Dr Wajahat Ahmed MD

ANANTNAG GMC PACEMAKER CONTROVERSY" While a Government-ordered investigation is still inconclusive and still in progress in the alleged irregularities in implantation of pacemakers at GMC Hospital Anantnag, facts grossly contrary to what was fed to media last week are now coming to fore. According to the officials holding the investigation, it has been noticed that normally two types of pacemaker implantations are available in the Government and private hospitals: A) Dual Chamber B) LBBAP LBBAP is performed only at super speciality hospitals. The doctor in question is exceptionally competent in LBBAP procedures which he performed on several patients on their demand and request at GMC Hospital Anantnag. However, the concerned government agency (SHA) repeatedly rejected pre-authorization to all cases requiring LBBAP which costs ₹1.70 lakh each case. The agency insisted that under PMJAY-SEHAT only a Dual Chamber procedure, costing upto ₹1 lakh was authorised. Thereupon, some of the patients, including Peer Rafeeq Ahmad, whose son himself is a doctor and who offered to pay the extra amount of ₹70,000 voluntarily over an affidavit directly to the Government supplier under proper receipt on Transaction Management System, LBBAP was conducted on a number of such patients. It was fed to media that Peer Rafeeq was "forced to pay an extra amount of ₹70,000". Now the officials holding the investigation have come across affidavits making clear that those choosing and insisting on LBBAP have paid extra amount of ₹70,000 to the Government supplier out of their own volition and choice and without any coercion. It has become clear that no official, doctor or any other individual has taken any amount of "cut", "commission" or undue benefit. Rather than selectively targetting an intervention cardiologist who didn't get any benefit from performing LBBAP instead of Dual Chamber, media should have been properly enlightened about the administrative lacuna and lapses. It should have questioned the SHA why the PM-guaranteed benefit, available upto ₹5 lakh a common family in J&K, should not be given to LBBAP cases if medically required and advised by cardiologists. It should have raised questions as to who would be responsible if anyone of the patients died whose pre-authorization at GMC Anantnag was outrightly rejected by SHA repeatedly. Rather than feeding the media wrongly and targetting the doctors selectively on questionable grounds, Government should hold a transparent investigation with supervision of a panel of experienced and independent cardiologists, identity and remove all hassles and impediments created by clerks and sections of bureaucracy and extend full benefits to the patients as guaranteed by both, the PM and the CM, separately.

ANANTNAG GMC PACEMAKER CONTROVERSY" While a Government-ordered investigation is still inconclusive and still in progress in the alleged irregularities in implantation of pacemakers at GMC Hospital Anantnag, facts grossly contrary to what was fed to media last week are now coming to fore. According to the officials holding the investigation, it has been noticed that normally two types of pacemaker implantations are available in the Government and private hospitals: A) Dual Chamber B) LBBAP LBBAP is performed only at super speciality hospitals. The doctor in question is exceptionally competent in LBBAP procedures which he performed on several patients on their demand and request at GMC Hospital Anantnag. However, the concerned government agency (SHA) repeatedly rejected pre-authorization to all cases requiring LBBAP which costs ₹1.70 lakh each case. The agency insisted that under PMJAY-SEHAT only a Dual Chamber procedure, costing upto ₹1 lakh was authorised. Thereupon, some of the patients, including Peer Rafeeq Ahmad, whose son himself is a doctor and who offered to pay the extra amount of ₹70,000 voluntarily over an affidavit directly to the Government supplier under proper receipt on Transaction Management System, LBBAP was conducted on a number of such patients. It was fed to media that Peer Rafeeq was "forced to pay an extra amount of ₹70,000". Now the officials holding the investigation have come across affidavits making clear that those choosing and insisting on LBBAP have paid extra amount of ₹70,000 to the Government supplier out of their own volition and choice and without any coercion. It has become clear that no official, doctor or any other individual has taken any amount of "cut", "commission" or undue benefit. Rather than selectively targetting an intervention cardiologist who didn't get any benefit from performing LBBAP instead of Dual Chamber, media should have been properly enlightened about the administrative lacuna and lapses. It should have questioned the SHA why the PM-guaranteed benefit, available upto ₹5 lakh a common family in J&K, should not be given to LBBAP cases if medically required and advised by cardiologists. It should have raised questions as to who would be responsible if anyone of the patients died whose pre-authorization at GMC Anantnag was outrightly rejected by SHA repeatedly. Rather than feeding the media wrongly and targetting the doctors selectively on questionable grounds, Government should hold a transparent investigation with supervision of a panel of experienced and independent cardiologists, identity and remove all hassles and impediments created by clerks and sections of bureaucracy and extend full benefits to the patients as guaranteed by both, the PM and the CM, separately.

This doctor brought an advanced, internationally validated cardiac pacing technique to a government hospital in Anantnag , a region with historically poor cardiac care access. He was doing LBBAP when most district hospitals don't even do basic pacemaker implants. The system didn't have a code for what he was doing. Patients who couldn't afford private cardiac care in Srinagar were getting physiological pacing in their home district. The investigation should be asking why the PMJAY code library is 5 years behind clinical practice not prosecuting the doctor who was way ahead of the curve. Let the final report come out, if the doctor is guilty, give him the punishment. But don’t do public darbar and media trial

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