Health Care & Medical Practice in India

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Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Sun Jan 14, 2018 8:52 pm

Patna: FIR fired against hospital management & nurse owner posing as doctor for keeping woman patient captive for non payment of bill

PATNA: A woman allegedly held captive by the management of a private hospital here for 12 days was rescued on Sunday after the intervention of Madhepura MP Rajesh Ranjan alias Pappu Yadav. The patient was kept confined for not paying the hospital bill of Rs 70,000 after delivering a stillborn.
On November 12, Lalita Devi, a resident of Chaura village in Madhepura district, was admitted to Maa Sheetla Emergency Hospital in Agam Kuan area where she delivered a stillborn. "Post treatment, Lalita was asked to pay Rs 1.5 lakh by the hospital. When she delivered a stillborn child, however, the hospital agreed to discharge her for Rs 70,000," said a police officer.


To arrange such a huge sum, Lalita's seven-year-old son Kundan took to begging on the streets while her husband Nirdhan Ram somehow managed to collect Rs 50,000 from well-wishers. The amount still fell short and the hospital refused to discharge Lalita, the officer added.
The detention came to light when some local dailies reported Kundan's ordeal about how he was compelled to beg in order to raise money for his mother's discharge.

"Lalita was subsequently rescued under police observation and sent to her native place in an ambulance with a constable and a nurse. I will ask the Madhepura civil surgeon to take care of her," Patna civil surgeon Dr Pramod Jha said.


A case was lodged against the hospital owner Nisha Bharti for posing as a doctor — despite only having done a general nursing and midwifery course — and running the hospital without a registration. Police detained Bharti for interrogation. "Primary investigation revealed that Bharti is the owner of the nursing home. During questioning, however, she claimed to be a part of the hospital administration," Agam Kuan SHO Kamakhya Narayan Singh said.

https://timesofindia.indiatimes.com/cit ... 811568.cms

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Mon Jan 15, 2018 10:51 am

Ayush doctors told not to prescribe allopathic medicine after patient dies

BENGALURU: Ayush doctors working in allopathy primary health centre or any other government hospital henceforth have to give medicine of their studies, as per new circular issued by the health department on January 8. The ayurvedic, homeopathy doctors posted in PHCs were so far giving allopathy medicines too and most of them had undergone a short period training in modern medicine.
There are over 1,300 Ayush doctors, who are largely ayurveda, homeopathy and unani practitioners working in the government health centres. "They must practice the stream of medicine they have specialized in. The patients who walk into the government health care centre have to be given a choice of medicine," said health department officials. https://timesofindia.indiatimes.com/cit ... s?from=mdr

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Wed Jan 17, 2018 6:54 pm

Delhi pvt hospitals maybe asked to cut profit margins, give drugs from govt list
Private hospitals should only prescribe from the list of 376 drugs on the National List of Essential Medicines (NLEM), and not charge a premium of more than 15% over market rates on diagnostic tests they conduct, according to the nine-member committee set up by the Delhi government to formulate norms for the profit margins of private hospitals.

The committee, headed by Delhi’s director general of health services, was formed in December after reports of medical negligence at Max Hospital, Shalimar Bagh and overcharging at Fortis Memorial Research Institute (FMRI), Gurgaon, put the spotlight on over-billing at private hospitals.

For drugs and consumables not on the National List of Essential Medicines, the committee recommended that private hospitals be allowed to charge a profit of not more than 50% on the procurement price. Hospitals procure drugs and consumables at a fraction of the maximum retail price (MRP), often as little as 20-30% of the printed price.

“This will make a huge difference. The drug price control orders fix the rates of NLEM drugs by calculating a market average of the selling price of drugs in a particular category, ensuring some profit for manufacturers but not too much,” said Professor Vijay Bhalla, director, SGT College of Pharmacy, Gurgaon.

“Many pharmaceutical companies create irrational drug combinations just to get out of the NLEM list; this removes the cap on pricing and allows them to fix high MRPs,” he added.

The committee has asked Delhi government to ensure that the NLEM drugs are also available at pharmacies. “As profit margins on NLEM drugs are lower, pharmaceutical companies often do not push these medicines in the market,” said Dr Arun Gupta, president of the Delhi Medical Council, and one of the members of the committee.

The committee found that drugs and investigations constitute 50-60% of a bill at the hospital, so these were the areas on which we focussed,” he added.

Among the recommendations is that the charges for diagnostic tests done within hospitals must not exceed their costs at stand alone labs by more than 10-15%.

“People visiting hospital out-patient departments have the option of getting investigations done from other labs, but patients who have been admitted have to get tested in the hospital. We have recommended that the cost of the tests should be comparable,” said Dr Gupta.

Apart from the drugs and investigations, the committee also examined fixed “packages” offered by hospitals for various surgeries and procedures. “Often, the bill exceeds the prices mentioned in the packages by a huge margin, so we have suggested that the prices should vary not more than 10%,” said Dr Gupta.
spl insurance to come as well which will cover potential complications cost. Eg a patient coming with pneumonia with spl insurance cover will be treated for empyema should it develop in course of treatment. If true good initiative by Kejriwal govt

http://www.hindustantimes.com/delhi-new ... ePkcI.html

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Fri Jan 19, 2018 11:50 am

String of deaths in private hospitals of Kolkata https://mumbaimirror.indiatimes.com/new ... 540981.cms
Kolkata: Three people, including a two-year-old child, died in three separate reputed private hospitals in Kolkata on Wednesday.

The two-year-old girl Aitri Dey succumbed to death on Wednesday morning in a posh south Kolkata hospital AMRI Mukundapur, where she was admitted on January 15. She was on antibiotics and was scheduled to get discharged today morning. She was admitted in the hospital with fever and respiratory distress.

"The baby's mother Shampa De was with her in the hospital. In the morning, the child was sleeping when some injection was administered on her. After sometime, her pulse rate in the machine showed no movement. She was rushed to the emergency for ventilation but she died," Sumit Dasgupta, a relative said.
(Most probably anaphylaxis, poor facility for cardiac resusc is the cause)

The mother claimed, "She was administered wrong injection after which the child started convulsing."

"The hospital could not give any explanation to us in this regard. She was admitted with fever and congestion. She was nebulized and she was fine. The hospital had decided to discharge the child today. It is unbelievable that she died due to the negligence of the hospital," the relative said.

Mother of the child fell unconscious after her death. The child's family and patients protested on the road in front of the hospital.

Dr Jayati Sengupta, under whom the child was admitted in AMRI, said, "It is extremely unfortunate and I cannot console myself. The child had no cardiac issues. She was admitted with respiratory distress and was almost cured. I learnt that she had convulsion in the morning before death." AMRI authority, however, refused to admit their negligence.

Goutam Pal got admitted in Woodlands Hospital on Tuesday night following an accident while coming back from home.

The family members claimed that the hospital authority told them that he will be operated upon but the hospital authority informed them that he died today morning. The hospital had initially refused to release the body from the morgue but growing impatience and protests by the family members and patient's relatives forced them to release the body.

"In one night, we were charged Rs 1,30,000 but he could not be saved. He met with an accident last night on a south Kolkata flyover," Goutam's elder brother allegedly said. The patients blocked the adjoin road in Alipore.

In another incident, Alok Das allegedly died as Apollo Hospital in eastern fringes of Kolkata refused to admit him for one and half hours. The ailing Alok with acute respiratory distress was lying inside the ambulance, when the hospital refused admission. The patient died inside the ambulance which left the family members agitated.

The family members have lodged an FIR in Fulbagan police station against the hospital authority and protested outside the hospital

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Sat Jan 20, 2018 7:07 pm

no end to negligence!

Another death in Delhi corporate hospital, lame excuse by hospital.
4 month old baby was operated for cut on upper lip. Post op was given pain killer and fell flat after that.
Sounds like some form of opioid was given and baby ended in respiratory arrest!
Even if anaphylaxis happened they are treatable! Cardiac resusc facility seems to be lacking, and this is Delhi!!
http://www.news18.com/news/india/infant ... 37089.html

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Sat Jan 20, 2018 9:14 pm

Indrad wrote:
Sat Jan 20, 2018 7:07 pm
no end to negligence!

Another death in Delhi corporate hospital, lame excuse by hospital.
4 month old baby was operated for cut on upper lip. Post op was given pain killer and fell flat after that.
Sounds like some form of opioid was given and baby ended in respiratory arrest!
Even if anaphylaxis happened they are treatable! Cardiac resusc facility seems to be lacking, and this is Delhi!!
http://www.news18.com/news/india/infant ... 37089.html
death from properly treated anaphylaxis is <1% all over the world. https://www.aaaai.org/global/latest-res ... naphylaxis

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Thu Jan 25, 2018 9:49 pm

Delhi HC seeks reports from govt regarding
-refusal of treatment to patient with trauma (emergency care refusal)
-distinction between general and VIP wards in govt hospitals
http://www.thehindu.com/todays-paper/tp ... 516815.ece
East Delhi resident Amit Jain was brought from Shamli in Uttar Pradesh to Jai Prakash Narayan Apex Trauma Centre here in an ambulance around 2.30 a.m. on October 21, 2017, with head injuries following assault. His advocate Dhananjai Jain claimed that the doctor on duty at the Trauma Centre refused to attend to his client’s medical needs saying there were no beds available in the hospital.

‘Manhandled’

“Upon insistence to provide medical assistance as the patient was bleeding profusely, the doctor got infuriated. He called the security persons and bouncers present at the trauma centre, who physically pushed the attendants out and manhandled them,” claimed Mr. Dhananjai Jain.

Mr. Amit Jain was immediately taken to R.M.L Hospital, where he had to wait for 30 minutes for the doctor to see him. After the patient was physically examined, the doctor on duty opined that he was fine and could be taken home. The lawyer said his client was bleeding continuously from the nose during the examination and was unable to breathe properly.

The Ear-Nose-Throat (ENT) doctor at R.M.L Hospital too declared the patient was fine and said he could be taken home. The only treatment suggested by the ENT doctor was putting ice on the swollen part of the nose.

Facing “hostility” from two government hospitals, Mr. Amit Jain was taken to Sir Ganga Ram Hospital.

‘Four-hour surgery’

He underwent a four-hour surgery at the hospital to fix the fractures of the upper jaw and nose. He was in the hospital for 10 days and continues to be on liquid diet till date. Mr. Dhananjai Jain submitted that government hospitals should have given his client treatment in the VIP ward instead of shunting him from one hospital to another.

Apart from seeking disciplinary action against the erring doctors, the lawyer has sought ending of differential treatment of victims in VIP and general wards.

“Respondents [the hospitals] have been according special treatment to different persons on special case basis, which in itself is discriminatory,” Mr. Dhananjai Jain said, adding that distinction of VIP and general wards is in itself illegal and should be struck down as against Right to Equality.

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Mon Jan 29, 2018 5:47 pm

Even after prices of stent getting capped over all bills remain same.
hospitals have increased prices of other consumables and procedures, hospital stay etc..
https://timesofindia.indiatimes.com/ind ... ign=iOSapp

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Mon Jan 29, 2018 5:48 pm

in another medical negligence in a Mumbai hospital a young man died after being pulled into MRI machine as he was carrying a cylinder which is prohibited in MRI room for its strong magnetic properties.
He objected to but was forced to do so by ward boy.

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Tue Jan 30, 2018 8:16 am

Narayan Hrudyalya to increase prices of procedure after stents prices capped. Devi Shetty said before capping profit came from stents but after ptices fixed they need to increase other prices to keep minimal profit coming http://www.livemint.com/Companies/3c0RX ... -proc.html

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Thu Feb 01, 2018 2:37 am

Delhi government approves creation of posts of Hospital managers in government hospitals to allow doctors to concentrate more on clinical services

AAP MLAs to be hospital managers

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Tue Feb 06, 2018 10:09 am

https://www.indiatoday.in/amp/magazine/ ... ssion=true
Indian doctor develops a protocol for treatment of Rabies, brings down the cost from $500 to under $5 per patient. WHO recommends it as standard treatment.

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Tue Feb 06, 2018 10:11 am

Homeopath doctors have taken out a huge rally culminating in Ram Leela ground to pressurise govt into Ayush scheme where a doctor from alternative medicine like homeo/Ayurved can become parallel to MBBS doctor with a 6 months bridging course.

Chandragupta
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Re: Health Care & Medical Practice in India

Post by Chandragupta » Wed Feb 14, 2018 9:58 am

Gurus, my father who is 63 has a RHR of 95-96. Is this normal? He doesn't have a heart problem and nobody in our family has ever had heart issues. Any kind of exercises / Yoga that can bring down the heart rate?

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Wed Feb 14, 2018 9:30 pm

what rhythm is it? A Sinus rhythm (normal) or abnormal rhythm > this can be found out from the ECG.
Besides how old is he, any comorbidity like high BP, Diabetes? Any medication?
Assuming it is a normal rhythm (sinua) & he is tachycardic: sinus tachycardia is always due to a cause such as
fever, pain, anxiety, medications (like anti depressants/salbutamol etc), smoking, alcohol, coffee..
first we know all this then can be taken from there.

remember with age we get autonomic neuropathy in conditions like Diabetes:
here parasympathetic system is destroyed hence patient normally has a high heart rate.
Pls consult a local medicine physician.

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Fri Mar 09, 2018 5:10 pm

https://economictimes.indiatimes.com/ne ... 228770.cms
Landmark ruling: Supreme Court says passive euthanasia is permissible

SC has approved passive euthanasia in terminally ill patients who have made advance directive or living will.
This means those who made decision not to be treated in critical unit before they become terminally ill (example patients with advanced malignancy) will be allowed to die indignity & comfort.
Case was initiated by a NGO common cause which is run by Nalini Singh family.
Caveats is
-case by NGO: a NGO by same name operates from Washington: no idea if it is Indian chapter of same.
-Possible misuse in India where society is complex and elderly are not always treated with respect.

Indrad
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Re: Health Care & Medical Practice in India

Post by Indrad » Sat Apr 14, 2018 9:05 pm

NEET exam turns into farce: For an MBBS seat, you need just 5% in physics, 20% in biology https://timesofindia.indiatimes.com/ind ... IIndiaNews
With just 5% marks in physics, less than 10% in chemistry, and 20-odd per cent in the biology section of the National Eligibility-cum-Entrance Test (NEET), candidates have got admission to medical colleges in the past two years. This was made possible by the “percentile” system under NEET that was supposed to keep non-meritorious students out.
Before NEET was made mandatory in 2016, the cut-offs for admission were 50% marks for the general category, and 40% for the reserved categories. From the 2016 admission year, these were changed to 50th and 40th percentile, respectively, opening the doors to candidates with just 18-20% marks in the NEET aggregate.
Here’s how it happened. In 2015, you needed 50% marks for admission in the general category, so you would have had to score at least 360 out of 720 marks. But in 2016 you only needed to be in the 50th percentile, which meant scoring 145 out of 720, or barely 20%.

The reserved categories needed to be in the 40th percentile, which translated to 118 out of 720, or 16.3% marks. In 2017, this fell further to 131 marks (18.3%) for the general category, and 107 marks (14.8%) for the reserved seats.
This year’s NEET exams, to be held next month, continue with the same percentile cut-offs, so students with less than 20% marks in the entrance exam may be admitted to MBBS courses again.
Percentile measures the proportion of candidates, not scores. Thus, 50th percentile means students with more marks than the bottom half, 90th percentile comprises students with more marks than the bottom 90%, and so on. It does not mean they have 90% marks.
The percentile system not only made low-scoring students eligible to study medicine, it actually got them seats in colleges. TOI found that in 2016, general category students with just 148 marks, or 20.6%, in NEET were admitted to a private college in Uttar Pradesh which is a deemed university. As many as 30 of the 100 students this institution admitted had less than 25% marks in NEET. A Puducherry college admitted 14 students with less than 21% marks, the lowest being 20.1%. Some students admitted in the reserved categories had even lower marks.

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