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A tale of murder, medicine and sheer brilliance…
I can proudly credit much of my success in clinical practice to one teacher of mine: Dr. Rama Tharak Nath. His observations, teaching and language skills are unparalleled. Here is a great story where he single handedly solved an international crime recently:
The background:
****************
Dr. Tharak Nath is a neurologist who practices in Guntur, Andhra Pradesh. A young bride Kavitha (name changed) came to him recently with severe burning, tingling and numbness of hands and feet. He took her complete clinical history. Here are a few highlights he gathered:
The marriage:
**************
Kavitha got married in June. Her in-laws are truly cosmopolitan. The groom Shekar (name changed) is an engineer in the U.S. The sister-in-law, Raveena (pseudonym, again) is a doctor in the U.K. and was married to a health care professional. The in-laws, Subba Rao and Janaki, travel between India, US and the UK constantly.
The first episode:
*****************
Subba Rao and Janaki have a beautiful flat in Miyapur. After the marriage, all of the family got sick with gastroenteritis. They had stomach cramps, dragging discomfort in legs and hands.
They went to a corporate hospital in Hyderabad. Subba Rao, Shekar Raveena and Kavitha were okay but Janaki, the mother-in-law, developed weakness of limbs. Shekar went to the U.S., Raveena to the U.K. and Subba Rao was taking care of Janaki. Kavitha came back to Narasaraopet, a town near Guntur.
The unfortunate death:
***********************
Janaki deteriorated further and was admitted in the big hospital. She was diagnosed with Gillian Barre Syndrome, in which paralysis of both arms and legs occurs. Her daughter Raveena came back from the UK to take care of her. She got stabilised over a few days and was shifted to the room in the hospital. Raveena left to the UK again.
But as fate would have it, Janaki suddenly died in the room. The doctors thought that it could be pulmonary embolism, a sudden clot to the lungs.
The second episode:
*********************
All the family got together in Miyapur in the moments of grief. The new bride went from Guntur to be with her husband in the distressing time. They were performing the rituals but didn’t expect what hit them next…
All of them got sick again. They went to another corporate hospital and were treated for gastroenteritis. The water in their flats was examined and found to have E.Coli, a bacterial pathogen. They were treated and sent home. Raveena left for UK, Shekar to the U.S., and Kavitha went back to Narasaraopet, Guntur.
Enters the saviour:
******************
But Kavitha was suffering from severe neural pains in her limbs. She was sure that she will die, and she insisted that she be taken to Dr. Rama Tharak Nath. She was taken to him promptly and he examined her thoroughly and heard what she had to say. He asked her a lot of questions.
The Vital Clue:
***************
What was not obvious to many doctors, Dr. Tharak Nath identified in less than 15 minutes. He noticed inconspicuous white lines on the nails of Kavitha. These are called Mee’s Lines, he later told me. They are the diagnostic features of a poisoning from Arsenic, the King of poisons. Napoleon was suspected to have died from Arsenic poisoning.
The follow up:
**************
Dr. Tharak Nath got his patient tested for Arsenic. He also asked the husband in the US, and the father-in-law in Hyderabad to get tested for Arsenic. It was an uphill task for the NRI to get tested for Arsenic, but he managed it in the end, educating his unsuspecting doctors about Mee’s lines and using Dr. Tharak’s suspicions as props.
The lab results showed only one thing: My professor was absolutely right. It was Arsenic that troubled all of them.
#MiyapurMurder
#ArsenicPoisoning
#MedicalMystery
#MedTwitter
1/2
I can proudly credit much of my success in clinical practice to one teacher of mine: Dr. Rama Tharak Nath. His observations, teaching and language skills are unparalleled. Here is a great story where he single handedly solved an international crime recently:
The background:
****************
Dr. Tharak Nath is a neurologist who practices in Guntur, Andhra Pradesh. A young bride Kavitha (name changed) came to him recently with severe burning, tingling and numbness of hands and feet. He took her complete clinical history. Here are a few highlights he gathered:
The marriage:
**************
Kavitha got married in June. Her in-laws are truly cosmopolitan. The groom Shekar (name changed) is an engineer in the U.S. The sister-in-law, Raveena (pseudonym, again) is a doctor in the U.K. and was married to a health care professional. The in-laws, Subba Rao and Janaki, travel between India, US and the UK constantly.
The first episode:
*****************
Subba Rao and Janaki have a beautiful flat in Miyapur. After the marriage, all of the family got sick with gastroenteritis. They had stomach cramps, dragging discomfort in legs and hands.
They went to a corporate hospital in Hyderabad. Subba Rao, Shekar Raveena and Kavitha were okay but Janaki, the mother-in-law, developed weakness of limbs. Shekar went to the U.S., Raveena to the U.K. and Subba Rao was taking care of Janaki. Kavitha came back to Narasaraopet, a town near Guntur.
The unfortunate death:
***********************
Janaki deteriorated further and was admitted in the big hospital. She was diagnosed with Gillian Barre Syndrome, in which paralysis of both arms and legs occurs. Her daughter Raveena came back from the UK to take care of her. She got stabilised over a few days and was shifted to the room in the hospital. Raveena left to the UK again.
But as fate would have it, Janaki suddenly died in the room. The doctors thought that it could be pulmonary embolism, a sudden clot to the lungs.
The second episode:
*********************
All the family got together in Miyapur in the moments of grief. The new bride went from Guntur to be with her husband in the distressing time. They were performing the rituals but didn’t expect what hit them next…
All of them got sick again. They went to another corporate hospital and were treated for gastroenteritis. The water in their flats was examined and found to have E.Coli, a bacterial pathogen. They were treated and sent home. Raveena left for UK, Shekar to the U.S., and Kavitha went back to Narasaraopet, Guntur.
Enters the saviour:
******************
But Kavitha was suffering from severe neural pains in her limbs. She was sure that she will die, and she insisted that she be taken to Dr. Rama Tharak Nath. She was taken to him promptly and he examined her thoroughly and heard what she had to say. He asked her a lot of questions.
The Vital Clue:
***************
What was not obvious to many doctors, Dr. Tharak Nath identified in less than 15 minutes. He noticed inconspicuous white lines on the nails of Kavitha. These are called Mee’s Lines, he later told me. They are the diagnostic features of a poisoning from Arsenic, the King of poisons. Napoleon was suspected to have died from Arsenic poisoning.
The follow up:
**************
Dr. Tharak Nath got his patient tested for Arsenic. He also asked the husband in the US, and the father-in-law in Hyderabad to get tested for Arsenic. It was an uphill task for the NRI to get tested for Arsenic, but he managed it in the end, educating his unsuspecting doctors about Mee’s lines and using Dr. Tharak’s suspicions as props.
The lab results showed only one thing: My professor was absolutely right. It was Arsenic that troubled all of them.
#MiyapurMurder
#ArsenicPoisoning
#MedicalMystery
#MedTwitter
1/2
Enter the police:
****************
The police swung into action once it was revealed that poisoning was the cause for one death and sickness in four. They reviewed the CC camera footage from the apartment. What they found, gave a further clue to this mystery: the watchman’s son was talking to some strangers.
They questioned the watchman’s son, (they may have tickled him with a feather just like Indian Police often do) and he started singing: there is a relative of the Subba Rao’s family in the same apartment who made him do the contamination.
The mastermind:
*****************
The police caught hold of the relative, the watchman’s son pointed to and tickled him too, but with a cotton wisp: He revealed the mastermind behind the entire episode: The estranged husband of Kavitha’s sister-in-law: the one that lives in the UK.
This pharmacist understood Arsenic as a poison, guided the disgruntled relative of the family to connive with the watchman’s Son and a few others and killed his mother in law, while trying to wipe out the entire family of his wife.
But he didn’t count on the new bride coming from the same place as my distinguished professor.
And thus, ladies and gentlemen, Dr. Tharak Nath, my professor and mentor, brought down an international conspiracy by just examining the patient.
Respect.
🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽
Disclaimer: Some details are gathered from the news papers where this crime was reported.
The picture of Mee’s lines is taken from the Internet.
#MiyapurMurder
#ArsenicPoisoning
#MedicalMystery
#MedTwitter
2/2
****************
The police swung into action once it was revealed that poisoning was the cause for one death and sickness in four. They reviewed the CC camera footage from the apartment. What they found, gave a further clue to this mystery: the watchman’s son was talking to some strangers.
They questioned the watchman’s son, (they may have tickled him with a feather just like Indian Police often do) and he started singing: there is a relative of the Subba Rao’s family in the same apartment who made him do the contamination.
The mastermind:
*****************
The police caught hold of the relative, the watchman’s son pointed to and tickled him too, but with a cotton wisp: He revealed the mastermind behind the entire episode: The estranged husband of Kavitha’s sister-in-law: the one that lives in the UK.
This pharmacist understood Arsenic as a poison, guided the disgruntled relative of the family to connive with the watchman’s Son and a few others and killed his mother in law, while trying to wipe out the entire family of his wife.
But he didn’t count on the new bride coming from the same place as my distinguished professor.
And thus, ladies and gentlemen, Dr. Tharak Nath, my professor and mentor, brought down an international conspiracy by just examining the patient.
Respect.
🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽
Disclaimer: Some details are gathered from the news papers where this crime was reported.
The picture of Mee’s lines is taken from the Internet.
#MiyapurMurder
#ArsenicPoisoning
#MedicalMystery
#MedTwitter
2/2
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