Health dept to nominate nodal officer for referrals in hospitals
Dehradun, Aug. 4 -- The state health department will be nominating a nodal officer for referrals in medical colleges, district and sub district hospitals across the state after the death of one-year-old son of an Armyman after he was referred to multiple hospitals in four districts earlier this month, a senior official said on Sunday.
Dr Sunita Tamta, director general of Medical Health and Family Welfare, said: "I have written a letter (Dated August 2) to the concerned authorities for the nomination of nodal officers to ensure referrals in medical colleges, district and sub district hospitals take place as per the laid down protocols."
She said that the nodal officers will ensure the referrals of patients as per the laid down protocols and ensure coordination with the caretakers and family members of patients.
Shubhanshu Joshi, the son of a 30-year-old jawan Dinesh Chandra Joshi from Chidanga Malla village in Tharali block of Chamoli district, was shuffled between five hospitals in four districts in both Garhwal and Kumaon divisions before he died in Sushila Tiwari Hospital in Haldwani on July 16. After the death of his child, Dinesh said: "I have always been ready to lay down my life for my motherland, but this time, it failed me."
Tamta said a probe was carried out in connection with the case but as its report was rejected by secretary health, it is being re-probed at their level, apart from a probe by Bageshwar district magistrate.
Secretary health R Rajesh Kumar rejected the probe report ruling out negligence and served show cause notices to members of the panel - additional chief medical officer, Bageshwar; chief medical superintendent, Bageshwar; senior medical officer, office of chief medical officer, Bageshwar. The notices were served to Dr Anupama Hyanki, ACMO, Bageshwar; Dr Tapan Sharma, CMS, Bageshwar; Dr Pramod Singh Jangapangi, SMO, Bageshwar.
The health department also asked Bageshwar district magistrate Ashish Kumar Bhatgain to conduct a detailed probe into the matter.
Chief minister Pushkar Singh Dhami on Wednesday evening ordered a high-level probe into the child's death, calling it "extremely painful and unfortunate." He directed the Kumaon commissioner to initiate an immediate inquiry. "As per preliminary information, it appears that there was negligence on part of officials or health staff in discharging their duties. If any level of indifference is found, strict action will be taken," Dhami said in a statement.
"No laxity will be tolerated when it comes to protecting the trust and lives of the public," he added.
Dinesh Chandra Joshi said his son had shown signs of illness on the night of July 9. "He had always been healthy since birth. that night, he vomited slightly, but seemed fine and slept well," he said. The next morning, on July 10, as his condition deteriorated, Joshi's wife Amisha and his mother Durga Devi rushed the child to the nearest hospital in Gwaldam around 10 am.
"The road from our village to Gwaldam is in such poor condition that they had to call for a private vehicle just to reach the hospital," Joshi said. "At Gwaldam, the doctors referred him to Baijnath in Bageshwar, citing lack of medical facilities to treat him, and then 42 kms away to Bageshwar district hospital for the same reason."
At Bageshwar, the same ordeal continued. "The doctors told my wife, 'Take him somewhere else... they can't treat him here.' She called for an ambulance at 6:55 pm, but even by 8 pm, none had arrived," Joshi said. Calling from Rajouri, Joshi asked to speak directly with the doctor. "But he spoke to me rudely. Instead of making arrangements, he started questioning my wife about me, all while being busy on his phone. They didn't even let us hire a private ambulance," he said. It was only after Joshi's brother contacted the district magistrate that an ambulance finally arrived at 9:30 pm. The family then took the child 72 km away to Almora Base Hospital, reaching there around 1:30 am on July 11.
"From Almora, he was referred again - this time to 87 km away to Sushila Tiwari Hospital in Haldwani. But even this time, no ambulance was provided. My family had to arrange a private ambulance and reached Haldwani around 9 pm," Joshi said. "In the early hours of July 12, my son was declared brain dead. On July 16, he was declared dead," he said.
"I lost my son because of poor medical facilities in the hilly areas of the state, delays in treatment and negligence on part of some doctors. But I know I am not alone....this is the daily reality for people in the hills. Everyone in the system knows how broken our healthcare infrastructure is, yet nothing is done," Joshi said.
"It's been days since a proper meal was cooked at home. my wife and mother are unable to cope with the loss," he added....
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