Against All Odds: Tripura Patient Defies Critical Illness with Life-Saving Care at Father Muller Medical College Hospital
05.11.24, Mangalore: A 58-year-old male patient from Tripura was airlifted to
Father Muller Medical College Hospital after 14 days of intensive care at a
hospital in Agartala, where he was treated for multiple life-threatening
conditions. The patient, with a medical history of Type 2 Diabetes Mellitus
(T2DM), Hypertension (HTN), Acute Kidney Injury (AKI) on dialysis, Acute Cholangitis,
Septic Shock with Multi-Organ Dysfunction Syndrome (MODS), and a history of
cardiac arrest, arrived in a life-threatening condition.
Upon arrival, the patient was in
deep coma with mechanically ventilation and was on dual vasopressors. His
condition was further complicated by severe bleeding from the oral and nasal
cavities due to Disseminated Intravascular Coagulation (DIC). The bleeding was
managed with multiple blood transfusions. The patient also had no urine output,
requiring daily dialysis managed by the nephrologist. Broad-spectrum
antibiotics and antifungal treatment were initiated to combat sepsis. Despite
improvements in lab parameters, bleeding persisted, and a haematologist was
consulted and a diagnosis of acquired platelet dysfunction disorder was made.
Additionally, the patient
underwent multiple sessions of bronchoscopies and a tracheostomy for weaning
from mechanical ventilation. Severe critical illness neuropathy and myopathy
was observed, resulting in extreme weakness, requiring aggressive physiotherapy,
which was meticulously managed by a skilled team of physiotherapists.
Dr. Vishnu P S, the primary
physician, worked closely with the critical care medicine team, led by Dr.
Vijay Sundarsingh, to navigate the complex medical challenges faced by the
patient. Over a course of 32 days, the patient's condition gradually improved.
The patient was successfully weaned off the ventilator and decannulated from
the tracheostomy. Notably, he has been off dialysis for the past 10 days, able
to walk with support and has been rehabilitated to his usual levels of
activity.
The multidisciplinary team, which
included Dr. Vishnu P S, Dr. Vijay Sundarsingh (Intensivist), Dr. Ashwin S P
(Nephrology), Dr. Srishankar Bairy (Pulmonology), Dr. Jostol Pinto
(Cardiology), Dr. Jeffrey Lewis (General Medicine), Dr. Aishwarya Gatty (Physiotherapy),
Dr. Chandana Pai (Hematology), and Dr. Vinay Rao (ENT), contributed
significantly to the patient's recovery, making it a remarkable example of
collaborative care. The respiratory therapist team was vital in the patient's
ventilator weaning, while ICU nurses provided continuous, compassionate care,
managing interventions and ensuring safety.
The hospital management, staff,
and medical team expressed their gratitude and congratulations for the
successful recovery of the patient, a testament to the high-quality care and
advanced treatment facilities available at Father Muller Medical College Hospital.
Father Muller's commitment to
providing exceptional care, particularly for critically ill patients requiring
multi-disciplinary intervention, underscores its position as one of the leading
healthcare institutions in the region.
