Alternate Treatments

For knee pain

• Ratha paala (From country medicine shop). Make it into a powder, mix with water and make a paste and rub on knee

For stone in kidney, gall bladder

1. Arugam pul juice
2. Sirumgannupillai powder (From country medicine shop). Mix with boiled water and drink.
3. Vazha thandu (in limited quantity)
4. Beans
5. Heat Murangai keerai, garlic, jeera, pepper in water, extract juice and drink

For constipation

1. Dulcolux tablet - 2 for adults, 1 for children
2. Malai vazhai pazham. (Variety of banana)
3. https://www.yogisherbs.com/kadukkai-universal-panacea/ Mix Kadukkai powder in warm water and drink. Very effective.

கடுக்காய் வாயிலும் தொண்டையிலும், இரைப்பையிலும், குடலிலும் உள்ள ரணங்கள் ஆற்றிடும் வல்லமை பெற்றது. மலச்சிக்கலைப் போக்கி குடல் சக்தியை ஊக்கப்படுத்தும். பசியைத் தூண்டி இரத்தத்தைச் சுத்தப்படுத்தி வாத பித்த கபம் ஆகியவற்றால் வரும் ஏராளமான நோய்களைக் குணப்படுத்தும்.

2. காது நோய் குணப்படுத்தும். கடுக்காய் வலிமையூட்டி, நீர்பெருக்கி, புண்கள், கண்நோய், இருமல், காமாலை, கை கால் நமச்சல், இரைப்பு, நாவறட்சி, மார்பு நோய், மூலம், வயிற்றுப்பொருமல், விக்கல் போன்றவைகளை குணப்படுத்தும்.

3. காலையில் இஞ்சி, கடும்பகல் சுக்கு, மாலையில் கடுக்காய் என 48 நாட்கள் இதன் பொடிகளை உட்கொண்டால் நரை, திரை, மூப்பு இன்றி இளமையாக வாழலாம்

4. கடுக்காய் ஓட்டைத்தூளாக்கி இரவு உணவு உண்டதும் அரை தேக்கரண்டி பொடியைத் தின்று, ஒரு டம்ளர் நீரைக் குடித்துவர உடல் வலுவாகும். வாதம் குணமாகும்.

5. மூன்று கடுக்காய்த் தோல்களை எடுத்து, தேவையான இஞ்சி, மிளகாய், புளி, உளுத்தம்பருப்பு சேர்த்து எல்லாவற்றையும் நெய்யில் வதக்கி எடுத்து உப்பு சேர்த்து துவையலாக அரைத்து சாதத்துடன் பிசைந்து உண்டுவர, ஜீரணசக்தி கூடும். மலச்சிக்கல் மாறும், உடல் பலம் பெறும்.

6. கடுக்காய்த் தூளை 10 கிராம் எடுத்து, அதே அளவு சுக்குத்தூள், திப்பிலித்தூள் எடுத்து கலந்து கொண்டு காலை, மாலை அரை ஸ்பூன் வீதம், 21 நாட்கள் சாப்பிட்டுவர, வாதவலி, பித்த நோய்கள் குணமாகும்.

Cleaning Dark Coloring In Metal Vessels

Add the following and heat in a cooker. Soak overnight. (Don't forget to immerse the stained metal vessel in this mixture inside the cooker).

1. White vinegar
2. Lemon
3. Salt
4. Hot water
5. Club soda or baking soda
6. Onion outer layer
7. Mild detergent

Or heat with warm cola (aerated drink)

Additional Reading

1. https://recipes.timesofindia.com/articles/kitchen-hacks/8-ways-to-clean-tough-burn-stains-from-utensils/photostory/63985942.cms
2. https://www.boldsky.com/home-n-garden/improvement/2014/ten-easy-ways-to-clean-a-burnt-vessel-039687.html
3. https://food.ndtv.com/food-drinks/1693827

Apart From Arthritis And Parkinson's

Kidney function test seems normal. Passageway in liver seems ok. No endoscopy (procedure involving tube inserted through mouth) needed. Ultrasound semed to indicate issue in passageway. But MRCP (MRI) of abdomen has confirmed no issue. 

But gall bladder has stone. This has caused caused pain. It MAY cause pus, jaundice, fever in which case surgery (Laproscopy) will definitely be needed no matter how frail the patient is. On gallbladder stone: https://www.healthline.com/health/gallstones. On Laproscopic stone removal: https://www.healthline.com/health/gallbladder-removal-laparoscopic

The uterus wall is 10mm thick which is abnormal. The urine culture, cystology test results removed the possibility (80% removed) of malignancy in the urinary tract. Mild antibiotics prescribed for the infection. Another followup urine test is suggested to ensure infection is removed.

A Transvaginal scan for Endometrial thickeners is requested in 6 weeks. This will confirm or rule out malignancy in uterus. The option of biopsy is not advised considering the frail condition.


Things to be done immediately

• Start antibiotics (1st), finish 5th. Finished
• Get 2nd opinion (SR) at Amman st. (2nd to 7th). Cancelled
• Meet gynec to confirm combined (ASAP but after 2nd opinion), get estimate. Done. 40-50k
• Inform ashwins (by 10th). Copy of policy, aadhaar, both dr reports to initiate cashless thru river dept - 2 days prior to admission. Done
• Get tests done 

• Asha billing estimated cost Rs12k for blood heart tests excluding 10% discount. Doesn't include urine test. Get estimate for urine test also. 
• Other lab estimate 4.4k for blood, 700 for urine culture, cardio, echo etc almost same as asha.
• Get river estimate: 2970 for surgipack, 350+480+950 for the three cardio. River best.
• Cardio test on 6th noon (Less waiting). Other tests (blood surgipack), urine culture, review check by cardio, a little before surgery. This date to be coordinated with moni.

• Confirm with gynec on 4th. (13th to 20th is fine for surgery). Historoscopy, bladder test cystoscopy together about 40-50k. On date of admission, all or concerned specialists will see her. Coordination wont be a problem. Gall is the bigger issue and CM will be the admitting surgeon.
• Confirm with neuro (checked on 4th. Medicines can be continued. No conflict)
• Meet CM Basu - Done

• Anyday ok except sunday
• Inform him one day in advance so he can minimize waiting time for admission. Even if he is in surgery.
• Anytime is ok for admission. noon is fine.
• He will call manager and expedite admission, room ready etc
• 6th Mar 

• Echo x ray cardio done.

• Insurance initiated

• Gave aadhaar, policy doc, ashwin url email, vadivel basu gynec reports and test reports scans to srid insurance.

• Left insurance form, jyoti vaishnavi surgery recommendation copy with 3rd floor reception to be given to art (CM's assistant) / CM who will fill it and give it to insurance. Needs followup.

• 7th Mar 

• Cardio opinion ok.
• Blood, urine test conducted. Blood report same evening. Urine report on 11th / 12th
• Anesthesiologist opinion will come after showing blood report.
• Moni replacement arrived at noon. Moni will leave 9th morning and planning to come back (maybe after 3 weeks) 

• Meeting work CM at 1130, 9th Mar. Admission, surgery details, dates will be finalized after he sees anesthesiologist ok.

• Planned date for admission Monday 11th. Semi private. Cashless likely as per sri. Come alone first, fill in forms. Then being patient. Patient can wait in emergency (10 beds) if required.
• Planned date of discharge 14th Mar as per CM. Gynec came and said she is doing fine and will let me know once biopsy results come in. It did look benign she said once again (though lab result could be different). She suggested cranberry juice to prevent urinary infection.

• 12th

• 11am started
• 1245 gynec confirmed that 2cm long polip removed from uterus which looks benign at 1st sight. Sent to lab. (biopsy done) . Bladder is fine. https://www.mayoclinic.org/diseases-conditions/uterine-polyps/symptoms-causes/syc-20378709
• Stone started 1pm, finished by 1:30PM https://www.mayoclinic.org/tests-procedures/cholecystectomy/about/pac-20384818

• 20th Histopathology Report on samples from surgery

• https://www.msdmanuals.com/home/liver-and-gallbladder-disorders/gallbladder-and-bile-duct-disorders/cholecystitis
• Endometrial polyp: Benign. 

Stitches removed. Everything fine. 

 

Additional Reading

1. https://calmisc.blogspot.com/2019/02/exercises-for-arthritis-and-parkinsons.html
2. https://www.apollohospitals.com/patient-care/patient-information-guide/laparoscopic-cholecystectomy

Exercises For Arthritis And Parkinson's

1. Hold stick in both hands. Then lift the stick and bring it down without bending elbows.
2. Move the stick to the left by the waist and then right. Move like a pendulum with stick in your hands, legs being stationary.
3. Sit on bed and then place heels on floor and lift both toes, then place toes on floor and raise both heels
4. Sit then stand, 10 times (with help if needed)
5. Place a cloth on floor. Using toes only, grip the cloth between toes and pull the cloth. towards you.