π Day and India

Yesterday was π day and my friend Haldar Rana posted this quiz on π. I started to look around the Indian contribution with respect to π. Here are some of the stuff that I found.

Aryabhatta talks about π in following way.

• Add 4 to 100
• Multiply by 8
• Add 62000. 
• The result is approximately the circumference of the circle whose diameter is 20000. 

With above calculation the value of PI comes to 3.1416.

Madhava has done some more serious work with π. He defines π as the ratio of the circumference (2,827,433,388,233) of a circle of diameter \( 9*10^{11} \). Which yields 3.14159265359.

Madhava also came up with Madhava Series.

\(\fracπ4 = 1 - \frac 13 + \frac 15 - \frac17+...\)

Ramanujam later discovered another series that converged much faster.


I will write another post with details of all that.

How gullible are we as a nation

I have been wondering of late, how gullible are we as a nation? Anybody can tell us anything and we start running behind them. Only thing we don't trust is ourselves. Here are two instances that incidentally happened this week.

STEN LINDSTROM comes out this year on the 25th anniversary of bofors scandal and says that he was the whistleblower and he saw his leaks being used selectively (in content and timing) by The Hindu at that time and did not do much about it. Now 25 years laters he is talking again.

Then coincidently the same week S&P downgrades India's credit risk to negative and Moody's goes ahead and writes a almost political report on India.

The report termed Prime Minister Manmohan Singh as an "ageing technocrat who now appears tired of the rough and tumble of Indian politics" and added that the UPA didn't have the numbers or the leaders to push through tough-minded reforms needed to drive the next wave of growth.

Now what moody's and S & P are saying is nothing new, everybody agrees that business and investment climate in India has taken a beating but we (the mainstream media) wakes up only when foreigners tell us to do that.

I expect our media to do much more homework rather than just listening to STEN LINDSTROM, Moody's or S & P whose credibility it not really great anyway.

  

India's telecom revolution -- a missed opportunity

A lot is said about India's telecom revolution and it is a positive story but now making this claim almost sounds like repeating yourself again and again. I have not heard of a positive outcome of this revolution in last 4 years. Why is it so? I believe if we look at this closely, we will realise that it is a story of lost opportunities.
Anybody with even a little knowledge of telecom would appreciate that telecom is nothing but a communication medium. It was revolutionary initially because it provided a voice communication medium to masses that government run operator coud not provide in 50 years but once we reached a significant population with this medium, nothing was done to leverage it further.
None of the e-governance initiatives exist on mobile phones as applications or mobile web. Even the applications for which data readily exists in digital form have not been translated to run n mobile phones. Look at http://agmarknet.nic.in, it has mandi rates from most of the mandis from all over India on a daily basis. If a farmer can look at the rates in mandis around his place, he can make decisions on when and where he wants to sell his produce. Similarly weather information can be made available in more granular and location targeted fashion to farmer. For urban poor, making whole e-governance infrastructure in a mobile friendly fashion would result in real revolution.

The magic that is Indian Customs Department

I recently got a mobile phone shipped from one of the online stores in UK. The shipment contained two items, one mobile phone and a USB charger that was thrown in free by the retailer.
When the shipment reached customs, DHL was responsible for getting the shipment cleared by customs. Normally I have seen that the customs charged on mobile phones is between 4-5% but this time it was around 25%. The only logical explanation that I have is that customs department looked at the free item and classified the whole shipment in that category and charged customs at that rate.
Anyway, that's how it is. I can only rant about it.

Get an Idea Sirji

Indian mobile operator Idea advertises its service with the fact that they are the operator with the least call drops and best call quality.  In the light of that, it is interesting to find out that they actually have highest call drop rates. The minister of telecommunication informed Lok Sabha that among the worst of telecom operators.

As regards the parameter, BSNL, Etisalat and Idea are not meeting the prescribed benchmark," Minister of State for Communications and IT Sachin Pilot said in a written reply to the Lok Sabha.

Finally some concrete action against pre natal tests

Even though pre-natal tests related to discovery of gender have been illegal for quite some time in India, I never came across that anybody was punished for violating the law. That changed today. A court in Gurgaon has sentenced five doctors for violating this law.

Five Gurgaon-based doctors have been convicted and sentenced to three-year rigorous imprisonment for conducting pre-natal diagnostic tests at unregistered genetic clinics.

More such action is needed to curb this menace.

Common sense is so uncommon

Here is an article about an academician who has been offered a post in Obama administration's India department. She has been know to be anti-India in previous instances. What is interesting is her cribs with what India is doing.

I think it is unfair to dismiss the notion that Pakistan's apprehensions about Afghanistan stem in part from its security competition with India,' she had then said, and noted, "Having visited the Indian mission in Zahedan, Iran, I can assure you they are not issuing visas as the main activity. Moreover, India has run operations from its mission in Mazar and is likely doing so from the other consulates it has reopened in Jalalabad and Kandahar along the (Pak-Afghan) border.'

"Is likely doing so from the other consulates", if that is the quality of academic research then Elmer Fudd is a top class researcher.

'India is also building schools on a sensitive part of the border in Kunar, across from Bajaur,' she said, alleging, 'Kabul's motivations for encouraging these activities are as obvious as India's interest in engaging in them

So now building schools is a bad activity. I am really amazed how out of touch with reality people can be and argue to further their own agendas.

  

A lesson for everybody

Here is a really sad news. Just goes to prove that one can not be too careful in this materialistic world anymore.

The worst nightmare of working parents entrusting the care of their children to nannies became a reality for a city couple recently.
As soon as they would kiss their little one goodbye, the nanny would feed him and get him ready - for a day of begging on the streets of Bangalore. Instead of milk, the baby was fed sedatives; instead of the clothes carefully put out by his parents, she would dress him up in rags.

Looks like it is really a kaliyuga.

A school, buses and traffic police

As I went to the school today, I found that there were no buses that are generally parked on the street. On enquiring, I found that traffic police has told that no bus can stop on that road before 3 PM. The school closes at 2:50 PM.
So now here is a situation where all the buses don't have a place to stop and are going in circles on that road. Then the school bell rang and all the kids came running out and all of a sudden there is complete mess since the busses are still not there and kids have no clue where to go.
So here is a traffic jammed road with hundreds of kids on road and tens of vehicles honking behind buses that are trying to park themselves next to the road. All this because traffic police decide that buses can only park from 3 PM in place of earlier time of around 2:40 PM.

Another moron in this world

The world is full of morons and idiots and some of these characters sometime prove, why there needs to be capital punishment in this world.

A 27-year-old man has been arrested for throwing his newborn baby girl into a river in Durg district of Chhattisgarh, police said on Friday.

"Premjeet Deshmukh confessed that he tossed his week-old girl into Shivnath river as he was expecting a baby boy. He was arrested late on Thursday," superintendent of police (Durg) Dipanshu Kabra said.

What is wrong with BSNL

I have always wondered that with the largest network reach, probably cheapest tariffs and probably one of the most happening brand ambassador, why is BSNL not prospering like other cellular providers. I finally found my answer.
I recently felt the need for an additional mobile connection with a GPRS plan attached and because of some recommendations, I decided to take a BSNL plan. So as usual, I went to their website which mentioned that I need to go to a CSC (customer service center). I found which one was nearest to my address and went there. As usual I carried sufficient cash, cheque book, credit card, address proof, identity proof.
I reached the office and looked for the person "responsible for mobile". BSNL Madam showed up after half and hour after a pan and chai. Here is how my conversation with him went.

• Me: I need a new mobile connection.
• BM: Do you have a BSNL land line connection?
• Me: No, I don't have but my wife has
• BM: The lady will have to come
• Me: But I have address proof.
• BM: No.

So I decided that I will come back with my wife and take the connection. I went home started looking for BSNL bill, found that the landline bill has not come for last two months, I never noticed it because I pay it online so except for address proof I don't need the phone. So I went to BSNL office once again and same BSNL Madam was there.

• Me: I need a new mobile connection
• BM: Do you have BSNL landline
• Me: I have but the bill has not come for last two months, I can tell you the phone number
• No: Come with the bill

I went back again, and one of those days, I found a two months old BSNL bill. I thought now I can go and get the connection.

• Me: I need BSNL connection, I have filled the form, my wife has  signed
• BM: The lady will have to come here

I thought she seems in good mood, so I asked my wife to come immediately. She took 45 minutes to arrive while I whiled away my time chatting to the BSNL security guard.

• BM: Show me the original identity proof, she never asked this before but fortunately it was there so we showed.
• BM: Do you have BSNL land line.
• Me: Yes, I have already told you 4 times
• BM: Where is it, I need a copy
• Me: It is attached to the form

BM looks at it and then declares, I don't where it this address you will have to go to this address's CSC. I said why did not you tell me this 45 mins back when I came and you told me that my wife has to be here for the connection.

• BM: We don't work like that
• Me: What do you mean
• BM: We go one by one
• Me: Atleast, can you tell me where is the CSC I need to go to
• BM: I don't know
• Me: How can I find out
• BM: I don't know

At this time, I realized that I was being too optimistic. This was not going to happen anyway. I tore off the form and dropped in in a dustbin.

Whenever I have asked my friends who work for BSNL the reasons of poor performance of BSNL, they have always blamed the government regulations related to tender etc and because of that they can't order equipment on time. I think they are wrong. The reason BSNL is not performing well is because of its employees who still live in the times when you had to beg to a SDO(T) or AE for a telephone connection and if is satisfied with your growling, he may give you one.
India might have been liberalized but the citizens of India have still not been liberalized from BSNL. I don't think the mindset can be changed.

Rich people, poor people

So H1N1 has gripped the country.  It is sad that this happened. Following points that I believe are important in this regard.

• I think NRIs are responsible for bringing this epidemic to the country. People don't follow quarantine rules. There have been cases of people running away from quarantines.


• On TV one sees journalists creating panic, running like headless chickens.

What worries me most is everybody is just panicked by H1N1. As of today there are 8 unfortunate people who have died. But there is absolutely no or very little mention of Munger. Munger has 30 people dead with cerebral malaria. Why there is no media scrutiny? I believe it is just a case of rich people and poor people. Just because people that are dying in munger are poor and H1N1 people are comparatively rich with access to media, their voice is being ignored.

Infosys issues travel advisory to pune

Infosys has issued a travel advisory to its employees to restrict travel to pune in the light of swine flu. Great step, but I don't remember them issuing a travel advisory to US or Mexico where all this started.

EVM/EC and attention whores

The circus with electronic voting machine has come full circle. I know little bit of technology and I always believed that the fact that the voting machines are made by only two public sector manufacturers and has a set of handling procedures that are physically verifiable makes it pretty much tamper proof.

• The voting machine has a physical lock that makes sure that it has not been physically opened.


• The voting machine has the software code in a non-writable ROM makes sure that once the software has been validated, it is tamper proof


• The voting machine is a unconnected device i.e. there is no chance of somebody hacking into it remotely.


• The voting machine has no knowledge of the order of candidates on the machine. This is just a manual mapping that is made outside of technology. The machine in the end just tells the number of votes for candidate at each position and the candidate to position mapping is an offline mapping and is maintained using a ballot paper look alike.

The only way the voting machine can be hacked with is somebody opens it, replaces the software code running. Even that is harder it do with well defined results because the the order of candidates on the machine is assigned much closer to the polls.

When somebody as responsible as Saigal who has been a senior bureaucrat in government makes an alligation, people will have to take him seriously and political parties will take him seriously because it is a question of bread and butter for them. But when election commission of India gave them an opportunity to demonstrate the tamper-ability of the machines he did not do much.

Saigal refused to demonstrate the points raised by him, using any of the 100 actual ECI-EVMs he was offered to choose from. He wanted certain arrangements for him and his team of hardware and software professionals from a private company before coming to demonstrate about the tamperability of the EVM. He also offered to show what he claimed as possibility of tampering using his personal computer and a look alike of the ECI-EVM, that was privately manufactured, and is also seen on several TV channels.

It was pointed out to Saigal that the ECI-EVM was not at all comparable with what he had brought. EC officials declined to deal with, what appeared to be an imitation machine, so as to avoid creating any confusion in public mind.

So in nut shell, he never claimed that voting machines can be tampered with, what he claimed that one can make a machine that looks like EVM and that machine can be tampered with. Nobody will argue with that. Actually I will even make another allegation that somebody can make a machine that looks like a EVM and it can be used to fly rockets.

Anyway, the net result of election commission hackathon was as follows.

On Saturday, the Election Commission asserted the infallibility of EVMs citing the failure of persons who had claimed the machines could be tampered with. This has come after a demonstration of 100 EVMs in the EC office that lasted for six days from August 3. These EVMs were randomly obtained from 10 states and kept for scrutiny to establish fallibility. The outcome of this exercise was that none of the persons, who were given the opportunity, could actually demonstrate any tamperability of the ECI-EVM, in any of the 100 machines put on display. They either failed or chose not to demonstrate, said an EC statement.

I hope this matter can be put to rest now. But one never knows.

Stupid main stream media again

The main stream media in India never ceases to amaze me. Here is a news item which has been reported in most of the news papers of the country. The headline reported by the media is as follows.

Kicking daughter-in-law or divorce threat not cruelty: SC

Now, what the supreme court seems to have really said was

Allegations that appellant No 2 (mother-in-law) kicked the respondent (daughter-in-law) with her leg and told her that her mother is a liar may make out some other offences but not the one punishable under Section 498A

and further said

Similarly her allegations that the appellant No 2 poisoned the ears of her son against the respondent; she gave two used lady suits of her daughter to the complainant (daughter-in-law) and has been giving perpetual sermons to the complainant could not be said to be offences punishable under Section 498 A

Now with very little knowledge of english that I have, I can only figure out that supreme court said that these acts are not punishable under section 498A, but the great media makes it out as if supreme court is saying that "it is not cruelty".

What is surprising that not only one news paper but the other one also reports almost an identical headline for the story.

Atleast UP police redeems itself

Few minutes after I wrote this post about the UP police, they have managed to eliminate the dacoit.  Now only if WB police also can do something, I would be happy.

IPL, Fatigue and Mccullum

Indian cricket team's coach mentioned that IP fatigue could be one of the reasons of the team's pathetic show in WT20. Everybody seems to have pounced upon him. I believe what he says does have sense. There never seemed to be any sense of coordination in the team, most of the people were not 100% fit and both of these were major reasons of our defeat and could be caused by IPL's excessing cricket too close to the world cup.

Anyway, people may agree or disagree with the coach but the interesting comment came back from Mccullum. He said that the fatigue theory is rubbish. I can understand that. Only those people would be fatigued who were doing hardword. Mccullum, who lead KKR actually were passengers so for them it was really a jolly ride and that is probably one of the reasons he believes that fatigue can't be the reason of team's bad performance.

India's tryst with deflation

So the inflation numbers reported for this week stand at -1.61%. Technically that is deflation. I hope now my home loan rate would come down.

Calorie Burning modern style

I stay in an apartment complex where the clubhouse is located some 100mtrs from the residential block. As usual the clubhouse provider a decent gym and many people make use of it. Here are some interesting things that I observed that make life interesting.

• A significant percent of clubhouse users actually drive in their cars from residence parking to clubhouse parking. As I have mentioned earlier, this distance is no more than 100 mtrs. In this distance these gentlemen (ladies) floor the accelerators of their cars, start honking when they are atleast 50mtrs from the clubhouse so that the security opens the gate and then don't have to slow down. Makes for a sight more thrilling then a F1 race start. Only doubt I have that most probably the car is burning more calories then the users of the gym.


• Even though lockers have been provided for people to put stuff when they are using gym equipment, it is not uncommon to see a IT style conference call going on while people are running on treadmill.

Anyway, all this makes walking to clubhouse really interesting.

New age five star hospital

Off late many new age five star type hospitals have started opening all over the place. I have always wondered whether the quality of healthcare delivered by these hospital is also in line with the shiny interiors and well dressed receptionists. My own experiences in Wockhardt hospital in Bangalore have not really been great. But since there is little most of us understand about medicine, one assumes that may be we are unduly worried. Here is someody's experience from Wockhardt which kinds of points in the same direction. Please make your own conclusions. I have just received this email through friends that I can not vouch for the accuracy of events or assumptions.

Rashmi's Story

My name is Rashmi B.T. I am 35 years old, married to an air force officer, Vivek, and have a four year old son, Dhruv, delivered by emergency Caeserean section in 2004. On March 4th, 2009, my life was changed unalterably. I lost a baby that I had carried inside me, completely healthy, for a full 41 weeks.

I understand that doctors are human, that mistakes happen. However, I have come to believe that what happened to me could have been prevented if the doctor and the hospital had provided the most basic level of care and expertise. What's worse, they refuse to take steps to prevent someone else going through the same nightmare, simply because they want to protect
themselves from the possibility of litigation - something I am not interested in unless it is the only way to force them to change their protocols.

The Beginning

In June 2008, Vivek and I learnt that we were expecting our second child. The pregnancy was uneventful. I was healthy and fit. Every prenatal visit and test showed that the baby was healthy and developing well. During my 35th week, I decided to consult Dr. Latha Venkataraman at The Nest, Wockhardt's Bannerghatta Road maternity facility to see me through the rest of my pregnancy.

Despite the fact that I had already undergone a C-section, she urged me to opt for a V-BAC (Vaginal Birth After Cesarean Section) or in layman's terms, a normal delivery. She brushed aside my concerns, telling me that a second C-section would be six times more risky and assuring me that a V-BAC would be less risky and almost pain-free.

My due date was estimated as 26 Feb 2009. I visited Dr. Latha on 28 Feb. She wrote on my record: "delivery will be attended by Dr. Latha/Dr. Prabha." Since I had neither met, heard of, nor been examined by Dr. Prabha before, I was concerned. Dr. Latha explained that Dr. Prabha Ramakrishna is another consultant at Wockhardt, and that it was a hospital requirement for her to write both their names down as possible attending doctors for my labor/delivery. However, she assured me that it was just a formality, and that she would be the one to attend to me when I went into labor.

On 3 March, I visited Dr. Latha again. Since I was so far past my due date, I requested that a scan be done to check on the baby.

When I called her to read out the results of the report, she did not want to know anything other than the liquor content, though I specifically asked her if there was any other information she would require from the scan. She told me I could either wait for labor to start or choose a day to come in and have my labor induced.

The Nightmare Begins
I went into labor at 2am on 4 March, and got admitted to the hospital at 5.15am.

By 7.45 am, I was experiencing contractions less than a minute apart. Dr. Latha came and did a quick examination. I was shifted to the labor ward at 8am where I remained until 1.50p.m., under the sole care of nurse Savitha. Dr. Latha was not present at all.

A junior doctor, Dr. Shirley, was available intermittently. She spent most of the time on her cell phone, talking to her husband. She was keen to see him before he left on an 11-day vacation. A Dr. Chetna substituted for her while when she went to see her husband off.

There was no other doctor present. Dr. Prabha was called each time the fetal heart rate fell (this happened a couple of times). She was seeing outpatients and attending two other deliveries simultaneously, so she was only able to come to the labor ward to see me four times, for less than 5 minutes each time.

At 10am, I was given Syntocinon, a drug used to enhance labor; the dosage was increased at 10.45am. At 12.30, there was vaginal bleeding, and the nurse phoned Dr. Prabha, who advised her to "keep a watch". The bleeding reduced, but I began to feel pain of increasing intensity during contractions. Dr. Shirley reappeared at 1.00 p.m., examined me vaginally and announced that I was almost fully dilated and would deliver by 1.30pm. I complained several times of excruciating pain but was told that it was
normal. At 1.30pm, Dr. Prabha came in and was told by Dr. Shirley that I was fully dilated and would deliver any minute. Despite that, Dr. Prabha breezed off to visit another patient in the OPD.

I felt no urge whatsoever to push, yet was asked to do so. The stirrup on the delivery table kept breaking off - I was told that this is a recurring problem that "needed attention". At 1.50 pm, the fetal heart rate dropped to 80 beats per minute. Dr. Prabha was called again. She checked the fetal heart rate on the CTG, explained that this was normal when the baby
was passing through the birth canal, and asked me to hold my breath and push hard. I felt no sensation in my cervical area, but felt intense pain tearing my stomach apart. I felt like my baby had rolled into my stomach and could see its body pushing up against my ribcage. I was screaming, pointing at my stomach, and telling them that my stomach was hurting, and there was no urge to push. But she told me to "push, push harder". I then heard Dr. Prabha saying "Get the OT ready". She told my husband that she was going to attempt to deliver by forceps - if that was unsuccessful, she'd have to do a Caesarian.

The OT wasn't on standby, wasn't ready. I was numb with pain. They wanted me to get up and move to the operation table. I couldn't move. They eventually slid something under my back and I pushed myself on to the OT table, as there was no transfer stretcher available. I complained of severe shoulder and chest pain. No one paid me any attention; everyone was busy
preparing the OT, and the anesthetist was attempting to top up my epidural.
The fetal heart rate was never monitored in the OT. Dr.. Prabha unsuccessfully attempted a forceps delivery at 2.20 p.m., and then cut me open. I heard a deafening sucking sound, after which I must have passed out.

Later, I learnt that my uterus had ruptured along the scar of my previous Caeserian section. My baby was found floating in my abdomen. He had no heartbeat and he wasn't breathing. He had been deprived of oxygen for a long time - 43 minutes. They "resuscitated" my son and put him on a ventilator.

When I opened my eyes I saw Dr. Latha leave, followed by Dr. Prabha. Dr. Shirley was suturing me while laughing and talking with another nurse. I felt reassured that my baby was okay, even though I had neither seen nor
heard him. "Don't Worry, You Can Conceive Again"

At 3.30pm, a nurse struggled to take my BP reading; the BP apparatus wasn't working and had to be replaced. Dr. Latha met Vivek at the NICU and told him that the baby was doing fine and had to be kept under observation.
She also told him that my scar had ruptured, but said that I was okay. At 4.30 pm, my husband repeatedly begged the nurses to give me pain relief. I was then shifted to the ward.

At 9.30 pm the neonatologist told Vivek that the baby had been deprived of oxygen for over 40 minutes, possibly resulting in "some extent" of brain damage. This was the first inkling we had that something had gone wrong.

The next morning, I was given a sponge bath at 6am. I then lay unattended until 2.30 p.m., when Dr. Prabha, Dr. Latha, and Dr. Prakash (the neonatologist) saw me for the first time after the operation. Dr. Latha unceremoniously ripped the dressing off my wound without using any gel or spirit, and pronounced the wound clean.

We were told that our baby would be kept under observation for another 24 hours. Later that night Dr. Latha came in at 9.50pm. Her only words to me: "Don't worry, you can conceive again. Your uterus is intact." "Do Japa and Tapa To Get Better""
None of the consultants saw me on 6 March. That night, my milk came in, and my breasts became swollen and painful. I asked in vain for assistance. After repeatedly begging for help, I sent Dr. Latha a text message at noon on 7 March. At 4pm, a nurse told me that the doctor had instructed them to use a breast pump to relieve my pain - however, since the hospital didn't have one, I would have to go and buy one.

Dr. Latha finally visited me at 7.30 pm. She confessed that she was unaware that there had been a 43 minute delay in performing my C-section. She also admitted that instructions delivered over the phone could never substitute for personal supervision. She said, and again I quote, "Do some pranayama, japa, and tapa to help you get better."

Throughout my stay, nurses didn't know what medication I had been prescribed. They kept asking me what medication I was to be given. They had to be repeatedly reminded to give me medication.

For the next 13 days, Arnav was in the NICU on a ventilator. Throughout that time, he was completely reliant on ventilator support, his eyes were dilated and non-responsive to light, and there was no sign of movement. After a week, the neonatologist asked me to express milk and said they would feed the baby with a pipe inserted from his nose to the stomach. I did this for the next six days.

On 16 March, we decided to let Arnav go. We requested that he be removed from life support.

"We Would Do Exactly The Same For The Next Patient Who Walks In"
Vivek and I wanted to learn what had gone wrong with such a healthy pregnancy. Basic reading indicated that scar rupture is a well-known risk when you attempt to deliver vaginally after a first C-section, and must therefore be monitored very closely by a doctor if attempted at all.

We met with the hospital administration and the doctors. All we wanted was an explanation. To hear the words, "I made an error in judgment". Instead, we were met with a wall of defensiveness. Dr. Latha said that despite knowing the outcome, she would take exactly the same steps with the next patient who walked through her door.

I decided to get a second opinion. And then a third, and a fourth, and a fifth. Three of Bangalore's best-known gynaecologists (and other doctors too) categorically stated that given my age (35), the estimated weight of the baby (> 4 kilos), and the duration of gestation (>40 weeks), a vaginal birth should never have been attempted, and scar rupture was a logical, obvious outcome.

All reading I have done has backed this up. Even a layperson's book like "What to expect when you are expecting" (pages 363-364) says that abdominal pain during a V-BAC indicates a scar rupture and outlines the procedure for safe delivery of the baby. Given that I was complaining of excruciating abdominal pain, shoulder pain and chest pain, the doctor should have known my scar was rupturing. I should never have been asked to push; it exacerbated the rupture. Nor should I have been given a drug that intensified my contractions. By Dr. Prabha's own admission, she did not know about the rupture until she opened me up.

Several doctors have also told us that keeping Arnav on the ventilator for 13 days was an exercise in futility from the first. At no point were we told that he would never survive if taken off the ventilator - had we known that, we would never have subjected him, or ourselves to two weeks of anguish. All we were told was that he "might be" brain damaged to "some extent" but they couldn't predict how bad it would be.

A Brick Wall of Defensiveness; Discrepancies Galore

When I attempted to engage with the hospital to ask them to change their protocol of treatment based on an unbiased review conducted with the inputs of external gynecologists, I was met with a brick wall of defensiveness. They refused to conduct a fair, transparent investigation, claiming that their internal investigation showed that they had done everything right and that losing the baby was "my destiny". Dr. Latha went so far as to say that since I am educated, I should have been better informed about the procedure.

I don't want to sue them for money. I just want them to change their policies and protocols so that this doesn't happen to someone else. I have been hitting a brick wall for two months, and feel that the only way to make them pay attention is to tell my story to people.

There are many discrepancies and attempts to cover up the hospital's inefficiency (to name a few: baby's weight recorded as 3Kg despite the fact that he was never weighed; post-facto note of fetal heart rate as 180bpm despite the fact that the heart rate was never monitored in the OT; discharge summary says "live term baby extracted" even though Arnav had no heartbeat or respiration at birth; half-hour discrepancy between CTG trace and labor room clock). I asked questions to which I was given ludicrous answers (Eg: Our pediatrician is very experienced, so he can guess the weight of any baby just by looking at it).

We were charged approximately Rs. 2,20,000 by Wockhardt. Of this, we found over Rs. 7000 billed for things that had never been done (spinal anesthetic, an extra day of room rent, food not consumed). We subsequently found more extraneous charges, amongst them an amount billed for tests that were performed on 18 March, two days after Arnav's death.

My Story Has Just Begun...
My uterus is still healing. My back still hurts from the trauma. And my heart aches for Arnav, the baby I will never hold.

More than that, I am filled with the fear that this will happen again. After all, Dr. Latha says she would "do exactly the same again" even though she knows the outcome. And the hospital agrees that she - and they - did everything right.

Wockhardt delivers approximately 80 babies each month. With BP machines that don't work, a delivery room stirrup that's falling off and that has "needed to be fixed for a while", nurses who don't know what medication they are supposed to administer, and one (yes ONE) OT dedicated to emergency deliveries. That OT wasn't ready when I needed it. What guarantee do you have that it will be ready when you need it? Sure, they claim to have nine other OTs in the hospital - but if they are all as woefully unprepared as the one I was in, my story could be yours.

I want them to change their policies, and I won't give up until they do.

Thank you for reading.