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

Consultant Neurologist Honorary Professor & Head, Dept. of Neurology

K.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 Ambe Prahaladbhai Maganlal JaniDate of Birth : 12-13/08/1929, MondayTime of Birth : 2.04 A.M.Place of Birth : CharadaMoonsign : ScorpioBirth Nakshatra: 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 -

• 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

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)

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 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 byCCTV cameraStaff VigilanceSecurityDoctor on dutyMonitoring panelSpecialist doctorsHospital surveillance

For first 24 hours he was strictly monitored in ICUNotes 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

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

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 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.

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

ESR10mm/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 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

0.10 - - - - - - -

Unconj Bilirubin

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 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• 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

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

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.