Dr Yogi, who was involved in Koirala's treatment in his last hours, said his condition had been deteriorating due to lungs that were weakening because of multiple medications. Following his treatment for lung cancer last year, he had developed interstitial lung disease (ILD), which affects the lace-like network of tissue supporting the air sacs.
Koirala was administered oxygen and nebulizer, a de-congestant. But he had also been suffering from pneumonia and fever. “Unfortunately, he was busy with party work for the upcoming general convention and this made his condition worse,” Dr Yogi said.
According to the doctor, Koirala had less sleep and suffered from cough and common cold in recent days.
Dr Yogi consulted family members, including Dr Sashank Koirala, for admitting him to the Teaching Hospital on Monday morning. But at the time he was about to be taken to hospital, Koirala was eating some gruel (jaulo), and doctors were confused by his 'improving' condition as his blood pressure and temperature were also normal.
But later, in the evening, his condition again became critical and he was given oxygen and nebulizer as his asthma was affecting him badly, Dr Yogi said, adding that when he checked Koirala's condition around 11 p.m., he was struggling. With the help of health assistants, doctors then gave him an injection as he was not responding well to three different types of antibiotics.
With his pulse getting weak after midnight, Koirala said "Maile Bujhisakein" ( I understand) , his very last words, which were spoken to his aide
Adhikari and Dr Yogi. Shortly after that he breathed his last. Dr Yogi interprets the words to mean he felt it was his last moments.
“We called the ambulance but by then it was too late,” Dr Yogi said.
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