Praburam and I try hard to manage all the children ourselves in our hospital and never refer a child. If we need a second opinion we usually send them to Vellore to meet one of our Professors or Specialists we know.
Right now we have a baby on a ventilator and it will be at least three days before we can take him off it. Then out of the blue – TWINS! Born at 32 weeks and very tiny. Both of them had severe breathing difficulty and my gut feeling was that they would not hold on for too long. So I made a couple of phonecalls and sent them in an hour to another hospital. It was a wise decision as a few hours later one of the babies needed to be ventilated.
Later I had a 13 year old guy who came with severe abdominal pain after a fall while running down the stairs. An Xray revealed air under the diaphragm – he had a hole in his intestines. Unfortunately they said they could not afford surgery here and hence decided to take him to the Government Hospital. Both the Pediatric Surgeon and I felt it was OK as we had resuscitated the child well and he was stable.
Inspite of your best efforts sometimes we need to do such things and I guess its an integral part of clinical decision making – prompt decisions and early referrals where needed.
I thank God for the wisdom and the uneventful transport of these childre. Hope they all do well.<\/p>\n","protected":false},"excerpt":{"rendered":"
Praburam and I try hard to manage all the children ourselves in our hospital and never refer a child. If we need a second opinion we usually send them to Vellore to meet one of our Professors or Specialists we know.Right now we have a baby on a ventilator and it will be at least three days before we can take him off it. Then out of the blue – TWINS! Born at 32 weeks and very tiny. Both of them had severe breathing difficulty and my gut feeling was that they would not hold on for too long. So I made a couple of phonecalls and sent them in an hour to another hospital. It was a wise decision…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","spay_email":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true},"categories":[18,5],"tags":[],"jetpack_featured_media_url":"","jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/saWFfI-referred","_links":{"self":[{"href":"http:\/\/www.addicted2jesus.com\/a2jdiary\/wp-json\/wp\/v2\/posts\/116"}],"collection":[{"href":"http:\/\/www.addicted2jesus.com\/a2jdiary\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.addicted2jesus.com\/a2jdiary\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.addicted2jesus.com\/a2jdiary\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.addicted2jesus.com\/a2jdiary\/wp-json\/wp\/v2\/comments?post=116"}],"version-history":[{"count":0,"href":"http:\/\/www.addicted2jesus.com\/a2jdiary\/wp-json\/wp\/v2\/posts\/116\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.addicted2jesus.com\/a2jdiary\/wp-json\/wp\/v2\/media?parent=116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.addicted2jesus.com\/a2jdiary\/wp-json\/wp\/v2\/categories?post=116"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.addicted2jesus.com\/a2jdiary\/wp-json\/wp\/v2\/tags?post=116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}