Photo Post . . . 14 April 2012 . . .

A glimpse of happenings at our place over the last week . . . .

X-Ray abdomen showing Sigmoid Volvulus

The same patient per operatively . . . 

Gall bladder with stones . . . 

This man with multiple swellings on his nose has been wanting to get it removed. . .
Recently, he had acquired a RSBY Card. I've promised to review when Dr Hiles comes visiting next time . . . 

Another view of the same patient . . . 

This patient already had tuberculosis treatment three times. As of now, his sputum is not positive for Acid Fast Bacilli. The major problem is that his lungs have been badly damaged. Damaged lungs and its management is one aspect of tuberculosis treatment which is hardly given much importance . . . 

Another patient with tuberculosis

Another patient who came with breathlessness who had anti-TB treatment for about a month about 10 years back . . . 

Miliary Tuberculosis 1

Miliary tuberculosis - 2

The spread of the disease and drug resistance is on the rise because of prescriptions like these . . . 

Pelvis of a young man on whom a murder attempt was made by running a tractor over him . . . Alleged caste violence. . . 

This is how a patient rather 'a dead body' was brought couple of days back. The patient was brought all the way from Gaya in Bihar. From the old treatment prescriptions, it looked like he was suffering from cardiac disease. . . Unfortunately, he died on the way . . . Tells volumes of healthcare in our part of the country . . . Gaya is about 250 kms from our place and has tertiary care facilities . . . . For those who could not recognise the snap, there is a body lying at the front of a mini truck . . . 

The New Arrival . . . Chesed Tabitha Kuruvilla

Well, one of the greatest gifts any family cherishes are little children. Shalom and Charis has been a great joy in our lives. Below are few of the memorable snaps . . .  Their antics have always left us with real anticipation on how things would be when the next one arrives . . . 

Well, one of Shalom's imaginary play . . . Supposedly, they are in a aircraft having food. 

Both of them love travel. Shalom and Charis on the way to Tiruvalla by bicycle ! ! !

Now, they are having food in the train . . . on the way to Trivandrum . . . 

Shalom playing railway station . . .Waiting for the Rajdhani to Delhi . . . 

You would not believe this contraption . . . That's Noah's Ark . . . 

Shalom's convinced his sister to better be on the ark before the rains come . . . 

Playing elephant . . . One favorite past-time . . . 

They were even involved in Angie's antenatal check ups . . .

Charis checking fetal heart . . . 

Shalom doing it the 'good old way'. I wonder where he got the idea . . .
I can assure you that he has not seen anybody do hear fetal heart this way . . . 

And finally, the new arrival . . .

Chesed . . . The first snap . . . Chesed ! ! ! , it basically means loving kindness . . . 

Angel admiring the little one . . . 

With Amma who flew down all the way from Chennai to help us. . . It has been a busy time for her . . .  4 years and 4 babies in the family . . . 

Shalom and Charis looks shocked . . . 

Charis was immediately ready to play big sister . . . 

We had a tough time keeping her hands off the baby . . . 

So, for the next one and a half years, we would have the unenviable status of being parents to 3 under fives till Shalom celebrates his 6th birthday on 29th September . . . 

RSBY National Workshop . . . Missed it . . .

I've had been looking forward to participate in the RSBY National Workshop at Ranchi since the day I found about the same. Well, ultimately I could not attend it as we expect our third little one anytime. . . I did not want to be caught being away when the new arrival happened and therefore decided to stay at NJH . . . As I write this, Mr. Somesh, Deputy Director, Community Health, EHA as well as our point person for RSBY at EHA would be presenting about the EHA contribution to RSBY at the Workshop. . .

I had planned to go if I got a chance. So, I was also ready with a presentation which I sent to Somesh. I wonder if he had presented it. Below are the slides which I planned to present. Most of them are self explanatory. . . Enjoy . . 

The full story in my blog

Food in RSBY had been an attraction at NJH

A poster case for RSBY. More details in my blog about RKS.

A major deterrent to the smooth functioning of the scheme.
65250 INR is the amount for which claims had been submitted  21 days before.
After this slide was made, we had received an additional 2250 INR

I'm sure that the workshop would be a learning experience to all of us. I wish that some of the learning would be shared in a e-network. I would be more interested in the challenges.