MaldivesHealth

-THE TRUTH SLEEPS IN THE MORGUE-

Chinese tooth paste killing people May 30, 2007

Filed under: Drugs, death — maldiveshealth @ 4:46 pm

I don’t know if Chinese manufactured toothpaste is imported to Maldives or not. It seems that two Chinese toothpaste products called “Excel” and “Mr.Cool” has  been found containing the diethylene glycol which could kill you by destroying your kidneys. Please be vary of the toothpaste from China. It seems that several countries are seizing these brands which are manufactured in China.

 

Ask for it and save your loved ones life May 21, 2007

Filed under: Uncategorized — maldiveshealth @ 11:45 pm

This is just another example of how your assertiveness could save your life or your loved ones life. A doctor writes on how her life was saved by her moms insistent behavior.

Ok, so now that I’ve given you a really good example of the dangers of VIPs bullying doctors, I will present the flip side of the coin:  a good kind of patient aggressiveness.

A 10 month old baby was vomiting and febrile, and her new mom brought her in to the hospital for an evaluation.  She was told that it was gastroenteritis (my favorite diagnosis of late) and that the baby would get over it soon enough.  The young mother insisted that she knew her baby, and that the infant had never been this fussy and that there really did seem to be something more serious at play.  Again, she received eye rolls from everyone from technicians to nursing staff to physicians.  “New mothers are so histrionic,” everyone thought. 

But as the evening wore on, the baby became fussier and fussier, and began scratching herself all over.  The nurses came in and tied her chubby arms and legs down so that she wouldn’t tear her skin.  The mom wrung her hands all night.  The doctor went home, yawning and sure that the baby would be fine in the morning.

Several episodes of violent, projectile vomiting ensued, and the mother pleaded for someone to take another look.  No one would listen, as the doctor had written in the chart that the baby had gastroenteritis, so that was what it was.

In the middle of the night, after the physician had gone home, the mom insisted that the nurses page him to come back to the hospital.  The nurses initially refused, but the mother told them that she would personally make their night miserable if they didn’t comply.   The annoyed physician came back to the hospital against his better judgment, and found the mother and baby looking far worse than when he’d left.  In fact, the baby’s vitals were becoming unstable and her abdomen was quite distended.

The physician ordered an abdominal x-ray series.  It showed an advanced intussusception and the belly was distended with gangrene.  He knew that she was likely to die.  He asked the mother if she wanted him to call the general surgeon (who had no experience with operating on babies) or if she’d like to take a chance and get the infant to an academic center in New York City that had a team of pediatric surgeons on call.  Time was of the essence, but surgical expertise varied greatly between the two options.  The mom could tell that the physician was terrified, and her instincts told her that she should get the most experienced doctor to operate on her baby.

A few hours later, the baby was rushed into the O.R. at Columbia Presbyterian Hospital.  The pediatric surgeon on the case told the mother that it was unlikely that the child would live, but that he promised not to give up on the baby.  At that point, the baby was septic and seizing.

In a truly miraculous turn of events, the surgeon was able to resect the dead bowel and save the baby’s life.  If the baby had arrived even a few minutes later, she probably wouldn’t have made it.

So in this case, I applaud the mother for being persistent and forcing the medical staff to take a closer look at this “gastroenteritis.” In our imperfect medical system, patients and families must sometimes advocate for themselves in order to get the attention they require.  This story, in particular, means a lot to me, because I still bear the abdominal scar from the surgery.

 

Source : revolutionhealth

 

Sappe editorial on investigating deaths May 20, 2007

Filed under: Drugs, Morgue news, death, disability, malpractice — maldiveshealth @ 10:03 pm

އަނިޔާވެރިކަމާއި ޖިނާއީ ޢަމަލުތައް ނިހާޔަތަށް ގިނަވެފައިވާ ޒަމާނެއްގައި މަރުވެގެންދާ ކޮންމެ މީހެއްގެ މަރު، ފުރިހަމައަށް ތަޙުޤީގް ކުރުމަކީ އެކަމުގެ ޒިންމާ އުފުލަންޖެހިފައިވާ ފަރާތުގެ ވާޖިބެކެވެ. އެހެނީ މަރުވެދާ ކޮންމެ މީހެއްގެ މަރުގެ ތަޙްޤީޤް ފުރިހަމައަށް ކުރެއްވުމާއި މީހެއްގެ މަރުގެ ޒިންމާ އުފުލަންޖެހާ ފަރާތެއް ވާނަމަ އެފަރާތަކަށް ޝަރުޢީ އަދި ޤާނޫނީ ހަމަތަކުގެ މަތީން އަދަބު ލިބިދިނުމަކީ ސަރުކާރުގެ ޒިންމާ އެކެވެ. ކޮންމެ ސިފައެއްގައި މީހަކު މަރުވިކަމުގައިވިޔަސް ކަމާއިބެހޭ ޚާއްޞަ ތަޙްޤީޤް ކުރައްވައި މަރުގެ ސަބަބު އެނގޭނޭ ރިޕޯޓެއް މަރުވެފައިވާ މީހާ ވަޅުލުމުގެ ކުރީން އެމީހެއްގެ ބެލެނިވެރީންނަށް ލިބިދިނުމަކީ ސަރުކާރުން ކޮންމެހެން ކުރައްވަން ޖެހޭނެއެވެ.

ތަފާތު ހާލަތްތަކުގައި މީހުން މަރުވަނީ ތަފާތު ސަބަބު ތަކާއިހުރެގެންނެވެ.  ހޮސްޕީޓަލުގައި ފަރުވާ ކުރެވެމުންދިޔަ މީހަކު މަރުވުމުގެ ސަބަބަކީ ބަލިމީހާއާއި އެކަށީގެންނުވާ ބޭހެއް ޑޮކްޓަރު ދިނުންކަމުގައި ވެދާނެއެވެ. ކުޑަކުއްޖަކު ވަޅަށް ވެއްޓި މަރުވުމަކީ ބެލެނިވެރިން އެކަމުގެ ފުރިހަމަ ޒިންމާ އުފުލަން ޖެހޭނެކަމެކެވެ. ޖަލުގައި ހައްޔަރު ކުރެވިފައިވާ ކުށްވެރިއަކު މަރުވުމުގެ ސަބަބަކީ ރަނގަޅު ކާނާ ނުލިބުމާއި ޞިއްޙީ ޚިދުމަތުގެ ފެންވަރު ދަށްވުމާއި ދެވޭ އަދަބުތަކުގެ ސަބަބުން ކަމަށް ވުމަކީ ދެބަސް ވެވެންނެތް ޙަޤީޤަތެކެވެ. މޮޔައިން ބަލަހައްޓާ މަރުކަޒެއްގެ ބެލުމުގެ ދަށުގައިވާ މީހަކު ގެނބިގެން، ނުވަތަ ރުކަކުން ވެއްޓި މަރުވެއްޖެނަމަ އޭނާ ބެލެހެއްޓުމުގެ މަސްއޫލިއްޔަތު އުފުލާ ފަރާތުގެ އިހުމާލު އޮތުމަކީ އެކަށީގެންވާ ކަމެކެވެ. އަދި މަރުވާ ކޮންމެ މީހަކީވެސް ހަށިގަނޑުގެ އެތެރޭގައިވާ ނިޒާމުގެ ކޮންމެވެސް ބައެއް ނުވަތަ މުޅި ނިޒާމުގެ މަސައްކަތް ހުއްޓުމާއި ވިދިގެން މަރުވާ މީހުންނެވެ.  މަރުވާ މީހުން ވަޅުލުމުގެ ކުރީން މަރުގެ ސަބަބު ހޯދުމަކީ ސަރުކާރުން ކުރައްވަން ޖެހިވަޑައިގަންނަވާ ކަމެކެވެ.  ކުށެއްގެ ޒިންމާ އުފުލަން ނުޖެހޭ ޙާލަތެއްގައި މަރުގެ ސަބަބު ފޮރުވުމުގެ ބޭނުމަކީ ކޮބައިބާއެވެ. ފަހަރެއްގައިވެސް ” މަރުވި ސަބަބަކީ އޯވަރ ޑޯޒް ވުމޭ” ލެފްޓިނެންޓް ކާނަލަކު ވިދާޅުވުމަކުން އެކަން ޤަބޫލު ކުރެވޭކަށް ނޯންނާނެއެވެ. އަދި ޤަބޫލު ކޮށްގެންވެސް ނުވާނެއެވެ.

މަރުގެ ތަޙުޤީޤު ފުރިހަމައަށް ކުރުމަކީ މިހާރު ދުނިޔޭގެ ވަރަށް ގިނަ ޤައުމުތަކުގައި ކުރާ ކަމެކެވެ. އަދި މިޒަމާނުގެ ކަމާއި ބެހޭ ޢިލްމާއި ޓެކްނޮލޮޖީގެ އެހީގައި މިފަދަ ތަޙުޤީޤުތައް ކުރުމަކީ އުނދަގޫ ކަމަކަށް ނުވެއެވެ. މަރުގެ މައްސަލަތަކުގައި ކަމުގެ ޙަޤީޤަތް މީހުންނަށް ނޭގުމުގެ ސަބަބުން މަރުގެ ތުހުމަތު އެކި ފަރާތްތަކުގެ ބޮލުގައި އެޅި، މުޖުތަމަޢުގައި ހަމަނުޖެހުން އުފެދުމާއި ލޭ އޮހޮރުންތަކެއް ފެށުމުގެ ކުރީން މީހުންގެ މަރުގެ ތަޙުޤީޤު ފުރިހަމައަށް ކުރެއްވުމަށާއި ތަޙްޤީޤް ރިޕޯޓް ( ޕޯސްޓްމޯރޓަމް ރިޕޯޓް) ލިބެން ޖެހޭ ފަރާތްތަކަށް އެރިޕޯޓް ލިބިދިނުމުގެ ޒިންމާ ސަރުކާރުން އުފުއްލަވަންވާނެއެވެ. މީހުން މެރުން ފަދަ ބޮޑު ޖަރީމާ ތަކަށް ހުޅުވިފައިވާ ދޮރު ބަންދު ކުރުމަކީ

ަރުކާރުގެ ފުރިހަމަ މަސްއޫލިއްޔަތު ކަމަށް ވާންވާނެއެވ

Source dhivehiobserver

 

Nurses : They are a special breed May 7, 2007

Filed under: nurse — maldiveshealth @ 4:20 pm

ind2007-small.jpgNurses are the backbone of a health care system. Believe me it is.   Nurses, they are special, they are unique. To be a good nurse you may go to a university and learn the basics. However to become a great nurse  you need to know thisheart_solo.jpg

and this human-heart-small.jpg

International nurses day is approaching. As you can see from the poster it is the 12th of May each year. It is the birthday of Florence Nightingale, the mother of modern nursing. The theme for this year is “Positive Practice Environments : Quality Workplaces = Quality Patient Care”. I wonder if any of the things listed around the circle in the poster is available to Maldivian nurses. Do we even hear about Maldivian nurses at all. We see no respect, no safe working environment, inadequate supplies, resources , pay, education, support and equipment.

The work nurses do is special. They are worthy of respect (as every human being is). The general public treats them like dirt, not to mention how they are treated by the doctors. That is another story anyway ;). There seems to be a Maldives Nursing Council. What they does, what goes around no one knows. Not even the nurses themselves.

Minivannews reported in 2005 that,

Maldives Nursing Council : Publishes a web-site on careers in general / speciality nursing or community. Poses as the professional regulatory body, but has been denied permission to print even an in-house journal in Maldives.

When the good old ( oops.. sorry) Husna was managing the nursing students in Maldives, we thought that something fruitful might emerge from those. Nothing changed. Nurses still face discrimination in the workplace. Every single day this is happening in our hospitals. Nurses are being belittled to the point where i have seen many cry. This is not the way we should embrace the services of this special breed of people. Inorder to change this, maldivian nurses need to raise their voice. I know there are a few who does, but it seems no one is listening. So they should shout. The reasons why the majority does not raise their vioce is something that almost every one knows.

 

The International Council of Nurses says that Nursing Associations should be there to,

 

Make a difference in improving the work environment of nurses. At the national level, professional associations and regulatory bodies function as advocates for nurses and patients alike. As advocates, nursing associations : campain for legislation and regulatioms that put in place needed protections for members of the profession and strive “to assure a professional nurturing environment with appropriate resources, and a health care system that incorporates the expertise of all providers in a decision-making process centred on the patient”. Their aim is supplemented by the development of relevant policies that address key health and safety concerns (e.g. adequate staffing levels, adverse event reporting and “whistle blower” rotection) and support for positive work environments.

Any way. The video clips below are for all the nurses (and those who are contemplating to become one). As we all celebrate nurses day one thing is certain.

 

IF ALL NURSES SAY NO… OTHERS WILL HAVE TO SAY YES. That is definitive.

 

 

 

 

 

 

 

 

Official break time May 2, 2007

Filed under: Uncategorized — maldiveshealth @ 6:52 am

I am taking a break from blogging. See you all in a few months time.