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Thursday, April 12, 2018

Jan to March 2018

Winter stayed on for quite a while, a blessed relief.
A conscious decision was made to try and reduce the numbers of patients accessing the RHC daily. We found that well off patients and patients from far towns and cities were thronging the RHC for treatment of Diabetes as well as Thyroid disorders. The loads were becoming too much to handle. We started sending back patients as well as giving appointments.
However the aged, those with complications were given priority to be seen that day itself.

Most afternoons, I find it increasingly difficult to focus on what the patients are saying, registering their ailments and then try and find appropriate remedies for them. There, would,  possibly be some, not so appropriate treatment as a consequence of fatigue. However what we ensure is that the basic medications are correct. For example dose adjustment for diabetics, diet advise, foot care are not compromised upon. Aches and pains, dyspepsia are possibly given short shrift!

6706 patients accessed the RHC during this period
Children (less than 15) M 242 : F 264
Elderly ( more than 65) M 747 : F 709
Adults: M 2190 : F 2554

Income - less than 48000 pa : 6563 and more than 48000 143

Saturday, February 10, 2018

Treatment of Diabetic Foot

Diabetic feet are quite common amongst our patients. Its a leading cause of debility, morbidity resulting in loss of wages, increasing difficulty in finding work etc and a source of stress for the family to look after one with a diabetic foot, particularly those which are infected and smelling like god knows what. 
To be able to treat and provide some sort of quality of life is of paramount importance.
The pictures below show an old lady with a diabetic foot who has been provided with orthotic footwear designed at the RHC. An excellent cobbler who understands what is needed and is able to translate and execute the design that I give him helps us make this footwear.
What was touching was the husband, himself with creaky knees squatting and helping his wife with the footwear

A lady with a Diabetic foot

Footwear designed and made at the RHC

The Husband helping her with the new footwear
Completed Footwear in place

The cobbler at work

Two Sides of a Coin

Couldn't resist posting these photos. Small children and an elderly gentleman. Both patients at the RHC. 
Children carrying a water can probably as heavy as the younger one. What struck me was the ease with which the older girl was carrying the can. How does she do it - watching her mother, or has she been trained?
The dignity of the old man waiting for his medications struck me. At the end of the day - patiently waiting his turn using the tree as a support.

Thursday, February 08, 2018

Diabetic foot treatment at RHC

A Diabetic foot with ulcers

Orthotic footwear made at RHC

3 months later - voila healed