1. Initially Baba Ram Dev Ji’s BP on 7.6.2011 in haridwar was 110/80 pulse 68/ min wt 60 kg ,urinary ketone 4+, S.bilirubin 1.3 Hb 15.
2. He started his fast on 4.6.2011 in Delhi. According to him his wt was 64 kg before fasting.
3. On 10.6.11 when he was shifted to Jolly grant Dehradun his wt was 58.5 kg. S. bilirubin 2 (on 7.6.2011 S. bilirubin was 1.3) his ketone remain between +2 to +4.
4. Urine albumin was negative on 7.6.2011 but on 10.06.2011 albumin was in traces.
5. Hb was raised to 16 on 10.6.2011 (from 15 gm on 7.6.2011).
6. KFT was normal.
7. Due to starting derangement of LFT, Haemoconcentration due to dehydration falling pulse below 60 (56 to 58 per min) and BP 104/64 he was advised for admission for complete evaluation and treatment.
8. You have rightly commented Swami Ramdev ji was vocal in all these days, and he was among his thousand of followers in a Tent in this summer weather, where Hawan was being performed. He was involved in all the activities .
9. When he reached jolly grant his pulse was 56 per min BP 110/74. One more comment from you about The World Medical Association and Declaration of Malta on Hunger Strikers, in its Article 21, unambiguously state that force feeding is a form of inhuman and degrading treatment. In that case what a doctor should do.He can only advice to take feed as soon as ketone start coming in urine.
10. As coomunicated by Dr Sundeep Nigam
My comments
1. Baba Ramdev is thin built, lean muscle mass, striking in summer eat in an environment of havan ( agni) with an agitating mind
2. He is going into dehydration
3. Bilirubin is rising, is a bad sign
4. He may be in kidney dysfunction for example if his creatinine is 1 his kidney function will be around 70%
5. Giving saline is ethical in this situation
6. Low pulse rate is also a bad sign as in dehydration the pulse should increase and not decrease
[ dr K K Aggarwal, isd padmashri and Dr B C Roy National Awardee and editor emedinews)
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