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Cath lab in RIMS for cardiac patients

The cath lab, which was inaugurated at Rajendra Institute of Medical Sciences (RIMS) on September 18, became operational from today.

Two patients underwent angiography on the first day at the new unit. These included Rajesh Kumar Mahto (14), a resident of Silli, and Sangeeta Devi (38), a resident of Bundu, respectively.

Doctors of Apollo Hospital, including Lalit Kapoor, Deepak Gupta and Neeraj Prasad, were present on the occasion along with RIMS cath lab in-charge J.K. Mitra and medicine department head A.K. Mahto.

Health minister Bhanu Pratap Sahi said that the cath lab would help provide proper medical care to cardiac patients of the state, who now have to spend large amounts for treatment outside the state.

A cath lab provides diagnostic imaging facilities, which helps a heart specialist to reach the heart of a patient through his veins. It is helpful in several procedures related to treatment of heart ailments, including a pacemaker installation.

A cath lab is an examination room in a hospital or clinic with diagnostic imaging equipment used to support the catheterisation procedure. A catheter is inserted into a large artery, and various wires and devices can be inserted through the body via the catheter which is inside the artery.

The laboratory installed at RIMS is a new generation flat panel detector catherisation laboratory, AXION dFC, which cost Rs 3.30crore.

The equipment would enable the doctor to diagnose possible heart attacks at an early stage.

The Font System Private Limited has installed the lab, situated beside the causality operation theatre (COT) of RIMS. source-telegraphindia.com

Students of RIMS, Ranchi demand better facilities

More than 100 paramedical students of the Rajendra Institute of Medical Sciences(RIMS), Ranchi and Mahatma Gandhi Medical College, Jamshedpur held a protest at the gates of Jharkhand Combined Entrance Competitive Examination (JCECE) office here on Tuesday in support of their various demands.

The main demands of the paramedical students include improving facilities for studies and proper stipend. Piyush, Kumar, a protester said: "Our classes are not held regularly. We are made to work 10 hours a day and in return we do not even get any stipend. We want these issues to be looked into expeditiously. We also want separate colleges for paramedical students."

Nitish kumar, a paramedical student of RIMS, said: "We have been running from pillar to post giving our demand letters to all, including the PA to chief minster, health minister, secretariat, the college administration and Ranchi University. However, our demands have not been looked into. Now we have other option but to protest in the street to get our demands fulfilled."

When contacted, RIMS director Dr Tulsi Mahato said they were trying to give the best facility to paramedical students within the resources available. "The students are demanding separate colleges and teachers but we cannot do anything about it as it comes under the government's policy. All we can do is provide them facilities within the available resources as per the directions of government," he said.

Principal secretary (health) K Vidyasagar accepted that there are a few problems regarding paramedical education in the state. He said, "We are trying to strengthen the paramedical studies, but nothing can be done immediately." I have directed Praveen Chandra, chairman of the paramedical council, to give an audience to the protesting students and let us know about the actions we can take to at least solve some their problems immediately." source-timesofindia.indiatimes.com

RIMS Ranchi associate professor attacks director

RANCHI: The office of director at Rajendra Institute of Medical Sciences (RIMS) was in a complete mess on Tuesday with pieces of broken glass were strewn all over along with official files.

Angry with the RIMS management for not getting a promotion, associate professor Surendra Singh barged into the office of the director and tried to attack him besides creating a ruckus in the cabin. Singh appeared for the examination conducted to promote RIMS officials but failed to clear it.

An angry Singh told the media, "This is the second time I have taken the test but have not been promoted. Last time the test was conducted when Tulsi Mahato was the director .

My juniors have been promoted but not me. The director does not want to promote me".

Director of RIMS, Tulsi Mahato looked shaken by the sudden attack. He said, "Singh entered my cabin and first tried to attack me with a flag kept on my table which I resisted. Then he started using abusive language, and flung the files kept on the table claiming that I was responsible for his failure."

He added, "When the officials present here tried to force him out of the cabin, he broke the glass door. When I followed him outside, he even kicked me but the guards arrived and escorted him outside the building." The director said proper action will be taken against Singh. "We will call a meeting and decide on what actions would be taken against him," said Mahato. source-articles.timesofindia.indiatimes.com

Online counselling for UG courses at medical colleges in Jharkhand

RANCHI: The Jharkhand Combined Entrance Competitive Examination (JCECE) Board organized an online counseling for admissions to the National Eligibility-cum-Entrance Test (NE- ET) for undergraduate courses at the three medical colleges of the state on Saturday. The results of the three-day counseling session, a first of its kind, will be declared on August 29.

Examination controller L Khiyangate said, "The aspirants will first have to register with the website of JCECE with their application number and roll number of NEET-UG. On registration, a password will be generated and sent to the mobile number of the candidate with which one can log in for counselling."

During counseling, candidates will have to fill in their personal information and name the college of their choice. The best thing about online counseling is that candidates do not have to come to the counseling centre in Ranchi or any other city. They can appear in it sitting in the confines of their home town. The students can change their preference till August 27, midnight, he added.

Only those who fall in the rank range given by JCECE will be eligible to appear for counseling. Khiyangate said, "General candidates with a Jharkhand state overall rank from 1 to 418 will be able to appear for counseling, SC candidates with a rank between 1 to 83, ST between 1 to 219, backward class-I having OBC rank between 1-8 and BC-II having OBC rank between 1 to 184 will be allowed to appear for the counseling." tnn

There are 123 seats at the Rajendra Institute of Medical Sciences (RIMS) in Ranchi, eighty two at the Mahatma Gandhi Medical College in Jamshedpur and 82 at Patliputra Medical College and Hospital (PMCH) in Dhanbad. A total of 1,256 candidates have registered for counseling. source-articles.timesofindia.indiatimes.com

State Level Civil Surgeons Meet at RIMS

Civil Surgeons and other senior health officials from districts of Jharkhand had a day long review meeting at RIMS on Wednesday. The meeting was chaired by state Health Secretary K. Vidyasagar. Other senior officials of the state's health department were also present including the Director of RIMS, NRHM etc. State Health Minister Rajendra Prasad Singh, addressing the senior health officials said that all out efforts should be made to improve health facilities in rural Jharkhand. source-ranchiexpress.com

Malaria without fever

Malaria without fever, its most obvious symptom, is baffling patients and healthcare experts in Jharkhand alike, Rajendra Institute of Medical Sciences (RIMS) doctors have reported.

Cases of dormant malaria without any of its known symptoms are occurring in the southern belt of the state. Some 200 patients from districts like Khunti, Simdega, Gumla and West Singhbhum in one year, complaining of repeated diarrhoea, leg cramps and even jaundice were diagnosed with malaria despite their not exhibiting classic symptoms of high fever and chills.

"In June 2012, over 50 jawans who had been engaged in Naxalite combat in Saranda came to us. They didn't have fever but complained of unease, headache and nausea. Initial pathological tests did not reveal much. As symptoms did not subside, a series of clinical tests confirmed malaria," RIMS director Tulsi Mahto told The Telegraph.

Usually, malarial symptoms flare up between 10 days and four weeks of the infection. But not always. Mahto stressed the malarial parasite can stay dormant inside the human liver for four years without showing symptoms.

"Ever since we treated the Saranda jawans, the RIMS administration has been given standing instructions to check the presence of the vector-borne parasite among patients from Jharkhand's southern districts," he added.

Recently, the Khunti double tragedy was a copybook case of malaria with suppressed symptoms. This April, the deaths of two minor trafficked girls from Khunti — Jaymani Gudia and Jyoti Mariam Horo — caused a sensation when even their autopsy reports could not clarify the reason. Finally, forensic reports divulged both girls were suffering from malaria.

State malaria officer P. Baskey explained how malaria could occur without fever.

"A person's immune system may sometimes suppress the full-blown symptoms of the disease. In some cases, parasites Plasmodium vivax and Plasmodium ovale can remain dormant in the liver for several months up to about four years after a person is bitten by an infected mosquito. When parasites emerge from hibernation and invade red blood cells, we term it relapse," he said.

Baskey said that those in malaria-prone areas reporting cramps in legs, headache, minor cold and cough or even dizziness should go for proper clinical investigations.

"If it is malaria and is undetected for a long time for lack of proper diagnosis, it causes much internal harm to the patient," he added.

Last year, the London School of Hygiene and Tropical Medicines, UK, in association with National Institute of Malaria Research, New Delhi, started a study in Gumla and Simdega on malaria among pregnant women.

Researchers confirmed they came across no less than 30 women who exhibited no malarial symptoms. Amazingly, the women never complained of ill health. "But, they tested positive for the malaria parasite after series of clinical tests," said a research fellow.

Neena Valecha, the director of the New Delhi institute, and Irene Kuepfer, her London-based counterpart, told The Telegraph that the research would continue for three years.

"We can comment on the findings only after the full tenure," Valecha said. source-telegraphindia.com

RIMS Doctors may Get Better Pay Scale

In a meeting of the RIMS Management Board it was decided to give its doctors a pay scale which is equivalent to the AIIMS, Delhi. The board meeting was chaired by the state's Health Minister Rajendra Singh. It was also informed that the super speciality hospital attached to RIMS will start in September and that a branch of the hospital will also be made in nearby Brambe. Many other important decisions for better facilities to the staff and improving the hospital facilities were taken. The meeting was attended by all board members including the Director of AIIMS.  source-ranchiexpress.com

RIMS - dirty kitchen without supervision

The hospital dishes up food for over 1,000 patients everyday in a dirty kitchen without supervision. Hospital superintendent S.K. Choudhary, who made surprise kitchen inspections on August 12 and 14, didn't like what he saw.

On August 12, when Choudhary saw workers cooking mounds of food without supervised by nutrition experts, he reportedly asked the cook about their whereabouts. On August 14, when he made his second visit to the RIMS kitchen around 10.30am, he saw the situation was the same.

Then, Choudhary reported his concerns in writing to RIMS director Tulsi Mahto and health principal secretary K. Vidyasagar.

The report has caused a furore.

Speaker Shashank Shekhar Bhokta, who inspected the RIMS kitchen on Friday, has reserved his comments. Though RIMS director Mahto refrained from saying anything, health minister Rajendra Prasad Singh spoke candidly to The Telegraph.

"Even under manpower crunch, which has been put up before me as an immediate excuse for lapses, one can't compromise on hygiene. I will visit RIMS on Saturday and discuss with hospital authorities on how to improve the situation," the minister said.

The RIMS kitchen has some 15 employees, including cooks and helpers, who work on shift basis. Officially, there should be a dietician to instruct them on healthy cooking as well as a supervisor to monitor quality of food cooked as well as hygiene.

"I have observed some serious lapses and have pointed out the same in my report. This is an internal matter," Choudhary told The Telegraph. "We send inspection reports to seniors from time to time."

Being a part of the institution, the superintendent obviously didn't want to tom-tom his role as a whistleblower.

"This is a large institution and such gaps are often observed during inspections. We will improve conditions," he said, the unsaid message being "don't sensationalise it".

But the irony is that on August 16, the doors of the kitchen, which otherwise used to be open, were kept shut "for outsiders".

The Telegraph team found more lapses in food distribution at the four-storey hospital. Though officially RIMS has six trolleys for distribution of cooked food, only two or three are used.

When a trolley arrives at the respective corridors, nurses inform attendants of the patients concerned to go and collect food. Hospital staffers don't distribute food.

Sanjay Kumar, an attendant of a patient admitted in the surgery ward, said they all help each other unload food from the trolley. "Ideally, the food trolley should come to wards and be distributed by hospital staffers," he said. source-telegraphindia.com

First dengue case in Jharkhand

A middle aged man of Giridih, who was admitted in Rajendra Institute of Medical Sciences (RIMS) on Thursday, was confirmed to have contracted dengue on Friday after various tests. The patient, Dashrath Yadav, who is kept in the isolation ward of RIMS is the first case of dengue in the state this year.

Dr J K Mitra, attending to the patient said, "After conducting several tests, we found that Dashrath is suffering from dengue but his condition is now stable."

RIMS director Tulsi Mahato said last year also there were several cases of dengue. He said, "We are prepared to deal with the situation in case we get more cases in the coming days but we can not do anything to stop spread of dengue. We can only play the role of advisor and tell people how to prevent dengue."

He added mosquitoes breed in dirty water. People should make sure that there is not dirty standing water in the locality they live in and the drains are regularly cleaned. Also people should sleep inside mosquito net to avoid mosquito bites. Even the municipal corporation should take a step towards fighting against these diseases and start defogging at their area of jurisdiction."

Health secretary K Vidyasagar said campaign against malaria and dengue is an ongoing process and they are always trying to make people aware about the vector borne diseases.

"The cases of dengue started coming in Jharkhand since 2010 mainly in the East Singhbhum region. The disease is no doubt spreading every year as this particular case is of Giridih and till last year there was no dengue case from that district," he said.

He added, "I have not yet got the report of the patient. Once I get the report we will be starting more campaigns and give directives towards protection from the disease." 


NEET Controversy: Govt to file review petition

An "upset" government may file a review petition on the Supreme Court verdict scrapping common entrance test for medical colleges, with Health Minister Ghulam Nabi Azad making it clear that legal recourse is the only option available.

Azad said the apex court order will create difficulties for students aspiring for medical degrees and the Health Ministry has sought legal opinion on the judgement.

"We are very upset," he said while commenting on yesterday's ruling by the top court. He has already asked officials to study the judgement to decide the future course of action.

The Minister said the government was "expecting a better outcome" but "unfortunately that did not happen."

The court ruling, he said, was "a little demoralising for us because we wanted to clean up a number of things".

Asked what the government planned to do, the Minister said, "there is a legal recourse. There is no other way."

A petition seeking review comes up before the same bench of the apex court which has delivered the judgement.

Students aspiring to pursue medical courses will now have to sit for separate examinations for private universities and colleges and shell out a big amount before taking admissions.

Over seven lakh students took the NEET this year for the under graduate courses conducted by Central Board Secondary Education (CBSE) on behalf of Medical Council of India (MCI).

The Health Ministry had started the process of holding NEET for MBBS, BDS and post-graduate medical courses in 2009.

The NEET has been dogged by controversies all along with some states earlier objecting to holding of the exams only in one language and seeking conduct of tests in different regional languages. Some states also opted out of the all-India quota.

Private universities and colleges opposed to the government proposal sought more time to prepare themselves for the all-India exam. They later challenged the MCI notification in the apex court. source- indiatoday.intoday.in

Medical Council of India (MCI) representative inspected the department of forensic medicine and toxicology at RIMS in Ranchi

Medical Council of India (MCI) representative S.K. Chhatarwal, who inspected the department of forensic medicine and toxicology at RIMS in Ranchi on Tuesday, professed dissatisfaction with what he saw.

MCI inspects medical colleges running postgraduate courses before renewing affiliations every year.

In 2010, at the department of forensic medicine and toxicology, RIMS, the number of postgraduate (PG) seats was raised from two to three.

Chhatarwal, a doctor at Postgraduate Institute of Medical Science, Rohtak, Haryana, first visited the PG research laboratory. He recommended RIMS director Tulsi Mahto and other employees to keep the equipment in an organised manner.

Chhatarwal asked the authorities to visit other PG institutes and learn how to maintain a research lab.

The deep freezer at the department caught his eye as its temperature showed –20°C instead of —4°C. At the post-mortem room, the exhaust fan was not working.

"Are you satisfied with the facilities? Will you recommend anyone to get inside under such nauseating conditions?" Chhatarwal asked the staff as they fumbled for replies.

Later, visiting the library, he asked for medical journals that the institution subscribes to. Unfortunately, he failed to get any international journal in his hands.

Chhatarwal inspected the forensic medicine and toxicology (FMT) museum and conference hall for nearly two hours after which he conducted a physical verification of professors.

However, RIMS director Mahto told The Telegraph that he was happy with the overall show. "An examinee can talk about his own performance. It is up to the evaluator to assess the performance. I believe the department will get affiliation as there are very few flaws. Those pointed out by Chhatarwal would be rectified soon," he said.

The department has two professors, two associate professors, two tutors, two medical officers, a toxicologist and an assistant professor. "RIMS has teaching manpower recommended by the MCI to conduct PG studies," Mahto said. source-telegraphindia.com

MCI inspection of RIMS

Medical Council of India (MCI) representative Pradeep Garg visited RIMS in Ranchi on Thursday to take stock of resources available at the cradle and expressed satisfaction with what he saw.

The visit was part of an MCI inspection carried out regularly at institutes running postgraduate courses in medicine. The number of postgraduate seats at RIMS was raised from 12 to 16 in 2010.

Accompanied by RIMS director Tulsi Mahto and doctors N.K. Jha and R.S. Sharma, Garg reached RIMS at 9.30am and inspected the operation theatre, surgical wards, outdoor patients' department and academic area. He also checked admission and registration records of patient. The visit took over three hours.

Although Garg lauded the authorities on the overall maintenance of RIMS, he did not forget to come up with some suggestions aimed at benefiting doctors and patients alike. For example, he asked a senior house surgeon as to how they distinguished between an old patient and a new one. On receiving no response from the stumped doctor, Garg suggested adopting a system of differentiating between old and new patient.

"Unless such systems are adopted, it will be difficult to find out the number of new entrants on a daily basis. Also, following up on old patients and understanding their case-history on subsequent visits won't be easy," he said.

He also advised that only patients and their attendants should be allowed inside the medical area. source-telegraphindia.com

Rajendra Institute of Medical Sciences (RIMS), Ranchi overcrowded

Though the project to convert Rajendra Institute of Medical Sciences (RIMS) to a regional centre of All India Institute of Medical Science (AIIMS) has been left in a limbo, the hospital is now crumbling under the pressure of overcrowding patients.

As against the bed strength of 1,300, the hospital caters to patients almost double this figure on any given day. Rough estimates suggest that as against the national average of one hospital bed per 330 patients, Jharkhand has an abysmally low figure of one bed for every 3,300 patients.

The lack of medical care infrastructure at the district level is being diverted to RIMS which is the only premiere government hospital in the state. The RIMS management said the hospital was rechristened to RIMS from Rajendra Medical College and Hospital (RMCH) in 2002 after the formation of the state. But owing to increasing footfall, the overall situation has deteriorated instead of improving. "We are now facing severe shortage of doctors and other medical facilities to cater to increased demands of the patients," said RIMS director Tulsi Mahto.

RIMS has been known for providing excellent medical facilities because of good doctors. It has been the destination for patients from not only Jharkhand but neighbouring states like Bihar, West Bengal, Chhattisgarh and Odisha because it has seen a long and successful journey of medical service. "We cannot deny treatment to any patient but there is a human limit to all services and the solution lies in strengthening the infrastructure of government hospitals so that only those requiring tertiary care are transferred here," said one of the retired doctors in the department of cardiology.

The number of patients in medicine, general surgery, neuro surgery and orthopaedics has always been higher than the capacity. As against 500 beds in these four departments, the number of patients admitted was around 743. source-articles.timesofindia.indiatimes.com

SC Verdict on NEET and admission to private medical colleges

The Supreme Court on Monday cleared the decks for admissions to under-graduate and post-graduate medical and dental courses for 2013 in state government and private institutions as it lifted its stay on the declaration of the results of the entrance tests conducted by them. 

The apex court bench headed by Chief Justice Altamas Kabir also permitted the Medical Council of India (MCI) to declare the results of the national eligibility-cum-entrance test (NEET) conducted by it. 

The apex court had stayed declaration of results of these individual admission tests in view of the common NEET admission test notified by the government to conduct one single test to fill seats in PG seats in government and private colleges. 

SC said it will give its judgment in July first week on the petition by private medical collegeschallenging the validity of the NEET. 

The court said the fate of NEET for undergraduate courses — MBBS and BDS — will depend on its judgment to be delivered in July first week. source-timesofindia.indiatimes.com

No verdict on NEET- PG medical entrance

With the much-awaited judgment on the results of the National Eligibility-cum-Entrance Test (NEET) for admission to the post-graduation medical courses, which is affecting the future of nearly 90,000 students, not being delivered even today - the last day of Supreme Court's functioning before the summer vacations commence on Monday, the MCI may not have an option but to extend the May 31 deadline for counselling at Medical Colleges. The judgement affects the future of thousands of students fromChhattisgarh, who appeared for 82 medical seats in the state.

Talking to TOI chairman Medical Council of India, Dr KK Talwar, confirmed that the judgement hadn't come today but asserted that "everything" would be done to ensure that students are not affected in any manner. "That's all I can say right now", he said.

The future of 90,000 doctors across the country has been in question, as the results of NEET, which were to be declared on Jan 31, are being held back on the orders of the apex court due to pending litigation. The NEET was conducted in Nov 2012.

Despite MCI chief's claims that the future of the students will not be affected due to the delayed judgement, candidates and their parents do not agree and fear that an academic year may be lost due to the legal wrangling. "If the judgement is delayed even after the opening of the courts on July 1, our children would suffer", said a parent adding that the extension of the counselling date would not help much as the commencement of the academic session would be delayed. "If the apex court gives the judgment in July, the month long counselling sessions would go on till August and would adversely affect the studies of the students", said another parent.

The legal wrangling started with the MCI's proposal of a common entrance test for MBBS, Dental and PG Medical Courses. Private medical and dental colleges, who opposed the proposal, filed a case in the Supreme Court. While ordering the MCI and the states and private colleges to conduct their NEET and entrance exams respectively, the court debarred the declaration of results till the verdict on the case. source-timesofindia.indiatimes.com

NEET-PG 2013 - Final case verdict on Friday ,May 10

NEET-PG case verdict, which was expected to be given on May 9, was delayed by a day as the case was not included in the Supreme Court of India's final cause list.

Supplementary cause list for May 9 was also published but NEET-PG case was not included.

The final verdict will therefore be announced today as it is the last day before court holidays. The vacation of Supreme Court will start on May 13 and the court will re-open on July 1.

MCI and most of the senior counsels have been requesting the bench for final verdict on NEET-PG case before May 13, 2013.

NEET-PG results will be released only after final verdict. Counseling at medical colleges will end on May 31. There was some speculation that this deadline could be extended depending on when NEET-PG results would be declared.

The Supreme Court last heard the NEET PG case on April 30. About 90,000 students have been affected by the delay of results.

The delay has affected students do not know whether they are to give up their jobs and get a seat in medical school.

Students had taken to expressing their frustration over the delay in results from February 2013. Fed up of the delay, some have now taken to protesting in towns and cities across the country. source-daily.bhaskar.com

First National Eligibility-cum-Entrance Test (NEET) held for 31,000 medical seats

The first centralised test for admissions to medicine and dentistry seats — National Eligibility-cum-Entrance Test (Neet) — passed off peacefully at 33 centres across the state.

The Central Board of Secondary Education (CBSE) would conduct the examination. The examination score would enable students to apply for admission to 271 government and private medical colleges for MBBS and BDS.

According to sources, around 31,000 medical seats in government and private medical colleges in the country would be filled up through the Neet score. All government medical colleges in the Bihar state, including Patna Medical College and Hospital (PMCH), Nalanda Medical College and Hospital (NMCH), Anugrah Narayan Medical College and Hospital (Gaya), Jawaharlal Nehru Medical College and Hospital (Bhagalpur) and Shri Krishna Medical College and Hospital (Muzaffarpur) and others would consider the Neet score for admission.

Apart from the above institutes, students can apply for admission to premier medical colleges in other states such as Rajendra Institute of Medical Sciences, Ranchi, VM Medical College & Safdarjung Hospital (New Delhi), SCB Medical College (Cuttack) and others through the Neet score.

Most students were seen coming out of the exam centres with smiles on their faces. Manjari Singh, a student of DAV, Siwan, who took the exam at Christ Church Diocesan School, Patna, said: "The examination was easy, as most of the questions were of Class XII level of NCERT." In the three-hour examination, students had to answer 180 questions comprising 45 from physics and chemistry each and 90 from biology. source-telegraphindia.com

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NEET-PG results 2013 may be announced on May 09, 2013

All arguments regarding NEET-PG results have come to end. All senior counsels filed rejoinder to the MCI arguments.
The verdict of NEET-PG results 2013 is likely to be announced on May 9. NEET-PG results will be released only after final Verdict.
The senior counsel was required to consolidate their points. The Supreme Court last heard the NEET PG case on April 30. The vacation of Supreme Court will start on May 13 and the court will re-open on July 1.
About 90,000 students have been affected by the delay of results.
The delay has affected students do not know whether they are to give up their jobs and get a seat in medical school.
The deadline for counselling is May 31. There was some speculation that this deadline could be extended depending on when NEET-PG results would be declared.
Students had taken to expressing their frustration over the delay in results from February 2013. Fed up of the delay, some have now taken to protesting in towns and cities across the country. source-daily.bhaskar.com

No SC verdict on NEET - 90,000 medical students waiting anxiously

After exposing the rot in medical education, CNN-IBN now turns its focus to the plight of medical students who are caught in the stand-off between private colleges and the government. With the Supreme Court decision on the single entrance exam National Eligibility cum Entrance Test (NEET) still pending, admissions are yet to happen, leaving the future of 90,000 students hanging.

The suspense is leading to anger and frustration among students. Dr Ravi Shankar, a PG aspirant, said, "What is the Supreme Court doing? I have been to the court and our matter never comes up for hearing. Summer vacations are about to start. What happens then?"

"I am one of the PG aspirants. I am jobless. I need an answer right now. The delay is creating mass agony," said another PG aspirant Dr Ankita. "We have 40 exams after MBBS. How can a person write 40 exams in two months? How can I go to Kashmir, Kerala, Karnataka and Gujarat. How can I write all the exams," questioned another aspirant, Dr Farooq Ahmed.

Upset with the delay in the admission process, medical students have been organising protest rallies and dharnas across the country demanding a single admission test. The medical education stand-off started with the MCI proposing a common entrance test for MBBS, Dental and PG Medical Courses. Opposing this, private medical and dental colleges moved the Supreme Court. Asking for time, the apex court ordered the MCI to conduct NEET and also allowed all states and private colleges to conduct their entrance exams but not declare results till the court's verdict is out.

The delay in the Supreme Court verdict is becoming a source of angst among aspiring medicos who feel the system is working hand in glove with private colleges. Will medical education get a new lease of life with NEET or will the circle of corruption continue? source-http://ibnlive.in.com

Jharkahnd state Hospitals not ready for haemophiliacs

Government hospitals, including Rajendra Institute of Medical Sciences (RIMS) in Ranchi, are not equipped to treat haemophilia patients in the state and have to source medicines either from Mumbai or Delhi, which is a costly affair.

Two patients, both in their twenties, died last month at RIMS. They were admitted in a critical condition but due to non-availability of factors VIII and IX drugs. Patients require infusion of deficient clotting factors VIII and IX.

According to Santosh Jaiswal, secretary of the Jharkhand chapter of Haemophilia society, the government should have better infrastructure. Till date, the government has not made safe clotting factors available at state hospitals.

There are 300 people suffering from the disease in the capital and a total of 5,000 registered cases with the haemophilia society in the state. The patients are in dire need of drugs that are very costly and cannot be afforded by them. Patients are given Cryo Precipitates, which were available in the blood bank of RIMS.

In other medical colleges in the state, like Mahatma Gandhi Memorial Medical College and Hospital in Jamshedpur and Pataliputra Medical College and Hospital in Dhanbad, the condition is equally appalling. There is no facility to treat critical patients in Jamshedpur.

Sumitro Hajra, secretary of Jamshedpur chapter of the haemophilia society, said Mahatma Gandhi Memorial Medical College Hospital (MGMMCH) has nothing for ailing patients.

"There are 50 patients registered with our chapter (in Jamshedpur). If any such emergency situation occurs, we move the patient to RIMS immediately. We have requested the medical superintendent of MGMMC to establish a separate hemophilia centre in the hospital," said Hazra.

Dr Govind Sahay, chairman of medical advisory board of the haemophilia society said, "Factor replacement is the only cure which can be done in the process of treating of the disease. Presently we have to buy the drugs from the Delhi and Bombay chapter of hemophilia society who in turn buy these factors from World Hemophilia Society(WHS) Canada."

A patient requires 1,000 unit of factors per day in case of heavy bleeding which costs Rs 15000 per day. In acute conditions the cost may rise to more than 20, 000 a day. Till now, state health department has done nothing on its part to bring any relief for the patients. The director-in - chief of health, P Chandra, has made a proposal to the government of India for making the drug available here and is waiting for the approval.

Chandra said, "We have finally sent the proposal to the central government for accessing the drugs at reasonable cost under National Rural Health Mission."

Head of the department of spleen, of Pataliputra Medical College and Hospital (PMCH) Dhanbad, Dr PK Sanger said, "There is no facility for such patients in the hospital. Although there is blood separators but the drugs are not available nor is the hospital equipped for any such facility for handling patients. We refer patients to Ranchi."

Santosh Jaiswal said the state government has sent a proposal of Rs 2.50 crore to NRHM separately, especially for making the drugs available. Earlier, the drug was not included in the Essential Drug List that is meant for life saving drugs. With the effort of hemophilia society, the drug was included in the list. Now the government will be liable for buying the drugs under the fund that is being allotted to the health department. source-http://articles.timesofindia.indiatimes.com

Lack of Fire safety in govt hospitals in Ranchi

It is hard to believe that a hospital where people go to save their lives can put them at risk. But that's the bitter truth of the city where most government hospitals fail to comply with fire safety norms.

The Sadar hospital in the city does not have a single firefighting equipment in the wards. Perhaps it is waiting for a tragedy to strike putting the lives of 500 patients in the hospital at stake before swinging into action.

When TOI asked the district superintendent about the lack of fire fighting equipment, he admitted the lapse and said despite floating tenders several times, nobody came forward, owing to which the installation of the equipment has been stuck for long.

"We have invited the locals to take up the work order. I am not financially empowered. All I can do is send a missive and I have already done that," said A K Jha, the district superintendent of the hospital.

Civil Surgeon D K Singh said, "The process of installation of firefighting system is getting delayed but by the end of this month, it is expected to be completed."

The reputed hospital of the capital, Rajendra Institute of Medical Sciences (RIMS), was also found to be lacking in fire safety measures as none of the wards in the hospital had firefighting systems.

The extinguishers installed in the corridor of the hospital are being used beyond the expiry date and are not equipped to deal with an exigency. The government hospitals do not appear to take the National Fire Safety Week seriously and are yet to take lessons from the Amri incident in Kolkata.

When team TOI entered the neurological ward, patients were found lying on the floor. An official in the hospital, working here for 10 years, said on conditions of anonymity, there is no such firefighting equipment installed in any of the wards.

"There is already a crisis of beds for patients, from where will the firefighting equipment be installed?"

When contacted, Tulsi Mahto, director of RIMS, declined to comment on the matter.

This apart, no hospital has applied for the no-objection certificate (NOC) of the fire services department.

Sudhir Burma, an official of the fire department, said, "As per the government's guidelines, schools, markets, government establishments and hospitals have to adhere to fire safety measures and they cannot flout the norms."

Kumar added, "We issue the NOC to the hospitals only after they ask for suggestions for firefighting measures and only when we are assured that the measures suggested by us are being properly implemented by the authorities." source-http://timesofindia.indiatimes.com/city/ranchi/No-fire-safety-in-most-govt-hospitals-in-Ranchi/articleshow/19625683.cms

RIMS hopeful of 150 MBBS seats

A team from the Medical Council of India ( MCI) was on a two-day visit to the Rajendra Institute of Medical Sciences (RIMS).

This has made the RIMS director hopeful of the long-pending recognition of its 150 medical seats.

Director Tulsi Mahto said, "The team inspected the infrastructure at RIMS, including the number of doctors, buildings, various departments and classrooms during the two-day inspection that began on Wednesday. The MBBS seats were increased from 90 to 150 seats in 2011, but the Medical Council of India inspection couldn't take place till now."

"The major area of concern for us right now is to improve the animal house of the pharmacology department as sanitation and the building structure was an issue with them," he added. source-http://articles.timesofindia.indiatimes.com/2013-04-06/ranchi/38326584_1_mbbs-seats-director-tulsi-mahto-medical-council

RIMS ready to tackle bird flu cases

The city hospitals said there was no bird flu scare and asked people not to panic after reports of birds dying mysteriously in Khunti district surfaced recently.

While allaying fears, hospital authorities said they were well prepared to handle an emergency situation.

Tulsi Mahto, director, Rajendra Institute of Medical Sciences (RIMS), appealed to people not to react to rumours of bird flu in the city. "People will be provided treatment (if there is an outbreak) and we are making all arrangements here at RIMS. We have an isolation ward for such patients here as those suffering from bird flu need to be isolated from others and have to be treated separately with proper care. Even those who suspect should come to the hospital and get themselves checked," said Mahto.

D K Singh, a city-based surgeon, said major responsibility of bird flu lies with the veterinary department. It is the veterinary department which will have to keep a check on the birds and send a high alert if such a thing is being reported. "We can provide the medicines which are needed for the treatment of patients and if the situation turns worse, we will refer the patients to RIMS which is not very far from the sadar hospital," said Singh.

Till date, no such case has been reported in the state. Meanwhile, the health department has issued guidelines to all the civil surgeons in the districts to gear up to tackle any suspected case of bird flu is reported and to have full stock of medicines if needed.

On being asked about any alert being issued in the wake of the bird flu scare

after the sudden death of several birds in Khunti, veterinary director, A K Bandhopadyay said "We are following the guidelines of the government of India," he said. Source-articles.timesofindia.indiatimes.com

Super-specialty wing in Rajendra Institute of Medical Sciences (RIMS), Ranchi

The authorities of Rajendra Institute of Medical Sciences (RIMS) are trying their best to start the super-specialty wing by April in accordance with the orders given by the central government.

The Union joint secretary had issued a directive after a review of the super-specialty wing some days ago asking it to start the delivery of health services in this wing by April.

The various units to be started in the super-specialty wing of RIMS include cardiology, urology, oncology and paediatric.

Medical superintendent SK Chaudhary, however, said, "Until the building is prepared and handed over to us, we can't start anything. Once the building, which is 95% complete, is handed over to us, it will be first be tested after which we'll start rolling out the later processes. With the work on the building being more than half-way through, we hope to start the work at the earliest so that common people can start availing of better health facilities here."

The recruitment of paramedic staff and doctors will start once the testing of the building is done, added Chaudhary.

"We have decided to start the super-specialty in a phased manner. Since we do not want to miss the April deadline, we will start operating with the existing staff including doctors. Later, of course, we will recruit more qualified doctors," assured the superintendent. source-articles.timesofindia.indiatimes.com

RIMS 2011 batch of student stir over exams

 The 2011 batch of students at Rajendra Institute of Medical Sciences (RIMS) protested after authorities skipped discussion on examination at the syndicate meeting held on Thursday.

Anil Kumar (name changed), a student of batch 2011 of RIMS, said, "No student of our batch filled the form for first year final examination which was to be held in August 2012. According to rules, if the forms are not filled then the examination is considered to be cancelled but the university officials say that the examination will be considered conducted and so we got only one chance to write the paper in the supplementary examination."

"Our demand is that the examination should be re-conducted or we should be promoted to the next class and given a chance to write the paper again as back papers but they are neither giving us a second chance nor are they promoting us to next year," he added.

The students claim that they approached university many times and their demand was accepted in the examination board meeting of Ranchi University but it was cancelled later on in academic council meeting.

Kumar said, "Every time we try to talk to university officials their reaction is negative. Even today we went to meet the syndicate members but they did not listen to us and said that our work will not be done."

On the other hand vice chancellor of Ranchi University LN Bhagat said, "We have already written to the Medical Council of India regarding the matter. If we do not get any directions from them by March 20, we will call a meeting on March 21 to discuss the matter."

The meeting was called on Thursday to approve the decisions taken in the meetings of Academic Council and Affiliation Committee meetings held earlier this year. source-articles.timesofindia.indiatimes.com

RIMS to resume non-practicing allowance (NPA)

The governing body of the RajendraInstitute of Medical Sciences (RIMS) on Wednesday decided to resume non-practicing allowance (NPA), which was stopped since June last year, to the doctors working at the state-run hospital.

RIMS director Tulsi Mahto said some new departments like nephrology and gastroenterology should be set up separately for which the detailed project report (DPR) was to be sent to the health department with the details of the number of professors in the departments. "The governing body also recommended creating 320 posts to be set up for doctors in line with the Medical Council of India requirements in which the final call will be taken by the health department. All the development work going on the premises should be completed as soon as possible," he added.

Asked from when the NPA would be resumed, the director did not specify any time but merely said "as soon as possible".

The meeting was held amid protests by the RIMS-appointed doctors, RIMS teachers' association, the employees' organization and the contract nurses. The doctors were demanding implementation of the RIMS service rules as soon as possible. "It has been 10 years since the RIMS had been formed but the service rules have not been formed yet. If the rules are being framed, it will be easier for doctors to function in a proper manner," said Ashok Kumar Sharma, secretary, RIMS Employed Doctors and Teachers Association.

Secretary of the Jharkhand Medical Teachers' Association Prabhat Kumar said they had submitted their demands to the governor's adviser K Vijay Kumar and other officials in the health department. "We are demanding promotion benefits, dynamic assured career promotion (ACP) benefits like their counterparts in other states and we should be recognized as government employees so that we get the post-retirement benefits," said Kumar.

Karamchari Sangh president Ram Dhan Ram said some of their demands included extension of medical facilities to their family members, upgrading the workers to Grade III and filling up of many vacant posts. The contract nurses demanded that their salary be at par with permanent nurses.

Director Mahto said various demands put up by the doctors and the contract nurses would be looked into by the administration. source-timesofindia.indiatimes.com

RIMS doctors submitted their long-pending charter of demands to governor's adviser

Doctors working at the Rajendra Institute of Medical Sciences ( RIMS), Ranchi have submitted their long-pending charter of demands to governor's adviser K Vijay Kumar hoping that the pleas will be heard during the President's Rule.

Prabhat Kumar, the secretary of the Jharkhand Medical Teachers' Association, said the doctors had often put forward their demands to former health minister Hemlal Murmu, principal secretary K Vidyasagar, but no action had been taken.

"Now, we hope that in the wake of the President's Rule things may turn in favour of us."

Elaborating on the demands, Kumar said, "We have only three issues. We have always demanded that we should be recognized as state government employees so that we too can enjoy the post-retirement benefits like pension and gratuity. We are also demanding that like other states we should also get dynamic assured career promotion (ACP) benefits. Jharkhand follows many things which happen in Bihar, but the dynamic ACP has not been followed in the state. Apart from these, we also want that we should be given timely promotions."

Kumar said they would hold a meeting on Tuesday to decide on their future strategy. On Wednesday there will be a general body meeting in the hospital in which all the departments will raise their demands. "We have also decided to put forward the demands once again and see what they (the authorities) have to say."

Adviser Vijay Kumar refused to say much on the issue. "I will discuss these demands with the health secretary and get the details from them first," he said. source-articles.timesofindia.indiatimes.com

RIMS Hygiene a distant dream

RANCHI: Patients at Rajendra Institute of Medical Sciences ( RIMS) are living in squalor with most of the critical wards lacking cleanliness and hygiene.

Bed sheets are not cleaned and many patients complain of unwashed sheets with blood stains on them. Patients and attendants are compelled to use the same bed sheet for days. When asked, a patient in the labour room, who was lying on a mattress on the floor as beds were not available, said her sheet was changed on Thursday yet it looked dirty and had blood stains on it.

The white bed sheets in some rooms have turned yellow. "They (ward boys) were also giving me a blanket but after seeing its condition, I refused to take it. It smelt awful and even had blood stains on it. As we have come here for treatment now we are helpless and have to make do with whatever is given to us," she said.

Washrooms near the emergency ward, the central laboratory and the 'sanjha chulha', or the common oven that is used by the patients' attendants, areas are badly in need of cleaning and sanitizing.

One of the attendants said the hospital does not provide extra bed sheets, and most of the time, it is said the sheets are in laundry.

"My husband was here for the past 18 days and was using the same bed sheet everyday. When I went to ask for a new one the nurse said clean bed sheets are with the washerwoman. At last I washed it on my own," she recalled.

Similar was the situation in the surgery ward.

The nurse, who is in charge of the labour room, said they change bed sheets frequently and the blood stains never go even if washed properly. Since the women here are not kept for long so when the patient comes they are given a new one and when they leave their bedsheet is changed. Similar argument was given by the nurses in charge of the surgery wing.

This apart, two male toilets were also found unclean and the obnoxious stench was could be felt from metres away. The floor of the toilet was wet, water logged and dirty. The toilet near the emergency ward was found locked.

A person coming out of the washroom had this to say, "It's very dirty as people don't use the flush. The stink is so bad that I had to hold my breath and go inside."

The drinking water area of 'sanjha chulha' isn't any better. It was found wet with water all over the floor. People throw left overs so the tap area has been blocked. The dustbins kept there were overflowing and dogs were seen roaming around the dustbins in search of food.

The medical superintendent, S K Chaudhary refused to accept the allegations. He said they have enough number of clean bed sheets and blankets in stock. As far as the toilet is concerned he said people from the adjacent bank use them so he can't comment. About the sanjha chulha area he said people are responsible for making it dirty but sweepers do clean the entire area in the morning. Source-articles.timesofindia.indiatimes.com

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