TEAM OCHRI successfully treats 28-year-old male nurse with 6 system involvement
Patient’s unflinching faith on treating team helped him heal
A 28 years old male nurse by profession was admitted to Orange City Hospital & Research Institute 2 months back with c/o fever, headache and piles since 3 days with K/o Sickle cell disease. He was admitted under care of Dr. Rajesh Atal, Sr. Critical Care Physician, OCHRI. His initial investigations were suggestive of anemia and negative for malarial parasite. Inspite of antibiotics for 3-4 days, his fever and headache not subside. So Dr. Rajesh Atal advised CSF study, which was suggestive of Herpatise Encephalopathy. Dr. Vasant Dangra- Neurologist’s opinion was also sought and accordingly treatment was started. But in the meantime he started to have weakness in both lower limbs, gradually leading to paraparesis. Accordingly, physiotherapy and treatment protocol started and he was showing improvement.
He then started having loose motions and abdominal distension with fever, accordingly sigmoidoscopy was done which suggested Ulcerative proctosigmoiditis? Infective. Accordingly, treatment protocol was modified. After 10 days repeat sigmoidoscopy was done suggestive of Severe colitis. Hence diversion Ileostomy surgery was done to which he responded well and gradually fever and loose motions decreased. He was discharged on 01.06.2018 in stable condition with recovering paraplegia.
His provisional diagnosis was Sickle Cell Disease with Paraplegia (Recovering) with Urinary Retention with Necrotizing Colitis with Diversion Ileostomy with Gr II Internal Hemorrhoids with Herpatise Encephalomyelitis with related complications.
During the course of hospitalization; Dr. Nikhil Balankhe- Senior Physician, Dr. Sudhir Tomey & Dr. Yogesh Bang- Surgical Gastroenterologists, Dr. Vasant Dangra- Neurologist, and Dr. Samir Patil- Gastroenterologist also rendered their valuable services. Dr.Milind Pande- Pathologist, Dr.Nishikant Lokhande & Dr. Rima Saoji- Radiologists rendered diagnostic support while full time round the clock stationed Intensivist team consisting of Dr.Ashish Shukla, Dr.Roshan Jawdekar, Dr. Santosh Gadge, Dr. Shivam Puniyani and Dr. Akshay Burlawar provided critical care support while Dr. Anit Prakash, SMO I/c Wards, , Smt. Sindhu Rao, Smt. Kavita Gotphode Smt. Rosamma and Smt. Nisha Ashok led medical, nursing & paramedical team in ICU, wards and Operation theatre. Dr. Atul Dekate led the physiotherapy team for comprehensive physiotherapy.
This clinical stormy course highlights how complicated diseases wreaks havoc in body and medical team tries their level best to reach to a diagnosis and manage complications. Nowadays hospitals and doctors are wary of treating such patients as relatives start having doubts and create unwanted allegations and drag the name of hospital and doctors into unnecessary cases and complaints spoiling the peace of mind and goodwill occasionally even assault hospital personnel.
On this occasion Dr. Rajesh Atal stated that since this patient was himself a male nurse and thus understood the rational scientific explanations and roller coaster course of disease which affected his 4-5 organs. He stated that any physician can comprehend the complicated disease profile after perusing the cited diagnosis which affected more than 6 organ systems in body. He added that it is only because of relative’s utmost patience and unflinching faith in Orange City Hospital & Research Institute and its treating doctors; this patient was successfully treated and discharged after a prolonged 2 month stay. The relatives thanked TEAM OCHRI for the care and concern.