Friday, November 21, 2014
I had but come back from the village and was just about getting a wink ,my junior was at the door.A local lady who had visited us the last week and had decided to deliver in our hospital and the EDD was a week away, had come with a history of fall from a ladder and pain abdomen with fluctuating foetal heart sound in foetal distress. We immediately called the operation theatre team. There was no bleed in the abdomen but anaesthetizing her was a problem-nothing was working and if it was ,it was for a very short while.When we opened her uterus a gush of blood greeted us .She had bled into her placenta.It was a face presentation and the baby was huge.Somehow the baby and the placenta was out but we had a very restless lady on the table with an open abdomen. Wherever we put in sutures it was bleeding. The bystanders were insistant we do a tubectomy although we were not too keen. By the time we had finished suturing her uterus we had a very flabby uterus in our hands which was not responding to a massage or any of the medication. We called the husband inside the theatre,the mother-in law came instead,she immediately gave us the consent for hysterectomy.On the second thought I was not too keen on doing hysterectomy because she was young and extremely restless,so I called over my colleague from her leave and we decided to try out suturing the uterus.We ended up doing the Pereire suture and much to our relief and heart-felt gratitude to God the bleeding seemed in control. We prayed before we opened her up,in the middle of the surgery and with gratitude when we finally closed the abdomen. We had started at one thirty in the afternoon and we were finally out of the OT at seven.we gave her a pint of fresh blood.By God's grace she remained hemodynamically stable. It was to be a crucial night.She was on syntocinon drip .By nine she had had some bleeding -her pad was soaked and so was the linen but she was hemodynamically stable.We increased her syntocinon and decided to wait another two hours. The time till the morning was uneventful and she was bright and awake at the middle of the night apologising for her bad behavior.She told me,'Didi I don't know what happened to me?' The next morning anticipating a fragile recovery stage and a possible need for more transfusions I talked to the bystanders about taking her to a higher centre to avoid any kind of risk. They obliged immediately and on the passing the mother-in law who was well educated informed us that the lady had had problems with her uterus from the onset.They had anticipated the problem. We were left extremely drained but grateful at what could have happened had things gone the other way. Somehow the Lord has ALWAYS covered us..and He has never let our faces be ashamed not because of our merit but because of His abundant grace.
Yesterday was a ripper. Celebrating the spiritual week ,it was my turn to go to the village. I visited one of the villages near Chapara. Eight of us went excluding the driver,we divided into groups of two to do a prayer walk. Scenically beautiful village in the interiors,most of the village apparently has bonded labourers. Both sides of the village are flanked by temples. Myself and Nisha walked into the first house on a hill-top. The family was around for lunch break.The men were mending their wooden yoke whereas the women were lounging around. They were overjoyed to see us and immediately sent the daughter-in-law to make some tea for us.We sat with them ,played with the little child ,took photographs,gave some consultation ,got invited to lunch which we politely refused. Each house we went to the folks wanted us to sit down for tea. We were walking the road which ran down the middle of the village when suddenly a man carrying a load of wood on the head greeted us and enquired if we had come to visit Malti.I must have given him a dumb look because he clarified. Malti was a young girl of around eighteen who had come to us with scizophrenia. She would howl intermittantly and would refuse to be examined. Her vociferous uncle and a docile father had brought her to our hospital. Having never been very confident in managing psychiatry patient I called up Dr Rajah,who generously gave me detailed instruction and offered to be available for her whenever I needed a consult.I put her on olanzepine and by the next day she was sleeping like a child and looked better. A month after that she came to meet us full of joy. Eversince she has been a regular in the OPD .The last visit her father told us that she would read the literature we had given her all the time. We walked up the hill to malti's house.The entire household greeted us with a lot of joy.we had another bout of tea which Malti prepared with her own hands.After that Malti's uncle wanted us to visit their house.We prayed in both the houses and left the village thoughtful.
Wednesday, November 19, 2014
I was attending the diamond jubillee celebration of one of my alma-maters.As different people went forward and shared their unique experiences one genteel lady got up ,apologised for the absence of her husband who was actually one of the alumnis but was occupied otherwise and thus had asked her to attend instead. She gave a humorous account of incidences from her husband's time in the institution.Suddenly something clicked and my memory took me to a place long ago when as uncertain medical students in a government medical college the couple used to visit us and perhaps for the only time in my life I remember travelling on the rooftop of a bus singing our lungs off with worship song to make a trip between Bankura and Purulia and were received with such warmth into their home.There must have easily been a dozen of us. As I gathered she could not place me.Brought to memory Mathew 25,vs 36-37.....Lord when did we see you hungry and feed you ..... Stalwarts who in obedience to the Lord do small and big things are the sign boards God places on our path to whisper to us ..'This is the way....walk in it.' Incidences like these help us to understand the impact of our obedience in the lives of other people.