My clinical experience 2

     

 Friday12, October 2012

Government chest hospital, Erragadda:-

Today our pulmonology P.G told us to take a case of a woman named Mangali, a patient with Spindle Cell Sarcoma.

This is the first time I saw an SCS case. Mangali who is about 50 yrs old is from Nalgonda District. She is pale, cachexic, with scaled skin, prominent dark circles around eyes, with no hair on her scalp & looked intensely depressed. 

About a year ago, she had a mass growing at her left ankle, which was then excised & diagnosed as SCS. Since then she is on chemotherapy in MMJ cancer hospital. Slowly, the Sarcoma metastasized to her left lung in such an extent that it is untreatable.Then she was informed that she couldn’t be treated anymore and was discharged.

With a faint hope that she would be back to normal, she came in search of chest hospital. As her illness is out of control, no one could help her here also. She was explained the same that she would not survive for more than 2 months.

She cried so badly when she came to know that her life would end in a short span. She and her husband were gazing at us and our professors with tears rolling down their eyes. With grief and sorrow, blaming the Almighty for their fate, the couple left the wards.

This incident had a great emotional impact on me. With great difficult I could control my grief. I learnt how valuable our life is… how fortunate we are, than many others who were caught in clutches of dreadful diseases.

Hmm… from that day, whenever I encounter patients with malignancies in my postings, Mangali’s innocent face will strike in my mind!! I don’t know whether she is alive now or not!!  (9th December, 2012)

My clinical experience in GANDHI

Tuesday27, March, 2012

        Today I had one of my most memorable outpatient {OP} postings in medicine. Our Associate professor Dr. Shyam Sundhar Raju guided us today.

        A patient named Shashank, 19 year old guy came with chronic diarrhea, tremor and anorexia. I was shocked to know that he came to hospital from charlapally jail with a jailer. Another dreadful fact about him is that he is HCV +.

        We were just startled seeing him. What is his age? Why is he in jail? How did he get HCV?

        Finally we got to know about him. He was arrested in Telangana agitation issue. A case was filed against him for beating police. Many others were arrested along with him but unfortunately he was alone trapped.

        His father was an advocate. His mother expired. His father was not at all bothered about him. He didn’t even have any interest in releasing him on bail.

        This guy spoiled his total career. His education is discontinued (he was studying engineering). There is no hope that he would be freed from jail.

        Finally, his disease is Alcoholic withdrawal Syndrome. Hmm… he is chronic alcoholic. Due to sudden cease in intake he developed withdrawal syndrome. HCV is due to some improper blood transfusion he had somewhere else.

        Oh my god!! What is this?? Who is responsible for all this?? His father, who is negligent in his duties to bring up a child?? Or the idiotic political parties who drag youth into regional issues for their own benefit?? Hmm…….

        Whatever might be the cause, ultimately youth life is greatly affected. I don’t know how many Shashank’s are there in our society?? But, I’m very sad about it.

        A child’s behavior, his deeds depends mostly upon parents & his surrounding society. Proper guidance of parents & student’s perfect vision on their career and future are the only ways to prevent life like that of Shashank.