Saturday, 27 June 2020

Class practicals 19/June/2020 - MK Sastry

Class practicals 19/June/2020 - MK Sastry

From Mk Sastry 
HoD Dept P&RM , Integrative and Functional Medicine. 

Indian medical system inspite of all one of the best system becuase here we are trained as risk taking Physician as exposure to large number of patient due patient ratio . 

Joint zoom clinic in many countries of the world . Its now easy for us to manage many international cases .  

Summary 
Case 1 from Paris 
Spinal cord injury patient T11-T12 , tranjection injury , Post op fixation, cauda equina  syndrome , incontinence bowl bladder , paraplegic , on Physical theraphy since 30 months , 
Jointly done with French Physician through , case on record with the Hospital for future analysis and report and publications. 
Time 6 days , every day treatment mid night of India. Started walking with Braces independently , total treating hours 12 , each day two hours ..
Nibs with nerve stimulation , carm guided , eTMS , ( transcranial magnetic stimulation) 

Case 2 Maxico 
Team of Doctors, Dept of P& RM reputed Hospital. 
F/ 32 years , post op cervical Mylopathy,  Quadriparesis, 1/5 power in all limbs  Long standing case cannal stenosis , cord edema c5 to c7 . 
Already on treatment since post  surgery. 24+months . 

Indian time mid night alternative days . Treatment seesion 15 . 
Under guidence Mk Sastry . 
Procedure Dry Needles based brain mapping , patient responded and started moving all limb power 4/5 global muscle power. 
For spasticity used DNS ( Dextrose Normal Saline D5 N.9%  solutions.. with 24 gauz needle and 30 ml each day used. ) 
No other medications was provided. 
Patient responded and he started walking . 
Further Nibs withdrawn , refered for Physical theraphy , strengthening , Cordinatotion , weight bearing and gait correction. 

Case 3 . Indonesia 
Dr Analyia and Pak Fitri 

Male /35 years 

From Mk Sastry. 

This case is a wonderful from Indonesia,  proving the  efficacy of Nibs non invasive brain stimulation. Patient on bed started walking with support  in 3 days  20 mins brain stimulation 2 hours muscle programing . On bed for 15 months. 

C/o patient aged 36 years , having large  cerebral haemorrhage , and emergency surgery was performed and accordingly and  ventriculoperitoneal (VP) shunt programable was placed  more likely. Under GA with carinotomy along with Cranioplasty was  performed . No documentation was produced before treatment. Patient GCS was below 6 and was in comma for 15 days . Thereby was discharged on advise. 
O/E. GCS 11 , upper and Lower Limb flaccid.  On bed for 15 months . No physical therapy was performed. Voice aphasia. Disoriented and highly anxious .
DTR and Plantar absent.  Pupil dilation +2 ve both eyes . 
Chest S1 + S2 no murmur. Spo 96 % 
Co-morbid with seizures, essential hypertension , type 2 DM but insulin dependent . Both short acting and long acting was given ..
Strength of affected limb 0/5 both upper and Lower . 

History of conservative treatment not known . 

Accordingly Sastry  NIBS dry needle  with SNIT was planned . 

Team pak Fitri , ibu Dr Amalyia medical doctor from Indonesia and my self . 

Translator Dr yuliawati , kaiysah Malaysia and Mieke .

Three treatment  hours was provided along with Muscle traning , brain cortical stimulation was provided for 2o mins in three days. 
On third day SNIT principles with  injection was provided to reduce spasticity. And there after the patient started walking , 1st change he was able to seat independently , than stand by support , than walked with support . 
Able to perform  motor moments , strength 3/5 . 
After ,20 mins knee got strength .
Clonus was present accepted as good sigh . 
Further advise to continue treatment 
Advised for endocrinologist or family physician to control sugar. 

Excellent case only 20 mins , 20 needles in just 3 hours of  3 days. And 50 ml normal saline with Sastry pen. 

Case 5 Indonesia Dr Salman Riyadi . And Dr Naliyani . 
Guidence Mk Sastry indian . 

Male 65 years Post CVA 5 years , spastic Paralysis , Circumduction gait patern . 
Nibs performed patient recovered completely 90% in 20 mins of nibs 40 mins of muscle power traning. 
Treatment Dry Needles based brain mapping and Stimulating . Functional Neuroanatomy. 

More cases to come. 
I congratulate all for all success .


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