24 year old female with chief complaints of Swelling in both limbs, Headache since 6 yrs

This is an updated blog done by taking reference from:

https://anahitabehara.blogspot.com/2023/05/24f-chronic-anemia-2-dietary-iron.html

https://manishkumarollno129.blogspot.com/2023/06/25year-old-female-with-diabetes.html?m=1

THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT’S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT

24 year old female student by occupation resident of west bengal came to opd with 

Chief complaints of

   1. Swelling in both limbs since 6 years 

   2. Headache on backside since 6 years 

HOPI:-

Patient was apparently asymptomatic 6 years ago.On one day after she wakes up in the morning she noticed swelling in the both limbs below knee level mainly at the level of foot which is insidious in onset progressive with no aggravating factors and relieved on massage and not associated with pain. The swelling is more when she was sleeping 

H/o headache since 6 years in the occipital region and associated with photophobia and phonophobia and no history of lacrimation .

Headache is more when she gets up in the morning and relieved immediately after few hours on its own for which she went to hospital and after examination she was diagnosed with migraine.

Later ,she went through few routine blood investigations and was diagnosed with Anemia . When she was found anemic , they adviced her to get Hb electrophoresis result shown that her Hb E levels are high .

History of pain while writing since 7 years which used to start after writing a paragraph (20-30 lines) relieved on rest. It is non radiating, intermittent in nature .

Past history:- 

----One year back ,around june- July She had severe tooth pain ,consulted a dentist and there she got to know about high blood sugar levels and then she was treated her conservatively until blood sugars are normal and treated her accordingly.She used 

Lipoglobin HD bd 

Vildamac 50mg in the night 

-----In the month of August , She had pain in left upper quadrant, consulted a physician , she was diagnosed with gall stones on USG and underwent laparoscopic cholecystectomy in December 2022.

------ No history of hypertension ,asthma ,tb

Personal History:- 

     Diet - Mixed 

    Sleep - Adequate 

    Appetite - normal 

    B&B - regular 

    No addictions .

Menstrual history:

age at menarche : 11 years 

regular cycles 5/30

3 pads per day 

associated with clots 1cm * 0.5cm 

associated with pain 

LMP : 3/05/2023

-IRREGULAR PERIODS SINCE 2 MONTHS ; hypomenorrhea , oligomenorrhea 

Family history 

    History of diabetes for her grandfather 

Treatment history 

   Tab.VALDiMAC 50 

    Tab.FOLIC ACID 5 mg 

    

General examination:- 

    Patient is conscious, coherent, co operative well oriented to time place and person 

Pallor present +

No icterus,

No cyanosis, 

No clubbing,

No Lymphadenopathy ,

No edema 

Vitals:- 

Temp:- 98f 

Pr- 96bpm 

Rr- 16cpm 

Bp- 120/80mm hg 

Spo2- 96% 

Fasting blood sugar -191 mg/dl

Post prandial blood sugar -241mg/dl

Systemic examination:- 

    Cvs- S1 S2 heard , no murmurs 

    Rs- BAE present , NVBS present 

    P/A - soft , non tender 

   CNS- No neurological deficits 

Provision diagnosis:-

Diabetes and anemia under evaluation

Investigations 

 2022 

USG 

Present 

Hb - 6mg/dl

Complete blood picture

PaJR Group Daily updates:

GRBS monitoring:

Meals on 14/7/23:

Meals on 15/8/23:

Meals on 14/9/23:

Meals on 14/10/23:

Dinner

Meals taken on 12/11/23  :

Meals on 4/12/23:

Discussion:

[6/13, 14:38] Patient: Sir ami notun osudh gulo ki suru korbo

[6/13, 16:23] Rakesh Biswas Sir: Aekhon Ki Ki oshudh khacchen shegunor chobi with time diye share korun

[6/13, 16:23] Patient: Ok

[6/13, 16:29] Rakesh Biswas Sir: Aajke kheye chilen?

[6/13, 16:29] Patient: Haaa

[6/13, 16:30] Rakesh Biswas Sir: Notun oshudh guno ache? Chobi share korte parben?

[6/13, 16:30] Patient: Ha korchi

[6/13, 16:43] Rakesh Biswas Sir: Eta breakfast are dinner aer por neben

[6/13, 16:44] Rakesh Biswas Sir: Eta breakfast er aage neben. Eta newar du ghonta baade blood sugar ta janaben

[6/13, 16:44] Rakesh Biswas Sir: Eta lunch aer por neben

[6/13, 16:46] Rakesh Biswas Sir: Eta breakfast er aage ebong du ghonta baade blood sugar test er result dekhe janabo kokhon koto nite habe

[6/13, 16:54] Patient: Achaa

[6/13, 16:57] Patient: Fruits kalo jam, mosombi, aam

[6/13, 22:10] Patient: Roti sabji dal salads

[6/14, 09:15] Patient: Sir eita ki ardhek ta Nebo Bharat sir bolechilo ardhek ta nite

[6/14, 09:16] Patient: Eitao ardhekta r ktha boleche

[6/14, 10:32] Patient: Glimepiride tablets IP 1MG ardhek

[6/14, 10:35] Patient: Glimepiride tablets IP 0.5 MG ardhek

[6/14, 10:41] Patient: Sobji dal diye daliya salads

[6/14, 16:12] Patient: Dal sabji salads roti boiled egg

[6/14, 16:15] Rakesh Biswas Sir: Before breakfast er ta korenni?

[6/14, 16:16] Patient: Korechilam 170

[6/14, 16:17] Rakesh Biswas Sir: 0.5 mg

[6/14, 16:17] Rakesh Biswas Sir: 0.25mg

[6/14, 16:18] Patient: Agulo ki thik achhe khaya ta

[6/14, 16:19] Rakesh Biswas Sir: Duto ordhek nile dose ta 0.75 mg hoi 

Aer aage apni gotokal obdhio 1mg nicchilen

[6/14, 16:20] Rakesh Biswas Sir: Eta lunch aer por niyechilen?

[6/14, 16:22] Patient: Haa

[6/14, 16:30] Patient: Sir eita to breakfast er por bolechilen r dinner er por

[6/14, 16:30] Patient: Lunch er por to ata bolechilen

[6/14, 16:40] Rakesh Biswas Sir: Hain thik tai

[6/14, 16:40] Rakesh Biswas Sir: Shothik

[6/14, 16:41] Rakesh Biswas Sir: 👆Eta breakfast aer por niyechilen?

[6/14, 16:44] Rakesh Biswas Sir: When we save the patient's phone number, make sure that patient identifiers are not saved. Please delete this share here as it contains patient identifiers. Please change the contact save in your phone such as 24F DM2 HbE WB and then again copy paste the same information here

[6/14, 16:44] Bharath Sir GM Pg: Ok sir

[6/14, 16:48] Patient: Haa sir

[6/14, 16:50] Bharath Sir GM Pg: [6/7, 9:46 PM] Dr.Bharath kumar MD(Gen.Medicine): আপনি কি আপনার বাড়িতে পৌঁছেছেন?অনুগ্রহ করে আমাদের দ্বারা লিখিত নতুন ট্যাবলেট ফটো পাঠান

[6/7, 9:54 PM] 24F HbE DM WB: Sir ajk e ashechi barite bikale

[6/7, 9:54 PM] 24F HbE DM WB: Kalk osudh kine apnak photo pathabo

[6/7, 10:19 PM] Dr.Bharath kumar MD(Gen.Medicine): ঠিক আছে ধন্যবাদ

[6/7, 10:19 PM] Dr.Bharath kumar MD(Gen.Medicine): 👍🏻

[6/9, 9:40 AM] Dr.Bharath kumar MD(Gen.Medicine): আপনি কি ট্যাবলেট কিনেছেন?

[6/9, 12:12 PM] 24F HbE DM WB: Haa 2 to pachinaa order diyechi

[6/9, 12:12 PM] 24F HbE DM WB: 2 to charai ki osudh khaya suru korbo

[6/9, 12:12 PM] 24F HbE DM WB: Kalk j 2 to paini ota asbe

[6/9, 12:12 PM] 24F HbE DM WB: Naki ak bare suru korbo sb

[6/10, 5:14 PM] Dr.Bharath kumar MD(Gen.Medicine): আপনি এখন পর্যন্ত যা কিনেছেন তার ট্যাবলেটের ছবি পাঠান

[6/10, 6:57 PM] 24F HbE DM WB: Sob paya geche

[6/10, 6:58 PM] Dr.Bharath kumar MD(Gen.Medicine): 👍🏻👍🏻

[6/10, 7:00 PM] Dr.Bharath kumar MD(Gen.Medicine): Morning glimipride 1mg + glimipride 0.5mg before food

[6/10, 7:01 PM] Dr.Bharath kumar MD(Gen.Medicine): Metformin 1000mg after breakfast

[6/10, 7:02 PM] Dr.Bharath kumar MD(Gen.Medicine): Afternoon Orofer XT after food @ 2pm

[6/10, 7:02 PM] 24F HbE DM WB: Sir sugar test korar machine ta akhono asheni

[6/10, 7:03 PM] 24F HbE DM WB: Tahole ki osudh suru korbo

[6/10, 7:05 PM] 24F HbE DM WB: Sir eita osudh ta ki bandho korbo

[6/10, 7:06 PM] 24F HbE DM WB: Ei 3 ta osudh ki bandho kore dibo

[6/10, 7:07 PM] Dr.Bharath kumar MD(Gen.Medicine): হ্যাঁ 3টি ওষুধ বন্ধ করুন

[6/10, 7:09 PM] 24F HbE DM WB: Achaa

[6/10, 7:11 PM] Dr.Bharath kumar MD(Gen.Medicine): আপনি কি বুঝতে পেরেছেন কিভাবে ওষুধ খেতে হয়

[6/10, 7:13 PM] 24F HbE DM WB: Ha sir

[6/10, 7:13 PM] 24F HbE DM WB: Eitao ki bandho korbo

[6/10, 7:15 PM] 24F HbE DM WB: Sir bolchi j ashar somy bolechilen j akta osudh 4 bhag kore 1 bhag khete

[6/10, 7:15 PM] 24F HbE DM WB: Ota kon osudh ta

[6/10, 7:15 PM] Dr.Bharath kumar MD(Gen.Medicine): হ্যাঁ

[6/10, 7:15 PM] 24F HbE DM WB: Acha

[6/10, 7:18 PM] 24F HbE DM WB: ???

[6/10, 7:19 PM] Dr.Bharath kumar MD(Gen.Medicine): আমাকে স্রাবের সারাংশ শেষ পৃষ্ঠার ছবি পাঠান

[6/10, 7:19 PM] Dr.Bharath kumar MD(Gen.Medicine): Discharge photo

[6/10, 7:29 PM] Dr.Bharath kumar MD(Gen.Medicine): Glimipride 0.25mg @ 8 pm

[6/10, 7:30 PM] Dr.Bharath kumar MD(Gen.Medicine): 0.25 mg half tablet

[6/10, 7:30 PM] Dr.Bharath kumar MD(Gen.Medicine): Night

[6/10, 7:30 PM] 24F HbE DM WB: Okk

[6/11, 11:11 PM] 24F HbE DM WB: Sir

[6/11, 11:11 PM] 24F HbE DM WB: Ata to asheni akhono

[6/11, 11:12 PM] 24F HbE DM WB: Osudh gulo ki suru korbo

[6/12, 6:14 PM] 24F HbE DM WB: ???

[6/14, 18:50] Rakesh Biswas Sir: Kalke theke breakfast er aage Glimeperide 1 mg puro neben

[6/14, 18:55] Patient: Achaa

[6/14, 18:57] Rakesh Biswas Sir: Kalke abar fasting, 2 hour post breakfast, 2 hour post lunch ta janaben

[6/14, 19:05] Patient: Acha

[6/14, 19:05] Patient: Sir ajk dinner ta janabo??

[6/14, 19:33] Rakesh Biswas Sir: Hain. Khub bhalo hoi

[6/14, 20:15] Patient: Achaa

[6/14, 21:50] Patient: Dal sabji roti salad

[6/15, 06:30] Rakesh Biswas Sir: Raate 0.5 mg Glimeperide er half tablet neben aajke theke 

Sokale Glimeperide 1 mg aajke theke

[6/15, 09:14] Patient: Achaa

[6/15, 09:14] Patient: Tahole sokal a r 0.5 mg glimepiride ta nibo naa

[6/15, 09:17] Patient: Badam

[6/15, 10:12] Rakesh Biswas Sir: Hain

[6/15, 10:13] Rakesh Biswas Sir: Goto kaal raate Glimeperide 0.5 mg er half niyechilen Ki?

[6/15, 10:19] Patient: Naaa

[6/15, 10:21] Patient: Sir bolchi j ami ki karola r juice kore theke pari

[6/15, 10:49] Patient: Roti sabji begun vaja egg salads

[6/15, 14:24] Rakesh Biswas Sir: Sobji hishebe khete paren. Oshudh hishebe noi

[6/15, 14:36] Patient: Asole juice kore khete vlo lage

[6/15, 14:36] Patient: Acha sobji koire khabo

[6/15, 15:52] Patient: Dal paneer bejun vaja gajor alu vaja salad

[6/15, 16:31] Rakesh Biswas Sir: 👍

[6/15, 18:03] Patient: Sir ei biscuit ta khaya jabe

[6/15, 19:37] Rakesh Biswas Sir: Shob rokom biscuit hi moida. Avoid korte parle bhalo

[6/15, 19:52] Patient: Achaa

[6/15, 22:07] Patient: Ata beson diye ruti sobji salad suji misti chara

[6/16, 00:32] Patient: Sir ajk sobji j misti Alu chilo oi jonne ki sugar ta barlo??

[6/16, 07:37] Rakesh Biswas Sir: Na 

Dinner aer aage Glimeperide 0.25 mg niyechilen?

[6/16, 07:38] Rakesh Biswas Sir: Aer aage 1mg niyechilen naki 1.5 mg?

[6/16, 07:39] Rakesh Biswas Sir: 👆Aei biscuit ta tokhon kheyechilen?

[6/16, 08:45] Patient: Evening a cha diya 2 to

[6/16, 08:46] Patient: Haaa

[6/16, 08:46] Patient: 1mg

[6/16, 08:47] Patient: Sir 1.5 to nei 0.5mg

[6/16, 08:48] Rakesh Biswas Sir: 1+0.5=1.5

[6/16, 08:50] Rakesh Biswas Sir: Take 1.5 mg 

One tablet of 1mg and another tablet 0.5mg 

Let us know the blood sugar after two hours of breakfast

[6/16, 08:50] Patient: Sir breakfast er age kalk sudhu 1 mg kheyechilam

[6/16, 08:51] Patient: Ookk

[6/16, 08:52] Rakesh Biswas Sir: Tahole ajke 1.25 mg neen 

1mg + half of 0.5 mg

[6/16, 08:52] Patient: Achaa

[6/16, 08:52] Patient: R ate ki khabo 0.5 mg ta ??

[6/16, 09:47] Rakesh Biswas Sir: Ota aajker sugar dekhe bola jabe

[6/16, 10:19] Patient: Vat dal dim sedho salad

[6/16, 10:19] Patient: Acha

[6/16, 14:26] Rakesh Biswas Sir: 1.25 mg niyechilen? 

Also 1000mg metformin o niyechilen?

[6/16, 14:37] Patient: Haa

[6/16, 14:37] Patient: Niyechi

[6/16, 14:46] Patient: Vat dal sobji mach vaja mach er jhol salad

[6/16, 17:07] Patient: Fruits Aam r kalo jam

[6/16, 19:33] Patient: Mishti chara cha muri

[6/16, 20:37] Patient: Sir rat re ki 0.5mg khabo???

[6/16, 22:23] Patient: Vat dal sabji egg

[6/16, 23:04] Rakesh Biswas Sir: Hain

[6/16, 23:14] Patient: Sir dinner to hoye geche khaini

[6/17, 10:07] Rakesh Biswas Sir: Goto kaal raate 0.25 mg niyechilen?

[6/17, 10:37] Patient: Naa sir amr to agei dinner hoyegechili

[6/17, 15:20] Patient: Vat dal kathal ki sabji soya chunks er rosha

[6/17, 15:34] Rakesh Biswas Sir: 1.5 mg er por?

[6/17, 15:39] Patient: Haaa

[6/17, 17:29] Rakesh Biswas Sir: Gotokaal raate Glimeperide newa hoini tahole?

[6/17, 17:32] Patient: Naa

[6/17, 17:32] Patient: Neya hoyni

[6/17, 17:33] Patient: I.P 1000 mg ta dinner er por kheyechilam

[6/17, 17:35] Dr. Pritam: What I feel is we need to let the pt tell us about the 24hrs sugar level along with the medicines taking in pen and paper format... Then after that we can titre the medicine as required...

[6/17, 17:43] Rakesh Biswas Sir: What's the advantage of pen and paper format?

[6/17, 17:46] Dr. Pritam: No advantage just for 24hr record sir... Because in message sometimes we miss Or due delay reply pt might not take exact dose after titre

[6/17, 17:49] Rakesh Biswas Sir: The 24 hour record and graph can be done prospectively by any of us PaJR volunteers here either as a handwritten paper image or excel file @⁨~Dr.Narsimha Reddy⁩ @⁨Akhil Kmni⁩ @⁨Bharath Sir GM Pg⁩

However the communication problem and time lag will be similar in both as far as dose titration is concerned?

[6/17, 17:53] Dr. Pritam: Suppose we tell our pt to give her 24hrs(today's) sugar level tomorrow morning.. Then after seeing today's data we advice her the medicines.. 

Then again day after tomorrow we tell her same to see the effect of our dose titration.. We can do this for maximum 3days..then we wll have the idea and exact dose required... After that we may continue like the way we are doing today... 

Just this sir...

[6/17, 17:57] Rakesh Biswas Sir: We are doing the same thing but instead of waiting for 24 hours to see the entire day's report retrospectively we are titrating and adjusting our doses in advance.

Which approach looks better?

[6/17, 18:03] Dr. Pritam: Sir one thing I would like share from my daily inpatient rounds... When we start insulin for a particular pts we at first start with sliding scale to begin with... Then it goes on for 1 to 2days...after that we make a fixed dose(bolus)... And for fixing that dose we get a massive help from the sliding scale which we started earlier.. Sliding scale also helps to understand a what time cbg is more and when cbg is less..... 

What I meant is we are seeing this pt for 4to 5days with cbg... But I think we didn't get a desire result maybe because of exact dose... So if we try for 24hrs formula I think we can get the exact dose earlier... 

Rest your decisions sir😊

[6/17, 18:13] Rakesh Biswas Sir: Yes the sliding scale has been there with us for about last more than fifty years right after insulin was first used perhaps but if you look at it from another angle you may realize that all dose titrations for any kind of drug be it Insulin or OHAs or even non diabetic drugs are always based on a sliding scale where the drug dose titration is dependent on the patient's response to the drug (intervention). 

We can choose to fix a particular dose of insulin after seeing the dose adjustments made over a day depending on the patient's response but even that fixed basal bolus regime will still continue to slide up or down (by + or -2 units) depending on how the patient's sugar responds to the so called fixed insulin regime. But one must remember everything is always essentially sliding! 🙂

[6/17, 21:49] Patient: Sir ajk ki 0.5 mg ta khabo

[6/17, 21:52] Rakesh Biswas Sir: 0.25 mg

[6/17, 21:53] Rakesh Biswas Sir: 0.5 mg aer half

[6/17, 21:53] Patient: Kivabe khabo

[6/17, 21:53] Patient: Achaaa

[6/17, 23:09] Patient: Khichuri sobji

[6/18, 06:59] Rakesh Biswas Sir: Aer aage 0.25 mg niyechilen?

[6/18, 07:00] Rakesh Biswas Sir: Goto kaal breakfast aer aage 1.5 mg niyechilen to?

[6/18, 09:36] Patient: Haaa

[6/18, 10:27] Patient: Sir sugar mapar kit ta kal rate ses hoye geche ajk bikale nahole kalk sokal a asbe

[6/18, 10:28] Patient: Ajk tai update dite parchina sugar er

[6/18, 12:01] Patient: Vat dal karkol vaja salad

[6/18, 16:36] Patient: Ruti egg salad

[6/18, 20:06] Patient: Chana

[6/18, 20:12] Rakesh Biswas Sir: 👍

[6/18, 23:03] Patient: Ruti kathal ki sabji

[6/19, 17:40] Patient: Fruits

[6/19, 17:49] Rakesh Biswas Sir: 👆This is after 0.25 mg yesterday night?

[6/19, 17:49] Rakesh Biswas Sir: This is after 1.5mg before breakfast?

[6/19, 17:53] Patient: Haa

[6/19, 17:53] Patient: Hm

[6/19, 22:29] Patient: Ruti suji salad

[6/20, 08:06] Rakesh Biswas Sir: Tar aage 0.25 mg?

[6/20, 09:32] Patient: Hmm

[6/20, 11:24] Rakesh Biswas Sir: Tablet koto? 1.5 mg?

[6/20, 11:27] Patient: Naa

[6/20, 11:27] Patient: Khayar agei

[6/20, 11:59] Rakesh Biswas Sir: Koto jiggesh korechilaam. Kokhon noi 🙂

[6/20, 12:07] Patient: Oo sorry

[6/20, 12:07] Patient: 1.25

[6/20, 12:07] Patient: 1.25 mg

[6/20, 14:31] Patient: Vat dal potol baja alu sedho salad

[6/21, 10:48] Patient: Sir kalk balance ses hoye giyechilo tai update korte parini

[6/21, 10:57] Rakesh Biswas Sir: Goto kaal raate 0.25 mg niyechilen?

[6/21, 11:46] Patient: Haaa

[6/21, 17:02] Rakesh Biswas Sir: 1.25 mg khawar por?

[6/21, 17:05] Patient: Haa

[6/21, 17:08] Patient: Dal vat kochu sag tarkari mach

[6/22, 00:37] Patient: Fry dal paneer

[6/22, 05:36] Rakesh Biswas Sir: 0.25 mg potato chips aer saathe palla dite parbena! 🙂

[6/22, 08:09] Patient: Achaa

[6/22, 08:09] Patient: Khabo na r tahole

[6/22, 08:09] Patient: 🥺

[6/22, 13:38] Patient: Roti chalkumro ghanto paneer

[6/22, 18:06] Patient: Vat potol vaja kathalbichi vaja chalkumro ghonto paneer

[6/22, 18:07] Patient: Salad

[6/22, 18:08] Patient: Lunch er 2hr por

[6/23, 01:59] Patient: Khichuri egg

[6/23, 02:01] Patient: Dinner er 2hr por

[6/23, 09:21] Rakesh Biswas Sir: After 0.25mg?

[6/23, 10:19] Patient: Haa

[6/23, 21:44] Patient: Vat Dal pepe sedho karkol vaja chhanar Bora

[6/23, 21:45] Patient: Sir college chilo tai ajk sugar test kora hoyni

[6/23, 21:45] Patient: Rate update dete dibo

[6/23, 22:07] Rakesh Biswas Sir: College a ajke Ki topics alochona hoyeche?

[6/23, 22:11] Patient: Sir xm er from fill up chilo

[6/23, 22:11] Dr. Pritam: What is your subject?

[6/23, 22:12] Patient: Political science

[6/23, 22:12] Dr. Pritam: Okay

[6/24, 08:23] Rakesh Biswas Sir: 0 25 mg?

[6/24, 09:26] Patient: Na sir kal khaya hoyni ses hoye geche

[6/24, 09:26] Patient: Order doyechi

[6/24, 09:26] Patient: Ajk asbe

[6/24, 09:26] Patient: Kalke ashar kotha chilo

[6/24, 10:56] Patient: Sir ajk na sorir ta kharap lagche

[6/24, 10:56] Patient: Matha r pechon dik ta var var lagche

[6/24, 10:56] Patient: Sorir a jor pachina

[6/24, 10:57] Rakesh Biswas Sir: Chintar karon nei 

Ekhane ghontai ghontai unar shob somosya guno janate thakben

[6/24, 10:58] Rakesh Biswas Sir: Ghontai ghontai uni Ki korchen ebong Kokhon Kotokkhon somosya ta thakche janaben

[6/24, 10:59] Patient: Sir uni mne k

[6/24, 10:59] Patient: Amr sorir kharap lagche to

[6/24, 11:01] Rakesh Biswas Sir: Uni mane 24F patient jaake niye aei group a amra alochona Kori ebong sob somoi cheshta Kori jaate unar goponiyota ebong privacy confidentiality akkhoto thake

[6/24, 11:03] Patient: Milk oats kaju badam 4 ta almond 3 ta alpo modhu

[6/24, 11:04] Patient: Acha

[6/24, 11:12] Rakesh Biswas Sir: 👍

[6/24, 14:14] Rakesh Biswas Sir: 1.25 mg?

[6/24, 14:23] Patient: Ha

[6/24, 14:23] Patient: Kheyechi

[6/24, 14:32] Patient: Sir ajk sokal theke kei pet ta kmn jolche

[6/24, 14:33] Patient: Mne jola pora moto

[6/24, 16:25] Patient: Vat musur dal pepe sedho soyabin sedho

[6/24, 17:57] Patient: Mango

[6/24, 23:10] Patient: Tok doi chira mango

[6/25, 18:04] Patient: Egg paneer dal vat

[6/25, 18:05] Patient: Breakfast er 2 hr por

[6/25, 18:05] Patient: Vat muri ghanto mutton salad

[6/25, 18:25] Rakesh Biswas Sir: 1.25 mg newar por?

Kaal theke 1.5 mg newa jete pare 👍

[6/25, 18:36] Patient: Acha mne full tablet khabo

[6/25, 19:13] Rakesh Biswas Sir: 👍

[6/26, 13:58] Patient: Kal rate vat r mutton

[6/26, 13:58] Patient: Sir kal ghumiye porechilam tai sugar test kora hoyni

[6/26, 13:59] Patient: Chitoi pithe r khir mishti chara

[6/26, 14:33] Rakesh Biswas Sir: Chitoi pithe ta Ki diye toiri kora hoi?

[6/26, 14:57] Patient: Chal er gulo

[6/26, 17:25] Patient: Vat dal pepe sedho paneer potol vaja lebu

[6/27, 02:16] Patient: Dal sedho vat ghee

[6/27, 09:40] Rakesh Biswas Sir: 1.25 mg?

[6/27, 09:43] Patient: Ha

[6/27, 09:43] Patient: Sir

[6/27, 09:43] Patient: Brown bread khaya jabe??

[6/27, 09:50] Rakesh Biswas Sir: Na 

Bhalo multigrain ruti holo ekmatro brown bread jeta nijer haathe peeshe banate hoi, bajare pawa jai na

[6/27, 09:51] Patient: Achaa

[6/27, 13:55] Patient: Breakfast chitoi pithe mango

[6/27, 14:20] Rakesh Biswas Sir: 1.25?

[6/27, 15:36] Patient: Haa

[6/27, 17:41] Patient: Vat dal sobji dal er Bora rosha achar

[6/27, 19:24] Rakesh Biswas Sir: The rosha achar appears sweet?

[6/27, 22:03] Patient: Naa na

[6/27, 22:03] Patient: Kono kichu tei misti nei

[6/28, 02:11] Patient: Vat dal sobji

[6/28, 02:13] Patient: Fruits kheyechilam lunch lunch er 2 hr por

[6/28, 07:38] Rakesh Biswas Sir: After 0.25?

[6/28, 08:14] Patient: Hnm

[6/28, 11:51] Patient: Oats milk banana almond 5 ta

[6/28, 14:27] Rakesh Biswas Sir: 👍1.25?

[6/28, 14:34] Patient: Na 1.5 mg

[6/28, 22:46] Patient: Lunch vai dal uche vaja chicken

[6/28, 22:47] Patient: Dinner vai dal chicken

[6/29, 07:39] Rakesh Biswas Sir: 1.5?

[6/29, 07:39] Rakesh Biswas Sir: 0.25?

[6/29, 11:18] Patient: Ha

[6/29, 11:18] Patient: Ha

[6/29, 15:37] Patient: Oats

[6/29, 15:38] Patient: Parota sobji salad

[6/29, 16:20] Rakesh Biswas Sir: 1.5?

[6/29, 16:55] Patient: Hmm

[6/30, 14:00] Patient: Sir kalk rate ghumiye porechilam tai rat a test kora hoyni

[6/30, 14:01] Patient: Oats

[6/30, 14:26] Rakesh Biswas Sir: 👆breakfast?

[6/30, 14:48] Patient: Haa

[6/30, 14:49] Patient: Breakfast er 2 hr por

[6/30, 16:15] Rakesh Biswas Sir: Sugarless?

[6/30, 16:19] Patient: Haaa

[6/30, 16:19] Patient: Banana half mango half

[6/30, 16:26] Rakesh Biswas Sir: And milk? 

All these ingredients appear to be calorie dense, which can explain the high 2 hour post breakfast inspite of 1.5

[6/30, 16:27] Patient: Ha milk oats almond 4 ta

[6/30, 16:28] Patient: Tahole ki banana mango bad dibo

[6/30, 16:57] Rakesh Biswas Sir: Hain

[6/30, 16:58] Rakesh Biswas Sir: Shudhu milk oats are almonds kheleo sompoorno vegetables, fruits, multi grains and pulses er proportion ta shothik habe na

[6/30, 17:03] Patient: Achaa

[7/1, 00:16] Patient: Lunch vat dal sobji

[7/1, 00:18] Patient: Home made biriyani

[7/1, 07:40] Rakesh Biswas Sir: 👍

[7/1, 21:45] Patient: Breakfast oats milk banana almond kaju badam

[7/1, 21:46] Patient: Lunch vat dal paneer sabji chalkumro ghanto

[7/2, 07:18] Rakesh Biswas Sir: Effect of 1.5?

[7/2, 07:19] Rakesh Biswas Sir: Calorie dense

[7/2, 18:51] Patient: Uche vaja vat

[7/2, 18:53] Patient: Vat dal mach chicken salad

[7/3, 12:15] Patient: Vat r chicken

[7/3, 17:46] Patient: Breakfast vat uche vaja karkol vaja

[7/3, 17:48] Patient: Khichuri mocha ghanto paneer karkol vaja salad

[7/3, 17:49] Patient: Mango

[7/4, 13:14] Patient: Dinner parota sobji paneer kuyash diye rosha

[7/4, 13:16] Patient: Breakfast gola ruti badam chana mango lal cha

[7/4, 13:17] Patient: Sir sugar test kora hoyni test strips ta ses

[7/4, 13:17] Patient: Kalk asbe

[7/4, 21:05] Patient: Lunch khichuri chalkumro ghnto sobji salad

[7/4, 21:06] Patient: Sir 2 ,3 din theke sorir kharap lagche

[7/4, 21:06] Patient: Sorir ta durbol durbol

[7/4, 21:06] Patient: Lagche

[7/4, 21:06] Patient: Hatte parchina

[7/4, 21:06] Patient: Hatle r o sorir kharap lagche

[7/4, 21:07] Patient: Pa pechon dike tane

[7/4, 21:07] Patient: Matha ta var var

[7/4, 21:09] Rakesh Biswas Sir: Goto kaal sokal theke sondhe ghontai ghontai Ki Ki korechilen ebong kone ghontai asubidhe ta ter peyechilen ebong sheta kotokkhon chilo ebong taate Ki Ki kaaj byaghat hoyechilo?

[7/4, 21:11] Patient: Kalk sokal thekei sorir ta durbol durbol

[7/4, 21:14] Patient: Kalk sokal a uthe breakfast kore osudh kheye maa sathe alpo ranna korechi tar por dufure snan kore kheye suya chilam bikel er dike chal kheye hatte giye e bujhechi sorir ta beshi kharap hatte parini takhon o ato ta guruto deini

[7/4, 21:14] Patient: Tate bari ache nun jol kheye chilam

[7/4, 21:14] Patient: Tar pr olpo thik hoyechilo

[7/4, 21:15] Patient: Tar pr rate khete suye porechi

[7/4, 21:15] Patient: Ajk sokal theke e kono kaj e anarji nei

[7/4, 21:15] Patient: Sorir khub durbol

[7/4, 21:17] Patient: Ajk sokal theke suyae chilam

[7/4, 21:17] Patient: Aktu age hatte giye abar sorir kharap lagchilo

[7/4, 21:17] Patient: Hatte parchilam na

[7/4, 21:17] Patient: Matha ta kmn jano korche

[7/4, 21:24] Rakesh Biswas Sir: Blood sugar ta dekha dorkar habe. Oshudh kheye jacchen asha kori 

Ki Ki oshudh kokhon kokhon khacchen ebong kaalke kheyechen sheta abar aekhon janan

[7/4, 21:41] Patient: Ei 2 to breakfast er age

[7/5, 14:36] Patient: Kalk dinner parota paneer chalkumro ghanto

[7/5, 14:37] Patient: Breakfast parota dal salad

[7/5, 18:45] Patient: Lunch vat dal kochu sag uche vaja sobji diye mach er jhol

[7/5, 21:26] Rakesh Biswas Sir: 1.5?

[7/5, 21:26] Patient: Homemade vegetable momo

[7/5, 21:27] Patient: Suji diye baniyechi

[7/5, 21:27] Patient: Haa

[7/6, 23:17] Patient: Kalk rater dinner vat dal sobji diye mach salad

[7/6, 23:19] Patient: Breakfast r lunch ajk ak sathe korechi vat dal sag paror

[7/6, 23:20] Patient: Dinner roti dal sobji chana

[7/7, 06:30] Rakesh Biswas Sir: 👍

[7/7, 06:35] Rakesh Biswas Sir: Goto kaal sokal theke sondhe ghontai ghontai Ki Ki korechilen janaben. 

Jodi kono ghontai Kono asubidhe ter peye thaken Shetao janaben tar saathe sheta kotokkhon chilo ebong taate Ki Ki kaaj byaghat hoyechilo shetao janaben 

Asubidhe na hoye thakleo ghontai ghontai doinondin shorire energy ta kibhabe khoroch hocche sheta jana dorkar. Shorire energy Ki bhabe dhukche khabar er madhyome sheta apni roj share korchen

[7/7, 07:40] Patient: Kal sokal a uthe olpo morning walk kore 4 ta almond kheyechilam tar pr 1 hr por cha kheyechilam tar pr kichu khon por amder dokan a boshe chilam tar breakfast r lunch ak sathe 12 tar dike korechilam tar pr abar dokan a e boshe chilam tar por 3 tar dike dokan a fruits kheyechilam tar por 6 tar dike 30 minit evening walk korechilam tar pr bari ayshe cha kheyechilam tar pr 10 tar dike dinner korechilam

[7/7, 07:40] Patient: Kalk sara din kono subidhe hoyni

[7/7, 07:41] Patient: Sudhu taratari hatle paa pechon dike tane

[7/7, 07:41] Patient: Takhon kmn jano lage

[7/7, 07:41] Patient: Sorir ta

[7/7, 07:47] Rakesh Biswas Sir: Dokane Ki korechilen ghontai ghontai biboron dile bhalo hoi. Kiser dokan?

[7/7, 08:09] Patient: Jama kapor er

[7/7, 08:10] Patient: Boshe chilam customer asle jinis o dekhate hoy dokan a staff na thakle

[7/7, 08:15] Rakesh Biswas Sir: Goto kaal jinis dekhate unar koto bar uthte hoyechilo? Kone kone somoi?

[7/7, 16:50] Patient: Sir se gulo to mne nei

[7/7, 16:51] Patient: Breakfast dariya sob rokom sobji diye salad

[7/7, 16:54] Patient: Breakfast er age kheyechilam

[7/7, 16:56] Patient: Lunch vat uche vaja sobji mach er jhol

[7/7, 20:32] Rakesh Biswas Sir: 1.5?

[7/7, 20:46] Patient: Ha

[7/8, 15:00] Patient: Kalk biye bari te kheye aste anek rat hoyeche Tai rate test kora hoyno

[7/8, 15:02] Patient: Kheyechi dal,kumro Bora, potol chingri, ilish paturi, mutton, ice cream alpo

[7/8, 15:04] Patient: Breakfast parota paneer mango

[7/8, 16:17] Rakesh Biswas Sir: 👍

[7/8, 18:04] Patient: Lunch vat, kochu sag, potol vaja, gandho patila pata Bora, chana rosha salad

[7/8, 22:41] Rakesh Biswas Sir: 👍

[7/9, 13:57] Patient: Kalk dinner ruti sobji suji misti chara

[7/9, 13:58] Patient: Vat dal misti kumro bora salad

[7/9, 14:04] Rakesh Biswas Sir: 👍

[7/9, 14:04] Rakesh Biswas Sir: 0.25?

[7/9, 14:04] Rakesh Biswas Sir: 1.5?

[7/9, 15:05] Patient: Haa

[7/9, 15:05] Patient: Haa

[7/10, 00:53] Patient: Lunch vat, karkor vaja, misti kumro vaja, macha vaja, mach er jhol,

[7/10, 00:55] Patient: Dinner vat, dal, karkol vaja, mach er jhol

[7/10, 00:56] Patient: Mango dinner er 2 hr por

[7/10, 00:57] Patient: Olpo khide pachilo tai kheyechi

[7/10, 06:48] Rakesh Biswas Sir: 0.25?

[7/10, 06:48] Rakesh Biswas Sir: 1.5?

[7/10, 09:53] Patient: Ha

[7/10, 09:53] Patient: Haa

[7/10, 15:42] Patient: Breakfast r lunch ak sathe korechi vat, chalkumro ghanto, paneer, salad

[7/11, 01:15] Patient: Oats milk banana almond mango

[7/11, 06:29] Rakesh Biswas Sir: Calorie dense

[7/11, 06:30] Rakesh Biswas Sir: 👆Dinner vat, dal, karkol vaja, mach er jhol 160

[7/11, 06:31] Rakesh Biswas Sir: 👆Oats milk banana almond mango 221

[7/11, 11:03] Patient: Evening a akta barite cha kheyechilam misti chilo cha ta

[7/11, 11:03] Patient: Haà

[7/11, 16:32] Patient: Breakfast vat chana vaja pepe diye dal

[7/11, 16:32] Patient: R mukhi vaja

[7/11, 16:33] Patient: Lunch vat, chana rosha, salad, dim

[7/11, 19:44] Patient: Lunch erbpor

[7/11, 21:28] Rakesh Biswas Sir: 👍

[7/12, 14:03] Patient: Dinner vat sobji sedho butter

[7/12, 14:08] Patient: Poha salad

[7/12, 19:33] Rakesh Biswas Sir: 👍

[7/12, 23:44] Patient: Lunch vat dal sukto varali ghonto dim kosha

[7/12, 23:45] Patient: Dinner vat dal dim curry

[7/13, 05:38] Rakesh Biswas Sir: 👍

[7/13, 12:06] Patient: Breakfast ruti cha

[7/13, 15:41] Patient: Lunch dariya sobji diye ratkari r salad

[7/13, 16:28] Rakesh Biswas Sir: 👍

[7/14, 08:58] Patient: Dinner parota, dal, sobji, dim

[7/14, 09:35] Rakesh Biswas Sir: 0.25?

[7/14, 09:44] Patient: Hn

[7/14, 09:48] Rakesh Biswas Sir: Aei duto reading dekhe mone hocche goto kaal 0.5 nile bhalo hoto kintu abar sugar ta khawa dawa ebong hourly activities aer upor depend kore. Apni apnar patient aer hourly activities roj share korchenna

[7/14, 10:23] Patient: 15 din theke 24 hr e bishti hoche kombeshi

[7/14, 10:24] Patient: Tai bari theke ber hoya hoche naa

[7/14, 10:24] Patient: Hatta o hoche na

[7/14, 11:12] Rakesh Biswas Sir: Barir bhitore haanthar jonye bina electricity te chole sherokom kaather treadmill banano jai kimba dokaneo kena jete pare

[7/14, 11:22] Patient: Acha

[7/14, 15:56] Patient: Breakfast vat dal sobji

[7/14, 15:58] Patient: Lunch a mango kheyechi

[7/14, 16:15] Rakesh Biswas Sir: 👍

[7/15, 10:41] Patient: Dinner vat dim er curry salad

[7/15, 10:41] Patient: Test strips ta ses tai sugar ta dekha hoyni

[7/15, 19:21] Patient: Breakfast parota sobji salad mango

[7/15, 19:26] Patient: Lunch vat dal chalkumro ghanto

[7/16, 08:30] Rakesh Biswas Sir: 👍

[7/16, 12:41] Patient: Breakfast oats

[7/16, 12:42] Rakesh Biswas Sir: 1.5?

[7/16, 12:45] Patient: Haa

[7/16, 21:51] Patient: Lunch vat, dal, uche vaja, mutton, salad

[7/17, 11:16] Rakesh Biswas Sir: Control bhalo 👏

[7/17, 11:19] Rakesh Biswas Sir: Aekhon sugar ta soptahe ekbar korleo habe shudhu daily khawa dawa (shoktir adai) ebong ghontai ghontai shoktir khoroch (activities) ta jaate apnar patient roj janiye jan

[7/17, 11:32] Patient: Achaa

[7/17, 11:35] Patient: Kalker dinner dinner vat, dal sedho, mutton

[7/17, 15:54] Patient: Breakfast vat,dal, karkol vaja

[7/17, 15:54] Patient: Lunch vat, karkol vaja, dal er bora rosha

[7/17, 22:22] Rakesh Biswas Sir: 👍

[7/17, 22:39] Patient: Dinner oats, milk, mango

[7/18, 18:50] Patient: Breakfast ruti, sobji

[7/18, 18:51] Patient: Lunch vat,sobji,potol pepe diye rosha

[7/18, 22:25] Rakesh Biswas Sir: 👍

[7/19, 10:29] Patient: Dinner ruti, sobji,dim

[7/19, 10:36] Patient: Breakfast vat, varali ghonto, potol vaja salad

[7/19, 23:34] Patient: Lunch vat, dal,varali ghonto, potol vaja, egg curry

[7/19, 23:34] Patient: Suji parota sobji diye

[7/20, 09:42] Rakesh Biswas Sir: Porotha ta sujir na hoye gom nijer haathe sheel nora diye peeshe aata diye korle bhalo hoto ebong shobji ta beshi hole bhalo hoto

[7/20, 11:06] Patient: Achaaa

[7/20, 20:57] Patient: Breakfast oats

[7/20, 20:58] Patient: Lunch Vat, dal, potol vaja

[7/20, 21:50] Rakesh Biswas Sir: 👍

[7/20, 23:47] Patient: Dinner vat dal soyabin er rosha

[7/21, 20:45] Patient: Breakfast vat,potol vaja, misti kumro ghonto, soyabin er torkari

[7/21, 20:45] Patient: Lunch vat, sukto, dal, mach vaja

[7/22, 00:42] Patient: Dinner vat,dal,dim, salad

[7/22, 23:09] Patient: Breakfast oats

[7/22, 23:10] Patient: Lunch vat,dal,sobji

[7/22, 23:11] Patient: Dinner ruti,dal, sobji, salad

[7/23, 13:12] Patient: Breakfast oats, mango, milk

[7/23, 18:51] Patient: Lunch Homemade egg biryani salad

[7/24, 15:13] Patient: Vat, dal, misti kumror bora, potol posto, pulao, paneer, salad

[7/24, 15:13] Patient: Breakfast oats, mango

[7/24, 15:14] Patient: Lunch vat, sobji sedho, salad

[7/24, 16:55] Rakesh Biswas Sir: 👍Aei soptahe ekbar fasting ebong sokale khawar du ghonta baader ta janaben 

BP thik ache? 

Unar doinondin ghontai ghontai activities share korte parle bojha jeto je aei khabar aer madhyome jei shoktir aamdani hocche sheta koto ta khorcha hocche

[7/24, 18:10] Patient: Achaa

[7/24, 18:10] Patient: BP ta to dekha hoyna anek din

[7/24, 18:10] Patient: Ratte janchi

[7/24, 18:24] Rakesh Biswas Sir: Soptahe jekono eK din ontoto dosh bar dekhe janaben

[7/24, 18:58] Patient: Acha

[7/24, 21:07] Rakesh Biswas Sir: We would like to also know about your daily energy expenditure other than your energy intake 👍

[7/24, 23:21] Patient: Okk

[7/25, 00:31] Patient: BP 117/ 84

[7/25, 00:32] Patient: Dinner roti sobji diye dal er bora rosha

[7/25, 00:32] Patient: Mango dinner er po

[7/25, 13:44] Patient: Oats, milk, banana, mango

[7/25, 22:25] Rakesh Biswas Sir: 👍

[7/25, 23:03] Patient: Lunch vat, pepe diye dal,kochu ghonto, uche vaja, kuyash diye potol diye rosha

[7/25, 23:05] Patient: Paneer parota, doi

[7/26, 11:14] Patient: Kalk ghum theke uthe morning walk korechi 30 minit bari te ashe maa r sathe olpo ranna korechi dufure olpo ghumiyechilam bikale abar evening walk korechi 30 minit er moto

[7/26, 22:47] Patient: Breakfast parota,sobji, salad, doi

[7/26, 22:48] Patient: Lunch a mango kheyechi

[7/26, 22:49] Patient: Dinner roti,dal,sobji,egg curry

[7/27, 21:01] Patient: Breakfast vat, dal, potol vaja, alu sedho

[7/27, 21:02] Patient: Lunch vat,dal potol vaja, alu sedho, paneer er rosha

[7/27, 21:45] Rakesh Biswas Sir: 👍

[7/27, 23:45] Patient: Dinner ruti, dal, paneer er sobji, salad

[7/29, 10:56] Patient: Kalk breakfast vat, dal, potol vaja,salad

[7/29, 10:56] Patient: Lunch vat, uche vaja, mach er jhol

[7/29, 10:57] Patient: Mango

[7/29, 10:58] Patient: Dinner vat, mach er jhol

[7/29, 11:00] Rakesh Biswas Sir: 👍

[7/29, 11:01] Patient: Kalk phn a balance ses hoye gechilo

[7/29, 11:01] Patient: Tai dite parini

[7/29, 11:01] Rakesh Biswas Sir: @⁨Dr. Pritam⁩ Can we have the google sequencing of the above food plates?

[7/29, 14:41] Dr. Pritam: Sure sir

[7/29, 16:46] Rakesh Biswas Sir: Again the date and time would be desirable?

[7/29, 16:47] Rakesh Biswas Sir: Can we just sort them out in day wise clusters?

[7/29, 16:50] Dr. Pritam: Ok sir.. Will send soon.. Actually on duty now

[7/29, 23:25] Patient: Breakfast oats

[7/29, 23:25] Patient: Lunch daliya sobji diye

[7/29, 23:25] Patient: Dinner roti sobji

[7/30, 12:23] Rakesh Biswas Sir: Off course definitely we should do all our volunteering only when we are free from our workplace 👍

[7/31, 19:23] Patient: Kalker breakfast oats

[7/31, 19:25] Patient: Vat dal sobji

[7/31, 19:27] Patient: Dinner Khichuri dim vaja papor

[7/31, 19:27] Patient: Ajk breakfast oats

[7/31, 19:28] Patient: Lunch daliya khichuri

[7/31, 19:28] Patient: Sobji diye

[7/31, 22:29] Rakesh Biswas Sir: 👍

[8/1, 11:41] Patient: Dinner vat,dal, chalkumro ghanto

[8/1, 11:41] Patient: Breakfast oats

[8/1, 12:31] Rakesh Biswas Sir: 👍

[8/1, 20:50] Patient: Lunch vat, dal, uche vaja,chalkumro ghonto, sobji diye chhana rosha

[8/1, 21:03] Rakesh Biswas Sir: 👍

[8/2, 19:19] Patient: Kalk rate dinner roti dal r dim sedho maakha

[8/2, 19:20] Patient: Breakfast oats

[8/2, 19:21] Patient: Lunch homemade egg biriyani , salad, doi

[8/2, 22:17] Rakesh Biswas Sir: 👍

[8/4, 00:28] Patient: Breakfast Fruits

[8/4, 00:28] Patient: Lunch vat, sag, chalkumro ghonto, dal, paneer er rosha

[8/4, 00:29] Patient: Dinner vat, kochu ghonto, badhakofi ghonto, dal pepe diye

[8/4, 00:35] Patient: DP 83/127

[8/4, 10:57] Rakesh Biswas Sir: 👍

[8/4, 14:52] Patient: Breakfast vat, kochu ghanto l, badhakofi ghonto

[8/4, 15:24] Rakesh Biswas Sir: 👍

[8/4, 15:25] Rakesh Biswas Sir: Glimeperide dose?

[8/4, 23:32] Patient: Ha breakfast er age

[8/4, 23:33] Patient: Lunch vat, dal,mach vaja, badhakofi ghonto, mach er jhol

[8/4, 23:35] Patient: Dinner roti, sobji, egg

[8/5, 10:56] Rakesh Biswas Sir: Glimeperide koto dose newa hoyechilo? 

Shudhu dine ekbar?

[8/5, 11:19] Patient: Na 2 bar

[8/5, 11:19] Patient: Sokal a purota

[8/5, 11:20] Patient: Ratte half

[8/5, 11:21] Rakesh Biswas Sir: Koto dose! ??

[8/5, 11:21] Patient: 0.5

[8/5, 11:22] Rakesh Biswas Sir: So before breakfast 0.5 mg and before dinner 0.25 mg?

[8/5, 11:23] Patient: Haa

[8/5, 11:25] Rakesh Biswas Sir: One issue in PaJR PHRs that are currently not autoupdated is that one can't look at the previous trail if one has cleared chat, which one is forced to often to maintain phone function! @⁨~Rahul⁩

[8/5, 12:18] Rahul: You could download the zip file till that point before clearing chat? But understand that it will be quite a mess managing the files. 

Alternatively, let me experiment with a WhatsApp api based tool this weekend... It gets data via WhatsApp web. That may solve a lot of our PaJR archiving difficulties.

Will report back findings.

[8/5, 12:18] Dr.Dinesh Datta: That'd be a great help.

We tried archiving chat exports,but as you mentioned,it's a mess

[8/5, 21:49] Patient: Breakfast oats

[8/5, 21:50] Patient: Lunch vat,uche vaja,chalkumro ghanto, sobji

[8/7, 15:54] Patient: Dinner radha pallabi,vat, chhola dal, potol posto, panner

[8/7, 15:55] Patient: Breakfast oats

[8/7, 15:55] Patient: Lunch vat, chal kumro ghonto, mutton curry

[8/7, 15:59] Patient: Dinner Oats

[8/7, 15:59] Patient: Ajk breakfast sobji sedho diye vat

[8/7, 15:59] Patient: Lunch vat, pulao, paneer

[8/7, 22:21] Rakesh Biswas Sir: Sudhu matro oats (kimba Jekono cereal) kono kichu vegetables fruits ebong daal chara na khawai bhalo

[8/7, 22:55] Patient: Achaa

[8/7, 22:56] Patient: Anarosh

[8/7, 22:56] Patient: Dinner roti,chhola, panee, salad

[8/8, 08:50] Rakesh Biswas Sir: 👍

[8/9, 10:55] Patient: Milk

[8/9, 10:56] Patient: Breakfast vat, dal, karkol vaja,potol vaja

[8/9, 10:58] Patient: Lunch vat, chalkumro ghonto, karkol vaja, dal, chhana rosha, salad

[8/9, 10:59] Patient: Dinner roti, chalkumro ghonto,dal, chhana rosha

[8/10, 15:23] Patient: Breakfast oats mango badam

[8/10, 15:24] Patient: Lunch vat, dal, uche vaja, din vaja, mach er jhol

[8/10, 15:24] Patient: Dinner roti, sobji, mach er jhol

[8/10, 15:25] Patient: Breakfast panta vat, sobji, dim sedho, alu pepe sedho

[8/10, 15:26] Patient: Lunch vat, sag, dal, dim er curry

[8/10, 16:22] Rakesh Biswas Sir: 👍

[8/12, 11:38] Patient: Anarosh

[8/12, 11:39] Patient: Dinner vat, dal, egg curry

[8/12, 11:39] Patient: Breakfast vat,dal, badhakofi ghonto

[8/12, 11:40] Patient: Lunch vat,dal, badhakofi ghonto, badhakofi r bosha, dim vaja

[8/12, 11:41] Patient: Dinner roti,badhakofi ghonto

[8/12, 11:41] Patient: Dinner er por milk

[8/12, 11:42] Patient: Breakfast oats, milk, banana, almond

[8/13, 12:24] Rakesh Biswas Sir: 👍

[8/13, 20:27] Patient: Lunch sobji diye daliya r tarkari

[8/13, 20:27] Patient: Anarosh

[8/13, 20:28] Patient: Dinner roti sobji

[8/13, 20:28] Patient: Vog er kichuri sobji diye r papor

[8/13, 21:04] Rakesh Biswas Sir: 👍

[8/15, 10:35] Patient: Dinner vat, badhakofi ghonto, niramish tarkari

[8/15, 10:36] Patient: Breakfast vat r niramish tarkari

[8/15, 10:37] Patient: Lunch vat, dal, sobji, chana bora rosha

[8/15, 10:37] Patient: Salad

[8/15, 10:38] Patient: Dinner roti, sobji, chara r borar rosha

[8/15, 11:10] Rakesh Biswas Sir: 👍

[8/17, 18:46] Patient: Lunch vat, Dal, badhakofi ghonto, uthe vaja,dal er bora, salad

[8/17, 18:46] Patient: Breakfast Poha

[8/17, 18:47] Patient: Rate sudhu coffee kheyechilam

[8/17, 18:47] Patient: Jor asheche kichu khete parchinaa

[8/17, 18:48] Patient: Sokal a sudhu cha

[8/17, 18:50] Patient: Lunch vat r mach er jhol

[8/17, 18:51] Patient: Dinner dudh diye suji

[8/17, 18:52] Patient: Sokal a cha

[8/17, 18:52] Patient: Lunch vat r niramish torkari

[8/17, 18:57] Patient: BP 116/78

[8/17, 20:23] Rakesh Biswas Sir: Proti 6 hours baade baade apnar patient aer temperature ta mepe ekhane janaben

[8/17, 21:39] Patient: Achaa

[8/17, 21:40] Patient: Jor to akhn nei

[8/17, 21:55] Patient: 100 ache akhn

[8/17, 23:21] Patient: Dinner vat, varali ghanto,din vaja, peyaj vaja

[8/18, 09:20] Rakesh Biswas Sir: Proti 6 hours baade baade janaben

[8/18, 12:28] Patient: 4 tar somy korechilam 101 chilo

[8/18, 12:29] Patient: Abar 10 tay korechi 99

[8/18, 15:16] Rakesh Biswas Sir: 👆Aei din prothom jor aeshchilo? Aandaj koto chilo aei din?

[8/18, 16:46] Patient: 2 er kom chilo

[8/18, 16:46] Patient: 1.6 nahole 1.7

[8/18, 16:46] Patient: Sese bar atai dekhechilam

[8/18, 16:46] Patient: Jor jakhon chilo

[8/18, 16:48] Patient: Breakfast dudh, khoi, almond badam

[8/18, 16:48] Patient: Lunch vat, pepe diye dal, papor

[8/18, 17:19] Patient: Jor er somoy ei osudh ta kheyechi

[8/18, 22:12] Rakesh Biswas Sir: 👍

[8/20, 10:58] Patient: Breakfast vat r kochu ghonto

[8/20, 10:59] Patient: Lunch vat dal er bora rosha

[8/20, 10:59] Patient: Dinner vat r dal er bora rosha

[8/20, 19:38] Rakesh Biswas Sir: 👍

[8/20, 19:38] Patient: Ajk jor aschilo 5 tar dike

[8/20, 19:39] Patient: 101

[8/20, 19:39] Patient: Breakfast dudh, khoi,badam

[8/20, 19:40] Patient: Lunch vat, dal, badhakofi ghonto,karkol vaja, dim sedho

[8/20, 20:20] Rakesh Biswas Sir: Proti 6 ghonta baade baade mepe janate parĺe khub bhalo hoto

[8/20, 21:00] Patient: Achaa

[8/21, 18:21] Patient: Kalk 10 tar dike 99 chilo

[8/21, 18:21] Patient: Ajk sara din 98

[8/21, 18:22] Patient: Dinner parota sobji

[8/21, 18:23] Patient: Breakfast vat r pepe alu sedho

[8/21, 22:17] Rakesh Biswas Sir: 👍

[8/23, 23:47] Patient: Lunch vat, dal, badhakofi ghonto, dal er bora rosha

[8/23, 23:48] Patient: Dinner vat , dal sedho, pepe sedho

[8/23, 23:54] Patient: Breakfast vat, karkol vaja, potol vaja

[8/23, 23:55] Patient: Lunch khichuri labra papor

[8/23, 23:58] Patient: Dinner oats milk banana almond

[8/24, 00:00] Patient: Breakfast oats milk

[8/24, 00:02] Patient: Lunch vat, dal, karkol vaja, Mach vaja

[8/24, 00:02] Patient: Mach er jhol

[8/24, 00:17] Patient: Dinner milk oats kaju badam

[8/24, 08:33] Rakesh Biswas Sir: 👍

[8/25, 17:22] Patient: Breakfast vat, sag, potol bepe diye rosha

[8/25, 17:23] Patient: Lunch vat,dal,sag, sobji, potol pepe diye rosha

[8/25, 17:25] Patient: Dinner roti r rosha

[8/25, 17:25] Patient: Breakfast vat, sobji

[8/25, 17:28] Patient: Lunch vat, dal, sobji, egg curry

[8/25, 17:29] Patient: Apple

[8/25, 22:42] Rakesh Biswas Sir: 👍

[8/26, 13:07] Patient: Dinner roti, sobji, egg curry

[8/26, 13:07] Patient: Breakfast milk

[8/26, 13:07] Patient: Almond

[8/26, 16:48] Rakesh Biswas Sir: 👍

[8/26, 16:51] Patient: Lunch vat, dal pepe diye,karkol vaja, potol posto,

[8/26, 21:22] Patient: ডাব এর জল

[8/26, 21:22] Patient: Apple r narkel

[8/27, 10:01] Rakesh Biswas Sir: 👍

[8/27, 10:28] Patient: Dinner roti sobji

[8/27, 21:30] Patient: Breakfast vat , kochu ghonto

[8/27, 21:33] Patient: Lunch daliya khichuri r sobji

[8/27, 21:57] Rakesh Biswas Sir: 👍

[8/28, 17:18] Patient: Dinner roti, sobji, dal

[8/28, 17:18] Patient: Dinner er por dudh holud diye

[8/28, 17:21] Patient: Breakfast vat, dal, karkol vaja

[8/28, 17:22] Patient: Lunch vat, dal, uche vaja,kochu ghonto, pepe bothi, chanar bora

[8/28, 22:28] Rakesh Biswas Sir: 👍

[8/29, 12:01] Patient: Breakfast er age chhola

[8/29, 12:01] Patient: Dinner chana r parota, sobji, doi

[8/29, 12:03] Rakesh Biswas Sir: 👍

[8/30, 00:55] Patient: Breakfast roti r chhola

[8/30, 00:56] Patient: Lunch vat, dal, badhakofi ghonto, varali ghanto, karkol vaja,papor

[8/30, 00:56] Patient: Banana

[8/30, 10:12] Rakesh Biswas Sir: 👍

[8/31, 22:21] Patient: Breakfast poha doi

[8/31, 22:22] Patient: Lunch vat, dal, sobji, karkol vaja,potol posto, papor

[8/31, 22:25] Patient: BP 120/83

[9/1, 00:05] Patient: Dinner roti sobji,dal, doi

[9/1, 06:40] Rakesh Biswas Sir: Eta ektu beshi bhaat prodhan hoye geche

[9/1, 06:41] Rakesh Biswas Sir: 👆Eta ekdom thik ache

[9/1, 06:52] Patient: Achaa

[9/3, 01:43] Patient: Breakfast milk, almond, Banana

[9/3, 01:45] Patient: Lunch vat, pepe sedho, dal, bharali ghonto, mach er jhol, doi, salad

[9/3, 01:45] Patient: Dinner roti ghee diye r milk

[9/3, 01:47] Patient: Lunch vat, dal pepe diye, sobji, potol vaja,papor, salad

[9/3, 01:48] Patient: Lunch er por Apple, mosombi

[9/3, 01:51] Patient: Dinner vat, badhakofi ghonto, soyabin fulkofi rosha, salad

[9/3, 01:51] Patient: Ajk breakfast kora hoyni barite puja chilo

[9/4, 15:20] Patient: Breakfast chhola, doi

[9/4, 15:21] Patient: Lunch vat, dal pepe diye, mutton

[9/4, 15:21] Patient: Salad

[9/4, 15:22] Patient: Dinner vat, dal, badhakofi ghonto, mutton

[9/4, 15:22] Patient: Salad

[9/4, 15:23] Patient: Breakfast er age milk

[9/4, 15:23] Patient: Breakfast roti, sobji

[9/4, 15:24] Patient: Lunch vat,dal, badhakofi ghonto, alu vaja, chhana rosha

[9/4, 19:07] Rakesh Biswas Sir: 👍

[9/5, 18:05] Patient: Dinner polao, paneer,dal, papor

[9/5, 18:05] Patient: Breakfast ruti, sobji, dim

[9/5, 18:07] Patient: Lunch vat, chalkumro ghonto, sobji diye choto mach er jhol, katol Mach er kaliye, salad

[9/5, 20:01] Rakesh Biswas Sir: 👍

[9/5, 22:25] Patient: Dinner vat, dal,dim vaja

[9/6, 13:25] Patient: Breakfast gola ruti, sobji, salad

[9/7, 18:58] Patient: Lunch vat,dal, sobji, potol er rosha, salad

[9/7, 18:59] Patient: Papor

[9/7, 18:59] Patient: Dinner vat, dal, sobji, potol er rosha, alu sedho

[9/7, 19:00] Patient: Ajk kichu khaya hoyni akhono

[9/7, 19:00] Patient: Jonmastomii upash korechi

[9/7, 19:03] Rakesh Biswas Sir: Oshudh?

[9/7, 19:11] Patient: Khaya hoyni

[9/7, 19:11] Patient: Rate kheye osudh khabo

[9/8, 12:53] Patient: Sabu makha, malpoya, luchi, sujir dhokla, kolar bora, tal er khir

[9/8, 12:54] Patient: Breakfast vat dal sobji diye

[9/10, 10:52] Patient: Dinner vat, pepe potol sedho, sb sojbi diye tarkari

[9/10, 11:20] Patient: Breakfast roti sobji

[9/10, 11:21] Patient: Lunch vat, sag, varali ghonto, karkol vaja, dal, paneer er rosha

[9/10, 11:22] Patient: Dinner vat, dal, paneer

[9/10, 11:23] Patient: Breakfast chira, doi, almond, apple

[9/11, 23:11] Patient: Lunch vat, dal, sobji, pepe sedho,dim er curry

[9/11, 23:11] Patient: Dinner vat, dal, sobji, dim er curry

[9/11, 23:12] Patient: Breakfast sujir parota,chana,doi

[9/11, 23:13] Patient: Lunch daliya r khichuri, sobji

[9/11, 23:13] Patient: Dinner roti, sobji

[9/12, 08:22] Rakesh Biswas Sir: 👍

[9/12, 22:07] Patient: Ajk vog er prosad kheyechi vat, sag, dal, sobji, potol vaja,uche vaja,misti komro vaja, vendi vaja, panna

[9/12, 22:07] Patient: Sb diye kheyechi

[9/12, 22:08] Patient: Ak bare mekhe kheyechi

[9/12, 22:08] Patient: Photo tola hoyni setar

[9/12, 22:08] Patient: Tai jonne atai dilam

[9/12, 22:08] Patient: Breakfast kora hoyni

[9/12, 23:10] Patient: Dinner vat, dal, sobji, soyabin rosha,parota

[9/14, 16:07] Patient: Breakfast roti soybin er sobji

[9/14, 16:08] Patient: Lunch vat,sag, badhakofi ghonto, mach er jhol data begun alu diye

[9/14, 16:09] Patient: Dinner parota,badhakofi ghonto,dim vaja

[9/14, 16:10] Patient: Breakfast vat, badhakofi ghonto,papor

[9/14, 16:10] Rakesh Biswas Sir: Goto kaaler?

[9/14, 16:11] Patient: Lunch vat, badhakofi ghonto, pachmisali tarkari chana rosha

[9/14, 16:11] Patient: Haa rater

[9/14, 16:12] Patient: Goto kal rater dinner

[9/14, 16:13] Patient: Badhakofi kalk ker ta kal e ses ajk abar kora hoyeche

[9/14, 16:16] Patient: Sir sugar test korar kit ta ses hoye geche Oder diyechi 3,4 din er modhe ashe jabe tar pr janachi

[9/14, 16:23] Rakesh Biswas Sir: Lab aeo fasting pp kora jete pare

[9/14, 17:23] Patient: Acha

[9/14, 17:27] Patient: Sir Hemoglobin tao ki korabo

[9/14, 19:26] Rakesh Biswas Sir: Last kabe koriyechilen ebong koto chilo?

[9/14, 20:12] Patient: July a kora hoyechilo

[9/14, 20:13] Patient: 7 chilo

[9/14, 20:14] Patient: Report ta pachina

[9/14, 20:14] Patient: Abar koriye nichi

[9/15, 09:22] Patient: Dinner roti, paneer er sobji, tameto chatni

[9/15, 09:22] Patient: Breakfast suji, almond

[9/15, 14:29] Rakesh Biswas Sir: 👍

[9/15, 14:29] Rakesh Biswas Sir: Sweet?

[9/15, 14:51] Patient: Modhu deya olpo

[9/15, 14:52] Patient: Khaya jabe na?

[9/15, 21:29] Rakesh Biswas Sir: Na

[9/15, 22:03] Patient: Achaa

[9/15, 22:28] Patient: Lunch vat, dal,dim vaja

[9/15, 22:29] Patient: Dinner chola, saasa, tameto

[9/15, 22:29] Rakesh Biswas Sir: 👍

[9/17, 23:35] Patient: Breakfast apple

[9/17, 23:36] Patient: Lunch vat,dal, pepe kuyash er sobji, salad

[9/17, 23:37] Patient: Dinner vat, dal sedho, sobji

[9/17, 23:37] Patient: Breakfast chatu, dim sedho

[9/17, 23:40] Patient: Lunch vat, dal pepe diye, sobji, Mach er jhol

[9/17, 23:41] Patient: Dinner oats er Idli sambar

[9/18, 18:28] Rakesh Biswas Sir: 👍

[9/18, 21:40] Patient: Breakfast buter chatu

[9/18, 21:42] Patient: Lunch vat, dal pepe diye, pepe kuyash er torkari

[9/18, 21:43] Patient: Dinner chola sedho

[9/18, 21:43] Patient: Thanda legeche kichu khete eche korena

[9/18, 21:45] Rakesh Biswas Sir: Apnar patient shara din kokhon ki oshudh nicche bishesh kore diabetes aer jonye shetao roj janaben

[9/18, 21:45] Patient: Acha

[9/18, 21:45] Patient: Akhoni janabo sir

[9/18, 21:51] Rakesh Biswas Sir: Aechara ekhane amader roj patient aer activity talika jeta jana dorkar roj ghontai ghontai ekta text aer madhyome jeta niche jemon sajano👇

5:00 AM to 6:00 AM 

Tarpor 

6: 00 AM to 7:00 A M 

...............

Tarpor aei bhabe proti ta ghontai 

....................

10:00 PM to 11:00 PM 

Ghum aer aage last text obdhi 

Jaani mushkil kintu parle khub bhalo habe 

Ekhane niche bortoman ekjon patient aer doinondin lekha share korlam 👇

5:00 AM সাধারণভাবে পাঁচটা থেকে সাড়ে পাঁচটায় ঘুম থেকে উঠে পড়ি। তারপর ওয়াশরুম থেকে ফিরে নদীতে যাই অল্প কিছুক্ষণ সাঁতার ও স্নান করে ফিরে আসি। 

Time? : তারপর সামান্য ব্রেকফাস্ট করে হাঁটতে চলে যাই এবং সেটা খোলা হাওয়ায় নদীর পাড় ধরে। ফিরে এসে বাজারে যাই। সেখান থেকে ফিরে এসে ভোরের কাগজ পরি। 

10:00 AM দশটা নাগাদ দুপুরের খাবার  খেয়ে নেই।  তারপর একটু বিছানায় গড়িয়ে নেই। তারপর বাইরের কিছু কাজ থাকলে করি অথবা বন্ধুর উপন্যাসের অথবা কম্পিউটারে কিছু কাজ থাকলে করি। 

3:00 PM আবার তিনটে নাগাদ নাগাদ কিছু স্ন্যাকস বা টিফিন জাতীয় খাবার খাই।

Time? : বিকালের দিকে কখনো কখনো আবার হাঁটতে যাই অবশ্য সেটা  সঙ্গী সাথী পেলে। ফিরে এসে ফল খাই তারপর আবার বাইরের কাজ থাকলে করি অথবা কম্পিউটার বা অন্যান্য কিছু কাজ থাকলে সেগুলো করি। 

10:00 PM তারপর দশটা নাগাদ রাতের খাবার খেয়ে নেই। 

11:00 PM তারপর রাত এগারোটা থেকে বারোটার মধ্যে শুয়ে পড়ি এটাই দৈনন্দিন জীবন।

[9/18, 21:53] Rakesh Biswas Sir: Breakfast aer aage 1.5 mg nicchen?

[9/18, 21:53] Patient: Haa

[9/18, 21:57] Patient: Ei vabe janate hbe sir

[9/22, 20:29] Patient: Breakfast chatu

[9/22, 20:30] Patient: Lunch kichuri, badhakofi ghonto, papor vaja

[9/22, 20:32] Patient: Dinner chicken biriyani

[9/22, 20:32] Patient: Breakfast vat, kochu ghonto,potol vaja Mach vaja

[9/22, 20:34] Patient: Lunch vat, sag, kochu ghonto, badhakofi ghonto, dim vaja

[9/22, 20:34] Patient: Apple

[9/22, 20:36] Patient: Dinner. Gola ruti sobji

[9/22, 20:37] Patient: Breakfast milk

[9/22, 20:38] Patient: Lunch vat, dal, sobji

[9/22, 20:39] Patient: Dinner ruti, sobji, dim vaja

[9/22, 20:39] Patient: Breakfast milk, almond

[9/22, 20:39] Patient: Lunch vat, sobji, dal er bora rosha

[9/22, 20:40] Patient: 2 din theke jor

[9/22, 20:40] Patient: Tai kichu dite parini

[9/22, 21:38] Rakesh Biswas Sir: Fever charting proti char char ghontai jananor kotha chilo?

[9/22, 23:05] Patient: Bule gechi

[9/22, 23:06] Patient: 102 r mojhei chilo

[9/22, 23:06] Patient: Akhono to er opore jayni

[9/23, 15:07] Rakesh Biswas Sir: Amader proti char char ghontar temperature jana dorkar chilo 

Tahole aekhon anuman korchi patient aer same problem are nei

[9/23, 23:54] Patient: Ha

[9/23, 23:56] Patient: Breakfast oats

[9/23, 23:57] Patient: Lunch khichuri,labra, potol vaja,karkol vaja,alu vaja, apple

[9/23, 23:58] Patient: Dinner Khichuri, labra

[9/24, 11:13] Rakesh Biswas Sir: 👍

[9/24, 11:39] Patient: Breakfast chatu

[9/24, 11:54] Patient: Dim sedho

[9/24, 12:29] Rakesh Biswas Sir: 👍

[9/25, 21:23] Patient: Lunch vat, sobji, dim er curry

[9/25, 21:24] Patient: Dinner ruti, sobji, dim er curry

[9/25, 21:25] Patient: Breakfast vat, sobji, chana r bora, uche vaja

[9/25, 21:25] Patient: Lunch vat, chana bora rosha, papor

[9/25, 21:37] Rakesh Biswas Sir: Bhaat ta ektu beshi mone hocche!

[9/25, 21:38] Patient: Ha khub khide peyechilo

[9/25, 23:38] Patient: Dinner ruti, chana bora rosha

[9/26, 08:48] Rakesh Biswas Sir: 👆

[9/26, 15:38] Patient: Sokal a 6 ta 6:30 tar dike uche jol kheye hatte jai 1 ghonta r moto hete bari ashe almond khai 5 ta kono din milk. Tar pr porte boshi samnei xm ar pr 10 tar dike breakfast kori tar pr dokan a giye boshe thaki 2 ghonta r moto tar pr 2:30 dike lunch kori tar pr lunch er 30 minit pr kono kono din ghumiye pori 1 ghonta r jonne sandha bela abar hatte jai 1 ghonta hete asi tar pr kono kono din fruits ba chire vaja kheye kheye abar porte boshi abar kono din khichu na kheye boshi 10 tar dike dinner kori 12 ta 1 ta dike ghumiye pori

[9/26, 23:08] Patient: Breakfast chatu

[9/26, 23:10] Patient: Lunch vat,dal, uche vaja, photo vaja, karkol vaja, alu vaja,badhakofi ghonto, polao, mutton curry, papor

[9/26, 23:11] Patient: Dinner vat, mutton, papor

[9/26, 23:28] Patient: Ajk alpo payesh o khaya hoyeche

[9/26, 23:28] Patient: R cake o

[9/26, 23:29] Dr.Dinesh Datta: Which cake?

Chocolate?butterscotch?

[9/26, 23:30] Patient: Both

[9/28, 10:46] Patient: Breakfast chatu

[9/28, 10:47] Patient: Lunch vat, Pepe ghonto, alu vaja

[9/28, 10:47] Patient: Dinner ruti, pepe ghonto, dim sedho

[9/28, 10:48] Patient: Breakfast dhoi chira almond

[9/30, 20:57] Patient: Lunch vat, pepe ghonto, potol kuyash bothi, gajol alu vaja, chana rosha

[9/30, 20:58] Patient: Dinner ruti, sobji, gajol alu vaja, chana rocha

[9/30, 20:59] Patient: Breakfast milk, almond

[9/30, 20:59] Patient: Lunch vat, soyabin er sobji

[9/30, 20:59] Patient: Dinner ruti, soyabin er tarkari, dim vaja

[9/30, 21:00] Patient: Breakfast ruti sobji pepe kuyash potol diye sobji

[9/30, 21:02] Patient: Lunch vat, dal, sag, uche vaja, soyabin er rosha

[9/30, 21:04] Patient: Dinner Khichuri, soyabin er rosha, papor

[10/1, 13:10] Patient: Breakfast khichuri, papor

[10/1, 19:38] Patient: Lunch vat, sag,uche vaja, mutton curry, dal chilo photo tulte bule gechi 2 jon er ta ak sathe chilo tai jonne

[10/1, 19:56] Rakesh Biswas Sir: 👍

[10/2, 16:37] Patient: Dinner ruti, mutton curry

[10/2, 16:38] Patient: Breakfast milk, khoi, almond

[10/2, 16:39] Patient: Lunch vat, dal sedho, pepe, gajor, potol sedho

[10/3, 20:19] Rakesh Biswas Sir: 👍

[10/4, 11:45] Patient: Dinner daliya khichuri, sobji

[10/4, 11:46] Patient: Breakfast vat, sag, dim vaja

[10/4, 11:46] Patient: Lunch vat, sobji, papor

[10/4, 11:46] Patient: Dinner ruti, sobji

[10/4, 11:47] Patient: Breakfast er age milk

[10/4, 11:47] Patient: Breakfast khichuri

[10/4, 22:08] Rakesh Biswas Sir: 👍

[10/5, 08:00] Rakesh Biswas Sir: https://medicinedepartment.blogspot.com/2023/10/variety-of-diet-plates-shared-in-pajr.html?m=1

[10/5, 10:59] Patient: Sir ami ki group gulo te join korbo

[10/5, 11:18] Patient: Lunch vat, sag, chochori, mach er jhol, fried rice

[10/5, 11:19] Patient: Dinner vat, chochori, fried rice, paneer er rosha

[10/5, 14:49] Rakesh Biswas Sir: Paren

[10/5, 17:57] Patient: Haa

[10/5, 17:58] Patient: Breakfast vat, sag, soyabin pepe r sobji

[10/5, 17:59] Patient: Lunch chira r narkel

[10/5, 19:39] Rakesh Biswas Sir: 👍

[10/6, 14:54] Patient: Dinner vat, dal sedho, soyabin er taratari, dim sedho

[10/6, 14:54] Patient: Breakfast ruti, pepe ghonto

[10/6, 14:55] Patient: Lunch vat, dal, uche vaja, pepe ghonto, potol vaja, dim er curry

[10/7, 23:12] Patient: Dinner dal, dim sedho

[10/7, 23:13] Patient: Breakfast vat,potol vaja pepe kuyash potol er rosha

[10/7, 23:13] Patient: Lunch vat, dal, pepe ghonto, dal, pepe kuyash potol er rosha

[10/7, 23:14] Patient: Dinner ruti, pepe kuyash potol er rosha, milk

[10/8, 09:05] Rakesh Biswas Sir: 👍

[10/8, 23:03] Patient: Breakfast vat, sag, soyabin

[10/8, 23:03] Patient: Lunch vat, soyabin er tarkari

[10/9, 00:49] Patient: Dinner vat, dal sedho, sojbi sedho

[10/9, 19:25] Rakesh Biswas Sir: Ekhane salads hole bhalo hoto

[10/9, 19:25] Patient: Achaa

[10/9, 19:30] Rakesh Biswas Sir: Bhat anek beshi 

Also take vegetables in half of the plate like this👇

https://www.hsph.harvard.edu/nutritionsource/healthy-eating-plate/

[10/12, 21:22] Patient: Breakfast Roti,sobji, soyabin er tarkari, salad

[10/12, 21:23] Patient: Lunch vat, pepe ghonto, dal sedho, soyabin er tarkari

[10/12, 21:24] Patient: Dinner dhosa

[10/12, 21:25] Rakesh Biswas Sir: 👍

[10/12, 21:26] Patient: Breakfast milk, almond

[10/12, 21:27] Patient: Lunch vat , dal , badhakofi ghonto, karkol vaja , misti kumro bora

[10/12, 21:27] Patient: Dinner suji r tometo kajol erbparota

[10/12, 21:29] Patient: Breakfast chatu

[10/12, 21:32] Patient: Lunch vat,sag, uche vaja, begun vaja, potol vaja, sob rokom sobji diye tarkari,dal paneer er rosha

[10/12, 21:32] Patient: Dinner er tai kheyechi

[10/12, 21:35] Patient: Breakfast milk, almond

[10/12, 21:40] Patient: Lunch vat,dal sedho, pepe ghonto, soyabin er tarkari

[10/12, 21:40] Patient: Dinner, ruti dal, badhakofi ghonto

[10/12, 21:42] Patient: Breakfast chatu

[10/12, 21:42] Patient: Lunch vat, dal, kochu sag, sobji, soyabin er rosha

[10/13, 14:11] Rakesh Biswas Sir: 👍

[10/14, 07:39] Patient: Dinner khichuri, soyabin er rosha

[10/14, 07:40] Patient: Breakfast khichuri, Mach vaja, dim vaja, salad

[10/14, 07:41] Patient: Lunch vat, chachori, mach er jhol, dim er curry, salad

[10/14, 07:42] Patient: Ruti diye pizza kheyechi peyaj, tameto, chana diye

[10/16, 07:04] Rakesh Biswas Sir: 👍

[10/16, 09:52] Rakesh Biswas Sir: PaJR regular best food plates award👏👏👏

👇

https://chat.whatsapp.com/BwTGZStKGN9I50hmyNKLPI

[10/16, 10:30] Patient: Sir ei group a join hobo?

[10/16, 10:31] Patient: Breakfast vat, badhakofi ghonto

[10/16, 10:32] Patient: Lunch vat, soyabin er tarkari

[10/16, 10:33] Patient: Dinner vat, soyabin er tarkari

[10/16, 10:35] Patient: Breakfast parota, sobji,badam tameto r chatni

[10/16, 10:36] Patient: Lunch vat, Mach er jhol,salad

[10/16, 10:37] Patient: Dinner vat, chicken curry, pulao, papor, salad

[10/16, 15:17] Patient: Breakfast poha, salad

[10/16, 15:18] Patient: Lunch vat, dal,pepe sedho, varali ghonto, badhakofi ghonto

[10/16, 21:43] Rakesh Biswas Sir: 👍

[10/16, 21:43] Rakesh Biswas Sir: Hote paren

[10/16, 22:05] Patient: Hoyechi

[10/17, 01:13] Patient: Dinner ruti, bharali ghonto, dal sedho, badam tameto chatni

[10/18, 11:20] Patient: Breakfast chatu, milk

[10/18, 11:21] Patient: Lunch vat,dal,sag,pepe sedho, kuyash bothi, soyabin er rosha, salad

[10/18, 11:22] Patient: Dinner ruti, dal, soyabin er rosha

[10/18, 11:22] Patient: Breakfast milk

[10/19, 16:09] Rakesh Biswas Sir: 👍

[10/20, 16:57] Patient: Lunch vat dal, pepe sedho , mach er jhol

[10/20, 16:58] Patient: Dinner vat, badhakofi ghonto, egg curry, salad

[10/20, 16:59] Patient: Breakfast ruti, badhakofi ghonto, egg curry salad

[10/20, 17:03] Patient: Lunch Egg curry vat

[10/20, 17:04] Patient: Dinner ruti, sobji, soyabin er tarkari

[10/20, 17:07] Patient: Breakfast chatu, almond, milk

[10/20, 22:30] Rakesh Biswas Sir: 👍

[10/27, 21:14] Patient: Sir barite Durga Puja chilo tai ei ko din somy paini kichur

[10/27, 21:15] Patient: Breakfast chatu, almond, banana

[10/27, 21:19] Patient: Lunch vat,sag, kuyash bothi, misti alu vaja, soyabin diye 5 mishali tarkari

[10/27, 21:20] Patient: Dinner suji Ata r patota, kuyash bothi

[10/29, 12:06] Patient: Lunch khichuri, labra, badhakofi ghonto, papor

[10/29, 12:07] Patient: Dinner Khichuri, labra, badhakofi ghonto, papor

[10/29, 12:08] Patient: Breakfast vat, soyabin vaja, dal er bora

[10/29, 14:39] Rakesh Biswas Sir: 👍

[10/30, 23:01] Patient: Lunch vat, musti alu vaja, chachori, dal er bora rosha

[10/30, 23:02] Patient: Dinner ruti,dal er bora rosha, salad

[10/30, 23:02] Patient: Breakfast ruti, chachori, salad

[10/30, 23:03] Patient: Lunch vat, uche vaja, pepe ghonto, chochori, dal

[10/30, 23:03] Patient: Salad

[10/30, 23:03] Patient: Dinner ruti, soyabin er rosha

[10/31, 05:30] Rakesh Biswas Sir: 👍

[10/31, 19:23] Patient: Breakfast vat, niramish sobji

[10/31, 19:24] Patient: Lunch tandoori ruti, chola

[11/1, 13:24] Patient: Dinner vat, dal sedho, sobji

[11/1, 13:25] Patient: Breakfast er age milk

[11/1, 13:27] Patient: Breakfast vat, chachori, badhakofi bora

[11/1, 14:50] Rakesh Biswas Sir: 👍

[11/2, 00:35] Patient: Lunch vat, dal,begun vaja, badhakofi bora, pepe ghonto

[11/2, 00:36] Patient: Dinner paneer parota chola

[11/2, 06:49] Rakesh Biswas Sir: 👍

[11/2, 22:58] Patient: Breakfast ruti, sobji, salad

[11/2, 22:58] Patient: Lunch vat, badhakofi ghonto, misti alu vaja, paneer, salad

[11/2, 22:59] Patient: Dinner vat, dal sedho, badhakofi ghonto, paneer

[11/3, 15:53] Patient: Breakfast paneer parota, begun vaja, salad, Apple

[11/3, 15:54] Patient: Lunch vat, dal, chochori, misti alu vaja , salad

[11/8, 11:30] Patient: Sir barite aktu asubidhe te chilam amr dadar chele accident mara geche

[11/8, 11:32] Patient: Photo deyar moto obothay chilam na

[11/8, 11:33] Patient: Friday theke kalk porjonto chatu kheye chilam sokal a ratte

[11/8, 11:33] Patient: Lunch a sedho vat kheyechi

[11/8, 11:33] Patient: R khuch khaya hoy i

[11/8, 11:33] Patient: Hoyni

[11/8, 11:34] Patient: Breakfast chhatu milke diye, almond

[11/8, 14:21] Rakesh Biswas Sir: Asha korchi aaste aaste barir sobai aei boro bipoder theke beriye ashben

[11/8, 14:25] Patient: 😞😞

[11/8, 14:26] Patient: Keu mene nite parche naa somy lagbe

[11/8, 14:32] Rakesh Biswas Sir: Abosyoi lagbe

[11/8, 14:33] Patient: Haa

[11/8, 18:14] Patient: Lunch vat, potol vaja, soyabin er rosha

[11/8, 21:59] Patient: Dinner ruti, sobji

[11/10, 00:54] Patient: Breakfast milk, chhatu

[11/10, 00:56] Patient: Lunch vat, chachori, mach

[11/10, 00:56] Patient: Dinner ruti, sobji

[11/10, 14:19] Rakesh Biswas Sir: 👍

[11/10, 23:44] Patient: Breakfast vat, dal vorta

[11/10, 23:45] Patient: Lunch vat, dal vorta misti kumro bora , dim er curry

[11/10, 23:45] Patient: Dinner ruti, sobji

[11/11, 06:05] Rakesh Biswas Sir: 👍

[11/12, 16:41] Patient: Breakfast milk almond oats

[11/12, 16:43] Patient: Lunch vat, dal alu sedho, dim er curry

[11/12, 16:44] Patient: Dinner parota, sobji

[11/12, 16:44] Patient: Breakfast milk chhatu

[11/12, 16:46] Patient: Lunch khichuri, begun vaja, badhakofi

[11/12, 20:41] Rakesh Biswas Sir: 👍

[11/13, 10:49] Patient: Dinner chicken biriyani

[11/13, 10:49] Patient: Sir

[11/13, 10:49] Patient: Amr na khub gorom lage

[11/13, 10:49] Patient: Thanda mota moti porei geche

[11/13, 10:50] Patient: Maa baba r to fan lage na

[11/13, 10:50] Patient: Amr e gorom lage

[11/13, 10:50] Patient: R aka notun naa

[11/13, 10:50] Patient: Ager thekei

[11/13, 15:14] Rakesh Biswas Sir: Apnar patient Ghum theKe uthe proti ghontai ghontai Ki Ki koren ebong kone somoi ta uni koshto ta ter paan sheta janale bhalo hoto

[11/14, 22:32] Patient: Sokal a 6:30 tay uthe hate asi 1 ghonta tar por lal cha khai porte boshi 10 tar dike brekfast kore dokan a boshe thaki 2 tar dike lunch kore bikal a lal cha kheye porte boshi 10 tar dike dinner kori

[11/14, 22:33] Patient: Breakfast parota, dal, dim sedho begun vaja

[11/14, 22:33] Patient: Lunch vat, dal, soyabin er rosha, dim vaja

[11/14, 22:34] Patient: Dinner vat, soyabin er rosha

[11/14, 22:35] Patient: Breakfast chhatu

[11/14, 22:37] Patient: Lunch vat, pepe ghonto, chachori, paneer

[11/15, 11:33] Patient: Dinner vat, Mach vaja, badhakofi ghonto, dim er curry

[11/15, 11:34] Patient: Breakfast ruti,sobji, dim sedho

[11/15, 16:46] Patient: Lunch vat, sag, chochori, sukna lonka vorta, mach er jhol

[11/18, 10:07] Patient: Dinner vat , dal, chocha bothi, alusedho , mach

[11/18, 10:07] Patient: Breakfast chhatu

[11/18, 10:08] Patient: Lunch vat begun vaja, sobji

[11/18, 10:09] Patient: Peyara

[11/18, 10:11] Patient: Dinner dim biriyani

[11/18, 10:12] Patient: Breakfast milk,almond, Banana chhatu

[11/18, 10:17] Patient: Lunch vat, dal, chicken fry,

[11/18, 10:20] Patient: Dinner vat, chocha bothi, dim er curry

[11/18, 15:54] Patient: Breakfast daliya r khichuri sobji diye

[11/18, 15:54] Patient: Lunch vat, dal,sag, badhakofi ghonto, alu vaja, paneer

[11/19, 12:02] Rakesh Biswas Sir: Ekhane bhaat beshi sobji kom?

[11/19, 12:03] Rakesh Biswas Sir: Eta thik mone hocche

[11/19, 12:08] Patient: Mama bari ayshechi to tai khaya ta thik moto hoche na

[11/27, 08:07] Rakesh Biswas Sir: Hourly activities?

[11/27, 08:07] Rakesh Biswas Sir: Fasting and PpBs weekly 

Ten BP readings on each Sunday of the week?

[11/27, 11:18] Patient: Breakfast roti sobji

[11/27, 11:18] Patient: Lunch vat dal dal er bora roaha

[11/27, 11:18] Patient: Dinner vat dal badhakofi ghonto

[11/27, 11:19] Patient: Phn nasto hoyechilo sir

[11/27, 11:19] Patient: Jol a pore gechilo

[11/27, 11:19] Patient: Sir 4 din por dichi biye barite aschi

[11/29, 08:57] Patient: Sir dat a betha sombar kichu khete parini chaatu kheye chilam

[11/29, 09:00] Patient: Kalk lunch a sobji dal diye sedho vat kheyechi pepe sedho, potol sedho, kuyash sedho, phulkofi vaja

[11/29, 09:00] Patient: Breakfast a milk kheyechi

[11/29, 09:09] Patient: Dinner a daliya kheyechi begun vaja ,dal er bora , phulkofi vaja, papor

[11/29, 16:59] Rakesh Biswas Sir: 👍

[11/30, 00:23] Patient: Breakfast vat dal sabji dim vaja

[11/30, 00:24] Patient: Lunch vat dal bora chochori dim er curry

[11/30, 00:24] Patient: Dinner polao mutton papor

[11/30, 21:50] Patient: Breakfast vat r sag

[11/30, 21:51] Patient: Lunch vat, dal, badhakofi ghonto, chhana rosha, alu vaja

[11/30, 21:52] Patient: Dinner daliya khichuri , badhakofi ghonto, chhana rosha

[12/2, 15:19] Patient: Breakfast chhatu kola

[12/2, 15:19] Patient: Lunch vat fulkofi vaja mach vaja

[12/2, 15:21] Patient: Dinner a Maggi gajor capsicum beans diye

[12/2, 15:22] Patient: Breakfast vat dal sedho pepe sedho gajol sedho potol sedho

[12/2, 15:22] Patient: Breakfast er por fruits kheyechi

[12/2, 15:24] Patient: Breakfast er age lal cha r almond kheyechi

[12/2, 15:24] Patient: Lunch vat badhakofi ghonto soyabin er rosha

[12/2, 20:29] Rakesh Biswas Sir: Dinner a Maggi mane moida!

[12/2, 20:29] Patient: Ha sir jani khaya thik na

[12/2, 20:29] Patient: Kintu khub khete eche korchilo

[12/3, 15:24] Patient: Dinner badhakofi ghonto soyabin er rosha parota chhana salad

[12/3, 15:24] Patient: Breakfast a chaa r almond

[12/3, 15:25] Patient: Chanar parota lunch a

[12/3, 15:25] Patient: Ajk exm chilo tai sokale kichu khaya hoyni r

[12/3, 18:33] Rakesh Biswas Sir: Oshudh 

Ki Ki newa hocche ekbar share korun

[12/4, 09:30] Patient: Eita sokal a khaya hoyni

[12/4, 09:30] Patient: Eitao khaya hoyni kal

[12/4, 09:31] Patient: Ata niye giyechilam songe parota kheye kheyechi

[12/4, 09:31] Patient: Dinner parota pepe ghonto dim er curry

[12/4, 20:40] Rakesh Biswas Sir: Eta kokhon khawa hoi?

[12/4, 20:48] Patient: Breakfast er age

[12/4, 20:51] Rakesh Biswas Sir: 👆Are eta?

[12/4, 20:52] Patient: Atao

[12/4, 20:58] Rakesh Biswas Sir: Dutoi sokale ekbar? 

Eduto sokale khawar du ghonta bade sugar test ta last kabe kora hoyechilo?

[12/4, 21:34] Patient: Haa tai to bolechilen

[12/4, 21:34] Patient: Ajk korechi

[12/4, 21:34] Patient: Dichi

[12/4, 21:36] Patient: Breakfast a chatu kheyechi

[12/4, 21:36] Patient: Breakfast er por kora hoyni

[12/4, 21:36] Patient: Xm chilo

[12/4, 21:36] Patient: Lunch khichuri sobji diye begun vaja

[12/4, 21:38] Patient: Lunch er por

[12/4, 21:41] Rakesh Biswas Sir: Lunch aer du ghonta bade?

[12/4, 21:41] Rakesh Biswas Sir: Ota KalKe Kore janano jabe?

[12/5, 00:10] Patient: Haa

[12/5, 00:11] Patient: Hàa

[12/5, 00:16] Patient: Dinner vat, dal , badhakofi ghonto, begun vaja, fulkopi gajor vaja, dim sedho

[12/6, 17:05] Patient: Breakfast chhatu milk almond kola

[12/6, 17:07] Patient: Lunch polao chicken curry

[12/6, 17:08] Patient: Dinner ruti sobji

[12/6, 17:09] Patient: Breakfast milk

[12/6, 17:10] Patient: Lunch vat dal sag sukta chachori salad

[12/6, 22:03] Rakesh Biswas Sir: 👍

[12/8, 15:18] Patient: Dinner dhosa

[12/8, 15:18] Patient: Breakfast chattu

[12/8, 15:19] Patient: Lunch vat dal badhakofi ghonto paneer rosha

[12/9, 07:55] Rakesh Biswas Sir: 👍

[12/9, 13:50] Patient: Dinner vat dal badhakofi ghonto dim er curry