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 : Jay Ambe
Prahaladbhai Maganlal Jani
Date of Birth : 12-13/08/1929, Monday
Time of Birth : 2.04 A.M.
Place of Birth : Charada
Moonsign : Scorpio
Birth 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 -
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: 4.17 4.37 4.49 4.87 5.17
/c.mm.
TC 4880 5780 5640 8180 7690
/c.mm.
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/1hr
- 52mm/ 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
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 0.14 - - - - - - -
Hormone
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/ 3.776 - - - - - - -
HDL
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 2.58 - - - - - - -
ACP
S. Acid 4.58 - - - - - - -
Phosphatase
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 135.19 - - - - - - -
Phosphatase
T. Bilirubin 0.48 - - - - - - -
Conj. 0.10 - - - - - - -
Bilirubin
Unconj 0.38 - - - - - - -
Bilirubin
Delta 0 - - - - - - -
SGPT 21.0 - - - 10.0 24 - 23.0
SGOT 22.0 - - - - - - -
S. Alkaline 95.0 - - - - - - -
phosphatase
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 - - - - 7.31 - - -
(ABG) PH
PCO2 - - - - 48 - - -
PO2 - - - - 23 - - -
TCO2 - - - - 25 - - -
HCO3 - - - - 23 - - -
BE - - - - -3.0 - - -
O2 sat - - - - 35% - - -
Plasma - - - - - 11.0 - -
Cortisol AM:
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. Chronic Adaptation
Down regulation of cellular and receptor function.
2. 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 energy
4. 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.
