For colleagues and students: short write-ups of real presentations, what was tried, and what worked. Written in clinical shorthand.
Medicine is a fascinating and ever-changing field. A doctor should not bind himself to one discipline of knowledge — there is a hidden cure in every stone, metal, herb, wave and method.
Dr. Umar Zafar Ali
Fever, dry cough and exertional breathlessness; several with radiological pneumonia and saturations in the low nineties. Home isolation preferred by the family.
Weight-based ivermectin course with supportive care, antipyretics, proning advice, home pulse-oximetry with clear escalation thresholds and daily telephone review.
Most improved at home within a week; escalation criteria triggered hospital transfer in the few who deteriorated. Observational clinic experience, not a trial.
Persistent low mood, loss of function at work and domestic distress despite adequate trials of multiple drug classes.
Re-took the history in full, reviewed adherence and side effects, then added a homeopathic remedy alongside a simplified, tolerable allopathic regimen.
Function returned in weeks rather than months, with the polypharmacy reduced. Recorded as a single-case observation for discussion.
Long-standing multifocal motor tics with vocalisations and marked obsessive features; significant social impairment.
Aripiprazole chosen for its partial dopamine agonism, giving an advantage in tolerability over older antipsychotics; dose raised slowly with obsessive symptoms tracked separately.
Tic frequency and social distress both fell, with no extrapyramidal side effects at review.
Classic nocturnal paraesthesiae in the median distribution, relieved by shaking the hand; recurrence weeks after steroid injection.
Night splinting in neutral, a structured nerve and tendon glide programme, pyridoxal phosphate supplementation and a homeopathic adjunct at high potency.
Symptom-free at follow-up in the majority; surgical referral reserved for thenar wasting or failed conservative care.
Unilateral lower motor neuron facial weakness, incomplete eye closure, distress at appearance.
Early steroids where indicated, strict eye protection, and a six-movement mirror routine taught in the room and repeated back by the patient.
Better adherence and steadier recovery of tone; the same routine is now published in the patient portal.
Urgency, dribbling and social restriction, frequently unreported until asked directly.
Muscle identification taught in the clinic, slow-hold and fast-squeeze sets three times daily, caffeine reduction and urge-suppression technique.
Meaningful improvement in six to twelve weeks in most; drug therapy added only where the routine was already established.
Case notes are shared for professional discussion. Details are generalised and no patient is identifiable.
