Category - Clinical
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.
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.
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.
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 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>
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.
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.
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.