70 year old male with T2DM on insulin, SHTN, bronchial asthma presenting with transient generalized tiredness, likely hypoglycemic episode. There was no chest pain, dyspnea, autonomic symptoms. No known CAD history. Initial Trop T was 0.031 ng/ml.
70 year old female with sepsis secondary to lower limb cellulitis, associated with elevated inflammatory markers. Elevated NT-proBNP and elevated but down-trending troponin-T. Patient was hemodynamically stable without symptoms of heart failure or acute coronary syndrome at present.
Today was a really unlucky day for me. On my way back home, the bus broke down in the middle of the road. When I took another bus, it got into an accident. On the third bus, I met a guy sitting next to me. He was writing something in his notebook while constantly researching on the internet and Instagram. At first, I thought he was a medical rep learning new stuff. But when he showed me what he was actually searching for, it was baby names for his upcoming child. He had neatly categorized them-one row for boys and another for girls. He shared his happiness about becoming a father, and it was genuinely heartwarming.
Sometimes, unlucky times lead you to witness someone else's happiness❤️
In kerala, most of private medical colleges won't accept Karunya Arogya Suraksha Padhathi (KASP) / RSBY insurance for cardiology cases like heart attack.
I have seen patients presented to casualty with major heart attack having the hope karunya insurance will cover them and the hospital non-acceptance of health card causing the poor patients to pay lakhs of rupees from their own pockets.
On the official State Health Agency (SHA) portal, many private medical colleges still appear as 'empanelled'. Yet, when a patient presents a they are often told "specialty not covered", "the cardiology wing is not part of the current agreement".
The biggest issue is the massive arrears unpaid bills from the government. The government is supposed to reimburse these private hospitals for the treatments they provide. Because these hospitals haven't been paid in months many have stopped accepting health cards for expensive heart procedures like angioplasty, basically leaving patients stranded during emergencies.
The impact on poor families is honestly devastating because when a heart attack hits they’re left with no good options. They either have to travel long distances to government medical colleges that are already overcrowded or they’re forced to pay huge amounts out of their own pockets.
In the hospital I'm working it costs around ₹10,000 per day for an ICU stay and anywhere from ₹1.5 lakh to ₹2.5lakhs for an angioplasty depends on how much stent the patient needs, there is also extra costs for medicines and blood investigations too.
wellens pattern is due to stenosis in proximal LAD. In the ECG, there is biphasic T wave in v2. Patient is 55 year old male presented with chest pain