Wednesday, July 3, 2002, Chandigarh, India

 

L U D H I A N A   S T O R I E S


 
HEALTH

ALLEGATIONS OF NEGLIGENCE
Inquiry marked against Khanna SMO
Our Correspondent

Ludhiana, July 2
The Civil Surgeon, Ludhiana, Dr J.S. Bhullar, has marked an inquiry against Dr Dharampal, Senior Medical Officer (SMO), Khanna, for his alleged negligence which resulted in the death of a 32-year-old youth, Antarpal Singh, on May 21, after he was operated upon for removal of a ureteric stone.

Ludhiana Tribune had reported about the death of Antarpal Singh on June 29.

Dr Bhullar, while talking to Ludhiana Tribune, said an inquiry had been ordered against Dr Dharampal on July 1. “The inquiry will be conducted by Dr N.C.Bassi, District Family Planning Officer. I have given a week’s time to Dr Bassi for submitting his inquiry report”, he maintained.

Dr Bassi said he would examine the case minutely. “I will try to submit the inquiry report within seven days but it can be delayed due to the ongoing strike at Dayanand Medical College and Hospital as the victim was brought to DMCH after being operated upon at Civil Hospital, Khanna, and the version of the attending doctor there is very important”, said Dr Bassi.

It may be mentioned that Antarpal Singh, an employee of PSEB at Rara Sahib, was operated upon for a ureteric stone at Civil Hospital, Khanna, on May 20. The family of the deceased had levelled allegations that Dr Dharampal, SMO, Khanna, was responsible for the death of Antarpal Singh.

Mr Nirmal Singh, elder brother of Antarpal Singh, said the condition of his brother had deteriorated after the operation but the doctors maintained that everything was normal and that the victim was recovering.

“Some mistake was committed by the doctors at Khanna. If we were told well in time about the exact condition of my brother, perhaps we could have saved him. The doctors attending on him had kept him at the hospital for more than four hours after the operation and when his condition worsened, they showed their helplessness and asked them to take Antarpal to DMCH immediately”, maintained Nirmal Singh.

The patient died at DMCH on May 21 after struggling for life for more than 20 hours. According to the death summary of DMCH, the patient was operated upon for ureteric colic (outside) and had respiratory arrest following cardiac arrest.

Meanwhile, the Khanna branch of the Indian Medical Association (IMA) has claimed that the operation was conducted in a right manner and the doctor was not to be blamed for the death of Antarpal Singh.

According to the recent guidelines issued by the Medical Council of India (MCI), in case any doctor is found guilty, his/her licence could be cancelled by removing their names from registration list that would bar them from continuing in the medical profession.

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DOC SPEAK
Calcium intake must for lactating mothers

Breast-FEEDING is natural. It helps the mother physically. When the baby nurses, the muscle wall of the uterus contracts vigorously. This hastens its return to normal size and position. The baby gets some protection against disease from the colostrum (the fluid that comes before the real milk). A big advantage of breast-feeding is that the milk is always pure, a baby can’t catch an intestinal infection from it. Breast- feeding does wonders for a young mother and for her relationship with her baby. She and her baby are happy in themselves and feel more and more loving to each other.

Breast milk is the ideal food for babies younger than four to six months:

Breast milk contains antibodies and other disease preventing substances. It protects against allergies and asthma, and also is easier to digest than formula. Breast feeding help build strong bonds between baby and mother, helps reduce weight after the baby is born. Do not take any medication while breast-feeding unless it was prescribed by a doctor. Avoid smoking, drinking alcohol and excess coffee.

Some mothers shy away from breast-feeding for fear it will spoil their figure:

Take two precautions, first the mother should wear a well-fitting brassiere that supports the breasts not only while she is nursing but also during the later part of pregnancy, day and night, when the breasts are definitely enlarged. This is to prevent stretching of the skin and of the supporting tissues in the breast during the time the breasts are heavier.

Size of breasts is of no importance:

Some women with small breasts assume that they will be less able to produce milk in sufficient quantity. As a woman’s pregnancy progresses, secretions from the ovaries stimulate the glandular, milk producing tissue to develop and enlarge. The arteries and veins that serve the glandular tissue enlarge too, so that the veins become prominent on the surface of the breast. The milk, when it comes in a few days after delivery, causes further enlargement of the breasts. Women who have unusually small breasts before pregnancy may produce copious amount of milk.

The working mother who hesitates to nurse because she has to go back to work:

It depends on her working hours and how soon she must get back to the job. If she has to be out of the home only eight hours a day, she can still nurse her baby except for one feeding. Even if she cannot nurse after she resumes work, it would be still be worth while to breast-feed the baby temporarily if she has a month or two.

A nursing mother does need to ensure that her diet contains plenty of the elements that the baby is withdrawing with the milk. A large amount of calcium is excreted in the milk, to enable the baby’s bones to grow rapidly. If the mother takes in too little, the breasts will withdraw it from her bones. It used to be thought that she would lose calcium from her teeth, too, but this is probably not so. She should take as much milk as the baby is getting from her, plus a little extra for her own needs, in any beverage that she likes, or cooked into cereals,soups, puddings or in the form of cheese. If nursing mother is gaining unwelcome weight, she can drink skimmed milk, hold down on butter, keep the cereal and bread portions small, limit strictly or omit such high calorie foods as candy, pastries, cakes, cookies, soda drinks . But she should not cut down on the milk, vegetables, fruits and vitamin D.

Some mothers prefer to nurse in a sitting position. When the child feels the nipple near his mouth he will root around trying to get hold of it. At times you may need to put a finger on the breast to give him breathing space for his nose, though this is not usually necessary. Worries and tension can hold the milk back. So try to get troubles off your mind before beginning to feed the baby. Usually when the mother is worrying about the amount, the doctor finds that there is no insufficiency of milk, only an insufficiency of confidence. Worry only discourages the milk supply. Mother should wash her hands and breast nipple before feed. Consult doctor immediately if there is any pain in the breast.

Dr Anil Dheer

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Scientific dental meet
Our Correspondent

Ludhiana, July 2
The district branch of the Indian Dental Association (IDA) in collaboration with Colgate-Palmolive held a scientific dental meet here on June 30.

Dr T.P. Singh, president of the local unit in a press statement today said the meet was attended by dental professionals, who were informed about Implants. 

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MC steps to mitigate perils of rainy season
Our Correspondent

Ludhiana, July 2
Desilting of Budha Nullah to a length of 20,000 running feet, cleaning of 12 other open drains, passing through different city localities, raising of banks of Budha Nullah at vulnerable points, setting up control rooms and doubling the quantity of chlorine in drinking water are some of the measures taken by the civic administration in preparation for the coming rainy season.

Giving more details, the MC Commissioner Mr S.K. Sharma, said five draglines, deployed for desilting of Budha Nullah from Chander Nagar to Jail Road had already completed desilting to a running length of 17,700 feet out of a total of 20,000 feet. Out of 13 bridges over the drain, 10 had been got cleaned by sewermen while work was in progress at the remaining three at New Kirpal Nagar, Bypass Road and Tajpur Road. The work was expected to be over within a day or so, he claimed.

The civic body had deployed a gang of 10 sewermen for cleaning the drain passing through Niggar Mandi and Gur Mandi from wherever the openings were available. The work for cleaning of 18 bridges on these open drains was also near completion. This would ensure proper flow of water and check overflowing and flooding the localities around these drains.

According to Mr Sharma it had been observed from past experience that the flooding of colonies around Budha Nullah was caused due to low banks of the drain. As a remedial measure, the banks were being raised with earth filling to avoid spillage and inundation. Further, the zonal commissioners concerned had been directed to keep a vigil on the drains and Budha Nullah, passing from the area under their jurisdiction to ensure the free flow of water.

In a bid to cut down response time in the eventuality of flooding of residential areas due to rain or spillage from drains, the MC had set up control rooms at all four zones in the city which would remain functional round the clock. The control rooms, besides being equipped with telephone and two vehicles, would be manned by a junior engineer, sanitation staff and sewermen.

Mr Sharma informed that as a preventive measure against water borne diseases like gastroenteritis and jaundice, the quantity of chlorine in piped water had been doubled from July 2. In addition, the MC zones would also run an awareness campaign to promote public health and hygiene, educate the public against drinking contaminated water and on need basis, would distribute packets of ORS and medicines in case of outbreak of diseases.

The Commissioner further maintained, “On our part, we shall see to it that drinking water is made available through water tankers where contamination of piped water or that from hand pumps is reported.” He said the drainage disposal system already functional in the city would, from now on, run round the clock so that the outflow of sewerage network and drains remained unobstructed. The fogging and spray against mosquitoes and house flies will also be stepped up all around the city as a preventive step.

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