1. 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

2. 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).

4. 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 )

5. 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

7. 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

9. 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)

10. 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

11. The Affidavit

12. 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

14. 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

15. Protocol 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

16. 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.

17. 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.

21. 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.

23. 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

24. 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

25. 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.

26. 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: /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/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
25.6
25.3
25.0
MCHC
30.2
29.8
29.9
29.3
30.6

27. Biochemistry DATE Prolactin 3.80 - S. Cortisol 12.2 T. Proteins 7.27
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

28. Biochemistry S.Cholesterol 216.0 - 127.6 HDL 57.2 Direct LDL 118.9
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

29. Biochemistry DATE 14/11/03 15/11/03 16/11/03 18/11/03 20/11/03
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 - - - - - - -
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

30. 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 BE
-3.0
O2 sat
35%
Plasma Cortisol AM:
11.0

31. Metabolic Profile

32. Radiological Investigations
X-Ray Chest PA (12/11/03):
No significant abnormality detected.
USG Abdomen (12/11/03):
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.

33. MR Angio Intracranial

34. MR Brain

35. MR Abdomen

36. MR Pelvis

37. MR Chest

38. MRCP

39. MR Abdomen

40. USG Kidneys

41. USG Bladder

42. USG Bladder

43. 13/11/2003
14/11/2003
15/11/2003

45. 18/11/2003

47. 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

48. ECG

49. Doppler Study

50. Genetic Study

51. 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

52. 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
Energy economy and recycling energy
Genetics, Engineering and cloning

53. 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 ?

54. Application of this phenomenon
Cosmic energy
Cloning research and Genetic engineering
Challenging calorie mathematics and Science
Obesity and malnutrition

55. 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.