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Hydatid disease in Himachal pradesh

Posted by: Philip Alex | Posted on: January 15th, 2010 | 0 Comments

>l>115 patients presenting with Hydatid disease to the Lady Willingdon Hospital, Manali , from April 1996 to March 2007 were studied. 78% (n=90) of the occurrences were hepatic. There were other varied sites of occurrence. All patients underwent surgical cystectomy. Scolicidal deactivation after 1st March 2003 was performed in thirty two patients using a “aspiration injection and reaspiration technique (AIR)”. There was no mortality. There were five documented recurrences in our series all of which were in non “AIR” cystectomies.
Hydatid disease is not uncommon in Himachal Pradesh. Sites of occurrence are varied though hepatic (right lobe) and pulmonary are most common. Non specific presenting complaints warrant a high index of suspicion and subsequent investigation. Surgical cystectomy after deactivation with a scolicidal agent was the employed surgical modality. We describe a method of scoliceal deactivation using the AIR TECHNIQUE. p>

Swine flu in LWH Manali

Posted by: Philip Alex | Posted on: December 12th, 2009 | 0 Comments

We had our first patient of swine flu in LWH Manali. A 32 year old male was admitted with typical symptoms. He tested positive and needed ventilation. He was transferred on the ventilator to CMC Ludhiana but expired over there. Our staff are now on prophylaxis.


Posted by: Philip Alex | Posted on: November 6th, 2009 | 0 Comments

B was a patient with a massive right leg from filariasis. He had been to many hospitals over the last fifteen years but no one was willing to operate on him. He had heard of Manali and came here to find out if we would help him. He could not wear shoes or pants and his misshapen gigantic leg dragged him around. ‘

He underwent a modified Homans procedure on the 5th November, and is recovering.





Come ye apart and rest

Posted by: Philip Alex | Posted on: September 7th, 2009 | 0 Comments

Jesus had told his disciples when it got too busy.. “come ye apart a while and rest”. He tried to make provision for this by going away. However, his plans did not always work ( Mark 6:31). People saw them leaving and ambushed them in their retreat. Jesus did not ignore them, but attended to their needs, having compassion on them.

Many are the times we are tired, and face similar situations. Not having time to eat is also familiar. However, when the crowd presses close, it has to be compassion that spurs the extra mile. Anything else will cause frustration. He taught them many things, the Bible says.

Let us draw close to the heart of compassion to help us in our crowded times.


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Harbinger of things to come

Posted by: Philip Alex | Posted on: August 28th, 2009 | 0 Comments 

The MCI and all other health regulatory bodies will soon be scrapped and a new regulatory parent body, the National Council for Human Resources in Health will replace them. Read about it in the URL above.

The MCI has been a hotbed of corruption. Invested with regulatory power, it has abused that power and spawned a generation of “donation doctors”, who have in turn soiled the practice of medicine with avarice. They have bartered and sold  the standards of the profession in the marketplace. This has in turn replaced trust with suspicion in the mind of society. Indeed the MCI has much to answer for.

I hope this new step will be the harbinger of change and it will not shrink from exorcising the current ill humour from our profession.

Where is your faith?

Posted by: Philip Alex | Posted on: August 27th, 2009 | 0 Comments

Luke 5:17- 20

The palsied man lowered from the roof. A classic example of

Hold close

Posted by: Philip Alex | Posted on: August 21st, 2009 | 0 Comments

The days of the trial and crucifixion of Jesus are shrouded in despair, and death and suffering. All of us face these emotions, and quite of few have felt hemmed in by these ringwraiths of hell. Jesus manifested his glory in the grist of the mill, the centurion presiding over his death himself acknowledging “Surely this was the Son of God”. To manifest his nature in the throes of agony has to be from God. Any other alternative is from our flesh and will not manifest His glory. Press close while being pressed in. Salvation and resurrection come in ways we cannot imagine. Not one of his disciples could fathom or believe it when it happened despite being forewarned by Jesus himself that this would be. How we distance ourselves from Him, even when we stand next to Him. Hold close. The end may be a new beginning.


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Extradural hemaotoma

Posted by: Philip Alex | Posted on: July 29th, 2009 | 0 Comments

A tourist was found unconscious in his hotel room after two days and brought to the hospital. A CT scan showed a huge frontal extradural hematoma. A frontal craniotomy was done and the hematoma evacuated. The patient was ventilated and later transferred to a tertiary hospital where he was succesfully extubated. He recovered consciousness.

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Posted by: Philip Alex | Posted on: July 24th, 2009 | 0 Comments

A sixty year  old presented with history of jaundice and sudden abdominal pain for which she was admitted in a hospital outside. She had a cholecystectomy and cbd stone removed in 2003. Imaging had shown a huge cbd stone and hugely dilated cbd.

On exploration the entire right hypochondrium was sealed off with adhesions. The CBD was 3 cms across.

A choledochoduodenostomy was done.  IMG_6745 (648 x 486) IMG_6766 (600 x 450)

Sarcoma leg operated on

Posted by: Philip Alex | Posted on: July 22nd, 2009 | 0 Comments

A man had come with a slowly growing tumour of the right thigh. It was about 10 cm circumferentially and stuck to the muscle and skin. Excision and grafting were done.