Posted in Trichy work

Grace – followed up

I’ve written a brief intro to Grace and her baby here on A2J before.Today the baby is 9 months old and the transformation is almost unbelievable. I’m enclosing a picture to show you the difference. Its amazing the way the baby has grown and is now bubbly and quite naughty – weighing about 8 kg now (quite a change from the 800 grams at birth!). Don’t miss out the happy family in the foreground and my colorful OPD in the background in this pic.

Continue Reading... Grace – followed up
Posted in God Trichy work

Air, chyle… and hope?

K had a nightmare of a time. She came to our hospital with an undiagnosed fever and during her stay delivered a preterm baby. K had to be shifted to CMC to sort out her fever and the baby struggled to survive in our nursery. She had mild HMD and needed CPAP (oxygen under pressure). Just when her tiny lungs seemed to have recovered she blew a pneumothorax – a hole in her lungs that caused air to leak into her chest. I quickly put in a chest tube and luckily she improved. A few days later the tube was removed and she was started on nasogastric feeds. All seemed well till one day I noticed she seemed to be…

Continue Reading... Air, chyle… and hope?
Posted in God Trichy work

The threat

We treat patients who have all kinds of backgrounds. Today we admitted a boy with suspected Dengue fever who was a little sick. He needed a few blood transfusions and a lot of monitoring. His father was a political worker from the Municipality office and wanted a guarantee that the treatment would be successful. Unfortunately I could only tell him the truth – that there was a possible danger to life. He didn’t seem happy about it. Out of the blue i found that he was a close friend to G annan and this made him feel better as G annan knows us well. While the father was convinced some of his friends were unfortunately goondas and they were overheard…

Continue Reading... The threat
Posted in fun kids Trichy work

The uncertainty of life – more follow up

You can read the story of Balaji in these two blog entries.Entry 1Entry 2Its been well over a year now and Balaji is doing extremely well. He popped into OPD today with a cold and it was great seeing him play around, pulling at the toys, wishing me, saying his name and attempting to say a nursery rhyme! This is one of the best parts of being a doctor – seeing a child recover from near death and then coma back healthy!!You can see a video of Balaji here.

Continue Reading... The uncertainty of life – more follow up
Posted in friends fun God Trichy work

A thank you note

This is one of the best perk in being a doctor – when you get a thank you note from one of your patients. And when the thank you note is attached to a large pineapple cream cake, the joy is enormous. Ananthara came to us more than a year ago for a simple check up when I found out she also had delayed developmental milestones and a squint. Since then she has made immense progress and the mother has been faithfully bringing her for therapy and they have made a couple of visits to CMC.Today was her second birthday and she came and gave us this beautiful (and delicious) cake.Incidents like these really encourage me to continue to be…

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Posted in Trichy work

1000 dollar baby…. almost!

Sangeetha’s baby was a extremely preterm baby with respiratory distress syndrome.Within 2 hours of age it was clear she was going to worsen and hence we decided to ventilate her and give her survanta – a special medicine given directly to her lungs. The survanta is 8 milliliters, is given in 5 minutes and costs a whopping 10000 indian rupees. Thankfully she did well after that and within a few days was off the ventilator. After carefully nursing her and letting her feed, today finally she was fit enough to go home. Her total bill including the ICU stay and the ventilation came to about Rs. 20000. Add the survanta charges and what was spent was about 750 US $……

Continue Reading... 1000 dollar baby…. almost!
Posted in work

A blow to the head (x3)

Part of the profession is to deal with a situation when the unexpected happens. A lot of times I’m left wondering if I could rewind those few minutes that made the difference between a well child and a sick one.I’ll briefly tell you about children who came to the hospital with injuries.This blog post is not for the faint-hearted.1. A 4 year old girl was playing on the balcony of the first floor at home when she tripped over the low parapet wall and went plunging head first to the ground. She was brought with no heart rate or breathing to the ER. Inspite of attempted resuscitation she did not survive.2. A 6 year old girl was sitting behind her…

Continue Reading... A blow to the head (x3)
Posted in fun Trichy work

Sick children and puppets

One of the biggest blessings in my pediatric OPD are the cartoons, puppets and colorful pictures in it.I’d blogged about the transformation of the Pediatric OPD about a year ago.Everyday its amazing how children grab the toys, stare around in awe and squeal with joy. Of course there are still those who bawl and bawl and shed a liter of tears!This short mobile video clip shows a child with a chest infection having fun in the OPD.Apologies for the poor quality of the video and the glaring window in the background – you can still see the childs glowing face!

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Posted in God work

800 to 1600 grams in 60 days

Grace delivered her baby 2 months ago. The baby was all of 800 grams! She was one of the smallest babies we have ever managed. Against all odds she literally cruised her way out of nursery with just minor problems – some jaundice, a touch of oxygen, a blood transfusion. She literally grew in front of our eyes and today is fit for discharge! Just another time in my life when I realise that even with very little help God’s little babies have their own way of facing the world! So here is the little one – in an oversized sweater looking cute and ready to face the world.

Continue Reading... 800 to 1600 grams in 60 days
Posted in fun work

In the pink of health

I couldn’t resist sharing this pic on my blog! This sight greeted me when I entered the Nursery. For some reason the babies on one side had pink dresses and pink sheets. I found it pretty cute. Click the picture to view a larger photo.

Continue Reading... In the pink of health