Re: Success story: Exclusive OP theatre for HIV+ patients at RIMS

[Guest guest]

Dear FORUM,

Re: Success story: Exclusive OP theatre for HIV+ patients at RIMS

Combined posting of the messages from,

a) Dr. Ravi Mishra, MD, Dr Ajith and c) Mupparapu Bharathi.

Re: /message/7462

Dear FORUM,

Well, it is just sad to see in setting up a wrong precedence for the

whole nation!

HIV deliveries do not require any special OR or DR, there are still

normal pregnancies with normal baby. The risk of HIV transmission

still deserves its own respect, by constantly applying universal

precautions, screening and aggressive treatment at all stages of pre-

pregnancy, antenatal, intranatal and postnatal course of mother and

baby.

Is it that in non-hiv cases, use of universal precautions and others

is not encouraged, or we do not change gloves and sheets in between

patients? What is the guarantee that the other mothers, who are not

yet checked for HIV, do not have HIV?

Setting up special OR is fine (maybe RIMS has resources to waste),

but then other places will just turn down other HIV patients, saying

we can not deliver you here as we do not have that special

ward...unnecessarily creating a myth that you need a special ward to

deliver such patients, or being forced to private physicians, even if

they cannot afford it.

If RIMS takes pride in being a modern institute, it should encourage

the staff to adopt HIV patients in normal settings, and do not start

discrimination at the very critical and vulnerable stages.

If there is a concern, rapid universal HIV screens on all pregnant

patients and then proper management of every patient can be done.

Those will be a good precedence for the entire nation! Government

should ban policies and protocols which encourage such discrimination.

Thanks

Ravi Mishra, MD

e-mail: <my247link@...

___________________

Dear All,

As the next step we will have exclusive doctors and staff for HIV

patients. Then exclusive wards, , schools, villages, banks and so on

are we going forward or back wards?

And activists believe their attempts are bearing fruit!

Hope RIMS theater for non HIV will continue to take Standard

precautions.

Dr Ajith

e-mail: <ajisudha@...>

_____________________

Dear Jayasree,

Thanks for sharing this information with us. It sounds to be a great

initiative working for HIV & AIDS people.

Thanks and regards

Bharathi

Email: mupparapubharathi@...

[Guest guest]

Dear All,

Creation of any additional facilities for the mainstreamed care, support and

treatment facilities for the PLWHA must be ensured effectively with a special

care that any EXCLUSIVITY has to be obviated at all costs.

We DO NOT need any exclusive service provision for the AIDS and related

ailments.

Any exclusivity,segregation and 'special'treatment will hinder the processes of

mainstreaming and normalization and may aggravate the stigma and discrimination

faced by the PLHIV.

There is no need of any extra precautions and procedures in all our

medical/surgical and disinfection /sterilization interventions, if the due

universal work precautions are adhered to and infection control measures/waste

disposal practices are robust and in accordance with the guidelines, best

practices and the law of the land.

It is pertinent to consider all patients to be potentially infected by

transmissible infections(Hepatitis B is several hundred times more

likely to be transmitted in a health care setting compared to HIV)and they do

not merit an exclusive service provision/health care setting.

A well intentioned initiative should not set a wrong precedence and may kindly

be remedied at the earliest with utilization of the additional

reasources,financial and other wise,to address the

dual epidemics-the pandemic of HIV and the epidemic of stignma and

discrimination faced by the PLHIV in a concerted manner.

Best wishes,

Dr.Rajesh Gopal.

e-mail: <dr_rajeshg@...>