A 21 yr young girl came to me with severe pain abdomen. She was diagnosed with PCOD (quite common USG finding now) & taking treatment for the same.

The pain was unusually severe was associated with lot of belching by the girl. She jumped in agony when her abdomen was touched
With good history taking it was clear that she had inhaled chemicals while working in a R&D facility of a drug major. While she was told by a doctor the previous day that her problem was aggravated PCOD we did not agree with it.

Asked our Industrial Health Expert to investigate
Meanwhile her enzyme levels which indicate acute pancreatitis were all elevated, CT & USG showed inflamed edematous pancreas.

Our Industrial Health Expert came back with the report that the chemicals girl had inadvertently inhaled during work can cause pancreatitis
It was diagnosed as Chemical Pancreatitis. We informed the drug major of the problem. We informed the authorities as per our protocols.

However, the drug major behaviour was exactly opposite of what had expected.

1) They denied anything wrong had happened
2) Said she is a temp
3) Once diagnosed as Chemical Pancreatitis they refused to divulge any information or answer questions which we asked to get more details about the chemicals used & type of experiments conducted & its products.
4) They refused to pay for her hospital bills asked them to get ESI
5) The authorities whom we informed were more friendly with the drug major rather than the girl.

We decided that it is not our fight & decided to care for the girl instead. Her condition improved after 6 days. Her parents came down from Gulbarga we helped them in her care.
The happy part is she got better & was discharged. Due for a review in 4 weeks.

Yes at one point it looked life threatening, yes she got better but what irked me was the callous nature of the drug major. They just talked as if it was her problem her mistake etc...
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