Saturday, December 09, 2023
Suturing and BLSS Workshop
Sunday, December 03, 2023
Thursday, November 02, 2023
July to September 2023
A comfortable three months. Patients turning up as usual. Monsoon cooled the country side, but the rains were minimal, our area rapidly going into the Deficient zone and soon large deficient - 39% to - 60%.
September saw welcome rains, about 15 cm in a matter of a week - cheers to all. Brought much needed relief.
However, the farmers have taken a hit. All the rain fed crops -Ragi, Groundnuts withered away due to the lack of rains. There was no flowering of the groundnuts. One odd brave plant pushed a flower out, only to be defeated by the lack of moisture. A real sad sight.
Wednesday, July 12, 2023
April 2023 to June 2023
A hot summer ahead as April heats up
VACATION
October 2022 to March 2023
October to December 2022
DOT Glasses
Jayesh Patel, from the UK had visited the Health Centre in December 2022
His daughter and her friend, initially spent a week with us understanding a Rural Health set up, the problems faced by below poverty line rural populations, the impact on their health, affordability of treatment etc.
Jayesh had brought some kits of ready to use Spectacles: https://www.dotglasses.org/
After an initial training at the RHC, the glasses were taken to the Panchayat Office at Thettu Village. The ASHA workers and ANMs motivated the population to come and get their eyes checked. About 20 pairs of glasses were given out.
The remaining boxes are being used at the RHC
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| The Kits Being Unpacked |
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| The KIT |
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| An elderly gentleman getting his eyes tested |
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| Testing in progress |
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| Proudly wearing his new spectacles |
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| The team |
January 23 to March 23
This was a cold winter, quite a bit of rain too. A number of elderly came down with Pneumonia, exacerbations of COPD etc. Quite a few saw their last winter, their children came back to let us know about their passing.
Though death is inevitable, there is always a sadness in the passing away of a life, particularly for some who have been our patients for many years.
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| Nebulisation for a COPD with exacerbation |
Wondering what we did for Asthmatics before Inhalers, Rota halers, Nebulisation became widespread. In the old days, Adrenaline injection were the main stay of treating Acute Asthmas. It's been ages since one has resorted to Deriphylline Drip etc.
Thursday, November 24, 2022
July to September 2022
This is normally the busiest period - the sowing is done; farm work is restricted to de-weeding and pest control. The festive season is still a few weeks away.
Sunday, August 21, 2022
April - June 2022
Well, the COVID waned, and life got back to normal. The economy which was badly hit has slowly started recovering. Farm activity showed an uptick and there was a general air of optimism.
For us at the RHC the numbers slowly picked up.
Wednesday, May 25, 2022
Jan to March 2022
As the COVID epidemic waned, public services resumed. Most importantly the APSRTC bus service to villages restarted. This helped patients easily access the RHC. The curbs on gatherings were also removed, schools restarted and all this meant we saw an uptick in the number of patients accessing the RHC.
Sunday, March 06, 2022
July to December 2021
Its been a while since the blog was updated. Much has happened in the interim.
Six months is a long period of time. The waning of the epidemic, local outbreaks, the fear of the havoc wreaked by the DELTA all kept us on our toes.
The lockdowns in some form or the other continued and as usual people adapted, moving on with their lives. Framing, dairy, goat rearing and trade all continued. The tomato crops brought in good money. Above all, the copious rains
| Masked Crowds at the Bus Shelter |
| ASHA Workers being felicitated for the yeoman work |
Wednesday, November 03, 2021
Learnings from an Epidemic: Looking back and "Forward"
PANDEMICS
The world had forgotten what Pandemics are and the havoc they cause. The 1918 flu pandemic has been largely forgotten, maybe a distant memory in some. The Asian flu pandemics of the late 50s and 60s, lasted about a year causing between 1 - 4 million deaths worldwide. The lessons from these were consigned to dusty pages of Textbooks on Community Medicine. Most of us doctors, just read these answered questions in an exam and promptly forgot about it!
Ebola, SARS, Swine Flu all reared their heads but did not sweep the world. Advances in medicine, hygiene, vaccination etc. all probably ensured that these epidemics were controlled. There were possible Virologic factors too which limited the spread of the disease.
In Dec 2019, the first reports surfaced of a new Virus with high morbidity and mortality emerged from Wuhan in China. Just as the rising sun seeks out and illuminates all in its path, the CORONA Virus spread through the world seeking out every nook and corner, affecting every part of the world. None were spared the Viruses reach, cutting through swathes of humanity. Panic and mayhem followed in its wake.
The medical community was scrambling to find answers being demanded by the administrators and people. In a sense, advances in hygiene, medicine, investigations, drugs and technology had kept COMMUNICABLE/INFECTIOUS DISEASE EPIDEMICS at bay. The epidemics of old were consigned to history and possibly only distilled lessons from these epidemics remained in text books.
The silent epidemic of NON COMMUNICABLE diseases was the talking point everywhere. Minor outbreaks of Ebola, H1N1 etc. were quickly contained. Ebola with its high mortality, is scary but it never spread, though the threat of that remains.
Sunday, September 05, 2021
FAREWELL Dr RAMESH
Dr G Ramesh Babu, joined the RHC in Jan 2008. He turned 65 in April and decided to "hang up" his stethoscope. A paediatrician by training, he took care of all types of patients.
Thursday, August 26, 2021
April - June 2021
COVID and its fallout
Battered by COVID once again. The 2nd wave hit hard. Our valley and the surrounding mandals were all affected. Every day brought news of positives n villages and hamlets. Patient death started being reported, many of them young, sole breadwinners, leaving behind families, children, aged parents.
Livelihoods were disrupted, money was in short supply. Yet in all this there was a remarkable resilience. People found ways and means to continue working, setting up roadside vegetable stalls, working on improving their fields. Young men who were working in cities came back to WFH! They brought with them a different mindset, which helped in looking after the farms.
One young man, used the internet to find natural alternatives to pesticides. His father initially reluctant, was slowly enthused. His conversion became complete, when he saw the results. Tomatoes grew well, there were no pests and the size and solidity of the fruit was quite good.
He got a good price for the first harvest. However, the prices crashed as stricter lockdowns were implemented. The farmer then just left his fields untended. It was not worth the effort to harvest the tomatoes. Monkeys descended from the hills and had a feast!!!!
Since schools were closed the children from the villages had a ball. They were working in the fields, tending to sheep and goats, helping out at home. Its going to be tough for them to go back to school after this unfettered freedom. Hope schools start soon
RHC Activities
The Covid pandemic hit the RHC activities too.
4 of our nurses got jobs as contract COVID warriors. Happy for them. The RHC struggled to find nurses, and it was only as the wave started abating were we able to find replacements.
Vaccinations: The PHC at Kurabalokota did and continues to do a yeoman's job in ensuring vaccine coverage to the rural hinterland. Dr Sridhar and his team need to be complimented.
Statistics
Tuesday, August 10, 2021
January to March 2021
The COVID pandemic continues its sweep. The slow decline in case loads is a heartening sign, Our rural hinterland sees only , a few sporadic cases. Maybe the fresh air and outdoor work helps.
Movement between villages and to the towns has definitely decreased. Patients are hard presssed tp reach the RHC. Public transport started in end January and that really helped.
By Mid march one started seeing a slow but inexorable increase in the number of cases. By the end of march it was full blown. Madanapalle, the nearest town was reporting quite a few cases. So also there were cases in the villages surrounding us. Fortunately most were mild. The Govt machinery had swung into action. Testing and tracing went on in full swing. Yet the cases continued to rise.
Our patients complained of hardships, loss of livelihoods and income. Yet somehow life carried on.
Some Statistics:
TOTAL Patients: 4562 (About 1500 less than our usual)
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| Outdoor Clinic |
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| Newly Constructed shelter for patients |
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| Cleaning the Garbage |
Monday, February 15, 2021
October to December 2020
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
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| Wound Debridement in the Open air |
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| AT REST |
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