Tuesday, June 19, 2012
SMJ - Reply from Hospital
Dear All,
you might have watched Satyamave Jayate episode 4.....
there are some hidden facts of Mr Rai case...
these have been received in my mail box as a forward...
i presume they are genuine......
Pl. see details of one of the cases discussed in the show; the other side of the story
I have hidden the details of the doctor
The complainant (Mr. Rai) has provided false information and also withheld crucial information which may have made Aamir Khan believe the fabricated story of Pankaj Rai.
1. Mr. Rai never informed Aamir Khan that Mrs. Seema Rai was registered for a cadaver transplantation more than one year prior to surgery. The call on the night of admission was made because a cadaver donor had become available. Cadaver transplantation has to be done emergently, otherwise the organ(s) will decay and become useless. That is why the patient was admitted on the night of 1 May 2010. The patient and her family were all informed about risks and benefits of transplantation for more than 2 years (since June 2008).
2. Mr. Rai, Mrs. Rai and Abha Rai all were again counseled for more than 1 hour on the night of admission about kidney and pancreas transplantation. Subsequently they also discussed with their relative in New York. Then on the night of 1 May itself Mr. Rai personally informed the doctors to proceed with kidney + pancreas transplantation. The Informed Consent form was signed on the night of 1 May itself and handed over the ward doctor. The Karnataka Medical Council as well as the National Law School of India have investigated the Informed Consent issue and clearly stated that Informed Consent was indeed taken prior to surgery. In fact, if the Informed Consent was not given on the night of 1 May, the organ would have been allocated to the next patient on the waiting list for cadaver transplantation who was already admitted to another Hospital. (Whenever a cadaver donor is available, several patients on the waiting list such as Seema Rai are called and advised to get admitted.)
3. Mr. Rai never asked anybody in the Hospital to stop the surgery at any time. He was plainly lying when he made a statement to that effect to Aamir Khan. On the contrary, during the entire hospitalization, Mr. Rai was praising the doctors for their hardwork in trying to save his wife.
4. The patient did not receive 119 units of blood, i.e., 60 liters of blood. She received 33 units of blood over 4 days which is about 10 liters since she had developed a massive bleeding condition called Disseminated Intravascular Coagulation (DIC). She also received platelets, FFP and other blood products to correct DIC.
5. The surgeon is definitely qualified to conduct pancreatic transplantation as well as kidney transplantation. He is trained at the world famous Hospitals in the United States where he had conducted numerous multi-organ transplantation surgeries.
6. The Hospital was registered for multi-organ transplantation. There was a clerical error in the Certificate which was acknowledged by the Health Department. The Health Department have clearly stated in their report that registration for liver includes pancreas as well (since the skill required for transplantation of both these organs is one and the same).
7. Mr. Rai also withheld from Aamir Khan that the Karnataka Medical Council has thoroughly investigated the case and found no evidence of any negligence on the part of the doctors.
I am sure Mr. Rai has used his theatrical skills to convince Aamir Khan and his team about his false allegations. I am also confident that Aamir Khan will realize the lapse his research team has done once all the facts are provided to him.
We, The Condemned. - Reply to SMJ
Share it
We, The Condemned.
Dear Aamir Khan,
I saw your show on the status of medical
healthcare in India today. It highlighted to society the concern that it should
have about the healthcare that it receives at the hands of brutally dishonest
and unethical doctors a.k.a ‘maut ke saudaagar’.
I understand
that there are sections of the medical fraternity that behave in ways that do
not bring glory to the profession. I understand that your aim in this episode,
and on the show, as a whole, is to make society aware of the issues that plague
India, and help it to move towards a better place.
I also
understand that you may have, unfortunately, done the exact opposite, at least
with this episode.
I’ll
tell you why.
You started
the show with the story of a diabetic losing his toe.(You did not tell us that
he is diabetic, but the footwear he was wearing hinted at that.) This gentleman
was retrospectively told about the
possibility of medical management of his toe infection. I will present to you a
few statistics about diabetic foot disease (yes, Indian doctors also are aware
of research methodology, like your famed “research” team). The foot ulcer
incidence rates range between 2% and 10% among patients with diabetes mellitus.
The age adjusted annual incidence for non traumatic lower limb amputations in
diabetic persons ranges from 2.1 to 13.7 per 1000 persons (as per a study
published in the Journal of American College of Surgeons in 1996). India has
approximately 50.8 diabetic patients, according to the world diabetes
foundation. Assuming that Indian doctors are competent enough to treat diabetes
as well as their counterparts in the US, (where, presumably, you will be going
for your medical treatment, as you proudly proclaimed that you will not undergo
any medical treatment in India) that translates to about 5 million Indians
having a chance of developing a foot ulcer, and about 500 thousand Indians needing
lower limb amputation. Each of those 5 million people who develop the foot
ulcer, will remember your episode, and will opt for medical treatment, which,
if it fails to work (which it will, Mr. Khan, in a more than a few cases), will
convert a toe amputation into a below knee or above knee amputation, or even
death, depending upon how long the patient chooses to be on medical therapy.
You
have just condemned 5 million Indians to uncertainty, loss of limb more than
what would have been, or even death.
Next,
there was a chat about “unnecessary” Kidney transplants. Here are a few facts,
Aamir. In the United States, the general
hemodialysis and peritoneal dialysis populations have 2 hospital admissions per
patient per year; patients who have a renal transplant have an average of 1
hospital admission per year. Additionally, patients with ESRD( End Stage Renal Disease) who undergo renal
transplantation survive longer than those on chronic dialysis. The
mortality rates associated with hemodialysis are striking and indicate that the
life expectancy of patients entering into hemodialysis is markedly shortened.
In 2003, over 69,000 dialysis patients enrolled in the ESRD program died
(annual adjusted mortality rate of 210.7 per 1000 patient-years at risk for the
dialysis population, which represents a 14% decrease since peaking at 244.5 per
1000 patient-years in 1988). The highest mortality rate is within the first 6
months of initiating dialysis. Mortality then tends to improve over the next 6
months, before increasing gradually over the next 4 years. The 5-year survival rate for a patient undergoing chronic dialysis in
the United States is approximately 35%, and approximately 25% in patients with
diabetes. Though there are no nationwide records to calculate the incidence
of ESRD in India, a population based study done in Bhopal showed the average annual crude and age-adjusted
incidence rates for the period were 151 and 229 per million population, respectively.
Extrapolating this data to the population of India, we have 200 thousand Indians
with ESRD. Again, if you are willing to believe that Indian doctors are
as competent as their western counterparts, only 25 percent of these will live
beyond 5 years without a transplant.
You have
just condemned 150 thousand Indians to uncertainty, indignity and death.
Next,
you spoke about doctors asking for “unnecessary” tests, and even went to the
extent of describing a “basin” test in jest.
In doing so, you condemned every
clinical practitioner in the country to a lifetime of uncertainty about how his
patients will react to his demand for justified investigations which will
undoubtedly save the patient’s life.
You spoke about doctors buying
medical degrees for 40-50 lakh rupees. Here are some figures for you. In 2011,
2,21,867 students appeared for an entrance examination into medicine called the
All India Pre Medical Test (AIPMT). They were competing for 1887 medical seats
in government colleges. After listening to your show, every doctor who has
worked tirelessly and endlessly to get into the profession, and inspite of ALL
odds, qualify as a doctor, will be viewed with suspicion by his society, as
someone who may have “bought” his degree.
You have condemned me, and
thousands, perhaps lakhs of young and upcoming doctors like me, who struggled
among 2,21,867 people to get those 1887 seats, to a lifetime of suspicion and ignominy.
You then went on to chat with a
gentleman from Wales about how he had to flee India due to rampant malpractice.
In doing so, you have encouraged thousands of young Indian minds into falsely
believing that the west is the destination where they will have a clean,
ethical and well paying job. You have just doubled the brain-drain
singlehandedly, Mr. Khan. And you have condemned every Indian to losing the
best minds they could have had treating them in India.
I could go on with this
dissection of your well researched show Aamir, but I just want to end this
letter with a story. There is a man, who was educated in rural India, came to a
city with next to nothing, practiced as an honest doctor there for 30 odd
years, refused to give or accept commissions or cuts, stayed simple, worked
hard, gave his family a decent life.
Today, you have condemned him to
being seen as a criminal in the eyes of the same people he served.
Regards,
The Condemned.
We, The Condemned.
Dear Aamir Khan,
I saw your show on the status of medical
healthcare in India today. It highlighted to society the concern that it should
have about the healthcare that it receives at the hands of brutally dishonest
and unethical doctors a.k.a ‘maut ke saudaagar’.
I understand
that there are sections of the medical fraternity that behave in ways that do
not bring glory to the profession. I understand that your aim in this episode,
and on the show, as a whole, is to make society aware of the issues that plague
India, and help it to move towards a better place.
I also
understand that you may have, unfortunately, done the exact opposite, at least
with this episode.
I’ll
tell you why.
You started
the show with the story of a diabetic losing his toe.(You did not tell us that
he is diabetic, but the footwear he was wearing hinted at that.) This gentleman
was retrospectively told about the
possibility of medical management of his toe infection. I will present to you a
few statistics about diabetic foot disease (yes, Indian doctors also are aware
of research methodology, like your famed “research” team). The foot ulcer
incidence rates range between 2% and 10% among patients with diabetes mellitus.
The age adjusted annual incidence for non traumatic lower limb amputations in
diabetic persons ranges from 2.1 to 13.7 per 1000 persons (as per a study
published in the Journal of American College of Surgeons in 1996). India has
approximately 50.8 diabetic patients, according to the world diabetes
foundation. Assuming that Indian doctors are competent enough to treat diabetes
as well as their counterparts in the US, (where, presumably, you will be going
for your medical treatment, as you proudly proclaimed that you will not undergo
any medical treatment in India) that translates to about 5 million Indians
having a chance of developing a foot ulcer, and about 500 thousand Indians needing
lower limb amputation. Each of those 5 million people who develop the foot
ulcer, will remember your episode, and will opt for medical treatment, which,
if it fails to work (which it will, Mr. Khan, in a more than a few cases), will
convert a toe amputation into a below knee or above knee amputation, or even
death, depending upon how long the patient chooses to be on medical therapy.
You
have just condemned 5 million Indians to uncertainty, loss of limb more than
what would have been, or even death.
Next,
there was a chat about “unnecessary” Kidney transplants. Here are a few facts,
Aamir. In the United States, the general
hemodialysis and peritoneal dialysis populations have 2 hospital admissions per
patient per year; patients who have a renal transplant have an average of 1
hospital admission per year. Additionally, patients with ESRD( End Stage Renal Disease) who undergo renal
transplantation survive longer than those on chronic dialysis. The
mortality rates associated with hemodialysis are striking and indicate that the
life expectancy of patients entering into hemodialysis is markedly shortened.
In 2003, over 69,000 dialysis patients enrolled in the ESRD program died
(annual adjusted mortality rate of 210.7 per 1000 patient-years at risk for the
dialysis population, which represents a 14% decrease since peaking at 244.5 per
1000 patient-years in 1988). The highest mortality rate is within the first 6
months of initiating dialysis. Mortality then tends to improve over the next 6
months, before increasing gradually over the next 4 years. The 5-year survival rate for a patient undergoing chronic dialysis in
the United States is approximately 35%, and approximately 25% in patients with
diabetes. Though there are no nationwide records to calculate the incidence
of ESRD in India, a population based study done in Bhopal showed the average annual crude and age-adjusted
incidence rates for the period were 151 and 229 per million population, respectively.
Extrapolating this data to the population of India, we have 200 thousand Indians
with ESRD. Again, if you are willing to believe that Indian doctors are
as competent as their western counterparts, only 25 percent of these will live
beyond 5 years without a transplant.
You have
just condemned 150 thousand Indians to uncertainty, indignity and death.
Next,
you spoke about doctors asking for “unnecessary” tests, and even went to the
extent of describing a “basin” test in jest.
In doing so, you condemned every
clinical practitioner in the country to a lifetime of uncertainty about how his
patients will react to his demand for justified investigations which will
undoubtedly save the patient’s life.
You spoke about doctors buying
medical degrees for 40-50 lakh rupees. Here are some figures for you. In 2011,
2,21,867 students appeared for an entrance examination into medicine called the
All India Pre Medical Test (AIPMT). They were competing for 1887 medical seats
in government colleges. After listening to your show, every doctor who has
worked tirelessly and endlessly to get into the profession, and inspite of ALL
odds, qualify as a doctor, will be viewed with suspicion by his society, as
someone who may have “bought” his degree.
You have condemned me, and
thousands, perhaps lakhs of young and upcoming doctors like me, who struggled
among 2,21,867 people to get those 1887 seats, to a lifetime of suspicion and ignominy.
You then went on to chat with a
gentleman from Wales about how he had to flee India due to rampant malpractice.
In doing so, you have encouraged thousands of young Indian minds into falsely
believing that the west is the destination where they will have a clean,
ethical and well paying job. You have just doubled the brain-drain
singlehandedly, Mr. Khan. And you have condemned every Indian to losing the
best minds they could have had treating them in India.
I could go on with this
dissection of your well researched show Aamir, but I just want to end this
letter with a story. There is a man, who was educated in rural India, came to a
city with next to nothing, practiced as an honest doctor there for 30 odd
years, refused to give or accept commissions or cuts, stayed simple, worked
hard, gave his family a decent life.
Today, you have condemned him to
being seen as a criminal in the eyes of the same people he served.
Regards,
The Condemned.
Message to AMIRKHAN - READ AND SHARE ALL MEDICOS N DOCTORS.
Message to AMIRKHAN - READ AND SHARE ALL MEDICOS N DOCTORS.
Dear Mr. Amir Khah,
“NOT ALL DOCTORS ARE GREEDY”
“THERE IS NO PROFESSION THAT IS ABSOLUTELY CLEAN”
“DOCTORS ARE OBLIGED TO SERVE BY CHOICE, NOT BY COMPULSION”
Sir,
I have been a big fan or your work, life and principles. I am also a fan of ‘Satyamev Jayate’. But I was shocked to see the episode on 27th May, 2012. You are an Icon. You should have thought well and done the homework before doing such a biased show. There are only two people in the film industry that are being taken seriously by the thinking class of society, You and Amitabh Bacchhan. So, when you give such a biased and one sided version of a story, it hurts. Speaking about such a thing on a “commercial” TV show is bad. (I am sure you have taken a big amount, only doctor are supposed to do charity and social work, not actors!!! Right!)
I want to highlight few important points here. And yes I am qualified to make observations as I am a medical student.
1. Your guests and audience (the words were almost put in their mouth) said that private colleges charge a capitation fee of 40 – 50 Lacs for MBBS, you should have also produced some evidence of such practice. Like you call a victim in all your episodes, why not here? And do the same story Engineering, Architecture, Law and MBA colleges, do you think they are clean? Why target doctors alone?
2. You said Since 2001, government opened 31 medical colleges and 106 private institutes were opened. – Please note that today in India, there are a total of 181 Private and 152 Govt Medical colleges. So the number is not as bad s you projected. Don’t project only the time period which suits your story. Either give a complete picture or do not give a picture at all!
And also, please find out how many of these private colleges are owned by politicians? 95% of Private colleges in India are owned and run by politicians. It is a bloody nexus between politicians and MCI. The corruption by politicians is to blamed for the mess, not doctors!!!
3. One of your guest (Dr. Gulhati) said that doctors ask for 30% commission from Pharma companies to write their drugs. That is baseless, over-the-roof and sensationalizing the matter. That is as true as “Most Leading actors ask newcomers to sleep with them” or “Lawyers take money from both the sides in a legal battle” or “Most chartered accountants teach their clients how to save tax and also pass info to taxman on where his client saved tax”. I know all of you will shout “Where is the proof?”. So are doctors!!!
I am not trying to sensationalize things as you did on your show by shading those fake tears, but just trying to project that allegations are easy to make. I know you will say that this was the opinion of our guest, and not yours. But you provided a platform for these fake allegations.
4. You compared the numbers of Licenses cancelled in England and in India. I must say your team is quite resourceful and please collect and compare following details also –
a.Number of doctors beaten on duty by goons from various political outfits in government hospitals in UK and India in last 10 years, and also the number of people convicted for such crime.
b.The Stipend (Salary a post-graduate trainee doctor/intern gets) or Salary and accommodation facilities provided to the doctors of the two countries.
c.The duty hours and working conditions of the doctors of the two countries.
d.The academic and research infrastructure being provided to the medical students.
5. You said that the most brilliant students who take up medicine, should take it only for service to mankind, they should go to other fields if they want to earn. Why? Are we living in imperialism? Are doctors not allowed to earn and spend a good life? You were asking Dr. Devi Shetty whether he can do humanitarian work and Earn at same time? This is like asking Amirkhan or Shahrukh-khan their income and generalizing it for every actor in the industry (Even junior artists). Sir, just as there are only few Khans and Kapoors, There are even fewer Devi Shetty and Naresh Trehan who run their chain of Multi-specialty hospitals spread all over the country. See what it takes to become a doctor and then give such “Geeta-Gyan”.
a. 5 and half year of MBBS training and 1 more year of Compulsory Rural Internship at Rs. 15000 - 20000 per month. (Any other field eg. Engineering, Management, a person would become Postgraduate in this much time and start earning double the amount.)
If one doesn’t study further, the pay at this step is 22,000 per month.
b. After above 6 and half years of Graduation, 3 more years of Postgraduation, followed again by compulsory rural / Government job for 1 year or pay Rs. 25Lac bond.
If one doesn’t study further, the pay at this step is 40,000 per month.
c. After this above 10 and half years, 3 more years of Superspeciality, followed by 1 year of Govt job or a Bond of Rs. 2 Crore.
And the seats are so few with tough competition, there tends to be a gap of a year or two in preparing for various entrance exams.
6. Why only Doctors are being forced to work in rural and government hospitals after their study? Why only we should pay government if we don’t want to do it?
The rural/Govt sector needs help of Engineers, Lawyers, Chartered Accountants and MBAs also.
Why aren’t the Engineers sent to rural areas to design and monitor roads and industrials development?
Why aren’t the Lawyers forced to work as Public prosecutors before they can join some big foreign corporate firm?
Why aren’t the CAs asked to work in CAG office and various other government financial sectors before joining Multinational Giants?
Now government wants that doctors should not immigrate to other countries without asking them. Why? Are the IIT/IIM students stopped before they flee to foreign countries for big fat salaries? So, why us? What is it that government of society has done for doctors that they should repay? They bloody can’t even protect them from goons while on duty.
7. You say that doctors are writing unnecessary and costly medications. Do we decide the price of a drug? Do we manufacture or give license to drug manufacturers? Controlling the price of essential drugs is a government job. We are helpless.
Sir, its easy to point fingers. We don’t say that all is well. But all is not well anywhere. Its a different thing creating awareness about dowry or female feticide. But its entirely different to comment on such a technical and complicated issue without getting into the details of it.
You have maligned the entire medical fraternity. For every 10 doctors who are doing wrong, there are more than 1000 healers. You owe us an apology!!! This issue is not as simple as you think it is! Please show stories which are unbiased and straight-forward. You cannot do justice to such an issue, especially after charging a whooping amount for creating awareness!!!
(We hear that Amir has charged 3 crores for episode of satyamevjayate in which he spreads the message to doctors that they should not make money and do social service!!! How sacred!!! I don’t know if its true, but well, it’s the season of allegations!)
“We Doctors may be doing little social service, But at least we are not charging for it!”
- Doctor
Dr.Sreedharas (Nephrologist) response to SMJ India
Dr.Sreedharas ( Nephrologist's ) response to SMJ India
http://pastebin.com/jm0XNmNM
June 4, 2012
- Found this interesting piece of information about the transplant case that was so hyped about at Satyamev Jayate:
- Please read and share - this can happen to all of us.
- Dr.Sreedhara
- My e-mail to Aamir Khan is noted below:
- ==========================
- Respected Aamir Khan Ji
- I watched with shock and despair the Satyamev Jayate program of May 27, 2012. I am responding since you referred to me although you do not know me. I am the Nephrologist that you referred to while conversing with Mr. Rai. Mr. Rai has been making false and fabricated allegations for the past 2 years. While talking to you, in addition to providing you with false information, he also withheld crucial facts.Over the past 2 years, Mr. Rai has been harassing the Transplant surgeon and myself (Nephrologist) and the Hospital by filing multiple and concurrent complaints at various fora whether or not they have any role on his complaints. With his manipulations, he has succeeded to a great extent in bringing to a standstill transplant surgeries at the the Hospital which has caused a great deal of hardship to several patients. In addition, he has also caused immense damage to the noble field of cadaver transplantation in Karnataka State.Once you are aware of the actual facts, I have no doubt that you will express regret for having given platform to a sophisticated lier with immense theatrical and manipulative skills.Here are some facts that shed light on the truth.
- 1. Mr. Rai never informed you that Mrs. Seema Rai underwent cadaver donor transplantation and was registered for a cadaver transplantation more than one year prior to surgery. The phone call on the night of admission was made because a suitable cadaver donor had been identified by ZCCK (Government body that allocates cadaver organs) and not by the doctors or the Hospital. Cadaver transplantation has to be done emergently, otherwise the organ(s) will decay within hours and become useless. That is why the patient was admitted on Saturday night (1 May 2010). The patient and her family were all informed about risks and benefits of transplantation for more than 2 years (since June 2008). In fact, whenever the patient consulted me she was eager to get kidney transplant so that she could stop the misery of undergoing dialysis. You can ask any dialysis patient, they will inform that they do not want dialysis but prefer transplantation.
- 2. Mr. Rai, Mrs. Rai and Abha Rai all were again counseled for more than 1 hour on the night of admission about kidney and pancreas transplantation. Subsequently they also discussed with their relative in New York. Then on the night of 1 May itself Mr. Rai personally informed me and other doctors to proceed with kidney + pancreas transplantation. The Informed Consent form was signed on the night of 1 May itself and handed over the ward doctor. These facts have been documented by the nurse as well as the ward resident doctor. The State Medical Council as well as the National Law School of India have investigated the Informed Consent issue and clearly stated that Informed Consent was indeed taken prior to surgery. In fact, if the Informed Consent was not given on the night of 1 May, the cadaver organ would have been allocated to the next patient on the waiting list for cadaver transplantation who was also admitted to another Hospital on the same night for possible transplant surgery. (Whenever a cadaver donor is available, several patients on the waiting list such as Seema Rai are called and advised to get admitted so that the cadaver organ does not get wasted in case one or more patients are found to be unfit or do not want surgery.) If Mrs. Rai and her family had not consented for the surgery on the night of 1 May, then a surgeon from another Hospital would have proceeded to retrieve the cadaver organ on the night of 1 May. The surgeon from our hospital would have gone home. The very fact that our surgeon traveled on the midnight hours of Saturday to the donor Hospital and brought back the cadaver organs by about 5.30 AM on a Sunday morning suggests that the patient and family indeed had agreed for the surgery.
- 3. Mr. Rai also concealed from you the fact that he had telephoned the Nephrologist several times on the night of 1 May to seek help to arrange for a special medicine (Simulect) that was to be given to the patient in the Operating Theater before the transplant procedure. The Nephrologist had personally called the Pharmaceutical company on Saturday night to help Mr. Rai to procure the medicine. The Nephrologist had given personal surety to the Company since Mr. Rai told him that he did not have cash to purchase the medicine in the middle of the night. In fact, Mr. Rai procured the medicine at about 7.30 AM on 2 May (Sunday) and handed the same to the Operating theater staff. If the patient and Mr. Rai had not consented for the surgery, why would he purchase the medicine and hand it over to the Hospital staff?
- 3. Mr. Rai never asked the doctors or any other Hospital staff not to proceed with the surgery at any time. He was plainly lying when he made a statement to that effect to you. If in fact, the patient and her family had not consented for the surgery, that would have been Mr. Rai's first and major complaint when he filed an FIR with the police on 30 May 2010 accusing the doctors of murder. In his initial complaint to the police as well as to the State Medical Council, Mr. Rai never complained that he or the patient had not consented for the surgery. This fabricated allegation is clearly an afterthought on Mr. Rai's part.
- 4. The patient did not receive 119 units of blood, i.e., 60 liters of blood. She received 33 units of blood over 4 days which is about 13 liters of blood since she had developed a massive bleeding condition called Disseminated Intravascular Coagulation (DIC). She also received platelets, FFP and other blood products to correct DIC. The doctors never told Mr. Rai and his family that 390 cc of blood would be required. No doctor can predict the exact amount of blood loss in a given patient who undergoes surgery. Besides, the large requirement of blood in this patient was due to the fact she developed a medical complication called DIC which can happen after any major surgery or major trauma. Normally in transplant surgeries, we do not transfuse any blood at all.
- 5. The transplant surgeon is highly qualified to conduct pancreatic transplantation as well as kidney transplantation. He is trained at well known Hospitals in the United States where he had conducted numerous multi-organ transplantation surgeries. All relevant documents were reviewed by the Health Department before the Hospital was granted registration for multi-organ transplant surgeries in March 2010.
- 6. Mr. Rai was again lying when he stated that the doctors had switched off their phone on 6 May after the patient's death. In fact, Mr. Rai spoke to the doctors several times after the patient's death. This can be easily verified by looking at Mr. Rai's phone records.
- 7. The Hospital was registered for multi-organ transplantation. There was a clerical error in the Certificate which was acknowledged by the Health Department. The Health Department have clearly stated in their report that registration for liver includes pancreas as well (since the skill required for transplantation of both these organs is one and the same).
- 8. Mr. Rai also withheld from you that the Karnataka Medical Council has thoroughly investigated the case and found no evidence of any negligence on the part of the doctors.
- 9. Mr. Rai also withheld the fact the Hospital bill was not for the surgery alone. Most of the cost was due the use of blood and blood products and other medicines which was necessitated by the development of DIC and infection. If the patient had not developed DIC, the bill for a transplant surgery would have been about Rs. 3.5 lakhs. In fact, there was no additional charge for pancreas at all. Whether the patient received cadaver kidney or cadaver kidney + pancreas, the bill would have been the same. There was absolutely no financial motive in recommending the combined surgery. The surgeon recommended combined surgery because diabetic kidney failure patients do much better with combined cadaver kidney + pancreas surgery than cadaver kidney transplant alone. This has been well established in the medical literature. The surgeon made the recommendation with the best interest of the patient in mind. Even todate Mr. Rai has not produced any scientific evidence or professional opinion to contradict the recommendation of the transplant surgeon. All transplant specialists who have reviewed the case (from AIIMS-New Delhi, PGI-Chandigarh, Chennai, Bangalore, and USA) have unanimously opined that the patient received the best possible treatment and that her death, although very unfortunate, was not due to any negligence on the part of the doctors or the Hospital.
- 10. Mr. Rai also did not inform you on the Air that he has filed a complaint with the Consumer Forum seeking compensation of Rs. 84,55,933/-. I am sure Mr. Rai has used his theatrical skills to convince you and your team about his false allegations. I am also confident that you will realize the lapse your research team has done once all the facts become apparent. I am enclosing a detailed Medical History as well and other documents that shed light on true facts.After my medical college, I studied and then worked in the United States for nearly 16 years. I came back with a dream to serve my countrymen. However, now after going through the mental trauma caused by a reckless individual who is inadvertently abetted by a corrupt officialdom and a thoughtless media, I am beginning to wonder if I made a mistake in returning to India. Perhaps, I should also go back to the United States like the doctor that you showed in the opening sequence of your program who returned to the UK because of the corrupt system in India.
- I invite you and your team to visit the Hospital, meet other patients who have undergone/undergoing dialysis, patients who have had transplant surgery, and meet the Transplant surgeon so that you can clarify all the facts for yourself.Please do not hesitate to contact me if you need any clarifications.
- Dr. R. Sreedhara
- +91-98801-50813
Sunday, June 10, 2012
The 9th Libyan Healthcare Exhibition 2012
The 9th Libyan Healthcare Exhibition 2012
We
are pleased to announce the launch of that will be held under the
auspice of The Libyan Ministry of Health, from 11-13/09/2012, at Tripoli
International Fair and will be prompted and organize expo Co.
Given
to the recent events and the evident medical inadequacy and weakness in
Libya, especially the primitive and afflicted areas, this exhibition is
of a great importance since the international community expressed their
desire to participate in re-building the NEW Libya, particularly the
areas that are in need of improving its medical services and healthcare
facilities. Therefore and on the margin of the exhibition, a scientific
conference and a workshop of the medical forms will be held to enhance
the importance of this event
This
exhibition serves the participants a unique opportunity to establish a
direct communication with the decision-makers in the healthcare sector.
General information will be provided on the different medical needs and
expected projects in each area including the requirements demanded from
the companies. The participation of companies from all over the world is
a special event where the most important and advanced technologies in
the fields of medicines, medical and healthcare will be exhibited. This
exhibition is also an opportunity for establishing a marketing and
working base and for sharing and exchanging experiences
Your
participation whether direct or through your national and/or
international agencies is considered a support and empowerment to make
this event a success. Consequently, this will have a positive impact on
the medical and healthcare sector in Libya
For Registration and Exhibiting dina.m@mrg-expo.com : info@me-medexpo.com
Dina Masri
Operation Manager
Middle East Gate Expo
Amman-Jordan
Middle East Gate Expo
Tel: +962 6 5353513 | Fax: +962 6 5353516 | Cell: +962799737990/ 966564886217
Saturday, June 9, 2012
a Conference series on Strategic HUMAN RESOURCE MANAGEMENT for Hospitals
Complete details @ http://amen-peoplehosp.
AMEN presents..
PeopleHosp..
a Conference series on Strategic HUMAN RESOURCE MANAGEMENT for Hospitals ..
- Bangalore : July 4th 2012
- Mumbai : Aug 29th 2012
- Hyderabad : Oct 17th 2012
- Chennai : Dec 5th 2012
- Ahmadabad : Jan 16th 2012
- Delhi : Feb 6th 2013
Warm Regards
Paniel Jayanth
Paniel Jayanth
Founder & Chief Strategist
AMEN.... Innovative Healthcare Initiatives
AMEN.... Innovative Healthcare Initiatives
Wednesday, June 6, 2012
“Mastering Biostatistics Using SPSS and Research Designs in Medical and Health Sciences”
Research Center for Training & Development: workshops@rctd.org
International Research Workshop
“Mastering Biostatistics Using SPSS and Research Designs in Medical and Health Sciences”
I take this opportunity to introduce you that Research Center for Training & Development (RCTD) is working for the research capacity building of the faculty and postgraduate/graduate scholars through organizing workshops on research methods and methodologies.
Biostatistics provides the essential methodological and quantitative underpinning necessary for much of medical and health sciences researchers. Appropriate study design, data collection and analysis are all needed in order to quantify the effect of risk factors and health interventions on individuals or populations. RCTD is organizing an International Online Workshop “Mastering Biostatistics Using SPSS and Research Designs in Medical and Health Sciences” on 29-30 June, 2012 through High Definition (HD)Video Conferencing.
The researchers from Universities, Institutes, R&D organizations and Social Sector organizations are invited to participate individually or institutional from anywhere around the world. We will provide live High Definition Video conferencing of the workshop in your own office/auditorium/computer lab/home.
Contents:
Mastering Biostatistics and Research Designs
· Introduction
· Biostatistical Research Strategies
· Study Designs
· Observational Studies- A Case Study
· Cross Sectional Studies- A Case Study
· Cohort/Follow Up Studies- A Case Study
· Case Control Studies- A Case Study
· Randomized Studies- A Case Study
Mastering Biostatistics Using SPSS:
Descriptive Statistics
· Stem and leaf plot
· Graphical, Tabulation and Numerical Presentation of Data
· Measuring the central tendency, position and dispersion
· Selection of appropriate statistical tools for data presentation
Hypothesis testing
· Types of hypothesis
· Concepts of level of significance, p-value
· Types of errors
Seeing relationship
· Simple Linear Regression
· Multiple Regression
· Logistic Regression, Odds ratio
· Pearson Correlation, Spearman Correlation
· Multiple correlations, Partial Correlation
Comparing groups (quantitative data)
· T-tests
· ANOVA
· Repeated measurement ANOVA
Measuring association
· Chi-Square Test
· Fisher’s Exact Test
· Coefficient of Contingency
· Crammer’s V
Use of Non-Parametric Tests
· Proportion tests
· Run test, Sign test
· Man Whitney U-test
· McNamara Test
· Kruskal Wali’s Tests
· Fried Man Test
Resource Person:
Professor Dr. Lay Yoon Fah
Author of a Book on Data Analysis Using SPSS
Expert of Statistical Softwares like SPSS, STATA, AMOS etc.
Universiti Malaysia Sabah, Malaysia
Advisor/Trainer
Research Center for Training & Development (RCTD)
Muhammad Asim Butt
Biostatistician
University of Surrey
United Kingdom
Advisor/Trainer
Research Center for Training & Development (RCTD)
Muhammd Asif Hanif
Biostatistician
Head
Department of Biostatistics
Post Graduate Medical Institute
Gulab Devi Hospital, Lahore
Advisor/Trainer
Research Center for Training & Development (RCTD)
Muhammad Akram Naseem
Statistician
Head
Department of Surveys and Data Management
Research Center for Training & Development (RCTD)
Program:
Date: 29-30 June, 2012 (Friday-Saturday)
Time: 9:30am-5:30pm
Investment: Rs. 3000/participant
Institutional Participation: Rs. 30,000 (up to 40 participants)
Note: The Universities/Institutes are requested to organize this International level workshop in their own auditorium/seminar room. We will provide the High Definition (HD) video conferencing of the workshop and participants will participate through live Q&A with the resource persons. For Institutional participation arrangements contact us. (0092322-4309974)
Online Registration:
National participant registration details
International participant registration details
The participant will also get
· Resource Material (soft copy through email)
· Certificate of Participation (through courier)
· Cd of the software and workshop recordings (through courier)
How to participate?
The registered participant will receive a confirmatory email from RCTD. The email will have workshop join link. The participant will click the join link on the day of workshop; it will download a setup file. Aft er download is completed, click/run the setup file, the setup will automatically complete in 2-3 minutes and participant will be connected with live HD conferencing of the workshop.
Requirements:
· Desktop computer/Laptop P4 or latest with web cam
· Windows XP/ Vista/Windows 7/Mac
· Internet connectivity
· A set of Headphone & Mic (connect to your computer)
Who Should Attend?
· Faculty members
· Research Scholars (MPhil/PhD)
· Research Associates
· Researchers of Medical Sciences
· Researchers of R&D Organizations
· Researchers of Social Sector Organizations
Contact Us:
Ateeq-ur-Rehman
Managing Director
Research Center for Training & Development (RCTD)
Cell: 0092322-4309974
Email: workshops@rctd.org
Research Center for Training & Development (RCTD)
217-J 1 (Near J 1 Market) Wapda Town Lahore, Pakistan
Cell: 0322-4309974 Ph: +92 42 35911921 Fax: 92 42 35911921
Subscribe to:
Posts (Atom)