We came across a 74-year-old gentleman with diagnosed Immune Deficiency Syndrome (HIV status positive) suffering from unstable angina, who was declined of treatment at other hospitals by other doctors for his heart condition, due to his HIV status. He was diagnosed with HIV positive status almost 25 years back.

On looking at his condition, we decided to do his Coronary Angiography and found that he was suffering from critical triple vessel coronary artery disease (critical disease in all three heart arteries) including a critical disease in the Left Main Artery (LAD).

We decided to fix his problem by doing coronary angioplasty. Four stents in total were placed inside his coronary arteries resulting into a very good outcome and the patient was discharged on the same day in the evening and is doing well with this timely treatment at the end of 4 weeks today.

The question here is, for an otherwise physically active individual should we be declining such a fruitful therapy which can turn around patients quality of life, just based on his retro-viral status?

This is a true story of a 62 years old, well-known Hindu priest from Kashi. The contingent of eight priests along with this head priest traveled from Kashi to Delhi & Delhi to Mumbai. From Mumbai, they arrived in Lonavala at the site of Mahapuja.

The entire team arrived at the venue around 5:30 in the evening. As soon as the whole team was being received by the organizer of this Mahapuja, the head priest (patient) started feeling a little ache in his chest. Everyone was panicked & shocked, and very soon he was taken to the local doctor. The moment he reached, proper checkup was done, and upon doing ECG, the doctor realized that the priest was suffering from a Heart Attack.

Everyone noticed the emergency and the patient was rushed to the Hardas Heart Care, approximately by 7:30 in the evening. The team at Hardas Heart Care immediately ran a few important tests to reassure that the results of the previous test carried out by the local doctor were accurate. And, the results confirmed the priest’s illness.

Upon examining thoroughly and looking at reports, Dr. Suhas Hardas suggested him an immediate angioplasty procedure (as it was severe Heart Attack), but the patient denied to undergo the procedure. The reason being that the patient had a Mahapuja, which was scheduled the very next morning at 8 o’clock.

After a long convincing session, Dr. Suhas Hardas was able to get the priest admitted for treatment. Soon, a successful angioplasty of a totally occluded Left Anterior Descending Artery was performed by Dr. Suhas Hardas at 9 o’clock at night via the Radial Artery (Artery at the wrist). The patient was discharged on the same night around midnight. And, the patient was able to get a good 5-6 hours of sleep due to early discharge.

After proper rest, the head Priest (Patient) with his team performed the Mahapuja.

Mr.A is a 35-year old gentleman who visited Hardas Heart Care complaining a severe burning sensation in chest and pain radiating to the jaw.

The patient was instantly attended, his three consecutive ECGs at the interval of half-an-hour were reported normal.

Although the troponin-test or Trop-T (it measures the levels of troponin-T or troponin-I proteins in the blood, generally released when the heart muscle are damaged and indicates a heart attack)

To this condition, the treating physician and the cardiologist agreed upon coronary evaluation by catheter angiogram, which revealed a Widow-Maker or LAD lesion (a condition where the main artery is totally blocked or has a critical blockage, right at the beginning of the vessel)

This was immediately identified and treated by placing a stent (Coronary Angioplasty) via the radial arterial (a major artery in the human forearm it supplies the arm and hand with oxygenated blood from the lungs) approach allowing the patient to ambulate immediately and join back his duty the next morning.

This is a case of schematic thinking on patient’s persistent complaints and judicious judgments which allows a successful treatment of otherwise dreadful disease.