KEM Hospital wants to punish Interns for getting Corona-infected; BMC asks Seven Hills Hospital to keep 100 beds in reserve for its own staff and police!
While every healthcare professional is fighting a mammoth war against corona virus (COVID19), the high-handed attitude and apathy from government, especially towards interns continues. The latest is a circular issued by a medical college and hospital run by the Municipal Corporation of Greater Mumbai (MCGM) asking interns to explain why and how they were infected with COVID19! Separately, the municipal corporation has directed Seven Hills Hospital to keep 100 beds reserved only for police and its own staff. But more about it later.
 
This circular to interns was issued by Dr Gajanan D Velhal, profession and head of department of community medicine in Seth Gordhandas Sunderdas Medical College (GSMC) and the King Edward Memorial (KEM) Hospital. It says, "In view of increased number of interns getting quarantined due to exposure, all interns are hereby directed to submit a written explanation about the nature of exposure and reason for it."
 
 
"If negligence in following COVID19 discipline is found, the concerned person is liable to repeat internship for the duration of the quarantine period," the circular warns.
 
Separately, the BrihanMumbai Municipal Corp (BMC) has sent an order to Seven Hills Hospital asking it to reserve 50 MCGM beds (reserved for COVID19 treatment) for the staff from police department and 50 beds for its own employees.
 
 
The order sent to Dr Adsul, in-charge of Seven Hills Hospital says, "You are requested to ensure that these 50 beds are always reserved for police staff and 50 beds for MCGM staff and not to allot these 100 reserved MCGM beds to any person other than police staff and MCGM staff.
 
Coming back to KEM Hospital, located at Parel, which is one of the MCGM-run hospitals in Mumbai, has facilities for treatment for both COVID-19 and non-coronavirus patients. Both GSMC and KEM are mainly funded by the municipal corporation. 
 
Earlier this week, resident doctors from KEM Hospital took to Twitter to share some critical issues being faced by them and patients. In an open letter to Maharashtra chief minister Uddhav Thackeray, the residents say, "...there are 35 patients in this ward managed by only resident doctors without any staff nurse or any class four workers. And this is state not of just this ward. This is the state in many other wards and it is happening daily."
 
 
"We have tried to take the matters with the higher authorities with no a avail.
 
The situation has been this grim since past many weeks and it's only getting worse. If nothing is done now and then I am afraid we will lose all hope," the resident doctors from KEM have warned.
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    COMMENTS

    akankshadani

    4 weeks ago

    This circular has been withdrawn.. Kindly make the news carefully and with whole information and avoid unnecessary blaming of repsected authorities

    REPLY

    shetyerb

    In Reply to akankshadani 4 weeks ago

    The circular may have been withdrawn.
    But it throws the light on the (in) capability of the person issuing the circular which had to be withdrawn. There should have been some serious thinking before issuing such a circular.

    patilrdnsk

    In Reply to akankshadani 4 weeks ago

    Even if it's withdrawn, it doesn't absolve authorities from high handed callous approach to own grassroot medico. If seniors and hierarchy doesn't have empathy and understanding of own fraternity then who will have? Professor of community medicine to have better sense of community living. This is worse than an IAS officer having similar circular in Delhi. Inspite of precedence, HOD went ahead with circular is axiomatic about thick skin and insensitivity.

    shantanu.ambedkar

    In Reply to akankshadani 4 weeks ago

    Well it needs to be publicised that such a callous, idiotic and ridiculous circular has been issued in the first place, irrespective of its subsequent withdrawal.

    shetyerb

    In Reply to shantanu.ambedkar 4 weeks ago

    Absolutely. And that too issued by a person sitting in the same hospital. Even if he would have taken a round in the ward, once a day, such a ridiculous circular would have not been issued.

    Information About Dr Chittaranjan Bhave's Death Due to 10-hour Delay in Getting a Bed is False: Family
    The coronavirus (COVID-19) pandemic has not only claimed thousands lives, but has also given rise to fake information being circulated on social media, often in a manner that hurts families that are involved. 
     
    A recent media reports about the circumstances surrounding the death of Dr Chittaranjan Bhave, a well-known ear, nose and throat (ENT) surgeon at GSMC Hospital. 
     
    The message claimed that there was an inordinate delay of over 10 hours in finding him a hospital bed leading to a deterioration of his condition and eventual death, which turns out to be largely false. 
     
    After his death at Raheja Hospital, where he was also a visiting surgeon, the hospital had already put out a statement explaining the exact circumstances of his demise, but it was ignored by some media entities and in concocted whatsapp messages.  The hospital had said that Dr Bhave was admitted to the hospital on 19th May and was shifted to the ICU on 23rd May and eventually on dialysis when his condition deteriorated. He suffered a cardiac arrest on 1st June. More importantly, it said, he had a longstanding history of Diabetes and Ischemic Heart Disease and had also undergone angioplasty in the past. 
     
    Dr Sanjay Gala, who is also an ENT surgeon and was co-surgeon with Dr Bhave, has also shared some information. In a message, Dr Gala is quoted as saying, "A glorious career of 30 years came to screeching halt. He had a few comorbid conditions like diabetes, IHD, two stents and painless haematuria since last two-three months, which was not fully investigated due to lockdown."
     
    Dr Bhave’s daughter Shraddha has put out a statement refuted all these claims terming it as baseless and imaginary version. Here is what she says: 
    “My mother Mrs Sujata Chittaranjan Bhave and myself Shraddha Chittaranjan Bhave have come across certain false frivolous and baseless facts narrated about my father Dr Chittaranjan Gopal Bhave’s illness, especially about the detection of his covid illness, his admission with Raheja Hospital. 
     
    Some of the print and electronic and social media gave their own mostly baseless and imaginary version. The incorrect news being circulated about my father has greatly added to the grief of the family. My father would not have liked it at all. 
     
    We would like to place correct facts on record.
    1. It is stated in the news that for admission to Raheja “He drove himself to the hospital" - this is false. My father was driven to the hospital by a family member on 19th May at around 10pm.
    2. "He had to wait in hospital for 10 hours for want of Bed”- false. Raheja Hospital and staff was very cooperative and admission was done immediately with no waiting time.
    3. "His wife and daughter are also admitted" is also false. His wife and daughter are not at all admitted. And we, my mother and me, have maintained strict home quarantine as per advice.
    4. "He operated a COVID patient in Raheja just before his illness" - this is false. He had operated an emergency, non-COVID patient in Maru Hospital in Parel.
     
    These false statements aggravated and have caused great additional despair to my mother and me. 
     
    Instead of aligning myself with this loss, I have had to cope with rectifying false news whole day.
     
    What we would want to state is that he fought his battle bravely. Throughout his treatment, Raheja staff and doctors gave their best service to my Baba and helped him in his battle.
     
    I do not believe I am even writing this but all I wish to end with is that I am proud of my Baba for being the bravest soul I have ever known.
     
    - Shraddha C Bhave
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    COMMENTS

    shetyerb

    4 weeks ago

    Our sympathies with the Family.

    shirish.s

    4 weeks ago

    Let Dr Chittranjan Bhave's soul rest in peace.
    God give his widow and his daughter, a lot of courage to bear the loss due to his untimely death.

    vaibhavdhoka

    4 weeks ago

    Currently most of the news on TV and social media are fake. Continuous hammering sets wrong signal and many people starts panicking. There should be strict censorship before a news aired.

    Caloric Restriction May Delay Ageing, Finds Study
    Who would not want to delay the onset of age-related diseases and live longer? As it turns out, the secret to a longer life is actually quite simple: just consume less food and restrict the amount of calories. 
     
    This is the conclusion of a new study by scientists from the US and China that provides the most detailed report, to date, of the cellular effects of a calorie-restricted diet in rats. While the benefits of caloric restriction have been long known, these new results show how this restriction can protect against ageing in cellular pathways. The results of the study have been published in the scientific journal Cell.
     
    "We already knew that calorie restriction increases life span, but now we've shown all the changes that occur at a single-cell level to cause that," explained Prof Juan Carlos Izpisua Belmonte, a senior author of the new paper and professor at Salk Institute’s gene expression laboratory. "This gives us targets that we may eventually be able to act on with drugs to treat aging in humans."
     
    Statistically, ageing is the highest risk factor for many human diseases, including cancer, dementia, diabetes and metabolic syndrome. Various studies have shown caloric restriction in animal models to be one of the most effective interventions against these age-related diseases. Although researchers know that individual cells undergo many changes as an organism ages, they have not known how caloric restriction might influence these changes. 
     
    For the new study, Prof Belmonte and his collaborators—alumni from Salk lab, who are now professors running their own research programmes in China—compared rats that ate 30% fewer calories, with rats on normal diets. The animals’ diets were controlled from age 18 months through 27 months. This would roughly be equivalent to a human following a calorie-restricted diet from the age 50 years through 70.
     
    At the start and the conclusion of the diet, Prof Belmonte’s team isolated and analysed a total of 168,703 cells from 40 cell types in 56 rats. These cells were taken from fat tissues, liver, kidney, aorta, skin, bone marrow, brain and muscle. In each isolated cell, the researchers used single cell genetic-sequencing technology to measure the activity level of genes. They also considered the overall composition of cell types within any given tissue and then compared old and young mice on each diet.  
     
    Many of the changes that occurred as rats on the normal diet grew older did not occur in rats on a restricted diet. Even in old age, many of the tissues and cells of animals on the diet closely resembled those of young rats. Overall, 57% of the age-related changes in cell composition seen in the tissues of rats on a normal diet were not present in rats on the calorie-restricted diet. 
     
    "This approach not only told us the effect of calorie restriction on these cell types, but also provided the most complete and detailed study of what happens at a single-cell level during aging," said corresponding author Prof Guang-Hui Liu, from the Chinese Academy of Sciences.
     
    The researchers found that some of the cells and genes most affected by the diet were related to immunity, inflammation and lipid metabolism. The number of immune cells in nearly every tissue studied dramatically increased as control rats aged; however, it was not affected by age in rats with restricted calories. In brown adipose tissue—a type of fat tissue—a calorie-restricted diet reverted the expression levels of many anti-inflammatory genes to those seen in young animals.
     
    "The primary discovery in the current study is that the increase in the inflammatory response during aging could be systematically repressed by caloric restriction," said corresponding author Prof Jing Qu, from the Chinese Academy of Sciences.
     
    "People say that 'you are what you eat,' and we're finding that to be true in lots of ways," says Prof Concepcion Rodriguez Esteban, another of the research paper's authors and a staff researcher at Salk Institute. "The state of your cells as you age clearly depends on your interactions with your environment, which includes what and how much you eat."
     
    The team is now trying to utilise this information in an effort to discover ageing drug targets and implement strategies towards increasing life and health span.
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    COMMENTS

    Ramesh Popat

    4 weeks ago

    good beginning! some useful hints!

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