Wednesday, June 5, 2013

BMJ Case Reports approach to clinical problem solving in

Welcome to our UDHC network. Thanks for joining.

I am forwarding a potential case-report currently emailed by our social worker from Mathabhanga. Please help this patient (see details attached) to arrive at an innovative solution for his low back ache.

The steps toward this are:

a) Transcribe and translate the patient's handwritten letter/history and provide a summary of his problem inputs posted to the UDHC narrative page. (similar to what has been recently done by Deepanjan here:

b) Search for current best evidence for diagnosis and further management of lumbar canal stenosis (something of the sort provided here: and as well as other evidence of 'innovative therapy discussed in social media sites on low-backache and lumbar stenosis (see this link to a recent BMJ Case Report from university of Sheffield detailing a process of social media data matching that the Sheffield team did along with their patient of chronic abdominal pain labeled IBS:

c) Match your available individual patient data to generalizable patient data/current best evidence available online


d) Come up with a contextually matched patient management plan. Send it as an output1 (back to the patient through the social worker and his local physician) after getting moderator clearance (the current moderator for 726 area PIN code is me) and follow up the response to treatment through a series of inputs and outputs (see the input and output page here:

e) Prepare a case report for BMJ Case Reports similar to

For step 'a' you may require the help of someone who knows how to read and translate from Bengali (particularly from area pin code 726 or even starting from 700 and so on...this patient's botanical name attached by the social worker is LEUCAS CEPHALOTES and the website name will read as LEUCAS726CEPHALOTES).

Looking forward to working with you (and other interested UDHC co-authors copied here) around this patient.



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