29/07/2022
Two years back, a 16-year-old girl landed at the Jipmer casualty. She had eaten a tube of ratol paste, a rat killer poison cause she had scored a lil lesser in the board exams. She was very sick and intubated. Her liver was failing, and she had hepatic encephalopathy, which means her brain function was also failing due to the yellow phosphorus toxin in the body. We started her on Low Volume plasma exchange as a 'bridge to liver transplantation'. After the third cycle of Plex, she improved rapidly and was having breakfast the next day. I was moved and ecstatic. Plex had become a life-saving 'bridge to recovery'. Liver transplantation is the endpoint, but it is not feasible for everyone...
Two years later, ratol consumption deaths have skyrocketed so high that the Tamil Nadu Government had to intervene with immediate effect. Very young folks who have their entire lives to live dramatically consume the poison to prove a point, only to realize they have only a few more days to die an excruciating and sad death. The TN Govt and the National Health Mission (NHM) have banned the sale of ratol, deployed close to 15 state-of-the-art apheresis machines to GHs and medical colleges in Tamil Nadu. It is a remarkable initiative taken by the TN Govt to save lives. The battle is on!
Today NHM, along with the department of Hepatology and Transfusion Medicine at CMC Vellore, played an active role in training the team of doctors, nurses, and technicians deployed by each of these hospitals to learn to use the machine and treat the disease. It was an excellent workshop where we discussed many new strategies to fight the right fight and learned new things. Together, we will make a big difference in the days to come...