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Showing posts from July, 2018

A 58 Year Old man With Congenital Heart Disease

This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here after collecting informed patient consent (form downloadable  Click Here)   by BMJ Elective Student.  A 58-year-old man presented to the medical OP with complaints of decreased urine output since 1 day with swelling of his right knee joint since 3 days. The patient’s attendants also reported that he has been having altered behavior since the last 3 days. The patient is a resident of a city from south India and juggles between several daily wage work for his income. He is the eldest of 7 children, with 3 brothers and 3 sisters.  Detailed history of his life revealed that the patient has had palpitations since childhood, which became apparent when he was playing and when involved in any laborious tasks. Since this symptom was not incapacitating and subsided with rest, no medical attention was sought for it. The patient got married at 22 years age and subsequen

Precision medicine early whatsapp comversations

·          Inputs can be in the form of problem statements that show and illustrate the current imprecision medicine that exists through published or unpublished common but complex case scenarios followed by our own work and imaginings to address the problem statement. ·          Can each of this writing team's members google "comparative effectiveness research, precision medicine, case experiences reasoning, decision making and after you share the review of literature here we could discuss the evolving framework for this write up?  ·          Let's first discuss precision Medicine beginning with the most popular definition? ·          https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4587042/ a link to a past write up that was also a similar invited article. Again our current write up will be based primarily on what "medicine" we are currently working on especially illustrating the imprecision in current workflows and how we may overcome these utilizing availa