Rakesh Jain’s Chylothorax Treatment Journey
My father started to feel pain in his abdominal area one night in his sleep. After three consecutive days of pain we consulted our general physician and he recommended us some general blood tests and scans. After some concerning test results, he recommended us to a pulmonologist in Kanpur (hometown), who sent us for further tests and that’s how my father got misdiagnosed with tuberculosis. Since tuberculosis, is a fairly common disease with a very standard treatment journey, we got back to our house and embarked on the 9-months tuberculosis treatment journey.
My father had already been on the tuberculosis medications for a month, but his health only seemed to deteriorate with fever, night sweats, and lossof appetite. Owing to his worsening condition, he got hospitalised in Kanpur, and was put on chest tube drainage by his pulmonologist and radiologist. After one week of drainage, the doctors noticed something out of ordinary in one of my father’s scans suggesting some kind of blood clotting near his liver, and thereby asked us to consult a gastroenterologist as well as a pulmonologist in Delhi.
The very next day, we got him discharged from the hospital in Kanpur and went to Delhi, where after meeting several doctors (gastroenterologist, pulmonologist, radiologist, heart specialists) we ended up in Sir Gangaram to meet Dr. Arup Basu and Dr. Ajit Yadav, who after the initial analysis concluded that my father was diagnosed with Chylothorax as well as inherent thrombophilia.
Chylothorax is a rare but serious condition in which lymph formed in the digestive system (chyle) accumulates in your chest cavity. Lymph is a fluid containing white blood cells and proteins that moves through your lymphatic system and drains into your bloodstream. Because of the rare and the underreported nature of the disease, not a lot of research is available for not just patients but even for doctors in India.
Chylothorax can either be traumatic or non-traumatic, but since my father had not gone any major surgery or trauma, the doctors got down to eliminating the non-traumatic causes for chylothorax which mainly comprised of lymphoma. Fortunately, my father was not diagnosed with any kind of abnormalities in his pleural space or bone marrow which made his scenario one of the rarer of the rare cases with undiagnosed cause of chylothorax. At this prompt, Dr Ajit Yadav went ahead with a minimally invasive treatment approach, lymphangiography, which proved to be a success in stopping the drainage of lymph in his pleural cavity.
One week after the procedure we were all back from Delhi and in a month my father was back to his normal routine and all the credits goes to the doctors in Sir Gangaram. If it was not for them my father would still have been on his third month of Tuberculosis treatment.
I, through my father’s journey, would like to highlight the importance of awareness about such rare diseases not just generally but more so among the doctors, who start the treatment withoutanalysing the case to case situation. I applaud the great work that Dr. Ajit Yadav is doing in the field and it makes me count my blessings to have gotten to him right in time barring all the wrong information that was given to us as patient’s family.
A well experienced and a great gentleman, who knows deep inside out about his field and satisfy the patient and his/her attendent using his skills. I went for my brother's bronchial artery embolization , he explained me each and every procedure thoroughly before the surgery and also explained us regarding post surgery precautions and medication. Really it's great experience and we are blessed to have a doctor like him.
A. Rabisankar Rao
Dr. Ajit Yadav Jee is the best doctor in (I R ) and very helpful and kind hearted to the needy and poor patient who can't afford all medical expenses. He is the God who saved my brother in law's life. Now he is fit to work. Thanks a lot from the bottom of my heart. I always pray God for his good and sound health.
Talented Interventional Radiologist,
May God bless you with more energy to cure more patients!!
He carried out the toughest lymphangiography procedure on lymphatic system, There were multiple lymphangiomas which were obstructing his needles..The whole procedure took almost 8hrs..There were moments where every1 had lost hopes..But he came out and told i will take some more time but we will come up with some solution..
That was the day I realised the miracle of his hands on patient..
The man who never looses hopes and doesnt work for money..
He is the rare doctor who was ready to work under so much radiation just to save patient's life..
Real Gem for the IR..
Hats off to you Sir!!
Doctor like Doctor Ajit is a blessing for patients, my mammi was very serious and brought in emergency in Sir Gangaram Hospital . Doctors in Agra declared that if she will not be operated she will not survive, Doctor Ajit operated her and give her a new life. My entire family is very thankful to him.
Dr Adit K Yadav has been treating my father for the last two years. Amidst this pandemic, we have received the best possible medical care from him. In addition to that, he is one of the kindest people I have had the privilege to be acquainted with. I would highly recommend him to all. All my best wishes to Dr Ajit and his wonderful team.
Dr. Arun Gupta is one of the finest and most efficient doctors in are country. He Treated my father Dr. K.D. Gupta in 2014 at sir Ganga Ram Hospital, when he was admitted there for accidently swallowing his one tooth denture.
Since there had been slight damage to my father's food pipe the doctors said h could not be given anything to eat or drink for few days and needed another souse to be given the necessary nutriation for this body. Dr. Arun Gupta suggested putting a picc line, a tube which would be put in one of the veins to provide the food supplements. we were a little vary since we did not know much about the procedure but Dr. Gupta was very forthcoming in explaining everything and he flawtessly and painlessly performed the proccdure.
My Father developed another problem when the fluid given to him for a test baked into his chest cavity and compressed his left lung. ideally he would have had to undergo a surgery but given his age (74 years), Dr. Arun Gupta performed another painless and less invasive proeeduse of inserting a tube from the side of the chest to drain the fluid.
Dr. Arun Gupta not only performed the proeedures, but continued to come and check my father to ensure he was doing well. he is a good doctor and an even better human being, and we would be forever greatful to him and all the oters doctors who treated my father and helped saving his life.
Dr. Ram dev Bharadwaj
Dr. Ajit Yadav, Radiologist, Sir Ganga ram Hospital, New Delhi, having an enormous capacity of anticipating and identifying root cause of dieses , his observation capacity and commendable potential shows his dedication towards values of medical science indeed this specific character of his personality rarely seen or found in medical profession .
Dr.Yadav is sensible reliable and responsible. He is so humble,touchy and havinga lovely personality one can realize his charisma and platonic love towards his patient with ever smiling face and sweet words which help in improvement of diseases and also enhance confidence and trust in patients .
Dr. Yadav is punctual and attentive. Whenever I called or messaged for his advice, he replied me back immediately and suggested what to do.
What I feel is that improvement in health is not based solely upon diagnosis and taking correct action but the personality of doctor, his behavior towards patients also plays a significant role in developing confidence in patients. Dr. Yadav apart from academic knowledge and excellent assessment of diseases is down to earth and an emotional personality.
In the April of the year 2007 my mother Lt santa maya Rai was diagnosed with hepatocellular CA. We had initially made checkups at STNM hospital Gangtok Sikkim and she was then referred to Delhi, Sir Ganga Ram hospital. We met Dr AS soin, Sr consultant liver Transplant and Hepalabiliary Surgen, after seeing all the reports he advised to see Dr Arun Gupta, consultant Introvention Radiology, all the procedual tests like triple Phase CT scan, blood test started then Dr Gupta adviced for TACE ,regarding the treatment we were told that with the normal treatment the patient survival is 5to 6 months and TACE treatment as prescribed the survival may be 4to 5yrs. So we agreed for TACE, The first TACE (Trans arterial chemo embolisation ) was done on 17th April 2007 by Dr Arun Gupta, which showed good response.
During the course of my mother's treatment, Dr Gupta who we as a family came to know was very patents and extremely helpful doctor, in the city although doctors have a lot of patients and are mostly on a busy schedule, Dr Arun Gupta was able to give us much of his time when we visited during the course of treatment, in fact at times when we were back in sikkim and when there was need for some medical advice, Dr Gupta was kind enough to help us guide us ,in odd hours also without any hesitation he use to answer our calls .After much tests and treatment we opted for second opinions from other hospitals and doctors but my mother always preferred Dr Gupta as he was very comforting /careing and understanding. He seemed very well informed about the ways to treat the ailment and most of his medication worked miraculously, literally.
My mother took her last breath on 21st Feb 2014.
My family is ever remains grateful to Dr Gupta n his team for the humane consideration and patient hearing that he extended to us during the seven years of the whole treatment when we too we're going through a traumatic and extremely uncertain phase. We entire family wis him good luck and success to his future endeavour. ..