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.
A unvaccinated puppy licked my private part by accident while i was sleeping. After few days i got constipation and few days after Dysuria (mild). Im worried. Kindly advise me what tests i should do before going to consult a Dr in person. Is there any probability for bacterial infections. Am i risking my life? What can i do now
I am attaching a pic. I have had this issue for 20 days. I noticed a ringworm kind of patch and also white layer in my groin area which is itchy sometimes. Need medication or any home remedies.
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.
I got a small cut in my hand with a rusty lock. My last tetanus injection was in April 2023 during delivery time. Do I need an injection now? Attaching pictures of hand and lock.
