VENTRAL / UMBILICAL INCISIONAL HERNIA treatment in noida – It is also treated by laparoscopic surgery. It also can be done by single incision -SILS.
UMBILICAL / INCISIONAL HERNIA – noida
A hernia happens when the muscles inside a person’s abdomen (belly) weaken in one spot, allowing a loop of intestine or abdominal tissue to push through the muscle layer.
What is a ventral hernia?
A ventral hernia is called an incisional hernia if it occurs at the site of a surgical scar. Up to one-third of all patients who have had open abdominal surgery will develop a ventral hernia at their incision. An umbilical hernia is a hernia that occurs at the navel or belly button. This can happen with or without a prior incision.
What are the signs of a ventral hernia?
In some cases, a ventral hernia causes no discomfort, and the first sign of the hernia is a bulge under the skin. A ventral hernia may cause pain when a person:
Lifts heavy objects
Strains during a bowel movement, or when urinating
Stands or sits for a long time
If a loop of intestine gets tightly trapped in the tear in the muscle layer, the supply of blood to the intestines can become cut off. This is called strangulation, and can cause:
Severe abdominal pain
Nausea and vomiting
Strangulation is a medical emergency, and requires a doctor’s immediate attention.
What causes a ventral hernia?
Open abdominal surgery can weaken a person’s abdominal muscles at the place where the surgeon made an incision. Factors that might contribute to a ventral hernia include:
Straining when having a bowel movement or urinating
How does my doctor tell if I have a ventral hernia?
Your doctor will want to examine the area where you might have a ventral hernia. As coughing will often make a hernia expand, your doctor may ask you to cough while he or she feels the area of the suspected hernia.
In some cases, a doctor will use a CT (computed tomography) scan to make images of the abdomen to help diagnose a ventral hernia.
Intussusception treatment is available by laparoscopy.It is one of the causes of intestinal obstruction in all age groups
Abdominal pain is one of the most common reasons patients are seen in emergency departments around the world. Causes range from heart diseases to abdominal issues one of which is intestinal obstruction . Intestinal intussusception in adults accounts for 1% to 5% of the cases of intestinal obstruction. In adults it is most often associated with neoplasms, post-surgical scars and Meckel’s diverticulum, but in about 20% of these cases the cause is unknown.
Intestinal intussusception is an uncommon condition in adults which causes 1% to 5% of intestinal obstructions. Although it is frequently associated with neoplastic pathologies or structural abnormalities of the gastrointestinal tract, up to 10% of cases are idiopathic. In most cases the diagnosis is made after surgery, but with the development of imaging techniques, a diagnosis is possible prior to intervention.
Management of intestinal intussusception depends on the patient’s age group. Reduction of intestinal intussusception in children is most often accomplished with nonsurgical pneumatic or hydrostatic enemas using, but for adults the treatment of choice is surgical resection by laparotomy or laparoscopy. This is because of the frequent discovery of triggering structural anomalies and the high incidence of malignancies .
Nevertheless, surgical options for primary reduction and resection of the intestinal segment remain controversial. Many authors recommend primary resection when it is possible but suggest that you should not carry out reduction when there are signs of intestinal ischemia or inflammation . The theoretical risks of manipulating the intussuscepted segment include seeding and tumor spread, and perforation and bacteremia. For these reasons resection requires appropriate oncologic edges especially in cases in which the underlying etiology of the segment is known and there is high probability of malignancy .
When intussusception occurs in the small intestine, 57% of the tumors are benign and 30% are malignant. The most frequent malignancy is metastasis of melanoma, so primary reduction of the compromised segment can be attempted in these cases. Nevertheless, when the location is in the large intestine the most common cause is malignant neoplasia, adenocarcinomas are most common, followed by leiomyosarcomas and reticulum cell sarcomas. In these cases, surgical resection of the segment for the pathological study is recommended . Laparoscopic management of this condition is limited by several factors including the surgeon’s experience, the clinical condition of the patient and the degree and type of compromise of the intussuscepted intestinal segment.
Meckel’s diverticulum is rare and accounts for only 2% of the general population.MECKELS DIVERTICULUM SURGERY is available in NOIDA-DELHI.
An equal incidence is found in men and women. Meckel’s diverticulitis is one of the recognized complications of the condition and is clinically indistinguishable from appendicitis, except that the pain and tenderness typically localized at the periumbilical region. Diverticulitis may lead to perforation and peritonitis.
A Meckel’s diverticulum is commonly discovered at operation. Resection of incidental Meckel’s found during laparotomy is controversial in children and adults. It is generally recommended that asymptomatic Meckel’s to be resected in children during laparotomy given an increased lifelong risk for complications . However, this approach remains debatable in adult patients. The argument was that the likelihood of Meckel’s diverticulum becoming symptomatic in an adult is 2% or less and that postoperative morbidity secondary to intestinal obstruction and infection from prophylactic resection confers no potential benefit in prevention of disease .
On the other hand, treatment for a symptomatic (bleeding, inflamed) Meckel’s diverticulum should be prompt and referred for surgical intervention in all patients (children and adults) to relieve symptoms. The standard surgical approach is to perform a segmental (wedge or v-shaped diverticulectomy) resection of the narrow-based diverticulum or to perform a limited small bowel resection followed by primary end-to-end anastomosis if an inflamed or ulcerated diverticulum is encountered. Although gastrointestinal bleeding from a Meckel’s diverticulum is a rare complication, when encountered, a segmental small bowel resection followed by end-to-end ileoileostomy rather than simple diverticulectomy is preferred . Proton-pump inhibitor therapy should also be initiated on these patients. Transverse closure of the ileum with hand-sewn technique or using linear stapler across the base of the diverticulum is the ideal method to minimize the risk of subsequent stenosis.
The long-term outcomes with laparoscopy approaches (including laparoscopic diverticulectomy and laparoscopic-assisted transumbilical Meckel’s diverticulectomy) are still lacking . However, many studies have reported that the laparoscopic management of the complicated Meckel’s diverticulum is safe, cost effective and efficient, fewer complications and shorter recovery period compared with conventional laparotomy.
The learning point of this clinical vignette is that Meckel’s diverticulitis is often clinically indistinguishable from appendicitis especially in adult patients. Computed tomography (CT) has become an invaluable tool for the evaluation of abdominal pain. CT scanning is useful in demonstrating acutely inflamed diverticula, typically identified as a blind pouch off the distal small intestine and associated with bowel wall thickening and in detecting the presence of enterocolic and enterovesical fistulas.
Sometimes, due to very thick mucus as content of gall bladder, the stones appear as if suspended in air.
Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. The gallbladder holds a digestive fluid called bile that’s released into the small intestine.
Gallstones range in size from as small as a grain of sand to as large as a lemon. Some people develop just one gallstone, while others develop many gallstones at the same time.
People who experience symptoms from their gallstones usually require gallbladder removal surgery. Gallstones that don’t cause any signs and symptoms typically don’t need treatment.
Choledocholithiasis – obstructive jaundice due to stone slipping into the bile duct
Gall stone pancreatitis
Cancer of Gall bladder
Complications of gallstones may include:
Inflammation of the gallbladder. A gallstone that becomes lodged in the neck of the gallbladder can cause inflammation of the gallbladder (cholecystitis). Cholecystitis can cause severe pain and fever.
Blockage of the common bile duct. Gallstones can block the tubes (ducts) through which bile flows from your gallbladder or liver to your small intestine. Severe pain, jaundice and bile duct infection can result.
Blockage of the pancreatic duct. The pancreatic duct is a tube that runs from the pancreas and connects to the common bile duct just before entering the duodenum. Pancreatic juices, which aid in digestion, flow through the pancreatic duct.A gallstone can cause a blockage in the pancreatic duct, which can lead to inflammation of the pancreas (pancreatitis). Pancreatitis causes intense, constant abdominal pain and usually requires hospitalization.
Gallbladder cancer. People with a history of gallstones have an increased risk of gallbladder cancer. But gallbladder cancer is very rare, so even though the risk of cancer is elevated, the likelihood of gallbladder cancer is still very small.
Gall bladder stone surgery in Delhi by single incision-SILS
Gallbladder stone surgery is available in Delhi as well as Noida.Laparoscopic cholecystectomy has undergone enormous changes after advent of SILS .There are numerous studies showing equal risks and better cosmetic outcomes with SILS .The main drawback with SILS is the high costs associated with special ports and the special instruments .Since last 2 years we have been doing modified SILS with one 10 mm standard trocar and one 5 mm standard trocar with almost invisible scar.
Gallbladder stone surgery in noida and delhi by single incision – SILS is the latest method of doing laparoscopic surgery
OUR INITIAL RESULT (2014):
A number of methods have been described for port access to perform SILS, including multiple facial punctures through one skin incision, the use of additional trans abdominal sutures to stabilise the target organ. We describe our method of establishing single-port access for SILS that has reduced some of the technical challenges in the performing SILS cholecystectomies. Our method involves the use of existing instrumentation. The objective of this study is to evaluate the safety and feasibility of the SILS cholecystectomy with conventional instrumentation as an standard technique with low costs.
54 cases were completed by the above described modified SILS. One case had to be converted to standard 4 port technique due to the confusing ductal anatomy . 40 females and 15 males underwent surgery. Mean age was 36 years (range, 10-77). There was no mortality. No bile duct injury or hemorrhage occurred. The median length of hospital stay was 1.1 days (1/2.2 days). The mean operative time was 45 min (30 to 95 mins). There was no case of any port site hernia. 1 patient developed 10 mm port site infection which responded to dressing and antibiotics.
CONCLUSION: We have found this modified technique of SILS to be extremely useful in giving the benefits of SILS to the patient and at the same time keeping the cost to almost same as for any standard laparoscopic cholecystectomy without compromising the principles of safe surgery.
Have just received information about another young surgeon in mumbai, who has lost his battle against covid 19. It’s almost daily routine to see one or the other doctor laying down his life in the call of duty along with numerous equally affected other patients. Doctors from all specialities of medicine have borne the brunt of this dreadful “kung-fu” virus. The surgeons have been one of the most vulnerable groups to get exposed to corona virus due to the high transmission of virus during aerosol generation in any surgery. Will the wilful perpetrators of this pandemic, go scot-free or will they be made to pay the price ? And how does the group of like minded nations, affected by the enormity of this deadly virus, intend to stand up to this new tyrant on the block? Inherent fear :While leaving home for work, it does feel as if we are going to a war zone and not just a hospital. One can only imagine the inside fear, in each one of us ,knowing that instead of safely sitting at home, we have to keep the show running in our hospitals. In the smiles and bye-byes of our families, it doesn’t take a moment to realise the deep anguish and concern for our safety. And imagine the thought of continuing to do the surgical work knowing that we ourselves might become the unwilling carrier of the virus to our loved ones at home and be the cause for their (and off course, ours too !) sufferings.
Daily routine : Everyday there is a fixed routine after reaching the hospital. It usually starts with changing into surgical scrubs immediately upon entering the hospital .Then comes the special masks ( advised for use while operating) similar to the masks seen in old movies for protection against chemical warfare.Next is the face shield +/- eye protective glasses and then you are finally ready to scrub for OT. After having cleaned your hands with betadine ,you finally wear the surgical gown/PPE. Voila – you are ready for action. But wait ,now there is another hurdle — ‘fogging of the eye glasses’.I don’t know how many times during the surgery, all surgeons feel like throwing away the uncomfortable PPE/mask/face shield/eye glasses and getting rid of the heat and perspiration and fogging and just complete the surgery as we used to do comfortably in the good old pre corona days .But thank God, good sense always prevails and after enduring exhausting physical discomfort ,the surgery is finally completed. The mask gets changed from a chemical warfare one to a comparatively bearable N 95 mask. Then almost with the similar but new attire ,all opd patients are seen from behind a glass partition. Examination of area, even if it’s not a ‘natural orifice’, is completed only after wearing gloves. On a lighter note, the patients might always be wondering whether the surgeon they met in OT is the same one who had examined them in OPD and was the same one that they had originally booked appointment for in the first place —— coz’ hey ,they never got to see the surgeon’s face without mask and face shield . Thank God for the surgical safety ‘check list’ used to confirm the patient’s identity before surgery otherwise god knows how many masked patients would have been exchanged between various surgical departments —— coz’ hey, surgeons also usually never got to see the patient’s face without mask.
God knows how many of the doctors have started wearing jeans and T shirts to work instead of formals. No – not because we have suddenly become fashion conscious. Jeans and T shirt can be usually worn even when not ironed…so there you go,the secret is out!! It’s refreshing to have a thorough bath after reaching home nowadays in summer, but I dread to think what will happen when this pandemic stretches till the unforgiving winter of ‘Dilli ki Sardi’.
Collateral damage: The non covid patients are also bearing the brunt of this virus albeit in a different way. In spite of corona situation the need for surgeries (semi-urgent or emergency) cannot be denied to the suffering Patients. Even in these times of calamity, human beings have very religiously found time to stab , shoot or assault each other and thereby keep the emergency department busy. Can a patient of perforated appendix or intestinal perforation or gunshot or stabs or coronary artery blockage or brain tumours and innumerable other surgical problems; be made to wait just because a pandemic is wrecking havoc in the world….. Try imagining yourselves or your loved ones in the position of these unfortunate patients. I bet – didn’t you just skip a heart beat ? But as they say- the show must go on . The healthcare workers have dedicated their lives for this mission and have ensured that the non-covid health problems are not neglected. During this endeavour , many have laid down their lives.
The positive patient : Its worse for a newly diagnosed covid positive patient . Their problems start from day 1. Many might not have heard the words like quarantine, isolation, contact tracing, etc. The journey begins with quarantine, akin to a jail term awarded for no crime of theirs . If they are lucky, they serve the term and escape with intact mind, body and soul.But a few will proceed with hospitalisation, may be shifted to HDU and then maybe even to ICU and if they are very lucky, retrace the steps back to HDU , ward and then finally discharged. But some people might not be that fortunate and their journey will end in ICU—lonely, isolated, frustrated without being able to say their last goodbyes. Yes, we as Indians, have not had the best of healthcare infrastructure but see how the so called developed countries and their world class health care system is crumbling and biting the dust , due to this exported virus.
Final goodbyes : Its gut wrenching to see and hear stories of so many precious lives being lost to this “wuhan virus”. Never in the wildest dreams could anyone have imagined that there will be a time when even during the last moments of their loved ones, the family would not be allowed to hold their hands and comfort them and have an emotional closure .So many families across the world have lost elders without being given an opportunity for a proper moist eyed goodbye. And even a decent funeral was denied .Who would want to be taken on their last journey and given the last goodbye from strangers who have become so aloof after seeing so many deaths that there their eyes are bereft of tears to shed anymore .What can be worse than the case of patient who had to be taken away for burial by healthcare workers only, as all the family members were themselves either admitted in other hospital or were in quarantine. Nation’s collective conscience was shaken by another case of last rites of a child being conducted by healthcare officials as both the mother and father were also on ventilators.
Is this pandemic different ? : Natural pandemics have occurred before too. Pandemics were the only great leveller, when all human beings irrespective of country of origin, black/white or rich /poor suffered in unison .It was the time for the nature to tell us – who is the real boss around here. Always there is a sense of camaraderie during these difficult times. The artificial borders between our countries are helpless in containing the virus. These pandemics have come before and will still continue to torment the human race in future too. So what is so special this time ? Unfortunately this killer pandemic started from china and unfortunately there is no democracy in china and unfortunately the communists rule china with an iron fist with a veil of secrecy around everything,even health, and ‘UNFORTUNATELY’ THAT IS THE DIFFERENCE. Had it started from any other country (maybe except North Korea) , things would not have gone so out of hand as hopefully other governments would not have deliberately tried to use this as a weapon against fellow human beings. Or if any other rogue government, intended to do it, they would not have the required extensive monetary and state machinery to do so.
The origin: Right from the beginning, aspersions were cast on the origins of the virus – whether it was man-made virus, purposefully cultivated in a suspect lab in wuhan . Maybe it came from the so called ‘wildlife wet markets’ in wuhan. Or maybe it was not man-made . But one thing is certain —- its fatality and infectivity was purposefully hidden from the world and was actively encouraged and tacitly transported all around the world shrewdly by the communist Chinese government. Who can forget the disaster that struck Italy in the starting days of the killer pandemic and the role played by the ‘HUG A CHINESE’ campaign launched with the explicit support of the Chinese cash flushed propaganda machine. The same communist government could mould and arm twist the important body like World Health Organisation into submission and could dictate the response of WHO to the enfolding massacre. So much so that WHO , in their advisory, during early days , reaffirmed the Chinese finding — ‘THERE IS NO EVIDENCE OF HUMAN TO HUMAN TRANSMISSION OF THIS VIRUS’ . C’mon — there will never be any more hilarious joke ,than this, in the whole of the year 2020. Was it done purposefully so that the whole world dropped its guard down and virus can be spread to all the corners of the world? Had the WHO played its active, honest, expected role, right from the beginning and alerted the rest of the world regarding the true threat from this virus by honestly narrating the situation unfolding in china ,corrective measures would have been taken on time and so many precious lives would not have been lost .
Conspiracy theory : It’s hard to believe that a country which faced the problem for the first time, when not much was known about the virus and its potential treatment; escaped with just around 85000 positive cases and less than 5000 casualties and this mayhem suddenly vanished in maybe 4 months . Whereas all across the world , countries in spite of having a head start in planning for the pandemic , with much better knowledge about possible treatment options, are still clueless whatsoever about how to tame this virus. The whole world ECONOMY HAS CONTRACTED and crashed whereas the Chinese have registered an INCREASE in their growth rate and improving economy .The world is throwing up positive cases in such huge numbers daily – numbers which are more than the total cases in china, up till now. The total number of people in the world that have succumbed to this ‘wuhan virus’ is more than the number of simple positive infected cases in china — c’mon! This is hard to digest. Either the communist government is very smart/effective/competent (and all other governments are incompetent fools) , and have very successfully managed the pandemic or there is more to this than meets the eye. It’s no secret that they hid the number of positive cases as well as the number of dead. What did they do with the positive cases of corona virus ? — treat them or just clandestinely kill them so as to stop the spread. Well , with the kind of veil of secrecy surrounding any information that comes out of china, the truth might have already been deeply buried. Why did they stop all modes of travel from Wuhan to rest of china but purposefully kept all the international flights functioning from wuhan to rest of the world ! Why did they insist that everything was all right when it was not? Why did they down play the calamity? Why did they initially not agree to a probe regarding the origins of the virus ? Eventually when they did agree , how did a flood come suddenly in wuhan and destroy the documents in that notorious wuhan institute of virology ? Was it a man made virus experiment, gone wrong ? Do they already have a vaccine or treatment and hence have been able to contain the havoc of the virus in china ? (Don’t be surprised if , when some non-chinese company is just about to successfully launch a vaccine or treatment — suddenly the Chinese will also announce that they have also ‘found’ a treatment or vaccine and would be ready for mass production sooner than the competition and claim to be the saviours of the world and at the same time, in the bargain, pocket a huge economic windfall.) Are they waiting for the full potential destruction of the rest of the world and its economy, to occur first , before disclosing how they were able to contain the pandemic ? These questions may forever remain unanswered.
Are we also equally responsible?:Is the rest of the world also responsible for this pandemic ? —- YES. We have collectively made the NONdemocratic , Opaque , Tyrant , suppressive , expansionist bullying Communist govt of china – all the more POWERFUL. The whole world has to take the blame for allowing this apparently harmless ‘PANDA’, transform into a fire spitting ‘DRAGON’ ,destroying the peace of everyone. During the cold war , Americans were very averse to anything “communist” and all the communist governments around the world were its sworn enemies, be it Russia, North Korea or Cuba. But we fail to understand , why a similar communist government like china was trusted upon so blindly by the Americans with their dollars and economy. Economic gains blinded the basic principles of democracy and governance so much so that they ended up indirectly giving away their trade secrets to these communists . Did it never strike them that maybe, down the line , this same communist government will use this money against USA ? Can you imagine the US allowing the same economic prosperity of North Korea under Kim..Its impossible to accept that, without deploying any devious means, a not so developed country ,overnight, became so scientifically and industrially advanced . Did the Chinese communist government arm twist the Chinese employees in big corporations around the world to steal the trade secrets and give them to indigenous Chinese companies to make cheap imitations of the costly products ? Did they cultivate lobbyists in all the governments around the world to favour Chinese interests and investments? Did they forcefully exploit the poor Chinese people to work in these factories at a very deplorable pay and thereby dole out very cheap products for the whole world to consume? Did they try to scuttle democracy by economic means ? Did the Chinese people trade democracy and freedom in lieu of economic prosperity? UN was at the forefront to impose sanctions against all the rogue governments around the world but it conveniently overlooked the tyrants of Tiananmen square . The whole world including India was in race to do business with china just because they were cheap. —well now China has actually shown, how cheap they can get when it concerns human lives too.
Indo-china History : India has seen the cunning aspect of the Chinese communist party , time and again. In 1962 war, they convincingly backstabbed us in garb of “Hindi-Chini, bhaibhai” . Since then they have been deceitfully slicing away large chunks of our land by their way of ‘salami slicing’ . Erstwhile Indian governments / political family, taking cue from their grand father (who was ‘wise’ enough to plunder the chance of India becoming the permanent member of the UN Security council in favour of his best friend forever – china) never bothered to take a stand against the Chinese communist party government and never stood up to them. In fact , in order to buy peace, they probably thought it was wise to pact a secret deal ,party to party. Can anybody explain the logic of an Indian political party forging a deal /arrangement/association with a foreign country’s ‘not so friendly government’. They try to pass off the deal as a deal between two political parties , but the fact is —it’s a deal between a political party/family and a foreign government ( as in china , no other political party exists other than the CPC)
Is there a Solution ? : Luckily, the world is realising their mistake and are taking some proactive steps to rein in the ‘Frankenstein’ that we all have collectively created. Policy changes have been started by all countries to encourage less dependence on Chinese imports. Maybe these steps will halt the Chinese juggernaut but what about the power it has already attained. We have to do something about that too .Because the money power that it already has ,can be and is being used to fund their military ambitions and help their expansionist policies. All these measures can maybe help manage the disease called ‘Chinese communist government’ .But as we say in medical terms, sometimes the disease cannot just be MEDICALLY MANAGED’ — IT HAS TO BE ‘SURGICALLY TREATED’ Let us understand the difference the difference between medical management and surgical management of a disease or problem .Diseases are of various types. Some diseases require only medicines for treatment, whereas some diseases require only surgery. Third category of diseases, require to be managed initially by medicines but when they become unmanageable or life threatening — SURGERY is seen as the only solution . The problems posed by the Chinese communist party, fall into this third category. For example, if a diabetic patient develops a small focus of infection over his foot, initially its managed by the physician who treats it with antibiotics, good sugar control, etc — ie. by and large, medical treatment only. During the course of the treatment , if there is good response —cure is in sight. But if it doesn’t respond and infection keeps on spreading in the form of gangrene, the same wound spreads upwards and threatens to destroy rest of the vital organs of the body and patient’s life is in grave danger due to septicaemia. This is the time to call in the surgeons to do the dirty work — they will be expected to debride the wound (or maybe amputate that leg) to get rid of dead tissues and decrease the bacterial load for the septicaemia to resolve and the patient’s life can be saved.It is a tough decision to make.Very difficult for the patient initially but in the long term, life saving. But the decision to call in the Surgeons , has to be taken at the right time. Neither too early ,nor too late, otherwise the chances of survival of the patient decreases with each passing moment. It’s time for all the decision makers, policy experts around the world, to realise that this problem of communist party of china, has reached the stage when only surgical management will have any worthwhile affect on the affairs of the world. United nation and other organisations like it, and the Governments around the world, have decision makers, policy experts, subject experts, think-tanks ,etc . Some of them are in favour of less aggressive measures (medical management) to tackle a not so friendly, non democratic government. Some favour a more stringent hard hitting measures (surgical management) for the same. Probably the world has to wake up to the present reality and realise that the medical small measures are not being enough and we all need to take the decision to “call in the surgeons” amongst the decision makers/policy experts/Strategists to take some bold, hard hitting, impactful decisions and rid the world of this problem before it’s too late. What should those decisions be ? Well maybe the policy experts / decision makers with a surgical bent of mind, decide something like this —-
◼ Make it absolutely clear that our fight and grievance is not with the Chinese people per se , but it’s against the ‘communist party of china’ , who rule over them with iron hand disregarding all fundamentals of democracy.In all these times we should not forget that the people of china are the first victims of this CPC. Democratic principles is loved by all. Which citizen doesn’t like the freedom of speech and expression to publically demonise and throw cuss words for their prime minister for the alleged occupation of some tract of land in finger 4 or 5 area of Pangong Tso lake in ladakh ? (conveniently overlooking the fact that their own great grandfather had plundered away half of a huge state, to the chinese) .
◼ Being an irresponsible government which purposefully allowed the virus to spread (if not created the virus in the first place) , the country should be declared a ‘Rogue Nation’
◼ All possible strict trade embargoes should be immediately slapped on the Chinese .No country should be allowed to buy any product from china. Hit them hard with the same thing that built them. Once the Economy suffers in china, the Chinese people will be compelled to come out of their slumber and raise demands for democracy and over-throw their oppressive government, and that probably would be the best chance to weed out the Chinese government without waging a world war III . The only reason the communist party in china has been able to survive for so long, in comparison to already extinct communist governments elsewhere, is by scuttling the voices of democracy and dissent. The Chinese govt has kept the young generation of people ,busy in counting money in lieu of their personal freedom and voive es of democracy .
◼ Such irresponsible governments should have no place in deciding the affairs of the world . Hence throw them out of the U.N SECURITY COUNCIL and other aspects of the UNO immediately. No veto power and no power to shield other rogue countries using terrorism as a national profession and tool for foreign policy.
◼ Officially pass a resolution in the UN ,demanding a compensation from the cash flushed Chinese communist government for the economic damage done to all countries due to the mishandling and sinister intentions of china. — Even though knowing very well that they won’t ever pay.
◼ Obviously , the chinese government will try to arm twist other member nations around the world, who owe money to china , to scuttle any such moves in the United Nations. Their cunning policy of loans with hidden agendas is too well known. Hence Pass a resolution in UN that all those countries that owe money to china can consider those unpaid loan as the compensation from china and those loans can be considered as fully paid. So no need to be arm twisted by china’s muscle power. One country ,even if its china, cannot fight a military war with the entire world if we all are united and have rock solid intention.
◼ Call for a review of ONE CHINA POLICY. Encourage the government-in-exile of Tibet to present its views on international forums without worrying about what china will say or react. Try to put all around pressure on china to free Tibet.
◼ Encourage Taiwan and embolden them to ask for what has been illegally taken away by the Chinese.
◼ Scrap the Chinese amalgamation of Hong Kong for breaking of the original terms and condition of the treaty between the Britishers and the Chinese. The new oppressive laws enforced by the Chinese government on the people of Hong Kong are very draconian and hence they can be aptly used as a reason for action of annulment of the Sino-british treaty. Raise voices for freedom of Hong Kong from china.
◼ All the neighbours of china, be it either near south china sea or across the Himalayas, would have protection of the united nations and any expansionist intentions of the Chinese communist party will be dealt with iron hand by the combined forces of United Nations armed forces.
◼ Keep the communist party of china so busy trying to keep its flock together with it’s internal problems that they have no time and resources to trouble the neighbouring countries.
◼ Hack into the local social media platforms (Weibo,Renren,Baidu, etc) of china and spread the anti communist govt propaganda .We cannot allow the ‘propaganda dumping’ by CPC to go unchallenged. This will definitely encourage the local Chinese population to raise the voices of dissent for pro democracy reforms. Remember , our best bet is the local Chinese population’s revolt against the communists. The reformists and pro democracy forces in china, should be reassured of all possible help from democratic governments around the world in the event of any human rights violation by the Chinese communist party government.
◼ Instead of the world being in the backfoot and trying to catch up with the problems created by china, it should be the other way around. The world with all its legitimate power should make Chinese communist party government’s life miserable and keep them so entangled with numerous problems that they might themselves want to give up and pave way for the democracy to bloom in China.
All these measures and any new ones too , may or may not work. But it’s worth trying. We cannot allow the worlds acceptance of democratic principles and peace loving coexistence be taken as a sign of weakness by the communist govt of china. We need to teach the Chinese communists, that if they threaten us ,we can be a bigger ‘badass’ then them. As explained in Bhagwad Gita, sometimes to ensure the victory of Good over evil, we have to take some unpleasant and difficult decisions for the overall betterment of mankind. Don’t you think that the time has come for the people in the decision making authorities, with a ‘surgical bent of mind’, be allowed to take the control of the treatment of disease called the ‘communist govt of china’ — before its too late ?. But one thing is certain that we all should take an oath to not let anything ‘Chinese’, enter our homes . Not bringing any Chinese products inside our homes may ensure not having to let in unwanted Chinese soldiers inside our home, in the future. We should certainly do this forever or at least till a duly elected democratic government is installed in Beijing and china gives up its expansionist policies for good. The communist party of china has oppressed the people of china up till now. Let us not give them any opportunity to mess with us. People will never be able to meet their near and dear ones, lost in this pandemic, but at least the reason for this tragedy should not be allowed to go scot-free and only then, will their souls rest in peace. WE OWE ATLEAST THIS to the countless patients and thousands of healthcare workers around the world who have lost their lives due to this man made pandemic.
In Delhi, Mr Gupta has just developed agonising chest pain –a suspected heart attack, and he along with his near and dear ones are searching for a place called “HOSPITAL” and some endangered species- people previously known as “DOCTORS” but unfortunately nobody seems 2 to find one ,not even Google map seems to help. Finally they give up as mr Gupta also seems to have given up his fight and now lies unresponsive. He might have had a chance to live if only he had an opportunity of treatment in a place called HOSPITAL by people called DOCTORS. Whatever chance he had for a fresh lease of life , was unfortunately not made available to him. Meanwhile in Amritsar , Mrs Kaur has just been hit by a truck while returning on her scooty .She lays on the road , bleeding heavily and unconscious .The good samaritans on the road want to help her .But again the question arises —- WHERE TO TAKE HER FOR THIS EMERGENCY ? Everyone was informed about the fate of poor Mr Gupta by extensive coverage on national media with lots of panel discussion and TRP stunts . And so everybody decided to leave her to her fate . Police came, family members were located and mortal remains were handed over to them.She might have had a chance to live if only she had an opportunity of treatment in a place called HOSPITAL by people called DOCTORS. Whatever chance she had for a fresh lease of life , was unfortunately not available to her.
Breaking News —– In Chennai, Mr Ramanujan’s beloved ,only son had cough and fever since last 5 days .He tried all sorts of home remedies.But just now his son seems unable to breathe properly and his lips are turning blue and he is drifting in and out of consciousness. Family is trying to desperately search for any remaining signs of a place called “HOSPITAL” and some endangered species- people previously known as “DOCTORS” but alas , they give up as Mr Ramanujan’s son also seems to have given up his fight and now lays totally listless and blue . If only the poor child had an opportunity of treatment in a place called HOSPITAL by people called as DOCTORS, maybe he would have been saved. Whatever chance he had for a fresh lease life , was again, unfortunately not available to him.
In Mumbai, Mrs More, a 38 yrs old high risk pregnancy case has developed labour pains . Obviously this time the family doesn’t bother even trying to search for a place called “HOSPITAL” and some endangered species- people previously known as “DOCTORS”.They call their aunties, mothers and grandmothers and take the task upon themselves.The baby is delivered somehow but ‘stillborn’ -doesn’t take a breath and the mothers seems to bleeding away profusely with nobody having a clue as to what is to be done and where to take 3 her.Unfortunately they die.If only the child and mother had an opportunity of treatment in a place called HOSPITAL by people called as DOCTORS, maybe they would have been saved. Whatever chance they had for a fresh lease of life , was again unfortunately not available to them.
These unfortunate medical cases are not new. Their frequency has increased by leaps and bounds now. As usual there is a hue and cry in parliament .News channels are trampling one another to gain footage and coverage for their TRPs .There are expert panels of lawyers, Judges, politicians, our neighborhood political wannabes , some so called page III society stalwarts ,etc ,etc,etc—–debating away to glory and giving their expert opinion on HEALTHCARE and what has gone wrong, why it has gone wrong and who should be held responsible for it . But you know what , nobody has a clue —simple reason being — THEY REALLY DON’T HAVE ANY CLUE. The actual stakeholders — people in healthcare like Doctors and nurses and paramedics are nowhere to be found as they don’t exist anymore . Even after extensive search and investigation they couldn’t be located . In Fact it is suspected that they are trying to hide their past and do not in any circumstances be associated with healthcare anymore .It has also come to light that many doctors and nurses and allied paramedical staff had given up their profession long back and taken up other “SAFE ” professions.
Gradually over the last few years many medical colleges have closed down due to lack of any student ,bright or otherwise , willing to study medicine and join this profession. In fact an interesting case has come to light. A 12 th std student who barely scraped passed his exams with 36 % marks has also bluntly refused to join any medical college even though the govt had offered to make his entire medical education free. His mother and father had threatened to commit suicide if he even thought of joining medicine. His marks didn’t qualify for safe professions like engineering, law, teaching, media, etc .The only possible admission that he could get ,was in the very High risk profession of medicine. But even he has refused , citing that he would rather go unemployed and claim the unemployment money offered during pre-poll promises of the political parties.He has said that he cannot risk his life being a doctor.He believes that its better to be alive begging rather being beaten up dead as a doctor after so many years of study hard work and sacrifices.
Another interesting case has also come to light. It had been decided in a high level meeting that to punish people caught on the wrong side of the law , especially for serious crimes like murder, the state will have one more punishment . Apart from the life term and Hanging ,it had been decided that if the president pardons a convict or reduces his sentence from hanging to life imprisonment, the convict should be compelled to complete a special bridge course to medicine –and work as a doctor in Govt Hospitals or in private on parole. In this context, recently an interesting case has come to light. A 26 yr old dangerous serial killer filled a review petition (filled on his behalf by society think tanks and human rights activists ) for a review of death sentence on compassionate grounds.It was duly taken up for hearing at midnight hours during vacation time by the courts and was granted ,on compassionate grounds, to reduce the sentence to life imprisonment. But as per the added clause ,he had to agree to prepare for bridge course to become a doctor (Serial killer to doctor ….no pun intended.) In an astonishing statement, the convict has happily agreed to be hanged till death and die in one go for his sins rather than dying everyday in a slow and painful way for no fault of his own and in the hands of people whose lives he tries to save.
The practicing surgeons and physicians , being bright and talented as always , took up training in other vocations and have started excelling in their new professions. Many have joined IAS, judiciary,Media houses, Politics, etc and are enjoying the fruits of safe secure occupations. The nursing staff have taken up other caring but safe professions like hospitality, social work, etc.The paramedical staff and technicians have gone back to other allied engineering fields. They seem to be very happy having left the medical profession for good. They are happy to have learnt new work and appreciate the free working environment without threat to their lives or that of their colleagues or near and dear ones.They are really relieved that they got rid of the medical profession and its related uncertainties.
The Hospitals and clinics wore a deserted look from the time they were vandalised .Glass pieces still strewn on the floor. The broken wires dangling from crushed medical equipments on the tables.Bricks and stones lying everywhere. In fact, if you meditate silently ,you can still hear the shrill cries of the female medical and nursing staff pleading with the group of faceless vandals 5 and goons who seem to be hell bent on recreating the warzone scene of Syria, right here in India. The uncleaned dried blood stains still testimony to the time when some of our own so called civil society members decided to punish the healthcare workers for the death of a 55 yrs old gentleman with known history of uncontrolled hypertension,diabetes, obesity,etc,etc ; who didn’t believe and hence never took ,the medicines prescribed to him and thought that doctors only wanted to make money out of him.The media, judiciary and society had been very sympathetic of the relatives who had vandalised these hospitals stating that its natural for people to be upset and aggrieved during these stressful times of losing their loved ones and hence need a place and people on whom they can vent out their anger.
In the numerous discussion on prime time news and reports of all the media houses, it was finally concluded that its very selfish on the part of doctors to not OFFER THEMSELVES AS A SCAPEGOAT AND A PUNCHING BAG so that the mental peace of the society can be restored . It’s not possible to blame GOD for everything and anyway, how to do it ? Hence the next possible –so called — NEXT TO GOD, ‘DOCTORS’ had to be rightfully taken to task and beaten black and blue….Coz how could they have not saved their patient’s life ? Haven’t they never allowed their family ,near and dear ones to die and saved their lives all the time ? (or have they ?)
The patient had been finally brought to the hospital and they had paid their initial deposit money and that’s all that is necessary to ‘save a life ‘ . Isn’t it ? So what if he had come in a gasping condition with unrecordable BP and pulse. So what if he didn’t take his medications .So what if he never trusted his doctors advise. So what if he was in a very high risk age group.So what if he never felt the need to stop his heavy drinking and smoking .So what if he thought that only a little of some vegetable juice is enough to control every damn medical problem.So what if the relatives decide to take him to hospital only after having tried all possible home remedies and treatment advised by their uncles and aunties. So what if they thought that there were more knowledgeable relatives and well wishers at home than a qualified medical professional in hospital whose only aim in life was to fleece innocent people.
Whatever it is , their relative should not have died….coz nobody dies in this world, unless of course they are KILLED BY MEDICAL PROFESSIONALS in Hospitals , Right ? isn’t it ? 6 Anyway, apart from the problem of losing loved ones to easily treatable medical conditions due to closed hospitals and vanished Doctors , now people had a very important ANOTHER PROBLEM….Whom should they blame for their deaths….. Of course you need someone to put the blame on, to bear the brunt of their anger and frustrations , a punching bag. But hey, you know what , those easily available prey, those doctors and nurses and paramedics have just disappeared into thin air nowhere to be found and no body from the young generation want to step into their shoes.
…………… AND THEN SUDDENLY I WAKE UP from my bad dream (or was it actually a ‘pleasant dream ‘) …………..