14-May-2014
Mateen Hafeez & Sumitra Deb Roy 
MUMBAI: The 42-year-old patient, who attacked three others in Bombay Hospital 
on Monday, was kept sedated in the psychiatry ward of JJ Hospital. Hospital 
insiders also said he was restrained to the bed, but authorities denied this.
Dean Dr TP Lahane said doctors have found clear symptoms of mental ailment. 
Whether or not that could have led him to attack cancer patient Lilabihari 
Thakur (65) is difficult to say, said JJ doctors. Thakur died in the attack.
"In two days, we will carry out a CT Scan and MRI to see if he has brain 
lesions," said Lahane. He added that the patient has a history of mental 
illness. JJ staffers also said he had refused to eat and was being fed through 
a tube.
Lahane said knowing his condition, it was perhaps erroneous to keep him in a 
general ward. The patient's family has told JJ doctors that he was admitted to 
Masina Hospital's psychiatry facility 5-6 years ago.
Bombay Hospital doctors, however, said they were completely unaware of any 
mental ailment history the patient may have had. They had treated the patient 
twice for brain TB in a span of one year.
Psychiatrist Dr Harish Shetty lashed out at the consultants. "Non-psychiatric 
doctors are condescending to mental health issues. Patients should always be 
evaluated for mental health problems," he said.
Meanwhile, the Azad Maidan police said two ward boys had overpowered the 
accused but let go of him as he tried to bite them. "Fearing an infection, they 
left him on the bed," said the officer.
Krishna Prakash, additional CP, said on Sunday, the accused was seen banging 
his head against the wall. "A nurse had informed his wife about this," he said.
"On Monday, he had an argument with his brother-in-law and kicked him 3-4 
times. Later, he also kicked a woman sweeper before attacking the patients," 
said a police officer.
http://timesofindia.indiatimes.com/city/mumbai/Attacker-shows-clear-sign-of-mental-ailment-JJ-dean/articleshow/35078688.cms?


'Hosps should not shun psychiatric patients'
14-May-2014
MUMBAI: Even before the HIV-TB patient with a history of mental illness 
attacked fellow patients in Bombay Hospital, killing one on Monday, it has been 
a practice in most city hospitals to not admit patients with serious 
psychiatric illness. Psychiatrists now fear hospitals will be doubly wary of 
accepting psychiatric patients needing emergency care for ailments such as 
diabetes, heart care, etc.
"Most hospitals only offer OPD service for psychiatric patients. They never 
apply for the licence needed to admit serious psychiatric patients," said 
psychiatrist Dr Yusuf Matcheswalla, who operates the biggest psychiatry 
facility in a hospital with 110 beds (the handful of other institutions in 
Mumbai with this licence operate as nursing homes). 
He said psychiatric patients manage to get entry into big hospitals only when 
there is a flare-up of other ailments not relating to their mental state. "More 
violent crimes are committed by normal people than psychiatric patients," said 
psychiatrist Dr Harish Shetty. Dr Anjali Chabbria said the Bombay Hospital 
attacker could have suffered an electrolyte imbalance, triggering violence. 
"People shouldn't stigmatize those with mental illnesses," she added.
Could Monday's attack have been averted? Dr Matcheswalla, acting head of JJ 
Hospital's psychiatry department, believes so. "The patient has a history of 
mental illness, which should have been spotted," he added.
Jaslok Hospital for instance, has a psychological counsellor visiting patients 
prone to depression. "If the counsellor feels the patient needs help, s/he is 
referred to the psychiatrist," said hospital CEO Dr Taran Gianchandani. tnn
http://timesofindia.indiatimes.com/city/mumbai/Hosps-should-not-shun-psychiatric-patients/articleshow/35078710.cms?

                                                                                
  

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