Saved In the Nick of Time

An 81 year old, otherwise healthy woman was one day brought to Aster Hospitals Emergency having experienced sudden abdominal pain, fever and shock. Ms. Kamila Hafiz is supported by her daughter with whom she lives in Dubai and two of her sons who are practicing Doctors in the UK.

She had suffered a stroke 6 months ago, after which she was under medications to prevent any further cardiovascular diseases. She was admitted to a different hospital prior to being brought to Aster Hospital where they controlled and managed her underlying conditions but failed to realize and treat the exact cause for the failing health. Her health deteriorated by the day, as Doctors were unable to diagnose and treat her condition.

This led to immense worry among her children, both her sons who Doctors based and practicing in the UK, flew down to Dubai in order to visit their mother and decide on the next course of action regarding her treatment. Specialists from the healthcare facility where Ms. Kamila was admitted advised her sons to move her to Aster Hospital, Mankhool for diagnosis of her condition and continued care.

As advised, her sons brought her to Aster Hospital, however, she was brought in a state of shock which was further complicated by acute renal insufficiency, a condition in which the kidneys fail to function normally.

Dr. Amal Upadhyay, Consultant Gastroenterologist and his team conducted a thorough investigation of her case, which revealed that she had multiple comorbidities in the form of; Moderate Aortic Stenosis, Severe pulmonary hypertension and Tricuspid regurgitation and Atrial Fibrillation. She suffered from severe cholangitis, in which there is a blockage in the secretion of bile from the liver by a stone.

Ms. Kamila was in an extremely severe condition and needed to be treated at the earliest in order for her to survive. The case was further complicated by her underlying medical conditions. Her children were always by her side and stayed hopeful about their mother’s recovery.

She was then admitted to the ICU and was immediately seen by a multi-disciplinary team of specialists at Aster Hospital, including an intensivist, a nephrologist, a cardiologist and an anesthesiologist. After detailed evaluation, an ERCP was organized under general anesthesia, in order to analyze her bile ducts.

“In this case, the ERCP performed in the OT, proved to be extremely challenging given the various comorbidities Ms. Kamila had, including 2 faulty heart valves, rare but severe hypertension in the lungs and an irregular heartbeat. The risk of sedating the patient and conducting the ERCP was extremely high. Moreover, she was on blood thinning medications which could increase the risk of hemorrhage during the procedure, and these medications couldn’t be stopped because of the risk of developing a stroke. However, we ensured that keeping all these factors in consideration,the procedure was completed and favorable outcomes were attained” said Dr. Amal Upadhyay, Consultant Gastroenterologist.

Her son Dr. Mukhtasar Abdul Aziz, was extremely happy with the services provided at Aster Hospital, Mankhool and said “My mother’s condition was extremely critical and she needed immediate treatment in order to survive. Upon arrival at Aster Hospital, we realized that everything was already prepared for her, the staff attended to her immediately. Dr. Amal who was my mother’s consulting Doctor was extremely professional and proficient with his skills. He was very polite and courteous and I would like to extend my heartfelt gratitude to him and the team at Aster Hospital for taking such good care of my mother. The care that she received here was second to none. ”

She showed rapid signs of improvement after the procedure, physiotherapy was given in order to ensure she could be mobilized safely. After another period of observation in the ward for 24 hours, she was fit to go home.