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

Consultant NeurologistHonorary Professor & Head, Dept. of NeurologyK.M. School of PGMRSmt. NHL Municipal Medical College

Director of Neurosciences, Sterling HospitalHead 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 : Jay AmbePrahaladbhai Maganlal Jani

Date of Birth : 12-13/08/1929, MondayTime of Birth : 2.04 A.M.Place of Birth : CharadaMoonsign : ScorpioBirth Nakshatra: Vishakha-Chaturtha Charan

HistoryA Physically fit 75/M-Prahlad Jani (Chunriwala Mataji)Wandered in jungles since age of 7Experiences enormous light and strength when he goes in state of samadhiHe claims -1. He does not eat, does not drink liquids, nor does he pass urine/stool

since age of 112. Limited ability to read and write3. In 1942 was investigated at J. J. Hospital, under care of doctors and

police for 45 days4. He has a hole in his palate which supposedly secretes nectar for his

survival

Study – Panel of DoctorsDr. 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)

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

Study – Panel of Doctors

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 AssociationStrict protocol was followedHe 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 ICUNotes of doctors

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

The project was to be terminated if:1. The reports of investigations crossed the

predetermined safe range2. When it seemed that no further information

would be available by prolonging the project3. At no cost, project was to be prolonged for

the sake of records4. 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.

Protocol

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 CheckingGeneral 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 TestsHematological examination every alternate day.Biochemistry reports repeated every fourth day.Neuropsychological evaluation and EEG.ECG, 2-D Echo & Cardiac evaluationRadiological 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 BMRAudiological examinationGenetic 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.

HematologyDATE 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.

4.17 4.37 4.49 4.87 5.17

TC/c.mm.

4880 5780 5640 8180 7690

DC 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/1hr52mm/ 2 hrs

MPV fl. - - - - 9.0

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

BiochemistryDATE 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 - - - - - - -

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 ProstaticACP

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

0.10 - - - - - - -

UnconjBilirubin

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 - -

Biochemistry

Metabolic Profile

Radiological InvestigationsX-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 studyMR cholanigopancreatography: Normal studyMRI 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 aetheroscleroticplaque

Cartography (26/11/03):Normal vascular and cardiac study.

Genetic Study: Normal

ECG

Doppler Study

Genetic Study

Points for DebateReabsorption 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

Hypothesis1. Chronic Adaptation

Down regulation of cellular and receptor function.2. Cosmic Energy

Photosynthesis: PathwayRole of pineal glandHypothalamus, pituitary, amygdala & limbic systemRole of mindMeditation, Yoga, mechanical & chemical

3. Energy economy and recycling energy4. 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 ?

Cosmic energy

Cloning research and Genetic engineering

Challenging calorie mathematics and Science

Obesity and malnutrition

Application of this phenomenon

AcknowledgementAssociation of physicians of Ahmedabad : Dr. Bipin Patel, Dr. Urman Dhruv and the executive committee for monitoring and protocol. All consultants involved in research projectSterling Hospital : Dr. V. N. Shah (Director)

Dr. Bharat Gadhavi (Supdt)& management for sponsor & ethical aspects.

Dr. Harsha Jivarajani, Dr. Kavita Banthia, Ms ChittalPathak & Mr.Roby Thomas for preparing the case presentation.