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Monday, 8 April 2013

THE NEW AWATARS OF FLORENCE NIGHTINGALE

“I have brought Pinni to Medical College today,” announced Rajan on phone. “She has been unwell for quite some time and the doctors at the Medical College have advised her to undergo an angiography at the earliest.”
“But why Medical College? Will she get there the care that she deserves?” my husband Shiv could not hide his anguish.
“…Because it is totally non-commercial. The decision of the doctors there is not governed by monetary considerations,” there was finality in Rajan’s tone.
“Rajan, but the inconvenience that she will have to undergo there? I am sure money is not of consideration in your decision.”
“No, it’s not. It’s my lack of faith in other commercial hospitals.”
Shiv and Rajan have studied together in school and can discuss anything under the sun without any reservations.
“Ok. If you have already decided, tell me if I can do anything. Shall I bring your lunch to the hospital?” asked Shiv. We know that there are restrictions on Rajan’s diet as he himself has undergone cardiac bypass surgery a few years ago.
“Ok. That's welcome, but I’ll give you a call when her process is over. You should start from home only after that.”

I packed the lunch and started waiting for his call.

At 12.30pm, a nurse from the Cath Lab of the Hospital called, “Your patient who has undergone angio this morning has come out. Please get some soup and porridge for her lunch.”

It was a surprise thrown at me but I instantly took off with pans and ladles and dished out some tomato soup and porridge with mixed veggies, both fat-free and mildly salted for the heart & diabetic patient that Poonam is.

At 1.20pm, I received a call from Rajan, “Where are you guys?”
“Just outside the hospital.  Will reach there in ten minutes.”
“Wait for me. I’m coming downstairs,” he said.
It took us much more than ten minutes to enter the main gate of this prestigious medical college in the country as it was choc-o-bloc with autos and pedestrians. Even an ambulance was struggling to find its way in. Rajan was at the gate. We picked up the lunch hamper and  followed him.

Such holy confusion in the place! It was so awfully crowded. There were so many people mostly from lower strata of society, moving around and so many others lying on the roadside where there was some shade. Most of them were quite old and sick. There were small children crying and aged people moaning. Some were even lying on stretchers. The temperature outside was already 39C.  As we quickly moved towards the Cardiology Wing, I wondered how much time would we have taken to reach there on our own. Thank God! Rajan had come down to escort us.

“You can’t go into the Cath lab area with shoes on,” Rajan enlightened us. We left the shoes at the entrance unguarded and went in.
“Don’t be surprised to see her on the stretcher. They are short of beds.” Was Rajan being defensive of his decision?

As we approached the corridor outside the Cath Lab, I was shocked to find Poonam on a stretcher and panicking, “Ohh…It’s still bleeding. Give some more cotton.”  A young lady in a colourful silk saree was standing by her side tightly pressing the wound with both her hands.  A nurse came and handed over some more cotton to the woman and walked away non-chalantly without uttering a single word.

I was too zapped to figure out what was happening. I asked Poonam and was aghast to hear that the wound in her thigh, where they had inserted the catheter, had started bleeding profusely, perhaps because of a bout of cough she had.

It took me some time to realise that the woman in the colourful saree was not a hospital staff but a patient herself.
“Where is the nurse?” I asked.
“They all have gone for lunch. Aunty ji, it is lunch-time for them now.”
“And you?”
“I had come here to pick up my report and saw her in pain and bleeding. Therefore, I thought, I’ll hold the cotton for her. You know some other patient had done the same thing for me three days ago when I also started bleeding like this only after my angiography. After all, she is like my mother only,” she smiled lovingly.

For next one hour, she continued standing by Poonam’s side maintaining the pressure on the wound while I fed soup and porridge to Poonam. I wanted to take over from her many a time, but she insisted on continuing.

The nurse walked in merrily after an hour and announced, “No bed is available yet. So you continue here only.” Saying this, she left without even enquiring about the wound and the bleeding although she saw this untrained outsider maintaining the pressure on the wound.

Apathy and empathy, carelessness and concern, insensitivity and love for humanity, neglect of duty and selflessness, all negatives and positives of human character got mixed up at that moment.

While I felt humbled by the selfless service lovingly extended to Poonam by this complete stranger, I was full of rage for the Nurse on Duty in the Hospital. 
But I am still wondering who was the real avatar of Florence Nightingale!

(Based on my real life experience today.)
                        *****


15 comments:

Anonymous said...

...I really liked this blog-the words you have chosen to describe your emotions and feelings are very appropriate and thought provoking...
Gargi Vidholia

Anonymous said...

Unbelievable, but it is true. Ranjana, let me tell you in most of the hospitals it is the same story. Disgusting!
Usha Charan

Anonymous said...

Long live these real FNs of our world !
Amarjit Kohli

Anonymous said...

So sad !! The story gives some hope...Long live modern nightingles.
Umesh Sharma

Anonymous said...

I can't believe it.
Abhijit Das

Anonymous said...

We can't actually blame the poor over-worked nurse - politicians have ensured that such facilities exist only for the so-called VIPs of the MODERN INDIA ! The general public is only for electing them into power......
Amarjit Kohli

Anonymous said...

While it is really pathetic in Govt hospitals , it is more inhumane in 7 stars so called super specialty Private hospitals where u are subject to numerous unwanted tests, uncalled for visits & consultations of senior doctors leading to more tests , attended by junior inexperienced doctors , prolonged stay in ICUs with ventilators and God forbid many a times after all such prolonged treatments & tests, the patient does not survive and they declare death of patient at midnight. Even after spending lakhs of rupees in these 7/ 5 star comforts you are left with sorrow & repentance.it is a fact I witnessed in 3 of such cases of my relatives in one of the very reputed 5 star hospital in the capital.One wonders where to go ? One can only pray it may not happen with them or their near & dear ones.
Anil Saxena

Anonymous said...

Yes, this is the sad reality that prompts the emigration of doctors from India.

The dysfunctional system is run on an ad-hoc basis by beaurocrats and politicians who milk it for money. The doctors and nurses are forced to work far in excess of what they humanely can (I was expected to see 140 opd patients in 3 hours!), and after months of frustration just throw up their hands to turn into insensitive zombies.

On top of this mess, the powers play caste politics in medical education and administration, making a competent person frustrated (and insensitive to patients) while promoting the incompetent...... Viva socialism and social equality ...,

I hope your friend is on a road to speedy recovery and wish her well.....
Gaurav Sharma

Anonymous said...

I pray for the patient, but what you have observed now has been experienced by me years ago. No point in naming the hospitals, it is painful and then one wages an absolute losing battle. I have also seen the contrast of this, and hence have experienced the end with dignity as well. Very recently, a well known hospital in the commercial capital made an immobile patient get up to change the beds, instead of just moving the bed which has wheels-wonder why the wheels are on beds!!!!. To add to the bureaucratic insult, I was told the beds have numbers put on them so we cannot move beds but have to move patients, to hum kya karen-yeh hospital ka rule hai, Siddharth Sahgal

Anonymous said...

Most frustrating read!!This sounds like XXXXX to me but even in the 5 star hospitals the lack of professionalism is shocking!
Chanchal Sanghi

Anonymous said...

May the good lord save us from going to any hospital.
Ravi Nair

Anonymous said...

I think it must be X X Hospital.
Vinod Sethi

Anonymous said...

It is a common scene in many govt. hospitals.
Nirmal Jit Singh

Anonymous said...

None may have to go to the govt hospital.One is indeed lucky if i he returns back hale and hearty.the postion of govt hospital is deplorable.As a Senior Citizen member of Bhagidhari cell of Delhi govt, i was asked by Delhi govt to give the report on B.R.Ambedker Hospital in Rohini few years ago.My experince and report was of disgust,shock and disbelief.The Medical Officer of the hospital was explained of my findings,He told that there is big crowd of people who come for treatment.Due to big crowd and shortage of Doctors and space,proper treatment is not metted out.But for dirty enviroment and shortage of medicine,nothing is available for care of ailing patients.
Baldev Raj Bahl

Anonymous said...

Great glad you shared with us. How is Poonam now. Get well soon Poonam.
Shanta Vasan