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Showing posts from July 19, 2015

Changing faith...

This 75 year old lady was brought into our hospital a month back with distension of abdomen. Distension usually being of surgical cause, she ended up in the surgical ward. The next day, our senior surgeon recognized that she had a Renal problem and asked some of us to review. We saw that the lady had a chronic kidney failure with a creatinine of 2.9 – indicating that she has lost almost 60 to 75% of her renal function. An US examination confirmed our doubt. Being of elderly age, and not having options for renal replacement therapy – (Dialysis or Transplant) we did the best we could. We gave her drugs to control her blood pressure, electrolyte abnormalities and prepared the family for a palliative care at home. But the family was very insistent. Somehow she has to be made well, and they wanted to take her to a higher center. Being insistent, and having little trust in our “Diagnosis” and advice, the best we could do was to give them a referral letter.
We did not hear from them for a …