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Welcome Anish Christanand

Posted by: Philip Alex | Posted on: July 18th, 2013 | 0 Comments

We welcome Mr. Anish Christanand, a ct technician and radiographer who will man our ct scan machine. Anish trained in CMC Vellore and has a bachelors degree in medical imaging technology. He  also worked in Herbertpur Christian hospital prior to coming here. We are very glad to have him with us.

Jibhi health mela

Posted by: Philip Alex | Posted on: July 2nd, 2013 | 0 Comments

Jibhi mela is an annual event, conducted over a period of three days in villages which come under the purview of Jibhi CHAI (Community Health Action Initiative).  This year, though the early arrival of the monsoon seemed to dampen our preparatory efforts, the mela was a grand success.

Preparation began almost a month ahead with informing the primary schools and anganwadis in the villages of Hirab, Sajwar, Shoja and Ghyagi, and requesting permission from the educational authorities who are in-charge of these schools.  The rains slashed the Jibhi area in the early weeks of June, making the kachha roads difficult for commuting.  However, the week prior to the mela, the weather turned in our tide, with the mercury rising up.

The team from Manali arrived on 19th evening, and after unwinding and a brief rehearsal, we were all set for the show.  The full team consisted of doctors (Anu and Nishanth), a dentist (Riya), an optometrist (Jasmine), an OPD worker (Sonam), social work interns (Paul, Jackson, and Prasanjit), Jibhi staff (Kanta and Kuldeep), and healthcare workers from the villages in Banjar district (Tara, Nimu, Shakti, and Manorama).

All 3 days involved driving up rather treacherous roads (these roads are not for the uninitiated!), and trekking up beautiful paths through the villages, carrying medicines. Apart from enjoying the silence and beauty of these ancient mountains, we also had a good cardiovascular workout, which betrayed the abysmal levels of fitness in some of our team members!  The children received us with enthusiasm, while the teachers had the place organized for us to perform.  The theme this year was tuberculosis, since a significant portion of people from Banjar block are known to have succumbed to the illness.  We did a brief skit which covered the symptoms and diagnostic options for TB affecting the lungs, bones, abdomen, and brain.  The skit was well received with significant numbers of adults from the villages also attending the mela.  Paul and Jackson kept the children occupied with games and music, while we were checking them up.

On the first day (June 20th 2013), we saw a total of 169 patients from the villages of Hirab and Sajwar together, 80 from Shoja on the second day, and 65 from Ghyagi on the third day.  Due to local elections on the next day, we had to wrap up soon on the last day.   Patients who required further investigations or medicines were advised to follow-up in the Jibhi clinic.

The team enjoyed a brief trek to the waterfalls nearby and also playing the stream beside the Jibhi clinic.  This was followed by a campfire session of singing and dancing, and feasting on lip-smacking mughlai biryani.

Over all, apart from providing basic health-care to these villagers, the team enjoyed the entire trip, and we look forward to another mela next year.

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Smile train leaves smiles behind

Posted by: Philip Alex | Posted on: June 22nd, 2013 | 0 Comments

Dr. Sanjay Sheoran and his team left thirteen patients smiling, their smiles and their lives forever changed.  The Smile train is an international organisation that sends their doctors all over the world to operate on cleft lip and cleft palate patients. They do this at no cost to the patient. This is the third consecutive year that the Smile train has stopped at Manali and we hope for many more stops in the years to come. Thank you Dr. Sanjay and team!

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Heart matters

Posted by: Philip Alex | Posted on: June 4th, 2013 | 0 Comments

The cardiac health mela was a huge success. The populace were directed through booths that took their height weight, waist hip ration and made them aware of their Body Mass Index and risk of heart disease with the central obesity score. Random blood sugar testing was done, and their blood pressures taken. They were then directed to the excercise track, where their target heart rate was made known to them, and then they were put through paces to achieve it, highlighting the need to be consistent and effective in their pursuit of excercise. Dietary advice was offered on the types of foods to be eaten, and avoided. Stations offering information on the relationship with dental caries to heart disease, and the efffects of heart disease on the eye and the other organ systems educated them on wholistic care. Video presentations demonstrated the process of a heart attack, unveiling what happens within the body when a person experiences a heart attack. At the culmination, they were able to eat a health meal cooked by our staff proving that healthy food can also be tasty. A street play highlighted the importance of heart disease to the onlookers.

The staff did a wonderful job, and every thing came together well to finish a mela, well done. This was also covered in detail in all the local newspapers. Great job, LWH.

 

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A busy month

Posted by: Philip Alex | Posted on: May 10th, 2013 | 0 Comments

April was a busy month. It sped by on wings. We had a series of camps. The first was an ENT camp, with Drs Regi Thomas, Associate Professor of Ent in CMC Vellore, and Dr. Rajan seeing over two hundred patients in three days. They also performed ear surgeries here. This has become an annual event, thanks to CMC Vellore. The next camp is scheduled in October, when Dr. George Ani will conduct it with another ent surgeon. This allows the people here to access this specialised care and even get their  surgeries here. We are also thinking of making the provision for hearing aids available in the next year.

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Dr. Kenny David, orthopedic surgeon and spine specialist, also from CMC Vellore has just finished an orthopedic camp here, seeing a large number of patients and performing orthopedic surgery. Some of the surgeries he performed were a boon to patients who had been nursing orthopedic conditions for years and had been unable to go to any other centre to access the care they needed.

Suraj  (name changed) was a boy who had been suffering from tuberculosis of the hip for the past two years which had eaten away the head of the femur, shortened his left leg and left him with a leg that he could not straighten out. Dr. Kenny did an excision arthroplasty by which he straightened the leg allowing healing which will allow the boy to walk, albeit with a limp. Similar corrective surgeries were performed on patients with malunited fractures of the arm and forearm. He also saw a large number of patients with backache, and operated on a  young boy whose nerve was being compressed by a disc that had bulged out causing pain and altered sensation in one leg. The boy was discharged smiling yesterday.

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Dr. Judy, Kenny’s wife is a specialist in rehabilitative medicine. She provided much needed input to the community rehabilitative program conducted by our physiotherapy department headed by Ms. Johanah Kancherla. They visited homes where patients who had sustained strokes or were otherwise disabled were being cared for by home carers, and provided advice and assistance to make the lives of these people a little easier, both for patient and the care giver. This program is now into its second year.

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Students from CMC Vellore are also here on their “Secondary Hospital Program”. Six students have shadowed the doctors, travelled to village clinics, performed school health check ups, assisted surgery, and also gone trekking and rafting, which is a full schedule for just two weeks.

 

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Annual day and retirement function

Posted by: Philip Alex | Posted on: April 17th, 2013 | 0 Comments

The annual day and retirement function was held on the 13th of April in the Daystar School Hall. This was held in honor of three of our long serving staff who reached their milestone of retirement. The hall was packed, and nostalgia mingled with humour as these staff were honored and anecdotes shared. This was interspersed with a cultural feast from the staff, showcasing songs, dances, and the decibel breaking debut of the “Willingdon Wallas“, a complete band that came together for the first time, and hopefully not for the last time.

Mr. Thampy John joined the hospital in 1987 as radiographer, but performed many tasks, including anesthesia technician, maintainence man, electrician, sound engineer, general organiser, staff representative, housekeeping supervisor.

Ms. Prema Devi joined the hospital in 1981, first as community worker, then was posted to Jibhi centre where she worked for ten years before returning to the main hospital. She retired as OPD staff.

Ms. Tara Devi joined the hospital in 1980 as community worker, was trained as a Dai, and was involved in community work before joining the main hospital as a ward aide, in which capacity she has worked all these years.

We thank God for their lives and service.

Retirement gifts were given out to the staff who were retiring, and a fitting finale was a dinner feast featuring local Himachali food.

It was a wonderful evening, and all the staff came together to put together yet another amazing program.

The photographs are in the “Hospital” gallery, and when the video is made available, it will also feature on U tube, the link to which will be provided.

 

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Life Revision seminar

Posted by: Philip Alex | Posted on: March 29th, 2013 | 0 Comments

In the press and stress of life, times to “be still and know” are few and far between.

A life revision seminar was held in Manali by Dr. K.O. John, who is a regular visitor to manali and a mentor to us. Many were blessed by this, as we opened this up to the local fellowships and the school and also the dar ul fazal home. Participation in this is always selective to allow closer interactions and times of personal sharing.

We thank you Dr. K.O for your consistent mentoring.

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Pediatric BLS – the Aussie way

Posted by: Philip Alex | Posted on: March 29th, 2013 | 0 Comments

We were blessed to have the team of doctors and nurses from Australia come and take sessions for all our staff in basic and advanced life support for pediatric patients.

Their sessions were very lively, interactive and very much hands on, and all our staff appreciated the times immensely and learnt a lot.

Thanks a ton, Dr. Benjamin D’Souza and team for making this possible.

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Internet fast

Posted by: Philip Alex | Posted on: March 8th, 2013 | 0 Comments

No I did not mistype it.. i did not intend to say fast internet. Today fast internet has almost become one of the basic needs of man.

  • Food.. optional.
  • Clothing.. minimalistic.
  • Shelter… variable.
  • Fast internet.. essential.

While on holiday, we also took a holiday from the internet. It was not by choice, despite my wanting to make it all spiritual and deck it out with higher motives. It was because where we were, we just did not have access to it in the United States of America. It is indeed paradoxical and satirical, that while in Manali we have a wifi campus, but while in the mecca of technological progress, we did not have access to the internet, despite our best efforts to get “online”.

That did give us an internet free holiday, which in retrospect was very useful indeed. It heightened the awareness of how much time I actually spend surfing the wi, and fie on me for doing so. I realise how essential it is to optimise my “favourite” bookmarks, and minimise my “windows” viewing sites that are “not for profit.”

For those of you who were wondering about my wi silence, i value the time you give to us as a website and for reading  my posts, and promise to keep them succint and informative, to also optimise your wi times.

Please continue to “watch our space”.

With our regards and thanks.

Philip

Emergency – 24 hours

Posted by: Philip Alex | Posted on: January 21st, 2013 | 0 Comments

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Providing an adequate response to any medical emergency round the clock is a formidable task. It involves having a well trained team, being able to mobilise it, and respond quickly and appropriately every time.

 

We are in a mountainous area, prone to accidents, landslides and varied presentations of trauma. Vehicles tumbling down steep ravines, floods washing bridges away and buses overturning are annual affairs. Though assaults and gunshot injuries are rare, there are enough people getting involved in fights to provide patient material to our emergency room. Besides trauma, there has been a rising incidence of heart attacks, and strokes among the local populace. Organophosphorus poisoning is commonplace, with comatose people arriving having consumed it with a suicidal intent.

 

In many mission hospitals, there used to be a system of a call book. There was a book in the emergency room. This book used to be filled by the nurse on call, and handed over to the security guard, who would proceed to tramp through snow in winter or saunter to the doctors house in good weather. Usually the doctors quarters would be located within the campus, at a variable distance from the emergency room.  Such a call system is totally inadequate in its response time to relevantly provide timely help in the narrow window period that is available to save a life. Sometimes the security guard may even decide to refresh himself with a smoke under a tree prior to delivering the call.

 

Telephones replaced that system, with landlines interconnecting the campus. Today mobile phones have come into vogue and even replaced the earlier system of black pagers hooked to the belt which made doctors feel very important. However, even this system is awkward and expends precious minutes waiting for the doctor to arrive, which can mean lives lost.

 

When we first arrived in Manali, resuscitation was more of a last rite than a genuine attempt at saving life.  Precious minutes were lost in waiting for the doctor to arrive prior to the initiation of resuscitation. We initiated a hands on course in resuscitation for all the nurses in cpr, which did make a difference. A further obstacle was being able to have the resuscitation equipment handy. Older wards often have narrow stairs which are formidable obstacles to the emergent transport of life saving equipment. We filled a plastic toolbox, the kind that is available in any department store with emergency drugs and equipment and provided them at every station. These can be grabbed on the go and made the initial response of the nursing staff much more effective.

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At code sites, having enough hands available is an essential component to resuscitation. Tertiary institutions have a “code blue” protocol, where a code pager buzzes madly summoning a multitalented team to the bedside of the patient in minutes. Other institutions have had a system of overhead announcements or lights flashing indicating the emergency.  We provided a siren in different wards, with different tones indicating the location. The siren can be heard all over the campus, and proved very effective in summoning those within earshot to the location of the emergency.

 

Over time, with each of these developments, we have been able to revive patients who present to the emergency room pulseless or not breathing adequately for whatever reason.  In fact, when when a pulseless patient was revived, one of the nurses eyes suddenly lit us as she realized that “This actually works!”

 

Mobilising the operating theatre within minutes is also a formidable task. Having the scrub team and the anesthesia person within a few minutes of beckoning means stationing them within the campus. Because Manali is a small place, we have been able to move massive trauma to the operating table within ten minutes, which is an adequate response by any standard. This too has resulted in precious minutes and lives saved.

 

Though BLS and ACLS and ATLS today are buzzwords with a large amount of documented data on implementation and protocolisation, this does mean different things to different people at varied locations. Each area will have to modify and tweak the practical outworking of the resuscitative attempts. The bottom line being, it has to be efficient, immediate and effective, all the time, every time.