NEW DELHI: Her sheer will to live has left doctors amazed. Although the victim of Sunday's brutal gang-rape continues to be critical, doctors said she has responded well to the second surgery on Wednesday in which her entire intestine was removed as it had turned gangrenous.
Despite the serious injuries and two major surgeries within days of each other, the girl was hanging on tenaciously and even attempting to breathe on her own.
"We have never seen such injuries, especially in a sexual assault case. She has immense fighting spirit," said B D Athani, medical superintendent, Safdarjung Hospital.
Doctors said her vital parameters like blood pressure, urine output, respiratory rate and pulse were within limits. The only cause for concern was the dip in the white blood cell and platelet count (41,000). "This indicates an impending danger of infection. Her intestine had turned gangrenous. The next 10 days are going to be critical,'' said M C Misra, chief of AIIMS Trauma Centre, who is assisting doctors at Safdarjung Hospital.
The gang-rape victim is conscious and alert, and has been communicating with her family. Her brother told TOI that she asked him to get her three ATM cards blocked. "I told her we had got the cards blocked. She got a little hassled to see relatives in the hospital. She doesn't want anyone to know what happened to her. We told her no one knows about the incident and that the relatives had been told that she had met with an accident," he said.
The brother said no one was talking to her about the rape. "We don't want her to slip into depression. We want her to survive. She is also not talking about the incident," he said.
On Friday, doctors will try to wean her off ventilator support. She will only be given parenteral nutrition — that is, nutrition passed into the body intravenously — through tubes inserted in her abdomen. "We want to see how she responds to it. There are high chances of infection, so she has been put on prophylactic antibiotics,'' said Dr Athani.
Doctors say she would not be able to eat normally again and would have to be fed intravenously.
When asked about her prognosis, Dr Misra said, "At present, the focus is on weaning her off the ventilator and then to take her out of the ICU. We will think about the next steps later."
Times view: Hive off VIP security
Every time the Delhi Police is asked why it can't be more effective in basic policing functions despite having around 80,000 personnel, the answer is that much of this apparently large force is permanently occupied in providing VIP security. This might be a convenient excuse, but it isn't entirely without merit.
As the national capital, Delhi is not only the seat of Parliament and the Union government but also of the Rashtrapati Bhavan and the Supreme Court. In addition, there are embassies and visiting dignitaries to protect.
Given this reality, and the very real threat that terrorism poses in today's world, there is no getting away from the fact that a lot of Delhi Police's time and resources will be devoted to protecting these VIPs. You could argue that many who don't need protection insist on getting it as a status symbol and are able to pull enough strings to ensure that they do get it. But even if we deal with that problem, as we must, VIP security will remain a considerable drain on Delhi Police's resources unless we look at a new way of organising the force.
Here's what we believe should be done: carve out a separate VIP security force from the Delhi Police. First, this will mean that what remains will be free to focus on basic policing duties. Second, we will then have a much better idea of how many policemen are being used for VIP security and take a call on whether so many are actually needed. The carved-out force can stay under the Union home ministry, to which the Delhi Police now reports.
The main police force, on the other hand, should be handed over to the Delhi government. Today, the government elected by the people of Delhi has no control over the police, which means there is no real accountability to Delhiites for failures of the police.
Once the VIP security personnel are hived off into a separate force, we need to take a hard look at whether what is left is enough for policing a city of Delhi's size. If not, its strength must be increased. Never again should we be in a position where those responsible for ensuring our safety are able to say that they simply do not have enough boots on the ground to do the job.
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