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Download PDF There have been a lot of writings on newspapers saying the real face of LabAid Cardiac Hospital is much diffrent from what is seen from outside.
Today I found a blog where the author raised his voice against LabAid Cardiac Hospital and gave some inside pictures.
Over the blog the author shares his own experience with his father’s treatment at the hospital and also holds some archives of some news published on newspapers.
You can check out the blog at: labaid.wordpress.com
As I personally dont have any experience with the LabAid Cardiac Hospital I am wont making any comment myself on it.
February 25th, 2008 at 6:21 pm
I am looking a girl
March 5th, 2008 at 12:08 am
01911131973……………………….
April 14th, 2008 at 10:50 pm
http://www.banglaeye.com
June 1st, 2008 at 11:20 pm
My father who was suffering from jaundice for 10 days due to Hepatitis E Virus was admitted in LABAID on 27.04.08 as his clinical condition detoriated suddenly. All his clinical parameters were stable till then, but as he suddenly felt very weak I made no delay to shift him to a hospital. At first I rushed to BIRDEM, very good looking very well behaved doctors listened to me & told me to wait until 4 pm as the statement sheet will arrive at 4 pm whether cabin will be available or not. But at the same time another patient came there who was a relative of one of the staff of BIRDEM. It was his good luck & my bad luck that he was the relative of a staff of BIRDEM.So being a doctor I failed to get my father admitted there as the doctors booked the cabin for the staffs relative.
Till that day I was very much proud about my profession, I thought that all the people who talks against Bangladeshi doctors are unaware of treatment facilities available in Bangladesh. But I was wrong. Anyway I rushed to LABAID emergency . After seeing the patient they shifted my patient to Cabin under a gastroenterologist.When my father reached the cabin he was fully conscious and fully oriented but developed Melaena (blood with stool). At first the ward boy came to shift the patient from stretcher to bed & then again came with dress of labaid , then the nurse came & then the duty doctor came and gave his opinion that it is a case of hepatic precoma.My father was telling me and my mother to leave him in hospital & go home as he was very much confident that he would be alright.At 7.30 the consultant came & became astonished that no treatment was started in 1 hr although he gave the order over phone.
My father was shifted to ICU .Initial management that the duty doctors did was to set a monitor & do an Arterial Blood Gas Analysis. All the investigations reports took more than 14hrs to be available. It showed my father is going to have Acute Renal Failure. His CBC showed increase neutrophil count. I told the duty doctors to call a nephrologist for the management of ARF. But they told me that they will call nephrologist when necessary. So I gave the complaint to counseling depts. We are paying money for the treatment , so we should have everything necessary for the benefit of the patient. At last at 4pm they contacted with the nephrologist & he visited at 8 pm & ordered for Dopamine in renal dose.
Gradually my father developed abdominal distention and they made my father NPO(!!!!!!!!!!!) In absence of any feature of mechanical obstruction of gut. As ICU was a very much restricted place I could not go there very often. I had to stand or sit in front of the ICU( OFCOURSE ON FLOOR).Even I slept there for the benefit of my father in spite of the misbehavior of the guards of LABAID as if I m a beggar begging for the safety & care of my father to some statue type doctors for whom duty means sitting on the table, gossiping, and reading books. Patients were the responsibility of ward boys & nurses. Even to check patient’s condition they relied only on the monitor in front of their table which was connected to all other monitors over the bed of the patients. So they need not get up from the chair. What a luxurious job! For this they are being paid highly. My father needed several bags of fresh frozen plasma but never ever the ICU duty doctors asked for that. It was me who had to go there after fighting with the guard & asked if they needed any FFP. Then they could recall that the consultant already ordered for that. But they were very much reluctant to give the requisition at right time. At night they told that they will give it at morning but even at 9.45 am they told me to wait as it was there handover time. Can 9.45 am be a handover time?
My fathers abdominal distension was increasing & he developed edema also, but consciousness level was ok & pulse was increased & BP was stable .At 8 PM I went to the consultant’s chamber & he told me that it was a case of CLD(!!!), as the recent USG showed splenomegaly which cant happen in acute case. I pointed out that spleen was of normal size in previous USG. (On next day USG showed spleen was of normal size.)
On the next day at 8.30 pm I got a call from the ICU( it was the 1st time after my father’s admission that they needed to talk with patients guardian).They told me that my father has developed pulmonary edema due to fluid overload and his oxygen saturation is falling so he needs to be ventilated. I gave them the permission. At that distressed condition the only question of my father was how would I go home. Still he was hoping that he will get the highest level of treatment. The nephrologists came in his usual visit & decision of dialysis was made which was supposed to be done on next day as it was already night. Nephrologist also asked the duty doctors about urine output but duty doctor could not tell. He was looking for thethe sister to know the urine output, at last sister came & told the output(!!!!).
Next day at morning I wanted to enter the ICU but the guard did not allow me saying that the doctors were very busy then .At 10 am I entered the ICU & got the news that catheterization has been done for dialysis.They also informed me that they are going to arrange a medical board for my father at afternoon. They told me the names of the doctors, I was a little bit relieved hearing this & hearing the names of the doctors, I thought that there may be some improvement but it was a bad joke to me.
They failed to contact with the doctors of the board saying that they don’t have phone number. So I personally contacted with one of the member but he said that he doesn’t believe that labaid doesn’t have his phone number, he also said he will attend the meeting if labaid informs him. Meanwhile it was 11 am & the ward boy took my father for dialysis. What a funny thing….a patient who is on ventilator support was escorted by only a ward boy who has no medical knowledge!
Anyway dialysis was done & my father returned to ICU at 2.30 pm. I asked the duty doctors about the condition, they said that lungs are clear now but at 4 pm they told me that he has developed ARDS (acute respiratory distress syndrome) .I understood very well what is going to happen. Gradually my fathers BP started to fall. At 5 pm the medical board held . Can anyone believe that the members of medical board were only 3…..those 3 who were the attending consultant who already failed to manage the case? They told me that patient has developed septic shock & MOF (multi organ failure), & the consequence of septicemia on a ventilated patient is very dangerous.
At 11 pm my mother asked the ICU duty doctor about the condition of my father but he was very rude to my mother& said very rudely ‘what condition, he will not survive’. The readers here will not understand how rudely he talked to my mother as it was in Bengali. That doctor is a govt. medical officer who is the assistant registrar of plastic surgery department of DMC. As he is the AR he is very busy. Surely he will be exhausted. He is also being paid from govt of Bangladesh, then why is he doing private job? He was treating his fellow colleague’s father; doesn’t he have the minimum sense of counseling the wife of a critical patient who will die in next few hours? Later I found him eating inside the ICU as he doesn’t get time to finish his dinner before joining the duty. It seems that he is the prince of ICU, & all the patients are his subjects, he can do anything as no normal person will be allowed to enter his kingdom at late night without the permission. At 5.45 we got a call, my mother entered & saw CPR (cardio pulmonary resuscitation) was going & death was declared.
MY QUE IS:
1) My father was diagnosed a case of septicemia. Why did not they do a simple blood culture after his admission?
2) From the very beginning the CBC showed increased neutrophil count, stool R/E showed plenty of pus cells, why did not they go for culture? Upon which ground they were using antibiotics without culture? We were ready to pay for anything, then why did not they do a culture; rather they changed the antibiotics several times?
3) In a patient of early septicemia where gut was the primary pathology how much rational it was to keep the patient NPO (nothing by mouth) for prolong time?
4) The sisters were using gloves for their safety, not for patient’s safety. With those dirty gloves they were handling Catheter, other instruments & the IV line several times. Can it be expected from an intensive care unit where chance of developing septicemia is very high?
5) Can only splenomegaly in a single USG be sufficient to say that it is a case of Chronic Liver Disease?
6) What are the qualifications of duty doctors appointed in ICU? How much skilled they are to run an ICU? How much trained they are to deal with ventilators. Where did they get the training from?
7) If the duty doctor doesn’t know the urine output of a critical patient then how will he understand that patient is going to shock or renal perfusion is not adequate?
8) The duty doctor ( Dr. Imran) was treating his colleagues father. How can he be so rude to her mother? If he is the duty doctor of ICU he must know how to counsel a relative of a dying patient. He must know to treat each patient with respect & courtesy. He should know how to establish a suitable rapport by demonstrating clear, honest & empathetic communication & to take a holistic approach to patient’s relatives. He must inform the relatives few minutes before death so that they can see them for the last time, not after starting CPR.
9) Why should I pay the fees of medical board (it was not the usual fee of visit) to the consultant under whom patient was admitted where it was his duty to attend the patient & where the authority failed to arrange the board properly. There was no doctor other than the attending physicians.
I am not writing this to complain against LABAID. I know that my father was destined to die at that time. The only thing that troubles me is that we could not give him the highest possible treatment which could be given very easily, could not give the highest level of care .He was all alone in his last days lying on the ICU bed. Doctors in our country are engaged in 3 places at a time – he is doing Govt job, he is doing private practice, & also he is the consultant of private hospital. How will be he available in 3 places at a time. People admit their patients under consultant, then why won’t be he available at crucial times?
When I went to India for my MRCS exams I saw people going there for treatment & abusing & cursing Bangladeshi doctors. I was very rude to them. I thought that they might be convinced by newspapers, Fancy advertises or other sources. Now I know the reality. I have learnt it from the sufferings of my own father. I admitted him in a specialized Hospital, but what I got in return could be got from any private clinic. The level that the duty doctors showed was below expectation & of course below standard. In spite of being the assistant registrar doctors are doing duties in ICU.How can people call them ‘SONAR CHELERA’?