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During times of unprecedented health crisis like this, you’d expect people in the medical / health field to lead the way with their words and actions. And if you are the Principal Health Secretary of a state of 75 million people, the onus would be even higher to lead by example.But not in all cases.The woman in the picture below is Pallavi Jain, Principal Health Secretary for the Indian state of Madhya Pradesh.She is being attended to by doctors and nurses, not at a hospital, but at her own residence. She’s probably just “too important” to stay quarantined at a hospital like other “normal people”.She is accused of having hide her son’s travel history from the US, and flouting quarantine norms despite testing positive on 4th Apr.MP Principal Secretary Pallavi Jain Govil hid her son's travel history & continued to attend meetings despite symptoms. Now 11 people tested Covid positive per this report. Another report claims, instead of being treated at designated hospital, she is being tested at Guest House! pic.twitter.com/bglBMZNfvo— Gaurav Pandhi (@GauravPandhi) April 7, 2020Now, a whole bunch of people in the Health department have tested positive, and it is clear who was the localized Patient Zero in this case — A Bigger Crisis in MP? 18 Health Dept Officers Test Positive for Covid-19, Several Others in Quarantine.The look on her face, the open disregard for rules and guidelines, and the audacity to get healthcare workers, who are in acute shortage and under immense pressure, to her residence instead of going to the hospital just screams “entitled”.

One night I came to work, and as I stepped off the elevator, I was overcome with the scent of gastrointestinal blood. The elevator was 40 feet away from the ICU in which I worked, but the odor was unmistakable. I will state now that I have always had an incredibly sharp sense of smell. Not really a good superpower for someone likely to smell all sorts of nauseating odors during the course of a 12 hour shift, but there you have it.I entered the ICU and asked who the GI Bleeder was. I was simply met with blank stares. The charge nurse informed me there was no one in the unit with gastrointestinal bleeding.I was surprised, yet relieved, because a patient bleeding from the gastrointestinal system is a very unstable patient, indeed.I received my assignment and entered each room to evaluate and assess each patient. I smelled blood when I entered one room. However, the patient had no history of gastrointestinal bleeding, and other than the odor—had no signs nor symptoms. I immediately ordered two units of blood typed and crossmatched. I reasoned that if the doctor could smell what I had smelled, he would do the same.At two in the morning, with no warning, this patient began vomiting bright red blood. His heart rate raced and his blood pressure dropped precipitously low. I calmly asked for the blood I had ordered earlier, and all was soon well. By morning, the gastroscopic studies had been completed, the bleeding areas cauterized, and the patient was once again stable. Just another routine night in the ICU.So my “gut feeling” had helped to stabilize a patient, although he had never had such a symptom to anyone’s medical knowledge, in the past.It was not really so amazing, as a high estrogen level tends to create a much more sensitive nose. Women have higher estrogen levels than men, and at certain times of the month, have particularly high estrogen levels. Thus, the ability to “smell out” trouble before it becomes life-threatening. Therefore, it was not so much my gut, as my nose that safeguarded that patient that night.

She walked in, crying so hard she was shaking. In her hand was a regular piece of paper from the printer. Written in huge, red, block letters was, “This is your last chance to stop a runaway train: you are going to die very soon!”She had just that morning learned that she had type 2 diabetes; it wasn’t a matter of her doctor being frustrated at a history of noncompliance. He was a blunt, direct (good), angry, grouchy (not so good) diabetes specialist and she was morbidly obese, but again, she’d just learned she was diabetic.She was sent to us to be checked for diabetic retinopathy; I was doing her workup and retinal photography while trying to get her calmed a bit. I kept sensing something was going to happen, but couldn’t articulate it to my exasperated doctor boss.When the patient disappeared, I went looking for her, further exasperating my equally busy doctor.I walked into the restroom and she was slumped over the sink, which had several huge, fist-size blood clots in it, with more blood all over the counter.Pre-cellphone era, I grabbed her while yelling at top volume, and tried to ease her to the floor. A moment later my doctor came charging in, followed by several others.We got her downstairs to the hospital and her nose cauterized. Fortunately she’d come to us for the eye check or she’d have bled out at home or on the drive home.She was a regular patient for years after that, and the kindest, sweetest, funniest person you could ever meet. She dropped most of the extra weight, and religiously followed all of her medical instructions (although with a different diabetes doc) but sadly passed away a few years after I left that job.