Wednesday, April 29, 2015

Physician heal thyself !



Each time I handle an emergency,
Moving hands ,feet ,head and feelings ,
to bind up the bleeding and the bruised,
a little part of me wears out.
Sometimes it is like ,'Master,I cannot take it any more.'
Is there an easier way out?
A little more facility,a little less hitting in the dark,
a little more clarity..but the sick are suffering,
they are hurting ...,and they cannot go to the USA.
So you do what you can,and then leave things in God's mighty hand.
To heal the sick and the physician.

Tuesday, April 28, 2015

Your grace is mine for eternity...


I did not wake up to the all encompassing brilliant presence of the Lord in the room as I did yesterday.
My heart was not humming a psalm when I opened my eyes this morning.
I was woken up rudely by the shrill telephone bell-to a patient breathless and distressed.
Pneumothorax it was ,half an hour later ,chest tube inserted I sit out on my chair and wait on the Lord.
It is deadly still outside ,knee high grasses in the lawn before me stands still ,beaten in it's unspoken inneundo only by the hot air that does not blow.
I strum my guitar and sing a few psalms....I pray to the Lord .....
'I thirst for you my whole being longs for you,O Lord in a dry and parched land where there is no water' and yet as I sang earlier...
'You are a God who brings forth fruit from dead and arid land and You are also the same God who pours out living water from a dry river bed...You are the Master of my life ...your Grace which is better than life, is mine for eternity'.
That is more than a reason enough to praise you all the days of my life.

Sunday, April 19, 2015

Little joys of life!


Small joys of life cannot be taken for granted.
Yesterday after work the electricity went for a sixer so I pulled my arm-chair out and sat on my verandah watching the staffs and the children at it, at various games.
Suddeny I had all the young ladies,anywhere between one to nine years storm my paraphenalia asking me for chocolates.I got down talking with them.
The window into the children's world is fascinating to say the least.Yesterday my friend in England wrote to me about her little one who I believe remembers me and asks often when I will be coming to England next.
I remember that intelligent child with such fascination ,even now when I go back to read the blogs I have written then, I am filled with joy.
Coming back to the present I noticed that the boys had balls and bat and were busy playing with their boy thing but the girls did not have anything.
So I offered to play with them.We played box ,which I seem to have partially forgotten and then I taught them 'baby said to mommy' and 'hot cross bun'.They taught me another rhyme one could play through with the numbers.As with all children they love repeating things so that was what I was doing for the better part of the evening till we had to call it a day because it was getting dark.
In the men time I soaked the rice and urad dal for the dosa we wanted to cook for the bible studies on sunday evening.
I spent most of the sunday afternoon preparing the dosa,sambhar,chutney and caramel custard for the twelve regulars who attend the bible studies.
There is a thing-we say often- 'God is no man's debter'.Even as I have started preparing dinner for this group every sunday my cooking skills are improving.I had a perfect dosa,perfect sambhar,and a perfect caramel custard all home made.I even made the sambhar masala myself.
But the thing that took the cake was the doorbell ringing at five thirty in the evening when I was just getting ready for the youngsers to come through.
It was one of the little kids from yesterday come to call me out to play ,I felt extremely privelaged to be considered a playmate and was heart-broken to tell her I could not join them since I was expecting some guests.
I promised to play with them the next day.I am actually looking forward to it.

Saturday, April 18, 2015

MIGRANTS…



A young girl was brought to me by one of the community health workers from the village

of Chapara.

She had had a recent history of having migrated to Nagpur to work as a labourer in the

roads with her grandmother.She had studied till the ninth class.

The history went that when they were about to make the journey home she started

weeping profusely and started behaving abnormally and stopped speaking altogether.

My colleague who was sitting across the table suggested that there might be a history

of abuse.

As we got talking to her she opened up .We had a sketchy history in hand which

suggested abuse,exploitation,wrong counsel,ignorance and a way of life…

I have had a glimpse into the life of a migrant in an earlier occasion while looking

after the tuberculosis programme in Nav-jivan in Satbarwa.Fighting to bring

tuberculosis under control in the area with a highly disciplined ,organized and

participatory programme ,one always found that one was out-done by a particular group

of people ,namely the migrants.

They came up with fresh infections,relapse ,multi-drug resistant tuberculosis and an

added baggage of co-morbidities one could hardly keep a cap on.

While in NJH we did a research on the same and found various factors which could be

responsible.

Namely alcohol,drugs,promicousity-being away from home,lack of health facilities for

the migrants,crowding ,malnutrition,unhealthy living condition and ofcourse ignorance.

Coming back to the context ,we got talking to the lady who had a whole lot of baggage

to spill.We gave her an ear for half an hour or so,wrote some medication for her and

asked her to come for a follow up after a week.

My mind went back to the migrants in the bible.The old testament migrants who were

banished from their land by God for their sin,the israellites .Migration was a form of

punishment for disobedience.Even though God banished them he did not forsake them

altogether.He brought up prophets and leaders,mighty men of God to lead them through

the wilderness of Babylon.There was Ezra,Nehemiah,Jeremiah ,Ezekial ,Daniel….God spoke

to the people through them and these men of God lead the israellites in the various

roles the Lord allocated them.

Somewhere along the way God spoke through these prophets-one of them being Ezekial

34,vs 11-where the Lord says-‘For thus says the Lord God: ‘Indeed I myself will search

for My sheep and seek them out…..’

Thus Jesus came and when He did, suddenly things were different.Migration which was a

curse and a punishment actually became a calling and a way of life which Jesus called

out His disciples to. ‘Foxes have dens and the birds have nests but the son of man has

no place to lay his head’Luke-9vs 58.

The commission for the Christian goes out very clearly-Then Jesus came to them and

said, “All authority in heaven and on earth has been given to me. Therefore go and

make disciples of all nations, baptizing them in the name of the Father and of the Son

and of the Holy Spirit, and teaching them to obey everything I have commanded you. And

surely I am with you always, to the very end of the age’(Mathew 28 vs 16-20.)

We all are migrants in the sense that we are not yet Home.

All the disciples of Christ were willing migrants who brought the gospel to us.

While in our earthly journey it helps to remind ourselves that we are one(migrants)

,our status changed because Christ came,and we are called by our savior not to settle

down ,but to go forth and give the message of hope, peace ,salvation

and reconcilliation to the world which includes the first and the second group I have

written about.

We are called from being migrants because of curse and disobedience , to be migrants

'IN AND FOR CHRIST' , a blessing to the nations, always on the move for the kingdom,

not necessarily physically.

Friday, April 17, 2015

Pray for us!

We started the Chappara clinic the wednesday last.There is a fantastic set-up there sans man-power which a team from the hospital is trying to cover.We are glad of what response we are getting and if the Lord wills it hopefully we will see some fruits in that field.We hope to hold the clinic every wednesdays and saturdays.
In the meantime we continue to grapple with some extremely poor patients who walk in through our door.We feel quite totally helpless.
Today again I had a gentleman brought in with anuria,uraemia,acidosis,low platelet,liver cell failure who is fighting it in the new ACU.We have already given them a bad prognosis but he continues to battle it.
We are also getting a spate of heart patients.All sorts from frank MI,heart blocks,sick sinus syndrome,fast AF in CCF,CHRVD and the list goes on.
One other amazing thing that happened this week is that a lady whose fallopian tubes we had re-canalised a few months back ,has conceived.The husband and wife came beaming from ear to ear into our OPD.We are sure glad and it was an occassion to celebrate.
Dr Ghasian,the anaesthetist fron Maharastra who has built a simple ventilator which saved so many lives in Satbarwa ten years ago is coming with a set for us .We had apparently bought a set for 62,000 then now the cost apparently is 73,000 ten years hence but he has worked out some concession and is giving it to us for 65,000 which is amazing.
The Lord continues to hold us ......do pray for us at Lakhnadon Christian hospital.

Saturday, April 11, 2015

Poor.

The delimna of running a mission hospital,especially a struggling one has it's moments.
We still get poor patients who count their penny as they enter the casualty not in any way prepared for the emergency expenditures that come their way.
This was another day a sick patient was wheeled into the casualty.He had a random sugar of twenty,serum creatinine of 3.2,platelets were twenty thousand and he was bleeding from the gums and the bladder.They were poor.Each time we asked them to get the medicine the wife would dive into a battered purse and fish out a few bucks.
Max,my junior doctor offered to donate a pint of blood knowing how the black marketeers in Jabalpur make platelet transfusion an impossible form of treatment.
The public in and around the hospital think that LCH is a refferal centre.Whenever a patient looks like is getting worse or develops complication after being treated by umpteen number of doctors including the government one they rush to 'the mission'.
The grace of God ,dedicated staffs heal a lot of them but on occassions like today we feel quite helpless.
The government could facilitate treatments for these patients by liasing with centres like ours.Post-graduates and doctors from pretigious institutions are placed in hospitals like ours.We are ever so willing to give our services in the deprived regions but all we find along the way is road-blocks and more road-blocks from the public sector making functioning in these rural set-up almost impossible.
Yet we struggle on in the hope that someday someone will see sense in what we are doing and facilitate it for the welfare of the deprived.

Whats-upped!

I am getting 'whats-upped'.
I find myself slowly getting steered out of the common family thread which my late cousin called 'the net-working'.
We as a family find some way to communicate with each other everyday from different parts of the world.My sister in Delhi keeps us connected and we call each other ever so often.I am not a communicator by nature.I can stay disconnected with anyone for ages and expect the same response one fine day when it catches my fancy to pick up the phone.I keep in touch with my parents regularly now that they are getting on in age.
Suddenly I find I am missing out on the family jokes.My siblings have been insisting I get myself an I-phone and I am adament that I can do without one.I carry around the cheapest nokia set which cost me one grand and suits me just fine.
But now I find I have missed out on the some lovely photographs,my sister's laughter recorded all the way from Australia,the picture of the room my brother is building for me all on his own expense...and frequent family and other jokes that seem to be doing the round.I have resorted to the twitter with vengeance and it is completely another crowd of people I get to interact with.I think my siblings find the facebook too public and I think I am finding the rapid shift-over a little too tedious.I have got to see how long I can hold on.

Friday, April 10, 2015

ADJUST......

One would think one is amongst a family of believers inside a campus and well looked after but things are not so simple.Majority of us are not believers,for one.I got a taste of what sort of war we are at recently.
I took the step of standing up against a person who has a local clout .The only house in the campus which had an electricity shortage was mine.The only house whose electricity connection could not be retreived post-storm was mine.A seperate connection had to be arranged.I still have not for the world of me fathomed what the problem is as yet.
We were building the ACU and were running after the air-conditioning of the place and even before I have been informed I realise the hot air is directly blowing into my out-patient.I am not sure if it was intentional,but one of my staffs informed me that after having corrected the person he still went ahead and did just that.
Am I upset?-No.Just very curious.
It just makes me realise what we are up against in the spiritual realm.
I also feel extremely privelaged to go through these inconsistancies for doing what had to be done.
The local lingo is 'adjust' and I am horribly frightened of that word.If I were willing to 'adjust' in life I would not be where I am at the moment.
I love the space I am in at the moment.Safe in the hands of my savior who has called me and will keep me.
Amen to that.