ONE ORGAN SPECIALISTS SETTING SHOPS TO FLEECE AND KILL PEOPLE

- Dr. Leo Rebello

madhavi.rajadhyaksha

Cc: indu.jain ; Rajdeep Sardesai ; Dr. Venkat Goyal

Monday, July 09, 2007 1:32 PM

Fw: 48 HOURS NOTICE TO DR. VENKAT GOYAL TO REFUND THE AMOUNT

Dear Madhavi :

Your report Sardesai's wife laments bitter hospital treatment was well done (Times 9 July).

The following is more in depth on the same issue. I am going to file a case against

this totally business-minded doctor soon. In the meantime, please go through my notice,

Dr. Goel's reply and my rejoinder to him appearing below.

Since I do not attack anyone from behind, I am marking him a copy of this to him too so that it serves as a reminder to him and he pays up and settles the matter amicably. Otherwise, I certainly know how to discipline such "one organ specialists" setting up "shops" to fleece people.

- Dr. Leo Rebello

Dr. Venkat Goyal

Tuesday, June 05, 2007 1:35 AM

48 HOURS NOTICE TO DR. VENKAT GOYAL TO REFUND THE AMOUNT

48 HOURS NOTICE TO REFUND THE AMOUNT

Tuesday, 5th May, 2007.

To

Dr. Venkat S. GoyalMD, DM {Cardiology}Owner

Riddhi Vinayak Critical Care and Cardiac Centre

Pushpachandra Apartment

559/1 Riddhivinayak Temple Lane

S.V.Road, Malad West

Mumbai 400064

Tel. 28663984 to 89

Fax : 56943309

Mobile : 9833142442.

Email : riddhivinayak

Dear Dr. Goyal:

I could not send a sur-rejoinder to your pointwise reply earlier because I was busy in book publishing which was released on 5th May in Mumbai. Thereafter I went to Delhi to attend to my case in the Supreme Court and was busy in several other activities, in addition to fighting our grief over the precious loss of our 25 years young and promising son who died due to your wilful negligence.

Your reply is sugar-coated. If it was sincere, I would have forgiven you and would not even ask for refund. You should also note that I am only asking refund of the undue fees charged by you, and not damages.

Since I served my first notice on you, I have come to know of other deaths in your so-called critical care centre run purely for business purpose. You have, it seems, forgotten your professional ethics in the pursuit of lucre.

Please scroll down and read my pointwise replies in [CAPS blue] and immediately refund Rs.1,10,000 fleeced from us in 48 hours in cash, and amicably settle the matter, failing which I will be constrained to take action against you as under:

(a) File a Criminal Case for unnatural death due to wilful negligence on your part.

(b) File a case in the Consumer Court for deficiency in service.

© File a case in the MRTP Commission.

(d) File a case before the Medical Council.

I hope better counsel prevails on your part and you see the light of the day and grow spiritually.

With best wishes

Dr. Leo Rebello

N.D., Ph.D., D.Sc., F.F.Hom., MBA

-

"riddhivinayak cardiac and critical centre" <riddhivinayak

<leorebello

Thursday, April 19, 2007 7:57 AM

reply to the notice sent to Dr. goyal

April 19, 2007

ToDr. Leo Rebello,28, Sunrise, 2nd Floor,Samta Nagar, Kandivli (East),Mumbai.Dear Dr. Rebello,

I am in receipt of your notice. I am really sorry for the sad demise of your son, Late Mr. Ronald Rebello. Going through your article "What is destiny", I feel that Ronald had a premonition of the things to happen. This is a precious gift imparted to very few and selected people. It also proves that God also requires, like us, noble souls to be with him. Please be assured that I, on my behalf and on the behalf of all the staff of Riddhi Vinayak Critical Care and Cardiac Centre, Malad (W), Mumbai stand by you in this hour of grief. We pray to God to give you courage to face this tremendous loss and also to give peace to his soul. [THANK YOU FOR THESE KIND WORDS, BUT THEY SOUND HOLLOW SINCE YOU DID NOT EVEN PAY A VISIT TO US OR APOLOGISE TO US FOR YOUR FAILURE. INSTEAD YOU KEPT SENDING FRANTIC MESSAGES THROUGH DR. KUMAR PATIL TO MY BROTHER ARTHUR, HIS FRIENDS ELAHI AND PARIKH TO MEET YOU AFTER YOU RECEIVED MY NOTICE.]

As demanded by you, the point wise explanations to your queries are as follows: -

1. Dr. Prannay Oza is not related to me. [THEN ON WHAT BASIS YOU HAVE MADE A HOMEOPATH SECOND IN COMMAND IN A CRITICAL CARE UNIT? EITHER YOU BELIEVE IN HOMEOPATHY HAVING MIRACULOUS RESULTS IN CRITICAL CARE OR OZA HAS BEEN PROMOTED BECAUSE OF FAMILY LINKS.]

2. Dr. Prannay Oza, a Homeopath, cannot prescribe Allopathic medicines or carry out surgical procedures. He is a Homeopathic Intensivist based at our hospital. [THEN HOW DID HE PRESCRIBE SO MANY ALLOPATHIC MEDICINES INSPITE OF TELLING HIM TO CONSULT ME BEFORE HAND? ALSO, ARE YOU SAYING THAT PUTTING A CENTRAL LINE, CVVHD, LUMBER PUNCTURE, WHICH HE DID IN MY PRESENCE, ARE NOT SURGICAL PROCEDURES?] We, like you, believe that for a complete and holistic recovery of any patient, a combination of Allopathy, Homeopathy, etc. is required. Hence, he takes care of the homeopathic treatment of the patients. [iN THAT CASE LET ME SEE WHAT HOMEOPATHIC MEDICINES OZA PRESCRIBED AND ADMINISTERED TO RONALD AND TO OTHER PATIENTS OF RVCC. ON THE CONTRARY, HE KEPT ARGUING AND SHOUTING WHEN HE COULD NOT EXPLAIN ON THE HIT AND MISS TREATMENT. INFACT HE DID NOT EVEN ADMINISTER THE HOMEOPATHIC MIXTURE IN LIQUID FORM WHICH I HAD KEPT WITH HIM. HOMEOPATHY, FOR YOUR INFORMATION, IS ENERGY MEDICINE, THAT IS WHY SOME ALSO CALL IT ELECTRO-HOMEOPATHY. SO, PLEASE DO NOT GIVE PUERILE COMMENTS AND JUSTIFY YOUR WRONG ACTIONS.] As far as Allopathic treatment and surgical procedures are concerned, they are done by well qualified doctors like me, Dr. Kumar Patil, Dr. Madhukar Garodia, Dr. Sejao Vidyasindhu, Dr. Ramesh Rao, Dr. Manoj Rajani, Dr. Vinay Goyal, etc. Dr. Prannay Oza carries out the orders as given by us and lends a helping hand in the surgical procedures (and does not carry them out on his own). [WE ASKED OZA TO ARRANGE MY MEETING WITH YOU. “HE IS IN THE OT” WAS THE STANDARD EXCUSE. MAYBE, YOU SIT, EAT, SLEEP IN THE OT ALL THE TIME. IF THAT IS THE CASE, I PITY YOU. LIKE NITU MANDKE WHO DIED WHILE DRIVING, YOU MAY DIE WHILE OPERATING, ENDANGERING YOURSELF AND THE PATIENT. RELAX. THIS IS THE ADVICE I HAD GIVEN TO MY FRIEND NITU MANDKE TOO.] Assisting in a surgical procedure and carrying out the prescribed orders, as per my knowledge, does not amount to any violation of the law. Please correct me if I am mistaken on this accord. [AS I SAID ABOVE, OZA PRESCRIBED THE ALLOPATHIC MEDICINES AND HE INDULGED IN THE SURGICAL PROCEDURES MENTIONED ABOVE ON HIS OWN. THE MAHARASHTRA MEDICAL COUNCIL ACT, 1961 AND/OR VARIOUS JUDGMENTS INCLUDING OF THE SUPREME COURT OF INDIA, WILL TELL YOU WHETHER THIS CONSTITUTES AN OFFENSE OR NOT.]

3. The hospital, without consulting you, had to administer (and not bombard) your son with so many medicines because the situation so warranted. He, at the time of admission was in a state of septicaemic shock with multi-organ failure (MOF). [AT THE TIME OF ADMISSION RONALD WAS NOT IN SEPTICAEMIC SHOCK OR DID NOT HAVE MOF. THAT DEVELOPED DUE TO BOMBARDMENT OF TOO MANY TOXIC MEDICINES. PERHAPS IN YOUR MEDICINE SCHOOL YOU HAVE NOT LEARNT OF IATROGENIC DAMAGE AND DEATHS DUE TO DRUGS AND PRESCRIPTION ADDICTION BEING SEVERAL TIMES MORE THAN THE STREET DRUG ADDICTION. OR KNOWINGLY YOU TRY TO COVER UP. DR. GOYAL, YOUR MEDICINE IS A PSEUDO SCIENCE AND YOU ARE PHARMA AGENTS GETTING CONTINUING EDUCATION FROM MENTALLY RETARDED MEDICAL REPRESENTATIVES AND PRESCRIBING DRUGS BASED ON PERKS.] If you go through his biochemical reports of 20th February, 2007 (i.e. at the time of admission - he was admitted at 10:30 PM), reveals and supports the same. To enumerate, a) Hb was 6.7 gm%, Platelets were 42, 000/mm3 and PTT was 64/32 seconds; LDH in the morning of 21st February, 2007 was 9096 IU/L{these are all suggestive of severe hemo-lysis secondary to pancreatitis and septicaemia); b) At the time of admission, Serum Creatinine was 7.2 mg%, Serum Potassium was 6.4 mEq/L and BUN was 110 mg% {these are suggestive of ARF}; c) At the time of admission, SGOT was 160 IU/L {suggestive of hepatic involvement} and ABG was suggestive of severe respiratory acidosis and failure {suggestive of pulmonary and cardiac involvement}. Hence, these reports conclusively prove that the patient was in severe septicemia with MOF. As far as the question of permission is concerned, your brother Mr. Arthur Rebello was constantly consulted and his permission was continuously taken. [i HAD NOT AUTHORISED MY BROTHER ARTHUR OR ANYONE TO CONCUR ON MY BEHALF. INSTRUCTIONS GIVEN AT THE TIME OF ADMISSION TO OZA WERE CRYSTAL CLEAR: “I SHOULD BE CONSULTED BEFORE ANY SURGICAL AND MAJOR INTERVENTION”. MY TWO MOBILE PHONES AND RESIDENCE PHONE NUMBERS WERE GIVEN TO HIM.] This is also evident from the fact that when you had reservations regarding the Lumbar Puncture (LP), we all had a meeting in presence of Dr. Kumar L. Patil MD (general Medicine), a leading consultant of this suburb with more than 20 years practice. All treatment was reviewed and a general consensus was formed. Your brother, Mr. Arthur Rebello, and his friend Mr. Illahi, after this meeting had emphatically stated that henceforth we would be giving permission for further treatment and that you, on seeing the critical condition of your son, is so overwhelmed, that you should not be disturbed. This can be verified at your end with them. This is also proven by the fact that subsequent procedures like LP, CVVHD, etc. have Mr. Arthur Rebello's signature on them. [THESE SIGNATURES WERE OBTAINED ROUTINELY LIKE MOST HOSPITALS DO WITHOUT INFORMED CONSENT, LIKE POLICE OBTAIN SIGNATURES ON BLANK PAPER FROM THE ACCUSED AND THEN WRITE ANYTHING AND PRODUCE IT AS A STATEMENT, WHICH IS NOT VALID IN LAW. THIS IS A KNOWN MODUS OPERANDI OF THE CRIMINAL MINDED PEOPLE.]

4. As the patient was suffering from MOF, hence, bio-chemical analysis of all these organs were a must. Many of the tests like ABG, CBC, Serum Electrolytes, Serum Creatinine, and PTT were repeated because when the patient is on ventilator, inotropes, CVVHD, etc. then these are the tests which indicate the effect of the medicines administered and also suggests any modifications in the treatment, if any, have to be made. [THAT IS ONE UNCONVINCING EXPLANATION. THE OTHER EXPLANATION IS DO IT TO SHOW THAT YOU ARE DOING SOMETHING. DO IT ALL THE SAME, BECAUSE THE PATIENT IS A FLEECING COW IN YOUR DEGENERATE SYSTEM OF MEDICINE.]

5. The diagnosis and treatment was not safe is a misconception. The mortality rate in a case of acute pancreatitis with septicemic shock and MOF is very high inspite of the treatment given.[THERE WAS NO DIAGNOSIS MADE AS I HAVE WRITTEN BEFORE AS ALSO IN YOUR DISCHARGE NOTE. PLEASE REFER TO MY ARTICLE ON MYSTERIOUS FEVER, WHICH WAS SENT TO YOU. YOUR CONSULTANT DR. RAO HAD CLEARLY TOLD MY WIFE ON 22 FEB. THAT IN THE ABSENCE OF ANY CLEAR CUT DIAGNOSIS ONE HAS TO GIVE ALL KINDS OF MEDICINES, WHICH I CALL DANGEROUS PRACTICE.] In your case the treatment was abruptly stopped and the patient was transferred to KEM Hospital, hence, the outcome was very evident. This was repeatedly emphasized and stressed upon you, your relatives and family friends. [iNSPITE OF THAT YOU STOPPED THE TREATMENT ABRUPTLY. DIALYSIS SHOULD HAVE CONTINUED TILL RONALD WAS SHIFTED TO THE AMBULANCE AT 11.30 PM. THIS ITSELF SHOWS YOUR MERCENARY APPROACH. I TOOK THE DECISION TO SHIFT MY SON TO KEM BECAUSE HIS CONDITION WAS DETERIORATING INSPITE OF YOUR SO-CALLED CRITICAL CARE AND BECAUSE YOUR IDIOT DOCTOR PRANNAY OZA, WHO STARTED SHOUTING INSTEAD OF REPLYING TO MY PRECISE AND SEARCHING QUESTIONS. ANY OTHER PERSON IN MY POSITION WOULD HAVE PHYSICALLY ASSAULTED HIM. EVEN AT THAT TIME, WHEN I ASKED HIM TO CALL FOR YOU, I WAS TOLD THAT YOU WERE IN THE OT. NICE EXCUSE WHEN YOU DO NOT WANT TO FACE THE DIFFICULT SITUATION.] This fact can be ascertained by the signatures on the high risk DAMA consent which has been signed by you, Mr. Vijay Parikh {family friend} and Ms. Anitha Chettiar {Teacher}. [HAVE YOU SEEN MY COMMENT ON DAMA? YOU ALSO DELAYED THE DISCHARGE BY ABOUT 4 HOURS. INFACT, RONALD DIED PRIMARILY BECAUSE OF THIS UNDUE DELAY IN DISCHARGE BY YOU AND STOPPING DIALYSIS ABOUT 4 HOURS BEFORE ACTUAL SHIFTING. RONALD DID NOT DIE IN THE KEM, HE DIED ON THE WAY TO KEM WHICH PROVES YOUR WILFUL NEGLIGENCE.]

6. There has not been "an absence of proper diagnosis inspite of so many required and unrequired tests". I have already stated above, with the help of bio-chemical values, that the diagnosis was proved beyond doubt on the day of admission itself. However, I repeat to re-emphasise: - a) Acute Pancreatitis: - by excessively high Serum Amylase and Serum Lipase values, b) Acute Renal failure (ARF): - by elevated Serum Creatinine values (which revealed a progressive increase from 7.2 mg% on 20/02/07 ---> 7.7 mg% on 21/02/07 ----> 9.1 mg% on 22/02/07), elevated Serum BUN and Serum Potassium values, c) Pulmonary and cardiac involvement by ABG values, hypotension, desaturation, anuria, etc. d) Hepatic involvement: - by elevated SGOT and Serum Bilirubin values, e) state of DIC: - by increased FDP value {his FDP value was >10<40}, decreased platelets value and increased PTT value, f) Bacterial Septicemia: - by elevated PCT value - his value was 10 mg/ml {please note that a PCT value >0.5mg/ml could be suggestive of bacterial septicemia but a PCT value of more than or equal to 10 mg/ml is almost confirmatory of bacterial septicemia), g) hemolysis: - by reduced Hb and elevated Serum LDH value, h) Inflammation: - by elevated serum Lactate values. [ALL THESE TESTS ARE INCONCLUSIVE AND, IF AT ALL, SHOW MARKED FALACIES IN YOUR FOOLING DIAGNOSTIC PROCEDURES. IN WHAT WAY DID THESE TESTS HELP YOU TO GET MY SON OUT OF SEPTICEMIA? SCORES OF SEPTICAEMIC PATIENTS HAVE WALKED BACK HOME FULLY RECOVERED. WHY A ROBUST YOUNG MAN HAD TO DIE? HE DIED BECAUSE OF YOUR NEGLIGENCE AND INCOMPETENCE OF PRANNAY OZA.]

7. Our system of medicine i.e. Allopathy is scientific but may not be still perfect. But it is based on scientific and clinical trials and phase trials which no other system of medicine is based. [iN YOUR PSEUDO SYSTEM OF MEDICINE YOU TEST DRUGS ON POOR ANIMALS WHO CANNOT PROTEST AND YOUR SO-CALLED PHASE TRIALS ARE ONLY ON PAPER AND COOKED UP. INSPITE OF THESE TRIALS, IATROGENIC DISORDERS COME TO LIGHT AND MANY DRUGS ARE WITHDRAWN FROM THE MARKET., THALIDOMIDE IS A CLASSIC CASE. YET MANY DRUGS, INSPITE OF THEIR KNOWN CARCINOGENIC EFFECTS, ARE STILL ADMINISTERED TO PEOPLE. DO YOU CALL THAT SCIENCE OR IS IT BUSINESS?] I have no hesitation in accepting that we have a long way to go but at present with whatever available knowledge to Allopathy, the treatment that was given was appropriate and that the "one organ specialist", in your opinion, worked to save your son. [ONE ORGAN SPECIALISTS KNOW PRECIOUS LITTLE. LIKE LATE NITU MANDKE OPERATED ON BALASAHEB THACKERAY’S HEART, BUT DIED WHILE DRIVING A CAR. THAT MEANS HE DID NOT KNOW THAT HIS OWN TICKER WAS FAULTY OR THE STRESS WOULD KILL HIM. TOO MANY COOKS SPOIL THE BROTH SAYING DESCRIBES YOUR SYSTEM APTLY. AS THE OTHER SAYING GOES, AN EXPERT KNOWS MORE AND MORE OF LESS AND LESS.] Dr. Rebello, I request you to keep this fact in mind that the intentions were never malafide. [i DID NOT ACCUSE OF YOUR INTENTIONS BEING MALAFIDE. BUT IF YOU CONSIDER ALL YOUR ACTIONS THEY HAVE, WILLY-NILLY, LED TO DEATH OF MY SON. IT IS DEATH DUE TO NEGLIGENCE, AN OFFENCE – U/S 304A OF THE IPC. AND WHAT ABOUT CHEATING, OVER-BILLING?]

8. Irrational use of anti-biotics leading to multi-organ failure can occur when the over usage of medicines is the cause. This can only happen after these medicines are administered after hospitalisation. Your son was already in multi-organ failure with septicemia with acute pancreatitis at the time of admission. This fact has been repeatedly told with the help of the bio-chemical values at the time of admission. Please refer to clarification numbers 3 and 6, as mentioned above. [iF YOU ANALYSE THE AMOUNT OF MEDICINES THAT RVCC PUMPED INTO RONALD IN 48 HOURS, WITH NO FOOD GIVEN AT ALL, AND OTHER BARBARIC TECHNIQUES EMPLOYED IN SUCH A FRAIL CONDITION, PROVES MY POINT BEYOND DOUBT THAT IRRATIONAL USE OF ANTI-BIOTICS LED TO MY SON’S UNTIMELY DEATH. INFACT, ONE OF THE THINGS WHICH MY SON HAD SAID TO HIS FRIENDS WAS “I WILL DIE IN THREE DAYS IF I AM TAKEN TO A HOSPITAL”. THAT IS EXACTLY WHAT HAPPENED – ONE DAY AT YENDE’S HOSPITAL AND TWO DAYS AT YOUR HOSPITAL. HOW PROPHETIC WAS MY SON.] Here read what Carol Roberts, MD from USA, has to say :

“I cannot tell you how much your experience has moved me, as has your analysis of the medical situation. No one knows the full extent of the ignorance and the rapaciousness of the system until they are confronted with it.

“The story is appalling, the situation unthinkable. I am so sorry for your loss. Ofcourse I remember my visit to your home and your delightful family. I still have pictures from that time.

“May I have your permission to send your message to some of my friends and associates? I know they will find it instructional. The more people that recognise the damage done by a capitalist medical model, the sooner we will get substantial change. Clearly this is one way that Ronald’s tragic death can be turned to good.

“I pray you will find peace in your heart soon and that you will find solace from your pain in continuing the crusade that has occupied your life.

“With love to you, Kashmira and your younger boy (not a boy anymore, no doubt!).”

9. Each and every item/drug as supplied by you has been used for the patient. We can give audit /proof of the same before competent authorities whenever required. [bEFORE GIVING IT TO A COMPETENT AUTHORITY YOU NEED TO PROVE IT TO ME BECAUSE YOU HAVE EXTORTED MONEY FROM ME FOR THOSE UNNECESSARY MEDICINES WHICH I DID NOT APPROVE OR AUTHORISE YOU TO ADMINISTER.]

10. We have never made it compulsory to buy the medicines from Hospital Chemist only. It was not made mandatory that it had to be purchased from our hospital chemist. The relatives are given a prescription slip to purchase the medicines from a chemist they want. If we would have made it mandatory to purchase the medicines from the hospital chemist, then we would have provided bed-side medicines and then charged it in the hospital bill (as few hospitals that follow this practice do). [THAT IS A BETTER PRACTICE, THEN MAKING THE PATIENTS RUN WITH CASH TO BUY THE MEDICINES. AND ISN’T IT TRUE THAT SHREE SHYAM ENTERPRISE AND MEDICAL STORE IS OWNED BY YOU? IN OTHER WORDS YOU MAKE PEOPLE PAY BY CASH AND FROM BACK DOOR GIVE THE UNUSED OR OVER-PRESCRIBED MEDICINES BACK TO HIM? IF MEDICINE AUDIT IS DONE BY AN INDEPENDENT AND HONEST AUDITOR THIS CAN EASILY BE ESTABLISHED. IT WILL ALSO UNEARTH TAX EVASION.]

11. The name of the referring doctor is mentioned on all the tests because that is our hospital policy. When a doctor refers the patient to us, than we have a moral duty to keep the referral informed about the condition of the patient, the results of the investigations, etc. We also carry out the instructions as given by the referral. [CRAP… THE REFERRING DOCTOR NITIN YENDE WAS NOT INFORMED OR CONSULTED BY YOU, DURING 48 HOURS THAT RONALD WAS IN YOUR HOSPITAL. INFACT, HE SENT US TO YOU BECAUSE OBVIOUSLY YOU PAY HIM WELL.] Dr. Rebello you must realise that still a majority of the Indian population consider their family physician as their family member and rely entirely on his/her consent for the treatment and investigation. Hence, the umbilical cord linking the patient to the family physician is not severed just because he has referred the patient to us. [NICE YARN. FIRST AND FOREMOST NITIN YENDE IS NOT OUR FAMILY PHYSICIAN. OUR ASSOCIATION WITH HIM WAS OF 24 HOURS, LIKE OUR ASSOCIATION WITH YOU WAS FOR 48 HOURS. OUR FAMILY PHYSICIAN IS ME. WHENEVER REQUIRED, WE CONSULTED DR. K.N. KASAD, MBBS, MF Hom (UK), DSc., WHO IS LIKE OUR FAMILY MEMBER AND WHO HAPPENS TO BE PRANNAY OZA’S GURU. THESE FACTS WERE TOLD TO OZA. OZA WAS ALSO TOLD TO CONCUR WITH ME AS A DOCTOR, AND NOT PRESCRIBE INDISCRIMINATELY ANY MEDICINE, TESTS OR PROCEDURES.]

12. We are not into a habit of passing cuts and commissions to the referrals. The figure of 40% appears amusing. [YOU MAY SAY THAT HUNDRED TIMES, BUT IT DOES NOT AMUSE ANYONE BECAUSE EVERYONE KNOWS HOW MERCENARY IS THIS CUT SYSTEM.]

13. When we talk about the Hippocratic Oath, then we have to respect the Oath in totality. A Doctor colleague's direct relative may not be charged is true. But if this Doctor colleague does not have faith on the physician than this pious relation is broken. Physicians when held in regard and esteem would reciprocate more than expected. But when irrationally blamed would become neutral (and not vindictive because being Doctors they understand the mental and emotional trauma the family of a deceased has suffered). [YOUR EXPLANATION IS WARPED AND INDICATES HOW CUNNING YOU ARE. BEHIND THE FAÇADE OF SWEET WORDS, DR. GOYAL, YOU ARE A CHEAT.]

14. You may have not approved to the consultants visit, but as already explained in the clarification no. 3 {as mentioned above} your brother Mr. Arthur Rebello was always consulted and his consent was taken. That is why he has signed on the appropriate places. Signature on CVVHD can only be given when a Nephrologist (i.e. Dr. Ramesh Rao in this case) consults the relatives. Like wise a CT scan of the brain and LP are generally done on the recommendation of a Neurologist (Dr. Manoj Rajani in this case). [i REPEAT AND REITERATE THAT I HAD NOT AUTHORISED MY BROTHER ARTHUR TO SIGN ON MY BEHALF. MY WIFE HAD A TALK WITH DR. RAMESH RAO. AS REGARDS DR. MANOJ RAJANI, HE CAME INTO THE RVCC WHEN OZA WAS ALREADY DOING LP AND STARTED TALKING AS IF HE WAS ENTERING A COLLEGE CANTEEN AND ON SEEING ME BECAME SERIOUS. HIS COMMENT, ‘ACHCHA ABH LP HO RAHA HAI?’ WAS CASUAL AND ALSO MEANT IT WAS NOT NECESSARY SINCE MENINGITIS WAS RULED OUT. IF HE IS THE NEUROLOGIST, WHO WAS CALLED TO CONSULT, THEN LOGICALLY HE SHOULD HAVE DONE THE LP.]

15. Mentioning doctors by numbers in a hospital bill does not amount to be a bogus billing. Every hospital has a way of billing. If the doctors' name, qualifications, specialty etc. are mentioned on a bill, we, by our past experience have found that, it leads to a lengthy bill. However, if any of the relatives so wish then it is told to them or the doctor's name, qualifications etc. are mentioned on the bill. [YES, I WOULD LIKE TO KNOW THE NAME OF EVERY CONSULTANT MENTIONED IN THE BILL BY NUMBER. HOW MUCH TIME EACH CONSULTANT GAVE TO EXAMINE RONALD’S CONDITION, WHETHER HE CONFERRED WITH ME OR MY WIFE AND WHETHER INFORMED CONSENT WAS TAKEN FOR SUCH TREATMENT OR NOT.]

16. When you had told Dr. Oza that you wanted to shift your son to KEM, then the ambulance was kept waiting for 3 hours not because we wanted to delay the discharge but because the so called "fully equipped, air conditioned Ambulance" which had come was totally un-equipped. [i REPEAT AND REITERATE THAT YOU DELAYED US, WHICH LED TO THE UNTIMELY DEMISE OF MY YOUNG SON. IF YOU THOUGHT THAT THE AMBULANCE THAT WAS CALLED WAS UN-EQUIPPED THEN WHY DID YOU NOT OFFER YOUR BETTER AMBULANCE? YOU HAVE TWO WELL-EQUIPPED AMBULANCES, AND BOTH WERE THERE ON 22 FEB.] Dr. Rebello, you had requested for a transfer on 22/02/07 at approx. 8:00 PM. We had taken high risk consent for transfer at 8:20 PM from Mr. Vijay Parikh (family friend) and Ms. Anitha Chettiar (Teacher). You had gone on the ground floor and didn't come to give your consent. Then Mr. Vijay Parikh took the case papers alongwith and obtained your signatures at 9:45 PM. Hence, after obtaining your consent at 9:45 PM we initiated the process of transfer. Mr. Arthur Rebello, your brother, told that as he is not in favour of this transfer, he would not sign on the same. [WHITE LIES. I WAS THERE ON THE GROUND FLOOR, AFTER I TOLD OZA, AT AROUND 6.30 PM, THAT I WANTED IMMEDIATE DISCHARGE BECAUSE MY SON’S CONDITION WAS GETTING WORSE DUE TO RVCC’S HIT AND MISS TREATMENT. MY BROTHER ARTHUR WAS NOT THERE AT ALL DURING DISCHARGE. These facts are there on the case papers. SEE THE CASE PAPER YOURSELF ONCE AGAIN, ESPECIALLY MY COMMENTS AND GET YOUR BIFOCALS CHANGED IF YOUR EYESIGHT HAS BECOME WEAK RATHER THAN JUSTIFY YOUR WRONG ACTION.] When at approx. 10:15 PM, when the transfer summary was prepared [sO YOU CONFIRM IN YOUR OWN WORDS THAT YOU TOOK FROM 8.00 PM TO 10.15 PM TO PREPARE A SIMPLE TRANSFER SUMMARY. THAT MEANS THE DELAY WAS DELIBERATE.] we found the "fully equipped, air conditioned Ambulance" which was called did not even have basic emergency amenities like syringe pump, pace maker etc. Dr. Rebello you must understand that at that time the BP of the patient was 64/32 mmHg inspite of inotropes like Dopamine, Dobutamine, Nor-adrenaline, Adrenalin, Vasopin etc. being administered through a syringe pump. [iF YOU SAY THAT MY SON’S CONDITION WAS BAD, WITH BP BEING AS LOW AS YOU MENTION, AND THEN AT 10.15 PM YOU SAY YOU INFORMED THE AMBULANCE PEOPLE TO ORGANISE FOR SYRINGE PUMP AND PACE MAKER, THEN YOU CONFIRM THAT YOU WASTED SO MUCH PRECIOUS TIME INSPITE OF THE PATIENT BEING IN CRITICAL CONDITION. YOU ALSO STOPPED THE DIALYSIS THOUGH IT SHOULD HAVE CONTINUED TILL THE PATIENT WAS SHIFTED FROM THE BED TO THE AMBULANCE.] Hence, we requested the Ambulance people to at least arrange for syringe pump and pace maker so that the patient may not suffer a fatality during transport. The Ambulance people (Nulife if I am not wrong) clearly told that they do not have a pace maker but would arrange for few syringe pumps. They took more than 75 minutes to arrange for the same. Hence, the patient was transferred at about 11:30 PM. [iN OTHER WORDS YOU CONFIRM THAT YOU WASTED ABOUT 4 HOURS. THAT YOU DID NOT PROVIDE YOUR BETTER AMBULANCE, THAT YOU DID NOT GIVE SUPPORT SYSTEM, INSPITE OF CONFIRMING THAT MY SON’S CONDITION WAS CRITICAL. DR. VENKAT S. GOYAL, MD, DM, THIS AMOUNTS TO WILFUL NEGLIGENCE OR DEFICIENCY IN SERVICE. YOUR HIGH DEGREES ARE OF INSIGNIFICANT VALUE IF YOU ARE CONSCIENCELESS.] Also, just before the transfer when the Ambulance people had arranged for the syringe pumps and had taken the patient on the stretcher, the patient had passed stools and had soiled the clothes. Our staff had removed the soiled clothes and the patient was being cleaned. Then the Ambulance people started fighting with us that already 3 hours have been wasted and that they cannot wait any more. [THEY WERE JUSTIFIED BECAUSE THEY HAVE BEEN WAITING FOR OVER 3 HOURS DUE TO YOUR DELIBERATE DELAY. IF YOU SAY THAT CLOTHES WERE REMOVED AND NURSES WERE CLEANING MY SON, THEN THE JOB IN HAND SHOULD HAVE BEEN COMPLETED. ACCORDING TO MY INFORMATION, THE NULIFE AMBULANCE ATTENDANT AND DOCTOR FOUGHT WITH YOUR STAFF BECAUSE YOUR STAFF MEMBERS WERE EVEN SNATCHING THEIR BEDSHEET. WHAT KIND OF IDIOTS ARE WORKING IN YOUR HOSPITAL? THIS IDIOTIC ATTITUDE OBVIOUSLY IS PERCOLATING FROM YOU, BECAUSE THE STAFF TAKE THE COLOUR OF THEIR BOSS. HANG YOUR HEAD DOWN IN SHAME, DR. GOYAL AND APOLOGISE FORTHWITH RATHER THAN RATIONALISE YOUR UNPARDONABLE BEHAVIOUR.] On this issue we had a very serious argument with them. We told that the patient has to be clothed first before transfer. But they fought very badly and as the patient was on the stretcher, forcibly took the naked patient (whom we covered with a bed sheet) in the ambulance. [TOTAL LIES. YOU ONLY REMOVED SOILED CLOTHES. YOUR NURSES DID NOT EVEN CLEAN MY SON PROPERLY. THE BEDSHEET WAS SOILED AND WAS STINKING. IN MY PLACE IF THERE WERE ROWDY ELEMENTS, LIKE SHIV SAINIKS, THEY WOULD HAVE HAMMERED YOU OR BURNT YOUR HOSPITAL FOR THIS INSULT AND BANIA ATTITUDE. EVEN THE PEOPLE WHO SAW THE CONDITION OF MY SON WHEN HE WAS BROUGHT DOWN FROM THE LIFT SAID YE TOA JANAWARON KE HASPATAL SE BHI KHARAB HASPATAL HAI. AND I AM SURE THE WORD HAS SPREAD.] Believe me Dr. Rebello, that out of all the allegations, this allegation has hurt me the most. No Doctor or hospital under the sun can attack the dignity of the patient in this manner. Doctor Rebello what is the need of our staff to fight with the Ambulance people? However, if they acted in the manner in which they had acted (i.e. of transferring a naked patient just because they are getting late) then is my staffs not correct to protest? [YOU ARE JUSTIFYING THAT WHICH CANNOT BE JUSTIFIED AND CONFIRM THE FACT THAT YOU ARE A SWEET TALKING CUNNING CROOK WITH SQ ABSOLUTELY LOW AND MORAL VALUES NIL.]

17. I can assure you that Riddhi Vinayak Critical Care and Cardiac Centre, Malad (W), Mumbai helps people in emergencies. That is why your son even when he was admitted at 10:30 PM in the night had got a correct diagnosis and treatment within no time at all. [RUBBISH. IN THE CONDITION IN WHICH MY SON WAS IN YOUR HOSPITAL, HE REQUIRED IMMUNO-BOOSTERS, BUT YOU PUMPED HIM WITH IMMUNO-SUPPRESSANTS. THIS HIT AND MISS TREATMENT IS WHAT LED TO MY DECISION TO SHIFT HIM, TO SAVE HIM.]

18. Your information is totally false: - a) as mentioned in the clarification no. 1 Dr. Prannay Oza is not related to me. [sIMPLE DENIAL WON’T HELP, PROVE IT.] b) I am thankful that you have atleast considered me to be a good cardiologist. [i HAVE ONLY HEARD THAT YOU ARE A GOOD CARDIOLOGIST. BUT SINCE I WROTE TO YOU, I HAVE ALSO HEARD MANY ADVERSE THINGS ABOUT YOU. BY THE WAY, PLEASE PROVIDE ME THE STATISTICS OF FEBRUARY 2007 – HOW MANY PATIENTS WERE ADMITTED TO RVCC, HOW MANY DIED, HOW MANY WERE TRANSFERRED, HOW MANY RECOVERED AND WENT HOME AND COSTS YOU COLLECTED FROM THEM IN CASH OR THROUGH INSURANCE. IF IT IS INSURANCE, WE KNOW THAT USUALLY THE HOSPITALS BILL THE PATIENTS TO THE MAXIMUM AMOUNT OF INSURANCE COVERAGE, AS IT IS A BIG RACKET – PATIENTS AND THEIR RELATIVES DO NOT BOTHER WHETHER THE TREATMENT OR TESTS ARE REQUIRED OR NOT, AND THE INSURANCE COMPANIES DO NOT BOTHER BECAUSE THERE ALSO THERE IS CUT GIVEN TO THE INSURANCE INSPECTORS. MEDICLAIM IS A BIG RACKET WHICH HAS MADE YOUR SYSTEM OF MEDICINE A MAD HOUSE AND DOCTORS LIKE YOU TOTALLY CONSCIENCELESS AND CRUEL.] As far as our fragmented system of treatment is concerned, then as explained before Allopathy makes it mandatory to take the help of specialists ("one organ specialists" as per you), [YOU CONFIRM WHAT I HAVE SAID. YOU CONFIRM THAT ONE ORGAN SPECIALIST DOES NOT KNOW ANYTHING ABOUT THE OTHER ORGAN. HEART SPECIALIST DOES NOT KNOW ANYTHING ABOUT LUNGS, LUNGS SPECIALIST DOES NOT KNOW ANYTHING ABOUT LIVER AND SO ON. CONSEQUENTLY, YOU CALL SO MANY VULTURES AT THE PATIENT’S BEDSIDE AND MANY OF THEM DISCUSS ALOUD THE DIAGNOSIS AND PROGNOSIS, FRIGHTENING THE PATIENTS AND THEIR RELATIVES. ‘CREATE A SCARE AND CASH ON IT’ IS THE OPERATING PRINCIPLE OF YOUR PHARMA-DRIVEN BOGUS MEDICAL SYSTEM. MANDATORY INDEED! ASK MRS. GOYAL WHETHER YOU CAN FORCE HER TO BUY A SARI THAT SHE DOES NOT WANT. THEN HOW CAN YOU FORCE A SPECIALIST ON THE PATIENT? THIS AMOUNTS TO EXTORTION. YOU SHOULD REMEMBER THAT YOU CANNOT FORCE SPECIALISTS ON PEOPLE, ESPECIALLY WHEN THE PATIENT’S FATHER IS A QUALIFIED DOCTOR. AND WHEN YOU CALL THE SO-CALLED SPECIALISTS, THEY HAVE TO GIVE PROPER ADVICE AND THE PATIENT OR THE PATIENT’S RELATIVES HAVE TO ACCEPT THEIR COUNSEL.] c) I am proud to say that Riddhi Vinayak Critical Care and Cardiac Centre, Malad (W), Mumbai does not have any bank loan on its head. If required, it can be proved beyond doubt before competent authorities. [ACCORDING TO OUR INFORMATION RVCC HAD HEAVY LOANS ABOUT A YEAR AGO. IF IT IS NOW NIL, AS YOU AVER, IT MEANS THAT YOU ARE RAKING IN PROFITS. WHICH ONCE AGAIN PROVES THAT YOU ARE FLEECING PEOPLE, THAT YOU ARE INTO BUSINESS AND NOT PROFESSION. A COMPLAINT BASED ON THIS TO TAX AUTHORITIES WILL NOT BE OUT OF PLACE.]

19. We never insist on cash payment. We request for payments but not cash payments. We can prove if required, that a large majority of our payments is through credit cards, debit cards, demand drafts, pay orders, cheque, etc. [WE OFFERED TO PAY YOU BY CHEQUE AND YOUR CASHIER SAID NO. ONLY CASH PAYMENT OR CREDIT CARD OR DEMAND DRAFT. YOU MAKE ANNOUNCEMENT ON PUBLIC ADDRESS SYSTEM, CALL OUT THE NAME OF THE PATIENT AND PRESSURISE THE PATIENT’S RELATIVES TO MAKE IMMEDIATE PAYMENT, LEST THE TREATMENT WILL STOP. ONE POOR WOMAN WAS CRYING THERE BECAUSE SHE COULD NOT ARRANGE MONEY AND YOU HAD ASKED HER TO TAKE HER SON AWAY. BUT TO SAVE YOUR SKIN, YOU ARE SURE TO OBTAIN HER SIGNATURE OR THUMB IMPRESSION ON DAMA.]

We can also prove that majority of the patients admitted at Riddhi Vinayak Critical Care and Cardiac Centre, Malad (W), Mumbai pay only a nominal amount on admission. The rest of the money is paid thereof. Also, I can proudly give evidence, if required, that in a majority of the emergency cases like rescue PTCA, Decompressive surgeries post CVA, etc. the procedures have been carried out on an emergency basis and the payment was made even 2 -3 days after the procedures. [THEN WHY WAS MONEY COLLECTED FROM US, A PROFESSIONAL COLLEAGUE, IN CASH, IN EXCESS, AS CAN BE PROVED FROM THE REFUND THAT YOU GAVE AT THE TIME OF DISCHARGE?]

20. In the light of the clarifications given above, you would be unjustified in asking for your money back. Your son has expired because of the delay in appropriate treatment before hospitalisation at Riddhi Vinayak Critical Care and Cardiac Centre, Malad (W), Mumbai and also because of the inappropriate facilities in the ambulance which had transferred. Had the ambulance been well equipped with facilities like Pace Maker then his heart would not have stopped on the way as it did. Even if it would have stopped efforts of revival and resuscitation could have been done. [i REPEAT AND REITERATE THAT MY SON DIED DUE TO YOUR GROSS NEGLIGENCE WHICH IS PROVED ABOVE IN YOUR OWN WORDS. NO FURTHER PROOF IS REQUIRED.]

To conclude, let me be very clear on few points : - a) these clarifications have been tendered as you had written with an open mind. [NOW I AM CLEAR THAT YOU DO NOT HAVE AN OPEN MIND.] Also, we have the deepest regrets about the loss of a young life esp. when the deceased was so blessed so as to foresee the destiny and so promising so as to be requested to become the President of Nirmala Niketan Alumni Association. [PLEASE DO NOT INSULT US ANY FURTHER BY YOUR INSINCERE UTTERANCES.] b) we respect that our Doctor colleague has asked for this. We are also aware that when Dr. Nitin Yende had given the choices of Karuna Hospital and Hinduja Hospital (before the patient was transferred here), you had opted for Riddhi Vinayak Critical Care and Cardiac Centre, Malad (W), Mumbai [YOU ARE RIGHT, MY FIRST PREFERENCE WAS KARUNA HOSPITAL, BUT NITIN YENDE, FOR REASONS BEST KNOWN TO HIM, FIXED RVCC. AS COMPARED TO HINDUJA, RVCC WAS CLOSER AND HENCE WE UNWILLINGLY OPTED TO ADMIT HIM THERE] and it was mentioned that you have faith in me as a physician [HOW CAN I HAVE FAITH IN YOU WHEN I HAVE NOT EVEN SEEN YOU. I HEARD YOUR NAME FOR THE FIRST TIME ON 21 FEB. WHEN RONALD WAS ADMITTED INTO YOUR CONGESTED CUB HOLE OF A HOSPITAL.] This has compelled me to revert back to you, c) releasing the correspondence to Press and also to the appropriate authorities should scare those who have either done negligence and/or dereliction of duty. Every person has got the right to approach these avenues, if they so wish. [MYSTERIOUS FEVER ARTICLE IS ALREADY A CHAPTER OF THE BOOK PUBLISHED AND I STAND BY WHATEVER I HAVE WRITTEN THEREIN. DR. GOYAL, WE HAVE LOST OUR YOUNG SON FULL OF PROMISE AND THE NATION HAS LOST A PRECIOUS GEM AS THE MESSAGES IN THE BOOK MILES TO GO… PROMISES TO KEEP… WILL PROVE. WE CANNOT GET HIM BACK. HIS DEATH CANNOT BE VALUED IN MONETARY TERMS. HENCE, DO NOT RUB SALT OVER OUR WOUNDS. ALL THAT WE ARE ASKING IS THE REFUND OF HEAVY FEES CHARGED BY YOU. IF I AM CONSTRAINED TO GO IN FOR LITIGATION I WILL FILE FOR DAMAGES OF OVER 10 CRORES, BECAUSE MY 25 YEARS OLD SON HAD BRIGHT CAREER AHEAD.]

Yours truly,For Riddhi Vinayak Critical Care and Cardiac Centre, Malad (W), Mumbai

(Dr. Venkat S. Goyal)MD, DM {Cardiology}

P.S.: In "What Is Destiny" you have mentioned on or around 16th February, 2007 Ronald had told you that you will become a great leader of India. Also, the e-PIL lodged by you on 14th April, 2007 v/s the Govt. of India, a copy of which you have been kind enough to e-mail to me, I sincerely wish that a meritorious and learned person like you should definitely be awarded Padma Awards and should be nominated to Rajya Sabha and/or be the future President of India. The words of Ronald, your achievements and the well wishes of the friends would definitely ensure the same. Please be kind enough to e-mail me copies of informative materials like the same in future also. [EVENTHOUGH THESE ARE SUGARY WORDS, I THANK YOU. LIKE SWAMI VIVEKANAND SAID, EVERY SOUL IS POTENTIALLY DIVINE. I HOPE YOU RECOVER YOUR LOST DIVINITY AND BECOME A BETTER DOCTOR, BECAUSE THERE IS NO BANK OR CREDIT CARD FACILITY IN THE WORLD IN WHICH MY SON HAS GONE. AS THE GITA SAYS – TUM KYA LAYE THE, KYA LEKAR JANE WALE HO… SABH YAHIN SE HAI… SABH YAHIN PAR CHODKE JANA HAI… THEREFORE, GROW SPIRITUALLY. ALL THE BEST. DR. LEO REBELLO.]