My son was diagnosed with Peritoneal TB by taking CT scan. However Dr. Ram Kumar, a Surgical Gastroenterologist suggested that peritoneal TB can be confirmed by doing laparoscopy only. Stomach Biopsy has to done. In his Abdomen and Intestine, he was saying that TB was spread widely but treatment can be done. He was started with treatment on the 23rd of March 2019 and he was referred to Dr. Suresh Kumar, doctor for Infectious disease.
The medicine and follow up to the treatment of TB by the doctor was pathetic. He was again hospitalized from 22.04.2019 to 27.04.2019 under Dr. Ramkumar recommended by Dr. Suresh Kumar due to the side effects of TB medicine. His serum albumin level had been 2.2mg/dl at home. During his stay here he was not given food for 2 days after which his serum albumin had gone to 1.6mg/dl and the doctor said it was better do TPN on the third day in which food will be given through a vein in the neck instead of giving through nasogastric tube. He was again started on TB medicine. Dr. Suresh Kumar did not even see the history of side effects that happened. It was just a restart of the medicine that was given during the beginning of treatment even though there were side effects with the starting medicines. He was brought home back on 27 April 2019 in a condition worse than the condition he was admitted in. He again had side effects due to the restart of the TB medicines and again the medicines were changed. With the new medicines his condition had become worse. He was confused and he was talking incoherently. This was due to the effect of medicines on the liver which had increased his liver parameters to abnormal values(Total Bilirubin level - 9.3 mg/dl). Dr. Suresh Kumar had said this was not a cause of worry on his follow up on 3 May 2019 and the medicines was changed and the follow up was suggested 10 days after. In 3 days on 6 May 2019 he did not wake up and he was unconscious. He was taken to Apollo Vanagaram by ambulance and was admitted there. For the first 2 days they did not give any food because it was told bile secretion was more. He was moving in his unconscious state and so to prevent his movement, he was sedated and his hands were tied. He was in coma stage and was on a ventilator because of the sedation and because of increased ammonia level and bilirubin levels. There was no treatment going on for the liver injury. In case of liver injury no sedatives should have been given, but to make their job easier the duty doctor had given sedatives because he was moving and she was an anesthesiologist. Even though he admitted in MDCCU under Dr. Ramkumar he did not have the courtesy to even talk to us on what his condition was and we had to go and stand in OPD for hours together to ask what his condition was. He did not talk in between during his OPD sessions and told the receptionist to allow us to see him after all the patients in OPD were complete. It was not a case of liver failure as given in discharge summary of Apollo Hospitals, Vanagaram but liver injury as told by Apollo Hospital, Greams Road. We were called for the counseling room and told by Dr.Ramkumar and Dr.Ebenezer, who had introduced himself as a lung expert, but in fact was an anesthesiologist that my son couldn’t survive and even if he does he will have a bad life ahead of him and hence to leave him as it is.
On 09.05.2019, my husband had gone through one Tamil newspaper Dinakaran in which they published that in Apollo Greams Road that a plasma exchange treatment was given to a seven year old boy who had been in hepatic coma and he had survived by this treatment. In the Vanagaram hospital we got opinion for the treatment. While asking for the treatment I deliberately told him that as per the doctors in MDCCU he won’t survive here and why can’t we take a chance for my son. If he get cured there, the treatment may extended to other patients who were not aware of such things. The doctor was not even suggesting alternatives but simply keeping him in hospital without any treatment.
I told them we would take all the risk to shift my son Apollo Greams Road. After shifting there, I told them not to give ATT medicine. First he should be alive to give ATT drugs. He is no more with us in this world now and the remaining mistreatment given in Apollo Hospital, Greams Road is available in https://mouthshut.com/review/Apollo-Hospital-Greams-Road-Chennai-review-momsroooqtn