Of GMC and associated hospitals

The state of healthcare in our valley and challenges thereof



Apropos the news item ‘GMC associated Hospitals in shambles’ (GK 10-12-2012 and ‘Srinagar hospitals run short of fuel’ (GK, 11-12-2012.
The Oxygen plant in SMHS Hospital is functional and in view of the increased load it is supplemented with bulk Oxygen cylinders and there is no crisis as has been made out. Moreover keeping in view the increased demand for oxygen supply because of the extension of services provided by the hospital over the years, already a proposal for a new oxygen plant has been submitted to the government for which 50 lakh rupees have already been released and the Mechanical Hospital Engineering Division is in the process of procuring the same. As for the Oxygen plant at LD Hospital it had developed a mechanical snag which has been corrected. Moreover, a new oxygen plant with increased capacity is in the process for this hospital as well and the Oxygen plant presently installed here will be shifted to the Bone and Joint Hospital. It needs to be stressed that all these measures are not contingency measures but a part of the up-gradation of these institutions.
Orders have already been issued for establishing a three bed ICU with three ventilators at LD hospital which will soon become functional. The Neonatal care unit of the hospital already has 4 ventilators. Two ventilators have been installed at Govt. Bone and Joint Hospital and a two bed ICU is in the offing. There are eleven ventilators installed in the SMHS Hospital. A much needed 4 bedded medical ICU has recently been started in SMHS Hospital. In addition 10 more additional ventilators are in the pipeline. The GB Pant is equipped with 9 ventilators and 6 non-invasive (C-Pap) ventilators. A Triage ward has been set up at SMHS Hospital for the first time which will be equipped with portable ventilators and defibrillators. Recently an innovative and novel resuscitation concept has been started in this hospital. An ambulatory Blue-bolt team has been constituted for patients in the in-patient department which is fully equipped to deal with any emergency situation that arises. This is in addition to the doctors on duty in these wards.
 Many new machines and gadgets have been installed or are in the process of being installed at LD Hospital like CTG, latest Laparoscopic equipment, colour doppler etc. A new 16 slice CT is in the pipeline for the associated hospitals in addition to the facilities already in place.
A Computerized Radiography System (Digital X-ray) has already been installed at Bone and Joint Hospital and another Digital system has already been ordered and will be in place soon. The 14 kanals of land that had been acquired for extension of the hospital is under court stay which has hampered the extension project.
The issue of security in CD Hospital has already  been addressed as security personnel have been deputed to this hospital. This hospital is being equipped with 24X7 emergency services. An allergy lab, defibrillators, fibreoptic bronchoscope, auto analyser, thoracoscope, boyles’ apparatus and other latest facilities have already been added or are in the process of being added. A proposal for a generator for Chest Diseases hospital has already been submitted to the government and it will be provided in near future.
There is no shortage of medicines in the Psychiatric diseases hospital as has been claimed in the report. Moreover, since the patients admitted in this hospital are for most part destitute having been abandoned by their relatives, free diet for the hospital has been sanctioned by the efforts of the Commissioner/Secretary Health & Medical Education.
The Microbiology, pathology and the physiology laboratories have been equipped with latest gadgets.
During the year 2012 18 lecturers have joined the Govt. Medical College and its associated hospitals through PSC and 156 new recruits have joined after being selected through SSRB besides 307 appointments having been made on academic arrangement basis to address the issue of staff shortage in the Govt. Medical College and associated hospitals.
Regarding the news item ‘Srinagar hospitals run short of fuel’ Greater Kashmir December 11 2012 it is true that the IOC has refused to supply HSD to the hospitals in absence of an Explosives Certificate. Nevertheless, the way this situation has been portrayed is alarmist and far from true. The issue of license has come up a couple of years before only and the hospital authorities have been trying for the same. In fact even at present the Estates Officer has been deputed to Faridabad for this very purpose. However, it has to be borne in mind that these hospitals have been set up decades back in densely populated areas and so it has been difficult to meet the requirements of the Explosives Certificate. The construction of new storage areas or shifting of these hospitals to new locations is not practicable at this juncture.
            The claim that the central heating in associated hospitals is not functional at the moment is far from reality. The Central Heating is very much functional in all hospitals as per the usual schedule. The fuel for the Central Heating systems is being procured from authorized distributors at IOC rates (and not ‘exorbitant’ rates as claimed in the news-report) on need basis obviating the need to store large quantities of fuel on the premises. Moreover, the District authorities have already issued a temporary ‘No Objection Certificate’ for fuel storage till the issues related to the license are ironed out.
            It needs to be stressed that the Associated hospitals of the Govt. Medical College are by no means disparate entities but a part of the whole. Inter-hospital referrals for various services are an added facility and not a shortcoming of any particular hospital. The Govt. Medical College and its Associated hospitals are the largest care providers in the valley and cater to populations from Banihal on one extreme to Ladakh, Kargil and Gurez at the other extreme and have been providing the best of services to the people of this region.

(Dr. Rafiq A Pampori  is Principal, Govt. Medical College, Srinagar)

Lastupdate on : Wed, 12 Dec 2012 21:30:00 Makkah time
Lastupdate on : Wed, 12 Dec 2012 18:30:00 GMT
Lastupdate on : Thu, 13 Dec 2012 00:00:00 IST

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