Uncertain : They are as ever

As the axiom goes “After event even a fool is wise” and at Jodhpur’s Umaid hospital  they are proving it right . For those who have missed the haunting  news in National dailies  , 16 women have died so far in Jodhpur  Government Hospital due to administration of allegedly contaminated IV fluid; The issue has lately raised questions about  state of hygiene and sanitation  in hospitals .

The all time favorite blame game is in full swing.  Inspection committee is calling names to doctors at Hospitals, Doctors are blaming the administrative authorities, administration is blaming lack of resources Following lines from a famous Bob Dylan song always ring in my head after such incidents.

How many ears must one man have
Before he can hear people cry ?
Yes, how many deaths, will it take till he knows
that too many people have died?
The answer is blowing in the wind......

It would not be out of place  to share an appeal mailed to me by a senior doctor of the subject hospital .

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DEATHS OF DELIVERED WOMEN IN UMAID HOSPITAL, JODHPUR

                              The treating Doctors’ perspective

THE MISHAP- What has happened in the deptt of Obstetrics ,Umaid Hospital,Jodhpur in the month of February has been a terrible accident- a very unfortunate heart rending series of incidences over which no single person or a group of people had control. It was not an act of commission or omission but seemingly the interplay of an out of the world hitherto unknown FACTOR that mercilessly snatched away so many lives.

THE DEPARTMENT- If the work culture as prevails in our department for so many years were to be responsible then this kind of deaths should have occurred in the past too. But our statistics vouch for us that similar mortalities have never been an integral part of the history of this department.Most of us have been associated with this department for more than 10-15 years and we have not seen or heard of such deaths because of PPH.

FINDINGS OF COMMITTEES- Our teaching has been faulted, our training has been criticised, our devotion to work and duty has been challenged, our integrity questioned and our department has been cursed. Eyebrows have been raised on each and every act of ours. They came with a purpose and they have been able to achieve it. Our students are ignorant fools, training is faulty and non- existent, work culture is pathetic, sanitation is abysmal and we do not give any TIME to the department. We were held directly responsible for a chocked gutter or a faulty window. It appears that the mountain like figures of upwards of 70 deliveries per day are being handled by inept students and untrained nurses.

The falling standards of medical teaching and learning in medical colleges is not an ailment confined to our department, the reasons for this are many, the debate is a long one and surely has nothing to do with the present  RUN OF MORTALITY in our operation theatres that is being investigated.

ACTUALITY- Our statistics do not speak this way. Mortality figures from our institution compare well with others. Our OPD attendance is rapidly going up and we are facing an unprecedented rush in our ANC clinic, Labour rooms and our OT’S are panting for breath.

Private practice- Doing private practices outside hospital hours in our residential chambers is not a nefarious activity, a shoddy doing or a crime. We only render our services to the citizens of this city strictly in accordance with the rules and regulations that govern the state medical college teachers and in a way we work almost double than our Delhi counterparts.

THE EXPECTATIONS- Instead of experts coming to our rescue trying to help us find the culprit in the environment, that evasive superbug, that puzzling factor we only have a host of higher ups descending upon us making us parade in front of them like hard core criminals only to hear that you are shoddy, faulty in your basics and that everything is wrong with you and your work and you deserve the gallows.

WE AS WE ARE- This is not helping anybody. Our morale is shaken, our confidence battered, our self esteem lost and our hand tremble when we operate or conduct a procedure.

OUR PRAYER- We collectively mourn these deaths, we are as shaken as the kiths and kins of the deceased. Why the Almighty chose our hands for these unfortunate deaths we fail to understand. But our image has been tarnished and we deserve a little more than mere brickbats for our years of service to the Suncity.

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The question here is not that  who is solely responsible for the incident ? The questions are : Doesn't someone get the salary for ensuring the quality of drugs administered, ? Is someone  paid from exchequer's money for  ensuring proper sanitation and hygiene  ? If not then, how everything comes in order and becomes spic and span on day of some minister's visit ?If everything about the hospital, staff and doctors is shoddy and out of place then what were these inspecting authorities doing, besides waiting for things to go wrong ?

I am no one to blame anyone with my limited intellect ,but I as a concerned citizen surely want to ask or tell few things to every doctor who is reading this .

Someday go to the emergency of your hospital and silently watch how nonchalant and easy going residents and doctors at duty are. Please tell them that the causality brought there is someone's father , someone' husband and world of few might be revolving around that person .For you he is just another patient . Please try to understand the condition of people and at least pretend concern and appear sympathetic.

If you know things are lousy and below acceptable standards why don't you refuse to carry on? Time is ripe for us to  decide whether hands of few semi educated politicians  or your brains runs these hospitals.

Well, these committees and reports are just time buying tactics and part of the procedure to bury the hatchet .Rest assured we the common people will forget about such episodes and get busy with  more important world cup of cricket sooner than you realize.

Only if I could , I will give a copy of Murphy's law to every government official and frame and put these lines of Hellen keller on every officer's desk

I am only one,

but still I am one.

I cannot do everything, 

but still I can do something; 

and because I cannot do everything,

I will not refuse to do something 

that .....I can do

Corrupted by prosperity

It is everywhere, it is so promiscuously omnipresent, that it does not surprise anyone, anymore.

A government official, an engineer or a doctor getting caught red handed while accepting a bribe can hardly be considered news these days. Almost every page of newspaper has one such incident reported that we read only to check if the name mentioned is that of our acquaintance or relative. What happens subsequent to that never gets reported because nothing really happens after that .A process of departmental enquiry, temporary suspensions, a court case and reinstatement. Standing on the apex of the human greed , we are building a castle of corruption.

The recognition by the Chief Justice of India, K G Balakrishnan, that the process of investigating agencies to seek permission from higher authorities for prosecuting accused public servants is creating a "climate of impunity" is no news either; however his suggestion to enable confiscation of properties belonging to persons who are convicted of offences is very welcome. It is very appropriate and reasonable that if a public official amasses wealth at the cost of the public, then the state is justified in seizing such assets. Once president of Taiwan and his wife can be punished so severely for financial irregularities why can’t we punish pawns of bureaucracy in this country ? Why is Delhi so reluctant to do what Taipe can so vehemently execute?

The very root of corruption lies in a clear opportunity with little chance of getting caught. The lack of accountability comes primarily from lack of transparency, what causes corruption are attitudes and circumstances that make average people disregard the law. However, corruption is not just about ethics it is also about how the government is set up and managed. Corruption has its own motivations, and one has to thoroughly study that phenomenon and eliminate the foundations that allow corruption to exist.

We are so vocal about greatness of our cultural heritage and past but our code of conduct puts even the uncivilized barbarians to shame. The process of corruption starts with elections and never really ends. How true are the words of Wynton Marsalis who said “I have absolutely no idea what my generation did to enrich our democracy. We dropped the ball. We entered a period of complacency and closed our eyes to the public corruption of our democracy.”

Hope someone pays heed to chief justice and makes the corruptors suffer the hardest imprisonment and ensure that even their generations don’t get to enjoy their unearned wealth. Hang them, if you should, they have no right to make money through the chair that was assigned to them to ensure smooth functioning of democratic government…..

Only work will show the respect

Late YS Reddy was one of the educated, dynamic and hard working young leaders of our country. Like any other Indian I am equally agonized and sad at his untimely death. YSR, a doctor by profession believed in working for society and human kind. AP and nation has lost a good leader

With all regards and prayers for the peace of departed soul, the question that disturbs me is how appropriate it is declare holidays for mourning. What relevance it has? What is more important body of person or his soul and vision? Is declaring a public holiday in Rajasthan an appropriate way to show respect to this visionary man? May I dare ask the honorable CM if he will close down the public offices on Friday giving the government servant luxury of three consecutive holidays, if the leader was CM of some state not run by congress party? Why the politics should be linked with functioning of Government.

Two small girls were running to railway station to catch a train .As they were behind the scheduled departure, one of them told other let us stop and pray almighty that train is late and we get it. Other said, it is good idea but let us run with all our power and pray while running. Once a young girl can be so rational how can our political masters be so irrational when we they are in position of power. People in power should understand the meaning and the impact of their words and deed on common man. What will happen to the cases scheduled for today in courts and offices? How will a teacher adjust for another period lost?

Work is love made visible, and the true tribute can be paid by following the vision of the leaders rather than enjoying the luxury of unearned public holidays.

The timing may be inappropriate but when we are out to describe the truth elegance does not matter. May lord give strength to aggrieved family to bear the loss…………..Amen….

Consider this friend……

You would know the secret of death.
But how shall you find it unless you seek it in the heart of life?
If you would indeed behold the spirit of death, open your heart wide unto the body of life.
For life is a constant journey and death a grinding halt, leaving footsteps behind…..