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.
Fifteen days of earned leave after working for two years,I was praying in a house group prayer and worship and pleading with the Lord to show me something ,when it was not forthcoming I surrendered to the Lord and prayed let your will be done and then I saw the Lord walking up a winding road and deep in my spirit I knew He was calling me to follow Him .I did not know where to but I thanked the Lord and said yes. I have been living more in the unseen world than the seen world. Suddenly out of the blue I received a message from Dr Arpit asking me to replace them in Madhipura for a fortnight. I needed to go because things were getting a little intense and I needed sometime to step back and mull some things over. I had no idea why the Lord was taking me back to the old world of EHA , mission hospitals and friends from the yore. Travelling to Madhipura , I continnued to ask the Lord, 'Why this road? I had no idea why I was going where I was going.I am glad I came because I could r
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