Friday, October 25, 2013

Donating sparsely used/unused stuff


Recently, I had a friend who after reading about the post on the donated CPAP machine, suggested that I put a list of things we need in the hospital for patients and staff. 

There are quite a few stuff which many a time ends up getting wasted in a developed country setting and quite a lot in many of our homes. There is also stuff which may be left out when a hospital or clinic is being refurbished or upgraded.

Below is a short list which few of us made up. Yes, there are stuff like canulas which needs to be new. Others like bed sheets and blankets could be sparsely used ones . . .


Baby blankets
Intravenous canula
Portable wheelchair
Bed sheets
Intravenous sets
Pulse oximeter
Blankets
Mannequins
Steam Inhaler
Central Lines
Multipara monitor
Sterile Wipes
Cpap masks
Nasogastric tubes
Stretcher
Crutches
Nebuliser
Suction Cather
Electric blankets
Ophthalmoscope
Suture material
Foley's Catheter
Otoscope
Syringe pump
Infant clothing
Pillow covers
Syringes of various sizes
Infant warmers
Pillows
Torch/Flashlight
Insulin Syringe
Portable toilet seats
Water beds



Please do contact me at jeevan53@gmail.com or jeevan@eha-health.org if you wish to make a donation/contribution in kind or cash. 



Wednesday, October 23, 2013

Medicines for all - DPCO


Couple of years back I had written a post where I commented about thenon-availability of cheap but effective medicines in the general market. The drug is question at that time was Hydrochlorothiazide, which is the first choice drug for uncomplicated systemic hypertension.

Recently, quite a few medicines were brought under the Drug Price Control. This means that the government has fixed prices for quite a lot of drugs. This resulted in drugs becoming more affordable

Many of us had expected problems for some time. We did not face any problems in the beginning.

However, now we are faced with a major issue. Over the last 2 weeks, we’ve a shortage of commonly used medicines. The list my store clerk sent reads – Injection and Tablet Hyoscine (Buscopan), Tablets and Injection Frusemide, Asprin tablets, Normal saline nasal drops, Salbutamol Tablets, salbutamol Inhaler, Injection Benzyl Peniciline (Crystalline Penicilline)and Injection Haloperidol.

All the above are quite commonly used medications. And also quite cheap.

And the latter is the exact reason they are not easily available.

‘No margin, sir’, the supplier says.

However, the pharmaceutical companies have come out in droves against the order.

A side effect of this issue . . . comparatively expensive medicines are easily available in the market. We were surprised recently to see even quacks prescribe medicines such as Cefpodoxime.

Unfortunate . . . but true. How long will it take for the government and now the judiciary to realize that the pharmaceutical industry can make a mockery of science . . . and that too medical science.

I’m sure about what is the latest on this. One of my friends told me that the industry has gone to the court and the DPC list is stayed. However, my suppliers tell me that after DPC, their margins have come down a lot. There were also news reports about this few days back.


My take on the matter is that the healthcare community needs to take a very strong stand against this move of the pharmaceutical companies. 

Calendar 2014 - Final

Friends, the calendar is finally on print . . . 

For those who would like us to send you copies, please order them quite early. Last year, we had run out of copies by the last week of December. 

Unfortunately, we had to take a decision not to send copies to countries abroad this year. This was because, quite a few packets were blocked by Indian customs last year and were returned to us. 

The cost of a packet of 5 calendars would be 1000 INR which include postage. 






Within India: 5 copies for a suggested minimum donation of 1000 INR. 

Please send your donations in Indian Rupees to NAV JIVAN HOSPITAL in either of the following accounts (only for payments from within India) -


1. Punjab National Bank A/C 0107000100251342 Daltonganj, IFSC Code: PUNB0010700
'or'

2. State Bank of India A/C 0011648040650 ADB Satbarwa Branch, IFSC Code SBIN0006063

As mentioned before, we would not be shipping the calendars to outside India.

Tuesday, October 22, 2013

Moving on


A reality in life is the need to move on. And even in a place like NJH, where there are lots of needs, in terms of committed staff and finances, times come when people have to move on. The Lord has brought lots of committed doctors and other staffs to NJH over periods of time and all of them have played a part in the building up of the hospital. We’re proud that many of our former staff are in positions of tremendous responsibility in India and abroad. Over the last three and half years since we’ve been here, we’ve also been blessed by some really committed staff. Few of them are in the process of moving on especially for post-graduation and better exposure.

Committed and qualified staffs have always been a premium for NJH. There are many reasons which most of you probably are well aware of.

I thought that it is time that I put this down so that we could have people praying about it and that the Lord will move the hearts of healthcare professionals that they explore setting apart a part of their lives to serve in areas such as NJH.

Drs. Titus and Grace with SwrD
Junior Medical Officers are the forte of any hospital. We have been blessed to have Dr. Titus Raju serve us for almost two years. Midway through his posting here, he got married to Dr. Grace Mary George that ensured that NJH had extra hands. Dr. Titus plans to do post-graduation in ENT and his better half in the speciality of Dermatology or Anesthesia. Dr. Titus finishes two years of service in February 2014 following which the family plans to take a break to pursue post-graduation.

I know it is quite a difficult thing to attract MBBS graduates to hospitals such as ours in this era. However, I’m sure that whoever had done a short stint in a rural hospital had major changes in perceptions about healthcare and the post-graduation they needed to pursue. And I hardly know of anybody who regretted the decision to do a short period of service in a difficult place soon after their MBBS graduation.

So, what are we looking at? Rather, who should look to apply? I firmly believe that it is the Lordship of Christ in our lives which should help us to decide on what to do and what not to do. We fervently pray for couple of MBBS graduates.

Below are a few things on what sort of work to expect and the opportunities if you plan to work here.

NJH is the place where someone who would go on to do Obstetrics or Pediatrics should work. As of now, there is no obstetrician here who will be able to mentor a junior person. However, there is quite a lot of work. Most of our specialist work in OG and Pediatrics are done with the help of seniors specialists over the phone/internet. Things have worked well so far.

If you plan to do post-graduation in General Medicine, I’m sure that this is the place where you should be. Dr. Roshine has made a great impression here and the amount of learning that you can have from this young lady is tremendous. There are quite a lot of cases which will give you enough exposure to both infectious and non-infectious.

We’ve quite a good laboratory with my better half, Dr. Angeline at the helm which will also give you some amount of experience with clinical pathology. 

The speciality of Community Health/Public Health is not a very favoured subject for graduates. However, I am of the opinion that we need quite a good group in this subject. Considering into fact that we have quite a wide network of like-minded organisations working alongside us and the influence that we have in the theme of healthcare in the region, NJH can provide you a whole lot of experience. In addition, there is a separate Community Health Department who works in the thematic areas of Community Based Rehabilitation for People with disability and Community Based Adaptation towards Climate Change. We are also a Tuberculosis Unit catering to a population of almost 700,000.


So, friends – please spread the message around that we are looking at the prospect of having couple of junior doctors joining us sometime during the next few months. 

Praise and Prayer Bulletin . . . October 2013


It’s quite a long time since we’ve put in a praise and prayer bulletin. Apologies . . .  Below is the latest list . . .

1. We had an amazing time with YWAM team who ministered to us about a week back. The thank the Lord for each of the members. Kindly pray that the Lord will use them mightily in the coming days.

2. Over the last few weeks, we’ve had some amazing patients who made it in spite of challenges. We thank the Lord for healing each one of them.

3. The water tank construction is in smooth progress. We thank the Lord. Please pray that we would also be able to raise some funds for laying new pipelines.

4. We thank the Lord for Dr. Roshine and the amazing work she’s been doing. She has completed about 4 months of service at NJH. We look forward for a junior medical officer to help her work. And also, the acute care unit is in dire need of more facilities and space. Please pray and spread the message.

5. We thank the Lord for the kind donation of the bilevel CPAPmachine. Kindly pray for the family who made this donation.

6. Maternal and child health continues to be of a major challenge. Kindly pray for the Lord’s guidance.

7. The surgery load in this region is quite high. Dr. Nandamani has been kind enough to come and help us once in 2-3 months. However, we pray for a permanent surgeon at NJH. Please pray and pass the message along.

8. Kindly pray that we would able to get electricity connection to the campus as soon as possible. 

9. We start work on the Sarai today. This is the place where patients who need long term care but not hospital admission, can stay on without getting admitted. It will also provide space for the umpteen number of relatives that accompany patients.

10. Considering the huge increase volume of work over the last few years, we’ve come under Income Tax scrutiny this year. Please pray for wisdom to our administrative and finance team that necessary precautions be taken in their work.


11. Kindly pray for the Lord’s leading as we plan for outreach work during Christmas season. We look back with gratitude when we remember the last year's program we had for our surrounding villages. 

12. Kindly pray for our staff and their immediate relatives who are sick.

13. Our calendar 2014 has gone into print. Kindly pray for all logistics involved. Also thank the Lord for everybody who put their lot behind the effort. 

14. Few organisations including EHA has been advocating to the government to legalize Unbanked Direct Blood Transfusion. Kindly pray for the efforts going on. Hospitals like NJH would be able to serve the poor more effectively if UDBT is allowed. 

15. We're pained to hear stories of families who do not value their girl child. Please pray for the communities around us that they would value boys and girls in the same measure. (By the way, our hunch regarding the patient mentioned towards the end of this post was correct. It was a girl)