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Monday, February 15, 2021

October to December 2020

As the corona pandemic waned, the patients started coming back to the RHC. There was still no public transport. Hitching a ride on motorcycles, hiring an auto who brought them through the check posts, the patients cam back for testing, medicines and most importantly meeting the doctors.

3587 patients accessed the RHC - about 50% of our earlier workload.
Majority of them had income levels less than 48000 pa


A simple meal for a villager. Plastic serves myriad functions. It is easy to use, cheap and TOXIC. However, the alternative is carrying steel vessels, which adds to the weight of water.

WOUND DEBRIDEMENT

 at the Outpatient. Because of the Corona, most of these are being done in open air - 
true FIELD CONDITIONS

       

WOUND DEBRIDEMENT
Wound Debridement in the Open air



 

An old man with a Diabetic Foot Ulcer getting a new pair of orthotic footwear. This service has helped our patients to no end.


HELPING HAND
A little girl, helping out her grand father. The elderly person has Parkinson's Disease making it difficult for him to do his day to day tasks. 
His grand daughter was the epitome of patience and empathy as she helped him navigate the crowds, roll up his  sleeves and wait for the medicines

          

        







The proud mother is a Type I Diabetic. We have seen her through at the RHC from age 12, i.e 10 years. She graduated and works as a teacher.
HATS OFF to the young man for marrying her knowing full well that she is a Diabetic and will be on Insulin lifelong.
We had a long chat with the groom, his parents and the girl's parents prior to finalizing their marriage



  

CORONA MASS TESTING AT THE RHC



AT REST

 

Thursday, November 05, 2020

July to September 2020

 As the COVID scythes its way across the world, our little valley was not spared too. A smattering of positives in the surrounding villages. Most had mild symptoms. The PHC staff, ANMs and ASHA workers took good care, ensuring quarantine of the affected persons. So also the Village Volunteers who contributed their mite to ensuring the safety and welfare of their villages. All have recovered and are back to their normal lives.

Our patient load has been a steady 40 - 50 patients daily. This is a far cry from our normal daily load of 120 - 130. Lack of transport and fear of COVID are the 2 prime factors. Our numbers tell the story. This has affected our finances. Income has dropped quite a bit.

TOTAL PATIENTS: 2960

Under 15s: 45 - 29,  Over 65s: 531: 449, Adults: 936:970


Friday, July 03, 2020

Through the lockdown - April to June 2020

The experiences and learnings of the last three months need to be documented for successive generations of health care professionals.
COVID 19 has made us look anew at  disease epidemiology, progression, pathogenesis and management protocols. All of us, HCPs, have been involved in trying to understand, contain and control this pandemic. To a large extent we have been groping in the dark trying to understand this virus. Theories propounded only to be debunked in a few short weeks. 
To me it is reminiscent of the way humanity grappled with Cholera, Typhoid, Small Pox and Plague in the late 19th and early 20th century. It is only from the mid 1950s were we able to get a handle on infectious diseases. When I read accounts of past epidemics, I sometimes wonder how people could have been so stupid and not followed what we, today consider as basic tenets of hygiene, wound care etc!
I am sure that 30/40/50 years down the line, Health Care Professionals will laugh at the way we handled the COVID pandemic and feel the same way.
What has definitely improved is possibly personal hygiene - washing hands, feet before entering home, not shaking hands, maintaining a distance etc. 
However as time goes on, there has been an acceptance that this disease is not going away in a hurry. We have to learn to live with this and protect ourselves to the extent possible.

Patients have been trickling in through the lockdown, finding someway of accessing the RHC. There is a sense of trust and faith in the RHC. Many youngsters just come to collect medications for their grandparents or elders in their village. A coming together of the community, helping each other; something which has not been prevalent last many years.

Total Patients: 1383 (Our normal monthly attendance is about 1500 patients)
The majority of them (1355 patients) earned less than 48000 pa.
Children accounted for 26 and elders 385.

SOME PHOTOGRAPHS

Patient Screening at RHC, the masked staff of the RHC

Getting Ready

Screening
Staff waiting for the patients





PATIENTS - Patience is the name of the Game


 





Orderly queues outside the RHC. Distancing maintained

  

Waiting for her turn

An elderly couple with their daughter in law
 

Relaxing on his tricycle!



A shoulder to lean on - much needed



Medicine distribution





   







Waiting for Medicines
 

Food for the Soul

 
The open air eatery run by this couple



A tree falls

An old Peepul tree more than 70 years old, died. Successive droughts had battered it and then possibly a fungal attack on its roots, withered the tree from inside. The tree had to be brought down before strong winds uprooted it.




Thats for Now Folks