In my three months of tenure in Lakhnadon I have but lost one patient truly .There were two young kids with aluminium phosphide poisoning and one lady who was brought in decerebrtating ,a case of hanging which I would not count because they were expected to die anyways,we do get extremely sick patients reffered to higher units by our colleagues from the government hospital and local nursing homes.
I have been severely restricted in my patient management due to lack of equipments.
In my earlier tenures I have seen aweful iatrogenic faux-pas in well-equiped places which have given me restless nights.
Having talked to a physician colleague who works in a critical care unit in a research institute and her observation that patients actually do better in a peripheral set up because we are less invasive ,I wonder if she is right.She was talking about how elective intubations expose patients to nosocomial infections and the pneumonia resulting greatly increases the cost for the patient because of need for higher antibiotics ,etc.Often the bystanders choose to take the patient home.
Most of our centres do not have a good microbiology back up so less might actually be more in our set-ups.
Thank you Lord for the small mercies.
The last week of January I have started camping out in my construction site with a manuel which reads the King's James version of Holy bible.I thought I would take time to just quieten myself .I am getting a peek into the family who looks after my land.The construction is moving at rapid pace.I pray that it will beat the monsoons this year.If the Lord wills it I hope to do the first floor as well in this sitting.It requires a lot of prayer for the plan and the design and occupancy thereafter. As you can see there is a significant progress.I am here for till the month end.The first night my two little nephews and my cousin decided to rough it out with me.It was quite interesting having them around. The early morning view of the mountains are what I am hoping to catch.It can be breathtaking in December and we are still towards the end of winter so I should be able to enjoy it.The first night was a learning experience with princess and the pea experience.Second nigh onwards I have ha...
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