During a courtesy visit to one of the family acquaintances, I was confronted with (very often the case with all of us) a second opinion of reaffirmation. Briefly, the patient, a middle-aged lady, had been in a very premier hospital for nearly a month and had been extensively consulted/reviewed / investigated to arrive at the final diagnosis of CNS tuberculosis and discharged on standard anti-Koch's regime and tapering steroids. The patient came from a village and essentially illiterate. On closer questioning, I discovered that the patient was not taking the medicines as she should have been but haphazardly.
She had been handed over a discharge summary by the ward nurse and allegedly had not been explained even the treatment regimen leave alone the consequences of nontreatment. The likely outcomes for this patient were 1. deteriorate again and readmission . 2 likelihood of having…
