எவனா இருந்த என்ன எல்லாருக்கும் இந்த நெலம வருண்டா பிச்சகார பயலுகளா!!

35 yr old PLHA who is a politician referred to an ART centre who is on ART in that centre, from private after a long delay (several days) in unconscious condition last 4 days with h/o fever, head ache, vomiting for last 15 days, patient is on ART and ATT around last 2 months, treated in private with antibiotics. Patient is nil oral last 4 days with IV fluid of 1 bottle of NS in day one, 1 bottle of NS and DNS in day two. ART call over given, on examination ?Meningeal signs +, fever+, RS-clear. CT shows no space occupying lesion and patient on mannitol. Advised to do lumbar puncture after mannitol. But they want neurologist opinion to rule out ICT?? to do Lumbar Puncture. With requisition made by ART medical officer to the chief of that medical ward to do LP to save the patient by his own risk, the answer is “Our PG’s will do LP”. The next day, next day, the next day, AGAIN a requisition made by the ART MO. The answer is “we don’t want to do LP for HIV positive”, it’s the reason we asked for neurologist opinion. My patient is no more, but I am. Yes he expired with septicemia by bed sore.
“PLHA can die with brain herniation during LP, but not by BED SORE”
Yes, Again I murdered by my profession.
But the idiotic chief came back to ART centre with his relative for initiation of ART, and the PG asked me for a good HIV physician. IDIOTIC PHYSICIANS. (“Physicians fight each other to do LP” if the client is HIV negative or unknown status- which is highly dangerous, if the client is positive they are ready to give chance for a resident or neglect the procedure )

என்னத்த சம்பாரிச்சாலும் சாகும் போது உன்னக்கும் இந்த நெலம வருண்டா பிச்சகார பயலுகளா!!!