On Wednesday, doctors at Colors Hospital in Ajni looked at a three-year-old girl with suspected dengue and told her family she needed admitting. The relatives took her home. She came back at noon the next day with a feeble pulse, struggling to breathe, and died soon after. Dr Vinod Gandhi, 63, a senior paediatrician and one of the hospital's directors, went out to tell the parents himself.

What happened next took minutes. The relatives went from that conversation straight through the ICU doors, a restricted area, with other patients on ventilatory and cardiac support watching from their beds, and began hitting the treating doctors. Monitors were smashed. Case papers went across the floor. Somewhere in it the girl's parents carried her body out of the building, with no permission and no postmortem. By six that evening the doctors were at Dhantoli police station with a written complaint and CCTV footage. They were still there at 10:30, with police pressing for a settlement and sixteen hospital directors waiting outside.

A 39-year-old went in for a hernia repair at noon and was dead by six the next morning. Chest pain at 12.40 am, an abnormal ECG, a plan to repeat it in six hours. He collapsed in four. Between 2 am and 4 am the nurses kept writing and no doctor did. The widow's own expert was disqualified on a technicality, with every clinical point in his affidavit left unchallenged by the other side — and she still won.

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Most of us learned to target 94 to 98%. The 2026 report starts oxygen only below 92% and aims for 92 to 95%, because high flow given by reflex drives carbon dioxide retention. Acute salbutamol doses come down and you stop to reassess before stacking another one. And the canister itself: shake it, leave it 30 to 60 seconds, then press, and that first puff can carry three to four times the labelled dose. Not shaking it does exactly the same thing. The 24-year-old getting worse after his second nebuliser is the case the whole report is built around, and the answer is not a third.

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Nobody had to suspect it first. Every admitted adult with diabetes or kidney disease who arrived with pneumonia, sepsis, a bone or joint infection or a deep abscess was enrolled and cultured, which takes the index of suspicion out of the number entirely. 262 grew Burkholderia pseudomallei. Pneumonia, the presentation everyone associates with the organism, turned out to be the least likely of the four. The abscess you drain between cases and send a quick swab from was more than one in five. Fifty of the 262 never went home — and the strongest risk factor in the entire model is a question that takes four seconds to ask.

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Typed AB positive after a road accident, three units arranged, and the patient on the trolley saying her group was B positive. She vomited, went dizzy, and her urine came out red. A repeat test three days later read B positive; the Red Cross blood bank agreed and recorded the first sample as incorrect. The hospital's defence was that shock had thrown the grouping off — toxins coating the red cells. It is a clever argument, because it moves the error off the bench and onto the patient. It is also a claim about biology, so the commission put one narrow question to a government doctor before it ruled.

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Every MS General Surgery seat MCC gave out in Round 1 across three years — 5,255 of them — turned into the one thing worth having before choice filling: what each rank and each category actually got, college by college. At rank 1,000 an open candidate could still get into 159 colleges. At rank 10,000, six. Half of every open seat was gone by 4,855. And 54 of every 100 seats open to an unreserved candidate last year were paid ones, which is the part nobody puts in a counselling webinar. Then comes the dead zone between ranks 11,508 and 25,000, where not one free MS seat was allotted all year — and the route almost nobody fills for.

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