Vandalism and anger at CMC Dec 2016


A pregnant woman died in Terai last week, and the family was overcome by grief. They showed it by angry protests. The doctor is always blamed, regardless of the facts. This is an issue that prevents young doctors from wanting to serve in rural areas. Here is more info. The news was sad for me:

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Alert: Chitwan/Dec 7, Birami ko mrityu pachhi aakroshit aafanta haru dwara Budhabar Chitwan Medical College ma todfod, 3 prahari sahit 4 ghaite.

The kin of a pregnant woman who died at Chitwan Medical College vandalised the hospital today.

Sunita Gurung, 25, of Bharatpur sub-metropolis was admitted to the hospital after she complained of labour pain. After Gurung died last Monday, her relatives have been staging protests saying that she died due to doctors’ negligence. The irate kin also damaged the glass of the hospital’s main door.

DSP Dipak Shrestha of District Police Office, Chitwan, said four persons, including three police personnel were injured when agitators pelted stones at the police when the latter reached the site to control the mob.

Soman Singh Gurung, family member of the deceased, said Binam Gurung was injured in the incident. Police have arrested five persons and kept them in custody for being involved in vandalism, informed DSP Shrestha.

The victim’s family, however, claimed that seven persons, including one woman were arrested. DSP Shrestha said five were held for vandalism and attack against police.

Soman Singh said Sunita was admitted in the hospital at 3:30am last Monday after she underwent labour pain.

He said Sunita died at 12 noon though the doctors had assured them that she would deliver the baby in two hours without surgery.

The deceased’s sister Gori accused that Sunita had died due to negligence on the part of doctors.

“The doctors had told us that she would deliver the baby naturally. But she lost her life due to the doctors’ negligence,” charged Gori.

The agitating kin have demanded action against guilty doctors. They submitted a memorandum to the CDO today seeking action against the guilty and compensation for the bereaved family.

Issuing a press statement today, the hospital said Sunita had died after she suddenly developed Eclampsia, a condition in which one or more seizures occur in a pregnant woman suffering from high blood pressure, and she died while being treated at the ICU.

The statement read that the deceased’s family members had signed an agreement paper on her treatment and they were informed about the complications that could develop later.

The hospital also condemned the vandalism and manhandling of doctors, nurses, and other staffers after the woman’s death.

https://nepalmonitor.org/reports/view/12517

For the victim and her family

My condolences to the victim and her family. We do not know the details of her illness, other than being “eclampsia.”  The hospital is probably not allowed to release details. There is a lot we don’t know.

OBS at CMC

This is not an area I interface with as a rule. I teach people about teamwork and communication which is universal, but I do not address obstetrical emergencies per se. I don’t hang around the maternity department at any of the locations I teach.

CMC

In My opinion, CMC is among the very best hospitals in Nepal. I worked with them extensively over the past five years to address the constellation of issues related to angry patient parties who vandalize or thrash hospital staff.  The reader can browse about thrity past blog entries that describe aspects of the thrashing issue.  De-escalation, building design, role of security personnel, situational awareness for doctors – it’s all there.

Thrashing

This is eerily similar to the event that caused me to work on the issue of thrashing, which took place in 2009. It was very tense and became the basis of my second book, The Sacrament of the Goddess. You can buy The Sacrament of the Goddess on Amazon, here is the URL https://goo.gl/PGTW30 and there is a blog specifically devoted to the book – https://sacramentofthegoddess.wordpress.com/

9781632100085-SOTG-Nepalt.indd

Many people decide to read a book only after looking at the back cover. Here’s the one for The Sacrament of the Goddess https://goo.gl/PGTW30

 

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About Joe Niemczura, RN, MS

These blogs, and my books, and videos are written on the principle that any person embarking on something similar to what I do will gain more preparation than I first had, by reading them. I have fifteen years of USA nursing faculty background. Add to it fifteen more devoted to adult critical care. In Nepal, I started teaching critical care skills in 2011. I figure out what they need to know in a Nepali practice setting. Then I teach it in a culturally appropriate way so that the boots-on-the-ground people will use it. One theme of my work has been collective culture and how it manifests itself in anger. Because this was a problem I incorporated elements of "situational awareness" training from the beginning, in 2011.
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