It was 2 pm when I was watching at my feet which were swollen after a long 30 hours duty. I picked up my bag and started walking towards the gate of the hospital when I saw some people coming to the E.R almost running with an around 14 year old child who was almost soaked in blood. I knew by the look that it is Head Injury. God know how I entered in E.R with them again. I saw the other doctor was busy in resuscitation of another collapsed patient when I gave him the look “I got it”. I threw my bag on chair and shouted “Crash Trolley”. Child had aspirated the blood and was still bleeding from mouth with occasional gasps. I shouted for E.T.T but the right size wasn’t there at all. I asked my staff to run to ICU and bring one. I did blood suction from her airways how much I could and managed it initially. Now, our hospital didn’t have any Neurosurgeon. As patient wasn’t entitled for our hospital, I asked the M.S to provide us ambulance so that we could shift the patient to DHQ.
I was constantly providing her assisted breathing via ambu bag.
We reached DHQ … 27 minutes wasted
I asked her attendants to make a slip … 4 minutes wasted …
Medicine was prescribed and brought … 13 minutes wasted …
Patient shifted to the ward because no bed was available … 19 minutes wasted …
Medical officer examined and asked for CT scan. Attendants went to Radiology Dept. & CT Scan machine was out of order … 13 minutes wasted …
All 4 oxygen cylinders were occupied and had to bring from another ward and many times even that will not work … 17 minutes wasted …
CT Scan was done from outside the hospital … 21 minutes wasted …
There was blood in the brain and decompression had to be performed but Neurosurgeon resigned from the hospital because he was beaten by shoes by some attendants.
She was referred to Tertiary Care Hospital … minimum 8 hours wasted …
Total 9 hours and 45 minutes were wasted … !!!
I followed the case and the poor Minahil died because of sepsis even with strongest antibiotics cover after 4 days of ICU stay with severe brain damage.
Private Hospital … !!!
In a well-known private hospital, I went to E.R and started dealing with routine emergency. Suddenly I heard the cries and saw a patient coming on stretcher. By the look, I assumed it a head injury and yelled “Class 1 Emergency”. At the next very moment 2 nurses were with me while clinical assistant was dragging emergency trolley full of all kind of resuscitation instruments and medicines. Another guy was on the intercom with fingers on the dialling pads.
Patient was bleeding from the ear and gasping with blood from the nose as well. I passed E.T.T and started resuscitating. I yelled, “Dr from ICU … “.
In next 2 minutes, ICU Dr was on the floor, managing the patient with me.
I yelled “Neurosurgeon”. Precisely 1 minute later, he was standing on the patient.
I yelled “Radiology for CT Brain”. In next 15 minutes we were watching CT Scan.
Surgery was planned and started.
ICU people kept 1 bed ready for the patient.
I saw the Medicine notes and raised my eyebrow over the doses and antibiotics were very basic.
Today, I am thinking …
“I wish I could tell the poor family of Minahil that the health system took their child’s life so that they won’t be able to sleep peacefully. I wish I could show the image of that poor soul who still haunts me, for which I tried so hard but the system won and I & she lost. I wish, I could ask everyone to raise their voice against the system that take lives.
I wish, I could tell them it wasn’t I (Doctor) who took her life. It was the system. I wish, I could tell them that I am raising my voice for every Minahil who can’t afford Private Hospitals. I wish, I could make them realize that there is so much wrong at so many levels in this system …
But then, I become cold and say … some lessons must be learnt in the hard way. If you can’t raise your voice for yourself then why should I be the one to get suffer for you …
Factors like overload of Patients, free treatment, poverty are used to downplay the efficiency, and suddenly we start having the attitude that whatever poor Patients are getting is still enough for them, drastically ignoring that they can get much better if system is made accountable.
But then it comes to … KHAIR HAI, HOTA HAI, CHALTA HAI, it happens what more can be done..!
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