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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.

Elephentiasis

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.

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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

http://tinyurl.com/mdg29d 

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