Medicine of Power

 Many of my patients desire to be given the medicine of power. I teach them, that there is no such medicine, I have ever known. When a doctor prescribes medicine of power, he/she usually means the medicine of vitamins and minerals.

Minerals and vitamins are easily obtained through our normal balanced diet i.e., containing fruits, vegetables, whole grains, meat, etc.

Second, energy comes through the movement of the body. If I start making a fist and open it for a certain period of time and keep repeating it then after a couple of days, I would feel enormous power in that fist. Where from that power come? I remain inside our body. Only the need is to tap it.

Ready-made food, junk food, packaged food should be avoided as they have very less nutrition.

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Case Discussion

56 year male , ex smoker with significant history of Ischemic heart disease

Presented in emergency with the complaint of Generalized weakness, Short

Of breath and decreased urine output for last 2 weeks.

He was already investigated outside in cardiology services which he often

Visisted for his chronic heart ailment. His serum creatinine jumped from 0.7

Mg/dl to 4.1 mg/dl in 1 week period.

His past history entails stent placement 8 year back after angiography. Since  then

He was on heart medication including anti hypertensive agent s whose is prescription

Was not brought by him and he does not  know the names for all medications.

On examination he was conscious , well oriented and mobile with regular pulse

96 bpm and BP 80/6o with diminished perepheral pulses. He pale , not icteric

Not cyanosed with dry peripheries and flat neck veins.

Systemically he was ok except slight tenderness on right hypochondrial region.

Discussion:

Now this middle age guy has developed acute kidney injury. And the reason for

This is quit well infromed for his low blood pressure with significand heart disease

With medication whose names are not described. Well we can presume medication

In this scenario would be diuretic , ace inhibitors, anti platelets, Beta blockers etc.

This could cause volume depletion and AKI. ACE inhibitors can cause AKI.

He might have developed unstabel angina/MI which has cused AKI.

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