Saturday, July 19, 2008

communication with a patient's relative

Hi, My friends son aged about 2.5 years is suffering from Pilocytic Astrocytoma in the brain stem. The MRI scan report gives the following conclusion-1. Large expansile lesion in mescancephalon involving tectum with cystic and solid components extending to cerebral pedencle with patchy enhancement.2. The above features are consistent with tectal plate pilocytic astrocytoma.Doctor from Apollo Chennai has given time of 1 year or max 1.5 years. They said that it lies in very critical position where surgery is not possible. The kid is normal without showing any symptom of brain tumor, only the problem lies with the usage of left hand and leg. He uses very rare to hold articles and try to use only his right hand always.Please let me know any info/advice on this or is there any alternate treatment.
My Reply
I was trained at Apollo Hospitals, Chennai only, tell me the consultant who saw the baby.Yes if its Pilocytic astrocytoma . . . . . . even if the baby survives longer- the fact is, its not going to be longer than few years . . . . . in the best case may be maximum of 5 years- may be 6 . . . .if treated with all possible surgery/ medications (which will cost few lakhs and will leave the baby weak on one side which already is there). In our country most of us are not in a situation of investing like that for sure no return! Untill u have insurance (which most of us don't). Fact is that its not worth treating. Still, if you are ready to put few lakhs just like that- for your satisfaction . . . .if u r a millionarie- surgery . . . . radiation . . . . .may be even few medications . . . . . .may be tried. And yes, if u believe in magic, thats is also possible as TB is like our national disease . . . . after all said . . . after surgery the pathology report may through a surprise . . . . . and the doctor may say you grinning that it was an infection . . . . .. . Please keep the baby happy and wish no one else gets the disease.

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