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Large Bladder stone removed

Posted by: Philip Alex | Posted on: June 17th, 2012 | 0 Comments

Prakash (name changed) had sustained a pelvic fracture in 2000 and sustained a rupture urethra for which he had a suprapubic cystostomy till 2002 when he underwent a urethroplasty here in our hospital. He had recurrent problems with what he said were pieces of catheter obstructing his urine stream. He came to us last week with a persistant leak via his old spc site and the inability to pass any urine at all. Investigations revealed a huge dumbell shaped bladder stone completely obstructing the bladder neck. He underwent cystolithotomy and removal of this stone and dilatation of his stricture urethra successfully.

 

Dr. Anne Philip visits

Posted by: Philip Alex | Posted on: June 11th, 2012 | 2 Comments

Dr. Anne Philip is a visiting obstetrician from Luton, UK. She will be with us for one week. We welcome her. For the first time possibly in the history of LWH, we have three obstetricians on campus!

Blogging, tweeting, facebooking and other activities

Posted by: Philip Alex | Posted on: April 10th, 2012 | 0 Comments

The mountains surrounding Manali are like the walls of a  fortress. I am often reminded of the verse in the Bible that calls on us to lift up our eyes to the hills. Their constant and majestic presence are a reminder of the all pervading constancy of Gods mercy. The morning sunrays changing shadows to burnished gold are a reminder of His diurnal faithfulness.

We hope to now send you messages from these mountains. The internet superhighway has now made mundane meditations of anonymous hermits like me accessible. I hope to be able to allow those who are interested share in the events in the mountain fortress that is Manali. I will focus particularly the goings on in the  hospital that serves and sees so much love, life and also tragedy on a daily basis.

Please do write in with suggestions and yes, demands, and please do spend your precious time to glance at these smoke signals from the mountains. I will do my best to keep them succint.

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PCNL done in Manali

Posted by: Philip Alex | Posted on: October 13th, 2010 | 4 Comments

Dr. Tara Chand Sharma performed two PCNLs in manali succesfully. Patients are doing well. We  hope to offer this soon here, which will be a boon to the patients. IMAG0096

Whipples surgery done in Manali

Posted by: Philip Alex | Posted on: October 7th, 2010 | 0 Comments

A fifty year old had come with obstructive jaundice and ct had showed a 4 cm mass in the head of the pancreas that looked unresectable. She was planned for a hepaticojejunostomy or diversion. On table her lesion was mobile, so it was decided to resect it. A Whipples pylorus sparing duodenectomy was done and she stood the procedure well and was discharged on the 9th postoperative day. Her resection margins were clear. This is the first time a Whipples procedure has been successfully done here.

Rare eye procedure done in Manali

Posted by: Philip Alex | Posted on: October 7th, 2010 | 0 Comments

Dr. Sandeep performed over twenty surgeries during the camp in Manali, including a Hummelshiem procedure, a rare and difficult operation done for strabismus. Over two hundred patients were seen.

Rev. C.B. Samuels message

Posted by: Philip Alex | Posted on: May 23rd, 2010 | 0 Comments

Here is a summary of the Sunday message: it is a bit cryptic, rather like morse code. You will need to expand it yourself.

Loving God is a command we have to choose to do it. We cant define it the way we want.

Three components to love

  • Devotional component

We have to love God. Love demands presence.

  • Transformational component

We have to change. We have to choose Loving God or Loving the world/money

  • Missional component

Be Missional in all you do. Desire to communicate.

There are many ways to love God but one way to love God that is to love your neighbour. If you do not love your neighbour you are a liar. Loving people is not a suggestion. He said that if you don’t love all the work you do will be dismantled.

Philippians 2. Having the same mind there is no unity. Be Complete by being likeminded. Have this mind. 1Peter 4:1/ 1Cor :2 / the mind of Christ Leadership. You do not have the mind of Christ. We hide under excuses not to love. That it is not my style, or not our culture, etc. This is not a culture problem. This is a spiritual problem.

Four componenents. from Philippians 2:

  • Dont cling to the image. Chapter 3. People love their own status. You have created an image which you love. If any one touches that image finished. Unless you hate that image you cannot love.
  • Made himself nothing,vulnerable. Made himself nothing. We act from our security. Hard to love people who tell you the truth. We have to empty yourself. difficult to love when we protect ourself.
  • Relocate ourselves. What you have to give. You come in from power. You dont want to be at the disposal of others. We are stuck to our status. Are you a servant?
  • What they ask you to is painful to do. They will sit on your head. The fear is that others will give you your agenda. The reason we do not love is because we have not died to ourselves.

Extra dural hematoma

Posted by: Philip Alex | Posted on: February 6th, 2010 | 0 Comments

Biju (name changed) was an active fourteen year old boy who was found by his family having fallen from the first floor of his house. He was brought to the hospital unconscious. A scan of the brain done in Kullu showed a blood clot pressing on his brain. He was rushed back and underwent an emergency operation to relieve the pressure and remove the clot. He withstood the surgery well and recovered from the procedure. He is now recuperating.

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.