Presentation on theme: "Dr. Sudhir Shah M.D., D.M. (Neurology)"— Presentation transcript:
1 Dr. Sudhir Shah M.D., D.M. (Neurology) Consultant NeurologistHonorary Professor & Head, Dept. of NeurologyK.M. School of PGMRSmt. NHL Municipal Medical CollegeDirector of Neurosciences, Sterling HospitalHead of research panel – Mataji’s case Sterling Hospital
2 A Case Study of Jai Ambe (Prahladbhai M.Jani) There are many phenomena happening which are difficult to understand and explain on the scientific basis. One such phenomenon,we came across very recently was regarding Mr.Prahladbhai Jani (Mataji).
4 Many of the doctors who were involved with this case study were also involved with the prolonged fasting of Mr. Hira Ratan Manek of Calicut and Jasmuheen of Australia. Dr.Sudhir Shah humbly tried to explain this phenomenon by a hypothesis - Prolonged fastings : how is it possible ? -A Hypothesis-published in an Index Journal (Gujarat Medical Journal March )
5 Introduction Name : Jay Ambe Prahaladbhai Maganlal Jani Date of Birth : 12-13/08/1929, MondayTime of Birth : 2.04 A.M.Place of Birth : CharadaMoonsign : ScorpioBirth Nakshatra : Vishakha-Chaturtha Charan
7 History A Physically fit 75/M-Prahlad Jani (Chunriwala Mataji) Wandered in jungles since age of 7Experiences enormous light and strength when he goes in state of samadhiHe claims -He does not eat, does not drink liquids, nor does he pass urine/stool since age of 11Limited ability to read and writeIn 1942 was investigated at J. J. Hospital, under care of doctors and police for 45 daysHe has a hole in his palate which supposedly secretes nectar for his survival
9 Study – Panel of Doctors Dr. Sudhir V. Shah (Consultant Neurophysician, Sterling Hospital/Associate professor of neurology at K. M. School of PGMR, Ahmedabad)Dr. Urman Dhruv (Physician & Secretary of Association of Physicians of Ahmedabad (APA))Dr. V. N. Shah (Endocrinologist, Director-Sterling Hospital)Dr. Bharat Gadhavi (General Surgeon/Medical Superintendent-Sterling Hospital)Dr. Kandarp Parikh (Urologist)Dr. Dinesh Patel/Dr. Hemant Patel (Neuroradiologists)Dr. Sanjiv Haribhakti (G. I. Surgeon)Dr. Sanjay Mehta (Radiologist & Sonologist)Dr. Navneet Shah (Physician, Endocrinologist)Dr. Gargey Sutaria (Radiologist)
10 Study – Panel of Doctors Dr. Shrenik Shah (Cardiologist)Dr. Bansi Saboo (General Physician)Dr. Prakash Darji / Dr. Sonal Dalal / Dr. Pankaj Shah (Nephrologists)Dr. Dhanesh Patel (General Surgeon)Dr. O. M. Modi (Senior Physician)Dr. Hemang Desai (Psychiatrist)Dr. Jayesh Sheth (Genetician & Endocrinologist)Dr. Dhaval Modi (Ophthalmologist)Dr. Jayeeta Chaudhary (Dietician)Dr. Mukesh Patel (Pulmonologist)Dr. Ruchir Shah (ENT)Several other doctors also examined him from time to time
12 Monitoring at Sterling Hospital (12/11/03 to 22/11/03) Monitored strictly regarding his claim by unbiased august body – Association of physician of Ahmedabad and Executive Committee of the AssociationStrict protocol was followedHe was confined in a special room with a glass door and a toilet door was sealed. He was monitored byCCTV cameraStaff VigilanceSecurityDoctor on dutyMonitoring panelSpecialist doctorsHospital surveillanceFor first 24 hours he was strictly monitored in ICUNotes of doctors
14 Protocol Examination by a panel of 3 doctors daily Examination by experts at least once every 5th dayThe project was not done with an intention to prove or disprove an individual but to create an opening of a new dimension in science
15 Protocol The project was to be terminated if: The reports of investigations crossed the predetermined safe rangeWhen it seemed that no further information would be available by prolonging the projectAt no cost, project was to be prolonged for the sake of recordsAt no cost, safety, dignity and privacy of Mr. Jani was to be endangered
16 ProtocolPrahladbhai Jani refused for any invasive procedures like IV Injections, IV Dyes or IV Fluids. So, investigations were restricted to non-invasive procedures only.
17 ProtocolThe project was to be carried out for 7 days to begin with, but would be extended as far as possible, till criteria 1 and 2 of termination were satisfied.A panel of doctors used to meet/discuss daily or on alternate day for the length of project, to discuss daily progress, need for alteration in the protocol of investigations if any, and plan further strategies.
21 After day 10, the committee declared that it is satisfied with following matter: The protocol was strictly adhered to.Mr. Jani has not passed or dribbled urine during these 10 days.He has not taken anything by mouth or by any other route not even water for 10 days.All his parameters are till date within physiological range.He has shown evidence of formation of urine, which seems to be reabsorbed from his bladder wall. However at present the committee does not have any scientific explanation for the same but the help of senior scientists and medical personnel of the country is being taken for the same.
23 Daily Checking General clinical examination Daily weight (Varied from 42 kg to 38 kg)Vital data like Temperature, Pulse, BP and Respiration.Pulse: 42-46/minRR: 12-16minBP: 110/60 mmHg(Vitals s/o some autonomic control ?)Bladder capacity was checked by ultrasound twice daily
24 Various Tests Hematological examination every alternate day. Biochemistry reports repeated every fourth day.Neuropsychological evaluation and EEG.ECG, 2-D Echo & Cardiac evaluationRadiological examination: MRI Brain and whole gut.Chest evalutaion and pulmonary function test.Endocrinal and Hormonal profile.Doppler vascular study of carotid and peripheral vessels.Cartography including BMRAudiological examinationGenetic study
25 Psychological Assessment Patient was conscious, co-operative and awake.Patient was not irritable throughout the period of observation.Mood stable, no perceptual disturbances.No disturbance in memory span.No pattern of personality disorder noted.
32 Radiological Investigations X-Ray Chest PA (12/11/03):No significant abnormality detected.USG Abdomen (12/11/03):Doppler examination of carotid, vertebral, abdominal aorta and peripheral arterial system of lower limbs were quite normal.MRI of Brain, Neck & abdomen was unremarkable.MR Angio of Brain.MR Oesophagus: Normal studyMR cholanigopancreatography: Normal studyMRI Abdomen – pelvis : Presence of bowel gas, etc were seen.Gall bladder collapsed.Urinary bladder partially filled with urine around 70ml.
47 Audiological Evaluation: (17/11/03) Bilateral severe to profound degree of sensori-neural hearing loss. ECG and cardiac evaluation were normal.2D Echo showed LVEF 60%Doppler study showed no evidence of aetherosclerotic plaqueCartography (26/11/03):Normal vascular and cardiac study.Genetic Study: Normal
51 Points for Debate Reabsorption of urine from bladder Some internal secretion from the hole in palateTransient signs of dehydrationTransient altered renal functionsWeight lossRole of Meditation
52 Hypothesis Chronic Adaptation Down regulation of cellular and receptor function.Cosmic EnergyPhotosynthesis: PathwayRole of pineal glandHypothalamus, pituitary, amygdala & limbic systemRole of mindMeditation, Yoga, mechanical & chemicalEnergy economy and recycling energyGenetics, Engineering and cloning
53 Application of this phenomenon Sustaining and surviving in adverse situations like soldiers in mountainsLong term survival for space travelersMental strength and agilityEffect on ageing process – Preventing AtherosclerosisCognitive improvement and psychic achievementOption of food ?
54 Application of this phenomenon Cosmic energyCloning research and Genetic engineeringChallenging calorie mathematics and ScienceObesity and malnutrition
55 AcknowledgementAssociation of physicians of Ahmedabad : Dr. Bipin Patel, Dr. Urman Dhruv and the executive committee for monitoring and protocol.All consultants involved in research projectSterling Hospital : Dr. V. N. Shah (Director)Dr. Bharat Gadhavi (Supdt)& management for sponsor & ethical aspects.Dr. Harsha Jivarajani, Dr. Kavita Banthia, Ms Chittal Pathak & Mr.Roby Thomas for preparing the case presentation.