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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
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
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
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
Introduction

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
History
  • 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
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)
study panel of doctors10
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
monitoring at sterling hospital 12 11 03 to 22 11 03
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 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
Protocol
  • 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

Protocol

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

Protocol

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

Protocol

  • 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
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
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/min
  • RR: 12-16min
  • BP: 110/60 mmHg
  • (Vitals s/o some autonomic control ?)
  • Bladder capacity was checked by ultrasound twice daily
various tests
Various Tests
  • 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
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.
hematology

DATE

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

DATE

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

S.Cholesterol

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

DATE

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

Blood Urea

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

-

-

radiological investigations
Radiological Investigations
  • 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.

slide43

13/11/2003

14/11/2003

15/11/2003

slide47
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 plaque

  • Cartography (26/11/03):

Normal vascular and cardiac study.

  • Genetic Study: Normal
points for debate
Points for Debate
  • 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
Hypothesis
  • 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
Application of this phenomenon
  • 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
Application of this phenomenon
  • Cosmic energy
  • Cloning research and Genetic engineering
  • Challenging calorie mathematics and Science
  • Obesity and malnutrition
acknowledgement
Acknowledgement
  • 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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