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2011年11月17日星期四

Kidney missing after surgery to remove stone

In a shocking news which could make every patient hesitant to undergo any surgery, kidney of a woman was found missing after she underwent a surgery for removing stone (calculus) at the Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Porompat, Imphal.

The matter came to light when a JAC against the wrongful operation of Achoubi told a group of media persons in a press meet held at Manipur Press Club, Majorkhul Imphal today.

Secretary of the JAC, Haji Arafat Ali told reporters that the victim Achoubi (52) wife of late Atarali of Minuthong Hatta went to the hospitals on October 3 after she developed pain in her back and checked herself in the OPD where she was attended by Dr Prafullo.

The doctor told her to conduct an ultrasound test to confirm the reason of her pain and she accordingly took the test on the next day at the Aadarsh Laboratoty clinic.

After seeing the USG result on October 5, the doctor told her that she had developed some stones (calculus) in her kidney and a surgery is needed to remove the stone.

Thereafter the doctor referred her to the Surgery Ward of the hospitals.

After she went to the ward, Professor K Mani and Dr Robindro told her to get admitted the same day itself which she did.

After spending some days in the ward, her surgery was conducted on October 11 by Prof K Mani and Dr Robindro which took about four hours.

After the surgery, the doctors told the patient party that they could not find both the stone and kidney in Achoubi's body.

When the patient party enquired about the matter, the doctors told them several possibilities and asked them to keep quiet and offered them to return the amount spend for the surgery.

However after a week, hospital authorities refused to give back the said amount and told them that the doctors were not found guilty in the process of the surgery.

Later on November 5, they were discharged and forced to leave the hospital.

Arafat Ali further told reporters that the surgery was the first ever surgery being conducted on Achoubi in her entire life.

It is a clear matter of negligence and cheating the innocent people by the doctors, he alleged.

He appealed to the concern authority to find the truth and punish the culprits.

A memorandum regarding the incident and their demand was also submitted today to the Chief Minister, Governor of Manipur, DGP by the JAC.

2011年11月15日星期二

Vic nurses' dispute halts urgent surgery

Patients have had urgent operations cancelled and almost 1000 Victorian public hospital beds are closed as nurses continue industrial action.

The action has led to blockages in already stretched emergency departments, with one patient who had experienced a suspected heart attack being left unchecked for 90 minutes and nurses initially refusing to admit a 96-year-old woman to a ward.

Victorian Health Minister David Davis warned that people could die.

"There is no doubt that there is a threat to life, there is a threat and a risk to patients," he told reporters on Tuesday.

The action is part of the Australian Nursing Federation's campaign for better pay and conditions, with the union asking for an 18.5 per cent pay rise over three years and eight months and the preservation of nurse-patient ratios.

The public hospitals, backed by the state government, have taken the ANF to Fair Work Australia and applied to have the action terminated.

Some 969 beds are closed across the state, including 425 in Melbourne and 544 in country areas.

More than 311 surgeries have been cancelled since Saturday, including about 160 on Tuesday.

People have had waits of longer than 24 hours in emergency departments, including 10 with ailments such as broken bones and pneumonia at hospitals across Melbourne's southeast.

Seven patients at Dandenong Hospital and two at Monash Medical Centre waited longer than 24 hours in emergency departments. It was first time that had happened at Monash in three years.

Northern Health chief nursing officer Robynne Cooke said one patient had waited close to 40 hours on an ambulance trolley.

Category one patients, who should be operated on within 30 days, were among those whose surgeries were cancelled at Austin Hospital.

Austin Health executive director of ambulatory and nursing services, Ann Maree Keenan, said two category one and 14 category two patients had procedures cancelled on Tuesday.

One category one patient was booked in for a bladder operation to check for possible cancer and the other needed laser treatment on kidney stones, which can be extremely painful.

A spokeswoman for Mr Davis said the government had confirmed there was a further category one patient whose surgery was cancelled at Austin Hospital.

The bed closures have led to clashes between nursing staff and emergency department physicians about which patients are sick enough to be admitted to beds.

In one instance at the Austin Hospital on Monday, a patient who had suffered a suspected heart attack was left sitting in a chair unchecked for 90 minutes when they should have been hooked up to a cardiac monitor, Ms Keenan said.

At Northern Health, Ms Cooke said she had to convince the union to accept patients needing admission to wards, including an elderly woman.

"I mean, she was 96," she told the FWA hearing.

"I shouldn't to be in a position where I have to sell a patient to an ANF organiser.

"The ANF has become the bed managers for the state."

Eastern Health chief executive Alan Lilley said ambulances were experiencing long waits at hospitals, which in turn diminished their capacity to respond to emergency calls.

2011年6月22日星期三

Why Climate-Related Heat Waves Will Be Bad for Your Health

The start of summer officially kicked off on Tuesday at 1.16 pm ET with the beginning of the summer solstice and the Northern Hemisphere's longest day of the year. That day, the Northern Hemisphere absorbed more sunlight than it has or will have on any other day of 2011. Our planet will release that sunlight in the coming weeks in what will hopefully not be a repeat of summer 2010 – the year of record-high summer temperatures in the Northeast – because if this forthcoming study in Climatic Change is anything to go by, scorching temperatures this summer could bring a lot worse than sweaty brows and frizzy hair.

The study, conducted by scientists at the University of Wisconsin-Madison, Purdue University and the National Center for Climatic Research, identifies a number of illnesses and health conditions exacerbated by unrelenting heat, including diabetes, urinary tract and renal diseases such as kidney stones, respiratory conditions, accidents and even suicide attempts. For every 2 degrees the mercury in your thermometer rises over 85 Fahrenheit, hospital admissions for conditions such as diabetes and kidney disorders are predicted to rise by 13 percent.

“Unlike previous studies, we identified threshold temperatures for several health outcomes beyond which disease rates will increase rapidly,” Bo Li, the lead author of the study, said in a statement.

The researchers also forecast increased incidence of heat-sensitive illnesses and conditions in tandem with predicted warming and its accompanying intense and frequent heat waves for the years between 2059-2070. Hospital admissions for heat-related conditions under one well-studied climate change scenario will increase by seven percent over time, according to the study's senior author Jonathan Patz, and hospitals and public agencies will need to plan accordingly. And stay inside with the air-conditioning on if you're under five or over 85 – the study found that the very young and the very old are at the biggest risk for hospitalization during heat waves.

2011年3月14日星期一

R.I.P. Cloe the Snow Leopard: All Big Cats Go To Heaven

Several months ago, I wrote about Cloe, the magnificent snow leopard, living at the loving

sanctuary, Big Cat Rescue in Tampa, Florida, who was treated for kidney stones with

lithotripsy.

Unfortunately, the day my husband and I visited Big Cat Rescue, the weather was extremely hot

and humid. Cloe was ensconced in her air-conditioned den, napping away the afternoon. While I

was deeply disappointed that I didn't get to meet Cloe, I often thought about her and hoped

that on my next trip I would have the opportunity to visit her.

So I was deeply saddened the other day to learn that Cloe had died shortly before her 14th

birthday. Even though the choice was difficult, since Cloe was suffering from kidney failure,

having her put to sleep was the final gift of love Carole Baskin, the founder of Big Cat

Rescue, could give this beautiful cat. According to Carole, Cloe had lived longer than most

snow leopards. Along with the sadness of Cloe's death, the words Carole wrote soon after the

snow leopard passed touched me so deeply I felt compelled to share them here.

"I shut off the snow leopard cave air conditioner for the last time tonight- 3/8/11. Cloe the

snow leopard had just left her exquisite body and was bound for that place where all good

cats go when they die. As I walked into the office, the chorus of lions stopped me in my

tracks to listen. An over-sized butterfly began circling me and then perched on a branch

right above my head for a long moment, before disappearing high into the boughs of the tree

and darkening sky. I felt it was Cloe; happy to finally be free and wanted to share the

moment with you. She kept circling before stopping to say, 'good-bye', and leaving. Thank

you, everyone, for giving her, and all of these cats, the best lives possible."

The ability to love that deeply is truly a precious gift that should never be taken for

granted. At the same time, it is always risky for us to allow our hearts to open to an animal

and share that special bond. For at the precise moment we open to that love, we also open to

the grief we will eventually suffer when that animal dies.

It doesn't really matter if the beloved animal is a dog, cat, bird or fish, or any other

member of the animal kingdom. When we have been blessed with such a joyful relationship, we

cannot avoid the extraordinary pain and sadness that comes at the time of loss.