MEDICAL HISTORY OF MY SISTER's DAUGHTER DEVA.KANIMOZHI WHO PASSED AWAY IN 2011

Born : 3.6.1989

Medical History till demise of D.Kanimozhi

Her struggle ended…. On 9 th June 2011

Medical History of D.Kanimozhi

04.06.1989: Diagnosis as Meningo Myclocele [Mycloschisis]. Lumbosacral region with Perinal muscular paralysis and G.A Repair done by Dr.S.Soundararajan at Krishna Hospital Cuddalore.

28.06.1989: The child’s head circumference and urine examination and culture for every 3 months were asked to observe by Dr.S.Soundararajan.

28.09.1989: Developed progressive increase in the size of the head. The child was operated. VP shunt using Pudenz medium pressure tube was done by Brigadier Dr.B.Ramamurthi at VHS Chennai

23.08.1992: Revision of the VP shunt due to shunt disinfection by Dr.K.Ganapathy at Kaliappa Hospital, Chennai

23.11.1992: Again revision of VP shunt by Dr.K.Ganapathy at Kaliappa Hospital Chennai

17.12.1992: Laparatomy was done by Dr.S.Namasaivayam in Child Trust Hospital Chennai.

21.12.1992: Old VP shunt tube was removed by Dr.Chidambaram in Child Trust Hospital.

December 1992: MCU was done which showed bilateral grade V reflex and on

16.01.1993 Cystometry was done [Both by Dr.S.Namasivayam and Dr.B.R.Nammalwar

January 1993: Intermittent catheterization was taught to the parents by Dr.B.R.Nammalwar

17.01.1995: Revision of VP shunt was done by Dr.Chidambaram

January 2000: Was advised kidney transplant by Dr.B.R.Nammalwar.

05.03.2000: Then went to treatment to Dr.A.Rajachandiran, Coimbatore. The treatment continued only with the help of medicines for six years till August 2006.

October 2006: Fistula was done on the right hand by Dr.Sathiyanarayan at Vijaya Hospital Chennai.

29.11.2006: Was admitted with complaints of fever and was reported Salmonella Species and E.coli in the blood and urine. Haemodialysis was started at Malar Hospital Chennai.

11.05.2007: CAPD catheter was kept and continued. PD catheterization was done till 02.06.2007 at Ramachandra Hospitals by Dr.P.Soundararajan

02.06.2007: Was admitted with complaints severe pain in the abdomen for 2 days

04.06.2007: CAPD catheter was removed due to disposition and fungal peritonitis

04.06.2007 to 8.02.2010: Continued haemodialysis twice a week at Ramachandra Hospitals.

11.02.2010: Pursued Haemodialysis at Pondicherry Medical Mission twice a week.

02.09.2010: Was admitted with complaints of bulge at abdominal operative site along with the shunt track [i.e. end of left VP shunt]

03.09.2010: Revision of abdominal end of left VP shunt by Dr.Siddhartha Ghosh at Apollo Super Specialty Hospital Teynampet, Chennai.

15.09.2010: Was admitted with complaints of raise in temperature.

                   Exterioration of left VP shunt was done and was decided to keep the shunt tube clamped and water features of raised intracranial pressure.

29.09.2010: Left VP shunt was removed and the cranial end of the left VP shunt was not removed.

12.10.2010: Was admitted with complaints of oozing from the wound over the left parietal occipital region with CSF leak.

13.10.2010: Suturing was done. She had oozing again

20.10.2010: Debridement and pericranal flap cover was done by Dr.Shivaraman Bharathwaj [Plastic Surgeon]

25.11.2010: Was admitted with complaints of head ache and vomiting.

06.12.2010: Right frontal external ventricular drain [EVD] for ICP monitoring was done by Dr.Siddhartha Ghosh of Apollo Hospitals [converted ICP monitor 15-20 mm Hg]

            ICP monitor showed persistent high readings and it was removed

06.03.2011: Was admitted with continuous headache and vomiting during dialysis.

07.03.2011: Right ventriculoperitoneal [ bactiseal] shunt was done by Dr.Siddhartha Ghosh of Apollo Hospitals Chennai

24.03.2011: Was admitted with complaints of fever for past few days and shivering

08.04.2011: EVD was done by Dr.Rishikesh on the right side.

From 08.04.2011 9^th June  2011 Kanimozhi remained unconscious at APOLLO Super Specialty Hospital at Teynampet Chennai. She breathed her last there and was brought to Puducherry  Address : 53-b, Calve Subburaya Street, Puducherry 605001 0413-2221025 and cremated on 10^th June 2011.

A rare case of multiple complications, doctors opine this  would be 4 th at global scale of such complicated 

case  history. Our loss is beyond words and description

N.Nandhivarman

Kanimozhi's birthday, Kalaignar's and George Fernandes birthday is JUNE 3. Before her death in 2011, when Kanimozhi celebrated her birthday on June 3 of 2010, George Fernandes was sick and in bed. So for his photo she cut the cake.