Patient: Angielo Charles Bongo Genson
Age: 26
Hospital: Cortes General Hospital, Mandaue City
(Notice the dates; click on chart for a bigger image)
Date and Time Platelet Count
Dec 14, 2012 5:00 AM 155k (discharged, finally)
Note on case histories: Please note that since writing down case histories is very time consuming, sometimes, I will just, initially, post here a snapshot of the case. The snapshot will show the platelet readings and major text testimonies given by the patient's representative when the patient has fully recovered. Once I have more time, I will add more details. Remember, over the last few years there are close to 100 case histories, and I never had the time to write them down. With this blog I hope to upload them. Remember, these cases are linked to one another due to a referral system. It is somebody personally referring to a new patient.
Notes on accuracy of readings: Platelet counts, and the times they were taken, are based on the reports or texts from the patient's relatives. The actual time taken and exact figure could be mere approximations. For example, a count taken at 7 pm could have been actually taken at 6 pm. A count of 30, could have been 29 but rounded off either by the patient's relatives or the doctors.
Case History
Patient, 26, male. The patient's mother is a nurse. (Note: we also had ADSX patients who are actually nurses; the patients themselves are nurses.)This is another "early ADSX intervention case" because of a referral by a satisfied patient. The referral came from the aunt who is an officer in the Homicide Section of the Cebu City Police Officer.
The patient's cousins and cousin's in law were also users of ADSX solution. They are:
Patient DJI,
Patient KMCI,
Patient ANP, and
Patient BNP.
So their clan has a happy positive history of using ADSX Solution.
From the broadcast studio, we have to deliver to two hospitals that night on Dec 11 almost midnight. First, to the Cortes General Hospital (arrived about 12 midnight), and the later to Chong Hua Hospital (about 2 am).
Although, the clan had successfully used ADSX before, any parent who is directly involved, whose child is the patient, always goes into a panic mode.
In fact, our biggest problem is not managing the dengue patient but managing the panicking parents.
The first thing we did was to text the referring aunt and the mother of the patient to"
1. Ask if they were taking apple juice as therapy and
2. To stop taking it and told them to threw away any apple juice that they have.
This is has always been our problem. There is the widespread idea that apple juice can help in dengue cases. From our viewpoint, this is a a big problem, because based on our research, apple juice can worsen dengue. Apple juice may be good in some diseases, but not in dengue. This is our belief based on our understanding of how dengue works.
So at around 1 am on December 12, Patient ACBG started taking the ADSX. We left 4 bottles with him just in case he would need more being already 26 years old, and his blood volume in circulation is higher than a child's.
On Dec 10, 2012, the platelet count was 143k. The following day, the platelet was 161k at around 10 am on Dec 11.
By 5 am Dec 12, or four hours after starting the ADSX, the complete blood count (CBC) revealed a total platelet count of 152k.
Overnight, the patient had no headaches, had lesser joint pains, no fever (37.2 celsius), no stomach pains. He still felt weak.
And he had LBM and vomiting. The vomiting is not due to internal bleeding. The vomiting is due to his overdrinking of apple juice and water (this is the effect of the "fluid" therapy being overdone by the patient's guardians.)
We told both the mother and the patient that the LBM and vomitting will be gone in a few hours. This is the effect of the ADSX solution neutralizing the highly acidic apple juice.
Later in the afternoon of Dec 12, the LBM and vomitting has gone.
In the meantime, the patient's appetite has improved and the patient had asked permission to eat "Tinolang isda" (fish soup).
The phase 1 (slowdown of the platelet count descent) took place on Dec 12 right after taking the ADSX.
By 8 pm of December 12, about 19 hours after initiating the ADSX solution, the platelet count was at 111k. Was this a low count? No, this is not a low count. It is a lower count than the previous of 152k, but relatively this is a high count considering the statistics, that by this time the platelet would have gone down to 80k already.
We had to assure the mother (who is a nurse remember) that this is completely okay. It is wrong to use the platelet count to judge the patient.
So we texted the guide questions to both the mother and the patient (who is 26 already, remember).
Physically, how does the patient feel? Appetite? Weak? Energized? Frequent urination? Headaches? Joint and muscle paints? Stomach pains?
Remember that stomach pains are indicators of internal bleeding about to take place or is taking place. In dengue, the stomach pains shows that dengue virus is now attacking the patients internals.
The mother and are very anxious although we keep of telling them. Don't worry that's still high. We have cases on 11k and yours is very high at 111k. And we told them to focus on the physical affects of the patient.
Practically, any symptom of dengue had been eliminated. And this boring for the patient.
(We don't have time yet to fully write the case history here but look the the charts for each case history.)
This illustrates that indeed ADSX is really effective. There is cause-and-effect. Whenever the patient is left to the care of the doctors, it almost always happens that there is a rapid drop in the platelet count, for example from 200 to 50.
But whenever, the ADSX Solution is used as intervention that early, then the platelet drop is immediately arrested to a level and then oscillates around that level and never drops to say 40k or 20k.
Is this cause-and-effect? Is this mere coincidence?
(We don't have time yet to fully write the case history here but look the the charts for each case history. Does this predictable pattern show the effects of a "cure?" Please come back for updates.)
Comments
Post a Comment