Transcript A CASE STUDY OF JAI AMBE (PRAHLADBHAI M.JANI)

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 – Mataji’s case Sterling
Hospital
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).
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 )
Introduction
Name
:
Date of Birth :
Time of Birth :
Place of Birth :
Moonsign
:
Birth Nakshatra:
Jay Ambe
Prahaladbhai Maganlal Jani
12-13/08/1929, Monday
2.04 A.M.
Charada
Scorpio
Vishakha-Chaturtha Charan
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 1. He does not eat, does not drink liquids, nor does he pass urine/stool
since age of 11
2. Limited ability to read and write
3. In 1942 was investigated at J. J. Hospital, under care of doctors and
police for 45 days
4. He has a hole in his palate which supposedly secretes nectar for his
survival
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)
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
The Affidavit
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
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
Protocol
The project was to be terminated if:
1. The reports of investigations crossed the
predetermined safe range
2. When it seemed that no further information
would be available by prolonging the project
3. At no cost, project was to be prolonged for
the sake of records
4. At no cost, safety, dignity and privacy of Mr.
Jani was to be endangered
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.
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.
 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.
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
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
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.
Hematology
DATE
12/11/03
14/11/03
16/11/03
18/11/03
20/11/03
Hb: G%
10.8
11.3
11.5
12.3
12.9
T. RBC:
/c.mm.
TC
/c.mm.
DC
4.17
4.37
4.49
4.87
5.17
4880
5780
5640
8180
7690
40/47/10/03/00
47/41/09/03/00
52/36/09/03/00
66/27/04/03/00
62/25/04/05/01
PC /c.mm.
3,52,000
4,25,000
4,53,000
5,03,000
4,86,000
ESR
10mm/1hr
-
-
-
-
25mm/1hr
52mm/ 2 hrs
-
-
9.0
MPV fl.
-
-
HCT
35.8
37.9
38.5
42.0
42.2
MCV
85.9
86.7
85.7
86.2
81.6
MCH
25.9
25.9
25.6
25.3
25.0
MCHC
30.2
29.8
29.9
29.3
30.6
Biochemistry
DATE
12/11/03
14/11/03
15/11/03
16/11/03
18/11/03
20/11/03
21/11/03
25/11/03
Prolactin
3.80
-
-
-
-
-
-
-
S. Cortisol
12.2
-
-
-
-
-
-
-
T. Proteins
7.27
-
-
-
-
-
-
-
Albumin
4.05
-
-
-
-
-
-
-
Globulin
3.22
-
-
-
-
-
-
-
A/G Ratio
1.26
-
-
-
-
-
-
-
Gamma GT
31.0
-
-
-
-
-
-
-
T-3
0.86
-
-
-
-
0.97
-
-
T-4
5.90
-
-
-
-
9.0
-
-
TSH
3.15
-
-
-
-
2.1
-
-
H. Growth
Hormone
0.14
-
-
-
-
-
-
-
Biochemistry
S.Cholesterol
216.0
-
-
-
-
-
-
-
S.Triglycerides
127.6
-
-
-
-
-
-
-
HDL
57.2
-
-
-
-
-
-
-
Direct LDL
118.9
-
-
-
-
-
-
-
Cal. LDL
133.28
-
-
-
-
-
-
-
VLDL
26
-
-
-
-
-
-
-
LDL/HDL
2.079
-
-
-
-
-
-
-
Cholesterol/
HDL
3.776
-
-
-
-
-
-
-
S. Na+
139.8
145.1
143.7
148.3
154.3
155.9
143.5
137.5
S. K+
4.61
4.60
-
4.97
4.37
4.67
4.16
3.40
S. Cl-
103.2
107.0
-
106.8
107.5
115.9
101.5
-
Non Prostatic
ACP
2.58
-
-
-
-
-
-
-
S. Acid
Phosphatase
4.58
-
-
-
-
-
-
-
Biochemistry
DATE
12/11/03
14/11/03
15/11/03
16/11/03
18/11/03
20/11/03
21/11/03
25/11/03
Prostatic acid
Phosphatase
135.19
-
-
-
-
-
-
-
T. Bilirubin
0.48
-
-
-
-
-
-
-
Conj.
Bilirubin
Unconj
Bilirubin
0.10
-
-
-
-
-
-
-
0.38
-
-
-
-
-
-
-
Delta
0
-
-
-
-
-
-
-
SGPT
21.0
-
-
-
10.0
24
-
23.0
SGOT
22.0
-
-
-
-
-
-
-
S. Alkaline
phosphatase
95.0
-
-
-
-
-
-
-
S. Acetone
-
-
30.0
30.0
30.0
-
30.0
-
FBS
85.7
-
-
-
-
76
-
-
RBS
-
-
-
84.9
162.0
-
-
99.8
Biochemistry
Blood Urea
33.0
46.9
-
59.6
63.7
77
87.5
48.2
S. Creatinine
1.36
1.53
-
1.52
1.75
1.7
1.46
1.40
S. Uric acid
5.26
-
-
-
11.44
-
-
-
Venous
(ABG) PH
-
-
-
-
7.31
-
-
-
PCO2
-
-
-
-
48
-
-
-
PO2
-
-
-
-
23
-
-
-
TCO2
-
-
-
-
25
-
-
-
HCO3
-
-
-
-
23
-
-
-
BE
-
-
-
-
-3.0
-
-
-
O2 sat
-
-
-
-
35%
-
-
-
Plasma
Cortisol AM:
-
-
-
-
-
11.0
-
-
Metabolic Profile
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.
Urinary bladder partially filled with
urine around 70ml.
MR Angio Intracranial
MR Brain
MR Abdomen
MR Pelvis
MR Chest
MRCP
MR Abdomen
USG Kidneys
USG Bladder
USG Bladder
13/11/2003
14/11/2003
15/11/2003
18/11/2003
 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
ECG
Doppler Study
Genetic Study
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
Hypothesis
1.
2.
3.
4.
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
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 ?
Application of this phenomenon
 Cosmic energy
 Cloning research and Genetic engineering
 Challenging calorie mathematics and Science
 Obesity and malnutrition
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.