Hospital in Madhesh itself in a 'coma': woman who underwent gall bladder surgery has been unconscious for 67 days

A laboring husband in India at the door of the ICU

Chaitra 11, 2081

Swarup Acharya, Ajit Tiwari

Hospital in Madhesh itself in a 'coma': woman who underwent gall bladder surgery has been unconscious for 67 days

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24-year-old Angesh Kumar Yadav from Sarlahi Haripurwa has been waiting outside the ICU of Kathmandu Medical College (KMC) in Sinamangal since February 1. He has not given up hope that 24-year-old wife Pavita Kumari Yadav, who has been unconscious for 67 days, will regain consciousness, but there is no one to convince her.

She went to Janakpur for examination after severe stomach pain in the middle of the month and it was discovered that she had a stone in her gall bladder. He was admitted to Muskan Hospital in Janakpur on January 3 to undergo surgery to remove the gall bladder. On the same day, he was taken to the operating room and sedated, after which he did not regain consciousness. 

Muskaan Hospital kept him for three days to regain consciousness, and on January 6, he was transferred to Janaki Health Care. After being kept in Janki for 27 days, when her condition did not improve, Pavita was taken to Veer Hospital in Kathmandu in an ambulance equipped with a ventilator. However, Veer was referred to KMC as ICU beds with ventilators were not available. In the first week, she used to squirm.  Calmed down after the

, but nothing stirring. She has raised her eyes for a week. But to breathe, he needs the help of a ventilator.  

KMC Neurology Department Head Dr. According to Paras Rayamazhi, there is some improvement in the condition of Pavitha compared to when it was brought from Janakpur. "However, it is not possible to say when he will recover," he says, "We have been gradually reducing ventilator support. We can discharge him only if the ventilator is no longer necessary.' He was working in Hyderabad, India. He came to know only on January 9 after 6 days of his wife fainting. No one said anything to me. The wife was unconscious in the hospital. "My mother can't pick up the phone, so it's late to talk," he says. He does not know how he reached Janakpur. The wife was not dead as she had heard, but she was not in the condition that I was alive. At this difficult stage of life, he regrets the efforts he made for treatment. 

'I didn't trust hospitals that opened randomly. So I told my wife to go to Kathmandu for treatment. But after my cousin told me that gallstones can also cause cancer, my wife was scared," he said. "Pavitha's fear increased after she saw her uncle's son die of cancer. Thali and Vinaju took her to the hospital to insist that it be done immediately, where this happened. It was done by Gyan Kumar Sah. Anesthesiologist is a must during surgery. However, the hospital has not been able to clarify which doctor used the drug to make Pavitha unconscious. But after the investigation began, Dr. Sah's phone is switched off, he is uncontactable.

According to a doctor who has seen Pavitha's treatment records, it seems more likely that 'hypoxic brain injury' occurred due to a mistake while giving her anesthetizing medicine. "We couldn't say that much, but brain injury has occurred due to lack of oxygen in the brain, and the reason for that is that it happened below when anesthesia was given," says the doctor. What was the amount of oxygen in the patient's body throughout the operation? All this has to be monitored. Of which there is no detailed information. It is not sure whether the anesthesiologist was present during the surgery.'

Can the hospital be so negligent? Hard to believe. However, Angesh's family is now paying the price for the hospital's negligence. The financial situation at home is not easy. But I couldn't think of going to work anymore. Even the doctor has no idea when his wife will feel better,' he says, 'I have started to forget what I am saying to whom. I lost track of what language to speak with. I have started getting confused in Hindi, Maithili and Nepali languages.

Hospital in Madhesh itself in a 'coma': woman who underwent gall bladder surgery has been unconscious for 67 days

Pavitha's condition has revealed the picture of the 'health' of health institutions in Madhesh province. 

After this incident became public, the chief minister of Madhesh, Satish Kumar Singh, observed that at least 100 private hospitals in Madhesh were running illegally and against the standards. Hospitals where the condition was found have now been closed. 22 such hospitals were found in Dhanusha, 24 in Sarlahi, 21 in Rautahat, 5 in Mahottari, 2 in Saptari and 1 in Parsa, which have now been closed. 

Hospitals that were opened against the norms have now been closed. But the question of how to solve the problem permanently has also been raised. The then Medical Superintendent of Janakpur Zone (currently Provincial) Hospital as well as a senior physician who has been a member of the Constituent Assembly Dr. Vijay Kumar Singh says that private hospitals in Madhesh are problematic. However, according to him, it is not possible to improve the situation in the hospital or the health sector just by monitoring the Chief Minister. I will not say that what the Chief Minister is doing is completely wrong. However, the main thing is what the bodies responsible for monitoring the health institutions here are doing,' he says, 'to improve this situation, the monitoring mechanisms at the local and state levels should be activated. Otherwise, the Chief Minister's campaign will end, and the condition of the hospital will remain the same.'

Chief Minister Singh says that this situation is due to the fact that the occasional monitoring by the staff level is being suppressed. The extensive monitoring of employee labels was probably blocked at the behest of the leadership. Some hospitals may have been kept quiet. Lack of strict monitoring led to the illusion that no matter what was done, nothing would happen. That is why the hospitals were operating without registration, he says.  

Angesh and Pavita have not found comfort even amid such a big campaign of the Chief Minister. While Angesh is struggling to raise funds for treatment, Pavita is struggling to come to her senses. According to Angesh, only 65 days since Pavita fainted, about Rs. 1.6 lakh has been spent. Now the villagers stopped believing in loans. 5/6 of the land was also finished. There is nothing left," he says, "The hospital that brought Pavita to this condition has given only one lakh so far. I have not even been able to think how to do the rest of the treatment.'

Angesh has entrusted the land to others. However, the amount to be paid to KMC's pharmacy has reached 120,000. The pharmacy has also asked to add a deposit for additional medicines. However, the amount of food is insufficient for him. 

According to Bhuvaneshwar Tiwari, Superintendent of Police, District Police Office, Dhanusha, it was agreed that Muskaan Hospital will assist in the treatment and the rest of the compensation will be settled based on Pavita's health condition. According to him, the hospital had agreed to give 5 lakhs for treatment expenses. But according to Angesh, after giving 100,000, the hospital management has lost contact. 

(with Shiv Puri and Santosh Singh)

Swarup

Ajit

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