Sir, we have a patient he has come with severe breathlessness and very critical, his Blood pressure is 50 systolic heart rate is 120/min, I heard this on receiving a phone call from our intensivist at midnight 2.00AM. That is very bad, please do what best, I will reach there in few minutes I said. Ok, our intensivist replied.
On reaching the ICU, I saw the patient was on the ventilator, they had already started drugs to boost his blood pressure. By then patient already had once cardiac arrest, our intensivist had already revived the patient. Still his blood pressure and oxygen level in his body were not recovering. The scene was appearing gloomy, but we as doctors have to perform our duty to our best, so our struggle to save the patient continued. In another couple of minutes patient again developed cardiac arrest. Our team of intensivist with ancillary staff restarted CPR. A couple of shocks was given, but nothing seems to show a good sign of improvement. After prolonged struggle of 45 minutes to 1 hour, that patient was declared dead. After confirming the death of the patient, I came out of ICU and called patients relatives, I explained the happenings inside ICU to his wife and son also informed them that the patient has expired we tried our best but we could not save him.
5 days back:
After doing angiography of the same patient I had told, he needs cardiac bypass surgery, it is better to do it as early as possible. But, the patient’s wife was not willing as days were not auspicious so she wanted to postpone surgery for 15 days.
A couple of days back a friend of me sent a newspaper cutting clip over WhatsApp. Doctor was penalised by the court for not performing a needed procedure on a child because child’s father felt the outcome will not be good as he was an astrologer, although the mother of the child gave consent for surgery
Such kinds of incidences are not very uncommon. In our society, we have many blind beliefs. Classification of days as auspicious and inauspicious is very much prevalent in our society. We take up work depending on this, sometimes these cost lives in our medical practice.
Patient’s son asked me if our dad undergone surgery, was there a possibility, he would be alive today? Such question from patients relatives is not very uncommon. Our answers can lead to their family quarrel, not answering means, taking the blame on self and also misguiding the patients. More often my answer goes in a balanced way. I said, look destiny is not in our hands, we are supposed to do our job and results are not in over control. Mostly we could have saved him I said in a low tone and at the same time I was judging his reaction.
We have seen, some people and celebrities trying to fix the birth time of their child, they book obstetrician, may even induce undue labour although not scientifically indicated. This sometimes forces them to do cesarian section instead of normal delivery. Such behaviour is unscientific and risky for both mother and child.
Few doctors are also not free from blind faiths. We have seen some doctors do not do elective surgeries on inauspicious days, and a good number of them are top surgeons in their fields, sending wrong signals to budding doctors. Doctors should focus on self-confidence, not on blind faith. The general public should also come out such beliefs and should consider seeking the timely care irrespective of days and timings.