Doctors Dilemma: thread.

Chemistry professor. Wrote textbooks we read in class 11 & 12.

Had a heart attack & I performed a ‘life saving’ angioplasty that night. Family consults me even for common cold since then.

He comes down with Cancer
Surgery, several months of chemotherapy ensue. Cancer docs & children decide not to tell him the diagnosis. Has a remission fir a year.

Relapses a year later. Chemo again at a reputed onco centre in Bangalore. Still not told openly that it’s a cancer.
One fine night, son calls me to tell that the Professor is too sick & the docs told the family that he needs ICU care.

“Can you help”.

Of course, get him over.
In the next three days before he died in an ICU surrounded by strangers & machines, I asked these questions to the family.

1. You think a textbook writing Prof went to ‘Cancer hospital’, received monthly injections not realising he has cancer?
2. If he’d known he was dying, would he have planned his remaining life: wrote a will; told his wife he loved her; made up with a friend he trivial-fought 25 years ago; visited his favourite temple near Mangalore?
3. Why do you children think you’re smarter than your parents?
Epilogue:

We doctors should have the courage to say we don’t know if a therapy will make a difference in such cases.

Families should know that the choice of accepting a treatment remains with the patient. Please don’t HIDE facts from them.
My point in the original post was about success rate of therapies, how aggressively doctors should push such treatments to avoid public retribution and the need for legally defensible scientific guidelines for management of (at least) diseases of public importance

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Somalaram Venkatesh

Somalaram Venkatesh Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @serioustaurean

24 Apr
Thread: A mab/steroid related fungal horror story from Covid 2020.

46 yr old friends brother survived severe Covid pneumonia & myocarditis after weeks on ventilator. Received Tocluzimab kilo loads of steroids where he was admitted.

Admitted with fever/heart failure with us.
Urine exam showed Candida infection. CT abdomen showed an infarcted right kidney, thrombosis renal artery & vein
Taken into the OT for right nephrectomy, the surgeon saw completely necrosis kidney. A GI surgeon was called in to inspect the retroperitoneum/duodenum/Transverse colon which were intact. Histo & microbiology later showed INVASIVE MUCORMYCOSIS.
Read 8 tweets
8 Dec 20
Twitter should be called Fickle really. Some people can swing wildly on the one hand and on the other, the cancel culture doesn’t tolerate a speck of dust on uniform boot of others.

Political correctness decides what you can get away with

1/
I ran into Dr Anish Koka on Twitter.

Cardiologist, Blogger & Podcaster. Came across as conscientious, sensible, caring as a doctor, slightly right of centre & with astute questioning of health policy in his blogs & podcasts often with contrarian, yet logical views

2/
A recent tweet of his raised my eyebrows & I said ‘Uh oh’. Obviously a satire on Affirmative Action policy or rush of blood to the head. After some radio silence, realised he had deleted the said tweet, apologised for it & later his account was deleted.

3/
Read 6 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!