Patient's stories: Please advise

[Guest guest]

This is short story of two patients with full blown AIDS (Advance stages of HIV

infection .Mod) admitted with me right now.

a) 22 year old educated middle class female got married four years back. 2

years later husband died of AIDS in our hospital only. Now she has come

with sudden onset of blindness for last seven days. Inlaws have left her.

Even the family members are not very supportive for treatment. Only a very

decent father is taking care of his blind otherwise healthy daughter like

day to day help, clothing etc.

Please advise on how to support the treatment, any employment for her.

26 year old auto rickshaw driver with acute onset seizure and a mass in

brain. Most likely Toxoplasma. The treatment is Sulphadiazine and

pyrimethamine combination. Sulphadiazine was being distributed for

diarrhoea in all our District hospitals till 1992 when it was out of use in

rest of the world long back. Now when we need the drug for treatment of

Toxolasma the drug has been stopped by the govt supply. It's not available

in market also. Although alternative like Clindamycin are available but not

a choice drug. Whom to approach for supply of drugs.

This patient also cannot afford treatment with antiretroviral due to cost.

The issue is same as I raised few months back. It's good to concentrate on

prevention and awarenes. But is there any policy, support, employment for

the patients who are already suffering from AIDS?.

*************************************

Dr. Anurag Bharadwaj

MD(Medicine)DM (Clinical Immunology)

Associate Professor of Medicine

Kasturba Medical College, Manipal

576119, India

Tel: 91-8252- 571201 Ext 22018 (Res)

E-mail: <anurag_bharadwaj@...>

_______________________________

[Guest guest]

Hellow Doctor,

The first person you are mentining about the blindness

of a Women, this may be due to Cytomegalovirus

infection which leads to a cmv retinitis and

blindness. To treat for cmv with proper eye spcialist

who has experince treating HIV positive individual.

with regards

rama.pandian

E-mail: <tnpluz@...>

_____________________

[Guest guest]

Dear ,

I agree with you about the need for political committment of the leaders in

India and Pakistan. In India National AIDS CONTROL ORGANISATION (NACO) has a

policy to provide treatment for opportunistic infection, but in real term the

Govt. hospitals are not even having the T. Bactrim and T. Flucanazole to

provide the people who access the care services.

Rama.Pandian

E-mail: <tnpluz@...>

________________