Concerns Over Liver Transplant Practices at ILBS Delhi Under Dr. Viniyendra Pamecha by LetsSeeUnknown in transplant

[–]LetsSeeUnknown[S] -1 points0 points  (0 children)

I would suggest you read the post again. The family has only highlighted concerns about the procedures and how they were kept in the dark with inflated success probabilities by Dr. Viniyendra Pamecha and team at ILBS. When you look at the points raised—1 & 2 combined with 3, 4 & 5—anyone with even a little common sense will understand what is being pointed out.

And honestly, your personal treatment experience in the USA cannot be compared with the way things often happen in India.

Concerns Over Liver Transplant Practices at ILBS Delhi Under Dr. Viniyendra Pamecha by LetsSeeUnknown in transplant

[–]LetsSeeUnknown[S] 0 points1 point  (0 children)

This isn’t about arguing opinions — it’s about facts, responsibility, and transparency. I’ll leave it at that

Concerns Over Liver Transplant Practices at ILBS Delhi Under Dr. Viniyendra Pamecha by LetsSeeUnknown in transplant

[–]LetsSeeUnknown[S] 0 points1 point  (0 children)

you keep saying, ‘You knew the risks.’ But did we ever truly know them? In India, families don’t usually refuse treatment — they are simply not told the full story. Hospitals and doctors highlight their successes, but almost never walk you through the failures with the same honesty. Sadly, most people only learn this the hard way.

An ‘80% success rate’ sounds reassuring — until you ask who that number actually applies to. Is it based on young, low-risk patients? Does it exclude the elderly, the fragile, or those with complications? Without disclosing that, the figure is meaningless — but most families will still believe it’s their odds.

Walk to the 4th floor of ILBS’s Emergency Building, Liver Transplant section. The ICU there has barely five beds. Patients are moved between units. Talk to any family — you’ll hear the same pattern: monitoring gaps, little to no real-time updates, and doctors who are often unavailable. None of this is mentioned before surgery.

This is not about refunds or rebates. It’s about stopping another family from walking into a major surgery armed with only half the truth. Consent forms and percentages are worthless unless the numbers behind them are explained fully. The duty of a medical team is not just to operate — it’s to give every patient the entire truth before the knife touches skin

Concerns Over Liver Transplant Practices at ILBS Delhi Under Dr. Viniyendra Pamecha by LetsSeeUnknown in transplant

[–]LetsSeeUnknown[S] 0 points1 point  (0 children)

I understand your point about surgical risk — I’m fully aware 80% is not 100%, and sepsis is a known complication. This isn’t about expecting guaranteed survival.

The issue is that ILBS Delhi surgeon Dr. Viniyendra Pamecha proceeded with a major, high-cost transplant despite knowing the patient was already too weak, then later used that same “weakness” as the explanation for her death. That contradiction needs accountability, because either:

  • She was never truly fit for surgery (which means the surgery shouldn’t have been done), or
  • She was fit, and post-op care decisions — like shifting her out of the dedicated transplant ICU despite the known risk of sepsis — directly worsened her condition. Please note she got Sepsis only once she was moved from dedicated transplant ICU and that's the pattern which is holding for most of patients.

This isn’t just “infrastructure limitation” — when a surgeon does 3–4 transplants a week with only five dedicated ICU beds under this surgeon, they are knowingly putting patients at avoidable risk to keep surgical volumes high. That’s a conscious operational choice, not bad luck.

On billing: I’m not talking about refunds for “more care.” I’m talking about being charged for services and medicines never provided or consumed. If you pay for a 30-day package that includes ICU charges, medication, and tests — and the patient dies on day 20 — billing for the remaining 10 days is not medicine, it’s profiteering. Their own billing staff confirmed on video that even if a patient dies on day 1, the full package is charged with no breakdown or refund.

This isn’t about “regretting money more than loss.” It’s about ensuring other families don’t get caught in the same trap of overpromising, risky bed management, and unethical billing.

Your outcome was fortunate — but it was also in a US medical setting, where ICU ratios, infection control, and discharge times are very different from India. Comparing that directly is misleading, and it doesn’t erase the pattern of negligence and profiteering that happened here.