Anu­pama ef­fect: PGI doc­tors sug­gest re­fer­ral sys­tem

Hindustan Times (Chandigarh) - Live - - FRONT PAGE - Vishav.bharti@hin­dus­tan­times.com

Vishav Bharti CHANDI­GARH: The PGI fac­ulty has come up with var­i­ous so­lu­tions to re­duce the rush of pa­tients, from start­ing the of­fi­cial back re­fer­ral sys­tem to re­ceiv­ing a lim­ited num­ber of pa­tients.

Ac­cord­ing to sources in the PGI fac­ulty as­so­ci­a­tion, a hot de­bate is go­ing on these days among fac­ulty mem­bers af­ter the death of Anu­pama on ways to cur­tail the num­ber of pa­tients. Sources said the de­bate was ini­ti­ated by Dr Vivekanand Jha of the nephrol­ogy depart­ment Re­fer­ring to Anu­pama’s death, he has said that it is time for the PGI to in­tro­spect.

As per the de­tails ac­cessed by HT, Dr Rakesh Kochhar of the gas­troen­terol­ogy depart­ment re­sponded to Dr Jha’s call by say­ing, “We as an au­ton­o­mous in­sti­tu­tion can re­view and re­vise our man­age­ment prac­tices. A few years ago, there was an open house af­ter a sym­po­sium on emer­gency care in the PGI. Some very easy to prac­tice so­lu­tions had emerged, but the or­gan­is­ers used that op­por­tu­nity

Maybe all of us need lessons in hu­mil­ity to­wards each other as

well as pa­tients. Also, ev­ery­one must in­tro­spect hon­estly

to get pub­lic­ity and for­got to take out any pos­i­tives. We should try to im­prove ef­fi­ciency of our sys­tem and I bet it’s not dif­fi­cult,” he said.

Why can these pa­tients not be at­tended to at other hos­pi­tals and brought here for sur­gi­cal in­ter­ven­tion? First-aid can be done any­where

Sim­i­larly, Dr RK Dhi­man of the hepa­tol­ogy depart­ment said, “We need to im­prove the ser­vices of pe­riph­eral hos­pi­tals and limit the in­flow of pa­tients to only those who re­quire ter­tiary care. The PGI should only be a re­fer­ral hospi­tal. With the present sys­tem, can we pre­vent such episodes in fu­ture?”

Dr MS Dhillon, head of the orthopaedics depart­ment, said, “In the PGI emer­gency, we are some­times just pro­vid­ing the same level of care as can be given at other hos­pi­tals to the pa­tients ly­ing on trol­leys. So why can these pa­tients not be at­tended to at other hos­pi­tals in the first place and only brought here for spe­cialised sur­gi­cal in­ter­ven­tion. First-aid and other things can be done any­where. Com­mu­ni­ca­tions can be es­tab­lished be­tween the doc­tor who refers the pa­tient to us and doc­tors at the PGI so that both know when to shift the pa­tient as per the avail­abil­ity of op­er­a­tion the­atre. Sub­se­quently, the pa­tient can be shifted af­ter the in­ter­ven­tion is done.”

Dr S Lal, of the gas­troen­trol­ogy depart­ment came out with a bit­ter truth by telling the fac­ulty mem­bers, “Maybe all of us need lessons in hu­mil­ity to­wards each other as well as pa­tients. Also, each one must in­tro­spect hon­estly.”

“It would be of course great if we can re­strict the num­bers. We have dis­cussed this for years, but this is un­likely to hap­pen in the short term un­less the neigh­bor­ing states are forced to cre­ate sim­i­lar fa­cil­i­ties. If we are of­fi­cially al­lowed to send the pa­tient back to the orig­i­nal hospi­tal or any other suit­able hospi­tal af­ter treat­ment or spe­cialised in­ves­ti­ga­tion or sur­gi­cal pro­ce­dure, it will va­cate the beds for new pa­tients,” said Dr Praveen Ku­mar of the pae­di­atrics depart­ment.

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