वीर अस्पतालको अस्तव्यस्ततालाई सबैले देखेकै हो, सुनेकै हो। तर त्यो अस्पतालको मुर्दाघरमा एक महिला चार दिनदेखि उपचार नपाएर छट्पटिँदै गरेको एक्सक्लुसिभ दृश्य हिजो सहकर्मी दीपक पान्डे र चन्द्र विष्टले खिचेर प्रसारण गरेपछि हंगामा नै मच्चिएको छ।

च्यानल नेपालले विगत केही दिनदेखि विशेष रिपोर्ट बनाउने क्रमलाई तीव्रता दिएको छ। यसै क्रममा दीपक र चन्द्रले यस्तो रिपोर्ट बनाएका हुन्। रिपोर्टमा उल्लेख भए अनुसार ती युवतीलाई प्रहरीले बेवारिसे अवस्थामा भेट्टाएर अस्पताल ल्याएको रहेछ। तर मानवीयताको अलिकति पनि ख्याल नराखी बेवारिसे भएकै कारण जिउँदै उनलाई मुर्दाघरमा राखिएछ।

क्यामेराम्यान चन्द्र विष्टले यो ह्रदयविदारक दृश्य खिच्ने क्रममा चिकित्सकहरुले नखिच्ने चेतावनी दिँदै क्यामेरासमेत खोस्न खोजेछन्। दृश्यमा स्पष्टै देखिएको र सुनिएको छ एक चिकित्सक ?नखिच्नुस् नखिच्नुस्? भन्दै क्यामेरा खोस्न खोज्दैछन् अनि दीपकजी ?क्यामेरा नछुनुस् क्यामेरा नछुनुस् भन्दै कराउँदैछन्।

अवरोध पुर्?याइए पनि जति दृश्य खिचियो, त्यो हंगामा मच्चाउन काफी थियो। दृश्यमा झन्डै २४-२५ वर्षकी अर्धनग्न युवती मुर्दाघरमा छटपटिरहेको देखिएको छ र उनको साथमा अ?ौषधि हैन, एक पुरिया बिस्कुट प्लास्टिकमा बेरेर फ्याँकिएको देखिएको छ।
Read More here - http://merosansar.blogsome.com/2005/07/28/woman-found-alive-in-hospital-morgue/#more-171

matrix,

Enivronment is not there to work. Nobody gives a damn about anything over there. I am not talking about bad habits. I am talking about environment. There is no environmnet for the fair play. The tone needs to be set from up. Thats not there.

Well instead of blaming this and that, why not try to find a middle path. IMHO, I actually think the problem is we expect more of our politicians than we do of ourselves or our friends. How many of us can say we've never lied? How many of us can say we've never held a hypocritical opinion? How many of us can say we've never done something to take advantage of a particular position we've been placed in? I wouldn't think it would be many. Politicians are human too. They make mistakes. Just like us. The problem is, when they make a mistake, they're required to deny it and cover it up, because if they just come out and say "I stuffed up", although they would get respect from some people, there would be far too much public pressure on them telling them to slink off quietly into the night.Thus, one slip up, and you spend the rest of your life digging a bigger hole to cover it up.

I don't think it should be that way, and I'd love to see people more willing to accept politicians will sometimes do the wrong thing, and it's not really the end of the world in most cases. I'd much rather have someone who does a good job, and like everyone stuffs up every now and then but is willing to come clean on it, than some moron who spends all his or her time keeping his or her nose clean in the eyes of the public.

So my take on it all is that there are very few people who are truly corrupt, it's just that many more people appear that way because we're judging them by false standards. If we take a more realistic view of how our politicians should behave, then yes, I think we will see better behaviour from them. At the least, they're more likely to be truthful about their minor transgressions.

Now whether I think the politicians we have are particularly good at what they do, or whether I think the game of politics is one that best serves the general populace, is another issue. But as far as corruption goes, I think we tend to blow it way out of proportion.


Just a thought....

think the problem is we expect more of our politicians than we do of ourselves or our friends. How many of us can say we've never lied? How many of us can say we've never held a hypocritical opinion? How many of us can say we've never done something to take advantage of a particular position we've been placed in?

Excuse me but spare me from these questions coz I have no positive answers. BTW, these were among some of the questions I had been addressing in one of my Nepali threads sometimes ago. Wow, someone thinks similarly as I do.

Diagnosing doctors
( A piece of humor by by oohi ashu and M. Singh)

Doctors and long-distance bus drivers have much in common in Nepal. Both are
responsible for other people's lives. Yet, both often fail in their duty. Just as our
highways are littered with squashed men, women and children for whom the light
at the end of the tunnel was that of an oncoming bus they failed to dodge, our
hospital cabins andnursing home-rooms are filled with patients --overmedicated,
over-ignored and overcharged, and, singing a "knock, knock, knocking on Heaven's door".

If you want to learn more about drivers, hitch a ride on the
rattling Sajha Bus to Dang from Kathmandu. If you want to get the inside
dope - no, not THAT dope, silly -- on Nepali doctors, read on.

Dr. SIGNBOARD-ONLY: This doctor is more interested in keeping his
degree-studded, Shyam-Arts-painted brown signboard outside his
clinic cleaner than your lungs. More a salesman than a doctor,
he knows how to fudge a routine, ordinary and even necessary
two-week-long post graduate training in Poona as an impressive-sounding
degree on his beloved signboard.

When you visit him as a patient, just watch him: He has absolutely no idea what
in Nepal is wrong with you. Yet, in a serious voice, he intones
that you take Cetamol twice a day, each time with a glass of
Aqua Mineral water. And ladies, don't ever let him squeeze your breasts
just because he seems a little too obsessed about curing your
headache. How this guy exists as a doctor says wonderful stuff about
our Nepal Medical Association and the Nepal Medical Council.

Dr. ALL-IN-ONE: This doctor acts as though he were the direct
descendant of Mr. Hippocrates of Athens. He knows all about
medicine, and he wants you to know that he knows all about
medicine. Even in casual conversations, he makes references
both to the New England Journal of Medicine and the Kamana magazine's health columns.

The word "referral" is alien to him: He'd rather kill you than
send you over to someone more qualified in Nepal.

This guy, being Dr. All-in-one, practices all kinds of medicine.
On Sundays, he deals with mere mortals like you and me. On
Mondays, he operates on your newly-rich neighbor's dog. And he
spends the rest of the week, peddling cod-liver oil from his
wife-managed drugstore. Oh, in between, he has plenty of time,
not to mention cash, to rush his relatives to Delhi or Vellore,
even if they have as much as a sneezing problem.

Dr. NO SOURCE-FORCE: Remember that wide-eyed, bushy-tailed ASCol
classmate from Urma VDC in Kailali zilla, who drove you nuts with
his "tapai ka tapai" salutation and oh-so-formal spoken Nepali? Well,
guess what. The guy wiped his nose clean, studied hard, got a Colmbo Plan
scholarship to study medicine, and has now become a football --
kicked around by the Ministry of Health.

Since this doctor, then as now, lacks connections that matter, the
bureaucrats keep on transferring him from one remote zilla to another,
ordering him to fill in the "rural service quota" of yet another slick
Kathmandu medical boy who enjoys the benefits of his Papa's right
connections.

Yet, our No 'Source Force' hero uncomplainingly moves on -- like
the mighty Hercules holding Atlas, dreaming of those juicy
government scholarships to Edinburgh, Dublin or Dhaka. But, alas,
those never arrive, leaving our "daktar-shaheb" spend his working
days in places like Khalanga, Jajarkot -- playing
cards all day with the peons, stealing "chuskis" of banned raksi,
and being reduced to massaging broken jaws of the Maobadis.

Dr. NO ETHICS: There exist at least three variants of this mutant
medico species in our beloved Nepal.

The first variant worships money. To that end, he's always ready to make arbitrary diagnosis, go for unjustifiably expensive procedures, and prescribe back-breaking
nostrum which he wants you to buy at the drugstore of which he is a
shareholder, if not the owner. He pockets commissions from pathology
labs and much else besides.

The second variant, though officially an employee at a state hospital,
will only see you at his private clinic, where, up on a wall-papered
panel, hangs his license to kill. Always busy, he treats you as though
you were a Hero Honda motorbike, whirring over to him for a quick tune-up.
"Roll on, roll on", he seems to say, "and hand over the money to my
brother-in-law outside."

The third variant practices medicine by becoming skilled at
politics - both local and national. Acting as advisors to
political parties, he, together with his comrades and "jai nepal"
friends tears medical fraternities apart -- choosing to operate
on the patients only with (choose one) a Congressi or an RPP or an UML
or a Maoist knife.

Ah, such and more are the hidden tales from the medical land. At
least, the bus driver hasn't made us swim out of the Trishuli yet!

(Originally published in The Kathmandu Post; circa 1999).

उपचारभन्दा ज्यानकै खतरा

जनक नेपाल/नेपालगन्ज

नेपालगन्जका शिक्षण अस्पतालहरूमा लापरबाहीका घटना हुँदैआएका छन् ।

वैशाख २८ गते दिउँसो ३ बजेतिर सामान्य अवस्थामै स्वास्थ्य परीक्षणका लागि बीपी चोकस्थित शिक्षण अस्पताल पुगे, इन्जिनियर रामविलास गुप्ता । तर, उनी र्फकन पाएनन् । उच्च रक्तचाप र मुटुको रोग त थियो तर ज्यानै जाने स्थितिमा थिएनन् । नियमित जाँचका लागि गएका गुप्ताले सधैँ डा कौशल किशोरसँग उपचार गराउँथे । त्यस दिन उनी भेटिएनन् । गुप्ता डा कौशललाई पर्खिन चाहन्थे तर इमरजेन्सी वार्डमा रहेकी डा रीतु चौधरीले तीन इन्जेक्सन मगाइन् र करैले लगाइदिइन् । त्यसको अढाई मिनेटभित्रै उनको मृत्यु भयो ।

"डोज मिलेन कि के भयो कुन्नि, इन्जेक्सन लगाएपछि फिँज काढ्नुभयो । गलत औषधि पर्?यो भन्दै बित्नुभयो," गुप्ताका कान्छा छोरा अभयकुमार, ३५, भन्छन्, "सिकारु डाक्टरले गर्दा बुबाको ज्यान गयो ।" उनका अनुसार गुप्ता २८ वर्षदेखि मुटु तथा उच्च रक्तचापका बिरामी थिए । तर, नियमित व्यायाम र आहारविहारले रोग नियन्त्रणमा थियो । "ठीकठाक मान्छेलाई अस्पतालले मार्?यो," बुहारी रीताले भनिन् ।

डाक्टरको लापरबाहीले गुप्ताको मृत्यु भएपछि आक्रोशित छिमेकीले दोषी चिकित्सकमाथि कारबाहीको माग गर्दै अस्पतालमा तोडफोडको प्रयास गरे । तर, हुलदङ्गा गर्न खोजेको भन्दै सार्वजनिक मुद्दा चलाउन प्रहरीमा उजुरी गरेको पीडितले बताए । त्यही रिसइबीमा अस्पतालले जेठ १७ गते पुगेका आफन्तलाई 'डेथ सर्टिफिकेट' दिनसमेत इन्कार गरेको छ । मृतकका परिवारले लापरबाहीले ज्यान गएको आरोप लगाउँदै १५ लाख रुपियाँ क्षतिपूर्ति र चिकित्सकमाथि हदैसम्मको कारबाहीका लागि प्रशासनमा उजुरी गरेका छन् । डा कौशलले 'सबैलाई बचाउने ठेक्का लिएका छौँ र ?' भन्नेजस्ता गैरजिम्मेवार व्यवहार गरेको सम्झँदै अभयकुमार थप्छन्, "डाक्टरको लापरबाही र गैरजिम्मेवारीले हद नाघेको छ ।"

आठ वर्षदेखि सञ्चालित नेपालगन्ज मेडिकल कलेजको नेपालगन्ज र कोहलपुरस्थित शिक्षण अस्पतालमा यस्ता लापरबाहीका घटना बारम्बार हुने गरेका छन् । नेपालगन्ज मेडिकल कलेजका डा सन्तोषकुमार शर्मा गल्ती नदोहोर्?याउन अस्पताल व्यवस्थापनद्वारा कडाइ गरिएको बताउँछन् । तर, लापरबाही भने घटेको छैन । कलेजद्वारा जुम्लामा वैशाख ७ गते सञ्चालित स्वास्थ्य शिविरमा उपचार गर्न आएका यज्ञराज न्यौपाने, ५०, को पित्तथैलीमा पत्थरी छ भनेर निःशुल्क शल्यक्रिया गर्न नेपालगन्ज बोलायो । महँगो हेलिकप्टर भाडा तिरेर उनी वैशाख १३ गते नै कोहलपुरस्थित शिक्षण अस्पताल आए । महँगो शुल्क तिरेपछि जेठ २७ गते डा एसएम मिश्रले शल्यक्रिया गरे तर पत्थरी भेटिएन । किनभने उनको पित्तथैलीमा पत्थरी नै थिएन । आक्रोशित न्यौपानेले विद्यार्थीलाई सिकाउने प्रयोजनका लागि अपरेसन गरेको आरोप लगाएका छन् । आफ्नो शरीरको अङ्ग निकालियो कि भन्ने शङ्का छ उनलाई । त्यस्तै नियति भोग्दैछन्, हुम्लास्थित खार्पुनाथ- ३ का जितबहादुर शाही । दुईपटक शल्यक्रिया गर्दासमेत डाक्टरले मृगौलाको पत्थरी निकाल्न नसकेपछि ज्यानको क्षति र धनको खर्चले चिन्तामा छन् उनी । अस्पतालले यस्ता घटना लुकाउने गरेको छ ।

त्यस्तै भयो, नेपालगन्ज- ८ का उत्तमसिंह नेपालीका छोरा उदित, १६, को उपचारमा पनि । नेपालगन्ज शिक्ष्ाण अस्पतालका अल्ट्रासोनोलिस्ट डा केदारनाथ अग्रवालले जेठ २४ गते उनको दुवै मृगौलामा पत्थरी रहेको बताउँदै शल्यक्रिया गर्न लगाए । तर, उत्तमसिंहलाई शङ्का लाग्यो र लखनउस्थित देवीशिव हेल्थकेयरमा लगेर डा सञ्जय श्रीवास्तवसँग जचाए । मृगौलामा पत्थरी भेटिएन । डा अग्रवालको रिपोर्टले आफ्नो परिवारमाथि खैलाबैला नै मच्चाएको उल्लेख गर्दै उत्तम भन्छन्, "यसको क्षतिपूर्ति दिनुपर्छ ।" अस्पतालसँग एक लाख रुपियाँको क्षतिपूर्ति मागसहित उनले प्रशासनमा निवेदन दर्ता गराएका छन् ।

नेपालगन्ज- ७, फुल्टेक्राका दिलीप परियार, ३७, ले मृगौलाको पत्थरी झिक्न शल्यक्रिया गराउँदा झन्डै ज्यान गएको थियो । जेठ ५ गते बिहान ११ बजे कोहलपुरस्थित शिक्षण अस्पतालमा चार घण्टा लगाएर शल्यक्रिया गर्दा पनि डा विलोकरले पत्थरी निकाल्न सकेनन् । घाउ त्यत्तिकै सिलाएर अरू दुई दिन पनि शल्यक्रिया गरे । तर, बिरामी सिकिस्त हुँदै जाँदा पनि चिकित्सकले पत्थरी भेट्न सकेनन् । अन्तमा ८ गते राती घाउ आधा सिलाएर अस्पतालले लखनउ 'रिफर' गर्?यो । त्यहाँ जगरानी अस्पतालमा 'लिथोटि्रप्सी' प्रविधिबाट पत्थरी फुटाइयो । १५ दिन लखनउ बसेर सञ्चो भएर फर्केका परियार भन्छन्, "धन्नै ज्यान गएको ।"

"आशै मार्ने स्थिति बनेको थियो," घटना सम्भ?mदै श्रीमती सरिताले थपिन्, "अपरेसन बिगारेपछि न डाक्टर वार्डमा आउने, न नर्सहरू नै देखिने । अस्पताल निर्देशकसम्म पहुँच नभएका भए ज्यानै जाने रै'छ ।" डा विलोकरले जेठ ११ गते गरेको यस्तै अर्को शल्यक्रियामा कोहलपुरकी डम्बरकुमारी पराजुली, ५५, को मृत्यु भयो । आफन्त आक्रोशमा आएपछि अस्पतालका डाक्टरहरू केही घण्टा भाग्नुपर्?यो ।

शिक्षण अस्पतालमा चिकित्सकको लापरबाहीले ज्यान गएका यस्ता घटना बारम्बार सार्वजनिक हुँदैछन् । तर, कलेज प्रशासनले गम्भीरता भने देखाएको पाइँदैन । सामान्य रोग वा शल्यक्रियामा आफन्तको ज्यान गए पनि उजुरी गर्ने निकायसम्म पहुँच नहुँदा सधँै मर्कामा परेका छन् । जीउज्यानमाथि नै खतरा पुग्ने गरी उपचारमा हेलचेक्र्याइँ भएमा उपभोक्ता संरक्षण ऐन २०५४ को दफा ६ -१) क, ख, घ, ड. र दफा १० अनुरूप चिकित्सकलाई सजाय दिलाउन र पीडितले क्षतिपूर्ति पाउने अधिकार हुन्छ । तर, कारबाहीका लागि प्रशासन वा अदालत जानेहरूको सङ्ख्या भने कम छ । जिल्ला प्रशासन कार्यालयमा शिक्षण अस्पतालका लापरबाहीबारे तीनवटा उजुरी परेका छन् । ती उजुरीमा एक लाखदेखि १५ लाख रुपियाँसम्म क्षतिपूर्तिको माग छ ।

कलेजका प्रबन्ध-निर्देशक डा सुरेशकुमार कनोडिया गल्तीभन्दा धेरै हल्ला हुने गरेको बताउँछन् । कलेजद्वारा सञ्चालन गरिएका झन्डै छ सय ५० शय्याका दुई अस्पतालमा करिब एक सय डाक्टर कार्यरत छन् । तीमध्ये दुईतिहाइ हिन्दीभाषी भारतीय हुन् । त्यसैले अस्पतालमा आउने पहाडका बिरामीलाई रोगबारे विवरण दिन र डाक्टरलाई बुझाउन कठिनाइ हुन्छ । कहिलेकाहीँ त भाषाकै कारण रोगभन्दा फरक उपचारसमेत भएको पाइएको छ । कलेजबाटै एमबीबीएस पूरा गरेका चिकित्सकसमेत उपचारमा संलग्न छन् ।

"उपचार बिगि्रयो वा मर्?यो भने डाक्टरले मार्?यो भन्छन्," डा कनोडियाले भने, "जेलाई पनि 'इस्यू' बनाउने प्रयास हुन्छ ।" उनले गम्भीर गल्ती नै प्रमाणित भएमा माफी माग्न र उचित क्षतिपूर्ति दिन कलेज तयार रहेको बताए ।

this reminds of kanti bal aspatal. bichara baccha haru haat purai dadeko, funding nabhayera yettikai alamalla parera baseka ama bau..kasto daridra awastha cha tyaha..bir hospital ma gayo bhane chahi bharkhar school bata niskeka practitioner haru kasto arrogant. doctor haru ko schooling ma euta humanity ko class pani rakhnu parne (class nai nachahine ho tyesto awastha dekhepachi ta dhunga ko pani mutu paglincha).

Nepali Doctors are corrupt and criminals.

Why? How come?

If these doctors are truly patriot of Nepal, and well educated in socialism, development and moralize, they have power to do something about. They can do.

But they do not want to do because they are enjoying to do corruption and crimes in this great situation. So nobody care, nobody oppose, nobody punish them. Free corruption.

Otherwise, Nepali doctors can be unit and do demand or strike to government of Nepal for development or changes in medical field or hospitals. These Nepali doctors are well in financials background. They can do something about.

But Nepali doctors never ever done nothing for new changes, just because it is against their self-interest and profits.

nothing will change unless all the old-timers (docs) die
they are over 80 and stilllk practising
and they practise acc to how things were in the '50s
god save nepali people

Locum

Sadhai testo bhanna hayena !

Purana dactar haru_le banako jugma naya pidhi le parkhar banaune ho bujhou!

Upendra dactor pani swastha mantri bha'kai hun, khai ke napyo ra? Budha ka darja ka hoinan tini, ki hun?

Dos deu na ma justa paji lai...

Desh le etro kharcha garyo...
etro lagani garyo..
euta sakcham ko tham liyera padhiyo(?) ...
sewa garne chahi bidesi ko.....