My family consisting of my parents, myself the eldest daughter, a brother 3 years younger to me, a sister 1 year younger to him and a kid brother 12 years younger to me, were a happy fun-filled family of 6 till the 26th of January 2008. Although each one of us was busy in our own fields the sense of satisfaction the each one is safe and doing well was the binding force.
On the 26th of January when the whole of India was resting after the Republic day celebrations, we had a Tsunami in our family. My brother just 36 years of age slipped into coma due to a massive cerebral hemorrhage. Our life just stopped at that stage. The first question that came to my mind was: why us? Why my family? and why he? He was an obedient son, a caring brother, a loving husband, and a doting father to an 8 year old. A pure vegetarian and a fitness freak with a good amount of time spent in the gym under the guidance of a trainer and a non smoker and only social drinking in moderation, which he had given up as a part of his New Year’s Resolution. Our family has a genetic longevity schedule. My paternal grandfather lived till he was 97 and my paternal grandmother was 84 when she passed away. My maternal grandfather lived till the age of 70, while my maternal grandmother is now 78. It is still not making any sense to me that my brother is no more at 36.
On that fateful Saturday afternoon my brother had an excruciating headache. He skipped his lunch and asked his wife to just give him oats kanchi to drink. After drinking this he vomitted and experienced dizziness. My parents were called and they rushed to his apartment. He was lying down and seeing my father said, "Appa take me to hospital". Meanwhile some neighbours had collected and had called up the nearest medical facility. One neighbour was good enough to escort him. At the hospital, just a kilometre away, he was lead to the casualty section where a doctor was ready to see him. His blood pressure was taken and it was "normal". Meanwhile the headache increased. He was put on drips and taken to his room on the upper floor for further treatment. However, on the way itself he had collapsed and when he was put on the cot he was unconscious. He had suffered a cardiac arrest (as revealed by the doctor later). The doctors rushed and resuscitated his heart. However he never regained consciousness. A CT Scan was taken. It revealed a rupture in the brain stem. Blood count was very low. The Neurophysician told us that the blood platelets were too low, just about 15000 instead of a lakh. The WBC was too high. 'No surgeon will touch him in this condition. He will bleed to death if operated in this state', said the Neuro.
He was immediately shifted to the best hospital in town. Arrangements were made to increase the blood platelets. To reduce the pressure on the brain, an incision was made to drain off the fluid retained inside. Doctors declared a 48 hour critical period. They said he was 'brain dead'. The brain should be activated for any further action. The blood platelets did increase to a reasonable level, internal bleeding also stopped; however the brain continued to be inactive.
The sentence was pronounced; he had leukemia……Something vaguely called as Acute pro myeloid Leukemia. This is something that is seen only in Hindi Movies. The hero is taken to the hospital where is pronounced to have the deadly disease, but even there the hero lasts for 3 to 3 ½ hours before the end and movies generally have a happy ending!! That was not to be in our case. We tried contacting every influential person in the medical fraternity. His case was circulated to every known oncologist in India and the U.S. but each one had the same answer, “treatment can be started only if he comes out of coma, whatever has been done so far is right and the best done.” My brother was on life support and an emergency operation was performed to relieve the pressure in the brain. We were informed that the operation was successful and the hemorrhage had stopped but he had to come out of coma. They said that the next 24 hours could be the deciding factor. The doctors had little hope and asked us to start praying for a miracle.
It is here that we saw the fraternity at pray. Within the next 12 hours, all our relatives from every corner of India joined us. Every hug and the tears that we shed when we saw them made us stronger and bound us together further. We were really hopeful that all our prayers together will pull him out of the dark cave that he had gone into, each person was trying to get the attention of his devout God. All faith merged into one and fought the Lord Yama. All this kept our spirit of fighting alive. We wanted to snatch him back from God. Since the 24 hours was up, we had to give consent to remove him from life support. We literally fought with the medical team and demanded to know why he cannot come back like many a miracle that has happened all round the world. When they told us that he was brain-dead, we refused to believe it and proposed to have an EEG done. There was no portable EEG machine available at our city and through our known sources we arranged for one in a matter of hour and an EEG was conducted. We asked the doctors to wait through the night and conduct a second EEG after a 24-hour gap for look for progress or deterioration. It was as if he gave us every opportunity to try and hold him back, but he did not want to put us through the decision of removing him from life support. Minutes after the EEG procedure was done, and the machine removed, his blood pressure came down drastically and no amount of medication worked to stabilize it. He breathed his last at 10:15 that night, blissfully unaware of the waves of emotions that he had unleashed. The tearful goodbyes that we bade him and our efforts to console our parents and ourselves is a scene that will stay imbibed in my mind for life. No parent, sibling, wife or child should ever have to undergo this loss and trauma.
Now on retrospection, I think, how could he have lived looking and feeling healthy if he had such a disease. He had absolutely no symptoms. The earlier week he and his family had gone on a picnic for a day with their circle of friends where they played a lot of badminton, did some tree-climbing etc. Obviously a person with leukemia would have shown some stress and signs of tiring. He wanted to ride the bike from Bombay to Poona on that fateful Saturday. I have tried to soak up every bit of information on Leukemia but I have not been very successful. All sites tell me that the symptoms are tiresome, lack of stamina and strength and sore throat and cold like symptoms, but ever for these we need time for treatment? Isn’t it? One day you land up with a fever you do not go in for a blood check. A common cold generally is said to last for a week, if it does not get better by then, then you tend to take some action. Some of the unanswered questions are: Did we neglect his symptoms or were there no overt symptoms? Has any one experienced anything like this, who can share their agony with us and reduce our feeling or guilt and helplessness?