Ben and Kelly two nurses working at the local hospital. dsc01165 KONICA MINOLTA DIGITAL CAMERA SONY DSC SONY DSC IMG_0791.JPG

Subscribe to our Newsletter

Its not twins – dad’s derelict humour

Posted by: Philip Alex | Posted on: January 3rd, 2013 | 0 Comments

A snippet from outside the operation theatre recently.

One of our staff was waiting anxiously outside the operation theatre while his wife was undergoing an elective caesarean. More of our staff “supporters and well wishers” who were with him during this wait used the time to convince him that his wife was actually having twins. The gag caught on, and eventually  they managed to sow this seed of doubt successfully, reinforcing it by drawing allusion to his wife’s “huge” tummy and the necessity to perform an elective caesaran. The poor father to be was most relieved when only one bawling baby emerged!

Well wishers or wishers in the well?




Large ovarian cyst

Posted by: Philip Alex | Posted on: January 1st, 2013 | 0 Comments

A lady H had come to us with awareness of a mass in the abdomen and pain. Examination revealed a large mass arising from the pelvis. Ultrasound had showed a cystic mass filling the pelvis adjacent to the uterus. On surgery a large ovariancyst was found adherent and torted. It is amazing how much discomfort and pain the local people can tolerate prior to seeking help!

Photograph shows Dr. Sarah Funai our gynaecologist removing this cyst.

[singlepic id=185 w=320 h=240 float=left]



Posted by: Philip Alex | Posted on: December 31st, 2012 | 2 Comments

Baby K is the son of a Nepali labourer family. The child started crying suddenly at four pm and then started vomiting followed by the passage of currant jelly stools. The young yet astute mother noticed a mass in the abdomen. The child was brought to us  in the night. A working diagnosis of intussusception was made, confirmed by the “Sign de dance” on the plain x ray ( empty right iliac fossa).

Hydroreduction  was attempted but was not successful, hence the infant taken up for surgery, where ileocecal intussusception was found which had approached the sigmoid colon in its extent. Thankfully, on reduction the bowel was viable. A type 1 malrotation had predisposed to this. A cecopexy was performed. ( The bowel was returned to the proper place it was supposed to be in, which was why this happened in the first place).

The baby is now doing well.

[singlepic id=182 w=320 h=240 float=center]

[singlepic id=183 w=320 h=240 float=center]



Posted by: Philip Alex | Posted on: December 27th, 2012 | 0 Comments

Mr. R had come to us from Chamba, over two days journey away. He had sustained a fall and a straddle injury which destroyed one testes and ruptured his urethra three months ago for which he had a suprapubic cystostomy to drain his urine. He had already been to PGI Chandigarh and IGMC Simla, but for one reason or the other, was not able to get anyone to fix his problem, which would require a surgical refashioning of his ruptured urethra.

He arrived here last week and was most adamant that he stay till we were able to operate on him. He underwent a successful urethroplasty, which cuts away the damaged portion of the urethra and refashions it to create a passage for urine. He is now doing well and should be able to be discharged soon.

We thank God that we were able to do this for him.

[singlepic id=181 w=320 h=240 float=left]


Ct Scanner

Posted by: Philip Alex | Posted on: December 23rd, 2012 | 0 Comments

For a number of years, we have been working towards obtaining a ct scanner in manali. The nearest CT scanner is in Kullu, one hour away by road. This journey can be a life threatening one for a patient who is seriously injured. As a result, we have often had to perform exploratory burr holes in patients who had sustained severe head injuries to establish the site of the collection of blood. Further, we have not been able to send our critically injured patients for a ct scan. On an elective basis too, we have always had to refer outpatients for a ct scan to Kullu.

We need a sum of fifty lacs (Ninety four thousand three hundred US $) to allow us to purchase a refurbished ct scan with a digital cr system. Obtaining these together is advantageous since the machines use similar imaging cameras.

We have collected a sum of thirty five lacs so far, with the help of donors and by saving money.

We hope to install this machine by April of 2013.

We invite any further help to allow us to make this dream a reality.

Please contact Dr. Philip Alexander on if you would like to help with this project.

Donations can be made to us directly or through charities in the United States or the United Kingdom which are registered in the respective countries.

Do help us to make this a reality for the people of this region. 

Vascular repair

Posted by: Philip Alex | Posted on: December 23rd, 2012 | 0 Comments

Two tourists from Punjab had come with the history of assault with a sharp edged weapon. One had all his nerves, arteries and tendons divided in his forearm, and his hand was lifeless. The other had all the tendons that cause flexion divided. All night surgery managed to restore function and blood supply to the hands of both. They are now safely discharged back to their home town.

Christmas baby

Posted by: Philip Alex | Posted on: December 21st, 2012 | 1 Comments

Baby of Amy – a Christmas message of hope


Baby of Amy (name changed) was born to a mother who had previously had a stillborn child here in Manali. The husband is a tailor here and is basically from another state. The child was born by a Caesarean section and developed severe respiratory distress after birth. An x ray revealed that both lungs had fluid, probably from the baby aspirating fluid inside the mothers womb. The gestational age of the baby was at 36 weeks,  the mother not being absolutely sure of her dates and some discrepancy with the ultrasound estimation of the dates. The family was not able to transport the baby to a higher centre. The child was first given oxygen through a special apparatus engineered here in Manali, but then developed a pneumothorax ( a small hole in the lungs) which needed a chest tube. The child went on to need intubation and ventilation. For the first time in the history of Manali a child this small was ventilated with our ventilators, with the able assistance and supervision of pediatrician Dr. Feico, who just happened to be here at the time. If he was not here, we may not have had the guts to ventilate this small baby. Night and day vigils at the baby’s bedside with our doctors and staff in constant attendance eventually bore fruit and the baby stabilized, was gradually taken off the ventilator and was handed over to the beaming parents. The child was discharged last week, a true Christmas baby and a testament to God’s faithfulness in answering our prayers.


This  family would truly rejoice as this baby lights up their world just as the world rejoices remembering Christ’s arrival to light up its darkness.

Thanks to Feico and Madeline

Posted by: Philip Alex | Posted on: November 30th, 2012 | 0 Comments

We were blessed to have Drs. Feico and Madeline with us for the last four months. Drs Feico and Madeline had visited Manali when they were young doctors and since have visited us again together and separately. In fact, Manali was a common interest for them which drew them together, and now they return to us with their three lovely children, Reuben, Mathias and Elske.

Dr. Feico was a great help, and had a lot of patients waiting to see him since he was the only pediatrician, and in his tenure here it so happened that we got a series of very sick neonates, all of whom have survived and done well under his care.

Dr. Madeline helped out in the opd and also in arranging the transfer of a sick Dutch national back to his homeland. (see the article on “Beyond the call of duty”).

While here they were also able to attend clinics in Spiti and Madgram.

It was lovely having them here with us, and as they leave us today, we send them with our blessings and thanks, knowing how much it would have cost them to take time away from their practice at home to be with us.

[singlepic id=179 w=320 h=240 float=center]

Drs. Feico and Madeline

Posted by: Philip Alex | Posted on: November 18th, 2012 | 0 Comments

We thank Drs Feico and Madeline who have volunteered here with us since August. Dr. Feico has relieved Dr. Anna of a huge burden of pediatric patients and managed some very complicated pediatric and neonatal patients. Dr. Madeline has also volunteered in our opd clinic, and has been the chief person instrumental in being able to arrange the transfer of Dutch National back to his homeland. Their family with their three energy filled kids have added zest and zip to all campus functions, and two kids have even celebrated their birthdays here in Manali!

We thank you for all your help.

[singlepic id=178 w=320 h=240 float=center]


Manali hospital in the Emfi conference

Posted by: Philip Alex | Posted on: November 11th, 2012 | 0 Comments

The EMFI biennial national conference was held in Mahabalipuram this year from the 25th to the 28th of October. Drs. Philip and Anna Alexander took the student sessions on “Current concerns in health care and missions”.  Six hundred delegates attended, of whom about four hundred were students. This was an unprecedented number for any emfi conference. God blessed the conference with good weather, though a hurricane Nilam swept through just after it finished! It was good time of renewing old friendships and creating new ones.