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.
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
24 Female
Since 7 months i am having non cyclic pain in right breast and armpit, done all types of physical examination by general surgeon, ultrasound, chest x ray, blood test: nothing came out but problem dint go despite all types of medicines, physiotherapy etc.
Now since 3-4 days I have also started having the same pain in my left armpit and side of breast.
I am very stressed as visited so many doctors but pain is just increasing and spreading.
I exposure with my friend
Me a boy vagina sex done
I wear a condom first it's not break till 10 minutes
Then it break for 2 to 5 min in vagina
Then I reliaze me wear Then its continue
After our exposure at 53rd day
My friend test hiv 1 & 2 Rapid Card serum
Blood taken from her arm
It's Non Reactive
It's Hiv Risk For Me??
I also sex 4 month back with sex worker that time i use condom its didn't break that time
In Sep 2025 i completed 4 Doses of Rabies vaccine and after one month oct 2025 i re-exposed and took 2 more doses ..and now 27 April 2026 ...I re exposed again ..so need more vaccines?...or sufficient
