Sunday, October 26, 2008

this month's experience - Oct 2008

Well i would say, one of the most adventurous month this had been. It was supposed to start with the good promotion mails but which got delayed. I was in Bhopal (yeah this was 3rd visit in this year ;) ), for last week for Ramzan and then definitely celebrate Eid. I dunno in how many blogs I have written why I love to be in Bhopal for Ramzan - well definitely its different. So here I was in Bhopal celebrating Eid, met old friends (yes school time acquaintance). Again this trip was refreshing as was away from studies, which unfortunately I had not planned. I had thought of studying and coming up to speed which definitely did not happen.

Just the night before I had to leave, I had severe pain in abdomen, which docs took care by giving me pain killers. As I was feeling well in morning, I started for my journey back to Chennai. I would rate this as one of the worst decisions of my life time - I don't think I had taken such bad decision not even while investing in share market :). Though till afternoon things were fine, the pain started to re-occur towards evening and by night I was not able to sleep in train (though the intensity of pain was still lesser than previous night's). Was just praying that I reach Chennai soon and go to hospital. Alhumdulilllah reached Chennai and then went home still having that pain. By God's grace Sabahat had reached a day back and so went to 'Lifeline Hospital' - whose image I am going to rip apart below.

We went directly to hospital with me still having pain. Initially doctor checked me out and observed it might be appendicitis pain and recommended me to immediately undergo 'UltraSound' before they do the "surgery" to remove the appendix. In Ultrasound, the doctors observed it was not appendicitis, but I had dilation in the proximal ureter (which in layman terms means I had swelling in the ureter near kidney). They were not able to identify any issues (which they said should happen due to stones). Till now I was OPD and then I decided to get admitted. They finally gave me pain killer to ease the pain and then put me on IV and antibiotics (I think just like that). Then in the meantime they decided to take CT scan (I think because now I was on insurance), which they reasoned to see if they can identify the stones as the reason behind dilation. Ahha I forgot to mention that till now I am patient of 'Dr J. S. Rajkumar' or Dr. JSR who is supposed to be one of the best Gastroentologist - Surgery here. Ok so I go for the scan, they inject 'tracer' in my blood so that in CT scan they can identify things in right kidney properly. Now, how bad the luck can be, in the CT scan the 'tracer' got into the left kidney and nothing went into right. Also later doc came back and told me (and also explained more to Sabahat) that why another CT scan is required. They had taken 10mm sections in the first one and still they were not able to identify the issue. So they wanted to take another CT scan with 3mm and 5mm sections - well later I used to call this procedure 'live testing and calibration of machines'. So has another scan which also did not give out any concrete results.

Now I had been referred to urologist - Dr. Pari. In all this Dr JSR once visited me and also explained me things would be fine and how if "surgery" is required it would be small one - which I never trusted. Mostly they were trying to look for any small stone so that they can have reasons of performing surgery or surgery like thing :). So I am still on IV and antibiotics, pain has not re-occurred with doctors trying to find what can be the reason and what treatment to follow. I dunno whether so much was required, but when I got admitted they brought one big bag with all this, which I first mistook is for other too :).

So finally Dr. Pari comes and tell me that it might have been because of kidney stone which has now got dislodged from body. I can get discharged as soon as insurance things are sorted out. And finally I was out of hospital Friday evening, but unluckily started having little pain. Since I was already discharged and had medicines, I was like lets go to house then stay in hospital which I had started to dislike. I forgot to mention when I went to pay for my bills the hospital has sent estimation for Rs 41,500 to insurance company while they approved Rs 15,000 - making me wonder whether that's the reason why for any treatment option they were looking for "surgery" as solution.

I was again supposed to meet Dr. Pari after three days which was Monday. As I went to hospital (even after fixing prior appointment), he made me wait almost for 1.5 hours as he was still not in (there were other who were waiting since 9:00 AM ie well over 3 hrs) - how unprofessional of a doctor. As I told him, that for last three days, the pain occurs sometime and then goes, he started explaining another of the possibilities - that the problem might be PUJ obstruction, which is pelvic-ureter junction obstruction. He explained that this is since childbirth and problem starts occurring between 20-30 age group (again fitting my age). The cure for this is definitely "surgery" - I should have punched him then and there itself for repeating that word again. To confirm whether it is due to PUJ obs., he recommended me to undergo one more test (yeah go and get one more machine calibrated). This test was Nuclear medicine test - where they would inject me with radioactive material (to make me next spiderman?) and would study my kidney function under camera (like I am some reference material or what???). This observation from him, his inconclusiveness in identifying problem and his lack of confidence and flowchart type approach in trying to identify my problem led me to decide of not seeking his advice at all.

I came out, decided to get my reports checked through some other doctor and get their advice (I would not have to undergo any other test - I had all test reports with me - Ultrasound, CT scan, Chest X-ray, Blood test, urine test...). I stopped taking the medicine too, just to see if problem re-occurs or not. Alhumdulillah I did not had any problems after that day, the pain has also not re-occurred.

Everyone has told me that hospital - Lifeline, reputation is not that good. They have cases of mis-diagnosis and other issues.

So the month started beautifully with some pain in between and now towards the end of the month have got the promotion letter. Yes finally am a Project Manager, officially. Though I would say I always knew I will get it this time, the market conditions have been bad, there are very less number of promotions which have gone through this time. Still there are reasons to smile :)

Chalo I think now I should get back to study or else the future will not be that good as it is now.

1 comment:

Saniya said...

Infosys and Bhopal....v have a lot in common huh :)
Lucky you !! U cud b in Bhopal for ramzaan :(
Anywayz...which DC r u in? n may i ask wots ur stream of specialisation ?