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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.

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

< 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

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.

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

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