Maqdoom Ali's zest for life was evident whenever I talked to him. He told me he realized that dialysis is what makes him live. Many patients try to cut down on the number of sessions thinking that they can manage without the extra dialysis. Not Maqdoom Ali. He knew that he needed as much dialysis as he could get. He often told me he knew his body pretty well and had learnt how much fluid it can tolerate and what the warning signs were. He had figured out what foods his body could withstand and admitted that whenever he crossed the line, he suffered. He would counsel other patients about not skipping sessions.
Maqdoom Ali wasn't from a very affluent family and being diagnosed with this disease without having enough money to pay for it can be very difficult.
He got his dialysis session on Monday and was scheduled to come for a session today. And then all of a sudden, this morning, he collapsed in the bathroom. His family immediately called 108, the emergency service. The paramedics came and declared him dead.
Maqdoom Ali's passing is shocking. How could this have happened? He was totally all right! I really haven't seen a patient who was doing as well as him. But then there were probably changes at the underlying levels which were not very evident. Changes which even Maqdoom Ali did not realize were taking place. Who knows? Who ever will?
With my involvement in NephroPlus, I realize that my attitude towards death of dialysis patients is also changing. While I burst into tears on reading Pavan Joshi's obituary in the newspaper many months back, I reacted quite stoically to the news about Maqdoom Ali. Not a graduation I would have liked.
... http://www.kamaldshah.com/2011/07/and-then-all-of-sudden.html