tag:blogger.com,1999:blog-3453190973437613547.post7674388255489917619..comments2023-10-23T11:05:51.673-07:00Comments on maldives medical watch: Another baby and mother in critical condition at IGMHMedical Investigatorhttp://www.blogger.com/profile/09288612382516803117noreply@blogger.comBlogger35125tag:blogger.com,1999:blog-3453190973437613547.post-43290303758851421642008-03-15T18:59:00.000-07:002008-03-15T18:59:00.000-07:00This story is impossible to interpret.As a Canadia...This story is impossible to interpret.<BR/>As a Canadian obstetrician, I can tell you that even here women end up with hysterectomies, in ICU, with blood transfusions, and occasional dying due to a placenta previa. Most cases are diagnosed antenatally with ultrasound, but as has been clearly pointed out, this is not universally the case due to a variety of non-modifiable factor (fetal position, maternal bladder, etc.).<BR/>Cesarean sections in the setting of placenta previa can also be notoriously difficult. I have difficulty believing that a "too small" skin incision would cause problems - this can be remedied in under 30 seconds with a scalpel. Once in the abdomen, however, the lower segment of the uterus in the setting of a previa is often undeveloped or poorly developed (even moreso with a preterm baby), making an adequate incision difficult to impossible (a classical cesarean section is often required). If the placenta is on the front wall of the uterus, it must be cut through or sheared off in order to reach the baby (and this must be done very expeditiously). Once baby is out, there is a 10%-ish risk of placenta accreta, where the placenta has grown into the wall of the uterus and cannot be easily (or safely) removed. Finally, once the placenta has been removed, the bed where the placenta was located often does not contract down well, resulting in excessive bleeding. Up to 10% of women who have a placenta previa will have severe enough bleeding to require a hysterectomy. (I say up to 10% because this is what the textbooks say, even though that has dropped significantly with modern obstetrics).<BR/>Based on this somewhat details-sparse account, this woman received relatively similar care to what would have been provided at tertiary hospitals anywhere in North America (except that we don't allow family donors to give emergency blood donations - all blood goes through our non-remunerated donor blood bank to allow pre-testing for HIV, hepatitis, etc).<BR/>I landed at this site randomly as there are some requests for foreign obstetrical and midwife support in the Maldives... with sites like this I think I'd best keep my well-trained, well-meaning obstetrical hands away from the vigilante masses.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-88349890744360114922008-03-01T09:13:00.001-08:002008-03-01T09:13:00.001-08:00I think it would be better if you could investigat...I think it would be better if you could investigate properly and write about stories. As for this case half of the story was just noncense.... In future i hope you will investigate.. get more information and then write the true story.. thaa kuhama vaahaka eh adhuivey irra jahanee dhoo... theeves gotheh!!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-64049355677803945522008-03-01T09:13:00.000-08:002008-03-01T09:13:00.000-08:00I think it would be better if you could investigat...I think it would be better if you could investigate properly and write about stories. As for this case half of the story was just noncense.... In future i hope you will investigate.. get more information and then write the true story.. thaa kuhama vaahaka eh adhuivey irra jahanee dhoo... theeves gotheh!!!motohttps://www.blogger.com/profile/03120304001428312280noreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-63142233976263002492008-02-09T03:04:00.000-08:002008-02-09T03:04:00.000-08:00lollolAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-8156053902390001262008-02-09T03:02:00.000-08:002008-02-09T03:02:00.000-08:00"good things if any?????? " thats amazing..i think..."good things if any?????? " thats amazing..i think thts great.. all the babies born in IGMH are brain dead.. alll are retards roaming street. maybe the druggies around must be due to something bad that IGMH did... oh and everyone who had a heart attack are dead. anyone who gets to ICU never became better and got out..everyone who had appendix operated died.no one's bones healed.. all who went to IGMH are dead...must be ghosts on the streets of male' of all who were killed by " Insaanun Gasthuga Maraa Hospital".... as if they got nothing better to do than kill peopleAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-46274079132316977952008-02-09T01:18:00.000-08:002008-02-09T01:18:00.000-08:00i disgree with last anonymousi disgree with last anonymousAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-80048915038970686322008-02-09T01:02:00.000-08:002008-02-09T01:02:00.000-08:00It is important that MMW be bold and report .. the...It is important that MMW be bold and report .. they should not get caught up in this good stuff reporting...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-33427850912160565022008-02-09T00:45:00.000-08:002008-02-09T00:45:00.000-08:00As far as i am aware of MMW was created to bring a...As far as i am aware of MMW was created to bring all the bad things that happen. If some one wants the good stuff to be reported.. i think IGMh should announce all the good thngs that happn there..if any...<BR/><BR/>Also the good things people can come up with their own website to report on good stuff .. if any to report..Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-25336332475907125982008-02-08T22:18:00.000-08:002008-02-08T22:18:00.000-08:00Why everything in mmw is revolving around igmh? Do...Why everything in mmw is revolving around igmh? Don't we have other hospitals where "negligence" happens?<BR/><BR/>Stories in mmw give a false impression that not a single patient receives a proper treatment at igmh or any other maldivian healthcare facility. I am sure there will be stories of patient receiving good treatment.<BR/><BR/>Any group with a mandate to “watch”, (eg Human Rights Watch), should bring the good and the bad things. Perhaps MMW sees only bad! MMW has to mature, bring unbiased reports and think on a broader picture.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-46813920071705296862008-02-08T13:22:00.000-08:002008-02-08T13:22:00.000-08:00i found out about this site frm minivannewspatient...i found out about this site frm minivannews<BR/><BR/>patients die in hospitals everyday, and it dsnt necessarily mean its due to negligence<BR/><BR/>this website is gonna hv to make a lot of stuff up, in order to com up wit a malpractice case everyday!!<BR/><BR/>But IGMH needs to definitely improve; in terms of better handling the patient load, better PR, and diversifying the services available by introducing more sub-specialities....the prob is they keep in mind big Private hospitals abroad who charge ridiculuosly high prices and most often do unnecessary tests, but this appears as 'sophistication' to maldivians..<BR/><BR/>so this frustration boils down to allegations of 'negligence/malpractise etc wenever n wotever <BR/><BR/>good luck to igmh docs lolAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-28289781442276256002008-02-08T12:44:00.000-08:002008-02-08T12:44:00.000-08:00please note also the following quote from that sit...please note also the following quote from that site-<BR/><BR/> "True placenta previa at term is very serious. Complications for the baby include:<BR/><BR/> * Problems for the baby, secondary to acute blood loss<BR/> * Intrauterine growth restriction (IUGR) due to poor placental perfusion<BR/> * Increased incidence of congenital anomalies<BR/><BR/>Risks for the mother include:<BR/><BR/> * Life-threatening hemorrhage<BR/> * Cesarean delivery<BR/> * Increased risk of postpartum hemorrhage<BR/> * Increased risk placenta accreta (Placenta accreta is where the placenta attaches directly to the uterine muscle.)"<BR/><BR/>what Im trying to explain is, IF these complications arise, this does not automatically means it was due to 'Negligence' !! PP by default carries these risk, whether or not it will occur is a statistical probility; even with exceptional care PP is dangerous!<BR/><BR/>As a clinician what we can do is try our best to enusre that WHEN a patient does present with PP, all possible precuations and management guidelines can be followed.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-30932357113605388162008-02-08T12:34:00.000-08:002008-02-08T12:34:00.000-08:00hehe dear public/patientsobviosuly nothing we say ...hehe dear public/patients<BR/><BR/>obviosuly nothing we say is worth anything to you, so here<BR/>http://pregnancy.about.com/cs/placentaprevia/a/previa.htm<BR/><BR/>Lets take a sentence from this article in the link given above;<BR/><BR/>"..there is a 10% false positive diagnosis rate, usually because of the bladder being over full. There is also a 7% false negative rate, typically caused from missing the previa that is located behind the baby's head"<BR/><BR/>what this is talking about is doing ultrasound during the last trimester of pregnancy(28-40weeks), the point im trying to make here is where it is mentioning "10%false positive diagnosis, 7%false negative rate"...this means evenduring a scan it is possible to miss a case of PP....so, does this also amount to negligence??? the reasons why it maybe missed are explained in the site as well..<BR/><BR/>I agree, the "perception" of negilgence does not amount to negligence; this can be solved by better communication between the hospital n the public<BR/><BR/>ofcos with some,there is just no reasoning with, people will believe what they want to believe..<BR/>A baby has died, so someone needs to be burnt at the stake, or charaded across male' in a napkin!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-68434317923269201962008-02-08T11:54:00.000-08:002008-02-08T11:54:00.000-08:00Liyaa etcheh bolah vandhaakah beynun nuvaane kan i...Liyaa etcheh bolah vandhaakah beynun nuvaane kan ingeyey...boah harukamaaih goidhoonukurun!<BR/><BR/>Mee dhivehinna jehifa oiy bayyeh, thrz no treatment for this!<BR/><BR/>kiyaa dheyn miulhey etcheh eba visneytha??....<BR/><BR/>Has we not tried to explain here why 'pokes/jabs/rounds are imp? hav we not tried to explain why exceesive bleeding is unavoidable in Placenta Previa? have we not tried to explain why Antenatal diagnosis is imp to detect PP early? have we not tried to explain why Admision and bed rest in hospital(forced rest is part of the managemnt of PP)was done? hav we not tried to explain that a PP delivery is a coplicated one that is fraught with risks????..<BR/><BR/>despite the best of doc n best services a Low Lying placenta carries significant morbidity and mortality!!<BR/><BR/>"comprende' ?? "<BR/><BR/>thi ethereyga roakoggen ulhey alifan gandu nivvafa kiyaadheyn ulhey mivaahakatha adu ahaabalah!!!...kameh vaaira thibeny hama ready ga valhin jahan thayyaaarah!! kamuge emme goas gothakah kimmaigen ready veggen!!<BR/><BR/>This does not in anyway, from wot little info is available, appear to be a case of negligence!! For rational minded people only, mind you...kannu vefa thibi meehunnakah noonAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-61211012640593342972008-02-08T11:46:00.000-08:002008-02-08T11:46:00.000-08:00Hooon!A 'PERCEPTION' of negligence is NOT equal to...Hooon!<BR/><BR/>A 'PERCEPTION' of negligence is NOT equal to negligence !!!! <BR/><BR/><BR/>compendre' ??Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-69421463573909034842008-02-08T11:40:00.000-08:002008-02-08T11:40:00.000-08:00nah...i think this person thinks he/she can go to ...nah...i think this person thinks he/she can go to American Idol and sing "i am gonna save everyone from dying...relax and just watch me doing it doctors!"..hahaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-74624010753664260182008-02-08T11:33:00.000-08:002008-02-08T11:33:00.000-08:00haadha beykaare vaahaka ey thee..!!haadha beykaare vaahaka ey thee..!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-91707936460467875242008-02-08T11:00:00.000-08:002008-02-08T11:00:00.000-08:00meehaku maruvumeh nooney massalayakee. maruvaan dh...meehaku maruvumeh nooney massalayakee. maruvaan dhimaavaa goi massalayakee. maru veema dhen ulhey goi massalayakee. gos koh kameh dhimaa vedhaane, hurihaa thaakuves vey. gos kon kanthah veema ekan ehen vikan gaboolu kuraanee, kiyaa dheynee, foruvaanee kee noon. makaru hadhaanee kee noon.<BR/>kanthah islaahu kurumuge beynumuga kan vee goi saafu kuraanee, dhen ehen viya nudhee veytho gadha alhaa masakkai kuraanee. <BR/>mihen situ thakuga faadu faadu vaahaka liyan jehigen mi ulhenee mikahala kanthah veema verin amalu kuraa gothun. dhen vaahaka eh thanaku jahaa irah thelhi gannanee damage control. dhen investigatu kuranee vaahaka noosverinnah dhinee noonee situga jehee hospitaluge kon muvazzafeh tho balan, emeehaku ge dhuvas dhuvvaalan. kan vee goi belumeh, kanthah islaahu kurumeh nei.<BR/>mi vaahaka dhakki meehaa gos vaanee, mihen kanthah hingi meehun hama rangalhu. mee massalayakee.<BR/>dhen ekun, mikahala web situ thakuga jahaahaa vaahaka eh gaboolu kuraakah nuvaane. ekamaku mi vaahaka rasmee noos majallaa thakuga hama mi meyrumun jeheema mi meehunge vaahakaiga thedeh vaakan gaboolu kuran jehey.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-89777060859465853362008-02-08T09:01:00.000-08:002008-02-08T09:01:00.000-08:00hey then which hospital should we go to...give us ...hey then which hospital should we go to...give us some of the names MMW...LOL!!adu ehin kaleymen hingaa hospitalegga meehun marey nuveye...LOL LOLAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-63655141384118909132008-02-08T08:56:00.000-08:002008-02-08T08:56:00.000-08:00well done nurse!!! u certainly have showed that u ...well done nurse!!! <BR/>u certainly have showed that u understood medical ethics if they taught u any...did it ever occur to you that you as part of the medical professional should be more responsible when it comes to patients information confidentiality...<BR/>an yeah!! how much should the incision be.when is it too small and when is it too big???and did you not know that it is very likely a patient with PP will have high chances of bleeding from uterus? forget the laymen who mentioned that "the doctors tried to conceal the bleeding" i thoutht u pple new better...guess u pple should start lecturing doctors now!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-85686055399482585622008-02-08T06:18:00.000-08:002008-02-08T06:18:00.000-08:00It is vey sad to hear about the cases like this.Me...It is vey sad to hear about the cases like this.Medical care is not without complications and at times even precious lives are lost. Not all such incidences are negligence or incompetence,It can happen in the best of the hands.A through reveiw of the case should be done, and incorrect information should not be written in mass media. This is injustice to the dedicated doctors who give priority to patient care over their own affairs. I suggest Dr.Fathimath Ali Didi and Dr.Yasir(from medical administraion , who are supposed to to manage medical care in IGMH)to review the case as soon as possible to establish facts and make them public.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-5661284981829126662008-02-08T05:09:00.000-08:002008-02-08T05:09:00.000-08:00lollolAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-89572778307711296532008-02-08T03:43:00.000-08:002008-02-08T03:43:00.000-08:00Well since we're not stating names I won't state m...Well since we're not stating names I won't state my sources either but according to my reliable sources, the patient's husband refused blood to be transfused to the patient unless it was his blood. So the doctors had to stand by and watch the patient deteriorate while the stubborn jerk let his wife die. God knows whether he even had the same blood type as his wife.<BR/><BR/>But of course MMW won't look up such details cos it works against your agenda of defaming IGMH by hook or by crook.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-51533986520320368472008-02-08T01:09:00.000-08:002008-02-08T01:09:00.000-08:00"There is no denying that there is negligence"..??..."There is no denying that there is negligence"..??? Why? Becos U say so?<BR/><BR/>U know wot they say, get too close to the tree n u lose sight of the forest.<BR/><BR/>A perception of negligence is not equal to negiligence. This country is suffering the effects of a long slumber, from which it has jus woken- now every1 is on a witch hunt, looting n defaming everything n anything they run into.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-85128569126484757002008-02-08T00:15:00.000-08:002008-02-08T00:15:00.000-08:00LOLYes everybody abandon maldives; dont go to mald...LOL<BR/><BR/>Yes everybody abandon maldives; dont go to maldivian hospitals, dont buy maldivian products, dont trust maldivian govrenments, dont trust doctors,nurses,imaams,gov officials here; the outside world is paradise; abandon this hell while u still can!!!<BR/><BR/>Hurry!!! women n children first.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3453190973437613547.post-41750581196591306852008-02-08T00:07:00.000-08:002008-02-08T00:07:00.000-08:00People . never ever deliver in this hospital. If u...People . never ever deliver in this hospital. If u can go abroad. Do u want your first baby to be killed by ignorant doctors?Anonymousnoreply@blogger.com