Akshay Nair

Photographer, Formula One Enthusiast, Oculoplastic Surgeon, Ocular Oncologist. Featured in @BBCNews @AJEnglish

[Akshay Nair @akshaygn]

#Covid itself seems to be the immunosuppressive predisposing factor. Too many #diabetics who’ve self-isolated and recovered from COVID at home are now presenting with #mucormycosis - a lethal fungal infection.
I’ve seen 24 cases in 2 weeks! Scary. @raghurajs_hegde

[Akshay Nair @akshaygn]

@CISFAirport @CISFHQrs The DigiYatra system at @AAIVNSAIRPORT Varanasi Airport has been down and queues for security check is extremely long. Passengers are bound to miss their flights. This is a far too frequent occurrence at Varanasi airport. @DigiYatraOffice

[Akshay Nair @akshaygn]

Our recently published overview on the utility of the @HelpMeSee Eye Surgery Simulator in the surgical training of ophthalmology residents. This was published in the @CEHJournal Community Eye Health Journal.

[Community Eye Health Journal @CEHJournal]

@HelpMeSee has developed an eye surgery simulator specifically designed to support #cataractsurgery training

Pre-reading resources, experienced instructors, and individualised assessment are also important components in a trainee's journey

Read more 👉 https://t.co/CTHnuZ0ELo

[Tonmoy Goswami @tonmoygo]

In 2004, my dad filed a case of medical negligence against one of India's most powerful hospitals viz. Batra Hospital, Delhi and Padmashree awardee cardiologist Dr Upendra Kaul.

Case was filed in the state consumer court, Delhi & my dad asked for a compensation of Rs. 80 lakh. (80,00,000 INR)

After 11 years, in 2015 my dad passed away, without getting justice.

My senior citizen widowed mother decided not to give up.

TLDR; we won the case after 19 long years, but what transpired is a story that teaches you that, in India, it's better if you can settle outside the court.

But, sometimes it's not about the compensation, settlement, or winning a case; it's about making sure the perpetrators are taught a lesson so that the negligence never gets repeated. It's also about closure.

Here's the story of how a common middle-class Indian family from Assam fought a mighty & powerful establishment in their own city (Delhi) for 19 long years and brought the hospital to its knees:

----

It's a long story, but I'll try to keep it short.

In 2004, my dad went to Delhi alone for a routine heart check-up & returned with a pace-maker in his chest.

Escalated too quickly? Exactly my mother's reaction when he called from Delhi asking her to immediately board a flight from our hometown in Guwahati, Assam.

Long story short:
1. Dad went for a diagnostic study called EPS. Batra hospital took consent for it.
2. Protocol is that if EPS study came abnormal, RFA is suggested as the next step as a treatment after discussing with the patient. Patient needs to provide a fresh consent for RFA.
3. However, if the pathways are too close, RFA is risky & is not recommended as it can be fatal.
4. EPS shows if pathways are close or not.

My dad's EPS showed that pathways are close.

In spite of that, Batra hospital and its cardiologists went ahead and performed RFA:
a. Without consulting with the patient or relatives.
b. Without taking fresh consent as it's a separate procedure.

Things then went south real quick.

----

Due to closeness of pathways, obvious complications occurred & my dad's life was in danger. The only way to save him? Put a pace-maker in his chest immediately!

So that's what they did: put a temporary pace-maker while informing my mother to immediately catch a flight to Delhi so that they can put a permanent pace-maker the next day.

And you would think, the ordeal would end there? Cute.

----

My parents returned home after a few days & dad was supposed to recover.

But instead, we saw his chest area getting swollen day by day. We freaked out and consulted a cardiologist in Guwahati. And they confirmed the worse: the pace-maker was not installed properly and one of the pipes pierced through his heart.

He needs an urgent emergency open-heart surgery to fix the pace-maker.

So, my family went through another few days of anxiety, stress and disbelief.

----

My dad, is known in our friends and family circles as someone who's always been an super-active person; always engaged in some form of work; be it gardening, fixing electronics, repairing things around the house. My mother used to call him the perfect engineer since he could fix anything compared to the other two engineers in the family viz. me and my sister who were lazy compared to him.

The series of surgeries and a pace-maker did slow my dad down, but couldn't kill his spirit. However, we could see the difference. We would pace himself while climbing stairs etc.

It would hurt us a lot. And him too.

So he decided to drag Batra Hospital to the consumer forum.

----

Our family advocate resides in Kolkata and he agreed to take the case up pro-bono. We assumed it'll be an open and shut case. And since it's consumer court, we assumed it will be quick justice.

Oh, we are so wrong. So so wrong.

My dad attended every single hearing of the case from 2004 till 2015 when he passed away. He used to take a flight from Guwahati while booking a ticket for our advocate from Kolkata. Then there was cost of accommodation in Delhi.

Attending these hearings was no cheap affair. When you add up each hearing over 19 years...it quickly adds up to a large amount.

----

On many occasions, someone from hearing judge bench would be absent so nothing would happen. You get a new date, months in the future.
Or the opposite party advocate would be absent, or cite lame excuses to stall the proceedings. E.g. once the opposite advocate asked the court for a new date since his colleague was stuck in traffic and couldn't reach the court. And we were given a new date!

Imagine the frustration.

And this happened over 11 years till my dad passed away.

----

When dad passed away, Batra Hospital might have heaved a sigh of relief. Can't blame them; they had not yet met my mother.

She decided to continue the fight. That's when I started taking active participation as well.

Let's take a pause and understand why it took so many years?

1. It's a medical case and the judges felt inadequate without proper medical advice.
2. The opposite party was a Padmashree awardee celebrated cardiologist and the hospital was founded by people walking the corridoors of power.
3. Deliberate delays of absenteeism, withdrawing evidence from court etc.

The court asked an independent medical board for their recommendations. The medical board tilted in our favour for obvious reasons: the medical negligence was apparent.

----

Batra hospital tried to confuse the judge's bench by claiming that consent was taken for RFA. When asked to provide evidence, they would repeatedly provide the EPS consent form. This would delay the case and do nothing else.

They also never submitted the EPS traces to the court. They claimed that the traces were provided to my family and they have no record in their system. Which was utterly bullsh*t because we didn't have the traces.

They didn't provide the traces as it would immediately shut the case. Traces will show that the pathways were close, so RFA was not warranted.

Unable to provide consent form & Unable to provide traces went against them.

And in 2018, we won the case in the Delhi state consumer forum. The court awarded 10 lakh (10,00,000 INR) compensation with 7% simple interest from the date of filing the case.

While it was nothing compared to the asked compensation of 80 lakhs, we were happy as it was never about the money anyway.

But our happiness was short-lived, as Batra Hospital decided to appeal the judgement in the higher court: The National Consumer Forum.

----

And so we were back to square one. I promised mom that even if it takes another 14 years, I'll continue the fight.

And so we did. Date after date, hearing after hearing. Same BS all over again.

However, our advocate Mr. Neguive Ahmed is one of the best in the business. A senior citizen himself, he was so frustrated that he took it upon himself to turn Godmode on. I witnessed one of his argument session at court and he ruthlessly thrashed the opposing party left, right and center. He didn't even spare the bench & schooled them for taking forever to deliver a judgement.

This time, he was not going to let it continue for 10 more years. So he pushed at every hearing for shorter dates.

And in 2023, we won again!

Batra was brought to its knees. They can appeal again, yes; but it has to be the Supreme Court.

And after getting their a** whopped twice in a row for 19 years, they didn't have the courage to approach Supreme Court. And finally gave up.

----

It begs a question: Did we really win? And even if we did win technically, at what cost?

I would say, it comes at a price of your mental wellbeing, financial expense, a lot of frustration, shameless advocates and it leaves a bad taste in your mouth.

Batra's advocate is so shameless, he allegedly told our advocate, "We have worked for so many years on the case, won't you give us something? Your client has won a hefty amount"

Bloody bloodsucker! You worked AGAINST us all these years and now you want 'something' for your 'service'?!

----

So, is justice delayed justice denied?

Definitely yes, my family is just happy that the case is over. But we are also happy to have never given up. I understand that it may not be financially possible for everyone to not give up on a long legal battle, but that's what they want: drown you into date after date so that one fine day, you simply give up because it starts looking futile.

If you can, persist. As my mom did and my dad would have.

Even if it's justice denied, it's justice nonetheless for the future patients.

It's like paying for the next person.

At least the next time they perform any surgery that requires consent, they will remember the Goswami family.

Thanks for reading.

[Akshay Nair @akshaygn]

@ashwinravi99 has now dismissed senior and junior Chanderpauls. R Ashwin had dismissed Shivnarine Chanderpaul Ibw in the first Test, New Delhi in 2011. And today he dismissed Tagenarine Chanderpaul. #INDvsWI #Ashwin #BCCI

[Ashwin Kulkarni @ashwinkulkarni]

@airindiain Absolutely terrible experience with lost baggage from SFO-BLR. No information available after repeated phones or emails! @Apple AirTag in the "lost" bag clearly showing the bag is at @DelhiAirport !! 🧵

[Akshay Nair @akshaygn]

@GryllidaeC So Sachin Tendulkar played against Geoff Marsh in the 1992 ODI World Cup and then 20 years later against Shaun Marsh in 2011-12 test series.

[Akshay Nair @akshaygn]

@baxirahul Hilarious !

[Akshay Nair @akshaygn]

@baxirahul Jet - the best domestic airline ever, Alas.
Currently Vistara on all counts for me. Vistara & AI: ones with real FFP (using partner miles on these airlines for reward tickets & vice versa)
Also dedicated customer service line for Gold/Plt 👍🏼
Need to increase fleet & routes.

[Akshay Nair @akshaygn]

Excellent piece by Dr Maneesh Bapaye, renowned retinal surgeon and innovator. Advocacy is key so we can make eye safety the norm for workers in high risk environments.

[Maneesh Bapaye @drmaneeshbapaye]

Eye injury in work place setting an important cause of avoidable blindness in young people. This blog talks about primary care and preventive measures that can be taken at workplace to save eyes https://t.co/iyTtTta7Ct

[Akshay Nair @akshaygn]

@theliverdoc Hahahahahaha.

[Akshay Nair @akshaygn]

@theliverdoc Absolutely. Both awards are examples of token-ism. The Golden Globes and the Oscars need to tick some 'diversity' boxes for their award winners hence these 'exotic' winners. Both songs dont even represent the best among the nominees; let alone the winners' best work.

[Akshay Nair @akshaygn]

Merry BotoX-mas !

No financial interests.
#botox #allergan

[Akshay Nair @akshaygn]

@metadoors @ArvinderSoin The liver regenerates and can regain its function over time.

[Dr. Arvinder Singh Soin @ArvinderSoin]

On 15th November 1998, Sanjay Kandaswamy from TN became India’s first successful pediatric Liver Transplant case. A complex transplant that took us 10 hours.

24 years later Sanjay is now a doctor and works at Apollo Bengaluru!

[Akshay Nair @akshaygn]

@raghurajs_hegde @theliverdoc @ashwinrajenesh @sahilisms Oh yes. Trying to peddle this hypothesis and getting on our nerves. And tagging us to every mucor related tweet.

[Akshay Nair @akshaygn]

@hyderabaddoctor @AdiG1993 @OffCMCVellore ‘Barber-ic’ massage!

[Akshay Nair @akshaygn]

@raghurajs_hegde 15 lakh nahi mila account mein?

[Akshay Nair @akshaygn]

@DineshKarthik now holds the record for longest T20 international career and he is not done yet. He was the Man of the Match in India’s first ever T20 as well. #bcci #IndianCricketTeam #INDvsPAK #IndiaVsPakistan #india Stat shot from @ESPNcricinfo

[Akshay Nair @akshaygn]

Beautiful!

[Arjun Bansal @320Bansal]

Beautiful Beluga landing in Chennai!

[Dr. Raghuraj Hegde @raghurajs_hegde]

A masterclass on handling trolling on #MedTwitter #Science