Sunday, January 13, 2019

After attending a medical conference

5 Doctors were killed in accident


Five doctors were killed on the spot when the vehicle they were travelling in rammed into a bus on the Mumbai-Agra highway (NH 3) at Kokangaon phata near Pimpalgaon Baswant in Nashik. Another doctor who sustained injuries is recuperating in a hospital in Nashik.
Those killed have been identified as Dr Sanjay Tiwari (47), Dr Chandrashekhar Gangurde (45), Dr Pratap Shelke (46), Dr Sooraj Patil (40) and Dr Kundan Jadhav (34). Dr Umesh Bhosale's condition is stated to be stable.
The accident took place around 2am on Monday when the doctors from Pimpalgaon Baswant were returning home from Nashik after attending a medical conference.
While Dr Gangurde, Dr Shelke, Dr Patil and Dr Bhosale had reached Nashik in a Mahindra XUV belonging to Dr Patil for the conference at Hotel Express Inn at 8.30pm on Sunday, Dr Tiwari and Dr Jadhav reached in a car of their colleague Dr Rohan More. When the conference got over by 1am, Dr Tiwari and Dr Jadhav sat in the XUV to return home.
The XUV rammed into the private bus from behind. The bus had slowed down due to a speed breaker and the speeding XUV rammed head on into the rear of the bus. The impact of the collision was such that the XUV was completely smashed and five doctors were killed on the spot. Only Dr Bhosale, who was sitting on the back seat, survived.
The bodies of the five doctors were taken to the primary health centre in Pimpalgaon Baswant. The bodies were handed over to the families at 10am after post mortem.
Dr Tiwari practised as a heart specialist. Serving the people of Pimplagaon Baswant for the past 20 years at his Sanjeevani hospital, Dr Tiwari had saved lives of many patients. He is survived by his wife and two daughters. Dr Gangurde was a paediatrician at Chiranjeevi Hospital for the past 18 years. He is survived by his wife and two daughters. Dr Patil practised as a gynaecologist at Girija hospital for the past 13 years. He is survived by his wife. Dr Jadhav, was also as a gynaecologist at Gayatri hospital and he is survived by his wife and a daughter.
Dr Pratap Shelke is survived by his and two daughters. He was a gynecologist at Shelke hospital for the past 18 years.
A case has been filed at the Pimpalgaon Baswant police station and the police are in search of the bus. However, Sanjay Mohite, superintendent of police, Nashik (rural), said: "While some people are saying it was a bus that the doctors' vehicle had rammed into, considering the condition of the XUV, the probability of it being a bigger vehicle like a container cannot be ruled out. We are in search of the unknown vehicle."
This, in fact, is the third accident in the recent past on NH3 in the vicinity of Nashik. Last week, in an accident wherein a cool cab rammed into the rear of a truck on a flyover of NH3, three persons, including a woman journalist, were killed. In another accident last week, again on a flyover near Rane Nagar, one person was killed.
A Neeta luxury bus spun out of control, drove over a divider and hit an Innova car on the Nashik-Mumbai highway on Saturday evening, killing nine people and injuring 20. The incident took place in Lahegaon near the Cico Pipe Company and the injured have been transferred to Shahapur hospital. Dilip Salunke, police inspector, Shahapur police station, says, “A pulsar bike entered the Nashik highway unexpectedly while the Neeta luxury bus was travelling towards Mumbai. While trying to save the biker, the bus driver lost control. The bus drove over the divider and hit the Innova car which was coming from Mumbai. It was then into the farm adjoining the highway.”


Sunil Vodke, senior police inspector, Shahapur police station, says, “Around nine people are dead in the incident and 20 were injured. All of them are sent to Shahapur government hospital, while few are sent to Kardia Care hospital in Shahapur.” The incident took place in Lahegaon near the Cico Pipe Company.
The Innova diver Darshan Kumar, a resident of Jharkhand, died on the spot. He was accompanied by two children and a women, who also died. “We will register a case against the driver of the bus who is absconding,” said Vodke.
Fifty one-year-old Rajendra Sharma, one of the injured, explained that the bus had 52 passengers and that the driver drove rashly.
“Twenty of us came from Chandni Chowk in Delhi to Shirdi for darshan three days before. We boarded the bus from Shirdi to Mumbai on Saturday morning, as we were coming to take darshan of Lalbaugcha Raja in Mumbai. We were supposed to leave for Delhi on Sunday evening. But now, I suppose we have to cancel our tickets because of the accident.”

Saturday, December 29, 2018

MY FIRST DAY AS A NEW DOCTOR

After a brief health and safety meeting where we're told what different-coloured fire extinguishers do (will I ever remember?), I'm assigned a ward with 30 patients and four nurses. I'm in charge for the afternoon. I'm 25, I still can't cook properly, but I'm responsible for 30 lives. It's pretty terrifying.

STRESSED:- Many junior Doctors have to make life-saving decision based on little experience. My bleep goes off 20 seconds after I start. I ring the ward where the nurses are frantically searching for a doctor. 
A surge of adrenaline rushes through me. The harassed voice on the other end of the phone says: 'We've got a patient here with a brain tumor and we think she's septic (suffering from a life-threatening infection). Which antibiotics should she be on?' 
I think an unspeakable word. Not only has this patient got one of the most serious conditions you can get, it's at a life-threatening stage. And I certainly haven't got a clue what medication she's due. 
Should you not ask someone more senior, I croak? There is no one else. I make my way to the ward and introduce myself to the patient. As I discover will often happen, the minute I get there, someone says: 'It's OK, the doctor's here now', as if I will offer some miracle cure. 
I can't tell them I haven't the faintest idea what to do. The patient is already on a complex array of medication, and if I start prescribing more I could make the situation worse. 
So I decide to not give her anything. She doesn't look too ill at this stage and should make it through until someone more senior comes around. I later discover, to my huge relief, that the more senior doctor didn't prescribe any antibiotics either. 

But I'm angry at myself for not knowing what to do. What if that lady had gone rapidly downhill and died? I shudder to think what would have happened if this had been a night shift when it's likely there would just be me and another junior doctor on duty. 

I've already heard that night shifts are horrific. Before my time, junior doctors worked more day shifts and were often on call at night - in nearby hospital accommodation - if their patients got sick. 
But because of new EU rules which state no one is allowed to work more than 48 hours a week, everyone works shifts – either day or night. As a result the one or two junior doctors working at night in a specialism can end up having to look after between 100 and 400 patients on their own, with no back-up. 
And because we have to work either day or night, the number of day shifts we'll work has fallen. 
That means we won't work as often with senior staff such as consultants and registrars - the people who train us. 
So when we're alone at night and having to make decisions about patient care, I won't have as much knowledge. I'm terrified I'm going to make a mistake.
Can anyone keep suicidal thoughts away?
The first year after medical college called internship, means round the clock hours, low rank, constant demand from patients and seniors, learning complex new skill and constant fear of a making mistake that could harm a patient.
The Result: - A year of stress and self doubt that drives up thoughts of suicide to nearly four times the normal rate.

Doctor's Family Life & His Sacrifice


We exists because of you


Extending Life


MY FIRST DAY AS A NEW DOCTOR

After a brief health and safety meeting where we're told what different-coloured fire extinguishers do (will I ever remember?), I&...