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Max Hospital in soup again, kin say stents put in patient without permission

The family of a 58-year-old heart patient, who died in the Max Hospital, Shalimar Bagh, on December 25, has accused the hospital of negligence, a charge that the upscale facility has denied. The family said they will approach Union health minister JP Nadda on Thursday.Earlier on December 8, the Delhi government had cancelled the hospital branch’s license in another case of negligence. The services, however, resumed 10 days later, after the Finance Commissioner stayed the state government’s order.”We will try to reach out to health minister J P Nadda and the chief medical officer of Delhi on Thursday. We want justice. My father was on his feet when he visited the hospital on December 25. He was sweating, so they took him to the emergency ward and an ECG test was conducted. The test revealed that he had blockage in his arteries,” said Sarika, 35, daughter of the deceased Kamlesh Chander.According to the family, the doctors inserted a stent in Chander’s body without informing them. They also said that a senior doctor was supposed to operate upon him but instead a junior doctor performed the surgery.”Even as we were discussing the matter, they came and informed us that stents have been put in his body. They did that without even asking us. Also, the doctor under whose supervision my father was admitted was on leave. A few hours later, my father died. This is fraud and negligence. We demand justice. We are waiting for the autopsy and after that we will organise the funeral,” she said.The family further stated that the hospital gave them a bill of Rs 3 lakh. A police officer said inquest proceedings under section 174 of the CrPC has been initiated,The hospital, however, denied the allegations. “The patient was brought to the emergency (ward) in the afternoon of December 25, complaining of chest pain and breathlessness. There was blockage in three major arteries. The patient was 58 years old and had a history of diabetes, hypertension, and smoking,” the hospital said in its statement. It added: “The family was counselled by Dr Devendra Agarwal, who is a senior consultant and a well-qualified interventional cardiologist. The family was informed that Dr Navin Bhamri was on a leave. The family was fully informed about the diagnosis, the patient’s condition, and the treatment plan at various stages. The documents were signed by the family. Only one stent was used in the angioplasty procedure.”IN THE PAST7-year-old Adya Singh dies of dengue, hospital bills family Rs 16 lakh. On November 20, reacting to a tweet by the child’s uncle, Union Health Minister JP Nadda asked for details and said necessary action will be taken against the hospital.

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Fortis raked in moolah of up to 1,737% in Adya Singh case: NPPA

Drugs administered to seven-year-old Adya Singh were grossly overcharged by Gurugram’s Fortis Memorial Research Institute (FMRI), a probe conducted by the National Pharmaceutical Pricing Authority (NPPA) has revealed.Deceased Adya’s father, Jayant, was billed close to Rs 16 lakh in 15 days for his baby’s dengue shock syndrome treatment at FMRI.The hospital earned a mind-boggling profit ranging from 12% to 1737% on 176 items, including drugs and consumables, according to the information supplied by the hospital to NPPA. “These are tactics adopted by hospitals in collusion with pharma companies to earn profit,” said an NPPA official. He added, “Companies put exorbitant prices on MRP, but sell in bulk at highly discounted rates to hospitals.””Hospitals stand to earn huge profit margins by charging at MRP to patients. Also, they prescribe and procure particular brands of drugs for patients,” the official said.”NPPA shall be taking necessary follow up action as per existing law and within its jurisdiction,” said NPPA deputy director Anand Prakash.A three-way stop cock bi-valve which was procured by FMRI at Rs 5.77 was billed at Rs 106 (a profit margin of 1737%). The MRP of the bi-valve was Rs 106, while pharma company Romsons supplied it to FMRI at a heavily discounted rate of Rs 5.77 per piece.A ventilator circuit procured by FMRI at Rs 46, 614 was billed at Rs 66,305, a profit margin of 42%. Up to 171% profit was made by the hospital on dialysis contraptions like a CRRT kit of seven items procured at Rs 8,033 but billed at Rs 21,745.Surgical gloves, over a thousand of which were used in Adya’s treatment, procured at Rs 12 each, were priced at Rs 49 (marking up to 298% profit on each glove), while some units of gloves were sold at Rs 65 (up to 428% profit).Drugs like injection Dotamin which was bought by FMRI at Rs 28.35 was billed at Rs 287.50 at 914% profit. A simple paracetamol injection, Tamin, procured at Rs 36.29, has been billed at Rs 310 (754% profit) to the patient.Only 39 items of the 176 fall under the Drug Price Control Order where pharmaceutical companies cannot fix MRP over and above the ceiling price fixed by NPPA.Criminal charge12-1737%The profit FMRI has earned on 176 iitems.Rs 106The charge for a three-way stopcock bi-valve procured for Rs 5.77Rs 21,745 Billing for CRRT kit of 7 items procured at Rs 8,033Rs 49-Rs 65 Billing for gloves procured at Rs 49

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Kokilaben Dhirubhai Ambani Hospital staff accused of negligence

Sudha Rao, 68, breathed her last on December 9 at Kokilaben Dhirubhai Ambani Hospital, following a one-and-half month long treatment after brain stroke. While her family doesn’t blame the hospital for her death, they believe the hospital did not take proper care of her despite charging them Rs 9 lakh.Rao’s son Hemant has been doing the rounds of the police station and hospital seeking a medical investigation into her death. They even refused to take possession of the body for the final rites as they wanted the hospital to properly investigate her death. “We have been running from pillar to post so that the hospital can at least accept that there were lapses,” says Pathik Muni, a relative of Rao.”Three days after her admission, she was slated to be discharged. But I requested the hospital to keep her in general ward for a few days because travelling to her to the hospital for physiotherapy and dialysis on a daily basis would have been inconvenient for her. She was later shifted to the Intensive Care Unit after suffering from pulmonary oedema. It was from here on that the staff was careless in her treatment,” Hemant said.Hemant said Rao was put on a wrong diet plan by the dietician when she was in the ICU. “Her weight on the diet paper showed 90 kg, but her actual weight was 73 kg. We brought this to the doctors’ attention and they agreed that 1,000 ml of water per day can be reduced from her liquid diet. It all led to fresh frozen plasma and blood transfusion,” he said.The hospital authorities did not respond to emails and calls by this correspondent.DOCUMENTS SOUGHTInvestigation report including X-ray, MRI, CT scan and other findings of the patient. Doctor’s reports including daily notes of visits Diet chart List of medicines used and procedures done THE CHARGESThe patient was put on 2000ml/day liquid diet with her assumed weight of 90 kg when her real weight was 73 kg. It was later reduced to 1000 ml/day On December 4, the doctor prescribed vitamin K injection, which was given seven hours later.

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Complaint of overcharging against Fortis Gurgaon and the Park Hospital

A Gurgaon patient’s family today lodged a complaint of wrong treatment and overcharging against the Fortis Memorial and Research Institute (FMRI) and the Park hospital here, a senior health department official said.Civil Surgeon BK Rajora confirmed the receipt of a complaint against both the hospitals and added that it was being looked into.The complaint filed with Rajora alleged that FMRI charged Bhim Singh (60) Rs 36.68 lakh after he was referred there with abdominal pain due to a stone in his gall bladder by Park hospital.Singh underwent treatment at the FMRI for 42 days, following which he was left bed-ridden. The treatment also affected his intestine and a kidney, the complainant alleged.Singh was initially admitted to Park hospital in Sector 47 here on April 27, 2016, with severe stomach pain. He was then referred to Fortis hospital on May 1, 2016, after his condition deteriorated, his son Jagdish said, adding that doctors found a 14-mm stone in his gall bladder. Jagdish works in the defence sector and he took his father to Park hospital as it was on the panel of insurance.But he was referred to Fortis, which was not on the panel, and hence the family had to bear the entire treatment cost.”My father had been admitted in the hospital for 42 days and the hospital gave us a bill of Rs 36.68 lakh which we paid by selling a piece of land. Despite the costly treatment, my father is still unable to walk,” Jagdish said.Rejecting the allegations, the FMRI, in its statement, said the patient was brought in a critical state and admitted directly to the ICU, where he underwent prolonged treatment for life-threatening complications.”The complications arose due to a faulty procedure performed earlier at a different hospital… which were managed astutely at FMRI,” it added.The patient had since been under regular follow-up of the treating physician at FMRI with the last follow-up being as recent as October 13,2017, it said.”The final billed amount of Rs 23.27 lakh for the patient Bhim Singh, who continues to be under follow-up at the hospital, is not for management of a simple renal stone as is being erroneously reported.”Rather, it is reflective of the effective clinical management of multiple life threating complications which arose due to procedures carried out at another hospital, requiring intensive treatment, surgical and non-surgical procedures, multi-disciplinary involvement and extended ICU stay of 42 days,” the statement added.

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Speak up Delhi: Max hospital license cancellation irrational, say city residents

The recent decision of Delhi government cancelling the license of a private hospital over an alleged medical negligence has received a mixed response from the residents.This is the first time that a big chain of private hospitals in the Capital has faced such action from the government. “There is zero tolerance for cases of criminal negligence. We will not accept any kind of lax attitude in dealing with the lives of patients,” Delhi Health Minister Satyendar Jain had said on Friday.“The decision will set an example for other private hospitals who are overcharging the patients. Most the hospitals are just making money and not looking after the actual condition of the people coming to them. This practice must stop,” said Shiv Singh, a resident of Mukherjee Nagar.After battling for life for five days, the premature baby died at a private clinic on Wednesday. The matter came to light last Friday, when the father of the twins, Ashish Kumar, who was on his way to the cremation ground, noticed that one of the polybags handed over to him by the doctors was moving.A preliminary report submitted by a panel of doctors to Delhi government on Tuesday had found the hospital guilty of not having followed the prescribed medical norms in dealing with the newborns. The three-member panel prepared the report after scrutinising the hospital records and meeting with the staffers concerned. After the death of the second child, the investigation into the case was transferred from the northwest district police to the Crime Branch.While some residents have applauded the government’s decision, few felt that shutting down an existing medical facility will not serve any purpose. “By cancelling the license of a private hospital means Delhities now have one less medical facility. Delhi is already struggling to meet the shortage of medical facilities. The government should ideally have taken over the administrative team just like they did it with the private schools,” said Vineet Sharma, a resident of Geeta colony.The Delhi Medical Association (DMA) on Saturday termed the Delhi government’s move to cancel the license of Max Super Speciality hospital in Shalimar Bagh as “irrational and autocratic”. The doctors’ body said that the government should have waited for the report of the Delhi Medical Council (DMC) on the issue, which is expected in a few days. It said it will give a call for a strike if needed and will appeal to the government to revoke the licence cancellation decision.TRACK RECORDThe Delhi Medical Council in 2017 has received 23 complaints against Max hospitals in Delhi Six complaints were received against Max hospital in Shalimar Bagh The medical council in 2017 has received a total of 234 complaints against the various hospitals in the capital. Out of which, 82 have moved to the disciplinary committee for action. EXPERT SPEAKThe decision will set an example for the other hospitals and nursing homes. All these private institutes will now be more vigilant in dealing with the sensitive cases. They will properly follow the Standard Operating Procedure (SOP) in all the cases. A life has been lost in this case. The baby survived for five more days in other private hospital. The hospital had registered the child as a stillbirth. When the baby was handed over to the patients, his heart was beating. We could not ignore the hospital in this case. This is a case of error of judgement where the hospital failed to understand the situation of the new born.”—Dr Kirti Bhushan, director general of health services, Delhi governmentVOICESThis is a wonderful step taken by the AAP government. No other government has ever taken such a bold step. These hospitals will now be very careful while dealing with the patients. There should be a legal framework to monitor the functioning of these hospitals.—Akriti SinghLast year, I took my father to a private hospital for a routine check-up and the hospital gave us a long list of the tests and asked us to get them done immediately. We were surprised after we saw the list and cost of the tests was going above Rs 40,000. We left the hospital and got the tests done from a government hospital.—Saurbh BhatiI feel that the government should not have closed the facility for the general public. Not all of us go to a government hospital for treatment. Many a times, these private hospitals come as a saviour.—Sudhanyu DimriThis is an extreme step taken by the government. It should have also thought about the large number of patients coming to the hospital on a regular basis. Before taking such a strong step, the government should have explored the other options as well.—Vipin MandalOther hospitals should also learn lesson from this incident. This incident will act as a milestone in the history of medical negligence. The Kejriwal government has once again proved that they will not tolerate any kind of criminal negligence when it comes to education and health sector. —Anil Kumar Dimri

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Bereaved father files FIR in Fortis case

After losing his 7-year-old daughter Adya Singh allegedly at the hands of Fortis Memorial Research Institute (FMRI), bereaved father Jayant filed a police complaint alleging culpable homicide as well as forgery and destruction of evidence by the accused hospital management and treating doctors at Sushant Lok police station in Gurugram.In his FIR, Jayant states that on November 23 at close to 10 35 am, a senior management member of Fortis Hospital, Jasbir Grewal met the former on the pretext of discussing Adya’s case, in coffee shop of Trident Hotel in Gurugram. Jasbir offered Jayant a cheque of Rs 10, 37, 889. The proof can be corroborated in CCTV footage of the hotel, stated the FIR.“He also made a verbal offer of paying twenty-five lakh rupees on the agreement and asked me to remain shut about the case,” Jayant told DNA.Also readDengue Death Costing Rs 16 lakh: Investigation nails unethical acts of Fortis “When I refused to take the amount, Grewal warned me that this was the best offer as the government’s medical report would come fully in favour of the hospital and its practices,” stated the FIR filed by Jayant.However, the report released by the Haryana government has nailed FMRI on several unethical practices.Also readFortis and Medanta: 2 cases that show India’s crumbling private healthcare systemJayant alleged that FMRI was criminally negligent while treating baby Adya and also indulged in forgery, cheating and dishonest inducement of monies. “They have not only bribed me but have also destroyed, modified and altered evidence,” Jayant told DNA.The FIR alleges that Adya died a painful death on September 15 as Dr Vikas Varma from Fortis Hospital switched off the ventilator pipes and Ambu bag attached to the deceased when she was taken in the private ambulance.Also readNPPA issues notice to Fortis in Adya dengue death caseProbe instituted by a special investigative committee in Adya’s case by Haryana government has stated in its report that it was unethical to pull off life support on FMRI’s part.The report notes that on September 14 there was a huge lapse in Adya’s treatment. Life support was pulled off from Adya in the ambulance by Fortis doctors while she was being shifted to another hospital. The report says that withdrawal of life support by the hospital staff in the ambulance amounts to negligence and is against the law of the land. “Leave against medical advice does not mean that hospital disowns the patient completely. They must ensure all facilities for transfer/transport to home or other hospitals,” said the report.Once the treating doctors realised that the patient is about to “check out,” and is thus of no profitability value to them they pulled off the ventilator states the FIR. “This is calculated murder,” said Jayant.Jayant further alleges in the FIR that FMRI did not inform him or his wife about the medical ramifications or exorbitant costs involved in blood transfusion procedures. He has requested for the hospital documents to be sent to a forensic lab or an expert to analyse forgery.The FIR has been registered against nine persons from Fortis Management team including Malwinder Singh, FMRI Chairman and Shivinder Mohan Singh, Executive Vice Chairman of Fortis Health Care and additionally nine treating doctors.

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Infra expansion under med makeover

On chief minister Vasundhara Raje’s directives, SMS Hospital will soon have a super speciality centre and organ transplant centre. It will not only give patients better medical treatment but also benefit medical students because of increased seats in super specialty wing.At present, there are 71 seats of DM and MCH in the super specialty wing that will go up to 108. Doctors at SMS Medical College consider it a boon for medical sector in the state.Super specialty wing and organ transplant centre will come up on bungalow no. 09 and 10 near the trauma centre. The college administration approved building plans two days ago. The centre will be built under Prime Minister Health Protection Scheme for an estimated cost of Rs 200 crore. The central government is giving Rs 120 crore while the state government’s share would be Rs 80 crore.Maximum seats in cardiology: 50 per cent increase in super specialty seats. Maximum 11 in cardiology, three each in urology and nephrology, seven in gastrology, nine in neuro surgery and four in gastroenterology. Direct connectivity to SMS Hospital: The underpass under construction between SMS hospital and trauma centre will also connect this centre. In one side of underground parking the hospital administration will install CT scan and MRI machines for a cost of Rs 20 crore so that patients do not have to go to trauma centre.“All preparations for super specialty centre and organ transplant centre have been completed. Possibly this or the next month foundation stone will be laid. The centre will increase super specialty seats in the medical college, which means that the state will get more specialist doctors,” US Agrawal, principal, SMS Medical CollegeExpenditure112 crore will be spent by the government on building construction68 crore has been allocated for procurement of equipmentSpecialities of the centre Speciality block organ transplant To be developed in 7000 square metre area6 modular OT n 80 bed ICU wing n 25 bed dialysis wingDevelopment plan Ground Floor – OPD and EmergencyFirst Floor – Administration wingSecond and third floors – UrologyFourth and Fifth floors – GastroSixth and Seventh Floors – Nephro
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Yogi Adityanath

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Fortis dengue death case: Haryana govt orders probe, hospital says no overcharging

<!– /11440465/Dna_Article_Middle_300x250_BTF –> The Haryana government today ordered a probe into an allegation that Fortis Hospital in Gurgaon overcharged the family of a seven-year-old girl, who died of dengue, hours after the Centre asked it to initiate an urgent inquiry into the case.The private hospital has denied the charge, saying the patient’s kin was informed about the bill on a daily basis. State Health Minister Anil Vij said a senior officer would investigate the case. Directions have been issued to the officer to submit the probe report at the earliest so that strict action could be taken against the guilty, he said. He said no hospital in the state would be allowed to play with the health and sentiments of the people. The health ministry earlier asked the Haryana government to take “exemplary” action against Fortis if “overcharging, negligence or malfeasance” were established in the case of the dengue patient.The case relates to the death in September of the dengue patient, Adya Singh, who was admitted to Fortis Memorial Research Institute (FMRI), Gurgaon, a multi super-speciality care hospital, for 15 days. The hospital billed her family almost Rs 16 lakh. The episode was highlighted recently on Twitter by a friend of the girl’s father, who alleged the hospital charged a huge sum of money for the treatment, and the patient later died.
ALSO READ Father of deceased 7-year-old pleads for justice as hospital bills Rs 16 lakhs in 2 weeksThe Twitter posts went viral, in the wake of which Health Minister J P Nadda took cognisance of the case. Terming the incident “very unfortunate”, Nadda earlier in the day had asked Union Health Secretary Preeti Sudan to look into the case.She in turn wrote a letter to the principal secretary of Haryana’s health department, asking for an action-taken report within two weeks, following which the state government initiated the probe. The hospital in a statement refuted the allegation and said there was no medical negligence and all standard protocols were followed in the treatment of the patient. “Patient Adya Singh was admitted at FMRI on August 31 at 11:16 am with an initial diagnosis of severe dengue. At the time of admission, the child’s condition was serious and deteriorating,” the statement said.After an MRI (brain) of the patient on September 14, her family was again explained about the critical condition of the child, after which “they took the decision to take the child Leave Against Medical Advice (LAMA)”, the hospital said, adding she succumbed the same day. A total of 750 pairs of gloves and 600 syringes during a 15-day stay is “justifiable and acceptable” when the patient is in an ICU setting. Syringes are being misrepresented as “injections” which are very different from each other, it claimed. The hospital had yesterday claimed that an itemised bill “spread over 20 pages was explained and handed over to the family” at the time of their departure from the hospital.All consumables are transparently reflected in records and charged according to actuals, it had claimed. “Ventilator usage, CRRTs (continuous renal replacement therapies), multiple blood transfusions, ICU rent also add on to the cost to the patient. The total bill for the 15-day duration of hospitalisation was Rs 15,79,322. “An amount of Rs 5,21,433 was paid by the insurance, and the balance Rs 10,37,889 was paid by the family of the child,” the statement added. “All standard medical protocols were followed in treating the patient and all clinical guidelines were adhered to,” the hospital had yesterday claimed.Asked by reporters if he was intimated regularly about the bill through text on mobile phone, Adya’s father Jayant Singh alleged, “Yes, I was getting the bill and one day when I asked for a break-up of it, they said, 900 gloves were used in 6-7 days. And, when I questioned that, the number of gloves were reduced.” Congress leader Deepender Hooda hit out at Vij, alleging, “The minister is occupied with putting comic tweets. He was not elected to entertain people, and he should rather focus on his department.”Indian Medical Association President Dr K K Aggarwal said the Directorate General of Health Services (DGHS) should take over the case. “Questions we need to ask is, whether it was a case of unnecessary treatment? Has the hospital charged for something for which it should not have? If it is a fraud, let it be investigated. But, first let the probe be done,” he said.

Father of deceased 7-year-old pleads for justice as hospital bills Rs 16 lakhs in 2 weeks

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Gurgaon-based Fortis Hospital charged Dwarka resident Jayant Singh over a lakh rupees per day for fifteen days when they admitted their 7-year-old daughter to the hospital for treatment of dengue. Adya, Jayant’s daughter was declared dead on September 15. Her hospital bills soared close to Rs16 lakh in a fortnight, which Jayant paid upfront to the hospital. What Jayant feels dejected about is the arbitrary costs imposed by the hospital that soared by tens of thousands every single day. Meanwhile, Minister of Health and Family Welfare, JP Nadda came out in support of the family and tweeted “Please provide me details on [email protected] – We will take all necessary action.”Adya was burning under high fever on the night of August 27 and was admitted to Rockland Hospital of Dwarka Sector 12 by August 29. “Much to our horror, she was initially admitted into a room with a Swine Flu patient lying beside her. We protested and got her room changed,” said Jayant. On August 31, she was detected with Dengue Type IV and was asked by Rockland doctors to be shifted to another hospital which would have a paediatric Intensive Care Unit (ICU) set up. “We shifted her to Fortis Hospital in Gurgaon where she was sedated and immediately put on a ventilator. For three days, she was under sedation. On the fourth and the fifth day, there was no doctor to talk to as it was a weekend. We stood clueless outside the ICU, staring at our sick baby through the glass window, wondering what to do,” said Jayant. However, the hospital has refuted the allegations levelled by the family. According to the hospital, the girl was admitted with dengue shock syndrome and her condition was extremely serious. “The girl came to us without the medical advice of the previous hospital. As soon as she came to us, we had incubated her. On September 14, she was put off the ventilator as suggested by the family and against the doctor’s advice,” said a senior doctor from Fortis hospital.Explaining the situation further, the doctor added that a multi-disciplinary team of doctors was formed to look into the case. “Clearly, everything is planned. The girl passed away on September 14 and the family is making the false allegations after two months,” added the doctor.Jayant ended up paying the highest for expensive branded drugs, close to Rs 4 lakh when cheaper options for drugs were available. Cost of Medical consumables including up to 2700 gloves billed at Rs 17,142 came up to a whopping Rs 2.73 lakh, while medical investigations including blood tests cost him another Rs 2.17 lakh. Diagnostics are though billed separately from investigations, adding another Rs 29, 290. AT A GLANCEBill detailsDescriptionAdmission Charge – Rs 1250 Blood Bank – Rs 61, 315 Diagnostics – Rs 29, 290 Doctor charges – Rs 53, 900 Drugs – Rs 3, 96, 732.48 Equipment Charge – Rs 71,000 Investigations – Rs 2, 17, 594 Medical and Surgical Procedures – Rs 2, 85, 797 Medical Consumables – Rs 2, 73, 394 Miscellaneous – Rs 15, 150 Room Rent – Rs 1, 74,000 Discount – Rs 20,000 Total Bill – Rs 15, 79, 322.48 Adya was jabbed on an average of forty syringes per day, a total of 660 syringes in fourteen days, show medical records, said Jayant. “Also the hospital procured 21 vials of the costlier brand of Meropenem injection, ‘Merocrit,’ by Cipla – per vial costing around Rs 3100 billed at Rs 65,362 and 9 vials of cheaper brand of the same Meropenem injection, ‘Merolan,’ by Mylan – per vial costing around Rs 500 billed at Rs 4,491. Both the brands were pumped into my baby’s body. Clearly, more vials of the expensive injection, up to seven times the price but said to have the same effect were administered. We were not even asked our preference for drugs which is an essential right of the citizen,” said Jayant. “Also, a blood sugar testing strip costs Rs 13, but we were charged Rs 200 per strip.”Every day as the bills soared while Adya fought for her life on the ventilator, the billing department would call Jayant to cough up more money. “We have an insurance cover of Rs 3 lakh. After it was overshot, the finance team would call up every day and ask me to deposit more money which I did,” said Jayant. It is not as much about the money as it is about the utterly insensitive approach of the hospital staff, Jayant recounts. For a family sitting 24×7 outside an ICU, each minute seems like a lifetime.On the seventh day of the admission to Fortis, doctors informed Jayant that her brain was in a critical shape and that her body organs had started failing. She was started on dialysis. “While on September 9, 10 and 11 she was undergoing dialysis, another weekend approached and we had no access to a doctor who would counsel us on her condition,” said Jayant. Adya was under still under heavy sedation and on September 14, the doctors told the family that they would conduct an MRI scan on her. “They later told me that up to 70-80% of her brain had been damaged and even if she were to recover she would not have normal function,” Jayant stated. What was more shocking was when a doctor walked up to Jayant’s wife and suggested a full body plasma transplant costing close to Rs 15-20 lakh as a last resort to save baby Adya. “On one hand, the doctors had declared that my baby’s brain was 70-80% damaged, while on the other hand, they suggested a full body plasma transplantation,” said Jayant.Giving up all hope, Jayant told the doctors at Fortis that he wanted to take his baby home. “They told me that I will have to seek Discharge Against Medical Advice (DAMA) and arrange for an ambulance myself. They took her off the ventilator, dialysis and stopped feeding her,” said Jayant. “At the end of two weeks in Fortis, on the last day, I was waiting to ferry my baby away since 2 pm. They only released her at 11:30 pm. We immediately took her back to Rockland Hospital and after much persuasion, they conducted an ECG, declared Adya dead and issued us a death certificate.” Fortis Hospital had refused to issue Jayant a death certificate for his deceased baby as they were seeking Discharge Against Medical Advice. All along Jayant had suspected that his baby had died in the Fortis ICU itself. “Her skin had turned blue and had crumpled. But the doctors kept telling me that this happens. I believe my baby had died while she was all wired up in the Fortis paediatric ICU itself,” said Jayant. “The nurses came up to me saying that as they were readying my baby to be shifted out of Fortis, her clothes don’t fit her. I asked her to be discharged in the medical gown. They asked me to go to the billing counter and pay for the gown as well.”Jayant had twin daughters – Adya and Anya. Anya constantly kept inquiring about her ailing sister Adya, while Jayant’s wife Deepti, who was six weeks pregnant at the time of Adya’s hospital admission, suffered a miscarriage. “I am still trying to hold my family together. My wife and my twin daughter Anya are reeling under an extreme shock. And we have lost our unborn child too,” sobbed Jayant. Jayant is contemplating suing Fortis Hospital in the court of law for the unimaginable trauma and mental harassment it has brought him and his family. Meanwhile, the family has taken to Facebook and Twitter to disseminate awareness about the commercialisation of health care. “We have started a Facebook page – Fight against healthcare corruption to make people aware of such commercialisation. I will soon move the court of law too against Fortis,” he said.The hospital has issued a statement.“We empathize with Baby Adya’s family in this difficult hour of sorrow and grief. Seven-year-old Baby Adya was brought in to Fortis Memorial Research Institute (Gurgaon), from another private hospital on the morning of 31st August 2017. She was admitted with Severe Dengue which progressed to Dengue shock syndrome and was managed on IV fluids and supportive treatment as there was a progressive fall in platelet count and hemoconcentration. As her condition deteriorated, she had to be put on ventilatory support within 48 hours. The family was kept informed of the critical condition of the child and the poor prognosis in these situations. As a process, we counselled the family daily on the condition of the child. On 14th September, 17, the family decided to take her away from the hospital against medical advice (LAMA – Leave Against Medical Advice) and she succumbed the same day. All standard medical protocols were followed in treating the patient and all clinical guidelines were adhered to.An itemized bill spread over 20 pages was explained and handed over to the family at the time of their departure from the hospital. The patient was treated in the Paediatric ICU (PICU) for 15 days and was critical right from the time of admission requiring Intensive monitoring. Treatment during these 15 days included mechanical ventilation, high-frequency ventilation, continuous renal replacement therapy, intravenous antibiotics, inotropes, sedation and analgesia. Care of ventilated patients in ICU requires a high number of consumables as per globally accepted infection control protocols. All consumables are transparently reflected in records and charged as per actuals.

Pollution due to stubble burning, Odd-Even won’t help: JNU study

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A study by researchers at Jawaharlal Nehru University’s (JNU) department of environmental sciences has stated that measures like the Odd-Even scheme will not help in controlling pollution levels that the Capital is currently witnessing, as it is not the vehicular pollution but stubble burning in fields in neighbouring states that is causing the air quality to worsen.Researchers studied pollution patterns between October 1 and November 10, 2016, when air quality had touched similar severe levels as last three-four days and found that it was mainly stubble burning from farm fields in Punjab and Haryana that contributed to the air quality going bad while other things like crackers and vehicular pollution did not have much effect.Last year, Diwali fell in the beginning of November when the air quality was already at ‘severe’ levels worsened after. The research, however, shows that crackers contributed very little to pollution levels.”We conducted a study on pollution patterns in Delhi and NCR for a similar period of 2016. We studied the material present in pollutants and found that it was mainly carbonaceous material,” said JNU professor AP Dimri who headed the research team.”Things like nitrogen and sulphur, present in crackers were not present in a significant amounts. On further study, we found a large amount of biomass and residue of cow dung in the pollutants, which is not emitted by diesel burning, which means vehicles are not causing that kind of pollution,” he addedAs a way, for controlling the severe pollution in the Capital, the government had on Thursday announced that Odd-Even vehicle scheme should be implemented in Delhi for a week starting on Monday. Chief Minister Arvind Kejriwal is going to hold a meeting on Saturday to discuss its implementation.RESEARCHERS SAIDDespite the ban on crackers during Diwali, there is no change in pollution levels Mainly due to farm residue burning in neighbouring states that worsened air quality Pollutants affected by weather conditions make particles settle in the air

BMC tests system to book doc appointments online

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Lining up in serpentine queues at civic-run hospitals for doctors’ appointments will soon be a thing of past, as the Brihanmumbai Municipal Corporation intends to implement the online Hospital Management Information System (HMIS).Officials from the BMC said HMIS could be up and running in the next three months, and they believe it will make registrations and getting medicine free of cost a hurdle-free process. At present, trial run of the system is being carried out. The civic chief himself is taking interest in the project.”Patients or their family will not have to wait in queues to get their lab tests done. They will be able to get a date and time for the tests online. Their reports will also be uploaded so doctors can check anytime,” said an official. At present, patients have to wait for several days for an MRI scan. Instances of extorting money from patients for earlier appointments have been reported in the past.The official said that such issues will end as the online system will ensure transparency. Patients will only have to carry the unique identity card that will be issued at minimum cost, like Rs 10, at the time of registration.The system will also make it mandatory for doctors to prescribe only those medicines that are available in the hospital stock. “Before prescribing medicines, the doctors can check for availability online,” an official from the BMC’s health department said.Trial RunBMC has received around 500 suggestions from doctors, and the new online system will be customised accordinglyFacilities offered include patient medical records, hospital scheduler, medical store’s stock list, lab reports, and blood bank data

Zeliang allocates portfolios to ministers, advisors, parl secy

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Nagaland Chief Minister T R Zeliang has allocated portfolios to 11 cabinet ministers, nine advisors with the rank of cabinet minister and 26 parliamentary secretaries. Zeliang, who was appointed the chief minister on July 19, has kept with himself the portfolios of Finance, Personnel and Administrative Reforms and any portfolio not allocated to any minister. Zeliang had won the trust vote in the Assembly on July 21 and had first expanded his ministry by inducting 10 ministers on July 22 and on July 24 inducted one more minister. On July 25 Zeliang had appointed nine advisors with cabinet minister rank and 26 parliamentary secretaries. The portfolios of new ministers were announced last mid-night. Y Patton has been given the crucial Home department, while G Kaito Aye will be in charge of the National Highways and Political Affairs department, Imkong L Imchen is the new Health and Family Welfare minister. Tokheho Yepthomi has got the School Education and Parliamentary Affairs department, Kipili Sangtam is the new Power minister while Neikiesalie Nicky Kire has got Roads and Bridges department. E E Pangteang has got the Rural Development department, Imtilemba Sangtam is the new Cooperation, Relief and Rehabilitation department and MARCOFED. Kejong Chang is the new Horticulture, Dobashi and Gaon Burah minister, while Neiba Kronu Environment has got charge of Forest and Climate Change, Mmhonlumo Kikon is the Geology & Mining and Border Affairs minister. The portfolios of the Advisors with cabinet minister rank are Noke Wangnao PHE, S I Jamir Urban Development, T M Lotha Treasuries & Accounts and LM&CP, Pukhayi Soil & Water Conservation and NSDMA, S Pangnyu Phom DUDA and NEPED, C M Chang Planning & Coordination, Nuklutoshi Food & Civil Supplies, Deo Nukhu Higher Education and NBHM and Naiba Konyak State Lottery and NBDA. The departments of parliamentary secretaries are – C Apok Jamir Tourism, Pohwang NRLM & Evaluation, Benjongliba Aier CAWD & Taxes, Paiwang Konyak Transport and Civil Aviation, Merentoshi R Jamir Social Welfare, Hukavi Zhimomi Jails, Science & Technology and NKVIB, Shetoyi Fisheries and Printing & Stationery. B S Nganlang Land Resources Development & Excise, N. Thomas Lotha Technical Education, Imtikumzuk Information & Public Relations and SIRD, Zhaleo Rio Municipal Affairs, Longrineken Information Technology & Communication and Development Authority of Nagaland (DAN). L Khumo Land Revenue, VG and Women Resources Development, Levi Rengma – Housing Picto Shohe Justice & Law, Amenba Yaden Industries & Commerce and NIDC, Y.M. Yolow Agriculture, Toyang Changkong Chang NRE and Fire & Emergency Services, S Chuba Longkumer Veterinary & Animal Husbandry, Eshak Konyak Art & Culture, Vikho-o Yhosu Mechanical Engineering & NSMDC, Khekaho Assumi Youth Resources & Sports and Music Task Force. Tovihoto Ayemi Irrigation & Flood Control, Namri Nchang Sericulture and Home Guards & Civil Defence, Kropol Vitsu Economics & Statistics and SCERT, Neiphrezo Keditsu Labour & Employment (including Skill Development).(This article has not been edited by DNA’s editorial team and is auto-generated from an agency feed.)

Girl hit by stray 2-kg frying pan returns to school

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Three months after she suffered a head injury from a 2-kilo frying pan flung out of a Madanpura high-rise, Hazeqa Kapadia finally rejoined school on Thursday, meeting her school friends with all the excitement an 8-year-old can muster.Kapadia spent more than two months in Bombay Hospital, half of it in a coma induced by the force of the falling object. She was finally discharged from hospital on June 5. According to her father, Faizan Kapadia, doctors have advised her to restart attending school as a part of her recovery.Her father said, “She herself was willing to go to her school. The doctors also gave us advice to make her sit in the classroom for lectures if she is willing to. This will help her in improving physically and mentally. The moment she entered the school gate, she wanted to run all over the school ground but currently she can’t balance herself properly.”Kapadia has been undergoing occupational therapy and physiotherapy in B Y L Nair Hospital since a week. Her last MRI test conducted at Bombay Hospital before her discharged showed good recovery.Kapadia studies at St Joseph’s High School in Agripada. “She will attend first two lectures in class IV and then we will take her to physiotherapy. While earlier she was on semi-liquid food, she has now slowly started chewing food. Soon, we will start her speech therapy too,” her father said.A SECOND CHANCEHazeqa Kapadia spent over two months in Bombay Hospital, out of which, for one month she was in a coma
Doctors have advised her to attend school as a part of her recovery treatment
She has been undergoing occupational therapy and physiotherapy since a week

No fire left in AIIMS Emergency extinguishers

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Thousands of patients visiting the emergency department of All India Institute of Medical Sciences (AIIMS) will be sitting ducks in case of a fire as the fire extinguishers installed there are way past their expiry dates.On a recent visit to the country’s premier medical institute, DNA found that all the fire extinguishers on the ground and first floors of the emergency department are long due for a change. Some of them expired as far back as March 2016, according to the labels pasted on them.”This is a direct violation of the Fire Services Act on the part of the management when AIIMS is already very prone to fires. A minor fire occurs almost every 3-4 months here,” says Atul Garg, Chief Fire Officer, Delhi Fire Services.”These extinguishers help contain the fire between the call and the arrival of fire tenders, and overdue extinguishers may or may not work when needed,” he added.There are 10,000 to 15,000 patients who visit AIIMS every day with thousands gathered at the emergency at any point of time.In the past two-and-a-half years, AIIMS has seen several small and big fire incidents. While the latest incident of fire occurred at the pathological lab in December 2016, the last major was in February 2015, in the porta-cabin which housed legal files in the AIIMS administration block. Thousands of files containing important data were destroyed.”This is really bad at our end that fire extinguishers are not up to the mark,” said Dr D K Sharma, Medical Superintendent, AIIMS. “I will personally look into the matter and make sure that necessary steps are taken by the staff concerned,” he added.Every hospital in the city requires a fire safety clearance and proper safety standards. As per the Delhi Fire Services Act 2010, every city hospital needs to adhere to norms laid out in the legislation to get the fire clearance.Last year, more than 20 patients died at a fire in a Bhubaneshwar hospital bringing back the horror of 2011 fire at the AMRI hospital that killed over 91 people. A major fire had broken out at a Coimbatore hospital last week, which was doused in time.Deepak Kumar, the Deputy Chief of Security Officer at AIIMS, who is responsible for the upgrade of fire equipment, said, “I will now look into the matter and get these refilled very soon. We have had these extinguishers for long and they generally do not give any problems.”In a CAG audit conducted last year, it was found out that majority of Delhi hospitals either do not have proper fire exits or lack the necessary safety equipment.Sitting duckIn the last two-and-a-half years, AIIMS has seen several incidents of small or big fires. Between 10,000 to 15,000 patients visit AIIMS every day with thousands gathered in the emergency dept.

Robert Bosch ties up with GVK-EMRI to tackle road emergencies

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Robert Bosch Engineering and Business Solutions and GVK Emergency Management and Research Institute (GVK-EMRI) today signed an MoU to provide emergency call (eCall) services across the country. “Road fatalities have been a big issue in India and here is an effort to work towards providing quicker help to the persons concerned. The priority is the ‘Golden hour’ to reduce the time between the accident and the time when help arrives,” RBEI President and Managing Director Vijay Ratnaparkhe told reporters here. eCall from Bosch is a centralized emergency response handling system, covering all major public safety answering points that include the hospital, police, and fire, he said. The priority will be to mobilize quick response in severe accidents or life-threatening situations on the road. The eCall service is available inside all vehicles fitted with this Bosch product, Ratnaparkhe said. In the event of a severe accident, an emergency call is automatically sent to the 24/7 BoschService Centre. Simultaneously, data containing the vehicle details, current location, time and direction of travel will be transmitted. The service centre from Bosch contacts the driver via a speech unit.If it is not possible to set up a voice connection following an eCall, the Bosch associate notifies the rescue forces directly, he said. A voice connection is also established with the GVK EMRI operated dedicated Emergency Control Centre facilitating ambulance assignment, Ratnaparkhe said. GVK EMRI presently operates 108 Emergency Response Service under the public-private-partnership model (PPP) in 14 states, two Union Territories, and covers close to 750 million population. GVK EMRI Director K Krishnam Raju said the partnership will enable access to Bosch s technology for providing prompt emergency response by faster sensing of road traffic accident related emergencies. Bosch Service Solutions President Joerg Fischer said the tie-up with GVK-EMRI will improve safety on the streets. Bosch has extensive experience in providing last-mile emergency call solutions since 2012, he said.(This article has not been edited by DNA’s editorial team and is auto-generated from an agency feed.)

8-year-old who survived 2-kg tava hit, goes home

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Eight-year-old Hazeqa Kapadia, who was injured in a freak accident when a 2-kg tava thrown carelessly out of a highrise in Madanpura fell on her head, went home on Monday.She spent over two months in the hospital, of which four weeks were spent in a coma. The tava fell from the upper floors of the high-rise Danish Villa in Nagpada where the girl lives.While doctors at the Bombay Hospital in Marine Lines have termed her recovery miraculous, she will still need considerable physiotherapy to improve her balance and coordination.Dr Keki Turel, the neurosurgeon who operated on her said, “She is mentally sound and her recollection is good but physically she will continue to need some support and help.” The freak incident has shocked the doctor as well who said, “The tava fell from such a height and was so heavy that the skull fracture was least of our problems. The concern was how it would have affected the fibre track in the brain but the latest MRI shows that her recovery is very good.”The girl’s father Faizan Kapadia said, “I want the person responsible for the accident to come forward and take responsibility. I am ready to forgive him/her. My daughter went through so much trauma and the least he/she could have done was stand by during the time of the treatment.” Hazeqa’s treatment has so far cost over Rs 10 lakh. While the doctors operated on her pro bono, there were several individual contributions that the family received.The student of class III at St Joseph’s school in Agripada will now continue her physiotherapy at Nair hospital in Mumbai Central. “Police have got no leads yet. However, initial investigations have revealed that the tava could have fallen from as high as 13 floor of the building,” Faizan said.

Train services hit after Maoist attack in Jharkhand

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Train services on the Gomoh-Barkakana section of East Central Railway were disrupted after Maoists set ablaze Dumri Bihar Railway station, an engine and valuable railway equipment, the police today said. The incident happened within East Central Railway’s Dhanbad division in Bokaro district last night, the police said. Around 100 Maoists laced with firearms arrived at the station, forced the employees to leave and then they burnt the station, an engine of a goods train and valuable railway equipment kept at the station, railway sources said. They also took the engine driver’s walkie-talkie before they fled the scene, sources said. Therefore rail services between Gomoh-Barkakana section were disrupted. Trains such as Gomo-Barkakana Passenger, Ahmedabad-Howrah Express, Jabalpur-Howrah Shaktipunj Express were stranded for several hours, sources said. The DIG (Bokaro) Saket Kumar Singh along with Superintendent of Police Y S Ramesh and Divisional Railway Manager (Dhanbad) rushed to the spot to investigate the incident. YS Ramesh said all the possible routes used by Maoists to move around were sealed. In addition, a massive search operation was launched to track down them. Ramesh said the ultras had plan to trigger a blast and had planted 40 can bombs in a series to cause damage to the security personnel. But the security personnel defused the bomb after getting a confidential information in this regard, he said. An encounter between the Maoists and security personnel also took place in a jungle near Dumri Bihar, he added. Train services on the Gomoh-Barkakana section were restored today.(This article has not been edited by DNA’s editorial team and is auto-generated from an agency feed.)

Jharkhand: Naxals vandalise train engine, torch signal set and communication system in Bokaro

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Naxals torched a signal set and communication system and partially damaged engine of a goods train at Dumri Bihar railway station in Bokaro, Jharkhand.The Civil Police received the information early morning today that at around 11:30 pm yesterday, Naxals vandalized the train engine and burnt down the communication system.After the intelligence was verified, Commandant 26 Bn CRPF and SP Bokaro along with unit Quick Action Team left for the site of the incident.An investigation has been launched.More details to be followed.

AMRI case: HC asks govt about steps taken for speedy trial

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The Calcutta High Court has asked the West Bengal government to enumerate steps it is taking for ensuring speedy completion of trial in the AMRI Hospital fire case. Justice Joymalyo Bagchi directed the state government to inform the court on May 2 the steps it was taking to ensure speedy completion of trial in the fire at the south Kolkata private hospital on December 9, 2011 that had claimed 92 lives. Observing that hundreds of relatives of people killed in the devastating fire were waiting for completion of trial and a verdict, Justice Bagchi said that the trial should be completed within a reasonable period of time. Justice Bagchi made the observations while hearing a petition earlier this week by Dr Mani Chhetri seeking quashing of criminal proceedings against him in the trial court. The nonagenarian cardiac specialist claimed that though the license of the hospital had been in his name, he was not involved in the day-to-day operations of the hospital. Public prosecutor Saswata Gopal Mukherjee opposed the plea of Chhetri, stating that the trial had already begun in the case at the Alipore district and sessions court. Submitting that Chhetri was a director of the hospital when the incident had taken place, Mukherjee claimed that the fire department had on various occasions cautioned the hospital authorities over storing inflammable articles in its basement. But corrective measures had not been taken by the hospital authorities, the public prosecutor submitted before the court. Mukherjee also stated that the magnitude of the fire that had claimed 92 lives should also be considered by the court. Chhetri, 11 other directors and four officials of the hospital have been charged with culpable homicide not amounting to murder which entails a punishment of 10 years in jail if found guilty. They were also charged under various sections of the West Bengal Fire Services Act, pertaining to violations of fire safety rules. Charges were framed against all the 16 accused persons, all of whom are out on bail, by the Alipore court on June 30, 2016.(This article has not been edited by DNA’s editorial team and is auto-generated from an agency feed.)

World’s heaviest woman Eman Ahmed loses over 120 kg; awaiting surgery

<!– /11440465/Dna_Article_Middle_300x250_BTF –>After having lost over 120 kg in less than a month, Egypt’s Eman Ahmed may no longer have to live with the tag of world’s heaviest woman, reported The Times of India. Undergoing treatment at the Saifee Hospital in Mumbai, Ahmed has shown remarkable improvement despite suffering multiple strokes in between. Once she is of size to fit into an MRI machine, doctors will be able to find out the reason behind the strokes by next month. Currently, doctors are waiting for her gene test report, post which, a bariatric surgery may take place.”We are expecting her genetic report by the end of this week. A surgery may follow any time after that,” her surgeon Dr Muffazal Lakdawala told the daily. He said she has entered the league of “300 plus kilos”, much better from her original weight of 498kg.Ahmed is now swallowing food better, speaking clearly and responding well to physiotherapy. “It is all because the body fluid has gone down. Losing the next 100 kg, however, won’t be easy as the medicines have mostly done their job,” Lakdawala said to the daily.Nearly Rs 60 lakh has been raised to help her out.

Mamata govt passes law to crackdown on medical malpractice, private hospitals wary of loopholes

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The West Bengal Clinical Establishment (Registration, Regulation and Transparency) Bill 2017 was passed at the state assembly to rein in the private hospitals who, Chief Minister Mamata Banerjee said, indulged in several malpractices such as inflated billings, mercenary attitude, forcing unnecessary tests and retaining dead body till the bills were cleared.During her speech, she said that the Bill will end harassment of patients’ families and medical negligence.The Bill says that private hospitals would not refuse any emergency patient especially a rape or an acid attack victim. Private hospitals and nursing homes would be penalised up to 5 lakh for damages caused to patients and in case of a death owing to medical negligence, at least Rs 10 lakh would be paid to the family of the deceased.The 25-page Bill also said that the practice of administering several unnecessary tests to hike bill amount should not be done and medical packages would not exceed their package amount unless under special conditions and that too within a certain limit.Mamata, who also holds the health portfolio, said that a regulatory commission would look into the public complaints and the authority of the commission would not be challenged in any lower court. “Some hospitals take the property deeds, original voters’ card and original Aadhar cards of patients to ensure the amount due,” she said.She even named hospitals such as Apollo, AMRI and Columbia Asia at the Assembly while referring to erring medical institutions. Hospital authorities have given several reactions.Arindam Banerjee, general manager, Columbia Asia, talking to DNA said that if the bill was taken in good spirit it was good although there were possibilities that people could misuse it in terms of not clearing the bills. “Now, people might, even if they can afford to, will not pay and would simply say they didn’t have the money,” Banerjee said.Medical superintendent of Apollo Gleneagles Hospitals told DNA that they abided by the law of the land and would continue to do so with whatever new laws were being formulated.Administration head of Desun Hospital, Tapas Mukherjee told DNA that they would have to live with it. “There was ‘Notebandi’ one fine day and although there was a lot of criticism people had to accept it. Similarly, we already follow so many rules and now there is this new one which people will have to stick to whether they want it or not. The rules had been there and now I believe they would be stringently applied,” Mukherjee said.Dr S Kar, Medical Superintendent of Mission of Mercy Hospital said that the bill would make proper documentation a must. “Doctors did whatever they could to save a patient but not every time were those documented. Now they would have no option but to do so in case they are challenged,” he told DNA.Rupak Barua, CEO of AMRI said that the bill was very encouraging and was much needed. “It would streamline a number of things but would require a proper monitoring because there are loopholes which could easily be used to misuse the law,” he told DNA.Similar was the view of Dr Udayan Lahiri, CEO, Medica Superspeciality Hospital. “There will be more transparency but there should be a monitoring mechanism to ensure that the bill is not misused,” he said talking to DNA.In a press statement, R Venkatesh, zonal director (east), Narayana Health welcomed the Bill and said it was a step in the right direction to introduce transparency, trust and accountability into the medi-care system. ‘We hope that the views of the key stakeholders are taken into account while determining the regulations with regard to fixing of rates or charges for treatment. We welcome the fact that the Bill also protects hospital property and medical staff’, the statement read. Bill highlights: 1. A 13-member West Bengal Clinical Establishment Regulatory Commission would be formed 2. A former High Court judge would head the commission.3. The regulatory commission can fine hospitals for up to Rs 50 lakh. 4. Private hospitals which have got land from the government at a subsidised rate would ensure free treatment to 10 per cent of patients.5. Private Hospitals with over 100 beds would have to have a fair price medicine shop and diagnostic centre6. Hospitals would not charge more than what had been mentioned as package charges and an estimate of additional costs must be mentioned to patients. Package charges to include bed fee, surgery charges and ICU charges. 7. Hospitals should have a Public Grievance Cell and there should be a helpdesk to assist patients’ families. The need to have e-prescriptions and should maintain online medical records of patients. 8. Accident victims, rape victims and acid attack victims to get primary treatment ahead of police intervention. 9. Hospital to be penalised in case of a medical negligence. 10. Bodies cannot be held back by hospitals on the pretext that bills have not been cleared. 11. Hospitals found flouting rules can be fined and their licence can also be revoked.

Kolkata Police arrest three for vandalising private hospital

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Three people have been arrested on Thursday for vandalising the CMRI Hospital in South Kolkata after 16-year old Saika Praveen died due to negligent medical treatment.They were arrested from Ekbalpur.Earlier, a nearly 100 strong mob vandalised the private hospital here and thrashed several medical staff following the patient?s death.The mob broke glass panes, computers and damaged the reception and billing office areas.They also resorted to a road blockade on Diamond Harbour Road at the Ekbalpore crossingduring the morning rush hour, inconveniencing office-goers and others.Police personnel had to be deployed at the hospital to prevent further acts of vandalism.

Union Minister Ramvilas Paswan discharged from hospital

<!– /11440465/Dna_Article_Middle_300x250_BTF –> Union Minister and LJP president Ramvilas Paswan, who was admitted to the ICU of a hospital after he complained of breathlessness, has been discharged today.”Paswan has been discharged from the hospital after hisfull recovery,” Doctor Pramod Kumar, head of Cardiology unitof PARAS HMRI hospital, where the minister was admitted, said. Paswan’s officer on special duty (OSD) R C Meena said that the minister would fly to New Delhi this evening. Paswan was taken to his home in Sri Krishnapuri locality here by his son and MP, Chirag Paswan.70-year-old Paswan was admitted to the hospital on Thursday after he complained of breathlessness. The LJP chief had shown signs of recovery since yesterday morning and also had a chat with Bihar Chief Minister Nitish Kumar later in the day. Director of Medical Services of Paras HMRI Dr Talat Halimhad yesterday stated Paswan’s condition to be stable, sayinghe was expected to be discharged today.The Union Minister had arrived here on Thursday on a four-day tour of the state during which he had some political engagements in Patna, Khagaria, Begusarai and Mokamah before hosting Makarsankranti feast in Patna on January 15. Several top leaders visited the hospital to enquire abouthis health. Chief Minister Nitish Kumar met Paswan at the hospital on his return from the Begusarai leg of ‘Nishchay Yatra’. Union Minister Ramkripal Yadav, senior BJP leader Sushil mar Modi, former Bihar chief minister Jitan Ram Manjhi, visited Paswan at the hospital.RJD chief Lalu Prasad accompanied by his sons Tejashwi Yadav and Tej Pratap Yadav, who is the health minister of the state, too met the Union Minister at the hospital.

Union Minister Ramvilas Paswan stable, doctors keep watch over him in ICU

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Union Minister and LJP president Ramvilas Paswan, who was admitted to the ICU of a hospital in Patna late last evening after he complained of breathlessness, is stable now, doctors attending on him said on Friday.”Paswanji’s health is stable now,” said doctor Pramod Kumar, head of cardiology unit of Paras HMRI Hospital where the minister is admitted.Kumar is among the team of doctors keeping a close watch over the 70-year-old Minister.Doctor Sanjeev Kumar of AIIMS Patna, another member of the team treating the minister, also said that Paswan’s health condition is stable now.A team of doctors are examining him, he said.R C Meena, Officer on Special Duty (OSD) to Paswan, said that a decision to shift the minister to Delhi would be taken later in the day as per recommendations of the doctors attending on him.Ashraf Ansari, spokesman of LJP said, party workers were thronging the hospital after hearing of Paswan’s health condition.Bihar LJP president Pashupati Kumar Paras, who is brother of the minister, had said that after a complaint of breathlessness, Paswan was taken to the hospital around 8:30 PM yesterday and admiited to Intensive Care Unit (ICU).Paswan, Union Minister for Food and Consumer Affairs, earlier arrived here yesterday on a four-day tour of the state during which he had some political engagements in Patna, Khagaria, Begusarai and Mokamah before hosting Makarsankranti feast in Patna on January 15.Doctor Sanjeev Kumar of AIIMS Patna had last night said that Paswan was suffering from Left Ventricular Failure caused by drop of oxygen in the body but was stable and responding to treatment.Bihar Chief Minister Nitish Kumar personally talked to the doctors to enquire about the health of Paswan.Governor Ramnath Kovind and RJD president Lalu Prasad also enquired about the health of Paswan.Prasad, accompanied by his sons Tejashwi Yadav and Tej Pratap Yadav, who is Health Minister of Bihar, paid a visit to the Paras Hospital to see Paswan.

Germany identified Berlin truck attacker as a threat last February – paper | Reuters

BERLIN German investigators identified the Tunisian man who killed 12 people in Berlin before Christmas as a threat in February last year but decided it was unlikely he would carry out an attack, the Sueddeutsche Zeitung reported.Anis Amri, 24, ploughed a truck through a Berlin Christmas market on Dec. 19. Islamic State claimed responsibility for the attack, calling the assailant a “soldier” of the militant group.The German authorities had determined Amri posed a threat after receiving intelligence showing that in early February he had been in contact with suspected members of Islamic State and offered himself as a suicide bomber, the Sueddeutsche reported.Officials at the German Interior Ministry were not immediately available for comment.

Amri, whom Italian police shot dead in Milan on Dec. 23, had wanted to acquire weapons for an attack in Germany and sought accomplices, the Sueddeutsche said in a joint report with German broadcasters NDR and WDR, citing security documents.However, German officials who subsequently met to decide whether to deport Amri, determined he posed no acute threat that could be presented in court.

Amri’s attack in Berlin has prompted German lawmakers to call for tougher security measures. In a New Year’s address to the nation, Chancellor Angela Merkel said Islamist terrorism is the biggest test facing Germany.

(Writing by Paul Carrel; editing by Richard Lough)

This story has not been edited by Firstpost staff and is generated by auto-feed.

First Published On : Jan 4, 2017 01:02 IST

India’s police force, civil defence mechanism ill-equipped to battle terror; in urgent need of overhaul

The Tunisian Islamic activist Anis Amri, responsible for the carnage at a Berlin Christmas market last month that killed dozens of innocent bystanders, was finally shot in Milan after he escaped to Italy.

Luca Scata, the 29-year-old who killed Amri with surgical precision, shooting him dead after unprovoked firing from Amri on Scata’s friend and colleague, Christian Movio. Amri, who was on the run after the Berlin massacre, had earlier served in Sicily between 2011-2015. His desperate bid to find refuge in his old turf proved fatal for him, as he was killed immediately by Scata.

What’s important here is the level of confidence shown by Scata, who was sure of his firing skills and reflexes and his determination to fight terror, leading him to take on the Berlin villain. He is repeatedly lauded and hailed by the Italian prime minister and home minister for his bravado.

The police in India are overworked and deployed primarily on bandhobast duties. ReutersThe police in India are overworked and deployed primarily on bandhobast duties. Reuters

The police in India are overworked and deployed primarily on bandhobast duties. Reuters

Now, had the dreaded and wanted terrorist chosen India instead of Italy, what would have been the outcome? Or the reaction? At best, the Indian immigration authorities would have stopped him at the airport, if they were alerted through a red corner notice issued by the Interpol. But can anybody imagine an Indian policeman showing the kind of reflexes Scata did in neutralising the terrorist? The answer is most likely a no. This is because we do not have sufficient sensitisation of different segments of our society to deal with such contingencies, let alone energetic and driven youth to carry out such an execution.

Given the backdrop of growing Islamic terror in India, with incidents of radicalisation surfacing time and again, it would appear imperative to put a security system in place to deal with a piquant situation like this.

But our police force is severely hard-pressed with routine law and order and crime control commitments and the pressure of work — already visibly monstrous and onerous —  is majorly diverted towards VIP duties.

Moreover, we have a large number of home guards, civil defence, scouts and guides, and allied semi-trained forces which should be activated without delay to address such situations, not only to neutralise terrorists but also to aid the civil police and paramilitary forces in maintaining law and order (like during the recent post demonetisation crises, involving serpentine queues at ATMs and banks).

A bit of intelligence work and specialised arms’ training will enable these inert assets handle situations with proficiency. Such a measure would add muscle to the already overworked and emaciated police force and also take the load off from their shoulders.

In addition, the National Cadet Corps (NCC) also needs to play a more active role in maintaining order and meeting exigencies. It would seem today that not many students are keen to opt for the NCC. Upto a certain level, it should be made compulsory. Its training will instil much needed discipline and a sense of patriotism in the youth, letting them spot suspicious elements and anti-state activities and generate immense confidence to deal with terror-linked incidents, including the confidence to kill a wanted terrorist, as demonstrated by Scata in Milan.

This confidence is what is lacking in India. The complex legal system could also possibly be a serious impediment, inhibiting youth from rising to the occasion. Such inhibitions must be done away with without any delay.

What’s also required is good training in various disciplines, a well thought out command structure, wherein there is a complement of the NCC, civil defence and home guards in each district, specifically under the district magistrate, always ready to meet any eventuality.

Barely a few months ago, there was so much of war mongering on the other side of the border and jingoism was on the anvil because of the terror attacks from hostile quarters. External threats apart, even domestic political compulsions seemed to throw up a kind of civil unrest compounding our security challenges.

Under these circumstances, such a visible arrangement involving NCC and civil defence being on board will boost a sense of security among the society as well, giving them the confidence to feel safe and secure, which was hitherto not too forthcoming. Also, police and paramilitary setups will feel professionally at ease now that they have a reasonably well-trained and specifically task-oriented dispensation to fall back upon to deal with extraordinary situations.

Polity and society will also feel secure. Perhaps a governmental initiative at an appropriate level can start working to achieve this doable objective.

The writer is a retired IPS officer, a security analyst, and senior fellow with the Indian Police Foundation.

First Published On : Jan 3, 2017 20:06 IST

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