Emergency
Room, New Delhi, 2005: 20year old, brought dead. CPR going on since
an hour. No chances seen. Goons standing outside. This guy is a local Goon and celebrated
local politician. The Medical Officer and Nurse are tense. The security (Guard)
has run away. An intern (Post MBBS) on duty is doing the CPR. The Goons outside
are already shouting and breaking windows. With cold sweat running, the Medical
officer decides that its better for the younger doctor to go ahead and face the
music, otherwise they will kill this 50yr old Medical Officer. The crowd beats
up all, breaks this Intern’s Nose and leaves all bleeding.
General
Surgeon, Kanpur, 2009: 45year old surgeon celebrated for his skills and
given award by the National Surgeons Society and the Kanpur Medical college is
operating a burst appendix on a 6year old. The child is sinking as is in severe
septic shock, the BP in the OR goes unrecordable and child dies of cardiac arrest.
All efforts fail to revive. The loss of a seemingly normal child is traumatic
even for this Surgeon and weeping himself he gives the Horrific news to the
family. Understandably, the shock, anger and sadness took over the family. The
next day the front page news had photo of this doctor( with family-downloaded
from Facebook) and had declared him a murderer. An FIR was charged to culpable
homicide and the Doctor, his staff and Ot nurse were immediately arrested. The
videos were repeatedly shown on all news channels. Information about his wife
and children with their pictures were also openly shared in the footage. Days
past and not much is known about what happened to the case and the doctor.
Ophthalmologist,
U.P, 2006: A reputed institute, lauded for their charity
work, treated thousands of blinding patients for free, Had a cluster of 10 eye
infections(endophthalmitis) after free cataract surgery. The patients were
operated for treating this infection (Vitrectomy) for no cost again but the
infection was severe and the eye could not be salvaged. The Artificial implant
was offered for cosmesis to these villagers, but some political people offered
them help and advise and told them not to settle for “Stone Eye” They demanded “Eye
for an Eye” and asked the doctor and staff to remove their eye and give to
these patients (practically not possible as a surgery!) Investigations had found that it was the
saline used in the eyes that was at fault and the Drug Officer refused to file
any chargesheet against the Drug supplier company. Finally, what happened in
unknown. Last we know is the doctor left practice and the centre was
closed.
Ahmedabad,
2006: Eminent Gynaecologist.
Had Maternal death in hospital due to severe complications. The family was counselled
from beginning that she has a lot of complications and pregnancy is very risky.
Journalists got the news. Extortion of 2crores were demanded. Refusal to pay
that would have meant, 1st page News in the most prominent
Newspaper. Bad press started. “Murderer Doctor” was the heading of the article.
Money was borrowed from relatives and NRIs and arranged overnight. Bad Press
stopped but scarred by this incidence the Doctor Couple closed the hospital and
planned to immigrate abroad. Rest is again Unknown.
New Delhi,
2021: 2nd wave of Covid at its peak. The Pediatric
Ward at the Government hospital is full. A Child from a far off village has
been brought with seizures to the emergency. The seizures are going on since 2
hours! Already expecting severe brain damage due to hypoxia the attendant
pediatrician start anti- meds. The child was intubated and put on oxygen. The
child suffers 2 cardiac arrests, revived and shifted to make shift ICU as
everything is occupied by COVID. Has a 3rd cardiac arrest and succumbs.
The relatives go violent. Refuse to take the body. Contact a Media Television
Network who is stationed there to cover COVID. The Doctor is caught by the
collar and brought in front of the camera. He is spit on, slapped and finally assaulted
by sticks. With no security in sight, the ward boy somehow convinces them to leave
the doctor alone and saves his life. The alleged Crime is that the Doctor put a
tube to the heart and stopped it! The young 20something doctor suffered subdural
hemorrhage and suffered a seizure and had to undergo an emergency neurosurgery.
What happened next is not known.
Different
parts of the country. Repeated Narrative. What is the action plan for present
and future doctors.
Will I face
it? I don’t know. Will one of my friends face it? I don’t know! But actions we
can take is this:
1.
Document Counselling by audio video
method
2.
Communicate Good, Bad and Ugly to the
Relatives
3.
In case of problems, contact Local
Medical Association Bodies. Indian Medical Association (IMA), Or local
speciality Bodies
4.
Do not get afraid of Bad Press. Nobody
can destroy you with it. See people like Shilpa Shetty, Shweta Basu, Navjyot
singh Sidhu, Vijay Mallya or George Bush. Tons of Bad Press, lots of
allegations. They are breathing, surviving and thriving. Don’t Base your
reputation over other’s judgement. This Too Shall Pass
5.
Talk to people and take help. This is
a time where you have to keep a cool mind and take legal help. A good indemnity
insurance is a must
6.
Hospital Insurance: Get your hospital
insured against damage and take video recordings. CCTVs are must to have
7.
Treat Profession as a part of your
life and not your whole life. Try to have other focuses. My 84year old
grandfather was an LIC agent 25years back and he doesn’t even remember much
about the job. Keep your work as a Doctor, Lawyer, Interior designer as a part
of your identity and not the whole. You will not then have to lose your
identity due to professional issues.
I have been there. I have judged my caliber, I have judged my judgement,
I have labelled myself as a failure, I have questioned my existence. But all
that keeps me going is the role I play as a friend, mother, wife, confidant and
daughter. These roles will not have an alternative. Your patients will always have
someone else for 2nd opinion.
So I tell myself “Life is too precious to waste due to other’s judgement”
I
wish things change, people change, politicians and journalists are not corrupt
and the patients realize the best efforts put by doctors. Till the, dear Dr
Archana Sharma, Sorry we failed you! Wish we could have told you “This too
Shall Pass”