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Encounter with God

Posted by: Philip Alex | Posted on: March 12th, 2017 | 0 Comments

Dr. Sam Thomas and Ms. Sashi Thomas took a three day seminar on “Encounter with God” for the school and hospital staff. This is the first of three sessions over the year. We thank you both!

Updates 2017

Posted by: Philip Alex | Posted on: February 23rd, 2017 | 0 Comments

It has been a while since we were active on the internet. In cold climates, bears regularly hibernate to tide over the winter, and the website thought it was a bear. 

But with the thaw of spring, we stretch our limbs and yawn, and look around to a new year. The snows have gone, and a sense of spring is in the air. This sense has not touched the trees as yet, which are as skeletal as ever but hope of budding and greening trills with the warbles of the ashy drongo which has come to Manali. 

We still have pending projects from last year. One operating theatre has been completed and we have started surgery in it. It is SUCH a wonderful thing to have climate controlled conditions. Our patients won’t become hypothermic anymore and surgeons too are most grateful for this change. Laminar flow establishes 25 air changes a minute through the theatre via hepa filters situated above the operative field. A fluid warmer provides warmed iv fluids so we don’t need to give cold saline infusions any more! Now we need to start work on the other ot to bring that also unto this standard, and I suspect this process will take two more months at the least. 

Our oxygen plant is still incomplete but we have hope of getting it done now that snow has left the ground permitting workers to complete it. 

There are a lot of projects and plans on the anvil for this year. 

Watch this space for updates !

Thank you for your support and interest. 

We are very thankful to God for another year to look forward to and work here in Manali. 

Merry Christmas and Blessed New Year

Posted by: Philip Alex | Posted on: December 26th, 2016 | 0 Comments

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Christmas is in the air. A bite of cold wind, portent of a long awaited winter. The trees have shed their leaves and seem ready, as every one is, for the first snow. It is difficult to believe that one year has sped by.

This year has seen the hospital continue to grow. New team members, Dr. Dennis Martin, Orthopedic Surgeon, and his wife Ms. Sharel, who finished her M.Ph. both from Christian Medical College Vellore, joined us earlier in the year. Dr. Josy Thomas, General Surgeon and his wife Dr. Amy and little boy Mark, also from Vellore, joined us mid year. Dr. Ranjit Christopher, our previous administrator and Ms. Pushpa, Social worker, moved to Thane after a decade with us. Dr. Christopher handed over to two administrators Ms. Christina Dhas Sankhro and Mr. Thomas Mathai. Our junior doctors from last year left to pursue post- graduation. Drs. Shefali William, Dr. Shireen Chacko and Dr. Neerav Aruldas, have since joined to take their place. Dr. Ajit Albert continues with us, having been with us for two years. Dr. Chris Shin (Medicine) and Dr. Taehee Shin (Dental) continue to partner with us from Interserve. Dr. Riya has been our dentist now for the fourth consecutive year. Ms. Anuradha Garg has established a medical records section, and Ashish Giri has joined as an Occupational therapist both trained from Vellore,. Ms. Usha joined us as social worker and Ms. Pinki as Office assistant. Professionally, we have continued to move toward our goals of providing an appropriate standard of care at an affordable cost in the spirit of Jesus. The provision of orthopedic surgery has been a great asset to the people. With advancement come advancing needs for equipment, and we testify to God’s faithfulness in providing all our needs. Besides new lab equipment, operating lights and a new ventilator kindly provided by Interserve, we are in the process of introducing laminar flow in our operating rooms, and installing an oxygen plant on campus. A wonderful Christmas gift will be a new ambulance to replace

our older one, which has done so many miles the odometer is tired of recording them.

Our forays into the community under Dr. Bishan Shasni have been very well received and people from far-flung areas of Lahaul Spiti and Pangi have started travelling all the way to reach our hospital as a result of the surgical and medical camps we conducted in those areas, reaching around 2600 people, for the third consecutive year. They have now come to trust us and look forward to these camps, compared to three years ago when we first encountered fear and suspicion.

Being the salt and light is not difficult when we are keenly aware that all that we are and do is a direct consequence of obedience to our Heavenly Father. It removes the compulsion to seek to “perform” or “accomplish” and replaces it with a need to “obey” and “be”. We would like this knowledge to permeate all that we do and plan for the next year. We have seen the growth of the institution, of people, the church, and of each other over the years and are keenly aware that all of us are still a “work in progress”. To continue to be changed into His image is a wonderful aspiration for the New Year.

We have so many encouraging stories of families and individuals whose lives have been touched. Stories of healing, of restoration, and of renewal. These stories permit us to press on and persevere in what we clearly have come to recognize, as the work of God in Manali.

From all of us in Manali, we wish you a Merry Christmas, and a Blessed New Year.

Annual day 2016

Posted by: Philip Alex | Posted on: November 30th, 2016 | 0 Comments

The Annual day was a resounding success in all respects. Great fun, great music, dancing, skits, and bonhomie. The food was astounding, and the post dinner dancing addictive. All the staff came together to put up a fantastic program in record time. The theme was love, with exhortation to above all love each other deeply…. taken from 1 Peter 4:8

All the presentations underscored this theme, and came together to produce a seamless two hours of fun and entertainment.

We are grateful to the Daystar school staff and the DUF home also who helped us with this program.

A wonderful time was had by all.

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Hospital Photo

Posted by: Philip Alex | Posted on: November 30th, 2016 | 0 Comments

We present our hospital staff photo, long overdue. From 60 employees in 2004, we have swelled to 112, nearly double, though our bed strength has risen by only five. We are therefore comfortably placed for employment. We are reluctant to raise the bed strength or expand too rapidly. We believe we can provide the best care with our existing framework in the circumstances we are currently in. We are grateful for each and every one of our employees.

2016

Surgical camp in Pangi

Posted by: Philip Alex | Posted on: October 16th, 2016 | 0 Comments

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The Chandrabhagha river slices a gorge through gargantuan granite cliffs that make the Pangi valley simultaneously inaccessible and breathtakingly beautiful. An unprotected road blasted three hundred feet high above the river along the side of granite and shale provides the only access into the valley. The journey is a bone rattling, nail biting, dust coated ordeal from anywhere between thirteen to sixteen hours. One has to wonder, while negotiating the precipitous curves, what would have led people to journey so far into wild inhospitable terrain to live? Myth and folklore have it that the Pangwalis, as they are known, were runaway criminals, or slaves fleeing from an irate king. The twenty thousand people here are evidently ethnically different, with peaked features, sharp eyes and aquiline noses.

 

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Our team of twenty seven packed into two tempo travellers one pick up truck and one SUV bounced and jiggled their way to the sub divisional headquarters in Pangi called Killar, the location of government offices and the only hospital in the entire region. The hospital itself is a ramshackle wood and stone structure, dark, dingy, much like a subterranean cavern complete with rocks that serve for steps at the entrance. Our staff formed a human chain and unloaded our equipment, including our operating microscope, operating light, cautery machine, ultrasound machine, autoclave, and the entire stock of medicines and consumables which we needed. Every item had to be brought in, down to the sticking plaster. Having unloaded all this, we retired to our guest houses to wash off the grime and dust.

Just before dinner, our team leader, Dr. Bishan Shasni received a distress call from the government doctors at the hospital. They had a young lady who was in shock, whom they thought probably had an ectopic pregnancy that had burst inside her abdomen and was bleeding. Another short statured teenage mother had been in labor for two days and was probably having obstructed labor. The doctors there could not help, and these patients would not make it out to another hospital alive. Our operative and anesthetic staff piled into our vehicles and raced to the hospital.

Over there we found that the lady with the probable ectopic had been in shock for the past three hours. Her blood pressure was not recordable, she was pale, and her abdomen was extremely tender to touch. The pregnant mother was fully dilated (which means that the mouth of her uterus had opened completely) but the baby was stuck. Apparently she was in this state for the past six hours.

We really did not have a choice. The operating theatre in the civil hospital is generally unused, utilized only when teams like ours come in to operate. It was not fumigated by us or cleaned by our staff, who have a time tested ritual to sterilize the operating environment. They usually spend one day doing just this. We had just arrived, and had planned to sterilize the theatre the next day. But this situation required a solution that could not be postponed. Our team swung into action.thumb_dsc07656_1024

Within half an hour they had the basic equipment ready and a functional operational table ready to go. We used this time to resuscitate both patients with iv fluids and prepare them for surgery. Our radiologist Dr. Uma Shankar confirmed our suspicions of a ruptured ectopic with the portable ultrasound machine we had brought with us. With a hurried prayer, we rushed the lady with the burst ectopic pregnancy onto the operating table. Our anesthetist Dr. Prashant Varghese quickly intubated the patient and had her ready for the knife. There was two litres of blood in the belly, and indeed the right tube had an ectopic pregnancy which was bleeding. The bleeding was controlled, the ectopic removed safely and within the hour the patient was extubated and returned safely to the ward, now with a recordable blood pressure. The table was immediately readied for the lady with the obstructed labor. By now, our gynaecologist Dr. Priya had arrived, after a harrowing journey when her vehicle went off the road and nearly over the precipice after having reached Killar town. She had left from Manali after us and was travelling alone. Unfazed despite this ,she rolled her sleeves up and operated on the lady, delivering a healthy baby in a matter of minutes, a baby who to our great reassurance protested loudly at his extrication,. The baby was breech (upside down in the mothers tummy, with its hindquarters presenting first).

The next day, both patients were doing well, the lady with the ectopic sitting up and smiling, wan and pale, but well. The young Nepali couple were thrilled with their little one, who was sleeping peacefully next to his mother who herself looked like a school girl. With a huge sigh of relief, our team resumed the normal pattern of our camps, setting up rooms for ultrasound, eye examinations, a pharmacy and consultations, and the theatre staff started their magical transformation of the theatre into a sterile haven for surgeries.

Patients poured in, clamouring and jockeying with each other for precedence to be seen. Our staff had worked out a numbering system by which they would be seen, but they did not want to follow it. Eventually, the melee subsided, and some semblance of orderly consultations commenced. Patients were examined by the doctors, tested in the laboratory, x rayed or sent for ultrasound examinations. The ultrasound machine was the rage. Every one wanted an ultrasound, even those with headache foot pain, shoulder pain and knee pain. They were very hard to dissuade or be convinced that the magical black screen would not help them. We even heard the patients leaving the consultation whisper to those waiting to be seen “Say you have abdominal pain, not knee pain” so that they could justify the use of the box with the wand that uncovers all secrets of the body. Dr. Uma bravely soldiered on doing about seventy ultrasound examinations every day.

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Rounds were conducted twice a day, and we came face to face with the fear and trepidation that the people live with. The lack of any viable health services for emergencies have filled the people with fear which is written large on their faces. It took a lot of convincing, cajoling and humourous reassurance to get them to relax and believe that their wounds were not going to burst or explode, or some other drastic complication happen to them. Those who were well enough to go home were unwilling to leave, wanting to stay till all the sutures were removed. However beds were limited and every day there was a new wave of surgeries to be done.

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All the operations went well. There were no complications, and even our two emergent cases did not develop any wound infection, which was truly the grace of God. The eye team of Dr. Satish and Naveen were overwhelmed by the need of surgeries to be performed. We were very aware of the overshadowing grace and presence of God through all the days we were there. It was with great joy and a sense of accomplishment that we loaded up our vehicles again on the last day for our return to Manali. A brief visit to a mountain lake nearby provided a welcome break on the last day, an opportunity for all to experience the joy of walking mountain trails and revel in the beauty all around.

We are very grateful that we could do this camp again this year. We are grateful to all those who came, and worked hard to provide hope and healing to a people deprived of the chance for safe surgery. We are also humbled that God would so prepare us and providentially plan for us to be there to save those three lives that first night, an testimony to His great love for the people of Pangi.

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Download the pdf version here;

[pdf-embedder url="http://www.manalihospital.com/wp-content/uploads/2016/10/Blog-report.pdf" title="blog-report"]

 

Dr. Khup eye surgeon

Posted by: Philip Alex | Posted on: July 16th, 2016 | 0 Comments

We are grateful to Dr. Khup Minsong, eye surgeon for conducting a camp here in LWH Manali and operating on patients providing cataract surgery here in Manali. Dr. Khup has a long history of experience with eye surgery having practiced for many years in various locations all over India.

Dr. Khup

Mesenteric lymphangioma

Posted by: Philip Alex | Posted on: July 14th, 2016 | 0 Comments

Dr. Dhruv Ghosh operated on a six year old child who had presented with a large mass in the abdomen and pain every time he ate something. Imaging had shown a huge cyst in his abdomen. Intra operatively it was found to be a large cystic mesenteric lymphangioma. The child underwent a resection anastomosis and has been discharged well. Thanks Dr. Dhruv!

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Diaphragmatic hernia with sac repair

Posted by: Philip Alex | Posted on: July 14th, 2016 | 0 Comments

Dr. Dhruv Ghosh operated on a four year old with a large left sided diaphragmatic hernia with a sac (eventration). The four year old child could not be taken to any higher centre and was malnourished. The child stood the surgery very well and has been discharged home. Thanks Dr. Dhruv!

The intraoperative photo shows the repair.

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Littre’s hernia

Posted by: Philip Alex | Posted on: July 14th, 2016 | 0 Comments

A seventy five year old gentleman came with the history of an irreducible swelling in the groin for a day and inability to pass stool or flatus. On the operating table he was found to have a Littre’s hernia. He had a Meckel’s diverticulum in a femoral hernia which was gangrenous. He underwent resection anastomosis and repair successfully.

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