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Hospitals blind to safety rules

RANCHI: Even small and ill-maintained nursing homes and hospitals in the capital make huge profit in name of providing best medical care but unfortunately never spend even a small part of their booty to install fire-fighting equipment.

These institutions do not even bother to train doctors and employees to tackle an emergency in case of fire or earthquake.
A random check by TOI at dozen-odd hospitals and nursing homes revealed that in case of a fire instead of saving lives of patients, doctors and paramedical staff will first run to save themselves very much like what happened at AMRI, Kolkata, on Friday.

None of the doctors or paramedical staff in nursing homes and hospitals is trained to use fire extinguishers and water cannons be it at Rajendra Institute of Medical Sciences (RIMS) or Sadar Hospital. These two hospitals cater to thousands of patients not only from the state capital but even from far-off places within Jharkhand and bordering districts of West Bengal and Bihar.

Sadar Hospital does not have fire extinguisher on its premises. Deputy superintendent A K Jha said: "We don't have fire extinguishers as for now but we will arrange them soon. There are two emergency doors and windows in the hospital which have been marked for safe exit in case of fire." He added that all the shortfalls would not be there in the under-construction new building.

Project engineer Chandan Chaudhary said, "We will have water sprinklers, automatic fire detection system, LPG gas sensor, automatic conference system and beam sensor which will be helpful in case of fire."

RIMS, which has a few fire extinguishers placed here and there, has never conducted a mock drill. "A situation of fire never arose in the hospital. We will obviously try to save the patients in such cases," said a staff but when asked how he did not have an answer.

RIMS director Tulsi Mahato confided that they never had a mock drill to train people to tackle emergency. Even the fire extinguisher outside his chamber had expired. When this was brought to his notice, he claimed, "Even if it has expried, it will work."

Former Indian Medical Association (IMA) national vice-president Ajay Kumar Singh, who also manages a private nursing home in Ranchi, also admitted that most doctors and paramedical staff in the state are not trained to handle such situations. "It is very unfortunate but we have to admit that doctors and paramedical staff are not trained to tackle fire or earthquake," said Singh. "We don't have hospitals and nursing home establishment act in the state which forces these institutions to at least have minimum arrangement to tackle such situation," he added.

CCL's Gandhinagar Central Hospital (GCH) and Kashyap Memorial Eye Hospital (KMEH) have fire-fighting arrangements. GCH Hospital security officer B N Singh said that there are 30 fire extinguishers in the hospital which are replaced every three months. "We conduct mock drills every three months and when we change the fire extinguishers, we use the old one to train the staff to use them," said Singh.



RIMS, Ranchi nursing students end strike

RANCHI: The BSc nursing students of Rajendra Institute of Medical Sciences (RIMS) broke their hunger strike after Mandar MLA Bandhu Tirkey convinced them that he will take their demands to the government. Around 150 BSc nursing students of RIMS continued their hunger strike for the second day on Friday. The students are demanding permanent affiliation for their college with Ranchi University.

"We will end the strike only after we get a written assurance of getting permanent affiliation," Poonam, a student, said.

According to the students, about 20 teachers are required for proper functioning of classes while they have only three. During the strike, two girls Swati and Sangeeta fainted and were admitted to the hospital. They have refused to eat anything. "I will not eat anything until our demands are fulfilled. I don't care if I have to be admitted in the hospital for the coming days," said Swati.

RIMS director Tulsi Mahto said, "The institution has completed all the procedures for affiliation and, now it is for Ranchi University to act on it. The students should understand that certain official procedures take time. They should end their strike and prepare for the coming exams."

Ranchi University vice chancellor Dr A A Khan said, "We have sent the reference to the government for affiliation but the condition of the affiliation is that the Nursing Council of India should approve it. Many posts are vacant in the college for which the council is not approving the affiliation though we have already announced a recruitment test for filling up the posts."


Ragging fear in RIMS, Ranchi

RANCHI: First year students of the Rajendra Institute of Medical Sciences (RIMS) want to stay away from hostels fearing ragging by seniors. Most of the freshers have opted to stay in rented accommodations outside the campus to avoid late night torture.
An incident of ragging was reported from the campus about a month back and ever since students have been panicking.

One of the victims, a first year student, claimed he suffered partial hearing loss after some of his seniors hit him on the ear.

However, RIMS director Tulsi Mahato, claimed that no student is running away from the campus. "I am personally keeping an eye on the activities of students to ensure no fresher is harassed. The occupancy rate in hostels is less because the process of allotment of hostels is still on," said Mahato.

Comments from Ragging India Team - It is a tradition in RIMS to rag freshers. Students are not allowed to stay in hostel by Seniors. RIMS authority has no control over the Hostel allotment/management. It is all in the hands of seniors. Though a record is maintained by the RIMS authotiry but in fact seniors rules the hostel. The palce of ragging is roof top of the hostel and behind the RIMS capus in paddy fields.Time of ragging - mid night to early morning. Period of ragging - upto four moths from the date of joining.

Sources in the medical college said out of 150 students in the first year, almost 90 per cent have not shifted to hostels.

"The ragging sessions will slowly come down and in the next couple of months all the students will start living in hostels," said a source, adding that in the mean time they will develop a healthy relation with seniors.

Mahato said that since staying in hostel is not compulsory, students are free to opt for accommodation outside. "First year students staying in private accommodations should not be related to ragging," he added.

At the same time the director admitted that there was a case of ragging, which was brought to his notice sometime back. "Parents of a student, as well as the anti-ragging cell of the University Grants Commission, which has a toll free number for registering complaints against ragging, had brought the case to my notice. I have constituted a team which is looking into the matter. The moment I receive the report, action will be taken against the students involved in ragging," said Mahato.

On the other hand SP (city) Ranjit Prasad said the police are yet to receive any written complaint from a victim or an institute. "We came to know about ragging through local newspapers in which it was said that victims had approached the police but we are yet to receive any complaint. Let them approach the police. Only then we will be able to take action," said the SP.



Quality healthcare in Ranchi soon

State-of-the-art medical infrastructure, cutting-edge technology, an outstanding pool of specialists and highest standard of affordable therapy — if this is healthcare utopia, Ranchi will find it soon.

A bevy of reputable private players is all set to make forays into the medical sector, gifting the capital — hitherto dependent on state-run Rajendra Institute of Medical Sciences (RIMS) for quality and pocket-friendly treatment — a bouquet of multi-specialty, super-specialty and multi-super-specialty hospitals by the end of 2012.

Eminent cardiac surgeon of the country Dr Naresh Trehan, whose Medanta in Gurgaon offers global healthcare standards along with clinical research, innovation and education, is learnt to have evinced interest in opening a wing of the much-touted medicity in Ranchi. If sources are to be believed, he is already holding talks with the state government for land in the capital.

Another multi-speciality hospital is on the anvil, courtesy city-based businessman Amit Sahu. He has promised the best of healthcare at his upcoming Santevita Hospital by mid-2012.

Unconfirmed reports also said that St John's National Academy of Health Sciences, Bangalore, is planning a medical college in the capital, while Calcutta-based Medica super-specialty hospital has Ranchi in mind as part of its 2012 expansion plans, which will see as many as 10 of its centres across eastern India.

A week ago, big name in cardiac care Fortis Escorts Heart Institute launched its unit in the city in association with Alam Hospital and Research Centre.

Orchid Medical Centre, owned by a city-based builder, came up six months ago. And, in the last couple of years, several other health hubs like Apollo Hospital and Rani Children's Hospital have set shop in the capital.

Undoubtedly, Ranchi is witnessing a medicare boom. The question is why?

"Though Ranchi has been the capital of Jharkhand since the state was created over a decade ago, it has been only two-three years that the city is experiencing a sudden influx of people. Reasons are many. Mushrooming malls and food joints are creating employment opportunities like never before. More the people, greater the need for health services. It is but natural for the health sector to cash in on the change," said Subir Roy, the chief medical officer of Orchid.

Roy maintained that there had always been a demand for investment in the sector, but investors were hard to find. "Ever since we opened our centre, the OPD has remained crowded almost every day. This explains the urgent need for a good specialty hospital," he said.

"Dearth of decent state hospitals and medical colleges is another reason behind private players entering the fray. In days to come, we are going to see private medical colleges like in Bangalore and more specialised hospitals," he added.

Every investment is market-oriented. So, another viable theory is that since metros are now saturated, private players are focusing on tier-II and tier-III cities and towns.

"This is why almost everyone is vying for places like Ranchi, where the scope of investment in healthcare is immense given the government's failure in delivering services right from primary health centres to hospitals," said Gaurav Roy, deputy manager, Santevita Hospital.

Innovation will be the key at this 80-bed health hub, he said. "Multi-specialty/super-specialty centres are the need of the hour. Except cardiac care, we will have almost every discipline. Our USP will be a separate maternity wing with stress on normal delivery. We will have experts from Sweden," he added.

Irrespective of age, sex or geographical location, everyone faces health problems because of changing lifestyle these days. This again is prompting investors to reach out to people everywhere.

"Till recently, Kolkata was the nearest option for good and budget health services. The financially fortunate could look up to Delhi and Mumbai. But travelling, accommodation etc. took a toll on both the body and mind. Now, things will be different. What you need, we will make it available in your city and state," said Tabassum Hassan, the CEO of Alam Hospital and Research Centre.

With private players promising so much, the government too is feeling the need for upgrade. A testimony to this is the sadar hospital's 500-bed expansion plan to ease pressure on RIMS. Though the pace of work is tardy, officials offer that once completed the revamped hospital will "certainly help address healthcare needs of the downtrodden in a holistic manner". source-telegraphindia.com

RIMS to ensure uniform code for fourth-grade employees

RANCHI: Health minister Hemlal Murmu has issued a show-cause notice to the director of the Rajendra Institute of Medical Sciences (RIMS) seeking an explanation as to why the fourth-grade employees working in the institute do not wear uniform and display their identity cards.

In a letter issued to the RIMS director, Tulsi Mahato, the minister has expressed displeasure at the earlier directive being ignored. "To avoid entry of unauthorized people in the institute, norms were issued to ensure that every worker at the RIMS wears uniform and displays his or her ID-card," Murmu said adding that a letter to this effect was sent on November 25, 2010.

He added during casual visits to the hospital he, as well as officials of health department, noticed that the instruction was not being followed.

Responding to the show-cause notice, Mahato said most of the workers wear uniform and fresh instructions were issued to follow the guidelines strictly. "I will send a reply to the show-cause notice and have already issued instructions in this regard," he said. Mahato clarified that some of the workers sought an excuse as uniform being soiled or wet during rainy season responding to which the management allowed them to attend duty in plain clothes.source-articles.timesofindia.indiatimes.com


RIMS to change old dialysis units

RANCHI: For nearly five years, patients at the Rajendra Institute of Medical Sciences (RIMS) were put on a haemodialysis machine that infused water contaminated with rust.

However, observations made by the Comptroller and Auditor General of India (CAG) during audits from 2005-2010 have prompted it to put things on the right track.

It was after CAG observation that the old units of reverse osmosis membrane separation system (RO plant) and de-mineral (DM) plant were replaced. Currently, of the four dialysis units three are functional. The fourth is out of order for want of certain components.

The CAG found that purchase order for supply and installation of four units of haemodialysis machines were placed by the RIMS in February 2005 at a price of Rs 23.4 lakh on turnkey basis. "The firm installed the machines in October 2005 without supplying the two critical components i.e. RO plant and DM plant. The machines were made operational by using the old RO and DM plant supplied in 1999. As these components were very old, water contaminated with rust was being infused in the system causing complications to the patients," the report said.

Responding to this observation, the RIMS authorities pressed the matter with the suppliers and obtained new components, payment against which was already made. Dr Sanjay Singh said the three of the four machines were operational after installation of the RO and DM system, whereas the fourth would resume operation when certain parts became available in India.

The RIMS also purchased one cardiac defibrillator, three sets of ventilators, two operation theatre (OT) tables and two OT lights for the oncology department under the state plan for Rs 35.64 lakh between December 2007 and August 2009. But the machinery lay unused as the OT in the department was non-functional. Despite initial efforts, the oncology department could never become a fully operational unit.

A total of 18 beds were earmarked for the department and an OPD was started. However, the radiology unit never came into existence. A senior doctor at the medicine department said oncology was considered functional only when medicine oncology, surgical oncology and radio oncology facilities were available. "We are dealing with cases related to cancer in medicinal and surgical units separately," he said.

Asked about the purchase of equipment and machinery worth Rs 9.54 crore during 2005-10 as highlighted in the CAG report, RIMS director Tulsi Mahato said machinery and equipment were procured by an agency of the Union government and unless necessary preparations for their installation and operation were made it was not possible for the institute to use them. "Super-speciality centres required these machines and the building for such centres are yet to come up as a result of which machines and equipment are being used elsewhere," he said.

Mahato said following the CAG objections, most of the machines were either being used for medical purposes or for teaching and training purposes in the college. "We will soon advertise for appointment of doctors and technicians to operate these machines, once the super-speciality building is ready to install them."

Proposal for Super-speciality centres at RIMS

RANCHI: Health minister Hemlal Murmu convened a meeting of senior officials of the Rajendra Institute of Medical Sciences, public works department and others related to the construction of super-speciality centres on the RIMS campus on Tuesday.

Murmu also visited the construction site and directed the officials to speed up the work. Construction of four super-speciality centres at the RIMS was started in 2004 by then Prime Minister Atal Bihari Vajpayee but the facility is yet to come up.

Talking to TOI, RIMS director Tulsi Mahato said, "We have given a deadline for completion of the work by March 2012, but it seems that it may take a couple of months more," he said.

The RIMS has initiated the process of appointment of medical experts for the upcoming super-speciality centres. "Once the building is complete, we will start installing machinery and equipment and ensure that all the departments become functional," said Mahato.

The super-speciality facilities include oncology, nephrology-cum-urology and cardiology centres.

RIMS under CAG scanner

 RANCHI: "Blood donation is the greatest donation of mankind" the phrase commonly used by medical fraternity to receive blood from donors seems to be not going well with the state's premiere health institute the Rajendra Institute of Medical Sciences (RIMS).

Even as the doctors admit that blood is one of the most precious things man can donate and save life of others, it is because of lapses on part of RIMS that 699 units of blood had to be discarded by the institute simply because of lapses on its part.

The lapses ranged from receiving donations without proper and mandatory checks, improper storage and handling and also storage discrepancies under proper refrigeration.

The startling facts have been revealed in the report of Comptroller and Auditor General of India, published from the data found till March 2010. According to the survey conducted at RIMS blood bank, it was revealed that during 2006-2009, the institute received 41,120 units of blood as donation out of which 699 units were discarded for various reasons in these four years. Though in terms of donation that the institute received, the figure of units of blood discarded appears minimal but given the inequitable importance of blood, loss of even one unit is considered derogatory for the reputation of an institution like RIMS.

While the CAG reports holds RIMS management accountable for this priceless loss, the RIMS director has a different argument for the CAG remarks. Director Tulsi Mahato said that certain units of blood could have been discarded because of mishandling or delay in refrigeration but maximum units were found to be infected with some antigen and were misfit to be transfused. "Only 35 units of blood expired of around 40,000 units of donation received because of storage beyond permissible time period," he said, adding that blood units when kept in proper refrigeration for more than 30 days, it gradually loses its properties and discarded as per medical parameters.

The CAG report specifically says that out of 699 units of blood discarded over four years, 176 were found to be haemolysed because of various reasons which includes improper storage and 35 units were stored beyond permissible time, the rest of them were found to be infected with some or other kind of virus or antigen. Seven units were found to be positive in venereal disease research laboratory (VDRL) test, 172 units were infected with malarial parasite, 53 units tested positive to hepatitis C virus, 13 units tested positive against HIV infection and as many as 243 units tested positive for Hbs Ag (Hepatitis B) viruses.

The blood donations were collected without conducting pathological tests on the blood sample of donor before receiving the donation as a result of which they had to be discarded after the tests were carried out.

Babu Mani Baski, one of the doctors of department of surgery in RIMS, said that conducting the pathological tests on sample of blood donor was literally impossible. "We cannot ask the donor to give a sample and wait for test results to come before donating blood because some of the tests take more than 12 hours for the study to be completed," he said.

Baski added that before accepting donation, standard references are used which include seeking medical history of the donor, body weight and confirmation that the donor has not consumed alcohol in the past 72 hours. "Many times donors are unaware about their own disease conditions but volunteer to donate blood; it is only after the test that they come to know their disease condition but in that case we have to discard the "contaminated" blood which can obviously not be classified as "life-saving or priceless" he said. source-timesofindia.indiatimes.com

Juniors urged to speak out against ragging at RIMS(Rajendra Institute of Medical Sciences)

RANCHI: The issue of junior students being subjected to ill-treatment by seniors on the campus of Rajendra Institute of Medical Sciences this academic season could be heard at campus discussions but when it came to lodging formal complaints, everything was brushed under the carpet.

It was collaborative effort of the institution, faculty members and a handful senior students that hushed up the matter. This saved the institution from earning a bad name and seniors from strict punishment as has been made mandatory.

Acknowledging the gap in principles and practice that most of the educational institutions follow when it comes to checking ragging, the National Service Scheme (NSS) wing of the Ranchi University and the District Legal Services Authority (DALSA) arranged a programme on the institute campus on Tuesday and encouraged students to come up with complaints.

While a group of advocates counselled junior and senior students about legal implications of being found guilty of ragging, director, RIMS, Tulsi Mahato, administered the oath to all students that they should never indulge in acts which are construed to be criminal offences in the eyes of the law.

Coordinator NSS at the Ranchi University, Prakash Jha, said some reports of ragging were reported from RIMS but not a single formal complaint reached the institution.

"Juniors are always afraid of lodging complaints against seniors as a result of which ragging cases are hardly reported," he said, adding that institutions, too, try to avoid taking action fearing bad name being brought to the institute.

"We invited the students to join NSS so that extra time, if any, is spent in constructive social work instead of planning ways to humiliate juniors.

Addressing students and faculty members, secretary DALSA, SM Hussain, said the institution should ensure that the identity of the complainant is not revealed. "In case any one is apprehensive of lodging a complaint with the institute they can come up to my office and leave the petition," he said, assuring that the identity would not be revealed.

The advocates reminded the institution of the mandatory guidelines it has to follow like the constitution of an anti-ragging committee and displaying contact numbers of officials designated to check the menace. "The institute must display the penal provisions and encourage juniors to come up with complaints instead of hushing up the matter," Jha said. source-articles.timesofindia.indiatimes.com


CAG report - massive waste of Blood in RIMS Blood Bank

One unit of blood can save three lives, but at Ranchi's Rajendra Institute of Medical Sciences (RIMS), 699 precious units were allowed to go waste between 2006 and 2009, the Comptroller and Auditor General's (CAG) report tabled in the Assembly on Monday said.

The public funds monitor dedicated 25 pages to RIMS in its voluminous report, which tore into the hospital's claims of being the state's premier health institution.

The report said the four ambulances in RIMS were used more for carrying doctors and other staff than patients. Of the 1,663 trips made by the ambulances between 2005 and 2010, 509 were for official purposes, 841 times for carrying doctors, and only 313 times for ferrying patients.

RIMS was set up in 2002 by upgrading Rajendra Medical College and Hospital (RMCH) to a centre of excellence in medical research and education. It was further upgraded as a super-speciality hospital with an outlay of Rs 120 crore in 2004 under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY).

However, the CAG report said it had failed to achieve any of the objectives for which it was set up.

"Major targets like setting up a dental college and super-speciality departments and upgrading existing departments were not achieved," the report said, adding that service delivery to patients was also not satisfactory.

"Though creation of a dental college was envisaged in the RIMS Act, it was not established even after incurring an expenditure of Rs 6.80 crore," the report said.

The CAG report pointed out despite the fact that Rs 30.97 crore had been spent on building and equipment, upgrade of existing departments remained a distant dream while the OPD was still not fully equipped to handle the rush of patients.

The public funds monitor also found serious irregularities in utilisation, installation and functioning of equipment worth Rs 9.54 crore bought between 2005-10.

For example, one cardiac defibrillator, three sets of ventilators, two OT tables and two OT lights bought for the oncology department for Rs 35.64 lakh between 2006 and 2009 had been lying idle till June 2010 as the operation theatre was not functional.

The cath lab installed at a cost of Rs 3.30 crore in October 2008 remained idle till March 2010 in the absence of specialist cardiac surgeons.

The CAG also found that the drug testing mechanism was inadequate. "During 2006-07, 20,000 vials of Ceftriaxone injection, valued at Rs 5.22 lakh and declared sub standard by the drug inspector, were administered to the patients," it said.

The shortage of doctors/teaching faculty varied between 44 to 89 per cent among different cadres.

The report pointed out that RIMS received grants from the Jharkhand State Disease Assistance Fund for specialised treatment of BPL patients suffering from critical diseases. "It was found that grants of Rs 50.95 lakh for 105 patients were received by RIMS during 2003-09. However, only Rs 16.95 lakh was utilised and the rest was refunded," CAG said. source-telegraphindia.com

Dr.Devi Shetty, Hrudayalaya Interview on heart!

A chat with Dr.Devi Shetty,&nbs! p;Narayana Hrudayalaya(Heart Specialist) Bangalore was arranged by WIPRO for its employees The transcript of the chat is given below. Useful for everyone.



Q: What are the thumb rules for a layman to take care of his heart?


1. Diet - Less of carbohydrate, more of protein, less oil

2. Exercise - Half an hour's walk, at least five days a week; avoid lifts and avoid sitting for a longtime

3. Quit smoking

4. Control weight

5. Control blood pressure and sugar

Q: Is eating non-veg food (fish) good for the heart?

Ans: No



: It's still a grave shock to hear that some apparently healthy! person

gets a cardiac arrest. How do we understand it in perspecti ve?

Ans: This is called silent attack; that is why we recommend everyone past the age of 30 to undergo routine health checkups.


Q: Are heart diseases hereditary?

Ans: Yes


Q: What are the ways in which the heart is stressed? What practices do you suggest to de-stress?

Ans: Change your attitude towards life. Do not look for perfection in everything in life.


Q: Is walking better than jogging or is more intensive exercise required to keep a healthy heart?

Ans: Walking is better than jogging since jogging leads to early fatigue and injury to joints


Q: You have done so much for the poor and needy. What has inspired you to do so?


Mother Theresa , who was my patient.


Q: Can people with low blood pressure suffer heart diseases?

Ans: Extremely rare.


Q: Does cholesterol accumulates right from an early age

(I'm currently only 22) or do you have to worry about it only after you are above 30 years of age?

Ans: Cholesterol accumulates

from childhood.

Q: How do irregular eating habits affect the heart ?

Ans: You tend to eat junk food when the habits are irregular and your body's enzyme release for digestion gets confused.


Q: How can I control cholesterol content without using medicin es?

Ans: Control diet, walk and eat walnut.


Q: Which is the best and worst food for the heart?


Fruits and vegetables are the best and the worst is oil.

Q: Which oil is better - groundnut, sunflower, olive?

Ans: All oils are bad .


Q: What is the routine checkup one should go through? Is there any specific test?

Ans: Routine blood test to ensure sugar, cholesterol is ok. Check BP, Treadmill test after an echo.


Q: What are the first aid steps to be taken on a heart attack?

Ans: Help the person into a sl! eeping position , place an aspirin tablet under the tongue with a sorbitrate tablet if available, and rush him to a coronary care unit since the maximum casualty takes place within the first hour.


Q: How do you differentiate between pain caused by a heart attack and that caused due to gastric trouble?

Ans: Extremely difficult without ECG.


Q: What is the main cause of a steep increase in heart problems amongst youngsters? I see people of about 30-40 yrs of age having heart attacks and serious heart problems.

Ans: Increased awareness has increased incidents. Also, sedentary lifestyles, smoking, junk food, lack of exercise in a country where people are genetically three times more vulnerable for heart attacks than Europeans and Americans.


Q: Is it possible for a person to have ! BP outside the normal range of 120/80 and yet be perfectly healthy?

Ans: Yes.


Q: Marriages within close relatives can lead to heart problems for the child. Is it true?

Ans : Yes, co-sanguinity leads to congenital abnormalities and you may not have a software engineer as a child


Q: Many of us have an irregular daily routine and many a times we have to stay late nights in office. Does this affect our heart ? What precautions would you recommend?

Ans : When you are young, nature protects you against all these irregularities. However, as you grow older, respect the biological clock.


Q: Will taking anti-hypertensive drugs cause some other complications (short / long term)?

Ans : Yes, most drugs have some side effects. However, modern anti-hypertensive drugs are ex! tremely safe.


Q: Will consuming more coffee/tea lead to heart attacks?

Ans : No.


Q: Are asthma patients more prone to heart disease?

Ans : No.


Q: How would you define junk food?

Ans : Fried food like Kentucky , McDonalds , samosas, and even masala dosas.


Q: You mentioned that Indians are three times more vulnerable. What is the reason for this, as Europeans and Americans also eat a lot of junk food?

Ans: Every race is vulnerable to some disease and unfortunately, Indians are vulnerable for the most expensive disease.


Q: Does consuming bananas help reduce hypertension?

Ans : No.


Q: Can a person help himself during a heart attack (Because we see a lot of forwarded emails on this)?

Ans : Yes. Lie down comfortably and put an aspirin tablet of any description under the tongue and ask someone to take you to the nearest coronary care unit without any delay and do not wait for the ambulance since most of the time, the ambulance does not turn up.


Q: Do, in any way, low white blood cells and low hemoglobin count lead to heart problems?

Ans : No. But it is ideal to have normal hemoglobin level to increase your exercise capacity.


Q: Sometimes, due to the hectic schedule we are not able to exercise. So, does walking while doing daily chores at home or climbing the stairs in the house, work as a substitute for exercise?

Ans : Certainly. Avoid sitting conti! nuously for more than half an hour and even the act of getting out of the chair and going to another chair and sitting helps a lot.


Q: Is there a relation between heart problems and blood sugar?

Ans: Yes. A strong relationship since diabetics are more vulnerable to heart attacks than non-diabetics.


Qn: What are the things one needs to take care of after a heart operation?


Ans : Diet, exercise, drugs on time , Control cho lesterol, BP, weight.


Q: Are people working on night shifts more vulnerable to heart disease when compared to day shift workers?

Ans : No.


Q: What are the modern anti-hypertensive drugs?

Ans : There are hundreds of drugs an! d your doctor will chose the right combination for your problem, but m y suggestion is to avoid the drugs and go for natural ways of controlling blood pressure by walk, diet to

reduce weight and changing attitudes towards lifestyles.


Q: Does Dispirin or similar headache pills increase the risk of heart attacks?

Ans : No.


Q: Why is the rate of heart attacks more in men than in women?

Ans : Nature protects women till the age of 45. (Present Global census show that the Percentage of heart disease in women has increased than in men )


Qn: How can one keep the heart in a good condition?

Ans : Eat a healthy diet, avoid junk food, exercise everyday, do not smoke and, go for health checkup s if you are past the age of 30 ( once in six months recommended) ....

RIMS docs conduct critical surgery

RANCHI: Rajendra Institute of Medical Sciences (RIMS) could be notorious in terms of defunct medical equipment, regular strikes and bottlenecks in terms of limited infrastructure in comparison to the flow of patients but when it comes to performing rare surgery or medical assistance to a poor patient, the hospital is still the last word in the state.

A team of eight doctors has carried out an extremely complicated but successful surgery of pancreatic carcinoma on an underprivilged 45-year-old lady. A premiere medical institution where money is not the buzz word to deal with seriousness of the disease, the team of doctors engaged for nine long hours to remove cancerous cells from her pancreas.

Performed under N K Jha, Sakentan Bhagat (chief surgeon) Mrityunjai Sarawgi, endoscopic surgeon A K Tiwary, Babu Mani Baski, Tapas Raja, Saibal, Sailesh Rashid, Azhar, Appa and Shyam Sunder Sahu with assistance of anaesthetist A Haque and Manoj carried out the surgery that was partially to remove the cancerous cells and partially to reconstruct the entire hepato-pancreatic system of the patient.

Ghee Kumari Devi of Bokaro came to RIMS with the complaint of recurring progressive jaundice which was not being treated by conventional methods only to be detected to cancer of pancreas. Having decided the treatment line, the team of doctors performed the surgery on pancreas, duodenum and common bile duct preserving a part of the pancreas. The hepatic duct was directly linked with the small intestine to ensure that the pancreas resumes its normal functioning with the remaining number of cells.

Asked if the pancreas would function normally, Baski said that since the entire pancreas was not removed, the cells would very soon take up normal functioning. The patient has been kept under seven-day post-operative observation during which medicines would be administered to ensure that all the organs function normally. "The patient regained consciousness and was in a position to communicate and respond which make us confident about her quick recovery," Baski said.


RIMS docs conduct critical surgery

RANCHI: Rajendra Institute of Medical Sciences (RIMS) could be notorious in terms of defunct medical equipment, regular strikes and bottlenecks in terms of limited infrastructure in comparison to the flow of patients but when it comes to performing rare surgery or medical assistance to a poor patient, the hospital is still the last word in the state.

A team of eight doctors has carried out an extremely complicated but successful surgery of pancreatic carcinoma on an underprivilged 45-year-old lady. A premiere medical institution where money is not the buzz word to deal with seriousness of the disease, the team of doctors engaged for nine long hours to remove cancerous cells from her pancreas.

Performed under N K Jha, Sakentan Bhagat (chief surgeon) Mrityunjai Sarawgi, endoscopic surgeon A K Tiwary, Babu Mani Baski, Tapas Raja, Saibal, Sailesh Rashid, Azhar, Appa and Shyam Sunder Sahu with assistance of anaesthetist A Haque and Manoj carried out the surgery that was partially to remove the cancerous cells and partially to reconstruct the entire hepato-pancreatic system of the patient. source-articles.timesofindia.indiatimes.com

Anti ragging committee in RIMS

Contact Address:Other Than Anti ragging committee
The Director
Rajendra Institute of Medical Sciences

Bariatu, Ranchi - 834009
Jharkhand INDIA.
Phone - +91-651-2541533
Fax - +91-651-2540629
E-mail : rimsranchi@rediffmail.com

Rain has played havoc in RIMS wards

Ranchi, June 19: No power, no water and not enough beds. Welcome to Rajendra Institute of Medical Sciences (RIMS), the state's premier healthcare provider, where rain has played havoc in more ways than one.

An uprooted tree on the hospital campus snapped power at the institute from 4am to noon. The tree fell on a transmission line amid heavy rain. Though emergency surgeries were carried out with the help of generators, water supply was hit with taps running dry by 8am.

As water supply was only restored at 2pm, cleanliness was the first casualty with stinking toilets making life unbearable for patients.

Adding to the woes was the dearth of beds. As many as 35 patients could be seen undergoing treatment on the floor of the neurosurgery ward, while in the orthopaedic unit, the number of patients on the floor was a staggering 165.

A hospital employee at the registration counter added to the grim story by stating that power failure and poor battery back-up had meant a number of patients could not be registered, leaving relatives waiting in queues for hours.

Murhu resident Justin Soy was one of the patients who could not find a bed. "I fell from a tree last evening and was brought here with head injuries. Though a doctor has seen me and the nurses have provided medicines, I have not been able to get a bed so far," he said

Similar was the complaint of Burdwan resident Tusar Kanti Ghosh, also admitted in the neurosurgery ward. "I sustained head injuries after I fell from my motorbike last night. Though I have been given medical care, I am still waiting for a bed," he said.

Nurses on duty said there was a crisis, but there was little they could do.

"We are not responsible for the power failure. As far as treating patients on the floor is concerned, it is unavoidable, as we have limited number of beds. While there are 50 beds in the neurosurgery ward and 85 beds in the orthopaedic ward, there are 85 and 250 patients respectively in them. For us providing treatment is more important than providing beds," a senior nurse said.

RIMS director Tulsi Mahto also admitted the disruption in water and power supply. "Power supply got affected after a tree fell on a transmission line. Though we managed all emergency operations, we had some problem with water supply," he said.

He added that the shortage of beds was inevitable. "There are 1,100 beds in RIMS, while the number of patients undergoing treatment is around 1300. However, barring neourosurgery and orthopaedic, we did not have any problem in other wards where cases of malaria, diarrhoea and other monsoon related diseases are being treated," he said.source-telegraphindia.com

Newborn unit at RIMS opened but not functional

Newborn unit at RIMS 'open' yet closed
- Hospital director cites lack of patients while insiders blame dearth of nurses

Ranchi, Jan. 14: A special care neonatal unit, inaugurated with much fanfare last month by health minister Hemlal Murmu, is yet to start functioning as RIMS is facing an acute shortage of nurses, although the authorities of the state's premier hospital claim otherwise.

RIMS director insisted the real reason why the unit was closed was because there were no patients, though nurses admitted there were too few of them to manage all the departments of the busy hospital.

Set up by the state government in collaboration with Unicef, the neonatal unit is meant to provide care at birth, treat sick newborns, do follow-up on high-risk babies, provide referral services and train medical officers and nurses of districts in newborn care.

A visit to the unit today revealed it was locked while no one was around to provide information.

"So far, we have not found any patient who requires specialised treatment in the unit. The moment we receive such patients, the unit will be functional," claimed RIMS director Tulsi Mahto.

Asked why the unit was locked, he said it was for the security of medical equipment, worth lakhs. "If the unit is kept open, someone may manhandle the expensive tools," he added.

However, sources revealed that as many as 24 nurses were required to run the unit, where newborns suffering from serious ailments are to be admitted for intensive medical care. But the hospital did not have so many caring hands.

"At present, there are only 468 nurses at RIMS — 376 appointed on contract basis while 92 are permanent. Thirty per cent of nurses are not available as they are on leave. The remaining strength is deputed shift-wise at various wards — four intensive care units, operation theatres, trauma centre, and emergency wards besides cottages where VIPs are admitted. In such circumstances, it is difficult to spare 24 nurses exclusively for the Special Care Newborn Unit, where one attendant is required for one patient," a nurse revealed on condition of anonymity.

However, the head of the paediatrics department, A.K. Sharma, promised to start the unit soon, though he wouldn't give a deadline.

According to sources, arrangements were being made to rope in 20 nurses — 12 regular and eight senior nursing students — to start the department by Monday, January 17.

There are 16 beds in the unit. Available equipment include pulse oximeters, photo therapy machine and radiant warmer, besides monitors, weighing machine, oxygen concentrator and infusion pump.

Unicef has provided four doctors for providing Level II care which means all sorts of treatment for babies and children except mechanical ventilation and major surgical interventions. source-telegraphindia.com

RIMS ignores free pill

Ranchi, Jan. 23: A governing body pep pill has had no effect on Rajendra Institute of Medical Sciences (RIMS), which remains insouciant as far as listing free medicines for patients is concerned.

A January 18 meeting — attended by health minister Hemlal Murmu, health secretary A.K. Basu and South Chotanagpur commissioner Sheela Kisku Rapaz among others — had directed the RIMS authorities to display lists of free medicines available for patients at different wards so that the poor could benefit.

However, not a single display board could be spotted at any of the wards in the four-storey building and attendants were seen purchasing medicines from drug stores outside the hospital premises.

Krishnanand Mishra, who has come all the way from Rejo village in Garhwa's Meral block to see friend Heera Baitha in the ICU, corroborated the fact that there was no such list on display. "I had heard that there would be a board listing medicines available for free, but found none in the ICU or anywhere else. Forget medicines, I saw no doctor attending to my friend, while nurses were very rude," Mishra said, expressing concern over management at RIMS.

A nurse at the surgical ward conceded that it was not practically possible to display names of all medicines and their availability status.

"There are only two nurses in this ward and a lot of work to be done. In such a situation, it is difficult for us to list more than 100 medicines," she said.

Not willing to be named, she also added that listing free medicines might trigger a mad scramble and the quantity provided by the hospital administration was limited. "If we fail to provide to all patients, who are mostly poor, there will be ruckus," she said.

Director of RIMS Tulsi Mahto, however, played down the issue. He said lists of medicines would be put up soon. "We have started working in that direction after the governing body directive on January 18," he said.

In the first phase, the RIMS management plans medicine display boards in all the four intensive care units. The same will gradually be done at all the 23 wards, Mahto added.

The governing body had prodded display of lists after it came to know that the state-run premier health institute did not provide free medicines to the poor despite provision for the same.

Other decisions taken at the crucial meeting included outsourcing of catering services, appointment of an advocates' panel, provision for separate departments for TB, chest, psychiatry and paediatric surgery, upgrade of neurosurgery operating theatre and extension of contract of the existing security agency.source-telegraphindia.com

Ragging in PATNA, BIHAR - Medico hangs self

PATNA, BIHAR: The suicide of a medico on Tuesday evening remains shrouded in mystery with the teen's father attributing his son's extreme step to ragging by seniors on his college campus while authorities denying it.

A first year student of Patna Medical College and Hospital, Sunny Kumar Roshan was a native of Saran district's Shivnagri village. His body was found hanging from the ceiling of his room in a private lodge at Maata Khudi Sah Lane in Patna where he lived as a tenant to pursue his studies.

Roshan's father Kameshwar Ram, a banker with State Bank of India, alleged his son often complained to him about ragging. "Once he told me over phone that his seniors had been asking for Rs 1,200 as donation for Saraswati Puja. I had sent him the money," a wailing Ram told TOI over phone from his village where he was performing his son's last rites on Thursday.

Roshan, he said, was so scared of his seniors that he would often bunk off his classes. On the fateful evening, he gave the puja donation to his seniors. On return to his lodge, he went straight to his room and bolted the door from inside, Ram said.

Police said they were approached by Roshan's friends in the lodge when Roshan did not open the door till late Wednesday morning. Police broke open the door and recovered the body.

Patna Medical College (PMC) principal Dr N P Yadav, however, denied that it was a case of ragging. "Roshan was living in a lodge and no one knows what happened there and how," he said.

PMC has an anti-ragging squad to look into such complaints. Squad member Dr Rajiv Ranjan Prasad said neither Roshan nor his parents ever lodged any complaint with the college authorities.

PMC's anatomy department head Dr Khursheed Alam said Roshan was weak in his studies and fetched poor marks in different papers.

"It prima facie doesn't appear to be a case of ragging," Patna SSP Bachchu Singh Meena told TOI on his return from PMC. He said though most of the students have left for their homes after the first year exams, he talked to at least 12 classmates of Roshan. None of them complained about any incident of ragging, the SSP said.

"If the boy's parents have such a complaint, police would assist them in every possible way," Meena said and added while the boy has not left behind a suicide note, his father has lodged a case of unnatural death in the Sultanganj police station.

Chief minister Nitish Kumar, meanwhile, has directed police to investigate the ragging aspect of the suicide case. source-timesofindia.indiatimes.com

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