The "cardiologist" is dead

[HOPE CLINICS]

The  Cardiologist  is  dead

Once  upon a  time  there  were  two  close  friends Hari  and  Mohan  who  lived  in  a town  called  Pitalpur in  Uttar Pradesh with  less  than 20000 population. When Hari was 14 years old his  grandmother  died of  MI due  to  lack  of  medical  facilities. He  decided thereon  to  pursue  medicine  as  a  career  and  serve  the  people  in  his  town. He  studied  hard  cleared  various  entrance  exams finally  to  become  a  doctor. Time  came  after  internship  to  choose  a  specialty  and  he  went  for  Internal Medicine  intending  to  become  a  cardiologist  so  he  could  help  people  like  his  grandmother. In  1978 with  a  brand  new  degree  in  Medicine and having  worked  as  Assistant Professor in Department of Cardiology  in  a  Private  Medical College  for  2  years  he  came  back  to  Pitalpur  to  start  a  small  clinic  and  later  within  3  years  a  established hospital by  name  of  Dr Hari’s cardiology centre. He  prospered , was  well  respected in the town  and  invited  as  faculty  to  various  cardiology  conferences.

One day  he  was  in  his  hospital  at  9.30 pm  at  night attending to  last  minute  stragglers  when  he  heard  a  commotion  outside  his  room. He  rushed  out  to  find  an elderly  man  clutching  his  chest  and  gasping  for  breath. He  immediately     rushed  him  into  the  makeshift  ICCU  and  gave  him  streptokinase  and  settled his  accelerated  Blood  pressure. The  gentleman  had  a  chaotic  one  week  stay  in Hari’s  hospital  where  he  was  resuscitated  twice. Finally  after  one  week  the  grateful  patient  was  discharged  and  before  going  he  came  to  thank Dr Hari  with  tears  in  his  eyes. It  was  only  then  that  Hari  realized  that  the  son  accompanying  the  patient  was  none  other  than Mohan  who  as  it  turned  out  had  done  his  degree  in  law  and  gone  to  London  for his Masters . Overjoyed  the  friends  vowed  to  stay  in  touch  in  future.

Years  and  then decades passed  Mohan  meanwhile  became  a  hot shot  lawyer  in  Delhi  and  was after  some  time  elevated  first  as  judge  to  Delhi  High Court  and  later  to  Supreme  Court. One  day  he  heard  the  name  Dr Hari  being  called  out  in  his  courtroom  and  was  shocked  to see  a  haggard  old  man  standing  before  him. There  was  a  glimmer  of  recognition, fear and hope  in equal measure in those  eyes . Justice  Mohan  recused  himself  from  the  case  but  followed  with  interest  the  case  as  it  unfolded  in  front  of  another  bench.

Matter   related  to death  of  a  patient  in  Dr Hari’s Cardiology Centre. Allegations  made  against  him  were  multitude  starting  with  that  he  was  not  a qualified cardiologist  but  was  posing as  one. It  was  no  surprise  that by  this  time  the  town  of Pitalpur  now  with  a  population  of  3.5  lacs had  two  young  DM  cardiologists  with  state of the art setups of their own. That  the  allegations  were  tutored  and  motivated was  clear  to  Justice Mohan but  he  could  not  say  this  to  anyone. He  could  just  reminisce the  incident  so  many decades  back  when  his  own  father  had thanked and  touched  the  feet  of   this  same  cardiologist  who  today  was  being  accused  of  not  being  a  cardiologist.  Finally  with admonition  by  the  SC,  saddled  with  a  compensation  of  78  lacs  Dr Hari  ended  up  being  barred  from  practicing  medicine for  6  months  by  the  State  medical  council.  His  spirit and  will  broken  Dr Hari  committed  suicide soon after. His  funeral  was  attended  by  thousands of  his  grateful  patients and friends.  Next  day a very emotional Justice Mohan’s father rang  him  up  and  said “Beta your Cardiologist friend is no more”.  Justice Mohan did  not know  how  explain  to  his  father  that  calling his doctor friend “cardiologist” could  be  construed as contempt of court.       

Dr  Neeraj  Nagpal 

Convenor,Medicos  Legal  Action  Group,   Managing Director MLAG  Indemnity,  

Ex  President  IMA  Chandigarh

Director Hope Gastrointestinal Diagnostic Clinic,

SCO  1066-67 Aerodale  Market, New Sunny  Enclave Sector  123 Mohali 140301  

09316517176  , 9814013735

0172; 2707935, 2706024,  MLAG Toll Free No 18008917671

HOPE CLINICS ;9465109935, 9478082176

email; hopec...@yahoo.com, hopec...@gmail.com mlagin...@gmail.com

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[R P STONE ClNIC @ Gmail.com]

Is it real story

Sent from my iPhone

On 16 Sep 2022, at 18:42, 'HOPE CLINICS' via MLAG <medicolegal...@googlegroups.com> wrote:



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[Dr.M.C. Gupta]

MY COMMENTS:

1-- Dr  Neeraj  Nagpal, you are a very good writer. 

2--DMC once gave a decision in a complaint that the doctor was at fault because he treated a heart patient though he did not have the degree of DM-cardiology. He was an old timer MD, Medicine, who had practiced non-invasive cardiology in India and abroad.  

--MCG

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(Ex)Prof. M C Gupta
MD (Medicine), LL.M.,
Advocate & Medico-legal Consultant

(Ex)Prof. M C Gupta
MD (Medicine), LL.M.,
Advocate & Medico-legal Consultant

MLForum+...@googlegroups.com

https://www.facebook.com/Khalish-Ghazals-335693300452273/

[R P STONE ClNIC @ Gmail.com]

This means that ALL old timers should form a group & approach SUPREME COURT against NMC & Medical councils.

Sent from my iPhone

On 16 Sep 2022, at 20:10, Dr.M.C. Gupta <mcgu...@gmail.com> wrote:



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[Dr.M.C. Gupta]

 

Ref: This means that ALL old timers should form a group & approach SUPREME COURT against NMC & Medical councils.

 

****

 

1--No. It does not mean that ALL old timers should form a group & approach SUPREME COURT against NMC & Medical councils.

2--The problems:

i)--Doctors would never unite / form a group.

ii)--Doctors would never contribute money to cover legal costs.

 

3--The SC would say--Why have you come to us? Go to HC.

4—The HC would say-- Why have you come to us? Go to MCI / NMC.

5—In the case cited by me, the doctor who was found guilty refused to pursue the matter with the MCI. [An appeal had been filed before the MCI. The MCI ever acted up on it and the doctor did not want to pursue the matter.

 

--M C Gupta

 

==================================

[Pawan Kumar Gupta]

Look at our stalwarts:

Most of them have M S degree but do G I surgery

World Famous

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With Best Regards,

Dr. Pawan K. Gupta
               M.S. (CMC, Ludhiana)
               Diploma in Urology (London)
               F.I.A.M.S.

Ex. Consultant in Urology :- Richard Wolf GmbH, Germany

Ex. Consultant Urologist   :- Artemis Hospital, Gurgaon

Ex. Consultant Urologist   :- Jaipur Golden Hospital, New Delhi

Ex. Consultant Urologist   :-  Moolchand Hospital, New Delhi

Ex. "RIRS" Surgeon          :- Max hospital, Shalimar Bagh, New Delhi

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Jammu Tawi

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[Dr.M.C. Gupta]

Ref:  Most of them have M S degree but do G I surgery

>>> 

1--I know of a thoracic surgeon in USA / Canada who performs colonoscopy. REASON (as per the answer I got on my query)--colonoscopy is much more paying--1200 dollars.

2--I know of MD Medicine doctors who own 2-3 USG machines and who devote full time to sonology.

3--The following persons are doing hair-transplant procedure at this time--

Non-MBBS

MBBS

MS(ENT)

MCh, Plastic surgery

NOTE:

1--I have the full list.

2--There are no MCI / NMC regulations regarding this.

--M C Gupta, 16-09-2022

===================================

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[Dr.M.C. Gupta]

Dear Dr. Banerji,

1--His name is displayed as:

Dr. R. S. Wadia

MBBS, MD (Medicine)

Neurologist, Pune

2--Law is the same for everybody. Irrespective of his stature and popularity, he can be legally proceeded against for misinformation (calling himself as a neurologist) and it is quite likely that he would be held guilty.

--MCG

======================================

On Fri, 16 Sept 2022 at 21:21, Dr Ashish Banerji <arba...@gmail.com> wrote:

Respected Dr MCG & Dr Nagpal,

With ref to Dr Nagpal's story about the Cardiologist who died... 

Please click on the link below, Dr R S Wadia did his MBBS & MD (Internal Med) from BJ Med College in Pune (MD in 1962). 

https://www.lybrate.com/pune/doctor/dr-r-s-wadia-neurologist

He is an extremely well-known Neurologist of Pune, and sees patients in his OPD till 10 pm.  

No degree in Neurology :) 

You can guess his age... 

No one has attacked him (to the best of my knowledge), and nor has he had to appear in Court. 

Such great doctors are an inspiration to the whole doctor community of India, and perhaps the whole world. 

Regards to all, 

Dr Ashish Banerji
MBBS, MS, FAIS, 

PGDHHM, PGDMLS, PGDQMHHO 

+91-8108181009 

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[Dr. Satvir S. Chaudhry]

Thanks 🙏 

Very true picture 

I stopped doing LSCS and Hysterectomy after 2014 because of such incidents which I was doing for almost three decades with under make shift Spinal Anaesth 

Unfortunate , Cost will be born ultimately by patients particularly the poor and less privileged 

Unfortunate 

Dr Satvir Chaudhry 

Senior Surgeon & Law Graduate

Retd DGHS(Haryana),

Ph-9416612664.

[Pawan Kumar Gupta]

There are several examples like Dr R S Wadia in the Country, hundreds in the Corporate Hospitals in Delhi & Mumbai. 

How are they writing Neurologists or Cardiologists or Urologists ????

Our Law is faulty 

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[HOPE CLINICS]

I  have  often  raised  this  issue. There  are  many  offshoots  to  this  fundamental query 

Who  is  a  specialist ?

There  is  no  denying  that  a  person  who  is  DM/MCh/DrNB  is  a  qualified  super specialist irrespective  of  the  fact  that  he  is  competent  or  not. This  is  the  further  narrative  within  the  narrative in  that  in  name  of  awarding  super specialty degree  qualified persons  are  used  in  institutions  to  do scud  work  without  providing  them  proper  hands  on  experience  in  the  field  of  their  super specialization. If  this  was  not  true  then  no  DM / MCh / DrNB  would  do  fellowships  even  after  award  of  their  super specialty degree. Barely a fraction of DM gastroenterology pass-outs are  competent in ERCP / EUS / EMR /ESD what  to  talk  of  POEM. No  MCh neurosurgery is  competent  to  independently  operate  on  an  astrocytoma. No  MCh  cardiothoracic  surgery  is  competent  to  do  an  independent CABG /TAVR   

In  the  race  to  start  new  exotic  DM / MCh  programs we  are  chopping  off  the  branch  on  which we  ourselves  sit. It  is  DM  Gastroenterology  qualified teachers  who  started  the  DM Hepatology  program  which  will  tomorrow  make a DM Gastroenterology  treating  a  cirrhotic negligent  per se, because  he  is  not  qualified  DM Hepatology. MCh cornea , DM Oncopathology, MCh Sport injury, MCh Spine injury, MCh cosmetic gynaecology, MCh  Endocrine surgery, MCh Hepato pancreato biliary surgery all  have  created  subspecializations which  are  unneccessary  and  will  be  the  genesis  of  legal  problems  against  otherwise  competent specialists  and  superspecialists. We  already  have  a  judgment  where  a  MCh Urology  has  been  penalised  for  doing  a  cholecystectomy  even  though  he  was  also  MS  surgery.  

Tomorrow  an  orthopedic  surgeon  will  be  awarded  compensation against  for  having  treated  spinal  injury. If  the  advocates  become  aware  of  these  degrees the  number  of  cases  being  filed  currently  against  doctors  in  consumer  courts  will  increase  tenfold  simply  because  an  erstwhile  qualified  specialist is  now  deemed  unqualified. 

We  need  to  go  back  to  basics. An  MBBS  with  experience  and  training  can  do  everything  in  medicine. Maybe  a  MD / MS  would  do  the  job  better  and  a  MCh/DM would  do  it  even  better  but  it cannot  be  said  that  an  MBBS  who  is  trained  and  experienced  in  the  field  has  done  something  illegal  just  because  he  has  done  something  which  today  is  having  a  superspecialty degree to  specialize  in.  This  does  not  absolve  the  person from  an  proven  negligence. But  the  "negligence  per se"  dictum  which  is  followed  just  because  the  doctor  is  not  having  NMC  recognized  superspecialty qualification is faulty  and  needs  to  be  remedied. 

Dr  Neeraj  Nagpal 

Convenor,Medicos  Legal  Action  Group,   Managing Director MLAG  Indemnity,  

Ex  President  IMA  Chandigarh

Director Hope Gastrointestinal Diagnostic Clinic,

SCO  1066-67 Aerodale  Market, New Sunny  Enclave Sector  123 Mohali 140301  

09316517176  , 9814013735

0172; 2707935, 2706024,  MLAG Toll Free No 18008917671

HOPE CLINICS ;9465109935, 9478082176

email; hopec...@yahoo.com, hopec...@gmail.com mlagin...@gmail.com

For  Contributions; "Medicos  Legal  Action Group"  Ac  No 499601010036479  IFSC  code  UBIN0549967 Union  Bank Sector  35 C Chandigarh;  PAN  Number AADTM4605N GST  No 04AADTM4605N1ZI

Website; http://www.mlag.in

you can also follow  us  at https://www.facebook.com/medicoslegalactiongroup   

On Saturday, 17 September 2022 at 03:06:05 am GMT+5:30, Jayant Navarange <jayant.n...@gmail.com> wrote:

Sir,

There are many such occasions when these very legendaries started the speciality degrees or superspeciality courses e.g. the first Pediatrician in Pune was DCH who started MD Ped and was even examiner---so alo, 1st Neonatology DM was founded by MD Ped and was examiner for DM Neonatology--similar was the case of Dr R S Wadia. He exclusively practiced Neurology and was respected till the last. Same must be the stories of Laparoscopic surgeons, CT/MRI/Nuclear Medicine experts, Pediatric surgeons, Urologists and so on. Is it not unfair that they cannot call themselves as respective specialists or is it that they should appear for these exams and get a regular degree/diploma? (just to satisfy the legal framework) Is it not like applying new law retrospectively?

What should be done in such a scenario? Will law not consider the ground reality of commencing new specialities by previously non-existence of such super-speciality and its degree holders?

 Yours sincerely

Dr Jayant Navarane

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Dr Jayant Navarange

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[HOPE CLINICS]

Dr  Neeraj  Nagpal 

Convenor,Medicos  Legal  Action  Group,   Managing Director MLAG  Indemnity,  

Ex  President  IMA  Chandigarh

Director Hope Gastrointestinal Diagnostic Clinic,

SCO  1066-67 Aerodale  Market, New Sunny  Enclave Sector  123 Mohali 140301  

09316517176  , 9814013735

0172; 2707935, 2706024,  MLAG Toll Free No 18008917671

HOPE CLINICS ;9465109935, 9478082176

email; hopec...@yahoo.com, hopec...@gmail.com mlagin...@gmail.com

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On Saturday, 17 September 2022 at 11:47:15 am GMT+5:30, Dr.M.C. Gupta <mcgu...@gmail.com> wrote:

Ref:  We  already  have  a  judgment  where  a  MCh Urology  has  been  penalised  for  doing  a  cholecystectomy  even  though  he  was  also  MS  surgery.  

>>> Can you please provide a link to the judgment?

--MCG

=====================================================

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(Ex)Prof. M C Gupta
MD (Medicine), LL.M.,
Advocate & Medico-legal Consultant

(Ex)Prof. M C Gupta
MD (Medicine), LL.M.,
Advocate & Medico-legal Consultant

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[R P STONE ClNIC @ Gmail.com]

Question is why Specialists qualified before Feb 2002 can not be registered in the field of super speciality of their choice ?? 

This should be contested

Sent from my iPhone

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[Dr Satvir Chaudhry NarainGarh Distt Ambala Haryana]

Thanks 🙏 

Nice debate 

We  need  to  go  back  to  basics. An  MBBS  with  experience  and  training  can  do  everything  in  medicine. Maybe  a  MD / MS  would  do  the  job  better  and  a  MCh/DM would  do  it  even  better  but  it cannot  be  said  that  an  MBBS  who  is  trained  and  experienced  in  the  field  has  done  something  illegal  just  because  he  has  done  something  which  today  is  having  a  superspecialty degree to  specialize  in.  This  does  not  absolve  the  person from  an  proven  negligence.

 But  the  "negligence  per se"  dictum  which  is  followed  just  because  the  doctor  is  not  having  NMC  recognized  superspecialty qualification is faulty  and  needs  to  be  remedied. will remain debatable and creats devisions in the doctors 

Thanks 🙏 

Dr Satvir Chaudhry 

Senior Surgeon & Law Graduate

Retd DGHS(Haryana),

Ph-9416612664.

[dr.naresh dalal]

A good story teller. I salute a genious in you.

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