A top cardiologist of Moolchand Medcity Hospital in the capital has been barred from practising after he was found guilty of medical negligence. The doctor in question had “invented” his own technique for cardiac surgery, and had executed it on many patients earlier.
The disciplinary committee of the Delhi Medical Council (DMC) cancelled the licence of Dr Pradeep Balkrishnan Nambiar, chairman, Cardiothoracic Surgery, Moolchand Medcity Hospital here this week. The action was taken after a complaint was filed against him by Ramesh Dutt Sharma alleging medical negligence in his wife’s treatment at the hospital, which allegedly led to her death.
70-year-old Sarla Sharma was a diabetic who was diagnosed with blockage in all three major coronary arteries after she underwent angiography at Fortis Hospital, Shalimar Bagh, where Nambiar is a consultant. After Sarla was prescribed to undergo the “Nambiar Technique”, which the doctor had developed at the Moolchand Medcity Hospital, permission for CABG (Coronary Artery Bypass Grafting) was taken at the Moolchand Medcity Hospital. But her condition deteriorated while she was being shifted from one hospital to another.
On 11 November 2014, the team of doctors at Moolchand Hospital headed by Nambiar performed an emergency Minimal Invasive CABG on Sarla. After she was shifted to ICU, Sarla succumbed to complications and expired on 17 November 2014.
The DMC committee observed that Sarla needed an emergency CABG as she had severe chest pain and needed an intra-aortic balloon pump insertion for stabilisation. Therefore, as per the committee’s observation, it would have been prudent to advise regular CABG and not minimal invasive CABG. The committee took note of the medical paper written by Dr Nambiar and published in “Innovations: Technology & Techniques in Cardiothoracic & Vascular Surgery” in 2013 where he had himself highlighted that emergency surgery should be excluded for this technique.
The “Nambiar Technique” that was performed on Sarla comes under Minimal Invasive CABG.
The committee observed that no procedure by the name of “Nambiar Technique” has been recognised as a standard method of Minimal Invasive CABG in medical literature and text books.
The nomenclature is an invention by Dr Nambiar.
“During the hearing, Dr Nambiar said that he has performed this procedure on over 100 patients. We haven’t been able to determine yet if this claim is true,” said sources at DMC.
The disciplinary committee wrote in its report, “Even though the doctors claim that the patient’s attendants were briefed about the patient’s prognosis, there has been no documentation of this fact in the medical records.” The report further added, “It has come to notice that the CCTV system was not working in Moolchand Medcity Hospital on the day of the surgery and had not been repaired till the day of investigation.”
Repeated attempts were made to contact Dr Nambiar, but calls and messages remained unanswered.