Friday, January 18, 2008

Cytomegalovirus

Razzaq was distraught, shitting his guts out trying to strain out threads of mucus from his rectum everytime he had to go. It did his job no good. His life was lived in between embarrassing visits to the bathroom where colon griped and sighed and bore nothing. When finally the poopy tube was passed and his innards illuminated to shed light on the diagnosis, he was left with the question to answer...a lac a month for putting a stopper on the shitty bits? Quality of life was at a premium he could not afford.He asks me why he cannot have ischemic heart disease due to CMV- a chest pain is less embarrassing than a pain that gnaws at your ass and life.

Everyone thought Narhari had Pneumocystis pneumonia. Hypoxia, ground glass shadows, AIDS. Given sulfa/ pyri everyone thought he would improve. But he kept gasping for breath, ashen, cyanosed, wasted, sweating like crazy, tongue furry dry from his panting. He had fucked his way into his present condition, you might say, screwing prostitute after wasted prostitute while wifey dear and kids waited on his drunken tantrums, offered puja to Khandoba for his health, while the HIV virus dick-tocked away at his immunity. Then came CMV. Surreptitiously, like a Salazar Slytherin . No one anticipated, no one even thought of it..... as it ate into his lungs. What to do now?Who will get the Valganci? Fucker!!!!!!!!!

Sclerosing cholangitis is like a death sentence for all UC patients I have seen. AIDS cholangiopathy is a horribler. God save you if it is CMV. The sight of a deeply jaundiced, darkly pigmented, wasted patient with Candida coating his mouth is like a deep visceral queasy sensation of hopelessness tugging at your intestines.Anisa Begum pulled through amazingly. Her husband sold property, land.They mortgaged their house.The family camped in hospital corridors, ate out of her hospital food. After 2 long months finally she succumbed.Lifelong treatment, and, any success at it I have to state truthfully, would have sunk the family into an ineluctable pit of debt and misery. The Lord was merciful, shall we say?Reality can be so grotesquely disquieting.

Pandharinath withdraws 90,000 rupees from his provident fund each month to pay for the Valgancyclovir for his CMV retinitis.He is a teacher, and his savings are not much. His fundus shows burnt out CMV in the left eye with scarring and sclerosed vessels and healing retinitis on the right. Not very great results, but he can read now from a bare perception of light stage 2 months ago. It means a lot to him.

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