March 2013

March has started hot with the promise of a baking April ahead. For the patients it does not seem to matter, as more and more land up. One hopes that the coming June will see good rains for us and the country as a whole.

Total Outpatient: 2159

 

Below 15 years: Male - 106; Female - 119
Above 65 years: Male: 100; Female - 102
15 - 65 years: Male - 802; Female - 930
 

Annual Income (₹)
<12000: 1262="" span="">

12001 - 24000: 771

24001 - 36000: 39

36001 - 48000: 34

> 48000: 53

 

Eye Care

Total patients: 114
Glasses: 38
Medicines: 73
Surgeries: 03

Antenatal Programme
New registrations: 06
Domiciliary Delivery: 0

Hospital Delivery: 02

Caesarean Section: 02
Abortion: NIL

Still Birth: 0

February 2013

With Sankranti having been celebrated, albeit in a low key manner thanks to the prevailing drought, the farmers get back to tilling the land and also now find time to take care of their health. 

Total Outpatients: 1957

Below 15 yesr: Male - 109; Female - 90
Above 65 years: Male - 101; Female - 107
15 - 65 years: Male - 742; Female - 808

Annual Income (₹) INR
< 12000: 1251
12001 - 24000: 644
24001 - 36000: 18
36001 - 48000: 20
> 48000: 24

Eye Care
Total Patients: 129
Glasses:54 
Medicine: 70
Surgery: 05

Antenatal Programme
New Registrations: 01
Domiciliary Delivery: 00
Hospital Delivery: 06
LSCS: 00
Abortion: 00
Still Birth: 00

January 2013

Welcome 2013.

heres wishing everyone a wonderful year ahead and may there be good rains this year

As usual the cold weather does not stop the patients coming in

Total Outpatient: 1892

 

Below 15 years: Male - 90; Female - 84
Above 65 years: Male: 97; Female - 95
15 - 65 years: Male - 722; Female - 804
 

Income (per month)
INR less than 1000: 1179
1000 - 2000: 642
2000 - 3000: 21
3000 - 4000: 20
More than 4000: 30

 

Eye Care

Total patients: 129
Glasses: 42
Medicines: 82
Surgeries: 05

Antenatal Programme
New registrations: 07
Domiciliary Delivery: 0

Hospital Delivery: 00

Caesarean Section: 00
Abortion: NIL

Still Birth: 0

December 2012

December turns out to be a busy month. Many people would like to get their illness over and done with prior to the new year. One does hope that the year ahead bring rain and cheer to the country and world at large. There has been enough death and destruction in all parts of the world. Hope there is a chance for peace.

Total Outpatient: 2067

 

Below 15 years: Male - 95; Female - 79
Above 65 years: Male: 99; Female - 101
15 - 65 years: Male - 805; Female - 888
 

Income (per month)
INR less than 1000: 1270
1000 - 2000: 719
2000 - 3000: 38
3000 - 4000: 19
More than 4000: 21

 

Eye Care

Total patients: 122
Glasses: 40
Medicines: 78
Surgeries: 04

Antenatal Programme
New registrations: 04
Domiciliary Delivery: 0

Hospital Delivery: 01

Caesarean Section: 01
Abortion: NIL

Still Birth: 0

November 2012

Back after a 2 week much needed break with Diwali thrown in for good measure. It was business as usual soon after the reopening:

A month before a much needed break

Total Outpatient: 937

 

Below 15 years: Male - 56; Female - 50
Above 65 years: Male: 43; Female - 45
15 - 65 years: Male - 371; Female - 372
 

Income (per month)
INR less than 1000: 598
1000 - 2000: 300
2000 - 3000: 21
3000 - 4000: 10
More than 4000: 08

 

Eye Care

Total patients: 46
Glasses: 16
Medicines: 30
Surgeries: 00

Antenatal Programme
New registrations: 10
Domiciliary Delivery: 0

Hospital Delivery: 00

Caesarean Section: 01
Abortion: NIL

Still Birth: 0

October 2012

A month before a much needed break

Total Outpatient: 2037

 

Below 15 years: Male - 121; Female - 128
Above 65 years: Male: 116; Female - 111
15 - 65 years: Male - 726; Female - 835
 

Income (per month)
INR less than 1000: 1237
1000 - 2000: 702
2000 - 3000: 55
3000 - 4000: 17
More than 4000: 26

 

Eye Care

Total patients: 97
Glasses: 41
Medicines: 48
Surgeries: 08

Antenatal Programme
New registrations: 21
Domiciliary Delivery: 0

Hospital Delivery: 00

Caesarean Section: 00
Abortion: NIL

Still Birth: 0

September 2012

The rains have been gardeners showers, good for the groundnuts but not enough to fill the tanks and recharge the bore wells which have run dry.

The patients however continue to pour in

Total Outpatient: 1926

 

Below 15 years: Male - 118; Female - 134
Above 65 years: Male: 84; Female - 98
15 - 65 years: Male - 704; Female - 792
 

Income (per month)
INR less than 1000: 1234
1000 - 2000: 607
2000 - 3000: 41
3000 - 4000: 23
More than 4000: 21

 

Eye Care

Total patients: 122
Glasses: 52
Medicines: 65
Surgeries: 05

Antenatal Programme
New registrations: 04
Domiciliary Delivery: 0

Hospital Delivery: 01

Caesarean Section: 00
Abortion: NIL

Still Birth: 0

The rains continue to play truant. A smile is a rarity. Erratic electricity adds to the woes. The cost of living is also going up. There seems to be no end to the woes being faced.

Right now this post is being written when the power supply is there. Hopefully it lasts till this is published! 
Statistics as usual

Total Outpatient: 1906

 

Below 15 years: Male - 129; Female - 100
Above 65 years: Male: 100; Female - 97
15 - 65 years: Male - 714; Female - 766
 

Income (per month)
INR less than 1000: 1178
1000 - 2000: 652
2000 - 3000: 37
3000 - 4000: 15
More than 4000: 24

 

Eye Care

Total patients: 146
Glasses: 48
Medicines: 94
Surgeries: 04

Antenatal Programme
New registrations: 00
Domiciliary Delivery: 0

Hospital Delivery: 01

Caesarean Section: 01
Abortion: NIL

Still Birth: 0 

Some Stories

3 year old with Chronic Osteomyelitis

This young boy needs aggressive treatment, surgery to take care of his osteomyelitis. He has been referred to the SVRR Government Hospital in Tirupati and one hopes that he will get the necessary treatment there.

1 year old: Cretinism

This 1 year old baby was diagnosed with Cretinism.The thyroid profile showed a hypothyroid picture. Replacement therapy has been started.

40 year with Hyperthyroidism

 The other end of the Thyroid Disorder Spectrum. This 40 year old male had been diagnosed, at various times in the past 06 months with (i) Tuberculosis (ii) Enteric Fever (iii) Psychiatric illness - unspecified - an treated for the same.

One look at him and it was obvious that he was a Hyperthyroid. The tests have confirmed it and he is under treatment. The improvement in two weeks has been remarkable.

The couple below have been reduced to begging for their sustenance and livelihood, having lost their lands to their sons. This sort of occurrence is now more common in the rural areas, given the pressure on the land.

65 year old with Malnutrition

 

70 year old with Malnutrition

July 2012

The rains have kept away and one can see the growing despondency on the faces of the farmers, daily wage workers. How are they going to make ends meet over the coming year?
We also faced a problem at the health centre. The cost of living has gone up and we increased salaries of our staff substantially this year. We thought that we could increase the consultation amount but found that we could not do this due to the monsoon failure. So now one has to find the funds to continue our work. A way will be found!
Anyway here are the statistics:

Total Outpatient: 1784

 

Below 15 years: Male - 77; Female - 99
Above 65 years: Male: 108; Female - 95
15 - 65 years: Male - 712; Female - 698
 

Income (per month)
INR less than 1000: 1100
1000 - 2000: 605
2000 - 3000: 23
3000 - 4000: 18
More than 4000: 38

 

Eye Care

Total patients: 104
Glasses: 45
Medicines: 58
Surgeries: 01

Antenatal Programme
New registrations: 02
Domiciliary Delivery: 0

Hospital Delivery: 00

Caesarean Section: 01
Abortion: NIL

Still Birth: 0 

June 2012

Back after a vacation - a much needed break. Took an extra week off and back to work on 11th. Still not completely out of the fatigue of the hectic month of May.

 

Total Outpatient: 1184

 

Below 15 years: Male - 68; Female - 55
Above 65 years: Male: 73; Female - 63
15 - 65 years: Male - 461 Female - 464
 

Income (per month)
INR less than 1000: 756
1000 - 2000: 372
2000 - 3000: 23
3000 - 4000: 18
More than 4000: 15

 

Eye Care

Total patients: 57
Glasses: 20
Medicines: 34
Surgeries: 05

Antenatal Programme
New registrations: 04
Domiciliary Delivery: 0

Hospital Delivery: 00

Caesarean Section: 00
Abortion: NIL

Still Birth: 0 

An old lady who lives by herself. She has a Cancer of the lip, a slow growing one which will respond well to Surgery and Therapy. However, she has no one to accompany her to the tertiary care centre at Tirupati for treatment. Her only son passed away and husband is also no more. There is no one in the village either who is willing to help her, naturally given the constraints of survival in this drought prone land. One wonders whether there is truly any altruistic behaviour amongst us humans

April 2012

A new financial year and also a time for a break. The RHC closes on 30 April 2012 to reopen 04 Jun 2012. A much needed break considering the swarm of patients this last month

 

Total Outpatient: 1894

 

Below 15 years: Male - 67; Female - 69
Above 65 years: Male: 112; Female - 100
15 - 65 years: Male - 710; Female - 836
 

Income (per month)
INR less than 1000: 1172
1000 - 2000: 613
2000 - 3000: 51
3000 - 4000: 21
More than 4000: 37

 

Eye Care

Total patients: 45
Glasses: 13
Medicines: 25
Surgeries: 07

Antenatal Programme
New registrations: 04
Domiciliary Delivery: 0

Hospital Delivery: 01

Caesarean Section: 00
Abortion: NIL

Still Birth: 0

March 2012

Another month goes past and the heat builds up. No Sign of rains as yet! The land is rapidly drying up. This is the first time in 13 years that it has been so hot in March.
The patient load peaked in March expected. The financial year closing seems to affect the patients too!

Total Outpatient: 2129

 

Below 15 years: Male - 93; Female - 103
Above 65 years: Male: 126; Female - 136
15 - 65 years: Male - 818; Female - 853

Income (per month)
INR less than 1000: 1243
1000 - 2000: 787
2000 - 3000: 30
3000 - 4000: 17
More than 4000: 52

 

Eye Care

Total patients: 87
Glasses: 45
Medicines: 38
Surgeries: 04

Antenatal Programme
New registrations: 02
Domiciliary Delivery: 0

Hospital Delivery: 00

Caesarean Section: 00
Abortion: NIL

Still Birth: 0

February 2012

There is an increasing demand for the management of Diabetes at the Health Centre. Patients feel that they get a comprehensive check, management here at the most optimal cost. They are willing to travel great distances, enduring a lot of discomfort to be seen by us. The Distance Fellowship in Diabetology, from CMC Vellore has helped in a better management of the patients. It is a struggle to say no to the wealthier diabetics,particularly when they say that apart from the Health Centre they have no recourse to anyone for the appropriate management and treatment of this chronic condition and that they have to go to either Bengaluru or Tirupathi for this condition.

One wonders why there are so many diabetics and it is only showing an ever increasing trend.

Total Outpatient: 1869

 

Below 15 years: Male - 100; Female - 106
Above 65 years: Male: 113; Female - 119
15 - 65 years: Male - 676; Female - 755

Income (per month)
INR less than 1000: 1158
1000 - 2000: 629
2000 - 3000: 32
3000 - 4000: 19
More than 4000: 31

 

Eye Care

Total patients: 102
Glasses: 37
Medicines: 53
Surgeries: 12

Antenatal Programme
New registrations: 03
Domiciliary Delivery: 0

Hospital Delivery: 01

Caesarean Section: 01
Abortion: NIL

Still Birth: 0

January 2012

January started with a bang. There seems to be no let up in the number of patients seeking services and help

Total Outpatient: 1976

 

Below 15 years: Male - 85; Female - 88
Above 65 years: Male: 192; Female - 152
15 - 65 years: Male - 695; Female - 764

Income (per month)
INR less than 1000: 1202
1000 - 2000: 691
2000 - 3000: 51
3000 - 4000: 12
More than 4000: 20

 

Eye Care

Total patients: 107
Glasses: 56
Medicines: 48
Surgeries: 03

Antenatal Programme
New registrations: 02
Domiciliary Delivery: 0

Hospital Delivery: 01

Caesarean Section: 01
Abortion: 01

Still Birth: 0

December 2011

A very happy 2012 to all. May the year ahead bring bountiful rains to all.

December saw a flood of patients as usual. This will decrease with the onset ofthe new year as well as Sankranthi.

Total Outpatient: 2130

 

Below 15 years: Male - 141; Female - 128
Above 65 years: Male: 174; Female - 189
15 - 65 years: Male - 696; Female - 802

Income (per month)
INR less than 1000: 1304
1000 - 2000: 718
2000 - 3000: 61
3000 - 4000: 22
More than 4000: 25

 

Eye Care

Total patients: 121
Glasses: 47
Medicines: 40
Surgeries: 04

Antenatal Programme
New registrations: 02
Domiciliary Delivery: 0

Hospital Delivery: 02

Caesarean Section: 02
Abortion: NIL

Still Birth: 0

November 2011

Back after vacation, a time for relaxation and fun. Enjoyed the peace and quiet of the valley!!!

Total Outpatient: 1469

 

Below 15 years: Male - 91; Female - 74
Above 65 years: Male: 71; Female - 55
15 - 65 years: Male - 546; Female - 632

Income (per month)
INR less than 1000: 983
1000 - 2000: 423
2000 - 3000: 44
3000 - 4000: 19
More than 4000: 06

 

Eye Care

Total patients: 93
Glasses: 45
Medicines: 46
Surgeries: 02

Antenatal Programme
New registrations: 03
Domiciliary Delivery: 0

Hospital Delivery: 00

Caesarean Section: 00
Abortion: NIL

Still Birth: 0

Losses - A part of life

Anitha 17/F

Jahnavi 1 1/2 y/F

Anitha had Congenital Heart Disease - Single Dysplastic Ventricle
Considered inoperable
Diagnosed in July 2011
Patient passed away on 23 Oct 2011










Jahnavi was optd 02 Aug 2011 with a Bidirectional Glenn Procedure on CPB
However post op course was stormy and baby had recurrent cardiac failures, finally passing away on 03 Oct 2011








All of us at the RHC have been affected by these two deaths, brings home the fact that there is always a higher power than us mere mortals