Dr sudhir shah m d d m neurology
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Dr. Sudhir Shah M.D., D.M. (Neurology) . Consultant Neurologist Honorary Professor & Head, Dept. of Neurology K.M. School of PGMR Smt. NHL Municipal Medical College Director of Neurosciences, Sterling Hospital Head of research panel – Mataji’s case Sterling Hospital.

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Dr sudhir shah m d d m neurology l.jpg
Dr. Sudhir ShahM.D., D.M. (Neurology)

  • Consultant Neurologist

  • Honorary Professor & Head, Dept. of Neurology

    K.M. School of PGMR

    Smt. NHL Municipal Medical College

  • Director of Neurosciences, Sterling Hospital

  • Head of research panel – Mataji’s case Sterling Hospital


A case study of jai ambe prahladbhai m jani l.jpg
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).


Slide4 l.jpg

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 - 2001 )


Introduction l.jpg
Introduction 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 - 2001 )

Name : Jay Ambe

Prahaladbhai Maganlal Jani

Date of Birth : 12-13/08/1929, Monday

Time of Birth : 2.04 A.M.

Place of Birth : Charada

Moonsign : Scorpio

Birth Nakshatra : Vishakha-Chaturtha Charan


History l.jpg
History 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 - 2001 )

  • A Physically fit 75/M-Prahlad Jani (Chunriwala Mataji)

  • Wandered in jungles since age of 7

  • Experiences enormous light and strength when he goes in state of samadhi

  • He claims -

    • He does not eat, does not drink liquids, nor does he pass urine/stool since age of 11

    • Limited ability to read and write

    • In 1942 was investigated at J. J. Hospital, under care of doctors and police for 45 days

    • He has a hole in his palate which supposedly secretes nectar for his survival


Study panel of doctors l.jpg
Study – Panel of Doctors 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 - 2001 )

  • 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)


Study panel of doctors10 l.jpg
Study – Panel of Doctors 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 - 2001 )

  • 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


The affidavit l.jpg
The Affidavit 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 - 2001 )


Monitoring at sterling hospital 12 11 03 to 22 11 03 l.jpg
Monitoring at Sterling Hospital 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 - 2001 )(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 Association

  • Strict protocol was followed

  • He was confined in a special room with a glass door and a toilet door was sealed. He was monitored by

    • CCTV camera

    • Staff Vigilance

    • Security

    • Doctor on duty

    • Monitoring panel

    • Specialist doctors

    • Hospital surveillance

  • For first 24 hours he was strictly monitored in ICU

  • Notes of doctors


Protocol l.jpg
Protocol 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 - 2001 )

  • Examination by a panel of 3 doctors daily

  • Examination by experts at least once every 5th day

  • The project was not done with an intention to prove or disprove an individual but to create an opening of a new dimension in science


Slide15 l.jpg

Protocol 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 - 2001 )

The project was to be terminated if:

  • The reports of investigations crossed the predetermined safe range

  • When it seemed that no further information would be available by prolonging the project

  • At no cost, project was to be prolonged for the sake of records

  • At no cost, safety, dignity and privacy of Mr. Jani was to be endangered


Slide16 l.jpg

Protocol 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 - 2001 )

Prahladbhai Jani refused for any invasive procedures like IV Injections, IV Dyes or IV Fluids. So, investigations were restricted to non-invasive procedures only.


Slide17 l.jpg

Protocol 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 - 2001 )

  • The 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.


Slide21 l.jpg

  • 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.


Daily checking l.jpg
Daily Checking with following matter:

  • General clinical examination

  • Daily weight (Varied from 42 kg to 38 kg)

  • Vital data like Temperature, Pulse, BP and Respiration.

  • Pulse: 42-46/min

  • RR: 12-16min

  • BP: 110/60 mmHg

  • (Vitals s/o some autonomic control ?)

  • Bladder capacity was checked by ultrasound twice daily


Various tests l.jpg
Various Tests with following matter:

  • Hematological examination every alternate day.

  • Biochemistry reports repeated every fourth day.

  • Neuropsychological evaluation and EEG.

  • ECG, 2-D Echo & Cardiac evaluation

  • Radiological 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 BMR

  • Audiological examination

  • Genetic study


Psychological assessment l.jpg
Psychological Assessment with following matter:

  • 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.


Hematology l.jpg

DATE with following matter:

12/11/03

14/11/03

16/11/03

18/11/03

20/11/03

Hb: G%

10.8

11.3

11.5

12.3

12.9

T. RBC: /c.mm.

4.17

4.37

4.49

4.87

5.17

TC

/c.mm.

4880

5780

5640

8180

7690

DC

40/47/10/03/00

47/41/09/03/00

52/36/09/03/00

66/27/04/03/00

62/25/04/05/01

PC /c.mm.

3,52,000

4,25,000

4,53,000

5,03,000

4,86,000

ESR

10mm/1hr

-

-

-

-

-

-

-

25mm/1hr

52mm/ 2 hrs

MPV fl.

-

-

-

-

9.0

HCT

35.8

37.9

38.5

42.0

42.2

MCV

85.9

86.7

85.7

86.2

81.6

MCH

25.9

25.9

25.6

25.3

25.0

MCHC

30.2

29.8

29.9

29.3

30.6

Hematology


Biochemistry l.jpg

DATE with following matter:

12/11/03

14/11/03

15/11/03

16/11/03

18/11/03

20/11/03

21/11/03

25/11/03

Prolactin

3.80

-

-

-

-

-

-

-

S. Cortisol

12.2

-

-

-

-

-

-

-

T. Proteins

7.27

-

-

-

-

-

-

-

Albumin

4.05

-

-

-

-

-

-

-

Globulin

3.22

-

-

-

-

-

-

-

A/G Ratio

1.26

-

-

-

-

-

-

-

Gamma GT

31.0

-

-

-

-

-

-

-

T-3

0.86

-

-

-

-

0.97

-

-

T-4

5.90

-

-

-

-

9.0

-

-

TSH

3.15

-

-

-

-

2.1

-

-

H. Growth Hormone

0.14

-

-

-

-

-

-

-

Biochemistry


Biochemistry28 l.jpg

S.Cholesterol with following matter:

216.0

-

-

-

-

-

-

-

S.Triglycerides

127.6

-

-

-

-

-

-

-

HDL

57.2

-

-

-

-

-

-

-

Direct LDL

118.9

-

-

-

-

-

-

-

Cal. LDL

133.28

-

-

-

-

-

-

-

VLDL

26

-

-

-

-

-

-

-

LDL/HDL

2.079

-

-

-

-

-

-

-

Cholesterol/ HDL

3.776

-

-

-

-

-

-

-

S. Na+

139.8

145.1

143.7

148.3

154.3

155.9

143.5

137.5

S. K+

4.61

4.60

-

4.97

4.37

4.67

4.16

3.40

S. Cl-

103.2

107.0

-

106.8

107.5

115.9

101.5

-

Non Prostatic ACP

2.58

-

-

-

-

-

-

-

S. Acid Phosphatase

4.58

-

-

-

-

-

-

-

Biochemistry


Slide29 l.jpg

DATE with following matter:

12/11/03

14/11/03

15/11/03

16/11/03

18/11/03

20/11/03

21/11/03

25/11/03

Biochemistry

Prostatic acid Phosphatase

135.19

-

-

-

-

-

-

-

T. Bilirubin

0.48

-

-

-

-

-

-

-

Conj. Bilirubin

0.10

-

-

-

-

-

-

-

Unconj Bilirubin

0.38

-

-

-

-

-

-

-

Delta

0

-

-

-

-

-

-

-

SGPT

21.0

-

-

-

10.0

24

-

23.0

SGOT

22.0

-

-

-

-

-

-

-

S. Alkaline phosphatase

95.0

-

-

-

-

-

-

-

S. Acetone

-

-

30.0

30.0

30.0

-

30.0

-

FBS

85.7

-

-

-

-

76

-

-

RBS

-

-

-

84.9

162.0

-

-

99.8


Slide30 l.jpg

Blood Urea with following matter:

33.0

46.9

-

59.6

63.7

77

87.5

48.2

Biochemistry

S. Creatinine

1.36

1.53

-

1.52

1.75

1.7

1.46

1.40

S. Uric acid

5.26

-

-

-

11.44

-

-

-

Venous (ABG) PH

-

-

-

-

7.31

-

-

-

PCO2

-

-

-

-

48

-

-

-

PO2

-

-

-

-

23

-

-

-

TCO2

-

-

-

-

25

-

-

-

HCO3

-

-

-

-

23

-

-

-

BE

-

-

-

-

-3.0

-

-

-

O2 sat

-

-

-

-

35%

-

-

-

Plasma Cortisol AM:

-

-

-

-

-

11.0

-

-


Metabolic profile l.jpg
Metabolic Profile with following matter:


Radiological investigations l.jpg
Radiological Investigations with following matter:

  • X-Ray Chest PA (12/11/03):

    No significant abnormality detected.

  • USG Abdomen (12/11/03):

    No significant abnormality detected.

  • 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 study

  • MR cholanigopancreatography: Normal study

  • MRI Abdomen – pelvis : Presence of bowel gas, etc were seen.

    Gall bladder collapsed.

    Urinary bladder partially filled with urine around 70ml.


Slide33 l.jpg

MR Angio Intracranial with following matter:


Slide34 l.jpg

MR Brain with following matter:


Slide35 l.jpg

MR Abdomen with following matter:


Slide36 l.jpg

MR Pelvis with following matter:


Slide37 l.jpg

MR Chest with following matter:


Slide38 l.jpg

MRCP with following matter:


Slide39 l.jpg

MR Abdomen with following matter:


Slide40 l.jpg

USG Kidneys with following matter:


Slide41 l.jpg

USG Bladder with following matter:


Slide42 l.jpg

USG Bladder with following matter:


Slide43 l.jpg

13/11/2003 with following matter:

14/11/2003

15/11/2003


Slide45 l.jpg

18/11/2003 with following matter:


Slide47 l.jpg

  • Audiological Evaluation: (17/11/03) with following matter:

    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 plaque

  • Cartography (26/11/03):

    Normal vascular and cardiac study.

  • Genetic Study: Normal


Slide48 l.jpg
ECG with following matter:


Doppler study l.jpg
Doppler Study with following matter:


Genetic study l.jpg
Genetic Study with following matter:


Points for debate l.jpg
Points for Debate with following matter:

  • Reabsorption of urine from bladder

  • Some internal secretion from the hole in palate

  • Transient signs of dehydration

  • Transient altered renal functions

  • Weight loss

  • Role of Meditation


Hypothesis l.jpg
Hypothesis with following matter:

  • Chronic Adaptation

    • Down regulation of cellular and receptor function.

  • Cosmic Energy

    • Photosynthesis: Pathway

    • Role of pineal gland

    • Hypothalamus, pituitary, amygdala & limbic system

    • Role of mind

    • Meditation, Yoga, mechanical & chemical

  • Energy economy and recycling energy

  • Genetics, Engineering and cloning


Application of this phenomenon l.jpg
Application of this phenomenon with following matter:

  • Sustaining and surviving in adverse situations like soldiers in mountains

  • Long term survival for space travelers

  • Mental strength and agility

  • Effect on ageing process – Preventing Atherosclerosis

  • Cognitive improvement and psychic achievement

  • Option of food ?


Application of this phenomenon54 l.jpg
Application of this phenomenon with following matter:

  • Cosmic energy

  • Cloning research and Genetic engineering

  • Challenging calorie mathematics and Science

  • Obesity and malnutrition


Acknowledgement l.jpg
Acknowledgement with following matter:

  • Association of physicians of Ahmedabad : Dr. Bipin Patel, Dr. Urman Dhruv and the executive committee for monitoring and protocol.

  • All consultants involved in research project

  • Sterling 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.


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