Aiming to put an end to the controversy and intrigue surrounding the death of the late J Jayalalithaa, the Tamil Nadu government has released a set of documents pertaining to the treatment provided to the late AIADMK leader.
A copy of All India Institute of Medical Sciences doctors' report, a statement from the state health secretary and the treatment summary of Jayalalithaa when she was treated at Apollo Hospitals have been released.
The detailed Apollo summary, the AIIMS report and the Health Secretary's statement have been released at a crucial period when Tamil Nadu Chief Minister E Palainswami's rival Panneerslvam has been able to garner the people's support on the back of an alleged mystery surrounding around Jayalalithaa's death.
"Given the need to put at rest needless speculation relating to the circumstances surrounding the hospitalisation level, treatment and sad demise of the late Hon'ble Chief Minister of Tamil Nadu, the government has decided to make public the discharge summary received from Apollo Hospitals and the medical reports received from AIIMS, New Delhi", health secretary Radhakrishnan said.
Addressing allegations that Jayalalithaa was given the wrong medication, Radhakrishnan said except for corticosteroids, administered for atopic dermatitis, the former Tamil Nadu chief minister was only taking oral hypoglycemic and anti-hypersensitive drugs to control pre- existing diabetes millions and hyper tension.
The treatment summary, over which there has been a lot of speculation, was also released.
Highlights from the reports:
- Apollo Hospitals' discharge summary mentions that the Apollo helpline received a call regarding Jayalalithaa's ill health at around 10pm on September 21, 2016, from her Poes Garden residence.
- "On reaching there, the team reportedly noted that she was not consistently responding to calls and was also breathless with low oxygen saturation (approximately 48 per cent)", the summary says.
- In contrast to what former speaker PH Pandian has alleged, the summary did not have any mention of Jayalalithaa being pushed down and getting hurt.
- Jayalalithaa had reached Apollo Hospitals by 10.25 pm and received immediate treatment in the emergency room with non-invasive ventilation, diuretic, empirical antibiotics, bronchodilators and intravenous insulin infusion. She was then admitted in a very critical condition to the Multidisciplinary Critical Care Unit.
- The report goes into the detail about the treatments Jayalalithaa received and mentions that there was a significant issue with her sleep cycle. The revered AIADMK was apparently unable to sleep through the night even with optimised sedative agents.
- On 4th December morning, Jayalalithaa was placed back on a tracheotomy mask to ensure an oxygen saturation level of 98-100 per cent. Following this, Jayalalithaa had an episode of vomiting after eating her breakfast.
- "At about 4.20 pm while watching television in the presence of nurses, duty doctors and family members in the room, Jayalalithaa had complained of worsening breathlessness and she was placed on a ventilator immediately", the report adds.
- On 5th December, a neurological exam had revealed a brainstorm dysfunction. The treating physicians and AIIMS doctors had a detailed discussion and decided not to continue VA ECMO and other organ and life supporting measures.
- This decision was conveyed to the Tamil Nadu chief secretary, then-Chief Minister O Panneerselvam, Lok Sabha Deputy Speaker M. Thambidurai, state Health Minister C Vijayabaskar, state Health Secretary Radhakrishnan, and 'family' viz Sasikala.
- The summary attributed the cause of death as 'ventriculor fibrillation', 'infective endocarditis' and 'acute respiratory distress syndrome'.