Sunday, June 26, 2011

VIJAY

I can not be justified even Suman was chided by the doctor attending Vijay only surviving last son and only surviving member of this ill fated women, my maternal aunt Suman, at what time doctor told her in a grossly careless callous atmosphere of  emergency ward of Delhi's Lok Nayak Jay Prakash Narayan Hospital.  Let me digress from the talk for a movement. Unmindful, young bubbling South Indian nurse was full of smile here and there standing near the heap of syringes and medicines in a open box lying, dept. had supplied plenty, two to three emergency patients were accomodated on one bed, it was c rowdy, patients were holding their oxygen masks, country illiterate Brahman women chief minister of Delhi in chair highly educated from universal sense of the things, Indians wont believe me, a Punjabi heart patient cried from coma situation, 'they have brought me here for kill', his waiting upon family members were in tizzy, doctors gave her some injections drip oxygen some pumping over his cheast and doctors pronounced, 'Nanhi hai'. just before my eyes.  Every patient was praying for his life in this Gandhian hell, previously it was called Lady Irwin Hospital.

      Doctors and medical staff on duty shirked their duty they handed over the duct to us to be inserted in the urinary tract of Vijay our young adult cousin. It was impossible for all of us brothers to do it. Vijay was crying and and utterly restless with sensitive pain, I don't know some medical staff or doctor finally did it. We were holding firmly the legs and arms of Vijay so that the duct could be inserted well inside his urinary tract. Suman was sitting the nearby crowded bed we  had come from Agra, 'Jab nanhi bola tha jab pee raha tha'. Suman semi illiterate silently tolerated all this, watching her only son die, from liver cirrhosis, Agra doctors had rejected his case, vijay was incense but was crying and jerking with fear. His eyes were wide. Suman told me in sobs later to whom she could tell that how she had tried to stop Vijay from drinking. I consoled the young boy of that Punjabi heart patient, the whole family was in tears and weeping.....................................................................................................(to be concluded) 

   I will write about happy India sometime later

                                          Next day morning doctors shifted Vijay from emergency ward to general hospital. That lung sucking and clearing machine and oxygen support was there to Vijay. Suddenly electricity went out of order and parellal system seemed out of gear. I was out down below. When I entered the ward, the ward boy or the mechanic was struggling with the switch box where the macines plug was fitted. I heard Vijay criying, " O mummy..."  and he collapsed and died. Doctor was not in the ward was called. He pumped Vijay's chest and than declared , "Nanhi hai". He died few hours or days rather earlier, shabbily of course like as our all countrymen. This Shiel brahmin or that punjabi Madan Lal Khurana was the CM I dont remember.

          Today on 4th september 2011, exact 25years back I started writting, I hear the news of infants dying in Andhra Pradesh South India, Kurnool, same shabby conditions of Indian medical sciences and unaccountability and money and job atmosphere and 'no research' atmosphere alround.

Thursday, June 2, 2011

medical justice


health
“…..where socio economic questions are solved by gimmicks, by contrivances, by dowry, lack of budget, lack of knowledge and in the deprivation of industrial and entrepreneurship climate, and where social relations of many facets are unresolved, youth shoots his own  family members…”

a k h b a r
------------
New Delhi, 28/06/09


·     We have remains of deceases in our bodies, genetic effects of them                                        
·     Political structure should fix state eyes in these I.C.U. Should provide for strict medical audit.
·     No hourly bulletin on the medical health or condition of the patient
·     Critical health care should be given due care
                                                                                        

           
        Suman Kumari was tied to the bed, 60+, both hands both legs, respiratory cork with tube inside his bronchial diaphragm, many a tubes supplying various liquids and medicines injected in her neck and other veins, few machines were attached to her body displaying her body functions. She was unable to speak and in great discomfort

       A country nursing home in a spacious villa, dirtiness all round, yellow dim light, peculiar of Agra and junky unchanging U.P. reflecting of a sick society, a poverty stricken society.
                  An area doomed and happy rather content in the bliss of parampara karmkand ret rivaj and rituals. Their life and self respect is saved in them. Corporate seller’s propaganda.
              Dejected, frustrated Hindustani, defeated by decease, budget, confronted by quick deaths, gasping heavily helplessly in the course of socio economic, socio hierarchal system find peace only in  religion, ritual and  ret rivaj. At no other place there is status and peace for Hindustani.



       India has been mesmerized by Hollywood and westerneism. Buffooner’s club has
come to represent our socio cultural expression. Urban cynics of all shades are throwing the urban muck on the social relations. Western politics and socio public life have hijacked the world agenda. Our thoughts have to come above surface our thinking have to be stabilized. Communal sub continental communal revert to correct thinking correct thought after their bloody paths show blocks.

       Suman did not have wrinkles on her face, she did not look so old. One by one she had grieved for four members of her family leaving a daughter alone, she accepted fate she did not cry or perhaps she cried inward, medical system of Agra whether civil or private nursing home none could not save even a single member and in the morning when I saw her in the same tied condition, she had somewhat slumped in the bed and was breathing slowly. When I asked the lady doctor on duty girlish she gave me a misleading reply, “no she is not breathing slowly, she had some breaths of her and we are giving her respiratory support. She hinted that she is ok but the heart machine was downed and was out of tune. I did not have exact idea of the medical structure and machines inside the ICU , there were numbers of machines, I was wondering why heart machine is down but I could not make out the things she had perhaps suffered the heart stroke and slumped and was slowly gasping. Lady Doctor did not move from the chair as if a worried examinee safely keeping her away from the things. There some other patients facing the same conditions in this death chamber. Outside natives in groups in dark warandahs were in worried conditions, one group was bursting in sobs their member has gone perhaps.

      Uttar Pradesh government should put their eye constant in these dark chambers of ICUs nursing homes and hospitals. Defeatist peoples should not be defeated anymore. Political structure will get, in their irresponsible escapist medieval primitive political game, some oxygen from the peoples problems of life and death.       Last time when her elder son married only a year died of shoe polish burns, the family was earning livelihood by this work, he was lodged in Agra mortuary. The family and other relatives and grieving round the overnight, the death has occurred a day before in these very nursing homes, he was reported to be having 40% burns, a congested junction of narrow by lanes of a Agra mohalla where this grieving assembly was squatting, I thought what I could do to these people, to the situation was to help bring the dead body to them so that cremation could take place. I was told that the body has been lodged in the mortuary and will be delivered only in the evening when the postmortem doctor will come. No other information was available. I left this assembly and reached the mortuary at hospital road Agra. On the opposite side of this road a British time towering church of nineteenth century stands with its remarkably high minar, it was morning hours, I peeped into the mortuary from the broken gates nothing was visible.
      
       The deceased was my maternal uncle’s elder son, son of Suman Kumari, hopes of hope, a shattering death from which family was never to recover, as the coming event will tell, these mortuaries are neglected buildings, country bricks colonial buildings and colonial rules and manuals. The sweeper sweeping the premises told me that postmortem doctor is a son of an ex. M. P.. of Agra Mr. chatrapati ambesh and he comes in the evening after finishing his duties at district hospital at chhipitola. I took a rickshaw and reached the district hospital. It had become around 10` o clock, patients were waiting for the doctor, he was a orthopedic surgeon. I am a product of these Agra by lanes and belong to the same lower strata whose story I am reporting, I have no courage no strength to talk to the doctor or to get things or to get them out of the way. Doctor was not there; even if he would have been there I would have not been able to talk to him but the grief the problem I was there.


I talked to the ward boy attached to him, flattering him someway, he told me the doctor will be free at 1`o clock and thereafter he will go to his home for lunch and rest and will come to the mortuary at 4`o clock in the evening. The ward boy a musclemen young wheatish lengthy aspiring for some army job was son of a hangmen, was very appreciative of the doctor,` are sahab m.p. sahab ke bete hain`. Doctor has arrived was busy in applying liquid white plaster to the patients, coming in and out number of times. I could not dare tell him of the.  purpose of my waiting. My other relatives had also come but nobody was able to talk to doctor Politicians in the milieu councillor or m.l.a. are nowhere near the people. We are primitive people natives British subjects earlier, we are highly feudal in approach we respect and revere social superiors like kings and sultans. Politicians on their part are like us they have not learnt anything of equality freedom or democracy, they want every ounce of feudal flesh of superiority and power. The whole family has vanished and so the generation of politicians of all shades have passed but nobody could display the sense of social belonging.
   
       Political structure should fix state eyes in these I.C.U. Should provide for strict medical audit. I know this is a difficult work. In the state of politics and politicians in the country at present, it is difficult for them to even to conceive such a thing, insensitive corporate media, than we are a country of cast societies. Politicians run to their cast constituency if there is some incident. Some people profess socialism and defend criminality, cheating and lawlessness. Socialism is being attacked from number of quarters nowadays and where the socialists stand now and what they hold one does not know. Languages and dialects are marred by hypocrisy and verbosity of confusion, perhaps with the intention of deceit or for evading responsibility of a vast state.

       


No hourly bulletin on the medical health or condition of the patient or any civilized medical information in country language. Of course some exchange of words may be there in between the doctor and the patients’ relative correlating with the fees and costly expenses of the nursing home. State of civil hospital is good than why private medical hospitals are booming in the country. Medical tourism, India is a hub for medical tourism. I bring here the personality of our present health minister of India. We thought he was very serious, long queues of countrymen in hopeless and disorderly condition before the Indian Institute of Medical Sciences at New Delhi. the minister appeared in person on the doctor’s chair. the director AIIMS was accused of all such happenings at AIIMS. Another day the health minister uttered some statistics concerning medical business. We thought he is a brilliant and competent minister fit with all the data and statistics at his fingers.  But his competence or fragrance of his personality as minister seemed  unreliable in the country atmosphere..                                                 

       I was in Miss Mayawati’s village sometime ago. Villages of Miss Mayawati and Shri Ajit Singh are common. It was a house of a scheduled caste people. Women’s were bearing the costumes of hundreds century back. Miserable conditions and astute dirtiness and filth all round, medical justice or medical facilities available to these people scheduled castes or upper castes and their sufferings are the same. Strict healthy and vibrant medical justice and healthcare system should be there. 

       Gun culture has been unleashed by the undefined socialism with callings and background of criminality perhaps with the intentions of solving the social issues by backside. Grenade culture was introduced amongst the Hindu youths in the pretext of ramjanmbhumi question. A kind of Hindu taliban. Gun in the hands of a unemployed youngmen, socially publicly economically outcast virtually, where socio economic questions are solved by gimmicks, by contrivances, by dowry, lack of budget, lack of knowledge and in the deprivance of industrial and entrepreneurship climate, and where social relations of many facets are unresolved, youth shoots his own family members.  What kind of socialism is this and what kind of relation communists have with socialists. Politicians, not the political traders,  of both the  groups communists and socialists ought to illustrate what constructive appreciation they hold about this  atmosphere.

       Critical health care should be given due care. Poor moneyless people even rich people and in problems should be taken care of in respect of critical healthcare. In fact comprehensive, for all, purview should be taken in respect of critical healthcare.  

       Court nowadays is giving number of decisions protecting the doctors. Oh Yes doctors should be protected from harassments and litigations. Courts are a corrupt atmosphere; it is a rich man’s paradise. To enter into such a serious subject I must first give and recall again my introduction, My B.Sc. degree was one mark short of forty five percent, the university gave me second division. `Chemistry` was told me to be tough, I opted for military studies. Later I studied law for sometime and left incomplete as I needed a job. Nevertheless, Courts should realize the seriousness of the medical subject and its own limitation, court has its own very limitations, professionalism the requirement of academics and ethics and poverty stricken country ship, the condition of politics and issues and problems of patients and especially the poor and illiterate patients. Treatments of VIPs and VIP. Suicides by the doctors. It’s a very tough and involving subject,  medical is a difficult subject. It is not just punishing a under trial.


          People of this community/group who got me educated in those times of sixties, me with one mark short in second division and leaving chemistry in B.Sc. Bio group and then leaving Law in mid way to get job, had hopes in me, their symbol in uneducated mass, Suman kumari`s elder son married only a year earlier, got chemical burns, I could not come in time from Delhi’s wilderness. That son could not be saved and whole family collapsed one by one. I had some educated sparkle in my environ but have always felt highly inferior among this medical community, what could I have done moving here and there but the hope and remorse.

                 In the present day affairs, I think I am right to illustrate the things, Hon. ex. Prime Minister  from the of India Sh. Atal Bihari ji Bajpayee has returned home well from the ventilator, god wish him well, Sh. Manmohan singh ji Hon. Prime Minister Of India had undergone a successful heart operation after the first by pass surgery done earlier, god wish him well. Country has certain things foreign to inculcate. Number of things, democracy, secularism, socialism, talks of depressed classes. Indian media, political society, its literature community create number of facades, advocating values and norms and now changing values and norms. God knows where the silver line between professionalism, excellence, and abovementioned fuss lies, including judiciary.
                   
               There were two musclemen looked liked that may be they were ward boys, in the I.C.U., they declared that Suman Kumari is dead, although my question was posed to the doctor on duty, who evaded the question. Spreading their legs on two jointed chairs, they replied, unasked for, `yes she is dead`. It was a death chamber. Another patient was also dead it looked to me; he was a man around forty. There were no vibrations or motions around Suman Kumari as I saw an hour earlier, all instruments and wires and ducts fitted to her body, respiratory cork in her mouth. It was around 11 am. When I posed the question and death was declared at 3’0 clock. Some arrangement with poor class bourgeois/karmkandis, Suman’s relatives my relatives of course and with the doctor about the declaration of death.

           When Suman’s elder son died years back it took about twenty-four hour when we get the body from the mortuary, that old brick British building. Chatrapati Ambesh’s son the postmortem doctor came at four o clock in the evening and that hangmen’s son, his ward boy was performing the postmortem, announcing, which part of the body was affected in the death. Doctor was doing clerk’s job sitting outside in the verandah of mortuary.             
         

         I live in Delhi but have no attachment to it. I think for U.P. but have no relevance there. our national thought and sentiments remain in a  vast hypocrisy and confusion of `unity in diversity`, `province-central question`` language and bitterness` both Rama and Krishna were black yet the endless bitterness and cynicism, `secularism and we are communal`` democracy and we are feudal`. Social and political workers of Agra, one MLA has the exact name of late Mr. Zulfikar Ali Bhutto, one councillor whose report I got has no grasp and understanding of cast and reservation matters and in the telephonic reports it was seen that he was busy elsewhere. We are to be represented by councillors and MLAs who have  grip and grasp of the problems of the area and locality they represent. Political representatives have been caught excepting bribes for asking the question in legislatures. Some of them were dismissed, and rightly so.

                 Suman had a fear, once she recounted me, her one maternal aunt had tuberculosis and she insisted one day with the doctor that how long she will survive, the doctor told her that she will continue for a week or month or so, she died the same week. In the dark chambers of her fear of decease Suman could not face the realities of life and medical life. She had some primary education not more than that, she could not face or argue or question with  these doctors. We in Uttar Pradesh are represented by Nehrus, even Kamla Nehru had Tuberculosis, but things are not in correct resemblance of things. Hey country realize and appreciate yourself in meaningful, sensible ways. Then there Narsimharao and number of Principals and vice chancellors, `this generation will go, that generation will go` and their dream generation will come. Mr. Atal Behari ji Ex. Prime Minister of India, a person from Chambal adjoining Yamuna, has a dream that Jansangh or BJP should come to power, he has realized his dream.

         I think I am talking of right question                                                                      
      
       e      We have remains of deceases in our bodies, genetic effects of them. we are Hindustani people. Asthma tuberculosis and others. then we have faulty food habits. jain religion has to say something. Something is it be done which should be epoch making. that filmy face is incorrect. That is not our face.  

         I am talking the question of health.

                       New health minister looked good, young, handsome and intelligent but then he started talking bureaucratic, giving statistics. Budget, grant and beurocratic statements. If he is doing something else one doesn’t know. Here and there some advertisements, these ministrys have problems of funds always. than they say this work does not belong to them. Pose them any question and they will reply like this. India has to combat many question. Gimmicks won’t do it.  

              `Values on Credit`wont help us, `Values on Loan` wont help us, they are not acceptable. Lord Mahavir felt the soul of the tree. Strange no mention of him is available in Hindu tales. Indian scientists, medicos, botanist, zoologists, you all should look into Indian thought. Lord Budh Lord Mahavir. Budha has felt the acute political crisis, disease of the country, misery of the country. Mahavir has felt life of every living being, animal, man, plants and the minute living beings. Our villages are made up of his thoughts. These things are intrisinic in us. Our institutions will be different from west.

               Gimmickry in Mr. Ramdoss should gave place to the serious question. Enough agony has been has been done to Mr. Venugopal. For all the long queues in All India Medical Institute of India, he is not responsible for every thing. I am not criticizing anyone. Someone has first touched question of health.                                             

               For the group of people and their troubles, I am talking about it is not that local politicians were not there in their life or the conditions of the peoples and their problems may or may not be in the intellect and heart of local politicians. There are number of councillors, M.L.As. and M.Ps. but they were absent in mind and sprit. Political parties are responsible for it. Media is responsible for it. Things between communalism and secularism, social and civic life, stale and static life conditions, insensitive, ungoing, confusions muck and mud in which we are placed but urge for change, sensitivity to the environment was absent. Political leaders who command the power in the country, their character do not reflect the illumination so as to generate the healthy inspiration. Media is engulfed highly in the consumer corporate propaganda. Film, Cricket or other media, their adherence does not reflect the life of the peoples, I am mentioning.

              I did not dare ask the doctors on duty, when I saw Suman thrice, once on the night when I reached, in the morning when she was gasping for breath or when she had suffered the heart failure, cork or breathing instrument was always fitted in her mouth and hands and leg fully tied. Even when she was told dead she remained in this condition. If she had to say something? At night with her tied hands she could held the finger of her daughter. She was fully conscious.

                                               In fact deals and talks were final with the relatives even before she was put on ventilator that `she will not survive`, ` no use wasting your money` doctor has told. Our honorable ex. Priminister Sh. Atal Behari ji had come back safe from the ventilator. Our honorable present Priminister Mr. Manmohan Singh has undergone successful second heart operation. God wish them well. Our constitution says we are democratic socialist republic. Rupees three lacs is the cost of knee operation otherwise one may go with handicapped legs throughout his life.

                     As I was writing this, the Govt. changed, health minister Mr. Ramdoss resigned even earlier. To whom you will talk, serious matters can be talked with serious people.  At I. G. I. Airport where recently I was managing myself with immense inferiority in myself amongst the elite of India, sitting in one side on one chair, eating something from costly Nirulas`s menu, I spotted Mr. Venugopal entering with his family, sober, grave, managing dignity somehow with his advanced age. I kept mum, avoided eye contact, he was a senior person, a V.I.P. in all sense of the term. Much agony has been done to this man in public life. His family was with him. A lady looking younger, fair and beautiful was with him, managing the travel affairs. I was wondering whether she was her wife or daughter. I do not know how to write about the critical affair of Indian public life. Nevertheless some issue was touched by someone strikingly in Indian Public life, a serous question, question of medical services, in the atmosphere where Baba Ramdev is showing his charisma. Intricacies I can not talk. God knows what the Health Ministry will do. These colonial organizations, budget, grants and alibis where members of parliaments ask for some concessions to their constituency.

                                                



                                                                                               Ashok Hindustani Jantawala


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