cmc-newsline-30-may-2016-vol-no-53no-48

Vol.No.53. No.48

FOR PRIVATE CIRCULATION ONLY

MAY 30, 2016

Stories of Missions Outreach Be strong and courageous, and do the work. Do not be afraid or discouraged, for the Lord God, my God, is with you. He will not fail you or forsake you until all the work for the service of the temple of the Lord is finished.

I Chronicles 28 : 20 Special Prayers :

May 29 - June 04, 2016

Civil Engineering : Mr. S. Balasubramanian and Staff Planning Engineering : Mr. V. Jayashankar and Staff

It has been just two months since we set foot on this beautiful land of Aizawl, the capital city of Mizoram. We have always wanted to work in a mission hospital and since we heard of the need for Paediatric care in this part of the country, we felt the leading of God to this place. Mizoram is a beautiful place with nature at its serene best, and the hill top climate is a refreshing change from the trying summer heat of Vellore, from where we have just moved out. The neighborhood is full of young and friendly faces, which is a joy to be around. Being a Christian state, the artistically decorated streets during the season of Christmas is a sight one wouldn’t want to miss. But amidst this beauty lay challenges for the community – deprived health care facilities for infants and children, young adolescents taking to drug addiction, alcoholism and tobacco are probably at the highest in the whole of India.

Mechanical Department : Mr. E. Josam Titus and Staff Electrical Department : Mr.S. Sukumar Solomon and Staff Air Conditioning Engineering : Mr. S. Sukumar Solomon and Staff Environmental Engineering : Mr. V. Jayashankar and Staff Electronic Engineering : Mrs. Indumathi and Staff Telephone Exchange : Mr. Ebinezer Sundarraj and Staff Mr. Dinesh and Staff Sunday Services : June 05, 2016 6.00 pm

: Scudder Auditorium Dr. Santhosh Mathew

6.30 pm

: Hospital Chapel Rev. Jim M.R. Paul

We welcome :

We joined the Aizawl Adventist Hospital as a paediatric team, Dr. Sitara Swarna Rao, Professor, Wellcome Trust my wife and I, so excited to start our mission journey as we Research Laboratory - Division of Gastrointestinal Sciences, on her return from study leave. landed in Aizawl. Word spread around the city through the Obituaries: media that two paediatricians have joined the hospital and soon Dr. Colbert Silvera (Batch of 1958) on 9th April, 2016 the number of children brought to the hospital saw a significant in Tuikhuahtlang, Aizawl. hike. More pregnant mothers were registering for deliveries. th Our paediatric ward was only just getting equipped, when one morning, a young mother with her husband rushed to the hospital with an emergency. The lady in her third trimester had severe preeclampsia. Her blood pressure was very high and in spite of treatment, was difficult to control. She could no longer continue the pregnancy. At 32 weeks and twin gestation, the infants were going to have major complications such as twin to twin transfusion, respiratory distress, necrotising enterocolitis and

Dr. Kurian George (Batch of 1958) on 20 May, 2016 in Kochi.

Mr. Murugesan, retired Lift Operator, Electrical Department, father of Mr. M. Balakrishnan, Attender, A.C. & Refrigeration Department, on 22nd May, 2016.

Mrs. Elizabeth Koilpillai, mother of Mr. K. Nelson Nithiakumar (Estate Manager), General Superintendent Office, on 24th May, 2016.

Our thoughts and prayers are with the bereaved members of the families at this time of grief and loss.

prolonged admission for preterm care. With two doses of antenatal steroids, the decision was made to go ahead with emergency caesarean. Our old Doppler machine could not identify fetal cardiac activity of one of the twins.

Our best hope was to save one baby, so we prepared ourselves toward this. In the theatre, we welcomed the first of the twins and though he had a good cry at birth, he soon developed secondary apnea and needed respiratory support with which he was slowly getting better. Soon, the second of the twins followed, also showing signs of life, and we rushed to share the oxygen support with her, quickly intubating her and starting resuscitative measures with fluids and manual ventilation.

What would we do with a 1.7 kg newborn needing ventilator care? Since our hospital had just one warmer which was not functional, we had no resources to treat this little one with the care she actually needed. Thanks to God and our wonderful team of nurses, we quickly managed to prepare a makeshift NICU with heaters and thermocol sheets to ward off the chilly air in the nights. We frantically contacted other hospitals to find out if they could provide ventilator care for the second twin. Sadly, there were no newborn ventilators available in the city and the father of the baby who was aware of all that was happening said in Hindi – “Aap se jitna ho sake aap karo, baaki sab Bhagwan ke haaton mein hai”, meaning, “Just do whatever you can, everything else rests in the hands of God”.

There was no way we could let him down – my wife, Dr. Eileen our obstetrician, and I bagged the baby every 2 hours through the day and night. As the day came and other work at the hospital beckoned, we made a 24–hour roster for all staff to bag the baby. Every one hour, hands would change and again the grace of God kept her alive for 72 hours. However, she had multiple tube blocks and temperature irregularities and needed blood transfusion.

In spite of 80 hours of manual ventilation and all possible efforts, her respiratory functioning did not improve and she succumbed to death 80 hours later.

We were extremely sorrow-stricken as we placed the dead baby in the arms of her father. The mother who was just recuperating asked, “Pehla baccha kaisa hai, usko kuch nahin hoga na?” which in Hindi means, “How is the first twin, will he be ok?” The first twin, a boy, who was on head box oxygen was doing alright, but how was I to promise her he would be ok with the limited resources we had? I assured her we would do our best. Prayers were desperately made for this family and their little one.

The baby boy was 7 days old when he was noticed to have bounding pulses with tachycardia. We wondered if it could be Patent ductus arteriosus - a serious condition where a small vessel in the heart fails to close after birth.

With much prayer, and guidance from CMC, we started him on injectable Paracetamol for duct closure and also upgraded the antibiotics. Within 24 hours, he showed considerable improvement! We now felt relief, convinced we had seen the worst of it.

But disaster struck again – our infant warmer wasn’t working. We were using halogen heaters to keep him warm, but temperature regulation in the cold climate presented quite a challenge. Over the next 25 days, the baby was weaned off oxygen and started on feeds from nasogastric tube feeds to direct feeds. He began to gain weight and was discharged by the 26th day.

We have been following him up for the last 2 months and it to moves us inexplicably to see the parents with a healthy baby in their hands. We praise God for being with us in such dark hours and we are assured that through Him, we can accomplish greater things in the future. We have a long way to go – we hope that as a hospital, we will be able to provide the best medical care we can, combined with the love and compassion of Jesus Christ our master, to every sick child in Mizoram.

Dr. Denyl Avinash Joshua Paediatrician Note: There are many lending their services at various mission fields. Please tell us your story. We will be happy to keep in touch with you and also pray for you. missionsoffice@cmcvellore.ac.in

Occupational Health Education Series - Segment V Watch Your Back Series - Office Ergonomics (Occupational Health Team) A well designed workstation can reduce the risk of musculoskeletal injury and improve productivity & efficiency.

Posture – Follow the natural curves of the back and try working in a position of maximal ease.

Chairs Height – adjusted so that feet are firm on the ground.

Back support – support the curve in the low back region.

Arm Rest – if present, should be kept at elbow height.

Seat depth – adequate enough to support thighs.

Rest Breaks Eye breaks - blink consciously to moisten eyes every 5-10 minutes.

Every 15 minutes or so, look away from the screen to distant part of room.

Micro-breaks - between bursts of activity, rest the hands, neck and shoulders in a relaxed straight posture.

Rest breaks - every 30-60 minutes, take a brief 5-minute break and engage in another activity.

Exercise breaks - every 1-2 hours, do gentle stretching exercises.

Disclaimer: This handout is meant for educational purposes ONLY and NOT to substitute regular medical treatment.

Organised Workstation

Institutional Induction Training Programme for Doctors The Department of Hospital Management Studies & Staff Training and Development, along with the Principal’s Office, started a one-day “Institutional Induction Training Programme for Doctors” who newly join the institution.

The administration felt that all newly joined doctors must this training programme to orient them to the institutional policies, practices and norms. To facilitate this, 6 Institutional

Induction Training Programmes for doctors have been organised and 146 doctors have been inducted since March 2015.

During this programme, a detail booklet prepared by the Department of Hospital Management Studies & Staff Training and Development, with the help of experts is given to the participants, wherein relevant and useful talks on various topics is given such as Biblical Basis of Medical Mission, History of CMC, CMC Vision, Mission & Objectives, Cardio-Pulmonary Resuscitation, HICC / Common Diseases / Vaccinations / Universal Precautions (Biomedical Waste Management, Hand Hygiene, Mercury Spill, Needle Stick Injury), Orientation to laboratories / Services, Staff Service Rules, Leave Rules, Quality Policy & NABH Standards, Patient Rights and Responsibilities, Patient Advocacy Cell & Grievance Redressal Mechanism, Medical Services & Clinician General Guidelines, Provident Fund & Gratuity, Occupational & Work place Hazards, Legal requirements to deal with patients in Hospitals – Few points to prevent patients litigations, Introduction to Patient-Doctor Communication, General Safety in Workplace, Fire Safety / Disaster Management (with Demonstration).

The 5th programme began with prayer by Dr. Rev. Aruldhas, Sr. Chaplain, and inaugurated by Dr. Anna Pulimood, Vice-Principal (HR) and Dr. Samuel N.J. David, Sr. Manager & Head, Department of Hospital Management Studies & Staff Training and Development.

The programme was well appreciated by the participants.

CMC Chittoor Campus Seeks Medical Specialists The CMC, Vellore Chittoor Campus, is currently operational with day care medical facilities and an active outpatient. We are upscaling activities to make the 24-hour Accident and Emergency Department and Operation Theaters fully functional. We would like to invite Medical specialists from the areas of Paediatrics, General Medicine, General Surgery, Obstetrics and Gynaecology, Orthopaedics and Aneasthesia, to apply for full-time positions. Kindly apply with your curriculum vitae to: directorate@cmcvellore.ac.in OR cmcchittoor@cmcvellore.ac.in or call: 9843111996 for inquiries.

Situations Vacant 1. Computer Terminal Operator to work on a project on Term Appointment basis. The term of appointment is co-terminus with the duration of the project. The project will be implemented under Ophthalmology. The name of the project is "Comprehensive Community based Multidisciplinary healthcare project".

Qualification: Graduate + English Typing + D.C.A. (Proficient in M.S. Office).

Consolidated salary: Rs.8,120/-.

Application form and job description are available at www.home.cmcvellore.ac.in Icon : "Computer Terminal Operator".

Link : "Vacancies".

2. Project Co-ordinator to work on a project on Term Appointment basis. The term of appointment is co-terminus with the duration of the project. The project will be implemented under Ophthalmology. The name of the project is "Comprehensive Community based Multidisciplinary healthcare project".

Qualification: Master's degree + 1 year experience in Office Records Management.

Consolidated salary: Rs.16,381/-.

Preference will be given to candidates who have completed Master's in Public Health / Social Work with one year experience in the Field and good computer skills with good inter personal skills.

Application form and job description are available at www.home.cmcvellore.ac.in Icon : "Project Co-ordinator".

Link : "Vacancies".

Apply with xerox copies of all certificates to the Personnel Manager, Christian Medical College, Ida Scudder Road, Vellore - 632 004 on or before June 13, 2016 for Items 1 and 2.