A baby delivered by a preplanned C-section at IGMH has today died inside the operating theater. According to our sources within IGMH operating room, the baby was delivered in a pre-planned "elective" C section at around 8:30 am on 6th March 2008. The pediatrician on "on-call" duty, a recently joined senior pediatrician from India Dr Bhagwat failed to attend the delivery despite being informed on time by Obstetric surgeon (because of Thick Meconeum in Amniotic fluid, a name given to situation where baby passes stools inside the womb).
The most junior level medical officer was asked to attend the potentially troublesome delivery and the unthinkable happened.
The baby was extracted without any difficulty according to our source, who claims that the obstetric team completed the section "by the book" because of recent negative publicity it had received in the media. She says that she and others in the room clearly heard the baby "cry" after birth. Baby was then handed over to the junior doctor (who was in place of the pediatrician). The baby apparently suddenly stopped breathing while his mouth was being cleared of meconeum by the junior doctor.
Our source reports that at this stage Dr Bhagwat was called again to attend urgently. She says that the junior doctor attempted to revive the baby and was later assisted by the anesthesia doctor in the resuscitation because of the time the pediatrician was taking in attending. The baby's heart stopped beating a few minutes after birth, just as the pediatrician arrived in the operating room.
We were told by our source that the pediatrician asked his junior to stop attempting to revive the baby and to "declare him dead", reportedly about 20 minutes after baby was delivered. He had made no significant contribution to the resuscitation effort. This had apparently created some friction between the pediatrician and the anesthesia doctor.
The family was called about 45 minutes after the baby died and told that the baby died because of "congenital anomalies incompatible with life". Family was told that the "best efforts" at reviving the child had been unsuccessful. As evidence of the anomalies, the family was shown a "dark skinned area" on the shin!
We at MMW would like to know why the senior pediatrician, who wan "on-call" for any pediatric and newborn emergency for the day, had not attended the delivery despite being asked to be present? Was he informed on time? Why was the most junior medical graduate in the department allowed to attend high-risk deliveries on his own? Was the baby alive at birth? What made the baby's heart stop (was it something that the junior doctor unknowingly did)? Could the baby have been revived had there been senior level pediatric doctors? Was the child congenitally abnormal? If not why was the family explained in those terms?
There are many many questions.
MMW is deeply concerned about the state of affairs at IGMH and call on the hospital administration to make good on their responsibilities and deliver us a safe and efficient hospital service.
Baby dies at IGMH operating theater following birth by C-section.
Thursday, March 6, 2008
at 5:37 AM
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82 comments:
A sad event
But would like to point a few inconsistancies in this story
MMW at one point says that when the baby's heart stopped the peadtrician was ca;;ed again and the anesthesia doctor started helping "in the resuscitation because of the time the pediatrician was taking in attending".
Elsewhere you say "The baby's heart stopped beating .... just as the pediatrician arrived in the operating room". So when exactly did the pediatrician arrived?
I wish you had done more research on the "dark skinned area" on the baby. Is it some neuro cutenaous marker or some other sign heralding a congenital illness..
What do you mean when you said that the pedtrician was "being informed on time"? What exactly is being informed on time? one minute, one hour, one day before? Ideally in a "preplanned C-section" this should be atleast a couple of hours before? Was this the case?
Could it have been possible for the Gynecologists to wait pending the doctors arrival becasue as you say this operation was a "preplanned C-section at IGMH" and not an emergency one? Or were they too busy and wanted to finish their part of the job to go home even if the resuscitation doctor has not arrived?
I beleive that the practice the world over is that in a situation where you are foreseeing trouble for the baby and if the baby is not in distress you have to mandatorily wait and arrange for a pedetrician before you operate.
I dont doubt MMW has brought a true story but inconsistancies make the story looks less genuine..
Thank you MMW
virionx
My prayers are with the baby. May Allah give the family courage and strength.
virionx
oh it was said, that it was elective C-section, in cases of most elective CS, when theres no complications anticipated, its very often that the paediatric MO, attends the baby.
if the gynae doctors knew the baby is thick meconium stained, they would have informed the padeatic doctor and .. he would have been there... and the operation would have not been elective, it would
be emergency, and all will be prepared for such a scenario
and next thing is baby cried immediately after birth, another bad situation, a thick meconium baby crying immediately after birth. its nothing to be happy about and.. for u guys to write about, saying baby cried immediately after delivery, before effective suctioning is done.
the doctor came into OT, within no time, cause within 20 mints he said.. to stop resuscitation. but that decision isnt very appropriate, he should have tried some more.. though the consequences may not have been a veyr happy ending.. some babies do recover after 40 mints of resuscitation too, but eventually may die too..within few days.
thick meconium was not diagnosed, till the elective CS section, which was very unfortunate.
Anyways in big hospitals, always theres something or the other going on.. doctors are human beings after all, and they are trying their best to give maximum care, within their abilities, things like this do happen, and are very unfortunate incidences, and baby maybe having associated congenital abnormality also.
And all got to be more careful now, by learning from incidents like this.
"an intelligent person learns from his mistakes, a wise person learns from others mistakes.. and a fool never learns."
Venus
Something confusing here. Was the Pedtrician informed after the operation started or well in advance? or "on time" as the article say.....
When was the meconium staining discovered? Pre C-section or in the middle of it?
If the pedtrician was called in the midle of the operation then we cant blame him. After all he is also human and sometime has to be taken aside for mere transport even.
Since it was electiive C-section it seems like no one anticipated the meconium stain and the baby wasnt in distress and the Pedtrician must have been informed at the last minnute during the operation.
So all this stories abiout a text book C-section and all the blame on the Pedtrician coming late should be taken with a pinch of salt.
Comon MMW, we except better story telling from you guys. A poorly researched article I must say.....
virionx
PS I am not a pediatricain pls, just telling my views
usually the protocol is they will inform the paediatrician.. if no problems expected, he will send paediatric MO, if he is comfortable with that person, if thick meconium was expected .. definetely the paediatrician would be present.. and gynae doctors also will persist on it.
virionx,
you are being a pain aren't you. your first comment tell us how good a reader you are. you can't differentiate between stopping breathing and stopping HR.
virionx,
it is not that you are not a pediatrician, you are also a no brainer who likes to blow a loud trumpet.
there is no question about transport, the pediatrician was in the hospital just a couple of minutes away. he didn't think it important to hurry. he took his majestic walk. he was informed during section when liquor was found to be stained (a bit late i agree).
venus, there is no celebration in MMWs writing. they are not beaming because something bad happened. it is mentioned as a fact of the event. sure baby has more to loose if it cries. but the story told to relatives is not about Mec aspiration but of congenital anomalies. and this is being reported as a baby who was not revived.
EXPECT virionx,
some story telling trick definitely. but the story is spot on.
i believe the phrase "baby cried" is written to say baby was alive at that time, not that it is a good thing for MSL babies to cry before suction.
in that situation resus was stopped too soon. that is the probable reason for presenting the "cry" bit.
criticism aside, thanks mmw for reporting this.
fishguy89
Looks like MMW who keeps on criticizing everything under the sun suddenly dont like it when someone criticizes their articles.
Its clear the story isnt as black and white as portrayed by the article which is very evident for the comments thats flowing.
This article stinks with bias towards the Gynaecologists....
They failed to detect mechonium and went ahead and operated without insisting on the presence of a Pedetrician and when shit hits the ceiling they blame the walking speed of the Pedetrician.
Excuse me; except for the tragedy of the death I would be laughing at this explanantion
virionx
lol walking speed of paediatrician hehehe, virionx u are funny :P
haan na.. someone has to be blamed, i guess lets blame Maumoon, he is the culprit of all this.
and haan the story writer, a thick meconium baby will not die so fast due to aspiration.. unles, he has an associated congenital problems also. so it could well be a case of some abnormalities.
It was a a member of the gynecologic team who informed MMW of the incident so its biased. A lot of information is missing....and for one thing for Gods sake...no matter how good the equipemt no matter how well trained staff no matter how careful..IGMH is a hospital, patients die in Hospitals world over...acute respiratory distress syndrome has a high mortality..doctorun nakey maru hifahahtaa baehnoon....
just curious...
How much better is a pedtrician compared to a anesthetist for emergency resuscitation?
Wasnt anesthetist doing all he could whe the baby passed away?
So now lets blame him.....
virionx
I guess anesthetist is better and well versed with resuscitation, thats half of their job na...
I also agree with this..
doctorun nakey maru hifahahtaa baehnoon....
death and life is part of hospital
some dies.. some lives, doctors got to do their best to keep all alive,
Wish best of luck for all the doctors with their edeavours
venus,
Then probably the baby dies due to unavoidable circumstances and not solely due to the absence of pedtrician......
Now then where should we put the blame? There is no fun unless we blame someone right?
virionx
why couldnt anaesthetist save the baby?
If he cannot do the job, even a paediatrician also cannot do it.
paediatrician is the person to be blamed because he was the only one who was not there right that second.
its difficult to blame others and so easy to blame the paediatrician.
virionx, thats why na.. lets blame Maumoon, isnt that an ok idea? :S
As I said there is no fun unless you blame someone.....
If you cant think of someone to blame, Maumoon is still living and kicking. Blame him....
virionx
Yes Venus
We seems to agree on this one
haha.. Poor Maumoon, his life-span also will be decreased due to all the blames we put on him
I like reading the gossips of this blog, its really entertaining..
keep it up with ur gossips.. MMW
venus
the unfortunate thing is that all of that is not gossip. we have a lot of things to be improved. MMW is just making mountains out of these mole hills. But we cant deny that the mole hills are there
virionx@live.com
mole hills are every where, in our daily life also, but some ppl coming and poking their heads into our mole hills we dont toellerate.
most of the time this blog is very hyper about matters, and all what it has done so far is blamming the doctors, one way or the other.
maybe who are in charge of this blog are those ppl who wanted to become doctors, but failed to do so.
ermm :P
virionx, it was nice msging you, I am going to sleep now. Goodnite to you.
Venus
Lets not get personal. Let them enjoy their blog. Atleast its having some entertainment value hehe
virionx
not necessarily addressed to virionx or venus,
so this is a mole hill? kids dying in suspicious circumstances is not a mole hill. have kids then you'll probably have a different view.
MMW has used a bit of salt and pepper, sure. That is story telling. and it doesn't help.
but the stories are mostly spot on and have very true value to it.
these are tragic events, no laughing matter. I don't think MMW is writing these for the fun of it. these stories need to come out.
this story, the story about a baby who nearly bled to death, baby and mother in ICU.....they are all based on true event. we can't deny that these things happened.
MMW must be getting the story from within IGMH and there surely is some bias in their stories, maybe a lot in some of them, but the story itself is a true event.
the blame game continues because of lack of accountability and lack of a mechanism for true internal evaluation of adverse events.
these things can happen in any hospital, but not this frequently. and the response from the hospital administration would not be the same. there would be accountability.
don't make personal arguments, it does not help the cause.
for me it is not about who to blame! it is about hospital providing a mechanism to investigate these events, getting some reasonable explanation to parents, applying penalties where negligence (criminal or medical) happens.........and so on.
people are being too hasty in commenting. and as soon as someone comments to a comment- it is personal. some even miss words in the writing. this doesn't help.
there is no denying MMW needs to do a better job at being unbiased (period). But their sources are biased themselves. sometimes getting the story out in the open could clarify a lot of the biases.
The real story:
#elective LSCS.
#peds MO informed in advance and present for LSCS
#meconeum not detected until uterus opened.
#when mec detected and before baby extracted ped consultant informed, was on ward round in P ward at the time.
#he didn't leave immediately. even asked whether he should be attending. was told very junior doc in theater so should attend.
#he took 20 mins to get to theater.
#meanwhile, baby extracted, suction done on OT table by obstetrician, baby cried and was breathing when handed over to ped MO.
#on ped resus table further oral suctioning done
#baby stopped breathing. bagging started, not improving.
#nurse called ped consultant to inform, he was in changing room, not too far away.
#ped MO asked for assistance from anethetist, who came an intubated baby
#bagging continued through tube. HR noted to be dropping.
#CPR started by MO and anesthetist.
#ped consultant arrived, CPR for further 5 minutes 2 doses of adrenalin given. adrenaline delayed till peripheral IV line. only later ET adrenaline given.
#CPR not well co-ordinated, no communication between resus doctors. compression and breathing ratio irregular...not effective resus in CPR.
#Ped consultant meanwhile notes patch and swelling of leg (says possible congenital anomalies)
#peds consultant declares baby dead when no heart rate detected after 5 minutes of CPR with adrenalin.
#parents informed, possible anomalies of airway and intestine (TOF) not compatible with life is explained.
my 2 cents:
#mec not detected in advance: very difficult to detect without leaking PV,
#junir ped MO in OT: routine practice. problems not expected. so senior not called.
#consultant may have taken a few extra mins to get there: but resus was ongoing.
##resus may have been better if senior peds available. HR checked too late, intubation may have been earlier (bagging may have been effective on its own but intubation preferred). adrenaline dose given earlier, fluid boluses given earlier.....other resus measures more effective.
#anesthetist not necessarily better or even understands peds or neonatal resus (they should, but don't).
#adrenaline doses delayed till peripheral IV line attempt (why ET doses not used immediately? knowledge about ETT doses lacking....even in senior ped consultant?). too nervous?
#resus stopped at about 25 minutes of life.....? too early for a baby who did have signs of life at delivery? probably. but major neurological sequelae expected even if survived.
#mec aspiration babies do not die this quickly unless resus inadequate! or anomalies incompatible with life. resus effort probably inadequate because of lack of skills by ped MO and inexperience of assisting anesthetist in neonatal resus.
#explanation to parents about cong. anomalies not based on facts, on presumption. anomalies possible but not confirmed.
all in all a very sad day at OT. many unhappy faces. anesthetist unhappy at "early" declaration, obstetrician unhappy at ineffective resus, nurses unhappy at the way resus doctors acted confused and inexperienced!
OT nurse.
A post mortum examination might help......
well OT nurse, when the tube is inside, its not needed to coridnate chest compressions and baging, chest compression can go on and bagging can go on irrespective each other.
OT nurse, anesthetist is well versed with neonatal resuscitation too. Dont assume too much, your knowledge is insufficient to assumeall this.
you must be one of those diploma nurses, who thinks they know too much.
you are saying mask ventilation will be enough for a baby who has no heart rate, suspected meconium aspiration...again.. who selected you to be in OT?
cause of ppl like you, there are these incidents in OT, you must be removed from OT immediately.
All in all OT nurse your knowledge to asses the situation was pathetic, your report was just like a laymans, we should be ashamed people like u are there in medical fields, you should be a reporter in minivan news, not in OT, as OT nurse.
How many such "unfortunate incidences " are we to tolerate? Unfortunate or not.. a baby has died who could have had lived if properly managed. What does these people think of themselves. Playing with lives. One day Allah is going to send these people to the bottom of the hell. Aren't these people afraid of Allah and judgment day?
my 2 cents to.. since i am also an anonymous who used to work there. as far as i understand elective means no complications expected so usually paeds MO attends. not all paeds MO s stupid.. some might be very good at resus also. in most situations of critical care unless it is a resus team everyone panicks.. day in day out this happens and will happen no matter how much training. doctors are humans. some better in stress situations than others. yes in retrospect everyone can say it should have been done like this and that .. it is always a sad thing a loss of life. i believe neither the anesth the paeds consultant or MO would be happy or forget n get on with lives. whenevr someone dies on your watch it always takes a toll.. the only way to cope is to be sure u had done all u could within your limits to save. good luck doctors. it is always a hard life a stressful life and one in which few moments will come when someone says a good thing and appreciates u and u feel this is why u did medicine..specks of brightness and a lot more drakness will come. keep on striving to do your best and to improve.
OT nurse. Bravo. We need more nurses like you who will blow the whistle. So pathetic these people are that they even cant maintain the ratio. By the way i wont be surprised even if they knew what the most up to date ratio was?
ok OT nurse and the last annony knows about the ratio. They should be the one handling such cases, not paediatricians and anaesthetists, compared to these nurse and speculators, these ppl who are specialists.. they know nothing.
well done OT nurse.All your real colours are comming out now.The trajedy here is most of the nurses
are incompetent and unprofessional but will have more than enough loose talk to compensate for all these.Many doesnot even have a decent O level pass but some how get a Masters degree from Australia in Nursing:)Masters in deceit and incompetence would be more appropriate.
OT Nurse and others...
It’s very easy to criticize. In the west a ideal resuscitation team will have someone who just keep the timings and record the events. Looks like you were doing that job. According to your event the only thing a nurse did in that whole resuscitation was call the Pediatrician. Bravo..
You seem to think CPR started much after bagging. I wonder what’s your take on the meaning of CPR?
Anyway I think it wasn’t right for you to criticize the doctors abilities without any proof. All this was your assumption which was made to look like that’s the truth. You have made a lot of assumptions punctuated by question marks….
“why ET doses not used immediately? knowledge about ETT doses lacking....even in senior ped consultant?). too nervous?#resus stopped at about 25 minutes of life.....? too early for a baby who did have signs of life at delivery?”
I am not saying everything was perfect on that day at the theater. But people should give personal criticism with in the area of their expertise. This only breeds contempt and create an unhealthy atmosphere.
And for Gods sake let’s not blow this into a doctor nurse thing…..
virionx
All ure comments and ure stupid views arent gud enough in this for anyone to even give a shit.. n do u know why???... coz tomorrow another baby is gonna die because one of u had to pee longer or had to take a nap, or maybe was doing one of the nurses in the store room.. its gonna happen tomorrow day after and the next year, whose going to take blame , no one... this is maldives...remember ilyas is the health minister and ure'll are just scum to him.. nothing more or less
The people who are maintaining this website are very obviously doctors and nurses. They are taking pride in disclosing priviledged information to whoever is interested in reading this website. One wonders what has happened to the Hippocratic oaths and the Florence Nightingale oaths; as this is the level the Maldivian medical community has fallen into.It is not with the intention of regulating our sevices and improving our patient-care, but with the intention of bad mouthing and back stabbing our collegues in this very small community.
yes a small community who are killing our babies and kids and all others on the assumption that they know all too well.
I think MMW wud censor comments who defends doctors in the future....they want to blame doctors...vionix i think ur time will be up pretty soon
Patients die in hospitals world over....i think MMW aims to make IGMH the only 0% mortality hospital in the world...hey i got a better idea why don't we sue and jail all doctors and nurses that way no one will die under their care......it seems to me after years of hard work, study and sacrifice the relatives of dead patients knows much better than the attending doctor.....its a blame game, finger pointing...Doctors cannot be blamed for everything that goes wrong in the theater or hospital.
same rhetoric over and over again. We know people die in hospitals. It is another story when they die due to negligence and malpractice.
lol
I hope MMW is taking this job responsibly.
I mean we have to think about the family whose story we are writing about here. Think of what will pass through the child parents when they read these conflicting stories.
If MMW is willing to publish these stories they also have a moral responsibility to counsel the parents and make them understand. I am sure they must be lost now thinking whats the ratio of compression in CPR.
May god give them courage to bear this public farce of their tragedy...
virionx
What a bunch of crap.....
Can we find even a single hospital in this wide world where no baby ever dies.....guess you MMW a-- h---s are living in a fools paradise.
Yeah you are good for nothing but gossip, spreading doubt , uncertainly and hatred in this small community.Remember you guys will face the brunt of spreading such seeds of hatred in the years to come and god bless you all...
To the above anonymous on Hyppocratic oath etcc..
Well the unprofessional attitude of some of the OT Nurses( but not all) has to seen to be believed and now many of you are experiencing this first hand.
To make matters worse you have a particularly gossipy incharge in the theatre whose main pass time is chatting on the net or attending to numerous hush-hush gossip passed onto her by one particularly mean and grossly overweight oldie nurse who believes that the OT is her personal property.This is the sad state of affairs in the OT.So forget about maintaining confidentiality on matters related to theatre.Such a shame.....
However it is also heartening to see that there are many sisters in the OT who are hard working, professional and keep a cheerful face even under the most trying or difficult circumstances.
oh yeah i have heard about this duo too. THe fat OT nurse who doesnt like doctors, and the thin in charge of OT who is afraid of the fat woman. well nice combination dont you think so, the last anony,
have heard about the fat nurse unprofessional behaviors a lot.
and the thin in charge nurse is afraid of the fat one. and so OT is run by the fat nurse gossip.
no wonder OT nurses are being so gossipy and writing to blogs like this and showing how unprofessional attitude they have for their work.
oh you mean theres a hardy and laurel in Operation theater... haha :P
It looks like, its a very entertaining place.
yeah venus. A female version of Laureal and Hardy.Only difference is that this Hardy is much heavier than the male version and totally devoid of humour and is nasty to the core.
To the above anonymous:
You forgot to add one more thing.
This female Hardy is also fond of bringing left over and expired food stuff from her home to the theatre and feed them free of cost to all the young nurses and doctors in the hope of making them as heavier someday.:)
u gyneas pls stop blaming nurses,after writing a report...u guys dont have the courage to say that it was written by u guys..pls stop blaming nurses
for ur kind information i just wanna te.ll u guys that this report was not written by a OT nurse.i know who has written it,n y they have mentioned nurses name too..pls u male gyneas u better replace ur name instead of OT nurse there.okies...
Shit,gossiping about what happens in the theatre and taking a casual attitude.Any such nurse who does this should be suspended and kicked out of the theatre immeidately.Even if professionally incompetent at least they can shut their mouths.In any other country inquiries will be set up on all the nurses present during such incidences and due punishment given including the revoking of their license to practise.So beware and dont take these things lightly.... or else you will be packing yiur bags from the theatre and will be on the way out in no time.
Such vengeance against nurses becasue of that one comment.
Are we really sure that it was an OT nurse and not some frustrated doctor specially from the Gynae side. Seems to be she blamed everyone except the gynae doctors.
Even MMW writing so much about doctors incompetence and no one is taking it personally. Then why so much fuss about this one comment....So much so that nurses are getting personally targeted...
Not an OT nurse
who was there to observe that the paediatrician came in 20mins..oh my god...how exact time he was given...may be he was counting the time....was it really 20mins..not 15 or 25 mins.....
there r no paeds in soem islands..in such situations like LSCS only anaesthetist is attending in both sides..
In the same way can we also be sure that it is infact a gynae doctor and not some frustrated nurse who wrote this or are you infact indirectly admitting that OT nurses have no technical knowledge to write such a report? This may as well be true:)May be most are good in writing BP and Pulse checked and found normal.....most of the time.
well..to the anony who knows the names...if u really want to save the ot nurses from all this blaming and inappropriate comments..y dont u just write the names of the stupid shit heads doing all the fuckin bad mouthin..well if u r concerened i'll b glad to c the names of those ppl..layed infront of the community to c..n so the "white angels" can b safe...u got the guts?
for the blog incharges n everyone who reads this...
pls here after u guys dont consult any of the gynea,anesthetist,or a paediatrician of IGMH...cos they are not well trained as these guys say...
u guys can consult this blog incharges,and the whole team of this blog..they will give the best treatment where no one else can give..
excuse me..if u guys wanna be doctors,u can go for studies...but then who will take care of the blog dho..
keke
okies..
yup i only wrote it
cux i am some one who got treated under the supervision n care of those nurses of IGMH...i was also admitted n done an abdominal surgery, where i foundvryone so kind in OT..so m sure they wont do such shits..
Everytime MMW write something we cant dismiss them as a jelous lot becasue they cant become doctors
I think infact lot of them are doctors including some of the commentors.
But MMW guys must be from medical side or surgey side.
It seems there is nothing wrong happening in other departments. There must be competent staff manning these departments.
So every shit that happens come from either the pead or the gynae department.
With so many faculties if MMW can find fault in only two departments I say IGMH has got a good track record. If the hospital and administartion is bad as a whole we should be hearing more from other departments too.
Bottomline: Either MMW is practising biased reporting or IGMH is excellent as a whole not with standing a few departments like Pead and Gynae
virionx
u docs..so dont u see any fault from surgical side?physicians side?neuro side?ortho side?ophthal n ENt side?
y u guys alwas blame gyneas n specially paeds?R they the ones who is killing kids?
u aanoy yup i think u r right...they never blame surgery side..cux doc.solih is there..they neva blame ortho side..cux dos.habeeb is there...
y u guys r so jealous with paeds n gyneas
yup i think u r right anony...
so instead os paeds,they can replace this blog members in IGMH..n so that they can attend in Ot with there fast walk instead of the magic walk of peads..
asl
i hate that presidents family doctor
venus
and whose that???
never knew that president had a family doctor?
piss piss piss. Mee dho mi meehunge haalathakee. Hama ajaibu antharees vejje.
oks.he might not have a family doc..but has a relative in gynea field dho..i mean a gynecologist...
lol who is this last two venus, who didnt even know how to spell gynae, well that last two venus is not the original venus, original one is a lot more eductated than to make spelling mistakes, like that.
lol venus
Some humility pls. pss pss
I thought those comments weren't from you...hehe
virionx
now venus became official ;)
so finally the days of removing comments have come.....
it was not like that.. i was just practicing what happens when we press dustbin :P
so will c how educated u r venus
Education is what remains after one has forgotten everything he learned in school.
- Albert Einstein
Hey friends, I heart that in 1st week of march, doctors declared a heart patient dead in ICU but later on the patient found alive. Whats exactly the case is?
oh really, is it possible. Where this incident took place, igmh?
But when, do anybody know?
I am a maldivian physcian, who worked in IGMH. Discussing about qualifications, Dr Azeez only just completed both part of MRCP exam but "never" completed 8 years of consultant training which is required according to GMC. He seems to act as though he is the most qualified.
shake it baby
Interesting to know.
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