We get numerous trauma calls
Then why did it kill her to say just that to the husband instead of being more interested in asking him to pay for ICU and telling him that she will be "FINE" after 1 day there? If there is no treatment than how was ICU gonna make her fine?
Why did she take 10 hrs to get to the patient? Which country/ city was she coming from?
What the hell is that supposed to mean?
That if tomorrow 1 of them really dies from malpractice these 3 SUPER institutes will play a fake card out? Bravo!
I am very disappointed sure he threw baseles accusations like this :
WHICH mind you WAS NEVER IN MAJORITY of the articles against her!
Most of them demanded the 10 hr absence and the ignorant attitude of the doctor....I think this has been effectively brushed under the carpet...
1 - There is No perfect way to diagnose Amniotic fluid embolism.It's diagnosis is clinical and needs urgent resuscitation just like pulmonary embolism. The prognosis is bad but still there is a possibility of survival. Even if there is 1 % chance of survival, the patient deserves a perfect shot at it. That 1% will be 100% for at least 1 individual out of 100. Who told you that the family was counselled about patient going to get fine in 1 day ??? Yet again you are quoting a sentimental statement in which little to no truth exists. Dr Shahnaz herself did the counselling of the patient and broke the bad news to him. Kindly stop making ICU bed arrangement as a means to make money by institution. In a tertiary care hospital there are people lined up waiting for an ICU bed. This type of false practice may be practiced in some smaller clinics but not here.
2 - Indirectly YES. A doctor's intent is to do everything right for their patient, but despite all these measures, if you are going to blame him/her and institution in case of demise then I M sorry, no doctor would like to OWN such a patient. Tertiary care Hospitals in Karachi are NOT short of patients. There are occasions where it is difficult to find a single empty bed in a 700 bed hospital. Obviously every patient, irrespective of cast, religion deserves the best treatment. But expressing one's gratitude over their relative's demise in such manner would obviously lead to implications. Which are decided by boards, counsils etc and NOT me.
3 - Again , quoting a statement which is false, Dr shahnaz was informed of the case. She told the on-call SR to progress with labour. A NORMAL labour lasts up to 8-12 hours which is continously being monitered by frequent examination and CTG. There is documented Signed proof by husband when he was informed at 8 pm that labour is not progressing well, the baby is fine at the moment though, we should consider Elective C Section now. But he refused and said to continue with normal delivery as last 2 deliveries were also svd's. At 9 pm when the CTG showed Fetal hypoxia, was when the patient rushed to OT.
Considering that normal labour lasts up to 12 hours. A consultant is not going to stand there every minute of the process. In the entire world delivery is conducted by Midwives and is considered to be a normal process, with obstetrician informed in case any deviation occurs from a normal course. The consultant was well informed of each and every moment of case. She came at appropriate time and told the husband that if in the next hour, labour does not progress and there is risk to fetus then we will need to go for emergency C section. At this point in time it is IMPOSSIBLE to predict the possibility of Amniotic Fluid Embolism which occured intra-operatively. Obviously the family was not prepaired for it, and the outcome was this kind of hatred. Although i do agree that famliy should have been counselled about the rare condition and it's possibility in 0.1% of cases.
Dr Shanaz was effectively communicating with her team and the team conveyed each and every message to family. What was done for her is the standard treatment and is in NO WAY different from anywhere in the world. WHY in the world would she bother texting back the attendants ?? She is not going to distribute her number to 10000 of her patients. This usually results in calls for extortion money and blackmailing. She conveyed the message through Senior registrar and then personally when she felt the labour was not progressing as it should.
(Kindly note that a Senior Registrar is one who has completed their FCPS training and is authorized to practice as consultant INDEPENDANTLY by PMDC ). So even in her absence the patient was handled by another consultant who in no way did anything which was not required or justified. In a tertiary care hospital, expert facilities are available at all times. An SR is available 24 hours round the clock in each and every department.
From whatever you have heard and have been quoting so far is from the sentiments of people who have NO clue of the situation and NO medical knowledge.
Can we expect a similar media campaign to highlight this outcome to counter the baseless hysteria generated before?
Nope. this would not make great news. Going back on their own words is the last thing a media channel wants so do not expect a counter campaign. We are intelligent people and there has to be a difference between us and them.
However the case was discussed openly by a panel of doctors on HEALTH TV and the outcome was death attributed to a natural cause.