The IoT-based health care system for paralysis patients is designed to enable patients to communicate various messages to doctors, nurses, or their loved ones remotely over the internet. This system utilizes a microcontroller-based circuitry to facilitate its functionality. It incorporates a hand motion recognition circuit alongside a receiver and transmitter circuit. The hand motion recognition circuit detects hand movements using an accelerometer and gyroscope, then transmits this data wirelessly via RF to the receiver system. The receiver processes these commands and displays them on an LCD screen, while also transmitting the data online to the IoT Gecko server. The IoT Gecko server then displays the information, allowing the intended recipients to receive the messages promptly. This system enhances the communication capabilities of paralysis patients, providing a crucial link between them and their caregivers or family members.