Wednesday, June 17, 2009

farewell and hello during cholera times!

What a strange day it has been!One of our senior colleagues said adieu to the world .Loads and loads of cholera patients flooded the hospital.We had a farewell party for one of our oldest staffs.
Decided today to film our own documentaries for advocacy and IEC.Felt happy after the decision was made.Received the TB Alert's 10th anniversary magazine-saw pictures of old timers all goes on...tomorrow is another day!

Tuesday, June 9, 2009

Frustrating India???

One of the responsiilties I hold is in the public-private sector of RNTCP.As a boost to the existant programme one of the donor agencies have donated a van inorder to dissipate information to the public on TB.I have been desperately trying to knock all doors to lay my hands on a decent movie on tubercculosis inorder to use it for IEC activities and I draw a complete blank from every corner.The RNTCP in it's web-site talks about all sorts of TB material available but we find a gap.There are no movies in the CTC as well.
Hello!why put up exotic promises in the web-site when we have no intention of following it up with action??Besides what are we really doing ?We are really doing the government's job for them with no help whatsoever from them.
The new NGO scheme came into practise from the October of last year but the government is still sitting on it without any MOUs being signed.
RNTCP used to be a department that actually used to work in Palamu and within a span of one year it has become just another run of the mill government department obsessed with paper work and paper work alone.
God help the programme !and the people involved including us.
God help the poverty-stricken tuberculosis patients in Palamu and India.

Monday, June 1, 2009

Climb every mountain

The lady was in her mid-twenties-a tribal from a place called Mahuadar.Mahua-is a fruit from which the local beer is brewed and dar is a hill.The place is predominantly a mixture of catholics,protestants with some animists.It's famous for it's waterfalls amongst the locals-it's a picnic spot.They also have a convent cum a clinic there-sick patients are often reffered to our hospital.
This lady obviously had an acute abdominal pathology which needed immediate exploration.They had come to us as a last resort .She had bled into the abdomen with symptoms of what looked like a ruptured ectopic pregnancy-it's when the baby is concieved in places other then the womb.She had lost a lot of blood,her haemoglobin was down to 2 gm%.I called Dulari our nurse anaesthetist-she agreed to give anaesthesia if two pints of blood could be arranged.
They had no donors but somehow the blood was arranged and the case posted.
I had never done a laparotomy before but after opening umpteen number of abdomen one tends to be more stable at the propect of exploring.The bystanders looked absolutely at peace.As we prayed before the surgery all of us felt that same sense of God being in control.
We opened up the abdomen and there was blood every where gushing out like a burst dam.As we sucked old blood out ,the nurse started the pint we had in hand.Next I started the exploration and in the fallopian tube on the right side was the product sticking out from a rent hardly 4cms long.I emptied the product ,sutured the rent and cleaned the abdomen with normal saline,put in a drain and her abdomen was as good as new.
There were a few reflections after the surgery was done.
A small rent ,almost less than 4cms could create such a havoc and would have cost the lady her life,secondly- absolute sense of camadarie and a spirit of one-ness that is most evident when God is doing things that are absolutely beyond us ,it is in a sense a worship of Him who is in control.
I had ,in absolute trust,broken one more barrier in my life.
I thank the lord who helps me climb every mountain even as I rest in Him.