Today is Uthradom. It is the penultimate day before the main Onam festival day in Kerala.
I received a message from a patient of mine this morning. I will call him Sandeep. He remembered me this day as I remember him every year this day. In the message, he wrote that he was thinking about me and my family in his prayers and he thanked me for helping him and treating him.
He is 32 years old. I met him when he was 30 years old, exactly on Uthradom day, two years back. During our first meeting, we did not speak, shake hands or even make eye contact. He was on the ventilator and breathing with the help of a tube hooked to a machine. His hospital bed was stained with blood, as he lay in his own pool of defecated blood clots and foul smelling digested blood (melena in medical term). He collapsed because he nearly vomited half of his body's blood volume in the morning after an Onam party with his friends. They were all binge drinking. He drank close to 1.5 L of alcohol within 10 hours. His liver pressure rose, his blood pressure went haywire...and because alcohol messed up his brain, all that blood that burst out of his engorged veins in the food pipe due to his preexisting liver disease did not come out. Much of it went into his lungs, he aspirated, choked on his own blood clots as his lung, brain and body shut down in minutes.
He was rushed to a nearby clinic where they put him on a ventilator and stabilized his blood pressure and breathing and transferred him to us for expert care. I thought he would die. In a day. He was that bad. But he was young and he fought on the ventilator. He had a young child who was waiting for him. So he fought on the ventilator. His wife said she would kill herself and the child if she lost him, because theirs was a love marriage and she had no one if he passed. So he fought on the ventilator. And we fought for him. After a marathon endoscopy session, we controlled his bleed. We pushed in enough medications that prevented a life threatening infection and reduced ammonia burden on his brain so that he could get out of the brain failure the bleed brought on. After a week on the ventilator, he woke up. We rehabilitated him. He could not speak for a few weeks because his voice box was damaged in the rush to save his life, courtesy the breathing tube. But speech therapy did him a lot of good.
He drank close to 2000 rupees worth alcohol that day before the main Onam festival, but paid close to 450,000 rupees to get his life back. To get a chance to see his kid and his loving wife.
We took him through de-addiction and he was alcohol free for 2 years. Even now.
In 2023, Kerala recorded liquor sales of Rs 665 crore in the first nine days of Onam season till Uthradom which is an increase of Rs 41 crore compared to last year's figure of Rs 624 crore for the same period.
This year, it will break records again.
And I'll see more "Sandeeps" even if I do not want to.
Alcohol kills. It's a fact. How much ever you romanticize it. And there are only a few who care. I hope you, reading this, will also care, so that me and other doctors, will have eternal days where we do not see Sandeeps.