The little Krishna
The woman had married her maternal uncle, her mother and
grandmother had done the same. This repeated consanguinity over three
generations had resulted in a lot of miscarriages and abortions until finally, glory
halleluiah after 15 years they had a son.
He was brought to the paediatric OPD , very sick, with
methhaemoglobinaemia in a crisis. The infant was very sick and the professor
told me to admit him immediately and give intravenous methylene blue. The
calculation was really complicated. The child weighed 6.2 kg. The dose was
Xmg/kg. The solution supplied was X% of methylene blue.
After starting the IV line (this was before the era of cell
phones and Google) I sat down and calculated the dose. It was very complicated.
Maths was not my strong point. I had given it up in 9th std in favour of English Literature. I
administered the dose intravenously.
The effect was immediate. Before my horrified eyes the light
skinned baby turned a dusky blue. For good measure, he pissed out urine that
could be filled in my pen as a substitute for the ususal “Quink Royal Blue”.
This was a really precious baby and I thought the relatives
would attack me.
All of a sudden the lady from the next bed said
“The child will live, Lord Krishna has returned in a new
avatar.”
I slipped a way to the phone to find out what to do.
“Don’t worry”, said my professor after yelling at me for 5
minutes, “the methylene blue will be excreted by the kidneys.”
By the time I returned to the bed, someone had tied a
peacock feather on the baby’s forehead.
He recovered and was discharged two days later after the urine
was not “ink” any longer.
He apparently was “cured” and funnily enough did not have another
episode.
Perhaps the “overdose” was correct?
His blue colour gradually faded over the next week.
“Lord Krishna left after saving my son,” said the mother
when she brought the child to the OPD for a check up.
I nodded my head and said ,”Yes, yes,” just relieved that “alls
well that ends well.”
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