Narendra Jana

Email: narenjana@narenjana.com

Email: narenj5@protonmail.com

ER August 16th 2017 - Assault in a medical setting by witholding medications in clear need with evidence of clear need.

The summation course of events in the ER setting on August 16th 2017 are given below:

Intial conversation with the two medial students in ER who do a thorough neurological examination:

1. Initial conversation with neurologists-shows the typical symptoms of nystagmus.

There is medial lateral difference in physical sensation, indicating that a lesion formed that effects an entire hemisphere of my physiology. At that point, the left hemisphere.

Breakers strength, but actual weakness in the left side.

The neurotest is counter to the report below.

2. Conversation with Dr Longgardner after Two Residents:

Its clear that MS relapse happened because of a lack of consistent medications, which I state clearly.

I state the cognitive effects of a MS relapse.

I describe the symptoms in explicit detail.

I couldn’t fell my mouth, midface, eyelids. These symptoms match well with the radiology images, since they show central intensities that would directly effect sensory function in these peripheral extremities.

I describe “neuropathy “[misnomer of neuralgia] my and around my face.

I described the loss of eyesight that took place in the last ER. I described the optic neuropathy perfectly.

I state that the lack of physical feeling and sensation relapses when I stop taking the medications.

It was unknow to me at that point but interferon wouldn’t be effective for my form of MS, perhaps cursory improvements as I described but for secondary progressive MS the most appropriate medications would be Tysabri or Nataluzamab.

I describe the dementia from MS pretty clearly.

I stated that Cyclophosphamide was used in my case to a positive response. But it was cursory since it is secondary progressive MS.

The medications that I mentioned shouldn’t be taken for MS, though they have positive effect but they have too many systemic side effects.

I state that I need to medications to be effective at work.

Chat Transcript

Dr. Sadler: Tell me any notable findings, only not normal ones.

Doctor: Yea, so starting from head to toe. We noticed that there is a left inability to sustain leftward gaze in both eyes as well as inability to sustain a vertical gaze. And there is also diminished sensory on the left hemisphere.

Other doctor: His entire left body.

Doctor: Decreased sensation to pin prick. Absent appropriate reception.

Other Doctor: In both feet though. And absent vibrate.

Doctor: And absent vibrate.

Other Doctor: He has very dimished vibraroty sensation in all extremities preticulary left greater than right.

Doctor: General hyporeflexia.

Dr. Sadler: Hyper?

Doctor: Hypo. And I would say average 3/5 on the entire left side.

Doctor: And then gait, I don’t necessarily know how to describe it.

Dr. Sadler: Oh we will just throw it together.

Weakness and sensory problems on the left side and interwoven eye movements also.

Doctor: He did have a positive Rhomberg when he fell to the right, which…

Dr. Sadler: Ok. Do you usually get around without any assisted device. Do you walk…

Me: I have a kane at times. Which is somewhat useless because if I have a diminished strength in my left side, there is no way for me to actually grip the cane.

Dr. Sadler: Yea…

Me: I can balance my cane on my right hand and then balance myself that way. So I was like….

End Chat Transcript

3. Spoke With Dr Sadler After Dr Longgardner Who Does a Neuro Examination and Denies Treatment:

She fakes her medical test. Which is apparent in comparison with the first two doctors who did a throught and verbose neurological examination that shows a clear MS relapse.

I described the progression of the condition and how it got worse.

I stated the neurological evaluation that took place in Tijuana (San Diego is next to Mexico, 4 miles from Central San Diego). That the recommendation given the MRI series at that point would be management with medication for MS.

The doctors in UCSD ER ignore the clear presentation of MS.

I stated that the medications for MS reduce the peripheral lack of feeling, pain and intermittent immobility. Which is expected, given the condition.

The MRI shown in ER shows clear evidence of neurodegeneration. I do have nystagmus, its more prominent during relapses and indicates some inflammation of the optic nerve.

Optic neuropathy wasn’t as prevalent in this ER appointment as a former ER appointment. The eye test shows a limited visual field.

Its hard to illicit responses in the left hemisphere due to spinal column pathology.

This is where Dr. Longgardner’s clinical report becomes counter to her neurological examination. Thought she stated “my presentation is typical of a MS relapse” she makes up reasons to not given the medication.

I couldn’t feel the left side of my physiology, I state that my physical sensation often reduces to much less due to clinical condition.

There is a confounded situation in this setting.

I already had the medical tests for MS done before. The medical tests results were falsified abroad (in a clear and undeniable way). Dr. Paul Raffer replicated the same MRI fraud as that demonstrated in the video, so Dr. Raffer’s clinical falsification/assault and former instances of medical fraud results in another instance of assault in UCSD.

The clinician is aware that the former medical reports were falsified to withhold medications so this instance is simply another instance of assault.

Dr. Longgardner recognizes that long term MS has already caused a atrophy of the posterior section of my brain.

And that the EEGs corelate with the location of lesions in brain.

Dr. Longgardner replicates a statement in clinical fraud so she is aware of the clinical fraud. She states things counter to the MRI reports. The MRI report states features of neurodegeneration and the video of clinical fraud shows that the radiologist is trying to hide central intensities to prevent the diagnosis of MS.

What Dr. Longgardner mentions as a statement of “diskbulge” taken form the MRI report is a statement of clinical fraud perpetrated by the US.

The video shows the fraud in explicit detail so the clinicians are using clinically fraudulent data to physically harm the patient and knowingly.

Medications for MS are generally non toxic and non consequential which is counter to her statement.

Her last statement indicated her intent to limit help to assault the patient.

I also show the MRIs in person, so Dr. Longgardner replicates the same fraud that was recorded in the video of fraud taking place.

The consequence of the clinical negligence (which is a form of assault), was seeking medical help abroad repeatedly.

Discharge (though its clearly not appropriate for me to be discharged):

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Picture of me in ER:

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08.31.2017

Dr. Nicholas Dembitsky is fully aware that I have the typical presentation of a patient with MS along with MRIs that show typcial lesions from MS. The lesions exist in the cervical spine and brain as stated in his clinical reports.

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10.12.2017

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I do another MRI of the brain and cervical spine was done on August 25th in Tijuana, Mexico that shows gross inflammation of the brain and cervical spine.

With persistent gross need for medications I fly to Mexico City on September 3rd 2017

I go to the ER in Mexico City. The ER personel immediately recognize the severity of the condition and give me the IV medications of a MS relapse for five days preceding 09/19/2017.

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The condition had excalated to a severe state due to assualt by the ER personel on August 16th 2017.

Presentation is below:

Day 1:

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Day 3:

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Day 5:

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Another MRI of the Brain, Cervical, Thorasic, and Lumbar is done on September 25th to show clinical improvement due to medications (thought they tend to me shortlived in progressive forms of MS, like mine)

Due to the progressive nature of MS this resulted in two more ER appointments on November 10th 2017 and January 1st 2018.

November 10th 2017

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January 1st 2018

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Day 1:

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Day 2:

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Day 5:

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The sequence of events in Sharp Hospital after this is given below:

Appointment with Dr. Justin Dominick on 06.14.2018 in Sharp Rees-Stealy Downtown

With the three ER appointments abroad and much more evidence of Multiple Sclerosis I see Dr. Justin Dominick on June 14th 2018 in Sharp Hospital (the entire hospital is the clearest example of furthering negligence in a clinical setting). The doctor perpetuates negligence in the clearest way, he denies all medical evidence, lies about MRI series, and tries to downplay the seriousness of the condition. Considering the doctors personal statements and the history of falsified medical data and diagnostics in the US, his recommendation of doing further testing if done in the same hospital in the US would have most likely caused another instance of fraud in a medical setting.

Dr. Justin Dominick makes clearer statements in medical fraud to medically neglect the patient in his report:

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Statement by statement negation of Dr. Justin Dominick's appointment sumamry is:

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06.25.2018

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09.06.2018

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Clinical Fraud is Again Replicated UCSD and UCLA as Shown Below:

The 9.19.2019 Clinical Report that Makes Clinically Fraudulent Statements By Dr. Eric Williams in UCLA (Los Angeles, CA) is given below:

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The 9.21.2019 Clinical Report that Makes Clinically Fraudulent Statements By Dr. Philip Revere (UCSD, San Diego, CA) is given below:

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