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May 1st, 2020

Hand sanitisers

Watch a short video on the use of hand sanitisers.

https://www.youtube.com/watch?v=4cHkjYhyzIk&feature=youtu.be

 

April 29th, 2020

Social distancing

During the times of Covid, watch a short video as our Nursing Supervisor Sister Rashmi explains about social distancing. 

https://www.youtube.com/watch?v=GzCgd9NvRv8&t=0s

 

April 20th, 2020

Short videos during the time of COVID in public interest

LWH Manali will be releasing short videos in public interest for health education and for edification. Please stay tuned and subscribe to the utube channel. We hope to release one a week. 

Happy viewing, we hope this will bring some positivity and encouragement to you in these times, with practical steps you can use in your daily lives. 

https://www.youtube.com/watch?v=0yskiGduM8k&t=20s

 

April 19th, 2020

A design for an intubation tent in times of COVID

The pandemic that is sweeping the world is unforgiving and relentless at present, confronting health workers with the highest risk of exposure and infection. Of the segment, those in intensive care units exposed to those who need intubation are possibly at the apex of risk. Safe intubation will always be fraught with the danger of aerosol dissemination and cross infection.

To minimize this risk, we designed a simple intubation tent which can help minimize the aerosol dissemination risk to the operator. All other advocated measures, including personal protective equipment, N 95 masks, minimizing mask ventilation and early inflation of the balloon on the endotracheal tube are all to be practiced in addition to the use of this tent.

STEPS FOR USE:

  • This tent can be made with clear plastic, with two sleeves in it into which the operator inserts his hands, and then puts on an extra pair of gloves, in addition to the ones he or she is already wearing as part of the PPE. The gloves go over the edges of the plastic sleeve ensuring a good seal.
  • All equipment for intubation, including laryngoscope, suction, guedels airway, syringe for inflation of the cuff, and endo tracheal tube of the appropriate size are placed on the chest of the patient to be intubated.
  • The edges of the plastic are tucked under the mattress on three sides of the head of the bed, and the inferior edge is tucked under the patients bedcovers, so no air will escape into the room onto the operator standing at the head end.
  • The operator is able to see through the plastic to intubate the patient after the administration of appropriate relaxant via a peripheral iv access.
  • After intubation the cuff is inflated, and the suction utilized to suck out the air in the tent prior to disassembly.

This way very little  air from the patient will disseminate into the room to potentially infect caregivers.

Our photos showcase Mr Dhani Ram, our tailor who has created this tent.



STAY SAFE EVERYONE!

 

March 29th, 2020

Patient app released in times of Covid-19

For our patients we have now released an app that will permit patients to access their details and communicate with the hospital from home. It may help them stay at home for non emergent needs. It is free and can be downloaded from Google App Store by scanning the code. We hope it helps communicate and  allay anxiety during these lockdown times at home. So again please do come to hospital only when absolutely necessary till these times pass us by. Stay safe!

 

December 1st, 2019

Radiologist Dr. Amy Thomas provides ultrasonography in LWH

 

 

 

 

 

 

 

 

The absence of a radiologist in Manali has been a huge issue for conducting ultrasound examinations. The ultrasound machine has been described as an extension of the stethoscope, an essential component of the doctors armamentarium. Essential for antenatal check ups, invaluable in trauma and emergent situations besides elective diagnosis, the people of Manali had to travel far and wide to obtain an ultrasound exam of reliable quality. Other sonologists outside did provide these examinations in Manali on certain days of the week, but not all the time. 

Dr. Amy Thomas has trained in Christian Medical College Vellore and will now provide her services in the Lady Willingdon hospital round the clock. Routine examinations will be done on Mondays Wednesdays and Fridays. Specialised examinations and interventions will be done on other days. We are delighted that she is serving the people in this way. She is an answer to prayer. 

We have two ultrasound machines, one of which has echocardiographic capability and doppler provision, and a portable one for FAST, (Focussed Assessement of Sonography in Trauma). We are also grateful to Dr. Jangdeep Banga for donating another portable machine to us for use in our peripheral camps. We are also indebted to him for stepping in and providing ultrasound services during the time Dr. Amy was training. 

Ultrasound uses sound waves, generated from a piezoelectric transmitter. These waves are harmless to the body, and pass through the body depending on the density of the organs. They are deflected and blocked by solid organs, like bone, and pass through viscera and other parts with varying penetrance. The transducer reads the deflected and blocked signals, and converts them into a decipherable image which is interpreted by the radiologist. 

The local populace and the press are also very appreciative of this development and look forward to the service with anticipation. Here are some links to the local newspapers. 

https://www.manalitoday.com/mission-hospital-manali-started-ultrasound-service-from-today/

 

November 26th, 2019

Annual day 2019

On the 23rd of November, the Lady Willingdon Hospital celebrated its Annual day with the theme -“In His time”. This marks the 83rd year of the establishment of the hospital and all the staff came together to celebrate, with songs, dances, and skits. All these can be viewed on the Facebook page of the hospital called Manali Mission hospital page, or by following this link (https://www.facebook.com/manalimission/?ref=bookmarks).

It truly was a time of thanksgiving, of celebrating God’s work here among us, and also celebrating the joy of working together as a team, made evident by the seamless performances and activities. We also thanked those from the society who had helped us and stood with us in various events of the year. A sumptuous dinner at the end was a fitting finale, with of course dancing and “let your hair down” music. 

We thank God for leading us through another year of service here among the people of Himachal. 

 

September 28th, 2019

Pangi Pathways

              PANGI PATHWAYS

We first went to Pangi in 2015 when we heard of a remote mountain settlement isolated and bereft of medical care. We have been back every year since. This was our fifth year in succession. I have written about the earlier trips and those travelogues can be accessed by following the reference links below*.

 

This year was similar in many ways and yet it was so very different in many other ways. Our group of 30 piled into four vehicles and departed at five am from Manali. We made very good time, since the roads this year were very good from Koksar to Udaipur. We reached Pangi by five pm, which was excellent and a tribute to the hard work of the Border roads organization. Accommodations are always a huge issue. This time a sitting sessions judge and his team had taken all of the accommodations at the circuit house, so we were scattered, spread across the other available accommodations in Pangi, including a tent on the lawn of the forest guest house!

 

The response was overwhelming. We saw 1024 patients over five days. From earlier years, we were viewed with a mixture of suspicion and helplessness. This year, we only experienced trust. Trust that we would do the best for them. Willingness to be subjected to surgery, and glad acquiescence to our suggestions. There were long lines of people, and though they were boisterous in the beginning, we saw them line up and wait patiently, help each other, permit the young and very old to have precedence. We saw them help those who did not have relatives to care for them post operatively. We saw smiles and twinkles in eyes where previously there was a glazed glare hiding true emotions. It was almost as if they were a different people.

 

Our team comprised of the inspiring Dr. Bishan, Community Consultant, two surgeons from LWH Manali, Anesthetist Dr. Benita, Gynaecologist, Dr. Ratika, Radiologist, Dr. Deepa, from CMC Vellore, and eye team from our ever-helpful CMC Ludhiana, with Dr. Anubhav as the eye surgeon.  We also had a large group of support staff from LWH, lab staff, nurses who would take care of our postop patients, pharmacist, drivers, maintenance, cook and helpers. We brought along with us our entire equipment, including operating lights, anesthesia machine, generator, all our medicines and a huge autoclave, since our earlier experience with the autoclave in Pangi had not been very reassuring.

 

Surgeries commenced on the second day and continued for four days, operating till midnight every day. Our teams functioned seamlessly together and worked like clockwork. There was absolutely no mobile phone signal in the hospital, an eventuality we were prepared for. The walkie talkies we had brought with us served us admirably. We performed fifty surgeries, 25 major, 25 minor, and 42 eye surgeries in these four days. Everyone wanted ultrasounds, including those with headache and earache. Dr. Deepa did 395 ultrasounds. All the patients did very well, and we were able to discharge all of them home on the third day of surgery, smiling, relieved and happy. We thank God for His overshadowing of every moment and protection for every event. We were able to pray for our patients and share God’s love with them.

 

We came away bearing the smiles and co-operation of all the people in our hearts. Every day we experienced their co-operation and help. Carrying patients to and fro from the operating theatre, arranging for water when the water supply stopped one day, providing Pangi apples for our team to snack on, and in just sharing a smile and the joy of being well again. All of us returned tired, but very gratified and grateful.

 

*References:

  1. http://surgicalspace.blogspot.com/2015/07/pangi-valley-of-sorrow.html
  2. http://www.manalihospital.com/medical-team-in-pangi-valley/
  3. http://www.manalihospital.com/surgical-camp-in-pangi/

September 26th, 2019

Kaaza surgical camp

Organising a surgical camp is like assembling a complicated lego model. People and equipment come together from far and wide and mingle to assume form,purpose and character. The team gels together over seven days pushing boundaries with equipment, challenging weather, and impassable roads that prevent health care from reaching these remote regions.

This year, our stalwart radiologist, Dr. UmaShanker felt bonhomie from Bangalore as the gynaecologists Dr. Ravi and Dr. Aryanya and the eye surgeon Dr. Jude Simmons were all from his hometown. We heard them bonding with each other in Kannada. The anesthetists Dr. Athipro and Dr. Preeti were from AIMS Delhi, and our eye team as usual were from CMC Ludhiana.

Piled into two force travelers, two Boleros, and accompanied by one pick up groaning with all our equipment including generator, Boyle’s machine and a humungus autoclave, led by the never tiring Dr. Bishan, we made our meandering way over Rohtang pass. Our outward journey was delayed by three hours by a landslide, but once clear of that, we reached Kaaza by the evening. Our team seasoned with many years of experience, swung into action to unload, and set up everything, deploying a functional operating room and outpatient clinics in the Kaaza civil hospital.

The next day onwards the outpatient clinics saw long lines of people queuing to be seen, for eyes to be checked, for potential surgery, but always the most popular request was for Dr. Uma to place his magic ultrasound probe on their tummy and tell them what deep mysteries lurked within.

Pea harvest was delayed in Kaaza this year so we saw less patients  than the years before, as the folk battled to gather their harvest  before the weather turned inclement. Nevertheless, we were able to see 857 patients, perform 16 major surgeries and 14 minor surgeries, 13 eye surgeries, and perform over 355 ultrasound examinations. All procedures were free for the patients.

Significant among the surgeries were two appendectomies performed on laborers and one two year old with ludwigs angina on the brink of respiratory distress. We marveled at God’s timing in permitting us to be there in time to take care of these emergencies.

This year we were able to induct the major surgeries into the FALCON RCT trial, an international study on surgical site infections being conducted across the world by the Global Surgery Collaborative, of which we are a part.

All the surgeries went off smoothly and uneventfully, despite the erratic power supply, a minor explosion of an oxygen regulator in the ot (from which thankfully no one was seriously injured). There were no complications and all the patients were discharged smiling and well.

On the final day, our visitors gathered the stamina to undertake an adventurous motorbike ride to see the mummy of Ghiuu, which proved an experience they are unlikely to forget.

Thank you one and all for the Kaaza surgical camp 2019. We are very grateful to all who made this possible, and brought smiles to the people of this region for whom this represents the only annual hope of obtaining elective surgery in their region.

 

 

 

 

 

May 25th, 2019

Aseem Sambhavanaye

Saturday saw the gathering of our participants of our Community based rehabilation gather together under a pandal erected under a clear blue sky on Saturday 25th May. The title means unlimited possibilities. This was the sixth year in succession we have had this program, intended to provide a common meeting place for the participants to gather, share their stories, draw inspiration from each other and encourage each other on the difficult road they are called upon to walk. 

Participants are known to the rehab staff, but here they get to know and learn about one another, and listen to stories of courage and determination, see the progress others have made and draw determination and inspiration from each other. They each receive and are an inspiration. Bed bound patients from two years ago are no longer bed bound today. A patient who was on a wheelchair two years ago is today striding around with crutch supports and braces, independant and self supporting. These are stories of courage. 

There were health talks, motivational videos, games, sharing times, and lunch, topped off by dancing… yes dancing! 

Kudos to the physiotherapy team who has made all this possible. It was a very moving time for all concerned, and yet another event which will always remain in the hearts of those who attended.