Family Archive

Medical Timeline

Created 2026.02.16 · Updated 2026.08.21 · running medical history, newest entry first. A red heading means there's a source document attached.

2026.07.14 — Orthopaedic consultation (surgical opinion)

  • Consulted Giorgi Zimlitski.
  • Impingement visible on MRI images 14/15.
  • Small bone spur / osteophyte present.
  • Inflammation in the rotator cuff.
  • A sling won't hold the joint / won't fix the instability.
  • Can't do heavy exercises.
  • Bankart repair judged not helpful in my case. Bankart = anchors and suturing; works via the capsule holding the joint; the easier operation of the two.
  • Latarjet recommended instead — take a bone and fix it with a screw to make a "wall." The transferred bone has to heal.
  • Risks raised: infection; with Latarjet the bone might not heal.
  • If I want the operation, first available slot is October 2026. 2 months of rehab. Rehab provider mentioned: Sport & Med.
  • Levan Natchkebia surgery in October — this was the recommended option. New hospital has two surgeons who do it: Irakli Kartozia.
  • Doctor can recommend me to another clinic if I prefer.
  • Cost: 9,000 GEL (~$3,300).

2026.06.26 — MRI of right shoulder[ZIP][GE][EN]

  • MRI performed at K. Eristavi National Center of Experimental and Clinical Surgery (Card No. 10868.26). Examining physician: Dr. Mariam Qoriauli.
  • Glenohumeral joint: Space preserved; glenoid articular cartilage intact.
  • Bankart lesion (chronic): Glenoid labrum damaged at 3 o'clock position, slightly displaced ventrally — consistent with chronic post-traumatic Bankart-type lesion.
  • Hill-Sachs lesion: Residual bone marrow infiltration signals and impression-type deformation on dorsolateral humeral head epiphysis — consistent with post-traumatic Hill-Sachs lesion.
  • Synovial fluid: Mildly increased in right shoulder joint; small amount also in subacromial-subdeltoid bursa.
  • Rotator cuff: No acute injury. Supraspinatus tendon mildly fibrosed with heterogeneous signals and moderate surrounding edema. Subscapularis tendon thickened and mildly fibrosed.
  • Biceps tendon: No MR signs of injury in bicipital groove.
  • Acromioclavicular joint: No significant pathological changes.
  • Conclusions: (1) Chronic Bankart-type labral lesion; (2) Post-traumatic Hill-Sachs lesion of humeral head; (3) Chronic interstitial injury and tendinopathy of supraspinatus tendon.

2026.06.26 — Visited Otari Siradze

  • He also recommended getting an MRI.
  • Cost of surgery about $4,500 and rehabilitation about $2,500 from Sport & Med.

2026.06.16 — Dislocated shoulder[GE][EN]

  • Dislocated my shoulder.
  • Visited American Hospital and met Dr. Giorgi Zurabashvili.
  • Took a good half an hour to pop it back in.
  • Pinching pain for a couple of days.
  • He suggested an open Bankart Surgery might be needed. Recommended an MRI.
  • Report: 2026.06.17_GE_shoulder-dislocation-referral (not yet added)

2026.03.26

  • Second IRC procedure completed. Asked for a photo of the haemorrhoids — most of what remained after the second procedure appears resolved.
  • Same slight discomfort as on the day of the procedure.
  • Medication: Tab Ornof BD x3 days, Tab Vizylac BD x5 days, Lactifiber 1M x1 tbsp, Cremaffin 15D x1 tbsp, Paracetamol x2 days.

2026.03.23 — Back in Delhi

  • Cough still worse at night. Took cough syrup 2x today, plus mutton bone soup, ginger honey water, steamer.

2026.03.21-23 — Travel to Delhi via bus

  • Cough during the night was the worst. Took Sinek, Montelukast, Cetirizine, one each night — none seemed to help much.

2026.03.09

  • Went to KTM. Wednesday/Thursday swam, coughing started Friday.
  • First couple of days: throat burning with constant cough.
  • Used cough syrup, paracetamol, and cetirizine in combination with vitamin D.
  • One night had high fever, 101.3°F, 2026.03.11. Regained strength after, but cough persisted.

2026.03.05 — Follow-up with Dr. Manish Agarwal

  • All looks good after the procedure, no signs of complications.
  • Post-defecation symptoms improved significantly — not all fixed but much better.
  • Only need Lacti-fiber going forward. Next follow-up 2026.04.01.

2026.02.28 — Follow-up

  • Problem can't be resolved via medicine alone.
  • Performed IRC (Infrared Coagulation) — non-surgical, might need a couple of sessions.
  • Medicine for 5 days. Follow-up 2026.03.04.

2026.02.21 — Consultation with Dr. Manish Agarwal

  • Bowel movements irregular, having to push the piles every time afterward.
  • Suggested a few laxatives to see if the problem resolves.

2026.02.20 — Consultation with Dr. Monashis Sahu

  • Diagnosed Gilbert's Syndrome — harmless. Bilirubin to be tracked every 6 months.
  • High ESR could be due to haemorrhoids and lack of water.
  • Lack of vitamin D and B12.
  • Referred to Dr. Manish Agrawal + ultrasound of the abdomen, focus on the liver.
  • Follow-up after 6 months.

2026.02.16 — AP's interpretation PDF

  • Urine mildly acidic — not serious, but likely still not drinking enough water; risk of kidney stones forming.
  • Low BUN — suggests (weirdly) overhydration, low protein, liver problem.
  • Liver seems a bit out of kilter — consultation with an endocrinologist may be a good idea.
  • High bilirubin — perhaps rapid RBC breakdown (consistent with small MCV, high ESR).
  • Low ALP — possible deficiency of zinc, magnesium, B12, hypothyroidism, malnutrition.
  • Low GGT — possibly low magnesium.
  • Vitamin D3 — could supplement, maybe a factor in poor immunity.
  • Lipids: TC/HDL ratio is great.
  • Fasting blood glucose, HbA1c, fasting insulin all good to great — no sugar problems.