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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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Choleduodenostomy

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.

Fracture penis repaired

Posted by: Philip Alex | Posted on: July 17th, 2009 | 0 Comments

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A young Nepali male came with the history of turning in bed with an erection when he heard a snapping sound. He had ruptured his corpora cavernosa. His urethra was also found ruptured. He underwent repair and urethroplasy and is recovering uneventfully. 

Fracture penis

Posted by: Philip Alex | Posted on: July 17th, 2009 | 0 Comments

A young Nepali male came with the history of turning in bed with an erection when he heard a snapping sound. He had ruptured his corpora cavernosa. His urethra was also found ruptured. A surgery to repair this would require him to travel to Chandigarh or Ludhiana, 8 hours away. We were able to fix this problem for him and he went home after an uneventful postoperative period.

Fracture penis repaired

Posted by: Philip Alex | Posted on: July 17th, 2009 | 0 Comments



A young Nepali male came with the history of turning in bed with an erection when he heard a snapping sound. He had ruptured his corpora cavernosa. His urethra was also found ruptured. He underwent repair and urethroplasy and is recovering uneventfully. 

Our boast

Posted by: Philip Alex | Posted on: July 5th, 2009 | 0 Comments

The world structure as we know it is built on self glorification. All our systems, regardless of the field are built on building up oneself. The kernel of rebellion is right here. Following god would have to shake the very foundation of established structures, whose philosophy often creeps unwittingly into the fibre of our being. A very conscious choice has to be exerted to go against the grain, and re establish the right order of things, in which is His delight. The very struggle to know and understand, fundamental distinctions of the human race lead to towers of Babylon that stand in open defiance to the Lords order of things. Yet, the tower never started of with that intention. The process of knowledge and discovery will deviate unless trained by the undergirding to consciously always boast in the Lord. Every area of our lives, internal and external has to follow this runner at the risk of becoming a creeping vine that strays away from the source of all life. Can we truly say all our discoveries, and all our aspirations are rooted in Him? Can we say our every attempt at life has this undergirding? Help me to know and understand this. Let us be able to say “We boast in the Lord”. 

He will keep you

Posted by: Philip Alex | Posted on: June 26th, 2009 | 0 Comments

Difficult circumstances. Trying times. Uncertain futures. Painful experiences. 

Through all of them, the words from Isaiah 26:3 holds out hope. Hope with a promise. That He will keep you in perfect peace. However, this is a three part promise. The promise of peace, and being kept in it is linked to two aspects of our being. Our mind being stayed in Him, and our trust in Him. 

Trusting anyone is not easy. The older we get, the more difficult it is to trust. Our past experiences condition us with memories of trust betrayed. This fuels distrust which can become a stronghold in itself. The ability to trust however, is the secret of keeping our mind stayed in Him, and the key to appropriating the promise of peace. 

The engine in this cycle is the ability to trust. Rarely will we give our trust away. However, once given, it becomes easy to trust those we love. The key to this trust is knowing the person we trust in. 

Let us place our trust in HIm, and our restless minds harried with cares and doubts will be stilled with that peace He promised. 

THE PATTERN OF HYDATID DISEASE

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

Abstract

Background

Hydatid disease is a common but seldom reported disease in Himachal Pradesh, India. This paper reports Hydatid disease presenting to a remote hospital in the foothills of the Himalayas.

Methods

Records of 115 patients presenting with Hydatid disease to the Lady Willingdon Hospital, Manali , from April 1996 to March 2007 were reviewed. Site, sex distribution, presentation, scolicidal agent and surgical technique used were recorded. Outcome measures were mortality and morbidity.

Results

70 patients were female and 46 were male. (One female patient was operated on twice). 78% (n=90) of the occurrences were hepatic. Extrahepatic sites were spleen, lesser sac, ovaries (n=2), retroperitoneum, broad ligament, mesocolon, renal (n=2), and mesentery. There were fourteen pulmonary hydatids, 10 in the right lobe and 4 in the left. All patients underwent surgical cystectomy. Thirty two patients after March 2003 underwent scolicidal deactivation using an intraoperative modification of the