By Sandagomi Heenpella –
While the whole country is eager to uncover the truth about the 4000 illegal “sterilization” procedures supposedly done by a Senior House Officer attached to the Gynecology and Obstetrics Unit of Teaching Hospital Kurunegala, the allegations alone raises much more sinister issues which may very well be critical to the very existence of the noble profession.
Dr Shafi Siyabdeen
Along with the allegation of doing thousands of illegal “sterilization” procedures during Caesarian Section of Sinhala Buddhist women many salient issues have surfaced.
1. How many Caesarian Sections (LSCS) can a Senior House Officer (SHO) such as the alleged doctor do, per day and during his entire career?
2. Can a SHO do a Caesarian Section without supervision?
3. Whose responsibility is it to ensure that the patient is treated safely and adequately?
4. What are the mechanisms in place to ensure patient safety and prevention of malpractice?
Patient care at government hospitals is guided by circulars and guidelines issued by the Ministry of Health and various other professional bodies such as the College of Gynecologists and Obstetricians.
One such important circular concerned with the practice of Senior House Officers (SHOs) is the circular dated 5th October 1993 issued by the then Secretary to the Ministry of Health, Dr Joe Fernando.
According to the circular, SHOs are expected to assist the Consultant (specialist) in surgeries and procedures. It is the responsibility of the Consultant to train the SHO to perform minor and intermediate surgeries under supervision. Once the Consultant is satisfied with the training, the SHO is allowed to perform a minor or intermediate surgery while the Consultant is physically present in the theatre. Only when the Consultant is fully confident of the competency of the SHO, he could allow the SHO to do a minor or intermediate surgery when he is not in the theatre. However, the Consultant must be present physically in the hospital during the time the SHO is performing a minor or an intermediate surgery.
According to the standing regulations, all patients with complications must be personally operated on by the Consultants and not left to the SHO under any circumstances.
It must be noted that in Obstetric practice any Caesarian section other than a simple uncomplicated pregnancy of a primi (first pregnancy) mother is considered as a major surgery.
If the above circular is in effect (there are no subsequent circulars on the subject) and practiced strictly, it is clear that the volume of surgeries performed throughout the country in Base Hospitals, District General Hospitals and Teaching Hospitals would be very much less. The bulk of the surgeries done at hospitals other than teaching hospitals, where post graduate qualified medical doctors (Registrars) are not available, is done by the SHOs.
If one is to be guided strictly by the circular it is apparent that SHOs cannot do such surgeries alone and certainly not when the consultant is not physically present at the hospital (not quarters). However, in reality, many well experienced SHOs cover-up for the lack of registrars and complete heavy theater lists and perform difficult surgeries. It is not the skill or the experience but the qualification on paper that hinders them from being “qualified” to do such surgeries.
What are the reason for this discrepancy between the regulation and the practice?
1. The number of Registrars are very much less and the facilities to train Registrars is the limiting factor in attaching them to hospitals other than Teaching Hospitals.
2. However, the lack of a system where those medical doctors who have experience of working under consultants for years and gained skills and knowledge on a particular specialty, to be confirmed as “Unit Registrars” caused this vacuum between the Consultant and the SHO.
3. There have been many requests made to the Ministry of Health to establish an intermediate carder where experienced and skilled doctors are placed between consultants and SHOs so that they can take the responsibility of undertaking surgical and other procedures safely and effectively.
4. Another deficit in the medical establishment which warrants mention is the rate in producing specialist and the carder position for them to serve. It is a popular secret that due to lack of vacancies young Consultants who qualify today may never get a chance to serve in a Teaching Hospital till the end of their career.
5. The rate of producing has been limited by many factors including the fact that there is only one institute in post graduate training for the whole country. There is no greater example to elaborate the plight of Specialists’ care in the country other than observing the current pass rate of in Gynecology and Obstetrics post graduate training. There are 51 trainees (Registrars) who are planning to sit for the part 2 examination next month. Out of them 37 are 1st attempters. The rest is second time and the third time attempters.
6. While the health care system is yearning for more specialists and qualified doctors, the Post graduate Institute of Medicine (PGIM) and the Ministry of Health seems not interested in addressing the problem.
The result of such inactivity is the failure of the system giving rise to malpractice and unethical practice. While there are many hospitals including the main hospitals which need more consultants to fulfill the demand, carder vacancies are not created due to dubious reasons? As a result, the Consultant is unable to supervise the juniors adequately. While the circular letter says otherwise, it is only the SHOs who are there to look after the patients and do surgeries at many places while the consultant is at private practice.
The circular:
My No. MAD 43/93
Office of the Director General of Health Services,
385,”Suwasiripaya”,
Deans Road,
Colombo 10,
th
5 Oct.1993.
To: All Directors of Teaching Hospitals,
Medical Superintendents of Provincial Hospitals,
District Medical Officers of Base Hospitals.
The Role of Senior House Officers (without Postgraduate Qualifications) Appointed to Surgical, Gynaecological and Obstetrics Units in Teaching, Provincial and Base Hospitals.
These appointments have been made with the sole objective of providing better quality patients care in the respective units.
Since these SHOO have no Postgraduate qualifications in the Specialty, the responsibility of providing adequate training to them rests with the Consultants of the units.
The Senior House Officers are expected to assist the respective Consultants in the units in providing efficient and effective care to the patients. The SHOO shall assist the Consultants in the ward rounds, at Specialist Clinics and in the Operating Theatre. Patients operated must be constantly monitored by the SHOO till the patient is out of danger. They shall guide the Intern Medical Officers and be on call to the Units and promptly respond to such calls either from Intern Medical Officer or from the wards. SHOO shall carryout these duties under the direction and supervision of the consultants in-charge of the Units.
Surgical/Obstetric/Gynaecological Operations performed by SHOO
a) Before SHOO are permitted to operate, the competency and capability of the officers have to be determined and assessed carefully by Consultants of the Units.
b) Once the Consultants are satisfied with the competence of the officers they may be permitted to operate provided the Consultants are physically present in the Operating theatre, readily available for any eventuality.
c) Once the SHOO have proved their competence, they may be allowed to undertake minor/intermediate, Surgical/Obstetric/Gynaecological Operations, provided the Consultants of the Units are available physically in the hospital who could be summoned immediately in case of emergency.(Here the hospital does not denote the quarters)
d) All patients with complications must be personally operated on by the Consultants and not left to the SHOO under any circumstances.
e) In Base Hospitals where only a single Consultant is available, SHOO shall not undertake Surgical/Obstetric/Gynaecological Operations while the consultant is on leave, except in very exceptional circumstances where surgical intervention is called for, to save the life of a patient. In such situations, the Consultant who is acting for the Unit (who may be a Surgeon or Obstetrician) depending on the situation must be consulted. In these instances, the DMO should be kept informed.
f) Under no circumstances should a Consultant proceeding on leave either for short or long periods, issue instructions and give blanket cover to the SHOO to operate on patients in the absence of the Consultant. The Consultant acting on his/her behalf would decide on the course of action in regard to any patient.
g) In all instances, the sole responsibility for patients admitted to Units rests with the Consultants of the Units. SHOO should not be substituted for Consultants.
h) In all situations, absolute safety and welfare of the patients is paramount. It is the sacred duty of all Consultants, SHOO, Interns, to provide the best possible care and treatment to the patients.
All directors of Teaching Hospitals, Medical Superintendents of Provincial Hospitals, and District Medical Officers of Base Hospitals, are kindly requested to bring the contents of this Circular to the notice of all Consultants as well as SHOO. They would do well to get the concerned officers to note the contents of this Circular.
Dr.Joe Fernando
Secretary,
Ministry of Health & Women’s Affairs
Cc. Provincial Directors of Health Services/Dep. Prov. Directors of Health Services.
Ariyasena / May 29, 2019
-While the consultants at the private practice. – This is what GMOA wants, with free education at tax payers expenses but wants private practice to line their greedy pockets. This is very reason GMOA, very fond of and love to create troubles in the health sector. All them should be send to jail for causing so much harm and pain to the people.
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nimal fernando / May 30, 2019
I don’t particularly care if this quack sterilizes to kingdom come …….. if he can zero in on mothers who are at high-risk of giving birth to imbeciles ………. race/religion/ethnicity is immaterial.
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Then at least some of us can live in our own damn country!
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I’ll pay him 10 times what he has already earned.
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gamini / May 29, 2019
Mind boggling!
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Dilhara / May 30, 2019
All this is about male sexual frustration!
Islamist men are obsessed about women’s dresses, and Sinhala Buddhist nationalists are obsessed about women’s reproductive capacities! All are sexually frustrated and self-castrated?! It is well known that sexual frustration results in aggression and violence, and hence they keep attacking each other. BBS Buddhist monks are a particularly frustrated lot
These women-focused, gender based identity politics by Buddhist and Islamist nationalist is part of the”politics of distraction” from the foreign hands behind the Easter Sunday carnage, and the need to hold the crashing Superpower that has been weaponizing religion and all forms of Gender, etinic, religious, LGBTQ identity politics with fake news and fake research studies in order to Divide, Distract and set up a military base in Trincomalee, accountable. What a Banan Republic!
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Rtd. Lt. Reginald Shamal Perera / May 30, 2019
Such a classy Muslim. Such a classy minority criminal. Forget 8000 sterilizations even if he did without consent, he should be convicted of rape and castrated inside the prison.
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Steve / May 30, 2019
Retarted (Rtd) Lt (Lunatic)
Count yourself lucky. This doctor would have sterilized you if you were anywhere near him.
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JD / May 30, 2019
What is the truth: He wa snot qualified to do what he was doing.
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Abu Yahya / May 30, 2019
One more reason for not training more specialists is greedy for money.
If there are more consultants, the number of patients seen in private practice by each consultant will drop.
Ministry should regulate the private practice. I know the GMOA is going to shout.
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taraki / May 30, 2019
Well, well, well, yet another accusation by Ven Gnanasara seems to be coming true.
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Native Vedda / May 30, 2019
taraki
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What were Gnanasara’s other accusations?
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HG / May 30, 2019
Innocent until proven guilty. It is the word of the law. And perhaps we should all live by that as well. Until it is scientifically proven there is no point discussing mere accusations.
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Mano / May 30, 2019
There were reports in the Tamil media of forcible sterilizations on Tamil women who escaped the LTTE controlled war areas by a Muslim Doctor at the hospital in Vavunia .
My question is whether this person had work at Vavunia between 2007 and 2009 and performed these operations. If so, he should be tried on grounds of crimes tantamount to a genocide.
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Lankan / May 30, 2019
Now, some section of Sinhalese are inflicted with jealousy and envy : They have evil eyes on some Muslims and Tamil business people … This is nothing but out of those evil eyes of Some Sinhalese. They can not tolerate development and progress of any person outside their race : In fact, this Dr is born out of Sinhalese race,, Born and brought among Sinhalese yet,,
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umberto / May 30, 2019
“While the whole country is eager to uncover the truth about the 4000 illegal “sterilization” procedures supposedly done by a Senior House Officer attached to the Gynecology and Obstetrics Unit of Teaching Hospital Kurunegala,”
What a cock and bull story, If you believe this then you will believe that pigs will fly.
CT please check your articles, Be a responsible news site rather than a gutter journalistic web site. This sort of sensationalism will cause more hatred among the communities in an already volatile situation in the country.
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K.Anaga / May 30, 2019
How many illegal abortion are carried out on a day under various pretexts?
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justice / May 30, 2019
During the times/era this circular was issued, mothers were referred to Family Planning clinics to prevent more births, solely on their own wishes.
Most preferred the IUCD – the Intra Uterine Contraceptive Device (IUCD) called the Lippes Loop which was 99.99% effective.
It was inserted, left in for five years, then replaced with another, or removed earlier if pregnancy was desired.
Even now it is inserted within four days of unprotected sexual intercourse – by General Practitioners – to prevent conception, in many countries.
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JD / May 30, 2019
You can criticize here when no one from there is here to respond. You must have met them and requested the answers for your question, double check from another source, then write this article would have been the best. Otherwise, who knows, here after muslims as well as other weirdos must be checked
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JD / May 30, 2019
What is the story behind that another two gynaecologists doctors from Peradeniya, one male doctor got a transfer to hospital in the East and the female doctor left the country.
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Jayantha ranatunga / May 30, 2019
There appears to be many wrong and unethical practices at Kurunagala hospital. That may be the main reason why the hospital director and staff is preventing the Health Ministry enquiry team to investigate. They want to conduct the investigation internally. That is “Horage ammagen Pena aseemak” let them face an independent team to dig into this.
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Thor / May 30, 2019
Hora is actually the health minister himself. He wants to bottke the investigation against Dr. Shafi, who is keeping ill earnwd money of Bathiudeen.
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Nathan / May 30, 2019
[Such a classy Muslim. Such a classy minority criminal. Forget 8000 sterilizations even if he did without consent, he should be convicted of rape and castrated inside the prison.]
Absolute Retarded Shemale, You are only suitable to kill people and not to think rationally. Your rabid racism is a shame for entire humanity. Earlier the modayas were claiming of a Muslim Specialist and now say SHO. Come on morons, first know the truth. For guys who still worship Mahavamsa this kind of rumours are enough to run riot. Caeserian opereations are not done on a verandah and it has to in an operating there. There are nurses, sisters, junior doctors etc and also it is the responsibility of nurses and sisters to ensure that proper consents have been obtained before surgery. The clowns like Retard thinks of going to a village vedhamahathaya and lowering his sarong to get the kasaya. It is a team work. No surgery can be performed without consent, even in an emergency, unless under extreme situation as a life saving measure. For a person to do 8000 caeserian operations will take a number of years, even if he does that as full time and the only job. On top of that family planning surgery. Sri Lankans suffer from serious form of mass hysteria and it is just for one fellow to shout and there are thousands of morons on the streets with polla, kaduwa and lambu thel. Destruction on rumour is a perverted hobby. They dont need the truth. They only want a rumour. Now they talk of family planning pills mixed with food. Cant they introduce brain growing pills with kassippu for these blind bats. First let the authorities find out the correct facts before accusing some one and insulting the innocent. If you guys including Moda Shemale has no faith in local investigators then invite foreign experts and foreign judges to do the job fairly.
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Pon Kulendiren / May 30, 2019
What was the ministry of health doing all these years? What is the Doctors link with ISIS? The strategy was bringing down the 70% of the Singhalese community Muslims are permitted to have 4 wives so as to increase the Muslim population
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Nathan / May 30, 2019
Thank you Heenpelle. Let sanity prevails. You have enlightened these blind bats. But your enlightening will go against their objective and plan. They want all to say that the Muslim doctor did it, that is all. Now Holy Gnanasara will be upset. It is against his agenda too. They did the same thing against tamil doctors in 83 too so this is nothing new. They never believe in truth. They never believe in facts. They never want to learn. They never want to hear except what they really want to hear. It is a very sad state of affair and this is what had ruined our country where our people have totally lost the ability to think from top to bottom. Food laced with family planning pills, 8000 surgeries, and now some goon says that in Mutur there was a Muslim assisting a pusari at a hindu kovil and being investigated as to whether he mixed family planning medications with prasatham to hindu devotees. If so what the hell god was doing? Come on idiots, let our country to progress and do not drag into a total disaster led by dirty politicians, warped clergy and mentally sick people.
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Lal Silva / May 30, 2019
It’s a taboo, for patents to inquire about their illness from doctors in Sri Lanka, not only in government hospitals, but most of private practising specialists don’t want, or will explain to parents their illness.
Other thing I like to mention is about lack of specialists. The specialists who get foreign training, migrate to get lucrative foreign jobs, by paying the cost of training, the bond, from their personal money. We lose a specialist to the country. They should pay not the cost of the training, but the cost of getting a specialist from abroad, which will be a huge some of money. This shows how much we as a country lose by free education.
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Kumar David / May 30, 2019
All this detailed reporting requirements explained in the article makes me suspect that the allegation of strelisation may be an absurd lie.
All this could not have all been bypassed for 4000 cases .IMPOSSIBLE!
“The allegations alone raises much more sinister issues” the writer says – Yes, I suspect that the most sinister aspect may be a plant of wholesale anti-Muslim fabrications by racists.
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Mist / May 30, 2019
This is all fabricated for political gain. MR is expecting the government to pay compensation to the affected mothers even before the investigation is over. This is only to bring out mothers who would have any subfertility issues after ceaserian done by this doctor. That way this will blow out of proportion with the help of hiru and derana. FInally, bunch of goons will start attacking innocent Muslims and their businesses around Sri Lanka
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Victor / May 30, 2019
So many complains coming in after being ignorant for 8 – 10 years for some. How did the mothers know that they were sterilized by this doctor. what evidence available to complain.
As correctly said where were the consultant surgeons responsible for operations during the past 10 years.
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concerned citizen / May 30, 2019
Is this the verdict given by the courts, or the preconceived verdict what everyone wants to hear.
someone else commented the other day, that during the 80s, the paranoia was against the drinking juice and coke in tamil jewellery shops saying they were sterilising the sinhalese women
A Majority with the minority complex and manufactured paranoia
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D.P. / May 30, 2019
I couldn’t help but laugh when I see Buddhist monks including the self appointed polymath A Rathana (who is looking to protect his parliamentary seat by cuddling MaRa again) trying protest against sterilization. That is b’cos they apparently fail to see huge contradiction in the true purpose of the monk-hood & what they are protesting against. If all the Buddhists were to be convinced to give up attachment to the secular life including sex & become monks, then there cannot be much of a difference between sterilization & becoming monks b’cos the final outcome is the same: The end of Buddhism! And, by extension of the same argument, by any remote chance, if the current generation of “devoted” Buddhist monks like A Rathana, G Gnanasara, Medagoda Abhayathissa, etc., could get all of the world population to become Buddhist monks, that will be the end of the Homosapien as well! In the reverse side of the argument, if Buddhist monks are against sterilization they should stand against any religion that demands celibacy among clergies!
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Ranjith(SPRRW) / May 30, 2019
Consultant too should be punished. He or she can not get away with this blunder. It is a massacre of future generation of our mother land. On top of that Islamism mother of all the brutal Islamic sects should be banned. Followers should be given option either to abandon Islamic faith if they want to be a citizen of this country or otherwise to go to Islamic republic if they want to continue with Islamic faith. Any Sri Lanken government can take that decision as Muslim community here is descendants of south Indian refugee lot. No contribution from Either Sinhalese or Lanken Tamils. Javanese & Malays are Dutch slaves like Estate Tamil lot who were Britisher’s slaves
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Ken Robert / May 30, 2019
This doctor has been vindicated by politicians, doctors and social media for the last two weeks. I salute CT to allow us to have an open discussion on this topic.
The silence of the said doctor’s senior consultant is deafening as correctly pointed by the writer.
Other salient questions are
1. Why is he being accused now? Where were these patient safety champions who are supposed to report any malicious intent at the outset?
2. What is Srilanka medical council is doing? This is the time for the regulator to take the centre stage and admonish the mischief makers and make an impartial inquiry given the serious nature of allegations.
3. Lastly, I empathise with the doctor concerned for his hard work whether he is a muslim, rich or crooked. I worked in the theatre in Kurunegala as an anaethetist. I can only say to his colleagues who are silent.
“Akatam dukkatam seyyo
paccha tappati dukkatam katanca sukatam seyyo
yam katva nanutappati”
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Gratiaen. / May 30, 2019
Hello Mr.Ken Robbert. Why don’t you give us the meaning of the Pali verse you have quoted either in S or E? Thank you.
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Shehan Jayawardane / May 30, 2019
well, I was on the fence too while the number of accusers were just random but now it has hit over 200. people were silent knowing how the invincible hands of low life politicians work very well. no one wants to get transferred or get punished for opening up so they keep tight lip & turn blind eye.
no need for racial profiling here now. whoever it is, should to be brought to justice if it is proven. I would say “hang them high”.
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Native Vedda / May 30, 2019
Ken Robert
–
How are you.
You have been silent for long time.
A new book on Sri Lankan history was released recently and the details are as follows:
THE TAMILS OF LANKA A TIMELESS HERITAGE (197 pages)
By Dr Siva Thiagarajah
Published by Tamil Information Centre (TIC)
Bridge End Cl, Kingston upon Thames KT2 6PZ
Phone: 020 8546 1560
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Suitable for young people with lot of references, photos, ….
–
“Akatam dukkatam seyyo paccha tappati dukkatam katanca sukatam seyyo
yam katva nanutappati”
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I found the translation as follows:
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It is better not to do an evil deed; an evil deed torments one later on. It is better to do a good deed as one does not have to repent for having done it.
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It looks like those who do evil deeds are normally happy, brave, rich, powerful, enjoy life, … don’t seem to be tormented ….. while those who do good deeds are repenting all the time.
I am confused.
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Ken robert / May 31, 2019
Native
I am fine and dandy. Just busy with the hustle and bustle of family life. I misquoted a quoatation from dhammapada for ‘Irisiyaawa’ . I apologise for the confusion.
Thank you for the reference.
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Native Vedda / May 31, 2019
Ken
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You are always welcome.
Drop in when time permitting just to stir up otherwise stale discussions.
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SJ / May 30, 2019
The issues raised are very fundamental and need to be addressed promptly.
The charges against Dr Shafi Siyabdeen are serious and it is important that a preliminary inquiry is completed without delay to avoid further speculation with sinister implications.
A full inquiry is necessary to ascertain the validity of every claim of abuse, and speedy action thereafter.
The GMOA has jumped the gun. It could have asked for an urgent preliminary report before rejecting the credibility of the process.
Delays will only feed suspicions that will not go away even if found groundless.
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Dionysus / May 30, 2019
This is another version of the Muslim eating house putting pills into the meals of Sinhalese individuals to make them barren. A treatment for hysteria is called for.
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Ajith / May 30, 2019
Dionysus,
You are right. This is the beauty of Buddhist Sinhala Fundamentalism. I never heard that an SHO doing operations without Consultant or any other sinior staff or without any assistance from staff. In 1958, 1977 and 83 it is the Buddhist Sinhala Monks who propagated the riots with lies claim that the Tamils are buring Monks and Sinhala people in Jaffna. Not long ago Buddhist politicians and intelligence services played a game of arresting former LTTE members accusing of murdering 2 policenam in Batticalo and now putting the blame on Muslims. Dirty politics never stops in Srilanka. It is sad that majority of Sinhalese believing these lies again and again.
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Lasantha Pethiyagoda / May 30, 2019
There seem to be a combination of very disturbing factors in the fiasco about this matter. One is that the doctor, a Muslim is an ideal target when the community is emotional and upset about the mass murders on Easter Sunday. Throughout malpractice cases that come to light regardless of ethnic profiling or prejudice, one clear factor is callous disregard for human life, combined with gross negligence and strong conflicts of interest where self-interest trumps public interest (as in the matter of consultants engaging in private practice while they should be supervising juniors in public hospitals) and limiting registrar numbers by obstructions placed in juniors’ paths to prevent them from gaining new experience and devoting adequate time for practice and study simply so that the consultants’ own market share is preserved. The lethargy of the ministry and gross callousness of ministers in ordering at their whim rather than with proper prudence and accountability compund matters immensely
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rbh / May 30, 2019
Who is monitoring body ROLE of AUDIT SURGERY DIVISION evaluation of surgical procedures and technologies.and waited for so long to open this subject, As a minimum, an audit of indications and outcomes is a normal procedure to sigh off from the head of Hospital.
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Saman Perera / May 30, 2019
This is a really good question. At one point I really wanted to become a VOG. So I sat for the exam at the PGIM 13 years ago. Got through MCQ, and could not go beyond that. What my experience is they selected less than 10 people form 100 applicants. In that 10 at least 5 through influence. There is a huge demand for VOG but the college has strict rules not to increase the number of VOGs working in the country at any point in time. Just to maintain there income and demand. Some instances they increased the number of intakes until they reach the marks of the candidate related to one of the examiners (famous Peradeniya prof’s disabled daughter married to one such VOG). Some were fortunate in that instances so they increased the intake up to 30 to include that guy. Some senior specialists release the papers before the exam to Drs of their preference . PGIM Sri Lanka is one of the most corrupted institutions in the country. Only good thing Minister Senaratne did so far was threatening the PGIM mafia saying that he would import specialist from India, then some specialties increased the cadre. If you look at the people who get through post graduate at young age , just after internship, most of them are specialist’s sons and daughters. People who has real love and experience in the field just work as SHOs . Of course if your education is within best 5% you would be selected. In a way it was blessing disguise for me, since I decided to leave the country and moved to Australia, I works as a specialist in my preferred filed. Thats the difference in two countries. Answer to you question if you stop SHOs doing major surgeries, like LSCS there would be thousands of infant and maternal deaths.
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justice / May 30, 2019
In the old days, there were External Examiners from UK and thus the truly knowledgeable candidates were selected.
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Saimon Saparamadu / May 30, 2019
The two dots on this man’s forehead shows he could be the devil incarnate!
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Shehan Jayawardane / May 30, 2019
i had a foot surgery here in NYC to remove a fungal infection which lasted about 2hrs. the specialist, 3 residents (SHOs), a specialist anesthesiologist with an assistant, a head nurse with two assistant nurses were present. one of the assistant nurses had to leave to relieve her self &, nothing was done until her return after about 10 minutes. then the head nurse started checking my temperature & the blood pressure followed by the paper work. then the anesthesiologist. the whole procedure was done by the specialist &, the residents were there to watch, learn & gain experience though they have nearly completed their 4 year residency.
now the point is, that the very situation of mine wasn’t life threatening. c-sections are done to save lives i guess &, that part is relied on a SHO, even in the presence of a specialist?. well, at minimum these individuals should be hung.
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