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By Leon SuseranMinister of Health, Dr. Bheri Ramsaran, has stated that there are management problems that are plaguing the Berbice health system, causing the government’s resources into the health sector to be under utilised or even not utilised at all.He added that it was totally unacceptable that the generator at the New Amsterdam Hospital did not kick-in immediately after a recent blackout during a crucial surgery, even though the hospital management may have very well known that the generator switch was non- functional.During an exclusive interview with Kaieteur News on Monday evening in Berbice, the Minister was called to address the situation which occurred at the New Amsterdam Hospital whereby 47-year-old Tirtawattie Shoandeo, of Whim, Corentyne, died during a blackout in the operating room at that facility.The woman’s relatives stated that they were frantically searching for the porter to start-up the hospital generator, but to no avail.They also claimed that the doctors turned to torchlights and cell phones as light sources.Power was restored some time later but the woman was pronounced dead.A post mortem revealed that the woman died of septicemia and perforated duodenal ulcer.   The family arrived at the conclusion that the doctors’ inability to see properly during the blackout caused their loved one to die.An investigation has been launched and results are expected shortly.UNACCEPTABLE“That is unacceptable, that the standby generator fairly new, did not kick-in”. He stated that an investigation has been launched.“The patient did not die on the table and it is a bit precipitate to say that the patient died because of the blackout.“There are other cases when patients are on the table and there are blackouts and they do not die, but I do know that this patient was in a very critical condition which was confirmed by the post mortem and findings during surgery.”He added that the surgeon, a well-trained Guyanese doctor,Jaromir Jagr Jersey, was performing the operation with the support of his team when the blackout occurred just after 10:00pm on January 20. “And of course the machines used in the surgery to keep the patient alive and well could not be operated, therefore the team continued to sustain her and support her breathing and other functions manually. This is acceptable”.An instrument,Christian Folin Jersey, called an ambu bag (manual resuscitator), could have been used by the surgeons, “which can be used in place of the mechanical device used to support them when there is electricity.”He “suspects” that the doctor was using that, [and] “from all indications, the patient was sustained and surgery was completed”.The Minister also noted that preliminary reports and investigations have concluded that the patient was suffering from a serious internal condition “and that would have added to her burden of the disease,Mike Modano Jersey, putting on a critical condition”.Additionally, the preliminary indications found by a team which was immediately dispatched to the state-of-the-art hospital, the Minister said, showed that the automatic switch on the standby generator was non–functional, [and] “apparently, this had been so for some time and that is why I am convinced that something should have been done before to have it fixed.“And we are looking into that to see how we can rectify the situation”.He stated, too, that the generator is a fairly new piece of equipment. “We need to look at this [situation] as a management problem.”Dr Ramsaran expressed his further disappointment that during an impromptu visit to the health care facility in early January to ascertain the effectiveness of the newly-installed Berbice Regional Health Authority (BRHA), which was inaugurated in July last, he received several complaints from the hospital ground staff of nurses, etc.After hosting meetings with various seniors of the health care system of the hospital, he later toured the wards and other parts of the hospital and received several complaints from nurses and other workers there—”that they [nurses] were having to do deliveries under torchlights when there were blackouts”.He stated that he was shocked. “I was closely associated with the construction of the hospital and I worked closely with the Japanese team.“I know. The patients and visitors can look on the walls and see that we have 122 standby lights,Glenn Hall Jersey, special lights, heavy duty which kick- in as soon as there is a blackout”.These lights are placed strategically around the hospital complex. These are rechargeable lights and do not depend on the generator to kick-in.Dr Ramsaran was peeved that it was he who had to find out and subsequently discover that none of the lights were working.None of this had been mentioned just minutes earlier at the various meetings he had with the hospital’s Chief Executive Officer of the hospital,Trevor Daley Jersey, Mr. Alan Johnson, and Chief Executive Officer of BRHA,Kari Lehtonen Jersey, and Dr. Vishwa Mahadeo MP.Dr Ramsaran said that he sent up an electrician who examined the bulb units on the hospital complex “and it was discovered that the batteries had outlasted their useful periods and that they should have been replaced before.”He  insisted that the batteries be procured immediately,Dalton Prout Jersey, “but in the meantime I suggested to the hospital CEO [that he] purchase the blubs, which are so very available in the local market….and which are so easy to install and useful in conditions like this”.He added that it was disappointing that this management intervention had not occurred even at the Regional leadership.“I am disappointed,Pierre Turgeon Jersey, because in the first place the Ministry of Health was not informed that these batteries had, for a protracted period, been down…that there was no replacement option in place and that we [Central MOH] had to actually mobilize the resources to come and examine these things.”“If you had that blackout on that fateful day, the criticisms that we are enduring [regarding the surgery blackout incident] would have been far less because there would have been light.“But the mere fact that there was some discomfort and confusion because there was no light adds to the whole scenario,David Backes Jersey, to the whole drama…the sad drama and I am told that there was difficulty locating lights and so on…this is unacceptable!”“If those lamps were in place, you would not have had the extreme discomfort that occurred in the theatre and hospital.“Not only the standby generator would have kicked in but that generator would have been powering key and critical parts in the hospital like the theatre  and maternity ward.“If that had kicked in, we would not be having this problem”.The Minister stated that a closer eye would be kept on the Berbice health officials.“I apologize, empathize, feel with the patients, and their families and say that we are going to use this bitter lesson to make sure it does not happen to any other person and there will be a thorough investigation.”