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Participatory medicine

 Reflecting on my experiences as a patient advocate and a physician, I’ve seen both the strengths and the shortcomings of participatory medicine in action. Each patient’s journey has been unique, with moments of progress and empowerment, but also instances of struggle, especially when navigating issues like privacy, confidentiality, and security. The Good One of the most rewarding aspects of participatory medicine is seeing patients and their families become actively involved in care. For example, in the case of the 65-year-old man with chronic vomiting, there was a clear effort to include the patient in discussions about his symptoms and potential diagnoses. This active participation helped foster trust and engagement, even though the diagnostic journey was long. In chronic conditions like HFpEF and CKD, I’ve seen how educating patients about their disease helps them feel more in control. It’s encouraging to witness patients taking ownership of their health by asking questions and...
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UoH TECH END USER DRIVEN IN HEALTHCARE

 In Healthcare, where every decision impact lives, it’s critical to ensure tools we create are truly serving the people who use them- patients, providers and staff-alike. Why is end-user driven technology critical in healthcare? • Traditional healthcare tools were developed in silos. • Now, tools are co-designed with patients, clinicians, and administrators. EVOLUTION OF HEALTHCARE TECHNOLOGY  • Early Stages: Electronic Medical Records (EMRs) for basic documentation. • Advancements: AI, IoT, and telemedicine revolutionizing healthcare. • Current State: User-centric designs addressing specific needs. Principles of a User-Driven Ecosystem 1. User-Centric Design: Tools that integrate seamlessly into workflows. 2. Iterative Development: Refining tools through constant user feedback. 3. Data Accessibility: Clear, actionable data for better decision-making. 4. Interoperability: Connecting devices, apps, and records efficiently. Role of Technology for Key Users • Patients: Wearables ...
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86M HTN DM CVA ORBITAL CELLULITIS SEPSIS

  86 year male born in a middle class family of 7 children, was an elder son, did not go to school and took upon family responsibility at a very young age and started fish business. He used to travel often inter country for his business. Can speak Hindi and Telugu.  Childhood was pleasant, married at young age and had five sons. His parents expired due to old age.  Patient started consuming alcohol (beer) during travelling occasionally and also started smoking. 16 years ago patient had complains of lower back pain and decreased urine output, went to Kamineni Hyderabad and was diagnosed as renal calculi and operated for same.  Two years later he returned home from work, had dinner and went to bed. Early in the morning he felt tiredness and struggled to wake up, later he observed he had right upper and lower limb weakness and slurring of speech. Patient went to local hospital and was diagnosed as right hemiparesis . At the same time he was also diagnosed with hypertens...
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Cases 1-16

  Case 1 https://himajav.blogspot.com/2023/08/53f-metabolic-syndrome.html 53 year old female housewife by occupation resident of coochbihar admitted with complains of generalised weakness since 6 years The patient's medical history reveals that she was asymptomatic until six years ago when she presented with weight loss, xerostomia, and anorexia. She sought medical attention at a local medical facility, where she was diagnosed with Diabetes mellitus and subsequently initiated on oral hypoglycemic agents. Around four years ago, the patient began experiencing generalized asthenia and easy fatigability, leading to the diagnosis of both Hypertension and hypothyroidism. Approximately four years ago, the patient complained of cervical discomfort, prompting a diagnostic consideration of cervical spondylosis. This condition was managed with a course of physiotherapy. Currently, the patient reports intermittent occurrences of generalized asthenia, easy fatigability, and xerostomia. She also...
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