Tamlnadu govt releases Apollo, AIIMS medical reports of Jaya

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Releasing the AIIMS and Apollo medical reports of late chief minister J Jayalalithaa, the Tamil Nadu government today sought to put an end to controversies surrounding her treatment and death. In a detailed statement here, Tamil Nadu health secretary J Radhakrishnan said, ” There has been speculation in the media and statements by some political leaders regarding the circumstances leading to the hospitalization of Jayalalithaa, the nature of the medical treatment provided and the circumstances surrounding the unfortunate demise of the late leader.”
In addition to its own records, he said the Government of Tamil Nadu has obtained the treatment records from the Apollo Hospital and the medical reports from the visiting team from All India Institute of Medical Sciences, New Delhi.

He said these have been studied in detail and their contents are mutually consistent and in consonance with the earlier information provided by government of Tamil Nadu to the high court of Madras.

Detailing the course of events, he said, “Apollo Hospital received a call at around 10 pm on 22nd September, 2016 from the residence of the late Hon’ble Chief Minister of Tamil Nadu and when the ambulance reported there and they found that the she was breathless with low oxygen saturation resulting in drowsiness.

She was immediately admitted to Apollo Hospital, Greams Road, Chennai. On evaluation, she was diagnosed to be suffering from infection and dehydration, accompanied by respiratory distress.

There were pre-existing co-morbidities like diabetes, hypertension, asthmatic bronchitis and hypothyroidism, but clearly the treatment report of Apollo Hospital, as well as that of AIIMS do not mention any evidence of trauma or any other event as alleged by certain political leaders.”

He said from then onwards, Jayalalithaa was continuously under the care and treatment of a team of experts from the Apollo Hospitals consisting of the Critical Care Group, Senior Cardiologists,Senior Respiratory Physicians, Consultants from the Infectious Diseases department, a Senior Endocrinologist and a Diabetologist.

Stating that the nutrition and the essential nutrient intake was attended to by Senior Consultants from the Dietary team, RadhaKrishnan said physiotherapy was provided by the physiotherapists from the Apollo hospitals and the special team of physiotherapists from Mount Elizabeth Hospital, Singapore.

“Apollo Hospital also obtained an expert opinion from Dr.Richard Beale, an international specialist and consultant from the Guy’s and St.Thomas Hospital London.

The Government of Tamil Nadu also constituted vide GO (D) No 1368 dated 30.9.2016, a five member team of Government specialist doctors to be stationed at Apollo Hospital to provide required assistance and to co-ordinate with the team of specialists giving treatment to the late Hon’ble Chief Minister,” he said.

He also said at the request of government of Tamil Nadu, a team of specialists headed by Dr.G.C.Khilnani, Professor, Department of Pulmonary Medicine and Sleep Disorder was deputed by the All India Institute of Medical Sciences(AIIMS), New Delhi, for consultations on the treatment being administered by the team of doctors at Apollo hospitals, who were treating Jayalalithaa.

He said the medical reports indicate that except for corticosteroids administered for atopic dermatitis, she was only taking oral hypoglycemic and anti-hypertensive drugs to control pre-existing diabetes mellitus and hyper tension.

“While in hospital, the late Hon’ble Chief Minister had responded well to the multi-disciplinary care in the Critical Care Unit of the Apollo Hospital. She interacted with family and Government officials on some important issues including the Cauvery issue.

Her clinical course deteriorated later and subsequently recovered substantially to being able to take food orally. On this basis, she was shifted from the advanced Critical Care Unit of the Apollo Hospital to the High Dependency Unit of the Apollo Hospital where her health and vitals continued to improve under the close monitoring by the panel of experts.

This improvement in the late Hon’ble Chief Minister’s health condition is brought out in the reports of the AIIMS teams which visited on 13.10.2016 to 15.10.2016 and again on 3.12.2016.”

The senior officer further said that on the doubts expressed by some quarters on the quality of treatment provided to the late Hon’ble Chief Minister, the AIIMS reports have consistently concurred with the line of treatment being provided by Apollo Hospitals and have specifically commended the “meticulous medical management imparted by the treating team” in the visit report for the period 5.10.2016 to 7.10.2016.

Thereafter in the report on 3.12.2016, the AIIMS team had appreciated the high quality care imparted by the treating doctors. Hence, it is clear that the best possible medical care was afforded to the late Hon’ble Chief Minister, he said, adding:

“Unfortunately, she suffered a massive cardiac arrest on the evening of the 4th December 2016, even while the intensivist from the Apollo Hospital was in her room. She was administered resuscitation and provided Extra Corporeal Membrane Oxygenation(ECMO) support within the hour.

Every possible clinical attempt was made to sustain her revival as per prescribed medical protocols. A team of doctors, including experts from Apollo and AIIMS assessed the situation.

It was clinically concluded that there was no heart function and there was also no neurological improvement denoting futility of life support.

Hence, after following all procedures the position was conveyed to senior Ministers and Political Leaders (O Panneerselvam, Dr Vijayabhaskar, M. Thambidurai), Sasikala, and Government Officials (Chief Secretary and Health Secretary). All of them understood the situation and asked the medical team to act as per the standard protocol. The late Hon’ble Chief Minister passed away at 11.30 PM on 5.12.2016.”

Concluding the statement, he said, “Although under the Professional Conduct, Etiquette and Ethics for registered medical practitioners,namely the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002, medical practitioners as part of their duty to the patients are not bound to reveal details related to patients, given the need to put at rest needless speculation relating to the circumstances surrounding the hospitalization, treatment and sad demise of the late Hon’ble Chief Minister of Tamil Nadu, the Government have decided to make public the discharge summary received from Apollo Hospitals and the medical reports received from AIIMS, New Delhi.”

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