Little Boy-The Victim of Fails

Kezang went to hospital this morning and was calling me and telling in deep anxious voice that my friend's child was hospitalized. I had heard the news of a young boy being attacked by pack of stray dogs in Khotokha about a week ago. The boy had gone beyond the fence to play when the pack of dogs attacked him. He was rescued by a monk who was passing by. And that boy happens to be my friend Damchoe's three year old son, who is now nursed back to health at Bajothang Hospital. It took 84 stitches on his head, back and arms to close his wounds. The boy is doing well now.

The repaired scalp 

The Dog Issue:

However, it's time we pay serious attention to stray dogs. Some half hearted dog rehabilitation attempts have separated dogs from human population and now many dog-compounds are shut down. Homeless and hungry the abandoned dogs are now roaming forest and villages attacking cattles. And this year alone we have reports of two incidences where humans were attacked- one was in Haa last months and the other my friend's boy. What measures can be taken to reduce the risk of dogs attacking humans? Who should be taking care of this issue? How long should we wait until we start taking action?

Drug Shortage Issue:

Another problem that surfaced today was the shortage of Anti Rabies Vaccine (ARV), which is a must take vaccine for dog bitten victims. Even a smallest wound from dog bite requires this injection and in this case the little boy was bitten by around seven dogs and literally peeled off from head to back. Unfortunately ARV ran out of stock. Tencholing didn't have it, Thimphu only has enough for their patients and was waiting for the new stock to arrive in two weeks. My friends was asked to find it on his own. Medical Shops are handicapped by new policy. 

It was boy's luck that Punakha Hospital had some doses left. He was taken to Punakha for the first dose but there is no guarantee if there will be any left when he goes for the second dose, which is on 17th May. I took the issue to Twitter and I was inspired by the support and concern shown by fellow Bhutanese. Some even offered to send from Delhi and another from Gelephug. Thank you to all the people who answered to my tweets this morning.

In such time we must awake to the reality that something in the system is not going good. Such emergency medications should be readily available in every corner of the country. I am hopeful this concern will be considered seriously by whoever is responsible. And if it's very difficult to pave through tedious Bhutanese procedures then why not allow private pharmacies to sell them?

I Question the Medical Judgement

When my cousin brother was diagnosed with tuberculosis about twenty years ago, his parents didn't give a second thought and started the long treatment. About five months into the treatment they discovered that the little boy wasn't suffering from tuberculosis. His parents were only thankful that it wasn't TB. Five months of heavy dose didn't matter to them. As years went by the ill effect of heavy doses of wrong drugs showed on his physical features and his mental efficiency.
That was a long time ago and everything was forgiven and forgotten even though my brother is still paying the price each day for error in medical judgement some people made. Over the time everything changed and technology came into hospitals to reduce human errors. But machines are just tools and its the human at the end who has to pass the judgement.
Over the years I was shocked at the number of rumors I heard of people being wrongly diagnosed with TB, and some paying the price with their lives. Advancement of human resources and technology seemed to have made no difference to Bhutan. May be all the rumors I heard are wrong, therefore I may be wrong too if not for what happened early this month.

Photo from  fabulousnurses.com, edited by author   

My nine year old sister was diagnosed with TB from Jigme Dorji Wangchuk National Referral Hospital. She had some swelling below her chin after a long toothache and after series of checkup it was confirmed that it's lymph node tuberculosis called Scrofula. My mother was asking me if they could begin her treatment. I am not a doctor, I am but a loving brother, I don't want to risk my sister. I rushed to Thimphu and found out that all the test reports were negative including the biopsy, which I found from Google as a crucial test. Wikipedia tells me that she should have symptoms such as " fever, chills, malaise and weight loss. As the lesion progresses, skin becomes adhered to the mass and may rupture, forming a sinus and an open wound." but she has none of these except the medical judgement of doctor. I trust the big hospital, I trust the big doctor, but on what basis should I trust this judgement?
I brought my little sister with me and took her to Wangdue Hospital, where I explained my fear and showed the reports to the renowned medical specialist. He checked her neck thoroughly, studied all the reports, took a fresh x-ray and declared that it's NOT tuberculosis. He prescribed her antibiotic for five days after which the swelling subsided.
Now I question the Judgement of that doctor who wanted to fill my sister's stomach with loads of drugs. I even fear that all the rumors I ever heard are true but they all landed nowhere because we Bhutanese are so forgiving. No doctor was ever taken to court for their mistake because we forgive, and because we forgive they take for granted.