I have tried to make my own little mark in this world. My career as a Medical Educator and Clinician in Gastroenterology (see www.gastroindia.net) and my flirtations with Health Promotion, especially amongst school children (see www.hope.org.in) are shown elsewhere.This blog contains my attempts at creative writing, most being write-ups for Health Adda column of HT City of Hindustan Times (also see www.healthaddaindia.blogspot.com) as well as a few others, and some reflections and thoughts that have struck me from time to time on my life journey.Please leave your footprint on this blog with your comment.


Sunday, December 22, 2013

Local Heroes Show the Way

Mr Pradeep Kumar Srivastava, a common looking man, is no longer a common man. He has climbed roles from a devastated patient of Hepatitis B for 8 years to a hero who has cleared the infection and now to an activist guiding others to prevent and treat this deadly infection. And who can be more convincing than him to tell what it entails being a patient?

The ground under his feet had shaken 8 years ago when he, along with his friends, had gone for a screening blood examination in 2004 and tested positive for Hepatitis B. Although he worked in a laboratory as a technician, he did not remember any accidental exposure to blood or blood products. He had never had jaundice, and had felt perfectly fine till this test had robbed his bliss. In disbelief, he got the test repeated from 3 labs. All were unfortunately positive!

Advice kept pouring freely in. Some wondered how he was still alive, others said that there was no treatment and he was doomed to die, while many suggested going for alternative medicines. He was worried about his wife and small children and wondered how much time he had with them.

He however decided not to give in but to fight back. He took the long crowded road to SGPGI and after 5 hours of wait in the claustrophobic OPD hall, confronted me with the question “ Is it treatable?”

Further tests revealed that his infection was not a mild one; the Hepatitis B virus was actively multiplying in his liver, and the viral load in the blood was in millions. Considearble damage had already occured, and elevated levels of the liver enzymes SGOT and SGPT indicated that liver cells were still dying.

Having understood that the treatment had to be long, he started with oral anti-viral medications. The response was impressive; within 6 months, his liver functions had normalized and the viral load had come down significantly.

He attended our liver clinic with determined regularity. We watched his tests improve with each 6 monthly visit. His envelope antigen, a marker for viral multiplication, turned negative in 3 years, his liver functions improved to normal levels and he started getting the feeling that he may not die soon afterall.

He learnt much about Hepatitis B, attending all our seminars and film shows regularly. Convinced that he was indeed getting better, he joined the HOPE team in our yearly World Hepatitis Day functions on July 28 over the last few years, voluntarily lending his hands in the free screening camps, rallies and road shows.


God was probably watching. This year he greeted me with a grin when his HBsAg, the last marker of infection also turned negative. “Am I now cured for life?” he asked with baited breath. He was honored this year as a champion and a hero who had fought and overcome this infection with grit and perseverance.

As published in HT City ( Hindustan Times) dated 29th July, 2012.

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