That Sir, My Wife Smt. Anita Jayswal, Aged 46+ Years

That Sir, my wife Smt. Anita Jayswal, aged 46+ years had undergone brain tumor surgery in Kolkata on 23rd February, 2012. Tumor was detected in the IVth Ventricle (Ependymoma) of her brain after conducting CT Scan and MRI tests.
Biopsy of the tumor extracted during surgery showed WHO Grade II.
Due to brain tumor surgery, she has developed double and blurred vision. VEP test was carried out as per the advice of a senior opthalmologist but nothing fruitful result was achieved. She even cannot attend her normal daily routine and most of the time urinal occurs on bed. One Assistant is always required to look after her. She even cannot move freely and cannot stand on her own feet for attending nature’s call, taking food and medicines of her own etc.etc. If she is forced to walk with the help of any Assistant, she complains of headache and other problems and easily starts sweating.
In the mean time, several doctors were contacted and medicines were prescribed and consumed but no successful result could be obtained.
Dr. B.K. Singhania, Neurosurgeon of Apollo Hospital, Kolkata was also contacted and he prescribed ‘PACITANE’ tab. to be taken twice daily in July, 2014 which she took for a number of days but it yielded no result. He advised for MRI.
A fresh MRI was conducted on 30.09.2014 ( MRI Report enclosed) which shows that there is small enhancing recurrent tumor in aqueductal region. Enhancing dural thickening at left fronto-temporo-parietal region.
Furthermore, Dr. S.P.Ghorai, M.S., MCH(NSUG), Consultant Neurosurgeon, North City Hospital & Neuro Institute Pvt. Ltd., Kolkata was also contacted on 01.11.2014 and he has suggested for endoscopic brain surgery as there is still tumor present in the brain.
At present she complains of persistent headache in front portion of her brain. When the pain occurs it lasts for half an hour or so and then subsidizes after applying some balm/analyzer and pain killer. This pain is recurrent and occurs frequently. At present, she does not take any medicine. However, she has now developed talking too much of her own without any rhyme or reason and gets up from the bed thinking of her past events/deeds which she had done as an housewife before her surgery. She cannot sleep due to severe headache. She cannot move of her own and one Assistant is always required to look after her and attending her natural calls etc. Most of the time urine occurs on bed. She remains on bed most of the time. She is unable to recognize her near and dear ones. For subsiding her pain, some local medicines like ‘Combiflam or Pyrigesic is provided but it lasts for only few hours.
Dr. G. Venugopal, Neurosurgeon of Institute of Neuroscience, Kolkata was also contacted and he prescribed medicine Naxdom for headache.
On 25.01.2016, I contacted Dr. Partha Pratim Bishnu, Neurosurgeon of Rabindranath Tagore International Institute of Cardiac Sciences and he has prescribed Citicoline 500 mg and Zerodol for headache and for MRI of brain. She is at present taking the aforesaid medicines. However, she is not well and headache occurs continuously.
At present she is unable to walk and raise her left leg and one side of her head has also been curved. She feels pain in her left leg, however, after giving ace proxyvon, the pain subsidises but unable to keep her leg straight. She urinates on bed about 5/6 times a day. She goes for latrine after a week and feels difficulty.
I am fully perturbed with her situation which is deteriorating continuously instead of getting cured.          
I shall be highly grateful if you could kindly suggest me the further course of action to be taken at the earliest. I am also unable to visit at a far off distance with such critical patient as there is none except me at my home to look after her. I shall be thankful to you if you suggest over mail in detail regarding next course of action to be taken to get her malady at least subsidized than the further complications.
Awaiting a suitable reply from you soon in this regad.
     
Thanking you in anticipation.

Yours faithfully,
Dated : 06.06.2016.     

( Amar Nath Jayswal )
                                    Husband of Smt. Anita Jayswal
Email id : YYYY@YYYY