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52F Varicose veins 15 years, piles, obesity Telangana Pajr

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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. Our patient is 52 years old female who has shared her problems that she started noticing the Varicose Veins problem about 15 years ago.  Early indications started after second delivery which was a C-Section in late 1990. Patient was aged 19 at the time. After delivery patient started gaining weight. Between 2008 - 2010 slowly the back of the legs started bulging while standing for long times, especially during cooking. It comes to normal while sitting or sleeping. This is when weight reached to around 70kgs. Patient started walking daily to reduce weight. Walking has since become a habit b
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13F Central obesity with hypopituitarism WB PaJR

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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. Our patient who is studying in 8th standard (age-13 years) is having central obesity. Her weight is around 50kg and height 4' 8". Recently according to doctor advised have done some blood test related to growth hormone and hand X-Ray. Some growth hormone deficiency was found inte report. The PHR, patient journey record PaJR transcripts below reflect the therapeutic uncertainties around the patient and their resolution through team based learning : Here's the rest of the discussions not yet updated in the case report 👇 [8/30, 10:04 PM] PAJR MEMBER :
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24F Exam stress depression years WB PaJR part 3

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My patient shared her problem of depression and anxiety for the first time . The case report link is here  👇🏻 http://24fpatientblog.blogspot.com/2024/06/pajr-patient-advocate-driven-phr.html She shared her problems for the second time that she is suffering from ill health like fever and paining. The report link of that case is shared here 👇🏻 http://24fpatientblog.blogspot.com/2024/08/24f-exam-stress-depression-years-wb-pajr.html [8/17, 1:03 PM] Patient Advocate: My patient is having throat pain.. and can't not sing properly..  She is recalling her past years and watching her previous recordings .. can't sing smoothly for voice soar..  She already mentioned about her throat problem in this group but that problem is not curing properly still... And can't sing the high notes like previous days..  From 1.5 years she is feeling this problem.. She needs guidance to cure her voice [8/17, 1:04 PM] +91 85199 76747: One thing that works for me to sing high notes is, [
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24F Exam stress depression years WB PaJR

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My patient mentioned her problem of depression for the first time earlier, that was shared in the previous case report. The previous case report link is given here 👇🏻 https://24fpatientblog.blogspot.com/2024/06/pajr-patient-advocate-driven-phr.html The update of July -  [7/6, 9:11 AM] Patient Advocate 1: Yesterday's Activity :  6.30 am : woke up but didn't go to walk due to heavy rain, again slept 7.45 am : woke up & went for bath 8.15 am : practiced singing , practiced some paltas and Rabindra Sangeet and drank tea without milk and sugar, muri 9.45 am : had lunch with rice , potol chingri , dal , dhokar dalna , dhyaros & pepe siddho 10.10 am : went school by toto, other day she used to go by walking, yesterday she felt lazy  2.00 pm : came home and ate chatu ,muri , milk and jaggery  2.30 pm : slept  4.30 pm : went to walk with mother, as her parents forced to meet a friend of her father, came from Kolkata, and forcefully ate singara and rosogolla  5.00
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