Nepal

KATHMANDU: Kathmandu based Om Hospital - Research Centre is seeing a tense-situation today following the death of a patient who underwent gallbladder surgery last Friday.

Fifty-year-old Ram Piyari Thapa Magar — a permanent resident of Sindhupalchok district who had currently been residing in New Baneshwar, Kathmandu — died on Thursday morning while under treatment at the hospital.

Last week, on Thursday, Magar was admitted to the hospital after she was diagnosed with gallstones, one of her relatives, Rita Magar told THT Online.

According to Rita, a team of doctors led by Dr Robin Koirala had performed surgery on the patient on Friday and they had later informed that Ram Piyari had contracted an infection in her lungs along with a minor injury in her small intestine. Rita said that the doctors assured the relatives of the patient that there was nothing to worry. However, on Sunday, the doctors carried out another operation on the patientsmall intestine without informing the patient party that she had developed a serious problem in her intestine.

The relatives are of the opinion that the doctors injured the patientintestine by accidentally cutting a hole during the operation on her gall bladder. Alleging the doctors of negligence, the patients kin staged a protest on premises of the hospital demanding compensation and action against those involved in the surgery.

Meanwhile the hospital administration, in a press conference today, has shed light into the process of treatment, surgeries and complications that surfaced in Ram Piyari Magarcase.

Addressing the media, Medical Director of the hospital Dr KP Devkota shared the proceedings in Magartreatment. He said the gall bladder surgery carried out on Magar was not a common one as she had already undergone three surgeries prior to this, including one of her uterus.

Dr Devkota went on to explain that the surgeon, Dr Koirala, was aware of the complications that could arise in operating his patient due to her previous surgeries. He had provided the same counselling to the patientrelatives. The surgeon had apprised Magarrelatives that it would be a time-consuming surgery and that complications could arise in the process. With the green signal from the patientside, he proceeded, on Friday, with the laparoscopic surgery of the gallbladder, which is a minimally invasive procedure that requires only small incisions.

While carrying out the operation, the doctorteam detected various complications such as the gall bladder being attached to the liver and intestines attached together. Despite the complications, the gallbladder was removed successfully, stated Dr Devkota. He added that the surgeon examined the patient further to make sure there weren&t any other problems.

However, on Saturday, the patient started feeling some discomfort following which she was shifted to the Intensive Care Unit on Sunday. After carrying out further tests, the doctors diagnosed that she had pneumonia. Magarhealth started deteriorating then after.

Different investigations were carried out which led to a finding that the patient had developed symptoms of sepsis, which is a potentially life-threatening condition caused by the bodyresponse to an infection, the cause of which was unknown.

The surgeon then checked the abdomen once again and headed for a second surgery to find that there was a hole in the patientintestine. However, her vitals were not stable due to which further procedure to mend the hole could not be carried out. The sepsis had started damaging her organs.

And while she was receiving treatment from various experts, Ram Piyari Magar was pronounced dead at around 7:00 am on Thursday.

The post Om Hospital tense after patientdeath post-surgery appeared first on The Himalayan Times.

Kathmandu, June 13

Although the parliamentary Delegated Management and Government Assurance Committee directed ministries, Prime MiniterOffice and constitutional bodies to submit their delegated legislation within a month, all the ministries except one and constitutional bodies have failed to comply.

Except the Ministry of Defence, no ministries or constitutional bodies have submitted delegated legislation to the committee.

On March 24, the DLGA committee had directed all 22 ministries to submit their drafts of delegated legislation. As they failed to comply, the committee directed the ministries and constitutional bodies for the second time to submit delegated legislation on April 1.

&It is sad that only the defence ministry has submitted its delegated legislation,& said committee Chair Ram Narayan Bidari.

Delegated laws incorporate office or institutional rules, regulations and bylaws. Based on the parent laws, ministries or constitutional bodies are entitled to draft delegated legislation. For example, if the government comes up with new citizenship law, the concerned ministry can draft regulations, rules and other laws, based on the parent citizenship law.

&As of now, there is no record of delegated laws in the country. It has not been verified whether the existing delegated laws are based on the parent laws,& Bidari said. He explained that the committee had issued the directive as part of its plan to ensure that delegated legislation confirmed with parent laws.

In 1959, a system was in place to look after delegated legislation by the parliament. But the system short lived as the then King Mahendra usurped power from the democratic government in 1960. In 1991, the parliament of Nepal had initiated a culture of delegated legislation, but it too proved ineffective. After the country was declared a federal democratic republic in 2007, parliamentary committee was entrusted with the responsibility to look after delegated legislation. &But that did not happen,& Bidari said.

This time a separate committee in the National Assembly has been formed to look after delegated legislation. &The current practice has been to formulate institutional laws on a whim, in contravention with parent laws,& said Bidari, claiming that corruption will be reduced by 50 per cent if delegated laws formulated by following the parent laws, are enforced in the country.

Bidari said the committee will grant a week deadline for the third time to the ministries and constitutional bodies to submit those delegated laws. In case of their failure to submit delegated legislation, the committee will present a report to the House on the non-compliance by the concerned bodies, according to Bidari.

The post State bodies fail to submit delegated legislation appeared first on The Himalayan Times.