Thread Reg. Three #MaternalDeath in Madurai Medical College Hospital/GRH- Doctors fabricated case sheets& patient records after deaths-Collector’s recommendation to suspend doctor-GRH doctors decide to stop elective surgeries in protest
1. #SemmalarMaternalDeath:
Madurai Collector M S Sangeetha audited maternal death of Semmalar on September 3 at her camp office in the presence of Corporation Health Officer (CHO), JD Health, Duty Assistant Professor of GRH. A copy of case sheet was photocopied during this audit. Collector further instructed Duty Assistant OG to handover a copy of case sheet for detailed audit. On September 4, copy of sheet is received by PHC medical officer. Collector compared the case sheet given to her on Sep 3 with the one received on Sep 4.
She observed below fabrication during the comparison (Sep 3 ➡️ Sep 4):

(i) 28.08.23, 05.15 pm notes ➡️ The full page is rewritten. T.Aspirin is deleted from the treatment prescription.

(ii) 28.08.23, Call over to cardiologist ➡️ The call over is rewritten.

(iii) 28.08.23, 7 pm notes ➡️ The full notes is rewritten

(iv) 29.08.23, 7 AM notes ➡️ The full page is rewritten. T.Aspirin is deleted from the treatment prescription.

(v) 29.08.23, 1 PM and 7 PM notes ➡️ Signature is added

(vi) 31.08.23, 7 AM. It was observed by Collector that, BT(Bleeding time)/CT (Clotting time) was not documented in case sheet ➡️ But it is found that, the said values are documented in the case sheet after enquiry by Collector at camp office

(vii) 31.08.23, 5 pm and 5.15 pm notes ➡️ Notes included after the maternal death. One episode of chills & rigors, vomiting and abdominal distension added in the new notes

(viii) 31.08.23, 5.45 PM notes ➡️ ‘Chief Informed’ is documented post death. Signature is inserted

(ix) 31.08.23, 06.00 PM notes ➡️ ‘On Mechanical Ventilator’ is added after death

(x) 31.08.23, 02.00 AM notes ➡️ Noted about TEG and ordering cryo is added in the notes

(xi) 01.09.23, 07.00 AM notes ➡️ Page changed completely

(xii) 01.09.23, 08.00 AM notes ➡️ Page inserted completely

(xiii) 01.09.23 ➡️ Cardiology, radiology call over page is rewritten completely

Madurai Collector further writes, “It is obvious that, the GRH OG department fabricated the case sheet post maternal death in their favour”
2. #KuppiMaternalDeath:
Collector Sangeetha convened a Maternal Death audit on September 7 for maternal death of Kuppi who died on September 5 at GRH, Madurai. She observed that the GRH fabricated the patient’s records.
Before Death➡️ After Death

(i) Treatment note: Patient has attended unit (II) OG on July 18 but no notes were written; only unit seal has been entered ➡️ HR number along with description/diagnosis entered at the patient treatment note as if they had made diagnosis previously. ECHO notes were entered at the same page. The advice regarding admission was entered in the patent treatment note retrospectively after maternal death.

Madurai Collector writes further, “It is informed that, Department of OG, GRH Madurai is not deputing OG specialist for conducting PMSMA, High Risk camps at Zonal PHCs as per the guideline. This is contrast to the GH doctors who are conducting camps at Block PHC's in Madurai District.
In continuation to this, it was instructed to suspend the Medical Officer at GRH Madurai who has done fabrication of case sheet and patient records and to conduct PMSMA high risk camp at Zonal, PHCs as per the guidelines.

Even after the instruction, no action is taken till date by the Dean and HOD, OG. Hence, I request that Dean, GRH, Madurai may be suitably instructed.

DMK & AIADMK governments failed to utilise whopping Rs. 5,318 crore out of Rs 75,930 crore funds, which were earmarked under Scheduled Castes Sub-Plan (SCSP) during past six financial years, according to RTI reply from ADW Dept @CMOTamilnadu @AIADMKOfficial @Kayalvizhi_N Madurai-based activist S Karthik, who filed RTI application, said that 48 departments of State government had received Rs. 75,930 crore for enhancing livelihoods of SC people residing across Tamil Nadu in six years.

1/ Sir @Anbil_Mahesh @CMOTamilnadu, unknown persons forced Gov. school HMs in #Tenkasi DT to accept delivery of overpriced cleaning supplies&asked them to pay from school grant. Bill is in name of MANKAI TEX, Karur. HMs, who didn't order, allege its attempt to swindle grant money 2/ HMs said, "25-kg bleaching powder is Rs. 1,874 in bill. But, the bag of same brand cost from Rs. 620 to Rs. 800 only in market. Quality of plastic bucket & mug is poor. They can't even be used in toilets. Brooms that they actually supplied and mentioned on the bill differ."