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Against BMTU of CMC Vellore Complaints - Negligence
Against BMTU of CMC Vellore
Posted: 27 of May, 2011 by Sangita Talukdar
Negligence

My daughter suffering from Thalassaemia since 3months of her age and under transfusion since then has undergone Bone Marrow Transplant at Vellore where they have taken advance of 8lacs before admission to BMTU expecting that trained and experienced doctors will be present 24hrs in that unit.Only once we could meet the consultant of Haematology Dr.Biju who simply told of the mortality 15% and "things might go right anytime and things may go wrong anytime" without discussing the Class of our daughter or how much marrow would be taken from the donor her brother 2yrs old.Most of the things are managed by the sisters there.To our satisfaction when we made the query whether all complications manageable or treatable the reply was positive because her age is less than 5yrs.Before ENT Dept. gives the clearance they fix up the date for admisssion when her medicine is going on.Nothing wilrapyl happen is their curt reply even if medicine goes on.An operation for Hickman Catheter was done for about 3-4hrs after which she was given to bed.Then they take her to BMTU after 4days and start chemotherapy without knowing her class till then.After 2days when the doctors start discussing her class to be class-3(on Lucarelli features) the mortality rate increases to 45-55% .With such high risk they do the transplant and then when her non-infectious pulmonary complications started the BMTU transfer her to an unsterilized unit called PICU where doctors are untrained and inexperienced looking after so many critical patients with high rates of mortality.Anybody will fear to enter that ward.And Doctor's round or meeting with doctors does not give any comprehensive approach of understanding what has actually happened to the patient.The nurses are the untrained staffs over there on whom the whole day medicinal activities take place.Even the so-called doctors of PICU are so untrained in handling the POST BONE MARROW TRANSPLANT COMPLICATIONS that they even shake before the patient-party in withdrawing blood or fix up a transfusion packed RBC.They could not even understand that she would undergo Cerebral attack as she was complaining of constant pain in head and neck.And ultimately with lots of complications she has passed away which we now say as it was her fate.
BUT NOW I HAVE SOME QUERIES.

1)In the death summary of my daughter it is written that 220ml of bone marrow has been given to her.While in the discharge summary of the donor it is written as the 201ml of bone marrow has been extracted.And the packet that contained the marrow was written 240ml which is seen by my eyes and for which I don't have any proof.WHICH IS CORRECT?
2)WHY WAS THE TRANSPLANT DONE BY THE DOCTORS WITHOUT LETTING THE PARENTS KNOW ABOUT HER CLASS?
3)HOW COME THEY START CHEMOTHERAPY BEFORE KNOWING THE CLASS WHEN THEY KNOW VERY WELL THAT CLASS-1 HAS 5-10% MORTALITY,CLASS-2 HAS AN INCREASED 20-25% MORTALITY AND CLASS-3 HAS AN INCREASED 45-55% MORTALITY RATE?
3)WHY WON'T THERE BE ANY EXPERIENCED DOCTORS THROUGHOUT THE DAY IN THE BMTU/PICU WHEN THEY ARE CHARGING 8LACS AS ADVANCE FOR THE TREATMENT WHICH IS VERY LIKELY TO INCREASE TO 10LACS OR MORE ACCORDING TO THE NATURE OF COMPLICATIONS?

 
 
 
 
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