Ambala/Kurukshetra (PTI): Government doctors in Haryana intensified their protest on Wednesday, extending their strike for an indefinite period in protest against the non-fulfilment of their demands, including the implementation of the modified assured career progression scheme.

The doctors had earlier launched a two-day strike, from December 8 to 9, which they have now extended for an indefinite period.

Amid the standoff with protesting doctors, the Haryana government, on Tuesday evening, invoked the Essential Services Maintenance Act (ESMA), prohibiting any strike by government doctors. The state health department ordered the deduction of salaries of the doctors for the days they remained off duty due to the protest.

The strike was initiated following a call from the Haryana Civil Medical Services Association, which represents government doctors in the state.

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As a result, healthcare services, including essential diagnostic services, ultrasound, and CT scan at many hospitals, were affected.

Dr Rajesh Khyalia, president of the Haryana Civil Medical Services Association, said the government had promised a year ago to fulfil their demands, which included a halt to direct recruitment of senior medical officers and implementation of a modified assured career progression scheme.

"We request the government to fulfil its promise. But rather than fulfilling its promise, it is trying to suppress our voice through ESMA or issuing letters," he said.

"Our doctors are not getting promotions. "We do not understand why the government is pressuring us. Why is it not implementing its promise?" he questioned.

He further said that three doctors in Panchkula are observing a fast unto death until the demands are met.

Noting that they are ready for a dialogue, Khyalia said they have not yet received any invitation from the government for talks.

The HCMSA has been demanding a halt in the direct recruitment of SMO and the implementation of modified assured career progression.

In the wake of the strike, state health authorities deployed doctors from the National Health Mission, medical colleges, ESIC, consultants, and Ayush practitioners to ensure that healthcare services continued without disruption.

Meanwhile, in Ambala and Kurukshetra, there was not much of an impact on healthcare services due to the strike.

Civil Surgeon Ambala Dr Rakesh Sahal said that 168 doctors are enrolled in the Ambala district, and they were present on Wednesday. He informed that all departments, including lab, ultrasound and X-ray, are functioning, and that patients are receiving proper medical care.

He further assured that all community health centres and primary health centres were working smoothly, adding that there has been no impact in Ambala due to the strike.

In Kurukshetra, the strike failed to evoke a response with all doctors reporting for duty at the Lok Nayak Jai Prakash Narain District Hospital.

Chief Medical Officer Dr Sukhbir Singh Mehla said that while 23 of the 124 doctors were absent on Monday, 18 were absent on Tuesday. But not a single doctor skipped duty on Wednesday.

He said that medical services were functioning smoothly and patients did not face any inconvenience.

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Barcelona (AP): Real Madrid slapped players Federico Valverde and Aurélien Tchouaméni with half-a-million-euro ($588,000) fines on Friday for their altercation during practice.

The massive fines came a day after the midfielders tussled when the team trained. Valverde said in a post on social media on Thursday that no punches were thrown. But Valverde knocked his head on a table and he suffered a small cut that required a brief hospital visit.

On social media, Valverde initially called it a “meaningless fight” with a teammate and said “everything has been blown out of proportion."

His employers, however, considered it a significant enough breach of team discipline to nail both Valverde and Tchouaméni with fines that bite even the bank account of a top soccer player. The half-a-million euro penalties reflect the reputational damage the club was enduring in a chaotic end to a disappointing season.

In a statement, the 15-time European champion said its disciplinary action was concluded after both players expressed to the club “their complete remorse for what happened and apologized to one another.”

Madrid added they also apologized to their teammates, the coaching staff and club supporters, as well as showing their willingness to accept whatever disciplinary action the club deemed “opportune.”

Tchouaméni was back training with Madrid on Friday, two days before they play at Barcelona in a clasico. Madrid has to win otherwise Barcelona will be crowned La Liga champion.

After being notified of the fine, he posted a public apology to the club and its fans on social media.

“What happened this week in training is unacceptable,” Tchouaméni wrote. "I say this while thinking about the example we are expected to set for young people, whether in football or at school.

“Above all, I am sorry for the image we projected of the club.”

Valverde was not at practice due to the head knock.

Both players are set to play in the World Cup next month, with Tchouaméni playing for France and Valverde for Uruguay. 

Chaotic end to a poor season

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The run-in between the players, who for seasons have played side by side in Madrid's midfield, came after they argued this week in previous training sessions. But tempers boiled over on Thursday. Spanish media was rife with reports that the players previously disagreed over the club's decision to let coach Xabi Alonso go after just months on the job.

It was not the only altercation involving Madrid players during training this week. Álvaro Carreras confirmed he was in a “minor” incident with a teammate. Spanish media said he and fellow defender Antonio Rüdiger got into a scuffle.

Álvaro Arbeloa, the coach who was promoted from Madrid's reserve team when Alonso was fired in January, will face tough questions on what went wrong inside the changing room when he gives a press conference on Saturday ahead of the clasico at Camp Nou.

Madrid is facing a second consecutive campaign without a major trophy amid rumors in the Spanish media that club president Florentino Pérez is considering bringing back Jose Mourinho to straighten out his underperforming team.