Attacks have become increasingly frequent and severe in most public hospitals. At least 10 of those cases have been reported in the past year in the state, as abuse is made and threats made every day, doctors said.
“In such situations, physicians are reluctant to undertake critical procedures involving many risks. Unlike before, where doctors took a step-by-step approach to reaching the last line of treatment, they are now not ready to undertake certain procedures, especially if the odds of survival are as low as 1 to 3%, ”said Dr Sagar Dharmula, President of the Association of Young Doctors of Telangana (TJUDA).
“As doctors, we are forced to take the risk even though we can extend a patient’s life by a few hours, but now we are forced not to choose a procedure that can save a life,” he said. he adds.
With frequent incidents of assault, doctors working in intensive care and intensive care (ICU) units avoid last-minute CPR on critical patients, anesthesia in a convulsive patient, and in rural areas, even those with severe pain. Snake bite patients are refused or a pregnant woman with a history of heart disease is urged to leave.
“A systemic fault has made doctors ducks sitting down”
The expectation that a patient would have to survive at all costs if brought to hospital and the threat of a backlash when things don’t work out as expected arouse fear, many doctors have admitted.
Many of the poor who come to public hospitals return to unscrupulous doctors for advice and are misguided. “We worked tirelessly, almost 36 non-stop hours in intensive care and despite this, we are constantly at the front desk. After studying so hard and dedicating so many years of service, the situation we often encounter is that of a patient who comes back and threatens us because of a second opinion he / she takes from a baba on the brink. of the road. Verbal abuse is an everyday affair. They fail to understand that despite all efforts, not all patients will survive, ”said a young doctor from Osmania General Hospital, who had experienced the fury of caregivers a few months ago.
It is also a systemic fault that has turned doctors into sitting ducks, whether it is inadequate infrastructure or a lack of adequate security, added several doctors TOI spoke to. over the last few days on this.
“It wasn’t that bad before, but now many hospitals in the district and rural areas don’t even try to treat patients when there is a risk. The most common critical patient seen in rural areas is poisoning, snakebite, cardiac arrest and cesarean delivery and these are routinely avoided by small and medium sized hospitals. It is the loss of society because it is ultimately the patient who suffers, ”said Dr Kiran Madala, head of the intensive care department at Nizamabad Medical College.
“Poor infrastructure and security along with unrealistic expectations will only hurt government health services if not treated on time,” added a doctor.