Saturday, March 23, 2013

Just a piece of meat


A few weeks ago, 40 year old Manmeeth my sister required to undergo surgery.

Normally independent and strong spirited Manmeeth was inexplicably very nervous and so Mohini my wife and I accompanied her to Pune's most reputed hospital, where she had already been booked by her surgeon.

The hospital handled the paperwork for her admission and collection of advance payment  very smoothly and efficiently. Soon after she went up to her room, a small army of 23 people went to work, doing their assigned 'jobs' in a factory like manner  preparing Manmeeth for surgery. 

Surprisingly except for the surgeon and the anesthesist no one engaged with Manmeeth to make her feel comfortable or provide her any sense of being cared for.  As observers we felt uneasy and completely helpless. All we could do was to hold her hand in ours.


A weak smile on her face and a strong grip on Mohini's hand did not disguise her nervousness as they took her to the operation theatre. 

Three hours later they wheeled Manmeeth back into the room, where she remained in a state of agony and dazed for the rest of the day and night.  

My unease grew the longer I stayed by her bedside. Most of the staff were were fairly efficient, but they  appeared  least concerned with Manmeeth the patient. I could not overcome my disappointment that the hospital staff had touched her body but not her being. To them she was just a job, a patient number and could have been nothing more than a living piece of meat.

Most hospitals like to claim they are in the health-care business. 

This is very misleading in the sense is that people go to the hospital only when they are ill. Therefore hospitals do not provide health-care they provide illness-care and that too coldly and badly.

What is true is that illness-care has become a business and that is not necessarily a bad thing. What is terrible is that the business of most hospitals only focuses on mere profits without consideration for the customer (in this case the patient) or the staff. Such hospitals will eventually lose their business whenever a competitor with more patient focus will emerge.

The surgeons and the hospital staff all said the operation had been a success. 
In physical terms  they were probably correct. Psychologically and emotionally the surgery was a disaster. They had treated a body and not a person.

Being compassionate is what makes a us human. 
Ask yourself honestly, "Have I lost my compassion?" 
If you have, then remember it's never too late to re-find your compassion because you never know when you might need it yourself.



21 comments:

  1. Hiten Vasa said;

    It's interesting observation . . . .

    My observation was on the other extreme . . . . While at the Hospital, few years ago, I was in a room with another male patient.

    This individual did not seem to have family or others to be with him, while there. I was in the next bed, waiting for next plan of action . . . .

    Suddenly a Surgeon appeared, pulled the curtains around that bed and announced the result of his findings - I have to tell you, you have Cancer -. No bedside manner, nothing. This guy was in a shock for the next 9 hours ( the time i shared the room ) . . . . eventually I had to move to another section of the hospital and I left saying we would keep him in our thoughts and prayers.

    Meanwhile, I could not believe the care rest of the staff took of me, including Counselling me, every time they did something including moving me from ICU to a normal room.

    Best wishes to your sister and warm regards to Mohini and you.

    Hiten
    hiten@earthlink.net

    ReplyDelete
  2. Dear Hiten,

    Good to hear from you as always.
    How are you and Sandhya doing?

    As regards this blog post , I am amazed at the tremendous response I received.
    I am still trying to figure out why does this happen? Do you have any thoughts on the causes of such behaviour?

    You will see everyone's response on my blog in the comments section.
    Unfortunately everyone sends me their response by email, hardly anyone responds on the blog and I have to transcribe them on the post myself.

    Mohini Joins me in wishing you bothand your son all the very best.
    Any India plans? What about 2014?

    Cheers

    Rainy

    ReplyDelete
  3. Atalvir Kakkar said;

    Hi Gurvinder
    Iloved your message as it touched my soul
    THANKS.
    Atalvir

    atalvir@gmail.com

    ReplyDelete
  4. Atalvir ji,

    It is messages like yours that makes writing and sharing such a delight.
    It is I who wish to thank you.
    God bless you.

    Gurvinder

    ReplyDelete
  5. BUrzin said,

    We had the same experience.
    One of our very close relatives who have very recently settled in Pune from Mumbai, a well to do retired couple.
    Recently the wife, a diabetic patient, had a kidney stone pain. They got themselves admitted in a reputed Pune Hospital. All that was done for five days by the doctors was to take repeated Xrays, Cardiograms and number of blood tests & urine tests and loads of
    medicines and no regards for the patient. On the fifth day they got a
    bill of approximate ninety thousand. They were so shocked that the
    husband asked for immediate discharge (with a lot of hassles) and
    returned home.

    For another few days they took treatment from our family doctor. But the wife stopped passing urine The doctor advised advised them to another small, but a good hospital specialized in kidney problems in Paud.. Their doctors after checking her immediately
    did a minor operation and all the infected urine was passed out.

    Itcwas her life saving treatment (total bill with stay about thirty five thousand). The next day evening she was shifted further to a bigger hospital at Nal Stop by ambulance for her Diabetes treatment under a specialist.

    After a week she is back at home under oral medication for kidney stones and Diabetes under control, but an acute pain in her left shoulder. And in two minds whether to shift back to Mumbai or not!

    Our 'reputed big hospitals' are out to mint money at the cost of human lives and deteriorating reputation, and yet our few 'small good private hospitals' give us some hope for humanity.

    Kothawalla Burzin - kzanababuz@gmail.com

    ReplyDelete
  6. Arun Pabalkar said;

    TRUE.I also had the same experience.

    Arun

    arunpabalkar@gmail.com

    ReplyDelete
  7. Farokh said;

    Gurvinder,
    You have nailed it, as always.
    i had a very similar experience a few months ago, in Jaslok Hospital, Mumbai, where I was admitted for just 2 days for removal of a ureteric stone.

    My wife and I had hoped never to step into that place again, and what do you know, my wife had to visit it again last month, for a test that only they could do. Such is life.

    Hope your sis has recovered and has put that experience behind her.
    Cheers,
    Farokh Patel
    Play up Bishop's, Never let our colours fallllllll!

    ReplyDelete
  8. Dipen Loomba said;

    Hi,
    I just read this blog, but I don't agree with your point of view.

    For doctors the patients cannot, infact should not be persons.

    For them they should only be defective jobs to be repaired.

    Once the emotion comes in, the surgeon may not be able to cut open the person, the nurse may not be able to ruthlessly inject, the sisters may not be able to give the dosages and come into the way by listening to the patient.

    They see hundreds of similar cases daily, for us this may be critical but they see it daily and know the course of treatment.

    That is my point of view, I have been thru hospitals umpteen times, and thank them for saving Namita.

    Regards

    Dipen
    dipen.loomba@gmail.com

    ReplyDelete
  9. Dear Dipen,

    I am glad to receive your mil because you are the only person who disagreed and that is worth a lot of consideration

    Objectivity and humanity need not be exclusive, particularly when treating the ill.
    Treating and healing are not exactly the same thing.
    It is a known fact and revealed by many studies, those that receive more care and attention heal quicker.

    At the end of the spectrum of bad care or disinterested care are two types of institutions, government hospitals and only profit focussed hospitals.

    A brother in law of mine in Hyderabad was suffering from a failed kidney problem and underwent a replacement at Hyderabad's most famous hospital chains. The operation was a failure and he died, but the hospital kept his body on life support for 3 days after he was brain dead and harvested his organs and sold /transplanted them without permission of my cousin sister. After 3 days they demanded extra ICU and other charges for those 3 days. Only when a friendly doctor revealed the facts and when my father confronted the head of the hospital that they released the body. When threatened that we would make a police complaint they offered to forgo significant amount of the charges demanded for the treatment just to avoid getting exposed.

    Obviously you have been lucky and you have good feelings.
    I hope and pray God continues to bless you and your wonderful family

    Best Regards
    Gurvinder

    ReplyDelete
  10. N Rajan said;

    Thanks ji
    You have used the right description of heathcare centers. ILLNESS CARE.

    Regards

    Rajan
    mail2nr@gmail.com

    ReplyDelete
  11. Tom Mecrow said;

    Hi Gurvinder,

    Long time no speak – how are you doing over there?

    Hope all is well,

    Best Wishes
    Tom

    thomasmecrow@yahoo.co.uk

    ReplyDelete
  12. Dear Tom,

    Great to hear from you. How are things going for you?.
    We are having a smashing time with the great momentum our team is gaining.

    Jo has been here this full week ( she leaves tomorrow) and we are good to go ahead with Bangalore this summer.
    My gut feeling tells me that we have a shared destiny and I am sure we will be seeing you soon.

    Cheers

    GS

    ReplyDelete
  13. Prem Jeevan said;

    My dear Singh Gurvinder,
    Thank you so much for this entry.

    I have experienced this shoddy treatment in two different hospitals in Pune, especially Ruby Hall, except the Cancer hospital here, and in Jehinger over the past 5 years.

    However in Inlaks Budrani I experienced much heart and great care -- so what you are saying is not always my experience, but it has happened in the two I mentioned.

    I was also operated on at Usha Nursing Home in Pune and there is a marvelous example of love and care. I thought to tell you this.
    Much love,

    Jeevan
    (jeevanosho@gmail.com)

    ReplyDelete
  14. Dear Jeevan ji,

    You are quite right there are both good and bad organisations just like there are different people.
    My feverent desire is to open ourselves to both good an bad experiences and to evolve as better beings.

    Your response brightened up my day and that is a wonderful experience.

    Wish you good fortune and may God bless you.

    Gurvinder

    ReplyDelete
  15. "Joshi, Shirish (VW India)" said;

    Just to clarify mind, are you same person who worked in Sandhaar?
    Where are you working now?

    Regards,
    Shirish Joshi

    ReplyDelete
  16. Dear Shirish ji,

    I am not the person you believe me to be. You can find out more about me from my profile on my blog page.
    However destiny brings people together and hopefully we will learn and gain much from each other's experiences.

    Wish you good fortune and good health.

    Cheers

    Gurvinder Singh

    ReplyDelete
  17. Ashish said;


    Beautifully written .. And how very true.

    -- Sad state of affairs as far as our "illness centers" are concerned and the plight of a helpless patient and their near and dear ones..

    Regards,
    Ashish

    Khorana Ashish

    ReplyDelete
  18. Dear Ashish,

    As usual you are always full of encouragement.
    God bless you

    GS

    ReplyDelete
  19. Mayuri said;

    Do we know each other?

    ReplyDelete
  20. Rajiv said;

    Issue is not with the hospital or the mindset of the hospital staff.
    \Issue is our number ..... a glorious 130 crores. Dont look at the issue piecemeal.

    Look for similarities in the attitude of cops, administrators, politicians and everyone working anywhere in their respective fields.

    Does the judge bother when a 87 yr old lady appears in front of her. Or she hasnt gor her justice in the last 10 yrs

    How many of us bother to get up and offer our seat to a lady, a child, invalid or an old person.
    Or how many of us stop to help an accident victim.
    Or how many parents tell a child not to throw a stone/pebble at a bird or an animal.

    Having said the above, hope the sister is recovering fast.
    Best Wishes
    Rajiv

    rajivbhambani@yahoo.co.in

    ReplyDelete
  21. Wow! Rajiv,

    That is an interesting and thought provoking perspective.
    I wonder, what can we do to change this? Any thoughts?

    My sister with Grace of God is much better, thanks.

    It feels good to hear from you.

    Regards

    Rainy

    ReplyDelete