Thursday, May 10, 2007

The Hippocratic oath

This has been a stressful week for Anupama, my M.Sc. student. Anupama's father was admitted to the hospital this weekend when he complained of severe pain. He has a history of heart problem, with first angioplasty done 10 year back when he was only 40. He also has diabetes. And stones in the gall bladder.
When he complained of pain, the family rushed him to the nearest private hospital- Balaji Hospitals. The hospital staff demanded money even before they would admit him. After Rs 12,000 was paid in cash, they did an angiogram and diagnosed two blocks-both 100%. However, they concluded that he did not have a heart attack. The pain he was experiencing was due to the gall bladder. They wanted to do a ballooning. Anupama fought with them. With high sugar level and 100% block, she argued that ballooning was not the procedure to be followed. The doctors discharged her father saying it was on her head.
They then brought him to AIIMS- the premier referral hospital. But at AIIMS they refused to admit him. He was kept in the Emergency room (a most horrible place, believe me) and told no room was available. Of course. You need to know someone at AIIMS to get room. We had enough experience with the system when another student of mine, Junaid, had an accident last year and broke his girdle bone.
So they took him back home and searched for a connection.
Meanwhile the pain increased and they rushed him to Escorts Hospital this time, where a sister-in-law of Anupama works.
The doctors decided to do angioplasty and yesterday they wheeled him into the operation theatre. There after the doctors opened the heart they discovered that there was a 50% block at a place where two arteries join. Either the doctors at Balaji did not notice this block or they completely misdiagnosed the case.
Her father is in the recovery room as I write. He will be undergoing a bypass tomorrow. And two months after this will come the gall bladder surgery.
Anupama is furious. She plans to take the case to Consumer courts. But her main worry now are the finances and blood donation. The entire stay and operation will cost Rs 3 lakhs. For a middle-class family this is a huge sum of money to cough out at a moment's notice. The bank, where her father works, will not pay this amount of money especially since they have gone to a private instead of government hospital.
The blood banks are not to be trusted so she is asking her friends to give blood for her father.
I wonder. We talk so much about medical tourism. Shouldn't health care-affordable health care- to our citizens be the main concern?
Our doctors are supposed to take the Hippocratic oath.
What does it really mean?

No comments: