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Wednesday, May 03, 2017

Jan to March 2017

Wow its hot, March has been sizzling. Temperatures upwards of 38 Celsius and working in the heat in the mid afternoons - phew!!! Patients sit uncomplainingly

Lots of patients: 6968 of them, with the majority earning less than 48000 pa.
475 children below the ages of 15 and 981 elderly patients.

The drought has also affected the earning capacity. The effects of demonetisation are slowly fading though.

April promises to be hot as well

The year past saw us cover 22742 patients, an increase of 5% from the last year. Quality affordable outpatient medical care is so much needed. Almost 95% of illnesses could be treated at an outpatient level. The need is to have dedicated doctors and staff in rural areas. I frankly do not see it happening given the way our medical education is structured.

 This young girl had an extra orbital pseudo tumour which caused ptosis of the left eye. She was operated at Hyderabad and is slowly recovering.

 This old lady, with Hypertension, Stroke and Diabetes makes a trek of almost 40 km to reach the RHC. She has to change 3 buses to reach. We were able to help her with some transportation charges so is now able to hire an auto. She comes once in 4 months for a review.
 Young man with Congenital Hypothyroidism. Mis diagnosed and Mistreated - literally abandoned by his parents. Slowly brought under control. I suspect that he has other endocrine deficiencies too.

Diabetic feet are so common - lack of foot care, injuries due to bare foot walking, poor nutrition all add up to this debilitating condition. Loss of earning capacity adds to the woes of the patients.

Throngs of patients. This was at 1700 having seen an OP of 180 patients

This young girl with type 1 Diabetes - is an aspiring state Basketball player. She made it up to the semifinals in the recently conducted nationals at Rajnandgaon. However she could not make the cut. Wondering whether her illness precluded her selection. 
She is well controlled on Insulin and has excellent parental support.

That's all for now folks. Looking forward to a break in May

Thursday, January 12, 2017

Oct - Dec 2016

The final quarter of the year.
The first two week sof November saw the RHCtake a short break.
As usual the NE monsoon played out as a damp squib!. Cyclone Vardah deposied some 4 cm of rain and that's it
The month of December saw soms poor patient attendance primarily due to the cash crunch post demonetisation. However by the end o December things were looking up once again.

Total of 5366 patients
Children below 15: Males - 244 and Females - 174
Elderly (Above 65): Males - 338 and Females - 341
Adults: 1820 Males and 2449 females

Income Levels: 5101 earned less than INR 48000 pa and 265 were over 48000 pa

Tuesday, October 25, 2016

July - Sep 2016

The meteorological forecasts were optimistic - plenty of rains - unfortunately not a drop - the groundnuts have all withered, the jowar has gone - few straggly spike here and there. Makes one heart bleed
On the other side there was a sudden spurt in tomato prices - wow some families wiped out 10 years debt in one trip to the Tomato Market - suddenly there were new phones, new bikes visible on the country roads!!!!
Two sides of the same story
By end September all were wearing a glum look - withered crops, rapidly depleting ground water and soon the familiar sounds of a tractor pulling a trailer with water
Any way the RHC continued to be busy

Total of 6997 patients
Children below 15: Males 281 and Females 220
Elderly (above 65) Males 401 and females 385
Adults: 2657 Males and 3053 Females -
As is always the females tend to seek health more than males

Income levels less than 48000 pa 6683 and more than 48000 (APL) 314

Despair of Poverty - Cowering, hiding from the world and the wind
                                                                                                                                     This young boy swallowed a Re 1 coin - Bananas did the trick, The X Ray shows the coin in situ                                                                

Severe Osteo Arhritis - Helped with a knee brace