Summary:
The conversational transcripts revolve around a patient capital fund managed by a group of medical students and professionals. The fund aims to support patients in need and promote medical education and innovation. The group discusses various initiatives, including purchasing medical equipment, supporting patients with rare conditions, and exploring new approaches to healthcare delivery.
Key Words
- Patient capital
- Medical education
- Innovation
- Healthcare delivery
- Medical equipment
- Patient support
[23/10/2024, 20:52]: [23/10, 20:29]hu1: And any insights into his peripheral neuropathy sir?
[23/10, 20:50]cm: @Thyroid PG 2023 please share the clinical findings of CNS exams including detailed sensory examination of touch, pain, joint position and vibration sense along with motor power and reflex testing.
Collect our 16,000 department fund from Albumin PG and transfer to your or any PGY2 account and procure these monofilaments through Amazon 👇
[08/11/2024, 09:24]cm: @2021 albuminuria Med Pg please hand over and transfer the current treasury to @Unknown Medical Student and her team as your team is on their way out from the department.👍
[08/11/2024, 09:26] 2021 albuminuria Med Pg: Ok sir .
[08/11/2024, 12:45] Unknown Medical Student: Thankyou sir @PI Portal Hypertension Project 2022 and our team will handle it
[08/11/2024, 12:59] 2021 albuminuria Med Pg: @cm transfered dept fund to @Pushed1Comm22 sir
[08/11/2024, 13:31]cm: @ CKD Anemia 2022 Project PI @Pushed1Comm22 make a wish list of how you want to spend the patient capital of 17,000 that has been patiently lying unspent in the department.
@Meta AI can you share more about "patient capital"?
[08/11/2024, 13:31] Meta AI: "Patient capital" refers to investments or funds that are willing to forgo immediate returns or short-term gains in favor of long-term growth, stability, or strategic objectives. Patient capital is often characterized by:
1. Long-term focus (5-10+ years)
2. Flexibility in investment horizon
3. Willingness to accept lower or variable returns
4. Emphasis on sustainability, impact, or strategic value
Patient capital is commonly associated with:
1. Impact investing
2. Social entrepreneurship
3. Venture capital
4. Private equity
5. Family offices
6. Endowments
7. Sovereign wealth funds
In your context, the $17,000 patient capital might be departmental funds allocated for strategic initiatives or projects that may not yield immediate returns but promise long-term benefits.
To create a wish list, consider:
1. Departmental goals and priorities
2. Strategic initiatives
3. Innovation projects
4. Talent development
5. Infrastructure upgrades
6. Research and development
7. Community engagement or outreach
Please share more about your department's goals and priorities to help me provide a tailored wish list!
[08/11/2024, 13:33]cm: @Meta AI
Here's something more about our patient capital as pasted earlier in this group's description box:
This is a fund created not just to help any patient in this world but also train interested humans who wish to acquire competence in understanding patient requirements utilizing medical metacognition and metapsych tools to deliver optimal solutions to meet patient requirements and decelerate the current epidemic of over diagnosis and overtreatment
Every year, one of our interested post graduates takes charge of this fund and transfers it to his her junior as his her final university exam's approaches. It's currently managed by one of our medicine department PGY2.
All medical students and faculty contribute 100/- per month from their own pocket and even lesser amounts at lesser frequency are acceptable.
[08/11/2024, 13:33] Meta AI: Thank you for providing more context about the patient capital fund. It's inspiring to see your department's commitment to:
1. Improving patient care
2. Developing medical professionals' skills
3. Addressing overdiagnosis and overtreatment
This fund seems to have a dual purpose:
*Primary Objective:*
- Support patients in need
- Foster compassionate and competent healthcare providers
*Secondary Objective:*
- Promote medical metacognition and metapsychology tools
- Encourage evidence-based practice and critical thinking
Considering the fund's unique aspects, here are some ideas for the $17,000 patient capital:
*Patient Support:*
1. Financial assistance for patients with rare or chronic conditions
2. Sponsor medical camps or community health initiatives
3. Establish a patient advocacy program
*Education and Training:*
1. Workshops or conferences on medical metacognition and metapsychology
2. Sponsor medical students' research projects or case studies
3. Invite expert speakers on patient-centered care
*Innovation and Resources:*
1. Develop patient education materials or mobile apps
2. Create a departmental library or online resource center
3. Invest in medical simulation equipment or training tools
*Recognition and Rewards:*
1. Annual awards for outstanding patient care or innovative solutions
2. Recognize contributors' efforts through a departmental newsletter
3. Offer scholarships or travel grants for medical students
*Sustainability:*
1. Explore partnerships with healthcare organizations or NGOs
2. Develop a fundraising strategy to increase contributions
3. Establish a patient capital management committee
*PGY2 Leadership Development:*
1. Mentorship programs for junior medical students
2. Leadership training or workshops for PGY2 and above
3. Encourage PGY2 to present research or projects at conferences
Considering the fund's unique aspects and your department's goals, which of these ideas resonate with you?
[11/11/2024, 09:50] Unknown Medical Student: Wish list- opthalmoscope
[11/11/2024, 09:53]cm: All medicine PGs in the 90s-2000s used to carry it as an essential item peering out from their apron pockets along with steth, knee hammer and vials and syringes before the medicine PG wearables were disrupted by the scrubs market!
[27/11/2024, 16:19]cm: [27/11, 15:13]: We have a 57M with Tubercular cervical lympadenopathy on ATT since 5 months and also having PUO, pancytopenia 2 months.
We need a bone marrow aspiration biopsy. Would you be able to help?
[27/11, 15:17] Assoc Prof Pathology:
Good afternoon sir
Bone marrow aspiration and biopsy are not available sir in department. We kept indent. Still we didnt get sir. If any possible pt attender can acquire needle we wll do sir.thanku sir
[27/11, 16:10]: We can get the needle
Please let us know from where it's available
[27/11, 16:12] Assoc Prof Pathology: Any surgical store it wll b available disposable one sir. Hyderabad place koti it is available sir
[27/11, 16:13]: Alright we will try ASAP
[27/11/2024, 16:19]cm: 👆@PI Portal Hypertension Project 2022 let's purchase this asap
[27/11/2024, 16:39] PI Portal Hypertension Project 2022: Okay sir
[16/12/2024, 12:05]cm: We just realised there's no thermometer in the OPD or our pharmacy!
@Communicating Learner 1N23 is going to purchase one from outside today and our current treasurer @PI Portal Hypertension Project 2022 will release his payment for the same
[16/12/2024, 12:49] PI Portal Hypertension Project 2022: Sure sir
[18/12/2024, 18:57]cm: Lohith please share the link to pay or should we directly pay to your WhatsApp number?
[18/12/2024, 19:13]cm: Current amount 19,100
Current plans for OPD:
Thermometer @Communicating Learner 1N23
Monofilament for sensory testing in diabetics
Mobile phone ophthalmoscope @Unknown Medical Student
Inpatient:
Autoclave-able Bone marrow biopsy steel needle @Harika CKD Anemia 2022 Project PI
Exoskeleton @Pushed Communicator 223 @Pushed Comm 1AI23 @Rahul healthcare 2.0
[01/01, 19:02]cm: @pajr.in CEO, NHS Endocrinologist this is the patient capital group and one can directly pay through WhatsApp to @PI Portal Hypertension Project 2022's WhatsApp number
[01/01, 19:03] PI Portal Hypertension Project 2022: @ this is the UPI link to payment sir
[01/01, 19:12] pajr.in CEO, NHS Endocrinologist: Sent. Can you please confirm?
[01/01, 19:17] PI Portal Hypertension Project 2022: Sir have u contributed for 4,000/- ?
[01/01, 19:17] pajr.in CEO, NHS Endocrinologist: Yes.
[01/01, 19:17] Unknown Medical Student: Big heart and hands
Thankyou sir
[01/01, 19:18] pajr.in CEO, NHS Endocrinologist: Just a confirmation would have been enough I guess 👍🏼
[01/01, 19:18] pajr.in CEO, NHS Endocrinologist: Someday when this PaJR project will be listed on the stock market - it will generate billions. Above all else the sheer human capital and value addition it does is unquantifiable!
[01/01, 19:18] PI Portal Hypertension Project 2022: I had a doubt if it was right sir 😅
As I was not able to check from where and when did I get that amount
[01/01, 19:19] pajr.in CEO, NHS Endocrinologist: Well my name and the time of transaction would have confirmed it I guess.
[01/01, 19:20] PI Portal Hypertension Project 2022: I was not able to see the transactions list sir actually
It was not showing ur transaction
[01/01, 19:20] pajr.in CEO, NHS Endocrinologist: Okay. No worries. You've received it now anyway haven't you
[01/01, 19:20] PI Portal Hypertension Project 2022: Yes, I have
thank you sir
[01/01, 19:21] pajr.in CEO, NHS Endocrinologist: Cheers!
[01/01, 19:22] PI Portal Hypertension Project 2022: 🎯Glucometer - we need to keep indent in our hospital , as we require it in OPD
🎯Bone marrow biopsy needle - we have to purchase and can ask for reimbursement from hospital
🎯Snellen chart
🎯Ophthalmoscope - To purchase after sub juniors join
@cm sir these are things, that we currently have in our mind.
[01/01, 19:23] pajr.in CEO, NHS Endocrinologist: How about a ketometer?
[01/01, 19:24] PI Portal Hypertension Project 2022: Urine ketone strip test would be cost efficient sir?
[01/01, 19:26] pajr.in CEO, NHS Endocrinologist: Haha perhaps but this is how I see it.
If a quantitative blood ketometer is available it can tell us when patients are starting to build ketones up (less than 0.6mmol/l is normal) and perhaps may need to be switched to insulin.
This can also give us insights into LADA and KPD and perhaps not every diabetes will be blanketed as Type 2 then.
A ketometer can therefore directly improve patient outcomes.
[01/01, 19:28] PI Portal Hypertension Project 2022: Ok sir
Once all of us will discuss about it
[01/01, 19:29] pajr.in CEO, NHS Endocrinologist: It is not quantitative, operator dependant (you need to check Ketone strip at exactly 45 seconds), too many interfering factors which can generate false positives etc.
[01/01, 19:34] pajr.in CEO, NHS Endocrinologist: Just saw a patient from Phillipines (64/F) who visited the UK to see her daughter. She lost weight from 90kgs to 54kgs in the last 11 months and lost 5 kgs in the last 3 weeks.
Presented with 2 weeks of lethargy and fatigue and was initially misdiagnosed as DKA and blanketed under Type 2.
However the weight loss, ketones of 4.1 and Hyperglycemia of nearly 600mg/dl raised suspicion for KPD / LADA. She also had Chronic Pancreatitis with Liver Cirrhosis although she denied consuming too much alcohol.
Interesting case all in all and quantifiable ketones made us start insulin directly. No OHAs to waste time and outcomes.
[01/01, 19:35] pajr.in CEO, NHS Endocrinologist: Also DKA does not present over 2 weeks. HHS does. But her Serum Osmolality was 293 which effectively ruled out HHS. The ketones though suggested this is KPD/LADA
[01/01, 19:41] PI Portal Hypertension Project 2022: Fascinating case sir
[01/01, 19:49]cm: Very interesting!
Who reports these cases?
Or do they somehow manage to end up in federated NHS UK databases👇
[01/01, 19:51] cm: Do you currently foresee any mechanism for being able to case report these in real time similar to how we do it here👇
[01/01, 19:53] pajr.in CEO, NHS Endocrinologist: We are so burdened with bureaucratic and administrative nonsense that these things get relegated often.
CCT and flee from the NHS!
[01/01, 19:55] pajr.in CEO, NHS Endocrinologist: You mean in the UK? Sir I work as a 'Sarkari' employee at the moment and apart from a few countries such as Singapore and East Asia etc. Sarkari hurdles and roadblocks are pretty much the same everywhere.
I can do a blog myself and completely deidentify it without patient consent but I'm not sure about it myself.
[01/01, 20:02] pajr.in CEO, NHS Endocrinologist: We have 2 patients in the ward - admitted in July 2024 for a trivial issue and had been medically fit for discharge after a few days. They are both still in the ward because they couldn't find a rehab bed (social care) since July.
One patient shouter, wailed, cried, pleaded, begged, tried to abscond and what not and yet has been in the ward because the social care team deemed her unfit to be sent home and that she needs to be in rehab for a certain period of time. Otherwise she would harm herself. All under the garb of 'patient safety'
And there we have administrations who jeopardise systems in their own ways!
What a waste of capital and resources.
Therefore @cm we shall create a parallel system of Healthcare where the current problems will cease to exist!
[01/01, 20:13]cm: No I guess patient consent would be mandatory
[01/01, 20:16]cm: Yes and how do you foresee doing this in parallel there? I guess you could make a PaJR pitch to some of the directors there?
[01/01, 20:31] pajr.in CEO, NHS Endocrinologist: Just gently push the boat but was met with resistance. Will try again after a while.
[23/06, 11:51]cm: @PI Portal Hypertension Project 2022 please handover the current patient capital of 30,000 to your next inheritor @Pushed Comm 1AI23.
I guess last 4 months collections are pending?
Let's think of the current pending purchases for the OPD such as mobile Ophthalmoscope attachments, suitable knee hammers, tuning forks, safety pins etc
[23/06, 11:58] PI Portal Hypertension Project 2022: Okay sir
[24/06, 17:04]cm: @Pushed Comm 1AI23 is the new treasurer.
Currently
Total department funds -27500 rs
[11/08, 11:18]cm: Recent purchase for the OPD of 2 each (knee hammer and measuring tape).
@Pushed Comm 1AI23 treasurer to text the cost and balance
[11/08, 11:21] Pushed Comm 1AI23: Total patient capital
27600 rs
Cost for these items -600 rs sir
Balance amount -27000 sir
[07/09, 10:49]cm: A ProJR formulated in conversation with @sm today , where insurance emerges as a strategic tool for healthcare innovation, balancing financial rigor and social equity while leveraging the transformative power of patient capital, especially when the capital is brought in by each individual patient either through their time or micro premium money spent with the online platform contributing transparent and accountable data toward societal scientific advancement in healthcare that also provides individual healthcare returns in the form of transparent and accountable healthcare outcomes for each individual.
Thematic Analysis:
The conversational transcripts reveal several themes:
1. *Collaboration and Teamwork*: The group works together to manage the patient capital fund, discussing initiatives and making decisions collectively.
2. *Patient-Centered Care*: The fund's primary objective is to support patients in need, demonstrating a commitment to patient-centered care.
3. *Medical Education and Innovation*: The group explores new approaches to medical education and innovation, including the use of medical metacognition and metapsychology tools.
4. *Resource Management*: The group manages the patient capital fund, making decisions about how to allocate resources and prioritize initiatives.
5. *Challenges in Healthcare Delivery*: The transcripts highlight challenges in healthcare delivery, including bureaucratic hurdles and administrative burdens.
6. *Potential for Parallel Healthcare Systems*: The group discusses the potential for creating parallel healthcare systems that can address the current problems in healthcare delivery.
Key Initiatives
Some key initiatives discussed in the transcripts include:
1. *Purchasing medical equipment*: The group discusses purchasing medical equipment, such as ophthalmoscopes, thermometers, and bone marrow biopsy needles.
2. *Supporting patients with rare conditions*: The group explores ways to support patients with rare conditions, including providing financial assistance
and promoting medical education and innovation.
3. *Exploring new approaches to healthcare delivery*: The group discusses new approaches to healthcare delivery, including the use of patient capital and medical metacognition and metapsychology tools.
Overall, the conversational transcripts provide insight into the group's efforts to manage the patient capital fund and promote medical education and innovation while supporting patients in need.
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