41-year-old Sonia (Sunita) Sah, whose house is near Kapileswarnath temple located in Janakpur-16, was under social and psychological pressure due to her childlessness. The couple returned home after treatment from various childless treatment centers in Kathmandu to the All India Institute of Medical Sciences (AIIMS) in India was not possible. However, the director of Janakpur Suraksha Hospital Dr. Saroj Kumar Thakur assured that the treatment would be easy. Dr. saying everything will be fine. Thakur performed an operation, but he was not cured and died suddenly.

What happens when the doctor plays the game? That's what I experienced," Sunita's husband Ganesh Sah says, "I went with my wife and told her that she would have a baby, then I didn't believe it and called her again alone, she said the same thing."

According to Ganesh, after starting the surgery on July 3, Thakur called him inside the operation theatre. At that time, Sunita's stomach was torn. The doctor said that the operation was not successful and asked to take him to a big hospital in Kathmandu after the wound heals. 

'I was not shocked to see that stomach was torn, what can I say?', he said, 'She was kept in the post-operative ward that day and the next day, she was given blood because she was low in blood, she was moved to the ward after two days as it improved, after some time she fainted, then she never woke up.' 

According to Ganesh, Sunita's hemoglobin level at the time of surgery was 6. which they only found out later. "According to the doctor, when the amount of hemoglobin is 6, surgery related to the uterus should not be performed," he said, "but it was done, maybe that was the cause of death." According to him, even when he died in the hospital, Dr. Thakur had prepared to put Sunita in an ambulance and send her somewhere else. But later relatives gathered and covered his body and it was completely cold.

^{Janak Memorial Hospital located in Janakpur-9. The hospital, which is run in an old two-storied house, has a gate and a zinc leaf-covered terrace on both the north and south sides. The north terrace is the emergency room. The south tower is also a patient treatment room. The walls and windows of the hospital are covered with plywood. After seeing lack of infrastructure and manpower during monitoring, the Chief Minister has locked the hospital. Photo: Ajit Tiwari/Kantipur}

Last Tuesday when the Kantipur team reached the hospital, the owner Dr. Thakur was busy with surgery. The operating room was on the second floor. But there was no ramp or lift to get there. If the patient had to be moved elsewhere, there was no option but to go down the ladder. Which was almost impossible on a stretcher. The hospital building was dilapidated and did not even have the minimum hygiene required for surgery.

Dr. met after waiting for about half an hour. Thakur said he had just completed a hysterectomy on a woman. Then we asked him, "Can you play with the lives of patients by performing surgery in a hospital with such contaminated infrastructure?" He defended and said, "Though the hospital building looks dilapidated, all the necessary equipment and resources are available for the surgery." When asked which anesthetist helped for the

surgery, he said. "I forgot the name, pakhnus hai, I will ask the sister," was his response. After a long time he said, 'Dr. Ajay.' 

Looking at his demeanor, there is ample reason to assume that he performed the surgery without an anaesthetist. We did not see any other doctor leave the room after the surgery. Dr. Even Ajay Panjiar said that he never said Dr. Saroj Thakur responded that he did not help in the surgery. I Dr. Thakur has never assisted,' he said. 

Then we Dr. We asked Thakur about the case of Sunita Sah, who died after a surgery a year and a half ago. Do you remember the case of Sunita Sah? What happened to that?' As he was answering the question, the lights went out and the room went dark. For about 10 minutes, neither the lights nor the generator worked. Later came the lights. This meant that there was no 'backup' of electricity in hospitals where major surgeries were to be performed.

"The story is long, she didn't have a child, she told me her problem," Dr. Thakur said, "That's why I told her that the problem would be solved if she underwent surgery on her uterus, but bad luck, she died on the third day after the surgery." They agreed to do the operation only after Thakur assured that the child would be born after the hysterectomy. 

dr. According to Thakur himself, he had spent money to cover up the case. According to Sunita's husband, Ganesh, who runs a business in Kathmandu and is not in a position to come forward for the case, there was pressure from all sides to settle the matter in terms of compensation. Although he refused to reveal the amount, Dr. According to Thakur, he had to give three lakhs to the family members and the remaining amount to a middleman. At present, the hospital has not been closed even though it is under the supervision of the Chief Minister. Since it has been registered at some point but has not been renewed, an opportunity has been given to renew it within two months.

Looking at the condition of hospitals in Janakpur that are currently closed or operating due to technical reasons, it seems difficult to believe that patients are treated properly there. Most of the hospitals are under resourced and run on general health workers. Most of the hospitals closed by the Chief Minister had surgical services. However, in all those hospitals, the anesthesia doctors needed to perform the surgery were not available.

In terms of infrastructure, the condition of all hospitals is critical and the condition of manpower management was also poor. Chief Minister Satish Kumar Singh said during the monitoring that most of the hospitals did not have any doctors in the emergency room. "There is no doctor in the emergency room, there is no doctor available in the whole hospital even MBBS, and how can you call it a hospital?," he says.

According to Chief Minister Singh himself, the investors of many hospitals in Janakpur, the capital of Madhesh province, are from ambulance drivers to pharmacists, health assistants and lab technicians. It has been seen that many hospitals have been opened asking why we should take commissions from others and give commissions ourselves, he said, that is why I myself have been assigned to monitor the hospitals. If only the mechanism of the staff would have done it right, I wouldn't have to monitor now.'

  Janak Memorial Hospital is on the north side of Janaki Mavi in ​​Janakpur-9. Unregistered Janak Hospital was closed in the first lot itself by Chief Minister Singh. The main gate of the hospital is locked with a chain at the top. The physical condition of the Janak Memorial Hospital housed in an old two-storied house is also intriguing. To the south and north of the main gate are two towers covered with zinc leaves. A green hospital curtain is hung on the southern terrace. When the patient is in pain, they will be treated by keeping them in the tower. North Terrace Emergency Room. The upper floor of the concrete two-storey house is not in use. Bardli and window are covered with plywood. 

Sahayog Hospital at Ramanand Chowk in Janakpur has also been closed as it is not registered. The main gate of Sahayog Hospital was half open. There was a rush of people inside. The physical condition of this hospital, which was brought into operation after renovating an old two-storey house, is not worthy to be called a 'hospital'. Ambulances must enter through the main gate. There are many temporary structures of zinc leaves inside the hospital, where patients are treated. 

Janakpur Sita Hospital at Thapa Chowk in Janakpur is also not registered. The main gate of this closed hospital was also open. The balcony of the second floor of the hospital has been covered with black plastic to make a patient room. A wooden bench has been placed for the Kuruas near the entrance of the hospital. On the counter on the ground floor of the hospital, there are many trophies to be won in the game, and there was a flickering light like a hotel-restaurant. But there was no rush.

Chief Minister Singh has suspended the operation of 1 hospital in Parsa, 5 in Mahottari, 21 in Rautahat, 24 in Sarlahi, 2 in Saptari and 22 in Dhanush after monitoring. According to him, there are double beds in some hospitals, where there is no space between one bed and another bed. "During the monitoring, I also saw a hospital whose bed condition was worse than the beds kept for dressings in the drug store," says Chief Minister Singh, "There are five beds in the room, one cannot move from one to another." I asked - are you going to kill patients by putting them in sacks?'