Hello Doctor,
We would like to consult you regarding this critical case. The patient (65-year-old male) is currently admitted at Max Hospital, Dehradun, and is on tracheostomy support following severe pneumonia with sepsis.
Despite ongoing treatment, there has been no significant improvement. The reports also indicate a multidrug-resistant infection (Acinetobacter), and the patient is still dependent on suction and NG feeding due to swallowing difficulty.
- Current line of management
- Possible changes in treatment
- Prognosis and expected recovery
We would really appreciate your expert opinion and assurance on how to proceed further.
Thank you.
Hi Doctors,
I went for an anoscopy and the doctor used the reusable anoscope which was inside a tray filled with water then he washed it in a tap water and then inserted it in anus. There were some fissures on my anus. Is this the way through which I can carry some hiv infection?
Thanks
10 days ago , my TSH was 5 ( 0-4) T3 T4 normal
Today TSH came 9.6 , from last 8 years , my tsh value always comes slightly high above the upper limit , last year I did anti tpo ( AMA) was quite normal 0.3
For the last one month , I have been feeling muscle pain , the doctor prescribed me 12.5 thyrox , should I continue the medicine
I'm planning to take Annavar anabolic medicine for muscle building for lean body is it safe and I'm already taking naltima and another sleeping pills which prescribed by doctor so can I take it or I need to stop my medicine
My 78-year-old grand father had recent hip surgery 15 days ago
Initially (few days after surgery), he had:
confusion and delirium which improved after we started melatonin 3mg.
But for the last 3 days:
during daytime he is mostly normal
At night (after ~9 PM), he becomes very restless:
keeps turning left - straight continuously
cannot stay in one position even for a few seconds
asks to sit every 10–15 minutes, sits briefly, then lies down and repeats
appears sleepy but unable to fall asleep
There are no hallucinations now, but restlessness is severe.
His reports show low sodium (129).
His sugar in today morning - 78
2 hours After lunch (just 2 spoon) - 90
He is also eating very little. He doesn't like taste of anything at all. No juice, no food nothing. He's hardly eating 2-3 spoon. So somehow I started giving him ORS twice a day.
And yes He's very stubborn person - doesn't like to go or stay in hospitals. even for broken bone surgery we had to convince him too much.
