24/11/2025
🌟 *A Rare Diagnosis, A Critical Rescue — RHL Critical Care Team at Its Best* 🌟
A 39-year man with rapidly progressing respiratory distress in one month. Landed in ER with 58% saturation and Type-2 respiratory failure. Put on ventilator. No known disease
*Comprehensive evaluation*
revealed the bigger picture:
•Neuromuscular disorder
•Bilateral Diaphragm palsy
•Bilateral Pneumonia
•ENT (FOL + FEES): Bilateral abductor palsy with pharyngeal dysphagia
•Genetic testing: Confirmed Myotonic Dystrophy Type-1
This was not just pneumonia or respiratory failure—this was a rare systemic neuromuscular disease, silently progressing until it caused life-threatening decompensation.
💙 *What changed the outcome?*
The timely interventions, expert ventilatory management, precise diagnostics, and seamless coordination between critical care, neurology, and ENT teams at RHL.
He was weaned off the ventilator, shifted to home NIV.
🙌 Today, he is at home, stable, and doing well on nocturnal NIV only — a remarkable turnaround for such a complex condition.
💙 *RHL Critical Care: Turning complexity into recovery through teamwork, technology & timely action.*
Dr Sana, Intensivist, RHL Lung Center
Dr Sheetu Singh, Director, RHL Lung Center, Jaipur
