Port Placement — 2025-12-09

Procedure Details

• Date: 2025-12-09
• Facility: KIMS Health, Trivandrum (Radiology suite)
• Surgeon: Not documented
• Indication: Chemotherapy access for Aml treatment (Aza-Ven)

Pre-Procedure

Port placement was delayed because the patient needed platelet transfusion first (thrombocytopenia, platelets ~45K at diagnosis). Platelets were administered prior to the procedure.

Clinical Context

Dr. Bijay noted that central line is not required for azacitidine + venetoclax chemotherapy — the port was placed for convenience/long-term access. Treatment could have started via peripheral IV.

Dr. Bijay also wanted to speak with the patient one more time before starting treatment to ensure informed consent: "I wanted to talk to her one more time before we started treatment just to make sure she understood everything. I couldn't see her before I left — she was still in radiology suite."

Post-Procedure

Treatment (Cycle 1 of Aza-Ven) was planned to start the same evening or the following morning (Dec 10). Dr. Bijay: "Medically there is no difference between starting tonight and tomorrow morning." Treatment initiation was coordinated via voice call (10 min) on Dec 9.

Created during ingest of WhatsApp conversation (Nov–Dec 2025).