Meet Anil, a 66-year-old retired bank manager from Jaipur. Quiet, soft-spoken, the kind of man who always “doesn’t want to bother the doctor too much.” But over the past year, he’s been… slowing down.
It started with vague complaints—lower back pain after lifting groceries, fatigue, and occasional dizziness. His doctor chalked it up to aging and maybe a touch of vitamin D deficiency.
He was put on supplements and advised to walk more.
But then came the little things:
- He broke a rib while sneezing.
- A week later, he slipped in the bathroom and fractured his wrist.
- “Maybe I’m just getting old,” he laughed it off.
Then nocturia crept in—he was waking up 2–3 times to urinate. Blood pressure fine. Sugar? Normal. Prostate? Mildly enlarged, but nothing surgical.
A few months later, his wife noticed he was forgetting things more. “He asked me what day it was three times this morning,” she says.
Now he’s losing weight—5 kg in 4 months.
You see him and decide to check some labs:
Test Results:
- Hb: 8.1 g/dL
- MCV: Normal
- WBC, Platelets: Normal
- ESR: Severely Elevated
- Serum Creatinine: 2.2 mg/dL
- Calcium: 11.2 mg/dL
- Urine dipstick: Trace protein
- Fasting Glucose: Normal
Something’s not adding up. He’s an otherwise healthy man, no diabetes, no hypertension, no NSAID use, yet has renal dysfunction, mild anemia, hypercalcemia, and fragility fractures
What’s going on here? Is this just old age—or something more sinister lurking beneath?
Want to solve it? Ask for specific investigations, history, or imaging and I’ll reply. Let’s test your diagnostic radar.
