A Physician's Memoir • 1957–2026

Stetho in Sevagram

Dr SP Kalantri
CHAPTER 4
7 MIN READ
Unusual Patients

The Midnight Ambulance

A twelve-hour journey on a ventilator, an unexpected home in a palliative care ward, and a lesson in the healing power of hope. (Sevagram, June 2024)

6 min readThe Midnight Ambulance

Arrival

The headlights of the ambulance cut through the midnight darkness of our hospital courtyard. In a busy public hospital like ours, midnight arrivals are routine. Sirens wail, stretchers rattle, nurses hurry from one bed to another. We simply move from one emergency to the next.

This ambulance was different.

It had travelled nearly twelve hours from Solapur. Inside lay a thirty-four-year-old man whose lungs no longer worked on their own. A ventilator breathed for him, pushing air into his chest with a steady mechanical rhythm.

When I told my residents that a patient on a ventilator was being brought from so far away, they looked at me in disbelief.

“On a ventilator? From Solapur?” one of them asked.

None of us had seen such a journey before.

When the rear doors opened, I understood why everyone had taken the risk.

His name was Datta.

Datta had studied up to Class XII and came from a small village in Nandura taluka of Buldhana district. As a teenager, he found a clerical job at Shri Sant Gajanan Maharaj College Of Engineering in Shegaon and stayed there for the rest of his working life. His days followed a familiar routine. That summer, he and his wife planned their first pilgrimage to Pandharpur. Like thousands of other devotees, they looked forward to offering prayers to Lord Vitthal and Rukmini.

They never reached the temple.

Soon after arriving in Pandharpur, Datta noticed that his legs felt unusually heavy. By evening they had become weak. He blamed the long bus journey. Before midnight he could no longer stand. A few hours later he began gasping for breath.

His frightened wife rushed him to a nearby hospital.

The doctors quickly recognised Guillain-Barré syndrome, a rare illness in which the body’s own immune system attacks the nerves. The weakness spread with frightening speed. Within a day, Datta was completely paralysed. His breathing muscles also failed.

He was shifted to a private hospital in Solapur. A tube was inserted into his windpipe, and a ventilator kept him alive.

Days turned into weeks.

The machine never stopped. Neither did the bills.

The doctors explained that recovery, if it came at all, would take months. No one could say whether he would ever walk again. For a college clerk, the cost of treatment was becoming impossible.

At that point, Datta’s principal, Mr. Sunil Somani, and his wife, Manisha, stepped in to help. They travelled to Solapur to see him in the intensive care unit. It did not take Mr. Somani long to realise that the hospital bills were mounting rapidly and were far beyond what Datta’s family could afford.

Manisha’s brother, Govind Rathi from Wardha, knew me well. He called to ask whether we could accept Datta at Sevagram.

I hesitated.

Transporting a patient who depended entirely on a ventilator across western Maharashtra was risky. It was the peak of summer, and the journey to Sevagram would take nearly twelve hours. A mechanical problem, a power failure in the ambulance, or even a delay on the highway could prove disastrous. Our hospital had an excellent intensive care unit, but we were not a specialised neurological centre.

Govind paused before saying quietly, “They have nowhere else to go.”

I agreed.

When Datta arrived that night, he could not move a single muscle below his neck. Not a finger. Not a toe.

The tube in his windpipe had silenced his voice. He answered every question with his eyes.

His wife stood beside the bed without saying a word.

For the next three weeks, Datta remained in our intensive care unit.

Patients who stay on ventilators for long periods often develop pneumonia or overwhelming infections. Every morning we looked anxiously at his chest X-ray and blood tests.

His lungs stayed remarkably clear. Yet his muscles did not.

Nothing changed.


Silence in the Palliative Care Ward

Eventually we faced another problem. The ICU beds were needed for patients with fresh emergencies. We decided to shift Datta to our palliative care ward.

At first glance, it seemed an odd decision. The ward mostly cared for patients with advanced cancer or severe strokes. Yet it offered something the ICU never could—silence.

There were no alarms every few minutes. No rush. No crowd around the bed.

Every day our nurses and residents sat with him. They spoke to him even when he could not answer. They held his hand. They encouraged him through blinks and nods.

“These days will pass, Datta,” they would tell him.

Throughout this time, his wife listened quietly.

Neither of them ever asked for another opinion. They never insisted on moving to Mumbai or Nagpur. They simply trusted us and waited.

Six weeks after he had reached Sevagram, something changed.


Small Victories

One morning a nurse noticed the toes of his right foot move.

The next day he could lift his foot.

Soon he was able to raise his hands.

The recovery was slow, almost too slow to notice from one day to the next. But week after week, strength returned.

When he finally left the hospital, he was still in a wheelchair. Yet he was going home.

Over the next six months, my phone came alive every week.

Datta would send me a short video.

In the first, he was sitting without support. Then he was standing with a walker. Later he was taking a few careful steps. A few weeks afterwards he climbed a staircase.

The last video made everyone in our ward smile.

Datta was riding a bicycle through the streets of Shegaon.

The nurses gathered around my phone. Residents who had cared for him months earlier watched the video again and again. They had seen him arrive without the ability to move a finger. Now he was balancing effortlessly on two wheels.


Looking Back

Nearly two years later, Bhavana and I happened to be travelling near Shegaon. We decided to visit Datta before going to the Gajanan Maharaj Temple.

When I called him, he could hardly contain his excitement. He immediately shared the news with his principal, Mr. Sunil Somani. A few minutes later, while we were driving from Jalgaon to Wardha, Manisha Somani telephoned us. “Please come to our home first,” she said warmly. Datta’s house was directly opposite theirs.

Mr. Somani welcomed us with great affection. Datta, his wife, and their young son were waiting for us. We spent more than an hour talking about those difficult months that had changed all our lives.

At one point, the conversation faded into silence.

Datta’s wife quietly wiped away her tears.

Before we left, Datta smiled and said, “Doctor, I never had the chance to see Lord Vitthal in Pandharpur. But perhaps he was with me all along.”

I have often thought about his words.

Over the years, we treated many patients with Guillain-Barré syndrome. Some recovered completely; others did not. Datta received no special treatment that others did not receive.

What set his story apart was something else: a principal who refused to abandon his employee, a wife who never left her husband’s side, nurses who found time to sit quietly by his bed, and a young man who refused to surrender even when he could speak only with his eyes.

Whenever I think of Datta, I am reminded that medicines are only one part of healing. Hope, courage, and the support of those around the patient matter just as much.