The Surgical Bride

Someone’s life can change from happy to tragic in a single moment. Sometimes, the doctor shoulders the responsibility of reversing this.

“I just got back from my pre-wedding shoot in Dubai last evening and I was perfectly fine. It was such a fabulous experience. The entire family went for dinner after that and we had a great time there too,” she recalled as she spoke to me lying on a hospital bed 12 hours after having the best time of her life.

“And then what happened?” I prompted her to continue. “I woke up this morning with severe back pain, and realized I just couldn’t move my legs,” she said, her face turning from a rosy pink to an ashen grey. “Then, I vomited twice, and with each vomit, I felt like I had lost sensation: first in the ankle and then at the knee and hips. It’s been several hours now, and I can’t feel anything waist downwards. My hands are absolutely fine,” she finished, flicking back her professionally done-up hair over a face that still had remnants of her photoshoot make-up. I asked her to move her legs, and nothing. Zero. I gently walked a needle, poking it from her thighs to her toes to ascertain if she could sense the prick of a pin, and again, nothing.

Her physician had ordered an MRI of the spine and expeditiously sent her to me. I plugged the films against the scintillant light of the scan viewer as the anguished family waited for me to pronounce my verdict. “There is a thick blood clot compressing the spinal cord at T-11, which has caused her to become paraplegic,” I said, pointing to the eleventh thoracic vertebra. “There could be an underlying tumour or a vascular malformation, but that is secondary. It has to come out at the earliest,” I decreed. “It’s choking the cord in full throttle. Time is of key essence in this. We should do it now.”

“Will she be able to move her legs?” the forlorn father asked, the anatomy of illness intersecting with the geometry of grief in his heart. “That’s the reason for rushing this,” I responded. “The faster we decompress the cord, the better her chances of recovery – but how soon she gets better is anyone’s guess. It could be a few days, it could be several months. There are a few patients who won’t improve despite our trying everything. “She was supposed to get married in 3 weeks!” the mother burst into a cloud of tears, sobbing uncontrollably.

“Her fiance is in another city and would like to speak with you,” said the brother, handing me the phone. “Doctor saab, tell me honestly: what are we dealing with here?” he asked. I wondered if he enquired with a subconscious trepidation of having committed his entire life to someone who might not be what he had imagined, if he sounded like he was ready to back out of the contract, until I quickly realized I was being judgmental without reason.

I explained the reality of the situation to him while the operation theatre was being spruced up for her. “Do your best, doctor. I love her very much,” he entreated, trying to navigate the trifecta of sadness, uncertainty, and hope from a distance as he hung up.

It was 6 PM. I had already operated on two cases that day and realized I hadn’t eaten a morsel yet. As the team prepped her for surgery, I decided to step out to the Udupi restaurant across the street to grab a quick bite. As I ate my idli sambhar, it dawned on me that this was the first time I was eating in a restaurant since the start of the pandemic. The food was gastronomically gorgeous. I was so focused on thinking about the case that as a force of habit from eating food only at home for over a year, I picked up my plate and walked towards the kitchen till the waiter politely stopped me mid-way and took over. The lockdown has really rewired our brains, I thought to myself.

In the operation room, after the induction of general anaesthesia, we flipped her on her back and cleaned and draped her in the usual fashion, but with an added and intense swiftness. I cut down the middle of her back to get to the bone, which I drilled off with intention and urgency as my assistant irrigated the field to dissolve the bone dust. Once we removed the bone, we saw the thick blood clot sitting there stubbornly, stuck to the covering of the spinal cord. We gently scooped it out, giving the spinal cord its desired space and respect. We did not find an underlying lesion from which it had bled. After having satisfactorily decompressed the cord, we closed.

A few hours after surgery, we checked to see if she had regained any function. Nothing. Perhaps just a flicker of the toe and that too if you imagined it hard enough. “Let’s wait and see what happens tomorrow,” I spoke with the despondent family, and called it a day.

On my drive back home, close to midnight, I reflected on the famous adage of how someone’s life can change in a day or even in a single moment. What must one go through in their mind when out of the blue they realize they can’t move their legs? Often, the cause is a viral affliction of the spinal cord called transverse myelitis, or an autoimmune condition affecting the nerves that supply the legs. In some rare cases, when the potassium level drops, it can lead to a condition called hypokalemic periodic paralysis, and gulping coconut juice can reverse the problem.

The next morning, when I went to see her, she waved at me with her ankles. There seemed to be a glimmer of hope. Two days later, she could bend her knees and hips. On day 5, she could stand with a walker. When she started walking a week later, she said she felt the ground differently than before, but her sensations seemed to return gradually. She was discharged ten days after surgery, walking independently, which is how she decided to leave the hospital. A spinal angiogram did not determine the source of her bleed. She had regained bowel and bladder function and exercised vehemently to strengthen her core, hamstrings, and quads. She was determined not to postpone her big day.

I’m going to the wedding next week. I’m glad she got her shot at her happily ever after, forever.

 

29 Comments on “The Surgical Bride
  • Rita singh says:

    Very exciting tale seems like out of some some picture book.was waiting for the ending patiently.How u can explain a medical condition in such a fascinating way is a wonder to us readers every time u write.Thanks for making me a part of this group.

    Reply
  • Jasmin Lord says:

    Fabulous … so happy for the couple. Wishing them a long and happy married life. Well done, Mazda!

    Reply
  • Supriya Correa says:

    What a gorgeous piece. But not as gorgeous as the soon-to-be bride. Especially this one. Doubt any guest at her wedding would be as dear to her as you and your family.
    We love you and your patients, Mazda. How gifted are you.

    Reply
  • Constance Matabiswana says:

    All is well that ends well. A beautiful story of “Happy ever after”. Thank you for letting us into your consultation rooms and indeed your theatres.

    Reply
  • Laina Emmanuel says:

    Wow, what a story and some of these lines will stay with me forever. “Anatomy of illness intersecting with the geometry of his grief”

    Reply
  • Anaita Shroff Adajania says:

    What a beautiful story. 🤍

    Reply
  • Anaita Shroff Adajania says:

    What a beautiful story 🤍

    Reply
  • Parvin Desai says:

    So exhilarating, it leaves.almost feels yu r God but the next hours brings us down to earth.
    Congrats on yur success.

    Reply
  • Navzer Irani says:

    All are in awe of your talents with the scalpel and pen. I am sure you will write many fine books some day which should guide future doctors. God’s grace is paramount to your work and I am sure you are blessed.

    Reply
  • Vipul shah says:

    Dear Dr Mazda

    Very rightly you mentioned the uncertainties
    of Life ……..

    Whether bride would have ever imagine during photo shoot of such unexpected incident….?

    Your Articles are always with deep meaning of life …

    My best friend went for his Usual football & fall down, went into coma & never returned back home …No one can ever predict about what can happen next moment ….

    Keep on writing inspirational anecdotes with happy ending 😃

    Reply
  • DR NARENDRA J BHATT says:

    Excellent article sir pertaining to uncertainties of LIFE and inspiration to medical profession. Thanks 👍

    Reply
  • Vineeta Rao says:

    Lucky girl! Chose the right surgeon , to take care if her affliction. Prompt diagnosis, precision surgery, conscientious follow up, trust and faith can work wonders! Miracle wedding !

    Reply
  • Avinash Karnik says:

    Once again you managed to give quality life to a girl just before her marriage. And one can’t imagine what she could have to go through for rest of her life without your quick decision to open up and remove the clot effectively as usually sone by you. I’m sure you are collecting many blessings on the way too.

    Reply
  • Anjali Patki says:

    We all love our fairytales with the ” happily ever after” endings. This narrative is no less. Written in your expert , unique style…this true story, keeps us waiting for that end as we race through the article, our hearts racing in great speed too, waiting to see what happens. Congratulations on this great write up and more importantly, for giving the young lady her “happily ever after!”

    Reply
  • Naresh Jani says:

    Awesome always. Surgery and literature

    Reply
  • George Koshy says:

    Thank God for the happy ending

    Reply
  • Dr Divya Shetty says:

    Great story… Added with the quirkiness of post lockdown effects regarding our newly developed habits

    Reply
  • Vispi mistry says:

    What a fairytale ending to another of your hitchcockian suspense thriller Mazda. Truly you are blessed with as dual skill of both pen and scalpel. Keep using them both and continue to regale us readers and admirers.

    Reply
  • Bubbly G Chablani says:

    Great…chronicling this feel good story is a delight for you dr T
    A fine spine chilling development!

    Ms Chablani

    Reply
  • Shweta S says:

    We are in-depth touched by your passion and dedication toward your patients and work simply proud to be part of the Wockhardt family and dr Mazda Team.Congratulations sir 😊

    Reply
  • Hiten dadia says:

    A stitch in time

    Reply
  • Dibakar says:

    It is a combination of literature and medical science produced in lucrative manner.
    Hats up to you Dr. For your dedication . We are proud of you that your are part of us.

    Reply
  • Pilloo says:

    What a lovely piece
    Thanks for saving the girl god bless u pillooo

    Reply
  • Chanda says:

    I should taste the idli sambaar at the Udipi restaurant.
    As usual an interesting read.
    Thank you!

    Reply
  • Atman daftary says:

    Fantastic work sir!. This is the romance of medicine.

    Reply
  • Sheila Shaibu says:

    Thank you for this well written piece, amazing how as a scientist you are gifted in writing so well. Thank you for sharing, I have forwarded your his to my graduate students.

    Reply
  • Somnath Shetty says:

    “the anatomy of illness intersecting with the geometry of grief in his heart.”

    This one line decribed the entire situation… Fabulous !

    Reply
  • Cyrus Desai says:

    Wonderful. Feels like a tale out of Bollywood / Hollywood movie. Emotional and scary

    Reply
  • Di says:

    Apologies for a late response… Uncertainties of life… never know what life suddenly throws at u to deal with… scary but so glad the story had a happy ending… thank God and thanks to you! You must have been so happy that she recovered for her wedding 🙂

    Reply

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