Mobilizing networks and procuring medical resources

I was trying to get injections, Remdesiver...in Bombay and Remdesiver is centralized. And centralized matlab kya hota hain ki basically, you cannot obtain it from shops in the shops and hospitals have sent requisition to the collector's office to get ke bhai aaj humko aaj itne logon ke liye itne chahiye. So the collector allocates.

Humara problem yeh hota hain ke .. ke.. Hospital mein … agar hospital chaalis maangta hain to chaubis aatein hain...toh hospital raises its hands… ke hum kya karein… because it has so many. And mera aur ek dost hain jo works with the municipality, the war room jo hain...set up kiya hain...those are handling only cases with influences… isko bacha lo.. Mere bhai ka yeh hain.. Woh hain.. Political pressure...bureaucratic pressure.. Friend of something somebody somebody somebody somebody and remdesiver, it costs around two and a half, 3000 rupees for the first two, I got for 13-14000 rupees, I got it cheap, so it's a it's a kind of a, it's a kind of expensive.

So basically what happens in centralized systems, two things happen. One is supplied, kind of, you know, constraints and secondly all these influences and bribery and then you know, black marketing all those things start.

Remdesevir- trickle down

A: I have a friend…

PS: Sorry what?

A: I have a friend, who's a pharmacist so she was telling me ke remdesiver hain..distributors ke through aata hain….. Ki woh joh black mein aa raha hain woh distributors se through aa raha hai. So I have another friend who isn't properly, so what he has contacts with a distributor ke paas se woh aise nikaal ke deta hain.

PS: Trickle hokar aata hain… bahut saarein means hain…matlab kaafi kuch… the underground of the... of the medicine in black market and mechanism is very different. But the problem is what I'm trying to say is that you realize that that excessive centralization kind of crashes things ..just crashes, because then it brings it down. Aur phir usmein kya hota hain ki... then you are left to fend for ourselves and then you don't know what to do …. I'm really struggling to get that bloody, set of injections and my mobilization was kind of you know, 100 percent mobilization …..crazy crazy mobilization…...But it was, you know, if, I don't know if people are able to do that, but it's it's through these strange networks that this happens. But at this moment, it is…. it is not the system, but it is these small forces which are holding this… it is these small forces that hold you.. Brace you...work with you and stuff....

Shortage of bed

This hospital is in bhayander. One of my friends shoots this video from his house as this hospital is exactly opposite his building. And mention that 3 ambulances with patient inside waiting outside the hospital to get vacancy and after that They started treatment in the ambulance itself....providing oxygen cylinder and all.

Not only in Bhayandar but overall state and across the country people are ready to take treatment in the ambulance due to shortage of beds inside the Hospital.

There are several articles and news which state that ambulances are in queues outside the hospital to get a bed and people are waiting in an ambulance for around 15 hours. Sometimes even ambulances are not coming to take patients. This is BBC report stated that 99% off of ICU beds are occupied in the main States.

Shortage of vaccine

When we wanted to get a vaccine for my mom that time we heard that vaccines were not available in any Hospital even in Government. Then we were waiting for like two to three weeks and then one of our neighbours told us that vaccines are now available only in private hospital not in government; so we go and get a vaccine before the stock gets over. When my mother got the vaccine during that time my father was stuck in Gujrat but now when my father wanted to take the vaccine the vaccines are only available in a government hospital and not in private.

Even I saw in the news many of the patients were shifting from private hospitals to the government hospital because of lack of medicines which were needed in treatment but again the government hospitals had no beds available. So on to this situation I had a talk with one of my friend's father who is a covid doctor and he told me about many things and what he said is Private hospital has good infrastructure medical treatments, now what happens in covid, the government has a huge medical institute in Mumbai like KEM Hospital and etc but here also, there are limited bed for covid because increasing of high no. Of patients and taking care of them become really difficult. That's why the government has started centres which called covid centres which have a huge number of beds like dormitories.

Now what happened the certain medication which has shortage at present, like remdesivir and chloroquine ; now initially it was available in private because private has its storage. because the government has taken control. whenever the initial stock has come; so they give that injection to a government hospital cause they don't have it. So now there is a disparity in demand and supply and because in second-wave the number of cases is rising and nobody has predicted and had a plan centrally as well as in some state which has a high incidence rate of covid like Mumbai Pune major cities.

And now with the vaccine, there is two main supply of vaccine one is covishield which is manufactured by Serum Institute with the collaboration of Oxford University. So this vaccine is original research by Oxford University and again the raw material for it is supplied by other countries mainly from USA and our country only manufacture the vaccine. so that's why there is an agreement. According to the agreement we have to export 50 to 70 per cent of manufactured vaccine to other countries. The Other vaccine is covaxine this vaccine is fully developed in India and we have all rights that we can distribute this vaccine within our country but the manufacturing plant is small and production is very less compared to covishield.

FORCED ACCEPTANCE

This happened during May, Mr. Parmar who recently shifted in our society on rent, used to work in Mahindra and Mahindra in the IT department temporarily. He was suffering from Tuberculosis, on 15th May his breathing rates were gradually reducing and he collapsed at home. Dr. advised him to get admitted to the hospital. But in that hospital there was a different scenario, there was only 1 bed left, and that too beside a covid patient. Mr Parmar refused that bed, but the Doctors were not ready to hear him, they forced him, 'if he will accept this bed then only we will start the treatment otherwise he can go home.'

Unwillingly Mr Parmar took that bed.

After a week he got discharged and he came back home, 2-3 days later Mr Parmar started getting fever randomly for few days, the Secretary of the society asked him to do a covid test, where they found that he was covid positive. Home quarantine was not possible because he used to stay at home alone and there was nobody to take care of him. So he got admitted to the hospital for 18 days and recovered, but in between these health issues, Mr Parmar lost his job and he shifted back to his hometown.

Oxygen, remdesevir, and black marketing

My uncle’s oxygen was decreasing and the doctor suggested immediate hospitalization. We must have contacted more than 15-20 hospitals from Kandivali to Andheri but everyone refused the availability of a bed. After a contact via my friend's uncle, we got him admitted. The doctor prescribed remdesivir injection immediately. All of us had decided to cover different medical stores and pharmacies through contacts as well as physically going. We wanted 10 doses, somehow we managed to get 4 of them from my friend's dad who worked in a pharmacy in Mira Road. Again the next day we procured 3 more similarly through a medical store. We needed 3 more and his condition was very critical. After going to several medical stores, after a day and a half one store manager gave me a number for this person who was selling it for six times the price, for around 25-30,000 per vial. He said that it was contacted directly from the distributor. We got one dose but that night he passed away.

Hospital beds, disintegration of housing society and family

A: Nahi nahi.. My fufa got admitted no.. he got admitted and got 3 beds .. but my fufa and my..

PS: 3 beds for your fufa?

A: No one bed for my fufa and one bed for his father and one bed for … so.. My fufa has a sister

PS: where… where is this?

A: In vile parle.. In nanavati they got admitted… they got admitted also and they got oxygen also.. Matlab.. The interesting thing was, unke dad aur unki jo behen hain na..she was she is the she has always remained a child all her life. So she's always like a child, very curious, toh usmein… they had to be together because nobody could handle her… even the medical staff could not handle her.. and she had to be with her father and uske wajah se phir woh… and my bua was the only one left alone at home. So my father was going from here even to give charger because pura building ne chod diya … matlab they literally left… jo baaju walein the, they left the house only… jaise covid ho gaya… whenever she used to come to the balcony toh baaki sab aise… bhaag jaate the so then it was basically her alone at home and then the only system was us in Santacruz moving around and his networks through which he got the beds.

PS: Do you know how much did it cost at Nanavati..

A: At. nanavati the cost is.. Dada is still admitted haan...usmein as the starting fee only it was 3.5 lakhs matlab per person only it was something like that. But he is a CA so then he could manage..