Objective. To present an unusual but known cause of hypomagnesaemia induced-hypocalcaemia in a chronic GORD patient with severe symptoms with a review of the current literature. Methods. Analysis of the clinical and laboratory findings of the patient and discussion of the multi-factorial nature of his disease and the underlying mechanisms. Results. Our patient described features of magnesium deficiency such as weakness, muscle twitches, and fits with clinical signs of hypocalcaemia: a carpal pedal spasm and paraesthesia. Preadmission blood results revealed low calcium and magnesium levels. He was admitted to ITU, when he presented with seizures and developed encephalopathy. The total vitamin D level was 52.4 nmol/L (>49.9). His U&Es and LFTs were within the normal range with the exception of potassium. He was on Omeprazole for his GORD. With omission of the PPI 1 day after admission and replacement therapy, his ion levels normalised. Conclusion. Hypomagnesaemia is often undiagnosed and is associated with multiple biochemical abnormalities. Treatment focus should be aimed at stopping the PPI and replacing the magnesium. Over use of PPIs is a problem in practice, with the FDA issuing a warning over long-term use. Continued monitoring and decision making on dose reduction/withdrawal is essential to avoid complications.

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Background: Health camps are effective medical intervention, especially in inaccessible terrains. However, because of age, health, and COVID-19 fear, many patients avoid visiting these camps because of crowding. Door-to-door health camps could be a solution to this. National Medical Commission has also introduced early clinical exposure and family adoption for medical undergraduate students. Aim and Objectives: The authors had planned to conduct this research to study the advantage of door-to-door health camps involving medical undergraduate students as camp team members as compared to traditional health camps regarding patient satisfaction and student satisfaction. Material and Methods: This study was done in rural hilly areas of Himachal Pradesh. There were 8 traditional health camps and 8 door-to-door health camps also involving medical undergraduate students organized between August 2022 and November 2022. These camps were analyzed for patients’ satisfaction and students’ satisfaction. Results: Patient satisfaction was much higher in door-to-door camps as compared to traditional health camps. More patients attending door-to-door camps visited our hospital for follow-up. Students were also satisfied participating in door-to-door camps. It also improved their interest in studying medicine. Conclusion: Door-to-door health camps are more beneficial for patients, especially in hilly inaccessible terrain. Involving students in these camps improves their interest in studying medicine and can be beneficial.

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