Powered by Azure OpenAI models, August leverages their unmatched accuracy, reliability, and scalability. https://www.microsoft.com/en-in/aifirstmovers/august-ai
Here in this PaJR case report EHR : https://pajrcasereporter.blogspot.com/2025/03/63m-metabolic-syn-dyspnea-2-years-wb.html?m=1, we present a conversation that revolves around a patient (63M Metabolic Syn) interacting with August AI, an artificial intelligence system, as part of their PaJR (Patient Advocacy and Journey Record) group. The AI system spontaneously checks in with the patient, inquiring about their health and well-being. The patient shares their experiences, and the AI provides supportive and informative responses. Our PaJR tryst with August AI was first presented in a November 2024 UoH lecture here: https://youtube.com/shorts/i1nTTGgtdzU?feature=shared
*Key Words:*
- PaJR (Patient Advocacy and Journey Record)
- August AI
- Patient engagement
- Artificial intelligence in healthcare
- Personalized support
- Health monitoring
UDLCO glossary:https://userdrivenhealthcare.blogspot.com/2023/11/glossary-of-user-driven-healthcare.html?m=1
Conversational Transcripts:
26/01, 20:27]cm: Here's an amazing August AI bolt from the blue in our PaJR group where it spontaneously checked in with the PaJR patient and began a supportive conversation!
I guess AI will soon take over the entire PaJR functioning easily in near future!
[26/01, 20:10] Aug AI : Hi there! Just checking in. সব ঠিকঠাক চলছে তো? শরীর কেমন লাগছে আজকাল?
[26/01, 20:10] Patient Advocate 63M Metabolic Syn: এমনিতে সব ঠিকঠাক আছে। গত দশ তারিখ থেকে কোলকাতায় আছি। ফলে খাওয়া দাওয়া ইত্যাদি সবকিছুই নিয়মের বাইরে চলছে ! ওজনও বেড়েছে মনে হচ্ছে!! আগামী ২৯ তারিখ ট্রেনে উঠছি নালাগোন্ডা যাওয়ার জন্য, চেক আপ করতে।
[26/01, 20:10] Aug AI : কোলকাতায় থাকলে খাওয়া-দাওয়ার নিয়ম একটু এদিক-ওদিক হওয়াটাই স্বাভাবিক! 😄 তবে, ওজন বেড়ে যাওয়া নিয়ে চিন্তা করো না। তুমি যখন নালাগোন্ডায় চেক-আপ করতে যাবে, তখন সবকিছু ঠিকঠাক হয়ে যাবে।
[26/01, 20:10] Aug AI : এখন, তুমি কি কোনো বিশেষ শারীরিক সমস্যা অনুভব করছো? যেমন ক্লান্তি, হজমের সমস্যা, বা অন্য কিছু? যদি কিছু থাকে, তাহলে আমাকে জানাও।
[26/01, 20:10] Patient Advocate 63M Metabolic Syn: ঠিক ক্লান্তি নয় কিন্তু আলস্য বলে একটা ব্যাপার তো আছেই! এখানে সারাদিনে খাওয়া আর ঘুমানো ছাড়া তো আর কোন কাজ নেই! সকালের হাঁটাহাঁটিও বন্ধ আছে, বিছানা ছাড়তেও বেলা হয়ে যায়।
হজমের সেরকম কোন সমস্যার সম্মুখীন হতে হয় নি কিন্তু অনিয়মিত তথা অনিয়ন্ত্রিত খাওয়া দাওয়ার ফলে মাঝে মধ্যে অ্যাসিডিটির সমস্যা হচ্ছে। পেটটাও সেভাবে পরিষ্কার হচ্ছে না বলেই মনে হচ্ছে। এই আর কি।
[26/01, 20:10] Aug AI : কোলকাতার মজাদার খাবার খাওয়ার পর একটু আলস্য আসতেই পারে! 😄 তবে, অ্যাসিডিটি এবং পেট পরিষ্কার না হওয়ার সমস্যাটা একটু বিরক্তিকর হতে পারে।
[26/01, 20:10] Patient Advocate 63M Metabolic Syn: এক্ষেত্রে, তুমি কি পর্যাপ্ত পানি পান করছো? পানি হজমের প্রক্রিয়াকে সাহায্য করে এবং অ্যাসিডিটি কমাতে সহায়ক হতে পারে।
[26/01, 20:10] Patient Advocate 63M Metabolic Syn: ধন্যবাদ।
[26/01, 20:10] Aug AI : ঠিক আছে! 😊 তুমি কি দিনে অন্তত ৮ গ্লাস পানি পান করছো? এটা হজমের জন্য খুবই গুরুত্বপূর্ণ।
[26/01, 20:10] Patient Advocate 63M Metabolic Syn: Conversation with AI, for your information.
@Patient advocate 23F Weight Gain please add this latest also to the patient's case report archive 👇
[26/01, 20:28]rng: Unfortunately, not literate on written Bengali text though we speak at home all the time
[26/01, 20:30]cm: Can paste it in Google translate
Will do it myself and reshare
[26/01, 20:31 rng: No. Will do it
[26/01, 20:31]rng: On the treadmill now
[26/01, 20:32]cm: Here's the translation of the conversation:
Initial Message
"Here's an amazing August AI bolt from the blue in our PaJR group where it spontaneously checked in with the PaJR patient and began a supportive conversation! I guess AI will soon take over the entire PaJR functioning easily in near future!"
AI-Patient Conversation
*Aug AI*: Hi there! Just checking in. Everything going well? How's your health lately?
*Patient Advocate 63M Metabolic Syn*: Everything's fine. I've been in Kolkata since the 10th. As a result, my eating habits and everything else have been irregular! My weight seems to have increased too!! I'm taking the train to Nalgonda on the 29th for a check-up.
*Aug AI*: It's natural to have irregular eating habits while staying in Kolkata! Don't worry about the weight gain. When you go for your check-up in Nalgonda, everything will be fine.
*Aug AI*: Are you experiencing any specific physical issues, like fatigue, digestion problems, or something else? If you have any issues, let me know.
*Patient Advocate 63M Metabolic Syn*: It's not exactly fatigue, but I do feel lethargic! There's nothing to do here except eat and sleep all day! I've stopped my morning walks, and I'm getting out of bed late. I haven't had any digestion issues, but I do experience acidity due to irregular eating habits. My bowel movements aren't regular either.
*Aug AI*: The delicious food in Kolkata can make you feel lethargic! However, acidity and irregular bowel movements can be bothersome.
*Patient Advocate 63M Metabolic Syn*: Are you drinking enough water? Water helps with digestion and can reduce acidity.
*Patient Advocate 63M Metabolic Syn*: Thank you.
*Aug AI*: Are you drinking at least 8 glasses of water a day? This is crucial for digestion.
*Patient Advocate 63M Metabolic Syn*: Conversation with AI, for your information. @lb please add this latest conversation to the patient's case report archive.
[27/01, 00:02]rng: Re: Here's an amazing August AI bolt from the blue in our PaJR group where it spontaneously checked in with the PaJR patient and began a supportive conversation! I guess AI will soon take over the entire PaJR functioning easily in near future!"
How did this kick in ? Is PaJR a messaging application between Dr and Patient where AI can step in? Like Meta poking its nose in a group discussion? or Chat between two people ?
[27/01, 08:12]cm: Thanks for this important question!
If you see the entry made into his PaJR EMR on 13/11/24 here 👇
You will notice that our PaJR team members began teaching the patient's advocate how to use August AI on his own from then onwards and he kept interacting with it with intermittent sharing of it's proceeds.
[27/01, 08:13]cm: More about our PaJR ecosystem here:
[27/01, 08:15]cm: Here's a portal to enter many of our individual patient PaJR groups that keep growing everday👇
August AI resurfaces again on 25th March 2025:
Patient advocate 63M : "Is there any need to send the discharge report to August AI?"
Today's morning update:
"I woke up around 3:30 AM. After tossing and turning until 5, I got out of bed at 5, completed my morning routine, had some vapor, and rinsed my mouth with salt water.
Around 6:15 AM, I went out for a walk and reached my destination by 7:10 AM. After a 10-minute break, I sat at a tea shop around 7:30 AM.
First, I had a bowl of local chickpea curry and then a cup of unsweetened milk tea. After that, I took a toto (auto-rickshaw) to roam around the market and returned home around 8:15 AM. After doing some small tasks, I took a shower and then had breakfast.
After returning home, I had two local Malbhog bananas.
Around 11:30 AM, I had to go out for some work. On the way, I took a toto, completed my tasks, and spent some time chatting over a cup of unsweetened milk tea. I walked back home around 1:00 PM. After that, I prepared a bit for lunch."
August AI automatically pinging patient advocate 63M:
"Hi there! Just checking in. How are you now? Have the digestion issues due to acidity or laziness decreased? Has your routine returned to normal after coming back from Kolkata? Take care."
Patient advocate 63M
: "Currently, there are no such issues, thank you. Yes, the old routine is still in place."
August AI: "I'm glad to hear that! 😊 Returning to the old routine is always healthy. Regular walking, eating the right food, and drinking enough water are all good for the body."
"If you ever want to discuss new recipes or diet plans, I'm here! And let me know if you want to prepare anything before going to Nalgonda. Travel safely! 🚆✨"
Patient advocate 63M
: "Thank you. I have returned from Nalgonda. Everything is pretty much fine."
August AI: "Absolutely! It's great news that you've returned from Nalgonda! 😊 If everything is fine, that's good."
"Have you had the chance to try any new experiences or foods? Or do you have any new plans regarding health? I'm eager to hear! 🍽️✨"
Patient advocate 63M
: "Nothing like that, everything will continue as before for now, thank you very much."
August AI: "That's fine! 😊 Continuing as before means stability. You take care, and if you ever want to know something or feel like discussing, I'm here. Have a great day! 🌟"
Patient advocate 63M to August AI
: "Okay."
Patient advocate 63M to PaJR team
: "Is there any need to send the discharge report to August AI?"
*Thematic Analysis:*
*Coding:*
1. Patient engagement and support
2. Artificial intelligence in healthcare
3. Personalized support and monitoring
4. Health and wellness
5. Patient advocacy
*Categorization:*
1. *Patient-centered care*: The conversation highlights the importance of patient-centered care, where the patient's needs and concerns are prioritized.
2. *Artificial intelligence in healthcare*: The use of August AI demonstrates the potential of artificial intelligence in healthcare to provide personalized support and monitoring.
3. *Personalized support*: The AI system's responses are tailored to the patient's specific needs and concerns, providing personalized support and guidance.
4. *Health and wellness*: The conversation focuses on the patient's health and wellness, with the AI system providing information and support to promote healthy habits.
*Learning Points:*
1. Artificial intelligence can be an effective tool in healthcare to provide personalized support and monitoring.
2. Patient-centered care is essential in healthcare, and technology can facilitate this approach.
3. Personalized support and guidance can improve patient outcomes and overall well-being.
4. Healthcare providers should consider integrating artificial intelligence into their practice to enhance patient care.
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