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May 17th, 2009

Incontinent for three years

A lady had come to us from Nepal, brought by her husband, complaining of leaking urine constantly for three years following the delivery of a stillborn baby.

On examination the posterior wall of her bladder was found non existant, and a huge vesicovaginal fistula was demonstrated. There was no bladder wall or even adequate urethra to consider a repair. She was anemic and infected. She was built up for surgery. A continent ileal conduit pouch was constructed from her bowel. She tolerated the procedure well and is now continent, with a urostomy that is is intubatable. We also were able to treat her and give her concession on her bill.

June 23rd, 2006

Jibhi clinic jibes

This year there is a major change at Jibhi- we are broadening our scope beyond outpatient clinics, emergency presentations and surgical camps into a formal community health programme.

Vision statement:A sustainable,

July 12th, 2006

Jibhi clinic childrens mela

Dadu! Dadu! " calls Aunty Priyadi " Your granddaughter has fainted at school! She only had one roti for breakfast. Come quickly!". So starts the drama performed in 5 different villages as part of the Jibhi Jibhi Community Health Action Initiative Child Health mela. The village drama was directed by Jibhi staff member Padam Singh and performed by 8 of our Community Health workers. School children, grandmothers and parents alike chortled, shouted advice and listened to the drama titled "Food

January 15th, 2010

Ambulance service

There exists no ambulance service for Manali at present. Sick and intubated patients have to wait for an expensive ambulance to arrive from Chandigarh, eight to nine hours away by road.

We hope to provide this service by equipping an ambulance and make sick and ventilated patient transfers a reality from Manali.

This will be a first, and we hope to see this happen in three months into our Jubilee year.

August 26th, 2009

A miracle

Ram (name changed) was brought to our casualty unresponsive, without pulse, blood pressure or respiration, with the history of being electrocuted. His pupils were not reacting. Active resuscitation was begun immediately in casualty. His pulse returned, and he was ventilated over the next two days. Eventually he was weaned off the ventilator. He began to respond gradually and over a period of a month began to respond to command. This is an amazing recovery. We are looking at discharging him now, with the relatives taught to take care of him at home. We have seen some amazing recoveries, and we know this has to be God.

August 25th, 2009

Sponsored students

Thotwan Vashum (OT Technician)

One of eleven siblings, and from Mizoram, he first heard of Lady Willingdon Hospital through his sister who was sponsored for nursing training three years ago.

December 21st, 2005

Transport of a patient with massive epistaxis

Most traumatic epistaxis is self-limiting and can be controlled simply. Anterior nasal packing, posterior nasal packing and greater palatine fossa injections have been described1. Bleeding that is not controlled by these measures necessitate further intervention, endoscopic ablation and embolisation2. In developing countries, these facilities are available only in tertiary care centres. In the presence of active bleeding transport to these centres is not easy. We describe a patient with traumatic anterior ethmoidal artery bleed where a cricket helmet was used to provide traction after posterior nasal packing with a Foleys balloon catheter. The patient survived the eight-hour journey by road to the referral centre, was embolised endoscopically and returned safely. We could not find a reference in literature for a similar transport modality.

June 30th, 2011

Smile train arrives in Manali

The Smile train is an international project focussed on repairing the smiles of children born with congenital cleft lips and palattes. For the first time the train arrives in Manali on the 13th of August. Treatment and surgery will be provided free to patients who will also be boarded and lodged on campus. We hope many will take advantage of this service.