Anupama effect: PGI doctors suggest referral system
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.