A 33 Year Old lady (Ocimum Americanum L) with hypothyroid problem presenting with a leg pain and high TSH

Patient Name -- Ocimum Americanum L - 2 Age - 33 y Sex - F

Height- 4' 8'' Weight- 57 kg Waist 92 cm Chest 102 cm

BP- 124/80 mm Hg Pulse- 69/min Fasting sugar 86 mg/dl

Case story in patient's perspective:

1. I never had any problem during childhood.

2. My periods were started at the age of 12 and had no problem at that time.

3. I got married at the age of 16 and gave birth to a child right after 2 years of marriage by normal delivery.

4. I did abortion of three (3) fetuses, two by taking drugs and one through washing.

5. In 2015, some of my relatives were telling that "you seems to be swelling and you should get a consulation from a doctor". I took their advice and went to visit a nerve doctor. Doctor asked to do a thyroid test which revealed TSH 10.6 (At 21.11.2016) and he (doctor) prescribed a thyroxine 50+12.5 mcg tablet before breakfast.

6. After taking the medicine, the swellings were reduced but from last 27.08.2017 I have follwoing problems-

- Numbess and pain in the back of head.

- Pain in the sole of feets after prolonged walking and when I am lying down

in the bed.

- Can not hold my hands straight for a long time.

- Have mild pain/discomfort at the middle of the vertebral column.

7. I have a problem of hyperacidity, can not sleep well at night, have less appetite, can not pass stool clearly, do pass urine but it is foul smelled.

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55 years Old male with Bipolar affected disorder moving from depression to Manic to depression phase

Disclaimer:- This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here December 2017 after collecting informed patient consent (form downloadable Click Here) This is a case of a 55 years old, diabetic, hypertensive patient who was diagnosed with Bipolar affected disorder since 1995. In 1995 due to financial loss he was attacked by this condition. He was seen by Dr. D. K Agarwala and diagnosed as BPAD-Depression phase and treated with lithium, sodium valporate, propranolol, Zeptol cr, Nitrosum - S. With the treatment he was reasonably well but every 6 months of interval he appeared to have some disturbance like didn't want to talk to anybody, forgot to smile etc. They went to the doctor and treated accordingly and was continuing the treatment. In the year of 2013, August he was diagnosed with BPAD-severe depression phase but, he was not responding well to the medications and then they went to NIMHANS for

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drugs to avoid or use in terms of their pregnancy category

The optimal AEDs therapy of women with epilepsy who are of childbearing age is unclear because of a lack of conclusive data on the comparative teratogenicity of different antiseizure drugs and no antiepileptic drug has proven safe in pregnancy in terms of teratogenesis. Data on the comparative efficacy of various antiseizure drugs for controlling seizures during pregnancy are also quite limited, and there are no randomized trials in this setting. Treatment must be individualized for all patients. Women with epilepsy are classified as high risk during pregnancy and as there are no clear data indicating that any drug is without risk in pregnancy therefore, the antiseizure drug regimen should be optimized six months prior to planned conception. Choice of antiepileptic drugs in women of childbearing age and pregnant women with epilepsy: 1. T he antiseizure drug that stops seizures in a given patient is the one that should be used with an exception of valproate. 2.

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