Saturday, December 1, 2018

Doctor declines to sign part of testimony

TNN | Dec 1, 2018, 06.09 AM IST




 

CHENNAI: For probably the first time in the proceedings of the Justice (retd) A Arumughaswamy commission, a doctor has declined to sign a part of the testimony recorded during Thursday’s deposition, sources said.

Dr K Madan Kumar, a cardio-thoracic surgeon wi-th Apollo hospital, who was with former chief minister J Jayalalithaa throughout her Extra corporeal membrane oxygenation (ECMO) procedure from December 4, 2016 till her death the next day, did not sign page three of his testimony recorded, a source said.

This was because he disagreed with how his deposition regarding the time-frame of the sternotomy procedure leading up to the ECMO after her cardiac arrest on December 4 was recorded, sources said. The commission had raised doubts regarding how Jayalalithaa’s brain could have survived the time taken by the medical team to set up ECMO, as the brain would not survive without oxygenated blood for more than three minutes and the set-up would take 25 minutes. A source said the commission’s line of questioning was to ask whether the lung was functional, without which even artificial pumping of blood would not yield oxygenated blood to the brain.

Kumar told the commission that the pumping of blood was never stopped as the incision made during sternotomy was done in a ‘synchronised manner’, Badsha said.

Madan Kumar had also told the commission that at around 3:30am on December 5, 2016, around 11 hours after Jayalalithaa suffered cardiac arrest, she showed intrinsic heart rhythm for 30 minutes, counsel for Apollo Maimoona Badsha quoted the doctor as saying.

On Friday, the commission sprung a surprise by summoning Dr R Jayanthi, dean of the Rajiv Gandhi Government General Hospital (RGGGH). She was asked whether the hospital had performed sternotomy procedure or had the equipment for ECMO, sources said. She deposed saying the hospital did not have the equipment and that they had not performed the sternotomy procedure.

Based on her academic knowledge, Jayanthi also gave a deposition regarding the sternotomy procedure being synchronised procedure in stages where the pumping of blood is not stopped, in effect concurring with Dr Madan’s deposition, multiple sources said.

The doctor also said they do not perform the CPR procedure in the Critical Care Unit (CCU), a source quoted her as saying.

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