EVERY GOOD THING HAS TO COME TO END

      I have talked about  many of may patient without  disclosing any identity, Sometimes i have to change their age , sex and other part of the story , keeping intact the core of medical story intact. I also talk about things that have happed in distant past and not current. I have seen patients that have defied the medical odds.. So I am going to tell you couple of stories when the GOOD THING did come to end . 

     I had seen this patient several years ago . After a simple gall bladder surgery, she could not come off respirator. I was called in and I checked her and then consulted a neurologist as I felt that her lungs were fine and the problem was in her respiratory muscles. The neurologist saw her and did not feel there was any neurological cause and told me that it was my problem. I called the surgeon and asked him to do muscle biopsy and the biopsy showed that she had a very rare form of myopathy. She remained on respirator for fo years to come. Over period of time she did get worse and needed feeding tube and became bed bound. Every time I talked to her , she had to write her answer as she had tracheostomy and she would write the number of years that she was seeing me . After 34 plus years , when she was admitted to ICU with pneumonia, she requested me to be disconnected from the respirator. After long discussion, she was she was taken off the respirator and passed away peacefully. ALL GOOD THINGS MUST COME TO END. 

I will tell ypu about couple of my other patients next time.