Dr. Sudhir Shah M.D., D.M. (Neurology)

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Dr. Sudhir Shah M.D., D.M.
(Neurology)

• Consultant Neurologist
• Honorary Professor Head, Dept. of Neurology
• K.M. School of PGMR
• Smt. NHL Municipal Medical College
• Director of Neurosciences, Sterling Hospital
• Head of research panel Matajis case Sterling
  Hospital

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A Case Study of Jai Ambe (Prahladbhai M.Jani)

• There are many phenomena happening which are
  difficult to understand and explain on the
  scientific basis. One such phenomenon,we came
  across very recently was regarding Mr.Prahladbhai
  Jani (Mataji).

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• Many of the doctors who were involved with this
  case study were also involved with the prolonged
  fasting of Mr. Hira Ratan Manek of Calicut and
  Jasmuheen of Australia. Dr.Sudhir Shah humbly
  tried to explain this phenomenon by a hypothesis
  - Prolonged fastings how is it possible ? -A
  Hypothesis-published in an Index Journal (Gujarat
  Medical Journal March - 2001 )

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Introduction

• Name Jay Ambe
• Prahaladbhai Maganlal Jani
• Date of Birth 12-13/08/1929, Monday
• Time of Birth 2.04 A.M.
• Place of Birth Charada
• Moonsign Scorpio
• Birth Nakshatra Vishakha-Chaturtha Charan

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History

• A Physically fit 75/M-Prahlad Jani (Chunriwala
  Mataji)
• Wandered in jungles since age of 7
• Experiences enormous light and strength when he
  goes in state of samadhi
• He claims -
• He does not eat, does not drink liquids, nor does
  he pass urine/stool since age of 11
• Limited ability to read and write
• In 1942 was investigated at J. J. Hospital, under
  care of doctors and police for 45 days
• He has a hole in his palate which supposedly
  secretes nectar for his survival

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Study Panel of Doctors

• Dr. Sudhir V. Shah (Consultant Neurophysician,
  Sterling Hospital/Associate professor of
  neurology at K. M. School of PGMR, Ahmedabad)
• Dr. Urman Dhruv (Physician Secretary of
  Association of Physicians of Ahmedabad (APA))
• Dr. V. N. Shah (Endocrinologist,
  Director-Sterling Hospital)
• Dr. Bharat Gadhavi (General Surgeon/Medical
  Superintendent-Sterling Hospital)
• Dr. Kandarp Parikh (Urologist)
• Dr. Dinesh Patel/Dr. Hemant Patel
  (Neuroradiologists)
• Dr. Sanjiv Haribhakti (G. I. Surgeon)
• Dr. Sanjay Mehta (Radiologist Sonologist)
• Dr. Navneet Shah (Physician, Endocrinologist)
• Dr. Gargey Sutaria (Radiologist)

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Study Panel of Doctors

• Dr. Shrenik Shah (Cardiologist)
• Dr. Bansi Saboo (General Physician)
• Dr. Prakash Darji / Dr. Sonal Dalal / Dr. Pankaj
  Shah (Nephrologists)
• Dr. Dhanesh Patel (General Surgeon)
• Dr. O. M. Modi (Senior Physician)
• Dr. Hemang Desai (Psychiatrist)
• Dr. Jayesh Sheth (Genetician Endocrinologist)
• Dr. Dhaval Modi (Ophthalmologist)
• Dr. Jayeeta Chaudhary (Dietician)
• Dr. Mukesh Patel (Pulmonologist)
• Dr. Ruchir Shah (ENT)
• Several other doctors also examined him from time
  to time

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The Affidavit
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Monitoring at Sterling Hospital (12/11/03 to
22/11/03)

• Monitored strictly regarding his claim by
  unbiased august body Association of physician
  of Ahmedabad and Executive Committee of the
  Association
• Strict protocol was followed
• He was confined in a special room with a glass
  door and a toilet door was sealed. He was
  monitored by
• CCTV camera
• Staff Vigilance
• Security
• Doctor on duty
• Monitoring panel
• Specialist doctors
• Hospital surveillance
• For first 24 hours he was strictly monitored in
  ICU
• Notes of doctors

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Protocol

• Examination by a panel of 3 doctors daily
• Examination by experts at least once every 5th
  day
• The project was not done with an intention to
  prove or disprove an individual but to create an
  opening of a new dimension in science

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Protocol

• The project was to be terminated if
• The reports of investigations crossed the
  predetermined safe range
• When it seemed that no further information would
  be available by prolonging the project
• At no cost, project was to be prolonged for the
  sake of records
• At no cost, safety, dignity and privacy of Mr.
  Jani was to be endangered

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Protocol

• Prahladbhai Jani refused for any invasive
  procedures like IV Injections, IV Dyes or IV
  Fluids. So, investigations were restricted to
  non-invasive procedures only.

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Protocol

• The project was to be carried out for 7 days to
  begin with, but would be extended as far as
  possible, till criteria 1 and 2 of termination
  were satisfied.
• A panel of doctors used to meet/discuss daily or
  on alternate day for the length of project, to
  discuss daily progress, need for alteration in
  the protocol of investigations if any, and plan
  further strategies.

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• After day 10, the committee declared that it is
  satisfied with following matter
• The protocol was strictly adhered to.
• Mr. Jani has not passed or dribbled urine during
  these 10 days.
• He has not taken anything by mouth or by any
  other route not even water for 10 days.
• All his parameters are till date within
  physiological range.
• He has shown evidence of formation of urine,
  which seems to be reabsorbed from his bladder
  wall. However at present the committee does not
  have any scientific explanation for the same but
  the help of senior scientists and medical
  personnel of the country is being taken for the
  same.

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Daily Checking

• General clinical examination
• Daily weight (Varied from 42 kg to 38 kg)
• Vital data like Temperature, Pulse, BP and
  Respiration.
• Pulse 42-46/min
• RR 12-16min
• BP 110/60 mmHg
• (Vitals s/o some autonomic control ?)
• Bladder capacity was checked by ultrasound twice
  daily

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Various Tests

• Hematological examination every alternate day.
• Biochemistry reports repeated every fourth day.
• Neuropsychological evaluation and EEG.
• ECG, 2-D Echo Cardiac evaluation
• Radiological examination MRI Brain and whole
  gut.
• Chest evalutaion and pulmonary function test.
• Endocrinal and Hormonal profile.
• Doppler vascular study of carotid and peripheral
  vessels.
• Cartography including BMR
• Audiological examination
• Genetic study

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Psychological Assessment

• Patient was conscious, co-operative and awake.
• Patient was not irritable throughout the period
  of observation.
• Mood stable, no perceptual disturbances.
• No disturbance in memory span.
• No pattern of personality disorder noted.

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Hematology
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Biochemistry
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Biochemistry
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Biochemistry
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Biochemistry
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Metabolic Profile
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Radiological Investigations

• X-Ray Chest PA (12/11/03)
• No significant abnormality detected.
• USG Abdomen (12/11/03)
• No significant abnormality detected.
• Doppler examination of carotid, vertebral,
  abdominal aorta and peripheral arterial system of
  lower limbs were quite normal.
• MRI of Brain, Neck abdomen was unremarkable.
• MR Angio of Brain.
• MR Oesophagus Normal study
• MR cholanigopancreatography Normal study
• MRI Abdomen pelvis Presence of bowel gas, etc
  were seen.
• Gall
  bladder collapsed.
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  Urinary bladder partially filled with urine
  around 70ml.

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MR Angio Intracranial
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MR Brain
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MR Abdomen
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MR Pelvis
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MR Chest
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MRCP
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MR Abdomen
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USG Kidneys
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USG Bladder
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USG Bladder
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13/11/2003
14/11/2003
15/11/2003
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18/11/2003
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• Audiological Evaluation (17/11/03)
• Bilateral severe to profound degree of
  sensori-neural hearing loss. 
• ECG and cardiac evaluation were normal.
• 2D Echo showed LVEF 60
• Doppler study showed no evidence of
  aetherosclerotic plaque
• Cartography (26/11/03)
• Normal vascular and cardiac study.
• Genetic Study Normal

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ECG
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Doppler Study
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Genetic Study
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Points for Debate

• Reabsorption of urine from bladder
• Some internal secretion from the hole in palate
• Transient signs of dehydration
• Transient altered renal functions
• Weight loss
• Role of Meditation

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Hypothesis

• Chronic Adaptation
• Down regulation of cellular and receptor
  function.
• Cosmic Energy
• Photosynthesis Pathway
• Role of pineal gland
• Hypothalamus, pituitary, amygdala limbic system
• Role of mind
• Meditation, Yoga, mechanical chemical
• Energy economy and recycling energy
• Genetics, Engineering and cloning

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Application of this phenomenon

• Sustaining and surviving in adverse situations
  like soldiers in mountains
• Long term survival for space travelers
• Mental strength and agility
• Effect on ageing process Preventing
  Atherosclerosis
• Cognitive improvement and psychic achievement
• Option of food ?

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Application of this phenomenon

• Cosmic energy
• Cloning research and Genetic engineering
• Challenging calorie mathematics and Science
• Obesity and malnutrition

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Acknowledgement

• Association of physicians of Ahmedabad Dr.
  Bipin Patel, Dr. Urman Dhruv and the executive
  committee for monitoring and protocol.
• All consultants involved in research project
• Sterling Hospital Dr. V. N. Shah (Director)
• Dr. Bharat Gadhavi (Supdt)
• management for sponsor ethical aspects.

• Dr. Harsha Jivarajani, Dr. Kavita Banthia, Ms
  Chittal Pathak Mr.Roby Thomas for preparing the
  case presentation.