Saturday, December 5, 2015

when doctors ran away and 18 patietnts died-----

Chennai floods: Survived on bread, rain water, says MIOT patient

Chennai rains results in 18 patient deaths at the MIOT hospital which was hit by a power failure

chennai floods, chennai rains, floods in chennai, chennai MIOT hospital, chennai hospital, chennai hospital ICU, jayalalithaa, chennai flood news Grieving relatives of the people who lost their lives in the floods, at the Government Hospital, Royapettah in Chennai on Friday. PTI Photo by R Senthil Kumar At the MIOT hospital in Chennai that witnessed the death of 18 patients due to power failure, a patient who survived in the Intensive Care Unit (ICU) said she was given only 120 ml oats and a slice of bread after the power went off. She added that the management abandoned them on Tuesday night.
Read full coverage of Chennai floods
Talking to The Indian Express, a relative of the patient who underwent a heart surgery last week, said they did not expect her loved one to survive after most of the doctors disappeared.
Shilpa, the relative who along with her husband, was taking care of her mother in law in the MIOT ICU were stranded since Tuesday night. Her mother-in-law, a leading human rights activist, did not want to reveal her identity as she fears that their relatives will panic. She is stable now and is being treated at another city hospital.
The activist said there was absolutely no help from the doctors or management.
Read | Sleepless in Chennai night, residents find home under flyovers, in flooded shelters 
“They abandoned us in ICU. There was no power or even a candle light in the ICU. We spent three days in dark chambers. There were no monitors in ICU. There was no hot water for patients. Thank fully few nurses who wanted to help us ensured 120ml oats and a slice of bread,” she said adding that she will go on record on these once she could reach all her relatives. “I am stable now. They will panic if they come to know about this from media,” she said.
Shilpa said she managed to spend three days with few chocolate bars and rainwater. “We were on the third floor. We had to collect rain water with buckets and small dishes kept for toilet purpose. After the power went off early morning Tuesday, there was absolutely no doctor for the next 24 hours. There was no candle light too. Nurses were the only saviours when all the doctors disappeared, ” she said.
Chennai: A wailing relative of the people who lost their lives in the floods, at the Government Hospital, Royapettah in Chennai on Friday. Several patients admitted to MIOT Hospital lost their lives due to heavy rainfall. PTI Photo by R Senthil Kumar (PTI12_4_2015_000336B) Chennai: A wailing relative of the people who lost their lives in the floods, at the Government Hospital, Royapettah in Chennai on Friday. Several patients admitted to MIOT Hospital lost their lives due to heavy rainfall. (PTI Photo) “When there was no power and doctors on Wednesday, Dr Baashi and team had arrived on Thursday morning. Till then we had no clue about what the hospital is doing. Even after Dr Baashi came, few nurses who reached the hospital were asked to go back by the security men and authorities saying that there were no patients inside. But they insisted that they have to go inside and finally they were let in, ” Shilpa added.
Read| Centre quick to grant relief to other states, but laid back when it comes to Northeast: Gogoi 
Shilpa’s account becomes significant in the backdrop of relatives of many of the 18 patients who died in the hospital’s ventilator said the record shows that deaths occurred between 11.10pm and 11.30pm on Wednesday night. They added that the hospital did not inform the government or relatives about these deaths until Thursday evening. Most of the bodies which arrived at Royapettah government hospital were already decaying. Relatives and media personnel had to wear masks in the hospital compound in fear of health risks.
While none of the MIOT staff were seen at the Royapettah hospital on Friday or to console the relatives of the patients who died, they admitted to reporters later in the evening that there was a power failure that led to the tragedy. They said all patients were critically ill and that they tried to manually ventilate them too. A high level probe was ordered by the government.
State Chief Secretary K Gnanadesikan said the hospital is located in a low-lying area. “It’s responsibility of a big hospital like MIOT to have adequate power supply and power generator. The management had completely abandoned the patients. Law will take its own course.”

 

 
I Agree To T&C
  • I Indi.Nyorker  India
    The hospital was constructed on marshland and so the hospital management alone cannot be held responsible for these deaths. How could the govt sanction a hospital to be constructed on marshland? Prevention is better than cure. Secondly, there was a similar incident which happened in the east coast of US less than 2 years back. Several people died at hospitals in New York as the generator set up was in the terrace and it was impossible to refuel the generators. That incident should have been an eye opener for unfortunately it was not to be..
    about an hour ago
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    • M Madhusudan  United States
      Gov people took bribes possibly, gave cuts to politicians possibly and the financial group behind this specific Hospital only saw the hospital as a commercial venture. I know this from my experience as a patient over there. They send you to multiple doctors for 'specialty consultations' and each doctor charges you a fee. Each doctor, I have been told, have to meet a quota of consultations. The quota is set by the hospital management. Do these people even know the meaning of HOSPITALITY? No! Once the flood situation has been stabilized, a SC-monitored CBI probe is needed in to MIOT affairs. Right from plan approval to every day functioning to what happened that caused the 18 poor souls to perish. And again, bar every one of those doctors for life, globally so they dont kill anyone else.
      1680
      27 minutes ago
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  • TA Tanbeer Alam  India
    thats whAT COMES FROM OUR PM WHO LEFT PEOPLE OF CHENNAI AND WENT TO PARIS SO HE CAN STAND WHEN NATIONAL ANTHEM SUNG BY SOME DVD AND SPEAK IN HINDI TO SHOW THAT THESE BHAKT ARE REAL RASTRABHAKTH OF BHARAT MATA
    380
    about 2 hours ago
    (0) ·  (0)
    • YP Yash Pal  India
      So you admit that the TN State Govt has totally failed. Also that it is the responsibility of the Centre to deal with such situations (especially the PM personally); the State Govt machinery is there only to collect 'hafta'. There was a press release by the PIB showing the PM inspecting the floods in Chennai and still you say that he "LEFT PEOPLE OF CHENNAI". I hope you are also aware that a truck carrying relief materials to Chennai from Bengaluru was stopped by AIADMK people, each item of materials was stuck with photo of 'Amma' and then allowed to proceed. Waste of precious time and trying to take credit where not due. It is well known that TN drama troupes masquerade as political parties but they can stoop to such low level cannot be imagined. BY the way, I am no Modi sympathiser but do not twist facts.
      950
      43 minutes ago
      (0) ·  (1)
      Syed Down Voted
  • TA Tanbeer Alam  India
    this is india coz people only wanted other to stand on national anthem and sing jana gana and vandematram and feel patriotism is what look like this.when really need to show some rastra bhakthi they are just leave like that and sit at home and sing vande matram.
    380
    about 2 hours ago
    (1) ·  (0)
    Syed Up Voted
    • YP Yash Pal  India
      What about the State Govt machinery which has totally collapsed. Only the Army, Navy and AF and the NDRF are seen in action so far.
      950
      40 minutes ago
      (0) ·  (0)
      • Syed Issaq  India
        That is what army is for in India!
        24 minutes ago
        (0) ·  (0)
  • L Lalitha  India
    The Health care people did not give importance for the life of people. Their profession is to save life and get their life for a carrier. Why do these big shot commercially business people should run hospital. For running a hospital, it needs HEART for service. These idiots can close their hospital and can leave it for people who have TRUE HEART. Service to mankind is service to GOD. These idiots forget the basic principles. Some one should come to save Chennai.
    105
    about 3 hours ago
    (0) ·  (0)
  • S Senthil  United States
    The worst thing is people will forget all these and will vote for the same corrupt politicians again for a bottle of tasmac and a briyani.
    125
    about 3 hours ago
    (2) ·  (0)
    Syed · Sathish Up Voted
    • r raju  India
      That they are voting for corrupt politicians since 1967....because there are no non-corrupt party and politicians in TN...when u defeat people like C.SUbramanyam and kamaraj u deserve this..
      about 2 hours ago
      (0) ·  (1)
      Syed Down Voted
      • M Madhusudan  United States
        Raju, truer words have not been spoken.
        1680
        33 minutes ago
        (0) ·  (0)
      • M Madhusudan  United States
        I know few honest politicians in TN. But they never stand a chance with the materialistic irrational electorate of TN who worship cult personalities rather than vote for policies and accountability.
        1680
        19 minutes ago
        (0) ·  (0)
    • YP Yash Pal  India
      How right you are. We need to educate the people that both the Dravidian parties are fooling them. They are sticking to a totally discredited (and with no evidence) theory of Aryan (supposed to be N Indians) vs Dravidians (supposed to be S Indians) and milking them for votes. Intention of these parties is to perpetuate their rule and keep the general public in thrall.
      950
      14 minutes ago
      (0) ·  (0)
  • S Senthil  
    I had a worst experience last year when my dad was admitted for a surgery. Rude and arrogant staff.Money oriented and no service at all. This is a highly profitable business and can't be run with out the support of the government officials and politicians. Tamil Nadu people are cursed .They have to undergo all these because of their bad choice of electing stupid and corrupt politicians for the last 50 years. Maybe they deserve it or they have no choice.
    125
    about 3 hours ago
    (0) ·  (0)
  • S Senthil  United States
    very sad to read this article. no one values middle class life.I heard the foreigners are treated differently and no deaths there. This is how you get treated in Chennai if you are a middle class.
    125
    about 3 hours ago
    (1) ·  (0)
    Syed Up Voted






Mystery surrounds death of four-month-old twins


BENGALURU: Mystery surrounds the deaths of four-month-old twins in south Bengaluru on Friday , a day after the two girls were administered with routine immunization vaccines.

Disha and Sanvi, daughters of Lunesh and Hemalatha, residents of Bapuji Nagar, off Mysore Road, were given the second dose of polio and pentavalent vaccines at a BBMP health centre in Bapuji Nagar on Thursday. The day after, they died at their home. The postmortem report is being awaited from KIMS hospital. Along with the polio oral vaccination, the babies were also administered with pentavalent vaccine in the form of injection.

Pentavalent is five individual vaccines conjugated in one, intended to protect infants from five potentially deadly diseases: Haemophilus influenza type B (the bacteria that causes meningitis, pneumonia and otitis), whooping cough (or pertussis), tetanus, hepatitis B and diphtheria.

Lunesh has lodged a complaint with Giri Nagar police against the BBMP health centre alleging that his daughters died post vaccination.

BBMP officials say only the postmortem report would reveal facts.Dr Manoranjan Hegde, chief health officer, BBMP, "We cannot come to a conclusion on what led to their death. There was over 24 hours gap between the immunization and the death. The same vaccination was given to 38 babies. The other 36 babies are fine."

Dr Komala KR, medical officerhealth, BBMP, who visited the family, said, "The mother told us that the babies developed fever and were given medicine for it. The children had slept off. When she tried to wake them around 11.30 am on Friday , she noticed they were frothing."

WHAT MAY HAVE BEEN THE CAUSE

IMMEDIATE REACTION

Photo for representation only According to Dr Yashoda Devi, a city-based paediatrician, "If there is anaphylactic reaction (whole-body allergic reaction), it should have affected the kids in the first dosage itself. Reaction, if any, occurs within 30 minutes and not after 22 hours. It's improbable," she said, adding, "Why were the babies not taken to hospital immediately after they developed fever?"

OTHER KIDS NOT AFFECTED

Only one in 10,000 babies may develop anaphylactic reaction to vaccines, says Dr Karthik Nagesh, neonatologist and chairman of Manipal Advanced Children's Centre. "If there was any problem with the vaccination, it would have affected other 36 children too. Idiosyncratic drug reactions that are unpredictable can affect immediately. This is not a routine reaction," Dr Nagesh said, adding, "If the problem was with the drugs, the same batch supplied to other centres also would have caused issues."

REACTION IN RARE CASES

One of the components used in Pertussis drug of the Pentavalent vaccine can cause anaphylactic reaction in rare cases, said Dr Prashanth Urs, neonatologist and paediatrician at Apollo hospital. "In some patients, it can cause rapid allergic reaction, but the symptoms of fever, shock, convulsions develop with 72 hours of administering the medicine. In some cases, the fever can even go up to 104 degrees leading to death. However, I am not aware of this case," said Dr Urs

Friday, December 4, 2015

Dearth of 5,000 docs, paramedics in MP, says health minister

Dearth of 5,000 docs, paramedics in MP, says health minister

BHOPAL: Madhya Pradesh health minister Narottam Mishra admitted on Thursday that there is dearth of approximately 5,000 physicians and paramedical staff to cope with menace like dengue and swine flu. "We need at least 5,000 doctors and paramedical staff in government hospitals as a large number of physicians fight shy of working in interior regions and seek transfers to urban areas," Mishra told a press conference.

Defending government on the poor health facilities, Mishra said, some non-governmental organizations have established help desk in faraway rural areas of 27 districts. In tribal dominated areas of Jhabua and Alirajpur districts contractual doctors are providing services under the banner of NGOs. ``If the project proves successful them it may be extended to other districts as well'', said Mishra.

He further claimed that previous month 437 dengue cases were detected which has slumped to 28 this month, with two fatalities. Eight deaths were reported due to swine flu, since November, which has rose the total member of cases in last six months to 148, he added.

When asked about the recognition of two private medical colleges being in limbo, the minister declined to comment by saying that the matter is sub judice.

More than 10,000 indian doctors are unemployed or noteligible for practice

{ Posted on 2:40 AM by V.C.Dave }
TOI has repored that close to 10,000 Indians across the country who have completed their undergraduate medical education abroad are unemployed or under-employed.
These are those doctors who have finished their MBBS outside india. the reason for their unemployment is  because they have not been able to clear the screening test mandated by the Medical Council of India (MCI). it was also reported that the graduates plan to approach Prime Minister Manmohan Singh and Parliament demanding that the test be scrapped.
The foreign medical graduates and their parents held a meeting in Chennai on Sunday. Dr Ameer Jahan, chief patron of All India Foreign Medical Graduates' Association, said each student had spent Rs 15 to 20 lakh to study abroad. "They spend half of what it would cost at a private college here. Their course is nearly seven years long compared to the five-and-half-year medical course here. Every time they fail the screening test, they get delayed by six months and get depressed," he said.
This was expecting since long. The reason is that the parents and students are getting admission at cheaper rate and without collecting adequate information. the agents of these medical colleges are doing great marketing in India. The end result is the dissatisfaction and turbulence like this.
This is big warning signal to all parents and students who want to peruse admission in outside India.

Keep eye on the news realted to this on this web.
  

Canadian doc performs free surgeries for disabled children


Nagpur: The Nagai Narayanji Memorial Foundation (NNMF) is coming up with a comprehensive institute for providing surgical as well as rehabilitative therapies for disabled children under one roof at Hingna in about an year's time. The centre will provide surgical intervention for orthopaedically and neurologically challenged children requiring surgical intervention and rehabilitative therapies like physiotherapy, occupational therapy, speech therapy and other medical as well as non-medical care for bringing the disabled into mainstream.
Dr Viraj Shingade, a paediatric orthopaedic surgeon, has performed 2,763 surgeries on children with different disabilities since 2006 free of cost from remote villages in not just Vidarbha but all neighbouring states under the aegis of NNMF. The foundation started by his father Uttam Narayanji Shingade, a retired government employee, will now be starting the centre aimed at providing even ancillary facilities like special gardens with assisted play zones, schools, auditorium, recreational parks and vocational training, residential facilities for outstation parents, research wing, and specialized training centres for paramedical staffs dedicated to care of disabled children.
The foundation gets children from all over the region selecting them through diagnostic camps held throughout the year. They mainly come from Gadchiroli, Gondia, Bhandara, Amravati districts in Vidarbha and parts of Madhya Pradesh, Chhattisgarh and tribal parts of Orissa. Impressed by Dr Shingade's work, Dr Christopher Carter, a senior orthopaedic surgeon and his nurse wife Daniele Dispres from University Hospital, Ottawa, Canada, have joined hands. Dr Carter has performed 80 out of the 100 surgeries done since October. He is staying in city for the past two months to for these surgeries. The foundation has a target of completing 300 surgeries this year.

Tuesday, December 1, 2015

No AID for these HIV patients

No AID for these HIV patients

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  • An Acquired Immune Deficiency Syndrome (AIDS) patient (R) talks with a doctor and counselor. - A file photo.
    An Acquired Immune Deficiency Syndrome (AIDS) patient (R) talks with a doctor and counselor. - A file photo.

Over a period of time, patients develop resistance to drugs in the regimen and are required to take drugs of the second-line ART regimen which are quite expensive.

The number of HIV patients requiring third-line Anti-retroviral Therapy (ART) regimen, which has been just a trickle, is growing. Those requiring third-line ART regimen have literally nowhere to go, as there is no provision for them at government ART centres.
Those are tested HIV positive with a CD 4 blood count or less than 350 are put on the first-line ART regimen, according to the World Health Organisation (WHO) guidelines. Over a period of time, patients develop resistance to drugs in the regimen and are required to take drugs of the second-line ART regimen which are quite expensive. Similar thing can happen to those taking drugs of the second-line regimen. Only the first and second-line regimen drugs are distributed free of cost at ART centres. As a result, those who require drugs of the third-line regimen, which is expensive, have nowhere to go.
According to Dr. K. Satyanarayana Rao, ART Nodal Officer and head of the department of general medicine at Dr. N.T.R. Government General Hospital, the monthly cost of the first-line regimen ART drugs is between Rs. 2,000 and Rs. 2,200, while that of the second-line drugs is between Rs. 5,000 and Rs. 6,000. The cost of the third-line drugs is between Rs. 15,000 and Rs. 20,000.
While the first-line drugs prolong the life of a patient by 10 to 15 years, second-line drugs does it by 10 to 12 years. But, patients should not miss even a single dose. “If a patient misses taking the drug for two days, it leads to a 15 per cent increase in resistance, and if he / she skips taking medication for a month, it will lead to 50 per cent increase in resistance to medication,” Dr. Rao explained.
“Most private hospitals do not depend on CD4 count in the blood to decide if a patient required ART therapy. They subject patients to an HIV drug resistance test and directly go for the second-line ART regimen. After buying drugs for a couple of months, they approach a government hospital. Once the patient is put on the second-line regimen, there is no going back to the first-line,” he reminded.
How many are on ART?
As many as 40,000 HIV positive people have registered with the three ART centres in the State – NTR GGH, Old GGH and the Machilipatnam Government Hospital. The number of HIV patients registered at NTR GGH alone is 20,351. Around 800 of them are on the second-line ART regimen, and nearly 80 patients are drug resistant, and they require third-line regimen drugs. This can be established only by viral load test, which is available only in Secunderabad. Earlier, ART centres gave only the first-line regimen drugs. Incidentally, the Global Network of People Living with HIV/AIDS has been seeking free distribution of the second-line drugs. Though the number of people requiring third-line drugs is just a trickle now, it may go up in future. Currently, those requiring third-line drugs are being literally left to die.
What are the trends?
NTR GGH ART Counsellor Ch. Aruna Satish says most new cases that are reported at the centre are second-line ART regimen ones. Earlier, only the poor came for treatment to ART centres, but now even the middle class and upper middle class people, several of them requiring the second-line drug regimen, are approaching the centres, she adds.
Expansion of ART centre network
An office of the Andhra Pradesh State AIDS control Society (APSACS) office will come up in Vijayawada shortly, and the registration process required for it is over. The network of ART centres will be expanded from December 15, with new centres coming up in Guntur, Ongole, Eluru, Tirupati and Kurnool, in addition to the once currently functioning at Kakinada, Visakhapatnam and Vijayawada.
LINES OF TREATMENT
First-line ART (as per WHO guidelines)
*2 nucleoside reverse-transcriptase inhibitors (NRTIs) plus a non-nucleoside reverse-transcriptase inhibitor (NNRTI)
Second-line ART (WHO guidelines)
*2 nucleoside reverse-transcriptase inhibitors (NRTIs) plus a ritonavir-boosted protease inhibitor (PI)