Mighty and dreadful, for, thou art not soe,
And death shall be no more; death, thou shalt die…. “
It was his third cardiac arrest somewhere in October.His pupils were dilated and non reacting.His GCS was bordering on 4 to 5,all hinting towards poor neurological recovery and a vegetative state.There was unspelt understanding in doctors…DNR ; because there was no hope.And that is exactly when divine interference intervened and left us all baffled . There is life in death and death in life and whatever medicine rules say,somewhere it falters,because something intangible, inscrutable is beyond medical full stop and there stands wonder,hope and miracle!!!
It was on July the four he was admitted in ICU as a case of GBS.Immunoglobulins were started immediately but there was not much improvement.He had to suffer in coming days,a rare and unforgiving complication of GBS..Respiratory Paralysis.His respiratory muscles were involved and he could not breathe on his own.He was intubated and put on ventilator in month of July.With coming days his situation only worsened with evanescent hopes of his recovery.
Any time during night,his father would be looking at his child face and whispering sweet nothings in his ear.He never gave himself reason to believe that his son wont be alright.
His third cardiac arrest was when i was on ICU duty.I so vividly remember it.It was 1 am in morning.I was checking with some patient when nurse tells me that his ECG is not coming and there is no pulse.I rush madly towards his bed and start CPR..i yell at sister to get adrenaline,atropine and call senior doctor on duty.He gets his pulse,goes into Ventricular tachycardia,shock given and one time his fragile and dangling life comes forth.Doctors explained to his parents that his prognosis is very bad and he may not survive.His parents being illiterate nodded there heads but there hearts refused to believe that non reacting pupils could defeat their purpose of getting their child back to life…
There was a hush hush silence and unspoken pact of not to resuscitate him aggressively next time..
He started moving his limbs,started to generate breaths,tolerated breathing trials,was weaned from ventilator gradually,his tracheostomy closed,no oxygen support,spontaneous breathing,started responding to verbal commands,GCS improved…
His story encompasses 6 months and there is so much to write and there few words cant do justice to it but the idea is to write to understand,
Are we the ones who can decide with full surety that this person cannot come back to life?
What would have happened if we hadn’t resuscitated parvinder every time?
On 4th January,he was finally discharged from ICU after experiencing life,death and everything in between in these 6 months..
And so parvinder left ICU on morning of 21 JANUARY,almost everyone came to bid him adieu,his bed mates,other doctors in department,nursing staff and rest…..