Others were in there, but he apparently ignored them…
According to the Herald, the order said that Prasad “continued to insert the scope despite being told to wait and began to thrust the scope into (the patient’s) rectum while (the patient) shouted in pain.”
…or misunderstood them?
The outlet also reported that a hospital administrator had been present in the room and told Prasad he needed to wait, to which the gastroenterologist "leaned over (the patient) and shouted “I know!” to the administrator, yet continued to manipulate the scope.”