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Friday, April 05, 2019

Jan to March 2019

 A busy 3 months is over and the so also the last quarter.
An extended winter meant that one had more energy to carry on.
We had consciously decided to try and reduce our numbers. Any patient coming from more than 30 km away was politely asked to go somewhere else. Of course a few exceptions were made - for the elderly, the very sick and the young ones. This did help in reducing the number of new patients we saw, but the old patients more than made up the numbers.

Numbers:
              Less than 15 years                                                      More than: 65 years
Male:          251                                                                                   841
Female        278                                                                                   693

Income
Less than: 48000 pa: 5951
More than: 48000 pa: 125

TOTAL: 6076

This fiscal 23904  patients attended the RHC. This, by far and large is our highest annual load ever.
The number of new patients registered was only 2640 (less by 1200 as compared to the last fiscal)
This probably made our work load less since one didn't have to spend too much time in working up a patient.

PROJECTS

cVEDA: 
This project is going on in full swing. Our understanding of mental health issues has grown in leaps and bounds. We are now managing quite a few depressions, family violence and abuse by ourselves. There is a plan to train our staff to work as lay counsellors - there is such a need.

Vascular Diseases: We hope to restart in mid June for follow ups.

At RHC
 A nurse explaining Diet, Nutrition and foot care to Diabetics - this group also interacts with each other helping each other











      

A little fella gambolling at the RHC




A 15 yr old girl with an amputation Left below elbow







Tuesday, January 01, 2019

October to December 2018

A definite reduction in patient numbers. I feel that our quality of care has improved.
The reduction in numbers is being made up by the time spent with children needing help both from the rural schools as well as Rishi Valley in itself.
I can see that the mental health needs are just going to increase. Not surprising given the increasingly chaotic world we live in where mere survival is going to get more difficult.
The monsoons have failed again and we are at about 60% deficit. This is going to hit people hard.
Drinking water will become a problem as summer sets in.

Numbers
TOTAL 4667
Males: < 15 (186), 16 - 65 (1299), > 65 (626)
Females: < 15 (274), 16 - 65 (1717), > 65 (565)

INCOME
< 48000 (4581), > 48000 pa (86)

On a more happy note we did some tree planting - our bit for the environment!!!!!





July - September 2018

Work goes on as usual. A steady flow of patients. We have been trying to implement some way of reducing the number of patients. Fatigue and possibly some early burn out are the main drivers for this. We are now not seeing patients who come from more than 30 km. Seems to be making a difference.
Projects:cVEDA is making a difference. We are picking up children with Neuro Psychiatric issues ranging from Depression/Anxiety to Attention Deficits. All of these unreported at the time of diagnosis.
These children are referred to NIMHANS for confirmation of diagnosis and we do the follow ups here.
There is such an urgent need for Mental Health professionals in the field - but where to find them

Numbers
TOTAL: 6559.
Males: < 15 (243), 16 - 65 (1916) > 65 (767)
Females: < 15 (259), 16 - 65 (2603), > 65 771
Income: < 48000 pa (6456), > 48000 (103)


Participant doing the online cVEDA test

Wednesday, August 29, 2018

April to June 2018

A summer break to look forward to in May. April was very pleasant, lots of intermittent showers which kept things cool.
A few days which were really hot. As expected a few heat exhaustion patients, some diarrheal diseases, few viral fevers. 
Patients continue to meet us daily
June started on a subdued not, with workshops at Rishi Valley School on teaching learning, counseling. The need for counseling services seems to be a felt need.
Projects wise
cVEDA - is up and running. Have made measured progress in ticking off the required numbers. The staff also trained now and are able to keep up with the questionnaires.
Having Amritha Gourisankar overseeing the project, is a huge help. She has really taken charge of the project.

Numbers: 
TOTAL: 3631
Males: < 15: 102; 16 - 65: 1117; > 65: 333
Females: < 15: 68; 16 - 64: 1661; > 65: 350
Income Levels: < 48000 pa: 3504, > 48000: 127
70 yr old with a mass lesion. We decided against investigating any further and just treated him symptomatically

40 M, with an Acute Direct Inguinal Hernia

45 M walk in patient - BP recorded on visit
With 2 drugs he is well conrtrolled

Wound debridement of a Diabetic Ulcer
being done by our nurse