create a blogspot and upload all these there in some time

[6/11, 5:04 PM] Patient Advocate 1: How to create it...can you guide??

[6/11, 5:04 PM] PaJR Doctor: Install 'blogger' app and sign in with google

[6/11, 7:05 PM] PaJR Doctor: Other 2 papers and also redoing of yesterday's papers?

[6/11, 7:05 PM] Patient Advocate 1: Yes

[6/11, 7:05 PM] Patient Advocate 1: Doing those

[6/11, 7:05 PM] PaJR Doctor: Let's close it by 930pm and discuss until 10/1030.

And chill from 1030 to midnight

[6/11, 7:06 PM] Patient Advocate 1: Actually she has an invitation today... So has to complete it till midnight

[6/11, 7:06 PM] PaJR Doctor: Invitation to?

[6/11, 7:06 PM] Patient Advocate 1: To what?

[6/11, 7:07 PM] PaJR Doctor: What does she have invitation to?

[6/11, 7:07 PM] Patient Advocate 1: To a family friend's birthday party... Tried to skip it .. but couldn't

[6/11, 7:08 PM] PaJR Doctor: Chill. 

Sing a song in your friend's bday party..record it and share here

[6/11, 7:08 PM] Patient Advocate 1: If possible will try

[6/11, 7:09 PM] PaJR Doctor: Do try..

No one will stop your patient..incase will support too..

[6/11, 7:09 PM] PaJR Doctor: You are what you express,not what you hold on

[6/11, 7:09 PM] PaJR Doctor: Just chill yo

[6/11, 7:09 PM] PaJR Doctor: @⁨PaJR PHR Moderator⁩

[6/11, 7:10 PM] Patient Advocate 1: Actually the circumstance will might be not like that... everyone might be in hurry

[6/11, 7:24 PM] PaJR Doctor: Chill yo

[6/11, 11:37 PM] PaJR Doctor: Update?

[6/11, 11:59 PM] Patient Advocate 1: Doing the 2nd paper

Today's QPs 

[6/14, 12:10 AM] PaJR Doctor: Dr Narmeen mam is expert in this domain.Psycholinguistics.

Let's ask her @Narmeen Shah.

Ohh just found out mam left the group for some unknown reasons.

@⁨PaJR PHR Moderator⁩

[6/14, 12:13 AM] PaJR Doctor: @⁨~Narmeen Shah⁩ very interesting question to you Dr

[6/14, 1:08 AM] Patient Advocate 1: Paper 3

[6/14, 10:29 AM] Patient Advocate 2: ❤️@⁨Patient Advocate 1⁩

[6/14, 10:48 AM] Patient Advocate 1: @⁨PaJR PHR Moderator⁩ ডাক্তারবাবু, 24f এর একজন বন্ধুর সামনের ডিসেম্বর এ বিয়ে, সেজন্য তার বান্ধবী intermittent fasting করছে, তাড়াতাড়ি ওজন কমানোর জন্য , এটা কি স্বাস্থ্য সম্মত?

[6/14, 10:54 AM] PaJR PHR Moderator: Eta khub bhalo monitoring ebong guidance er saathe kora uchit.

Amader arekta patient group a arekjon korechen ekhane 👇

https://chat.whatsapp.com/IWFkND8Vq4m1m6SEICxXTc

[6/14, 10:54 AM] Patient Advocate 1: Accha dkhchi

[6/14, 1:01 PM] PaJR Doctor: Inviting Middle School Science Teachers to a special webinar

Teaching 'Light' - Creating Thinking Classrooms I

Date: June 18, 2024

Time: 4:00 - 5:30 PM

Platform: Zoom

Limited Seats

Open only to science educators teaching in schools affiliated to national/international/state boards. 

Register@ https://bit.ly/3VxSOOF

[6/14, 9:19 PM] Patient Advocate 1: Now it's time for redoing yesterday's QP

[6/14, 10:58 PM] PaJR Doctor: 33

[6/15, 11:45 PM] PaJR Doctor: Today's or yesterday's?

[6/15, 11:45 PM] Patient Advocate 1: Missed a paper today because of an urgent meeting at school... So was busy there

[6/15, 11:45 PM] Patient Advocate 1: It's yesterday's

[6/15, 11:46 PM] Patient Advocate 1: Now doing another paper... have to do yesterday's "redoing _ paper" tomorrow

[6/15, 11:47 PM] PaJR Doctor: It's fine..

Spend 30 or 40 mins now and cover it and share here

[6/15, 11:48 PM] Patient Advocate 1: Okay

[6/15, 11:49 PM] Patient Advocate 1: 1st paper

[6/15, 11:50 PM] Patient Advocate 1: Question

[6/16, 12:32 AM] Patient Advocate 1: Did it in 30 min

[6/16, 10:58 AM] Patient Advocate 1: Now redoing the missed QP

[6/16, 1:59 PM] PaJR PHR Moderator: School?

[6/16, 2:03 PM] Patient Advocate 1: My workplace

[6/16, 2:09 PM] PaJR PHR Moderator: Working as a school teacher? Government school?

[6/16, 2:35 PM] Patient Advocate 1: No ... Principal of a play group school

[6/16, 2:35 PM] Patient Advocate 1: Private

[6/16, 3:26 PM] PaJR Doctor: @⁨~deekshith.vodela⁩

[6/16, 3:41 PM] +91 95154 76138: 3. 200

[6/16, 3:41 PM] PaJR Doctor: How and explain?

[6/16, 3:41 PM] +91 95154 76138: x/8 =80

[6/16, 3:42 PM] +91 95154 76138: x+y/12 =70

[6/16, 3:42 PM] PaJR Doctor: Make friends with @⁨Patient Advocate 1⁩.

She has exam in 3 4 days

[6/16, 3:42 PM] +91 95154 76138: solve for y

[6/16, 3:43 PM] Patient Advocate 1: 1 day only🥹

[6/16, 3:43 PM] PaJR Doctor: Coool...quicker the better

[6/16, 3:43 PM] Patient Advocate 1: Ok

[6/16, 3:44 PM] +91 95154 76138: All the best .. you can do it.. 💯

[6/16, 3:44 PM] Patient Advocate 1: Thank you so much 😊

[6/16, 3:44 PM] PaJR Doctor: Dr Deekshith is one of my finest students and amazing friend

2nd year mbbs..

[6/16, 3:44 PM] +91 95154 76138: i ve been following your work. you did prepare well so you'll definitely rock ur exams

[6/16, 3:44 PM] Patient Advocate 1: Oh that's great

[6/16, 3:45 PM] Patient Advocate 1: Means a lot 😇

[6/16, 7:45 PM] PaJR PHR Moderator: 👍

[6/16, 8:44 PM] Patient Advocate 1: Missed redoing done

[6/16, 9:41 PM] PaJR Doctor: Exam is tomorrow?

[6/16, 9:52 PM] Patient Advocate 1: No , day after tomorrow

[6/16, 11:12 PM] Patient Advocate 1: Paper 3

[6/16, 11:13 PM] Patient Advocate 1: Now redoing yesterday's paper

[6/17, 12:23 AM] +91 95154 76138: 70

[6/17, 12:23 AM] +91 95154 76138: QOL

[6/17, 12:24 AM] +91 95154 76138: x+y+z=21

z+2y+x=28

2x+y+2z=35

[6/17, 12:25 AM] Patient Advocate 1: Paper 1 of yesterday (Redoing)

[6/17, 12:25 AM] Patient Advocate 1: How? Can you Pls explain?

[6/17, 12:25 AM] +91 95154 76138: Y-x-W-v-U-t-S-r-Q

[6/17, 12:26 AM] +91 95154 76138: E-0-F-1g-H-2i,j-K-3l,m,n-O

[6/17, 12:27 AM] +91 95154 76138: B-1c-D-2e,f-G-1h-I-2jk-L

[6/17, 12:27 AM] +91 95154 76138: QOL

[6/17, 12:42 AM] Patient Advocate 1: Got it

[6/17, 12:57 AM] Patient Advocate 1: Paper 2

[6/17, 10:20 PM] +91 95154 76138: 5-(-1)=6

15-5=10

29-15=14

[6/17, 10:21 PM] +91 95154 76138: 6+4=10

10+4=14

14+4=18

[6/17, 10:21 PM] +91 95154 76138: 29+18=47

[6/17, 10:25 PM] Patient Advocate 1: Oh thank you

[6/17, 10:33 PM] Patient Advocate 1: Message from patient - " I'm really grateful to this group, because I gained a lot of confidence from here for tomorrow's exam . Whatever will be the result , pass or fail , I'm hopeful. once I had given this exam in 2022, I was so nervous then , I didn't know anything. today I'm still nervous though but now atleast I know what will be the question structure at least and what type of questions might come I have an idea now atleast. Thanks everyone 🙏🏻

I'll give my best tomorrow 

And after tomorrow's test, I'll still be practicing each and every day for the next exam.."

[6/17, 10:39 PM] +91 95154 76138: All the best 🤝🏽

[6/17, 10:39 PM] Patient Advocate 1: Thank you 🙏🏻

[6/18, 9:18 AM] PaJR PHR Moderator: All the best

[6/18, 9:21 AM] PaJR PHR Moderator: This group has also made me dig deeper into RPM and from there to Spearman's g and I have started working on a hypothesis development piece for a medical education paper as a result.

My heart felt gratitude to all team members including @⁨~deekshith.vodela⁩ @⁨PaJR Doctor⁩ @⁨~Narmeen Shah⁩ @⁨PaJR Coordinator⁩ @⁨~✍🏼⁩ @⁨Patient Advocate 2⁩ who have been instrumental in facilitating this journey

[6/18, 9:28 AM] Patient Advocate 1: Thank you so much

[6/18, 7:05 PM] PaJR Doctor: How did the exam go?

[6/18, 7:07 PM] Patient Advocate 1: It was not bad... I'm still in the way to home... After coming back I'll search for the answer

[6/18, 7:08 PM] Patient Advocate 1: *Not good though

[6/18, 7:09 PM] Patient Advocate 1: The exam centre is 130 kM far from my home

[6/18, 7:10 PM] PaJR PHR Moderator: Where?

[6/18, 7:10 PM] Patient Advocate 1: Siliguri Model High school

[6/18, 7:11 PM] PaJR PHR Moderator: Which part of Siliguri is it located?

I studied in a Siliguri school for my 5th standard

[6/18, 7:14 PM] Patient Advocate 1: North Bengal Medical College Area... actually I don't know anything about Siliguri..

[6/18, 7:14 PM] PaJR PHR Moderator: It appears to be just 5kms from the school where I studied!

[6/18, 7:15 PM] Patient Advocate 1: Which school it is?

[6/18, 7:16 PM] PaJR PHR Moderator: Don Bosco

[6/18, 7:16 PM] Patient Advocate 1: Oooo

[6/18, 7:17 PM] PaJR Doctor: I thought you were born and brought up in Kolkata

[6/18, 7:18 PM] PaJR PHR Moderator: Born after that Panipat near Delhi, Siliguri, finished school in Mumbai, College ug in Kolkata

[6/18, 8:14 PM] Patient Advocate 1: I thought you're Bangali

[6/18, 8:14 PM] PaJR Doctor: I get it a lot.

But no.Born and brought up in Hyderabad

Few gens before migrated from Kashmir-Nepal-Bengal-South India

[6/18, 8:15 PM] Patient Advocate 1: Then you know bengali olpo solpo?

[6/18, 8:15 PM] PaJR Doctor: I've never been to Bengal.

Yet

[6/18, 8:16 PM] Patient Advocate 1: Ohooo

[6/18, 8:17 PM] PaJR Doctor: Maybe due to name 'Datta' in me.

But that's my name.Dinesh Datta.

Surname is different.

It's Vajjhala,which is linguistically related to 'Ojha'.

Few of my family members and me are trying to trace the roots

[6/18, 8:34 PM] Patient Advocate 1: Oooo

[6/18, 9:19 PM] PaJR Doctor: Just ontological labels for biochemical sentient bunch of molecules which is complexity driven,aka life

[6/18, 9:33 PM] PaJR Doctor: Ojha somewhere in central India.

Likely Vidarbha or Bihar

[6/18, 9:39 PM] Patient Advocate 1: Yes I had a colleague in my previous school, she was also ojha titled

[6/18, 9:39 PM] Patient Advocate 1: She was also From Bihar

[6/18, 9:40 PM] PaJR Doctor: Coool..

Can you connect me to her?

[6/18, 9:40 PM] Patient Advocate 1: I don't have connection now actually

[6/18, 9:41 PM] Patient Advocate 1: She had left the school before I left

[6/18, 9:41 PM] Patient Advocate 1: Yet I'll try

[6/19, 8:40 PM] Patient Advocate 1: 24F's exam is completed, she wants to study regularly... For the next exam, so now how to make a schedule now

[6/19, 8:41 PM] PaJR Doctor: When's the next exam?

[6/19, 8:42 PM] Patient Advocate 1: There is no date...and no exam but she wants to keep practicing

[6/19, 8:42 PM] PaJR Doctor: Cool.

Simple then.

Make list of all the exams she wants to appear.

Do one previous year qp paper each day and share here.

Repeat the next day and another paper.

Until we get exam dates and syllabus

[6/19, 8:43 PM] PaJR Doctor: Let's call it asynchronous learning

[6/19, 8:44 PM] PaJR Doctor: Is she practicing that looking at black dot for 5 mins daily?

[6/19, 8:44 PM] PaJR PHR Moderator: Yes let there be more learning and less exams!

[6/19, 8:45 PM] PaJR Doctor: Exam papers are part of training.

Learning through mistakes..

And later finding out that regular practice and learning helps more rather than passing or failing the exam

[6/19, 8:45 PM] Patient Advocate 1: .

[6/19, 8:45 PM] Patient Advocate 1: Ok

[6/19, 8:45 PM] PaJR Doctor: Cool..

Download previous papers of all those tonight..

Compile them..

[6/19, 8:45 PM] Patient Advocate 1: Yes... Everyday she is practicing

[6/19, 8:45 PM] Patient Advocate 1: After waking up

[6/19, 8:45 PM] Patient Advocate 1: At morning

[6/19, 8:45 PM] PaJR Doctor: Nice..

Ask her to share that daily

[6/19, 8:46 PM] PaJR Doctor: Sharing is leadership

[6/19, 8:46 PM] Patient Advocate 1: What to share

[6/19, 8:46 PM] PaJR Doctor: That she did or didn't practice.

If not shared,we take it as that she didn't practice

[6/19, 8:48 PM] Patient Advocate 1: Oh ok...at morning?? I mean when she practices that timing?

[6/19, 8:49 PM] PaJR Doctor: Yes.

And as now there's no exam date.

Can also share when she's exercising(walking/sports) and update here

[6/19, 8:53 PM] Patient Advocate 1: Okay... From 15-16 days she is not doing any sports activities or morning/evening walk, 

From tomorrow she will do

[6/19, 8:54 PM] Patient Advocate 1: And she wants to lose weight too

[6/19, 9:20 PM] PaJR Doctor: Yes..ask her to do from tomorrow and share when she does.

Or else we take it as she didn't work

[6/19, 9:21 PM] Patient Advocate 1: Ok

[6/19, 10:20 PM] +91 95154 76138: https://youtu.be/OmyfB513E1s?si=iENy0AhfJ9xNwnfy

[6/19, 10:20 PM] +91 95154 76138: maintaining a journal might help with effective preparation

[6/19, 10:21 PM] PaJR Doctor: ..ultimate notebook in practical action..

Where you become immune to scrolling as well.

It's called 'Tratakam'

[6/19, 10:31 PM] PaJR Doctor: That's a good idea as well..

Let's consider regular sharing in this group as a dynamic open access journal

[6/19, 10:35 PM] +91 95154 76138: yes please share a photo of your journal.. maintaining a journal book will help with effective journaling

[6/19, 10:36 PM] PaJR Doctor: vddatta.blogspot.com 

These are synchronous UDLCO documented ones.

Asynchronous in Metapsych community

[6/19, 11:08 PM] +91 95154 76138: UGC NET 2024 Cancelled: NTA calls off NET exam following integrity compromise

https://www.moneycontrol.com/education/ugc-net-2024-cancelled-nta-calls-off-net-exam-following-integrity-compromise-article-12752315.html

[6/19, 11:08 PM] +91 95154 76138: Bad execution?

[6/19, 11:08 PM] PaJR Doctor: She's not preparing for exams.

She's preparing for survival and 1000 petalled lotus blooming

[6/19, 11:09 PM] PaJR Doctor: Exams are a channel

[6/19, 11:09 PM] +91 95154 76138: this was the exam she wrote yesterday...

[6/19, 11:09 PM] +91 95154 76138: @⁨Patient Advocate 1⁩ right?

[6/19, 11:09 PM] PaJR Doctor: It's fine.

Doesn't matter.

That's just an exam she attempted.

Not what she's pursuing

[6/19, 11:10 PM] PaJR Doctor: In a DIY future,all the degrees and certificates will be safely worthless

[6/19, 11:10 PM] PaJR Doctor: Let's call it either AI revolution or Karma Siddhantha

[6/19, 11:11 PM] PaJR Doctor: Which you are leading(you may not know it or aware too)

[6/19, 11:12 PM] +91 95154 76138: its just all the hardwork going into drain because they failed to conduct exam properly... yesterday it was NEET now NET?

[6/19, 11:13 PM] PaJR Doctor: Just a matter of Kaala(spacetime like Einstein mentioned) or like Bhadrakali amma infront of KMC.

You wl learn.(just like you are already)

In egg stage.

Love it.

Protect it.

Make it a butterfly/1000 petalled lotus

[6/19, 11:13 PM] PaJR Doctor: Hmmm..

Think scenario 10 Years ahead

[6/19, 11:16 PM] PaJR Doctor: To begin with,make friends with @⁨Patient Advocate 1⁩ longterm and work on collaboration

[6/19, 11:18 PM] PaJR Doctor: And work on how both of you can grow together with exchange of knowledge,connections and friendship.

Make it a win win situation.

Be a leader.

Unlearn

[6/19, 11:19 PM] PaJR Doctor: How about ask her to teach you guitar at free of cost while you can guide her for exams..

No one knows everything

[6/19, 11:20 PM] PaJR Doctor: How about collaboration?

Why do both of you spend money for books and coaching?

How about becoming friends?documenting,learning and growing open access and transparent?

[6/19, 11:28 PM] Patient Advocate 1: Great approach

[6/19, 11:34 PM] Patient Advocate 1: Yes

[6/19, 11:46 PM] +91 95154 76138: @⁨PaJR Doctor⁩ great stuff. I thought we were already friends @⁨Patient Advocate 1⁩ ?

[6/19, 11:46 PM] Patient Advocate 1: Yes

[6/19, 11:46 PM] PaJR Doctor: More*

Not money..

Typo

[6/19, 11:47 PM] PaJR Doctor: Damn autocorrect

[6/19, 11:48 PM] +91 95154 76138: I relate with this 😑

[6/19, 11:48 PM] PaJR Doctor: I had a breakup long time ago due to autocorrect

[6/19, 11:48 PM] PaJR Doctor: Relatable

[6/20, 8:32 AM] Patient Advocate 1: Practicing looking at the dot for 5 min after waking up

[6/23, 8:58 AM] PaJR Coordinator: Hi iam satheesh based out of IIT Hyderabad iam taking the role of a moderator to enforce some safety and discipline in our pajr groups for best patient outcomes if any one have any problems or grievances or any good ideas suggestions to improve the system please kindly feel free to contact me let's make pajr group more productive and safe place to contribute 🙏

[6/23, 9:24 AM] PaJR Coordinator: Who is patient advocate in this group

[6/23, 9:26 AM] Patient Advocate 1: I'm the patient advocate here

28.6.24 update : Sokal 6.00 - সকালে ঘুম থেকে উঠেই উষ্ণ গরম জলে লেবু আর কাঁচা হলুদ খেয়ে ফ্রেশ হয়ে হাঁটতে বার হয়ে যাই 

7.30 am - 5 km হেটে বাড়িতে এসে স্নান করে ঘরের কাজ করি,

8.10 am - স্টুডেন্ট বাড়িতে আসে, তাকে পড়াই ও চিনি ছাড়া লাল চা আর মুড়ি খাই আর নিজেও পড়ি

9. 15 am - স্কুলে যাওয়ার জন্য তৈরি হই, বাড়িতে অতিথি আসবে জন্য বাড়ির সবাইকে কাজে হেল্প করি 

9.45 am - ভাত খাই

10.00 am - school এ যাই 

1.00 pm - স্কুলে একটা মিটিং শেষ হওয়ার পর একটু ব্রেক চলছিল, তখন চোখ বন্ধ হয়ে আসছিল , চোখে মুখে জল দিয়ে আসার কিছুক্ষণ পর আবার ঘুম পাচ্ছিল 

2.30 pm - বাড়িতে ফিরি, একটু হাত মুখ ধুয়ে বিছানায় যেতেই ঘুম, 

3.00 pm - বাড়িতে অতিথি আসার জন্য রান্নার কাজ করার জন্য বাড়ির সবার ডাকাডাকিতে উঠি, আর বিকেলের টিফিন করি

4.30 pm - বাড়িতে ছাত্র আসে, তাকে পড়াই আর নিজেও কিছু প্রশ্ন উত্তর SOLVE করি 

6.30 pm -  পড়িয়ে রেডী হয়ে পাশেই আর একটা পড়াতে গেছি, 

8.00 pm -  পাশের বাড়িতে বন্ধুর বাড়িতে গেছি

9.00 pm - নাটকের রিহার্সাল এ গেছি , ওখানেও আমার পার্ট শেষ হওয়ার পর ঘুম পাচ্ছিল খুব 

10.00 PM - ভাত খাই 

10.30 PM - বাড়ির কাজে সাহায্য করি

11. 00 PM - বিছানায় যাই, কিছু পড়ার ভিডিও দেখতে দেখতে ঘুমিয়ে পড়ি

[6/28, 10:21 AM] +91 82478 06807: Hello there ,thanks for the group welcome 

Iam Anil Rathod M.A,B.Sc,NET,SET. Lecturer indian polity,constitution of india,internatinal relations.

[6/28, 10:28 AM] PaJR PHR Moderator: @⁨Patient Advocate 1⁩ is the patient's advocate here who keeps in touch with the patient and shares her requirements from time to time.

We had a good discussion around the patient's upsc training that we hoped would be therapeutic but as the previous therapist had to leave we have invited many of you to rekindle the therapeutic discussion around this patient's exam preparation which can be coordinated by @⁨Patient Advocate 1⁩ 

The previous discussions are available in the patient's case report linked in the description box and it would be interesting to have the past participants @⁨~deekshith.vodela⁩ and new participants @⁨~Anil Rathod⁩ to rekindle the previous learning discussions here

[6/28, 10:39 AM] +91 82478 06807: Whats that she currently preparing for , her Ugc net of 18 june got cancelled due to paper leakage issue.

[6/28, 10:46 AM] PaJR PHR Moderator: Perhaps @⁨Patient Advocate 1⁩ can answer this question

[6/28, 11:10 AM] Patient Advocate 1: She is now preparing for next UgC NET exam and KVS exam , the date of these exams are not declared

[6/28, 11:22 AM] +91 82478 06807: Can she interact directly.

[6/28, 11:29 AM] PaJR PHR Moderator: No patient privacy needs to be safeguarded and we have had issues in PaJR when some of our group members directly messaged advocates to know more about their patients

The advocate can convey everything here that we need to know

[6/28, 11:38 AM] +91 82478 06807: Affirmed,so the thing @⁨Patient Advocate 1⁩ Make her clear that she forgets about result of the exam and works on an enquiry type study,she develops interest in subject and curiosity of learning which she can enjoy the subject.

Students aften times get this situation thinking more about results.

[6/28, 11:44 AM] PaJR PHR Moderator: Good point.

Also made by our previous exam therapist here from what I can recall and perhaps archived in her case report link

[6/28, 11:53 AM] +91 85199 76747: Can I get a complete report of what the patient is going through please?. Can the patient advocate explain me. I would like to help

[6/28, 7:16 PM] PaJR PHR Moderator: Please check the case report link in the description box.

To quote:

"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."

I'm guessing you need a complete report on how she may have developed this fear at home? Whom does she fear at home and why? What were the events since her childhood that led to this fear and at which year and month these events happened and at what frequently?

Once you clarify that this is the information you need, then the patient advocate @⁨Patient Advocate 1⁩ will ask the patient and get back to us

Or if you have other questions too feel free to ask and the advocate will see what she can gather from the patient

[6/28, 7:48 PM] +91 85199 76747: Sure sir

[6/29, 8:36 AM] Patient Advocate 1: Good morning, the date of the retest of June 2024 UGC NET has declared

[6/30, 10:03 AM] Patient Advocate 1: Good morning 

Yesterday's Activity of my patient: 

6.00 am - waking up and getting ready for morning Walk after having raw turmeric and lemon water, helping her mother in household work 

6.30 am - started morning walk for 5 km 

7.30 am - came home and went for bath 

8.00 am - started reading and had tea without sugar and milk, and Muri , student came and started studying 

10.00 am - helped her mother in household work and had lunch 

11.00 - practiced singing 

12.30 pm - felt sleepy and slept for 1.30 hours 

2.00 pm - after waking up ate fruits and went to school for a meeting and felt so lazy there

5.00 pm - came home and again slept 

6.30 pm - ate muri with milk and dates , getting ready for rehearsal of Theatre bt due to rain plan cancelled 

7.00 pm - started studying 

10.00 pm - had dinner

 

10.30 pm - after completing house hold works started to see a drama but felt sleepy 

11.30 pm - slept

[6/30, 10:28 AM] PaJR PHR Moderator: 👏👏Did you hear her sing? Was it a rag based song or a raga itself?

[6/30, 10:43 AM] +91 82478 06807: @⁨PaJR PHR Moderator⁩ Dr. What is you take on eating at 10PM...

[6/30, 10:43 AM] Patient Advocate 1: It was Raga itself, Rag Bhupali

[6/30, 10:50 AM] PaJR PHR Moderator: The dinner time should ideally be early and sleep should also follow an hour later after the post dinner walk.

In rural India people used to eat dinner before Sundown and sleep an hour later at 7-8 PM and then wake up at the crack of dawn 4-5AM

However after British invasion Indians have suffered a lot of cultural disruption to their rural routines and the rural landscape has also changed due to progressive structural violence and hence the dinner times have also shown a paradigm shift!

[6/30, 10:55 AM] PaJR PHR Moderator: Check out my playlist in bhupali aka mohanam:

https://youtube.com/playlist?list=PLvYjjuT_hEERo5sJGx4QvZMsmhlJlz7TU&feature=shared

[7/1, 3:15 PM] Patient Advocate 1: Yesterday's activity of my patient 

6.00 am - woke up and got ready for morning Walk, helped her mother in household works , drank lemon and warm water with raw turmeric 

6.30 am - went for morning walk 

7.30 am - came home and went for bath 

8.00 am - student came and started studying with them , ate tea without milk and sugar, and muri

10.00 am - practiced singing 

11.30 am - had lunch and got ready for school ( usually on Sunday, school is closed, but for an urgent reason had to go) 

12.30 pm - came home , ate ruti with sabji and slept 

5.30 pm - woke up and went to meet a friend , drank milk tea with sugar 

7.30 pm - came home and started studying 

9.00 pm - went for rehearsal of Theatre 

10.00 pm - had dinner and did some household works 

11.15 pm - went to bed and slept

[7/1, 4:15 PM] PaJR PHR Moderator: What raag yesterday?

Also can you share some of what she has been studying yesterday?

[7/1, 5:12 PM] Patient Advocate 1: Yesterday she practiced rag bhairabi 

And she studied the previous question papers

[7/1, 5:12 PM] Patient Advocate 1: But all the time she felt sleepy

[7/1, 7:02 PM] PaJR PHR Moderator: 👆 Please indicate in this hourly schedule at which time points she felt sleepy and how long did that feeling last?

[7/1, 10:46 PM] Patient Advocate 1: Okay... At morning when she gets up... She feels a mild pain on her right eye side...it stays for 2- 3 hours.. and from around 10.30 she feels lazy, she didn't feel it before... Bt from nowadays it has started, she feels her body is heavy, and laziness, somehow she wants to finish her work and she will sleep ...

[7/1, 10:47 PM] Patient Advocate 1: And even, yesterday was Sunday.. she slept for 1 pm to 5 , it was feeling that it was not enough, again after 11.30 she slept as soon as she gone to bed

[7/2, 7:21 AM] PaJR PHR Moderator: Does she also feel unhappy?

Excessive sleepiness can often be a sign of depression other than being due to hypothyroidism

[7/2, 7:35 AM] Patient Advocate 1: Whenever she is at home alone, she overthinks and feels unhappy , 

Whenever goes outside, with everyone everything seems ok

[7/2, 7:49 AM] PaJR PHR Moderator: So her depression and unhappiness is triggered by stimuli driven by her location which is also when she feels sleepy?

So perhaps when she is outside her home for her work or leisure she doesn't feel sleepy?

[7/2, 7:50 AM] PaJR PHR Moderator: 👆1 hour morning walk?How many kms?

[7/2, 7:56 AM] PaJR PHR Moderator: If we review your patient's activity from 5 June in the patient's PHR case report, we find that she's written,

"10.30 - 11.00 : porte porte ghumanor chesta'

Which means she was trying to sleep by reading (note mentioned what), which means that at that time her problem was less sleep?

[7/2, 8:30 AM] Patient Advocate 1: No ... From 10- 15 days... She feels sleepy at outside too... Before she never feels this laziness... She was so energetic

[7/2, 8:31 AM] Patient Advocate 1: 4.5 km

[7/2, 8:31 AM] Patient Advocate 1: No, then she sleeps normally

[7/2, 8:53 AM] PaJR PHR Moderator: Oh that's a lot just in the morning!

The entire day after that? How much did she walk the entire day?

[7/2, 8:56 AM] Patient Advocate 1: She skips Toto/auto , so atleast more 5 km she walks the entire day

[7/2, 9:05 AM] PaJR PHR Moderator: That deserves some good sleep.

Even if she's noticed sleepiness at certain odd hours, what's the total duration of her sleep in 24 hours, for example yesterday?

[7/2, 9:22 AM] Patient Advocate 1: 7 hours at night + 2.5 hours at noon

[7/2, 9:22 AM] Patient Advocate 1: Yesterday

[7/2, 9:27 AM] PaJR PHR Moderator: Please ask the patient to recall how many hours of sleep she may have had day wise over the last few days in the last one week

[7/2, 9:25 PM] Patient Advocate 1: 8- 9 hours avg

[7/2, 10:36 PM] PaJR PHR Moderator: That's normal

One possibility is that she's possibly having a disturbed sleep at night and because of that she feels sleepy at day time?

[7/2, 10:37 PM] Patient Advocate 1: No she sleeps soundly at night as well as day

[7/5, 9:36 AM] PaJR PHR Moderator: Updates?

[7/5, 10:00 AM] Patient Advocate 1: Yesterday's Activity :

6.30 am - woke up and prepared for morning walk 

6.45 am - ate 2 almonds went for morning walk and walked 5.2 km 

8.00 am - came home and went for bath

8.30 am - students came and studied 

9.30 am - got ready and had lunch with rice , alu potol dalna and mung dal

10.00 am - went for school 

1.30 pm - returned from school and slept 

4.00 pm - woke up and ate ruti sabzi and banana

4.30 pm - students came and started studying 

7.30 pm - ate fruits musambi and mango 

And started studying 

8.30 pm - had dinner with dhokar dalna,rice , mixed veg ,mung dal and 2 potato chips 

9.00 pm - went for rehearsal of theatre 

10.00 pm - came home and studied 

11.30 pm - slept

[7/5, 10:07 AM] PaJR PHR Moderator: 👆Has she gotten her thyroid function test done?

[7/5, 10:15 AM] Patient Advocate 1: No have told her parents, may be in this week the test will be done