A case of too many doctors: No coordination among specialists can prove fatal
Lack of coordination among different doctors treating a patient can spell death in some cases. In the concluding part of our series on medical negligence, a look at one such case.delhi Updated: Nov 24, 2016 14:03 IST
Sanjeev Bansal lost his father because of lack of coordination among ‘specialists’. His father Jaiprakash Bansal, 71, had a fall in January, 2016, and went to Apollo Hospital for a surgery to repair his fractured hip bone. This is a routine surgery, but Bansal could not survive it.
When he had the fall, Bansal was under the care of a nephrologist at Apollo Hospital for chronic kidney disease (CKD). He was also consulting a neurologist for a stroke, damage to the brain due to interruption of blood supply that he suffered a year back.
“I gave all the test results and scans, along with a list of prescription medicines, to the orthopaedic surgeon at Apollo who assured me that the surgery was very simple. When I lost my father, I did not expect it at all,” said Sanjeev.
The surgery was done a day after Bansal was admitted to the hospital. “I had asked the surgeon to speak to the two other doctors who were treating my father at the same hospital. How difficult is that? All the problems and complications arose because the surgeon did not consult the others,” said Sanjeev.
During the time of the surgery, his father was on blood thinners to prevent strokes. Blood-thinning medicines are stopped four days to a week before all elective surgeries. Sanjeev also alleged that the surgery was done based on kidney function test, serum test and blood tests done 20 days ago. “A fresh set of tests were not done before the surgery. In fact, the levels of urea, creatinine and other parameters written on the case sheets are exactly the same as the figures that were there on the reports given by me,” said Sanjeev.
The medicines prescribed after surgery further interfered with Bansal’s kidney functions. “He was put on dialysis and had a cardiac arrest, after which the dialysis was stopped and he had to be put on a ventilator,” said Sanjeev.
“I paid the hospital Rs 6 lakh and still lost my father as the doctors were careless. The in-patient documents provided by the hospital are all forged. It shows that my father’s blood pressure, pulse rate etc was recorded at 8am on February 11. He was pronounced dead at 6.11am the same day!” said Sanjeev.
His complaint has been accepted by the Delhi Medical Council and is under review.
Apollo Hospital says despite regular briefing to the family, the patient was discharged against medical advice at 2.19pm on February 4, 2016. “The hospital strongly rejects any allegation of wrongdoing in the case. The concerned patient, a 71-year-old male, was operated for his fractured hip… The surgery was done more than 24 hours after his admission, after optimising his medical condition and taking an informed high-risk consent (due to his coexisting multiple medical problems including hypertension, chronic kidney disease (stage III to IV) with anaemia and history of cerebrovascular disease in the form of old stroke with residual right hemiparesis). All possible clinical measures and precautions were carried out, unfortunately, despite all measures his condition deteriorated and the patient succumbed to his illness on 11.02.2016.”