Dr AK Singh Rana, the top of the division of surgical procedure, who’s the brand new medical superintendent (MS) of Dr Ram Manohar Lohia Hospital, spoke to Anonna Dutt about learnings from the Covid-19 pandemic, the mortality fee within the hospital, resuming the care of non-Covid sufferers, and growth plans.
What classes did you be taught within the final six months of the Covid pandemic?
The invaluable lesson we now have learnt is that everybody needed to come collectively to allow us to handle the sufferers with Covid-19. Sufferers affected by the illness, together with these suspected to have the an infection, began coming to the hospital from March and well being staff in respiratory medication, inside medication, and demanding care medication bore the brunt of it.
Docs, nurses, paramedics and workers from throughout departments pitched in and labored with loads of dedication.
In a latest overview of Covid-19 deaths by the Delhi authorities, RML was certainly one of 11 hospitals with the very best demise toll. What’s being achieved to cut back mortality?
One of many issues with the calculation of excessive mortality fee compared to the variety of admissions is that the deaths of individuals admitted to the hospital previous to the chosen interval, however who died throughout the mentioned interval, have been included. The variety of admissions had lowered throughout that interval, that’s the reason the variety of deaths seems to be increased.
One other problem—which was identified by physicians from a number of different hospitals—was the delay in admissions. We have now noticed that the demise fee is increased when sufferers report back to the hospital late — it may very well be as a result of persons are frightened of coming to a hospital, public transport has not resumed full throttle, and there may be an inertia amongst folks over the previous couple of months.
The demise fee can also be excessive amongst outdated folks with a number of comorbidities.
With the variety of Covid-19 hospitalisations on the decline, are we taking a look at transferring to non-Covid companies now?
Now is just not the time to rejoice; we can’t let our guards down. Different international locations — just like the US — noticed a decline within the variety of instances earlier than the resurgence. However, sure, we have to take a look at how to return to providing full non-Covid therapy. Ever for the reason that pandemic started, we now have not closed our emergency companies or the OPD in any respect.
Subsequent week, I’ve a gathering with all of the heads of the departments to debate what may be achieved. I wish to have a plan in place in order that we are able to step by step and safely transfer to caring for non-Covid sufferers every time consultants really feel that it’s the proper time. We can’t de-escalate all our preparations in a single go.
What are your plans for enhancing hospital infrastructure?
We have now an formidable redevelopment plan for the hospital. With the inhabitants of Delhi rising, the outdated infrastructure has develop into insufficient. Horizontal growth is not doable, we at the moment are taking a look at vertical growth.
The development of the tremendous speciality block behind the trauma centre is about to begin. It’s going to have 332 beds; 68 with ventilators. The massive triangular space throughout the street — the place the psychiatry division is situated — will probably be used to assemble the medical faculty (the hospital began an MBBS programme final yr.) Then, an underpass will probably be constructed to attach it to the principle constructing.
A 300-bed scholar hostel will probably be constructed on a vacant plot close by — and this will probably be used to relocate the departments moved from the triangular areas. We even have 2.1 acres of land the place a devoted maternity and baby well being centre will probably be constructed. An 832-room medical doctors’ hostel is already below development. The outdated emergency and the OPD constructing will probably be razed to create high-rise buildings.