Tuesday, January 8, 2013

Update on opportunities at NJH

The following are opportunities available at NJH . . . Please pass the message along and pray that the Lord will send the right people . . .



1.  Pharmacist (2 nos): Our present pharmacist has requested for a transfer to his home state. We need one more pharmacist for our store. The candidates should at least have a diploma in pharmacy and should be willing to be registered in Jharkhand state.

2.  Information Technology Manager: With about 20 computers/Laptops in the unit and further expansion being planned, we need a full time IT manager. A MCA or Diploma in Computer Hardware would be ideal. She/he would also be involved in training of staff in computers.

3.  Electrical Engineer for Maintenance Supervisor: Being a 100 bedded hospital in a 25 acre campus, we need a full time electrical engineer.  

4.  Project Officer: This is for the Community Health Department. The present projects in the department are in the themes of Community Based Adaptation, Disability and Rashtriya Swasthya Bima Yojana. We would prefer a fresh graduate. 

5. Occupational Therapist: We’ve started to do some major work in disability in this region.

6.   Physiotherapist: This is again to help us out with the work among the disabled.

7.   X-Ray technician: Somebody with couple of years of experience would be preferred.  

8.   General Surgeon: We would like someone who is committed to work in needy areas among the very poor. Opportunities for developing minimal access surgery would be offered if they can commit for long term. There is a upcoming burns unit also in the hospital. 

9.   Orthopedician: The same qualities which we need for the surgeon. We would give opportunities for developing further in terms of technology and techniques if the candidate can commit long-term. Considering that the nearest orthopaedic facilities are few and expensive, there is a great opportunity. 

10.Paediatrician: There is already a fairly well equipped neonatal unit (which is the only one for a radius of around 100 kilometers).

Please forward/refer this post to whoever would be interested to be part of the little things we do to make this part of the country a better place to live. If you are genuinely interested for any of the above positions, please contact me at jeevan@eha-health.org. You can also directly apply to our Central Office in New Delhi. 

Ice Age coming ?

Today morning as I posted the picture given below in facebook, I never thought I would get better snaps of our tryst with extreme cold.


Please see the pictures below . . . These are what one of our staff saw today morning as he got out . . .














Maybe next year, we would be able to make a snowman during Christmas . . .

(pictures courtesy: Mr. Anugraha Kujur)

2 very bad eclampsia patients . . .


Over the last 10 days we had 2 very sick eclampsia patients.


The common aspects of both patients . . .

-         They were very rich.
-         The relatives wanted to take the patient to a higher centre in Ranchi but could not as both of them had severe respiratory distress.
-         Both of them had GCS of 3 on arrival.
-         They had spent time at home for more than 5 hours after the first episode of seizures.
-         The decision to take to a doctor was made after 5 hours.
-         Both patients did not get magnesium sulphate from any  healthcare providers. In fact, I got the snap of what one patient got . . . You can see it below.


-         Both had pulmonary edema with pink frothy sputum coming out. In fact, the second one had coffee ground gastric contents.
-         Both had diastolic blood pressures of more than 140 mm Hg on arrival.
-         Both of them have survived the surgery.
-         They needed mechanical ventilation for less than 24 hours.  

The differences . . .
-         Both were from different castes and religious communities.
-         For the first case, the baby was dead. The second case has got a alive baby.
-         One of them is discharged, whereas the other one is yet to go home.
-         The first one, who is already discharged had to be intubated on arrival whereas the second one was intubated only for general anesthesia.

The significance of both these patients: The classical teaching of eclampsia with pulmonary edema is to stabilise them before we take up for surgery. Our experience shows that if we take them for surgery as soon as possible, they survive. However, you need to have basic ventilation.

And of course, we pray quite hard here.

Any takers for this from the speciality of Obstetrics. We have four patients who survived over the last 3 years with this sort of management. The above are the last 2 patients. The first two patients, you can read here . . .

1.    The first patient 

I’m sure that we don’t see this sort of patients in clinical set ups in most of the other obstetric set ups. However, I understand that we have such patients turning up in most of the other EHA units.

Monday, January 7, 2013

Stunned .. .. ..

Something funny. 

Kindly see the stunned faces looking upwards . . . Shalom and Charis has seen something unusual. 




Please scroll down to see what stunned them. 


- - - - - - - - - -- - - 

 - - - - -  - - - - - - -- - - - - - - - - -- - - 

 - - - - -  - - - - - - -


- - - - - - - - - -- - - 

 - - - - -  - - - - - - -- - - - - - - - - -- - - 

 - - - - -  - - - - - - -





- - - - - - - - - -- - - 

 - - - - -  - - - - - - -- - - - - - - - - -- - - 

 - - - - -  - - - - - - -


- - - - - - - - - -- - - 

 - - - - -  - - - - - - -- - - - - - - - - -- - - 

 - - - - -  - - - - - - -


- - - - - - - - - -- - - 

 - - - - -  - - - - - - -- - - - - - - - - -- - - 

 - - - - -  - - - - - - -


- - - - - - - - - -- - - 

 - - - - -  - - - - - - -- - - - - - - - - -- - - 

 - - - - -  - - - - - - -


- - - - - - - - - -- - - 

 - - - - -  - - - - - - -- - - - - - - - - -- - - 

 - - - - -  - - - - - - -







Their dad had climbed a tree to pluck a guava . . . It was later only I realised that they've never seen any guy, leave alone their father, doing this. 

(Photographs: Courtesy: Fr. Regi Pymattam, CMF)

Winter Snaps . . . The trees

We've some really old trees within the campus. After the snaps of the campus and later those of the pond, this is the last series of snaps of fog in NJH.