Comments
Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad
Admission date :[protected]
Discharge date :[protected]
Patient (my father) was initially[protected] diagnosed with a pontine brain hemorrhage at Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad.
He remained in the bedridden state for 34 days i.e. suffering from quadriplegia (minimalflickering or no movement in all four limbs).
Around 15 days in ICU & then in the private ward for the rest of the duration.
He was tracheostomized (a pipe inserted in the trachea for better breathing & easy removal of secretionbulgam via suction machine) to protect airways
& PEG tube (a pipe in the stomach for food intake) was done in view of expected long term quadriplegic state.
During hospital stay he developed a sacral bed sore of grade 1(lower back just above the hole). He was discharged in stable condition with the
rehab activities like bed care, physiotherapy, bed sore dressing and stockings for DVT prevention.
1. How did the patient got the bed sore in first place?
2. Isn't the medical staff trainedinstructed to change the side of the patients who are unconscious or quadriplegic every 2 or 3 hours to prevent
bed sores?
3. Was the doctor overlooking the patient in ICU & doctorconsultant under which the treatment was being carried out qualified enough to detect
the sore?
4. If the airwater mattress is sufficient to prevent the sore, was it functioning properly? I doubt because every second day I saw the air
mattress deflated.
________________________________________________________________________________...⇄
We hired a medical staff for taking care, changing side every 2nd hour, for sponge & other daily activities.
After 24 hours, the bed sore got worse, pus secretion was there when the dressing was being done. Next day i.e.[protected] a visit from Pushpanjali
home care service doctor (Dr. Dhawan) was organized along with the on-call consultation of Dr. Ashwini Kr. Uttam. As per him, the patient needed
immediate medical help for the removal of the dead tissue and cleaning of the bed sore which was supposedly more than grade 3 bed sore.
1. Why did Dr. Dhawan denied to give the diagnosis details in written?
2. Why did he asked for a 1000 rupees if he doesn't have a receipt to show for it?
3. Dr.Dhawan kept on saying on call that he'll provide his analysis which he reported to Dr.Ashwini in written.
1st call : I will mail you as soon as i reach my office. As the diagnose details are in my computer.
2nd call : I'm outside city & will be back in couple of days then I'll mail you.
3rd call : I'm not supposed to give any thing in written, its the protocol. I had already explained everything Dr.Ashwini.
How is this justified?
________________________________________________________________________________...⇄
Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad
Re-admission date :[protected]
Waited in the emergency for 5-6 hours just to get the admission. The plastic surgeon named Randhir Singh(for whom we waited for 2-2:30 hours as he was
busy in some medical procedure) denied to look at the bed sore and take the case. Because as per him it was a case of neurologist and not plastic
surgeon. His words after just seeing the patient "Kya karu iska(my dad)? Mujhe kyu bulaya hai?"
Then came Dr.Manoj Bansal (Plastic Surgeon) & he advised to get the debridementremoval of infected tissue immediately.
Admission was done under two departments Primary: Plastic Surgeon & Secondary : Neurologist.
But the blood pressure & other vitals dropped rapidly and the situation got very critical due to septicemiaseptisemia or whole body infection as
explained by the doctor. They had to get this debridement done asap under life threatening condition (I was told that anything can happen,
'anything'!).
Debridement surgery done by Dr. Manoj Bansal on :[protected]
After 3-4 days all the doctors be it neurologist or plastic surgeon or the medical staff, kept pushing for the discharge of the patient. But just
imagine the situation of the family members.
In reality, the bed sore was not improvinghealing even though the dressing was being done on a regular basis under the blessed supervision of Dr.
Manoj Bansal. The cavity formed after the removal of dead tissues was of the size equivalent to the cricket ball with 2-3 inches extension on either
side. This cavity was inspected daily (only by the Dr. Bansal) to see whether there is any dead tissue creation, if yes then it had to be removed with
forcep immediately to avoid further damage. We decided to keep dad in the hospital till some healing starts in the woundcavitybed-sore.
Dressing was being done by the doctor even after 10 days of surgery and not a single medical staff (sister or brother) touched the woundcavitybed-
sore.
1. What sought of professionalism did Dr. Randhir Singh illustrated in his visit? I wonder whether he would react in the same way, in case the
same thing happens to his own family member.
2. Who is responsible for this life threatening surgery? Why did the bed-sore developed in the first place & reached at such a stage?
3. Who should pay for it? Because after paying a big chunk of bill in 34 days of hospitalization, I wonder how many middle-class families would be
able to bear another 15 odd days of hefty bill including a life-threatening surgery & mental trauma!
4. How can the bedsore dressing be carried out at home (after discharge) when the only qualified person to do it is Dr.Manoj Bansal? Then what's
the point of pushing each & every family member for an early discharge of the patient.
________________________________________________________________________________...⇄
[protected]Date of re-admission) : Dr.Ashwini Kr Uttam (Neuro-department)
He did the regular visits in the ICU & ward during 1st hospitalization) was there in the emergency while re-admission process was taking place, when I
asked who is responsible for this(bed-sore) situation sir, his words : "Its my negligence, that I did not looked into bed-sore myself during 1st
hospitalization & relied on the words of the medical staff." (who did some dressing when they used to do sponge in the morning) & it got worse during
that period.
[protected] : Dr. T.S.Jain
When the medical director Of Pushpanjali Crosslay Hospital Dr. T.S.Jain was made aware of the Dr Randhir Singh unacceptable behaviour. His response we
will take a necessary action, this is not acceptable.
And regarding the bedsore also, he was very apologetic which was because of the negligence of the medical staff.
Few days after debridement surgery:
Dr. T.S. Jain words :
"How are we responsible for this?"
"There is no negligence from our side so why there should be any compensation!"
"We are still looking into Dr.Randhir Singh scenario."
"Discharge summary had printing mistake, 'Sacral bed-sore grade 1' was printed instead of 'Sacral bed-sore grade 4'."
A complete turnaround of events & perception.
I said can you give this to me in written, he said yes & wrote a mail the same day.
When a mail was sent in written asking some basic questions about the treatment & services in Pushpanjali Crosslay Hospital, there was no response.
They were not even ready to give a reply in written which the Medical Director said in the morning.
________________________________________________________________________________...⇄
Admission date :[protected]
Discharge date :[protected]
Patient (my father) was initially[protected] diagnosed with a pontine brain hemorrhage at Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad.
He remained in the bedridden state for 34 days i.e. suffering from quadriplegia (minimalflickering or no movement in all four limbs).
Around 15 days in ICU & then in the private ward for the rest of the duration.
He was tracheostomized (a pipe inserted in the trachea for better breathing & easy removal of secretionbulgam via suction machine) to protect airways
& PEG tube (a pipe in the stomach for food intake) was done in view of expected long term quadriplegic state.
During hospital stay he developed a sacral bed sore of grade 1(lower back just above the hole). He was discharged in stable condition with the
rehab activities like bed care, physiotherapy, bed sore dressing and stockings for DVT prevention.
1. How did the patient got the bed sore in first place?
2. Isn't the medical staff trainedinstructed to change the side of the patients who are unconscious or quadriplegic every 2 or 3 hours to prevent
bed sores?
3. Was the doctor overlooking the patient in ICU & doctorconsultant under which the treatment was being carried out qualified enough to detect
the sore?
4. If the airwater mattress is sufficient to prevent the sore, was it functioning properly? I doubt because every second day I saw the air
mattress deflated.
________________________________________________________________________________...⇄
We hired a medical staff for taking care, changing side every 2nd hour, for sponge & other daily activities.
After 24 hours, the bed sore got worse, pus secretion was there when the dressing was being done. Next day i.e.[protected] a visit from Pushpanjali
home care service doctor (Dr. Dhawan) was organized along with the on-call consultation of Dr. Ashwini Kr. Uttam. As per him, the patient needed
immediate medical help for the removal of the dead tissue and cleaning of the bed sore which was supposedly more than grade 3 bed sore.
1. Why did Dr. Dhawan denied to give the diagnosis details in written?
2. Why did he asked for a 1000 rupees if he doesn't have a receipt to show for it?
3. Dr.Dhawan kept on saying on call that he'll provide his analysis which he reported to Dr.Ashwini in written.
1st call : I will mail you as soon as i reach my office. As the diagnose details are in my computer.
2nd call : I'm outside city & will be back in couple of days then I'll mail you.
3rd call : I'm not supposed to give any thing in written, its the protocol. I had already explained everything Dr.Ashwini.
How is this justified?
________________________________________________________________________________...⇄
Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad
Re-admission date :[protected]
Waited in the emergency for 5-6 hours just to get the admission. The plastic surgeon named Randhir Singh(for whom we waited for 2-2:30 hours as he was
busy in some medical procedure) denied to look at the bed sore and take the case. Because as per him it was a case of neurologist and not plastic
surgeon. His words after just seeing the patient "Kya karu iska(my dad)? Mujhe kyu bulaya hai?"
Then came Dr.Manoj Bansal (Plastic Surgeon) & he advised to get the debridementremoval of infected tissue immediately.
Admission was done under two departments Primary: Plastic Surgeon & Secondary : Neurologist.
But the blood pressure & other vitals dropped rapidly and the situation got very critical due to septicemiaseptisemia or whole body infection as
explained by the doctor. They had to get this debridement done asap under life threatening condition (I was told that anything can happen,
'anything'!).
Debridement surgery done by Dr. Manoj Bansal on :[protected]
After 3-4 days all the doctors be it neurologist or plastic surgeon or the medical staff, kept pushing for the discharge of the patient. But just
imagine the situation of the family members.
In reality, the bed sore was not improvinghealing even though the dressing was being done on a regular basis under the blessed supervision of Dr.
Manoj Bansal. The cavity formed after the removal of dead tissues was of the size equivalent to the cricket ball with 2-3 inches extension on either
side. This cavity was inspected daily (only by the Dr. Bansal) to see whether there is any dead tissue creation, if yes then it had to be removed with
forcep immediately to avoid further damage. We decided to keep dad in the hospital till some healing starts in the woundcavitybed-sore.
Dressing was being done by the doctor even after 10 days of surgery and not a single medical staff (sister or brother) touched the woundcavitybed-
sore.
1. What sought of professionalism did Dr. Randhir Singh illustrated in his visit? I wonder whether he would react in the same way, in case the
same thing happens to his own family member.
2. Who is responsible for this life threatening surgery? Why did the bed-sore developed in the first place & reached at such a stage?
3. Who should pay for it? Because after paying a big chunk of bill in 34 days of hospitalization, I wonder how many middle-class families would be
able to bear another 15 odd days of hefty bill including a life-threatening surgery & mental trauma!
4. How can the bedsore dressing be carried out at home (after discharge) when the only qualified person to do it is Dr.Manoj Bansal? Then what's
the point of pushing each & every family member for an early discharge of the patient.
________________________________________________________________________________...⇄
[protected]Date of re-admission) : Dr.Ashwini Kr Uttam (Neuro-department)
He did the regular visits in the ICU & ward during 1st hospitalization) was there in the emergency while re-admission process was taking place, when I
asked who is responsible for this(bed-sore) situation sir, his words : "Its my negligence, that I did not looked into bed-sore myself during 1st
hospitalization & relied on the words of the medical staff." (who did some dressing when they used to do sponge in the morning) & it got worse during
that period.
[protected] : Dr. T.S.Jain
When the medical director Of Pushpanjali Crosslay Hospital Dr. T.S.Jain was made aware of the Dr Randhir Singh unacceptable behaviour. His response we
will take a necessary action, this is not acceptable.
And regarding the bedsore also, he was very apologetic which was because of the negligence of the medical staff.
Few days after debridement surgery:
Dr. T.S. Jain words :
"How are we responsible for this?"
"There is no negligence from our side so why there should be any compensation!"
"We are still looking into Dr.Randhir Singh scenario."
"Discharge summary had printing mistake, 'Sacral bed-sore grade 1' was printed instead of 'Sacral bed-sore grade 4'."
A complete turnaround of events & perception.
I said can you give this to me in written, he said yes & wrote a mail the same day.
When a mail was sent in written asking some basic questions about the treatment & services in Pushpanjali Crosslay Hospital, there was no response.
They were not even ready to give a reply in written which the Medical Director said in the morning.
________________________________________________________________________________...⇄
It's a worst hospital. Never prefer to this hospital. It's totally money minded. One more interesting thing about this hospital senior doctor's consultant fee will be more but they does not take any responsibility. I want to tell about one doctor whose name is S.K.Mittal. He is chairman of paediatric department. He is one of worst doctor. His charged is high but he does not check up the patient properly.
I visited Pushpanjali Crosslay for the dental clearance before surgery even though I got the clearance from my dentist. I was told that I need 6 fillings done as there were deep cavities. I got it done as per their advice and paid 8500 for the same. Next day today by chance when I contacted my dentist and he told me that I never required any drilling and filling as per the X-ray he has taken 5 days back.
All this means that for money these doctors can go to any extent. Please avoid this hospital.
All this means that for money these doctors can go to any extent. Please avoid this hospital.
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W-3 Sector-1, Vaishali, NCR, Ghaziabad, Uttar Pradesh, India - 201012
It looks as though Surgeons nothing less than a shoe cobbler, in order to fetch hefty sums, pursue a doctorate leaving aside all human values or to say humanity. In fact humanity is a word rarely found in their dictionaries. Had that been not like that, they would be more conscious before doing any surgery and explain the pros and cons of it to the patient and family.
Today without a single thought they recommend surgery. It is mundane for them. But what about the person who is victimised? The victim(the patient) and the family having full faith on the doctors, keeps on waiting for them in the hope that they would answer a few of their questions. But these doctors hardly have any time or to say mind to answer and resolve the tension of the people who are already going through a turmoil. Why can’t they say " we don’t know " when they don’t know actually or why do they hide the facts? Do these doctors have a heart? Sorry, they use it only as an organ in their bodies. That’s it.
Further the surgical Oncologists refer the patient to radiation oncologists for now it’s the latter’s turn to earn.
RADIATION treats cancer as well as causes cancer. The patient who is already low on immunity is exposed to high energy rays(radiation) without using BLOCKING DEVICES post operative. The patient is assured that the radiation will only reach the affected area. Had that been so, why not any technician or doctor remain in the radiation room while the treatment is on? Why don’t they allow the relative of the patient to accompany the patient who is afraid of this suffocating treatment?
Our appointment with Dr. DINESH SINGH, radiation oncologist, was fixed by Dr. Vaishalli(surgical oncologist). We reached at the appointed time only to find that the doctor was not available as he had to see the plumber for renovation of his house and his assistant Dr. RASHI AGGARWAL was available to consult.
My mother was very much apprehensive everytime she went for radiation at GALAXY CANCER INSTITUTE OF PUSHPANJALI CROSSLAY HOSPITAL . Sometimes the radiation machine was not working and we had to wait for hours . All it affected was the patient who was already on liquid diet. Other times to ask a few things from the concerned radiation oncologist, Dr. Rashi Aggarwal, we had to wait. She talked a lot and when problems started surfacing she was clueless and started avoiding.
No Comprehensive Treatment
The doctors in Pushpanjali Crosslay Hospital worked individually even while the patient was admitted for surgery. Forget about the team or comprehensive treatment which the hospital boasts about being a multi-speciality hospital . Surgical Oncologist Dr. ARUN GOEL, used to come in room and ask us(relative) what the nephrologist( Dr. Neeru Aggarwal / Dr. Jha) at Crosslay suggested . When Nephrologist came, he asked us as to what the oncologist at crosslay suggested. The two were never seen together to understand the problem of the critical patient suffering from chronic kidney disease and oral cavity cancer.
In June-July, 2013 Nephrologist( Dr. N.P.SINGH) at Crosslay kept on assuming the problem of high TLC, fever, restricted movement of tongue, not being able to speak, eat, swallow and drink- as because of malignancy while my mother was already operated for oral cavity cancer of RMT(retro molar trigone) in April and tongue was intact.
At the same time surgical Oncologists kept on assuming it all as because of kidney problem(she was on dialysis post op) and said that it had nothing to do with the surgery done. Both of them referred us one or the other doctor of different speciality in Crosslay Hospital .
Most of these doctors kept the patient WAITING for an hour or so. My mother was trembling very visibly as she was unable to drink even water the whole day and was down with high fever for days but had nothing to do but wait for the call from Dr. N.P.Singh, nephrologist despite of taking an appointment with him at Crosslay.
Neurologist at Crosslay said, " She is fit neurologically but if she is not able to eat, drink and swallow, get the PEG(feeding tube in tummy) inserted". On advice of neurologist, ENT, oncologist, nephrologist and gastroenterologist of Pushpanjali Crosslay Hospital, she was operated for PEG on 3rd August, ’13. But that didn’t solve the problems. Then the oncologist(Dr. ARUN GOEL) asked us to see a doctor in any other hospital.
It was only Dr. Ashwini Goel, nephrologist at BLK(on 14th August) who understood that she was suffering and advised us to let her go as she was sinking. She went for last dialysis on 16th August but could not have her extra fluids out as her B.P. was significantly low. Finally she took the heavenly abode on 18th August, ’13.
Why do these doctors choose the divine profession of serving humanity while being obsessed with the thoughts of earning money.
What does these doctors think of themselves? They are fetching hefty sums and more than that the valuable time and energy of the patient and family but are not there to justify that. I feel they are not there to remove the disease but the diseased person.
Billing in EMERGENCY of Pushpanjali Crosslay Hospital took 30-40 minutes everytime we went for IV administeration in June, ’13. The staff indented the things wrongly and then the rectification used to take another 20 minutes atleast notwithstanding the problems it created as the nurse and billing counter personnel remained unaware of the condition of patient. They just do their formal duty ordained by hospital, whatsoever the time it may take.
Same thing happened in DIALYSIS UNIT as well almost everytime. Once I asked Ms. Shaila to indent Inj. Neurobion . Despite of many reminders it was made available only after 3 hours while the dialysis was already over half an hour before. Further it used to take another 20 min. to call GDA. All it affected was my mother who was already on a liquid diet.
NEEDLING in Dialysis Unit of Pushpanjali Crosslay Hospital is not done properly except by two senior staff i.e Mr. Jainendra & Mr. Kishan . In April, ’13 for dialysis, a cannula was to be inserted in a vein of leg. Junior staff made 3 attempts at 3 different sites with 3 cannulas before I informed the senior staff who did it at once and told the juniors that they should have called him if it was not happening(cannula in vein). In SICU as well, the junior staff of dialysis unit made such futile attempts causing a lot of pain to my mother. Junior staf[censored]ses the patient as a specimen. Why aren’t they trained properly before having a hand on patient?
They used to quickly cover up the blood stains and the blood loss during dialysis but didn’t show that quickness in other matters.
In June, 2013 during dialysis my mother suddenly started having extreme pain in left arm. A needle was removed from fistula .Her left arm turned blue. For this, the staff said, " unho ne hath hila liya hoga". Firstly, if staff knew that hand was not supposed to be moved, why didn’t he bind the hand with tape and took care? Secondly, it was told to us by a doctor itself that it happens when the needling is not done properly.
The only TOILET in dialysis unit used to remain dirty, a hub of infections for patients of dialysis as they are already low on immunity