Acwerk Clinic's 2010

Monday, June 28, 2010

Acwerk Clinic-25 June, 2010-Navapatty-Village Culture&Health Care

`Village Culture' is influenced greatly by modern living.
Though the life in a village is almost what it was centuries ago, farming, agriculture followed by manual labour as its main assets of day-to-day living.
Recent trend shows most women are resorting to industrial work. Regular pay and organized work schedule with advantages of educational sponsorship for children and maternity benefits.

Media and Television have brought a sense of awareness in their world around. Every home has a television even in remote parts.
Health facilities, care of new born and ante-natal care provided by the state are featured in regional languages.
Quite a number of Government Hospitals and Primary Health Centre's are accessible to the village people today.

General out-look of health care is aimed at curative more than preventive.
Community medicine is objective oriented and educates people to know their rights and how to approach it.
It is only the beginning of a journey to better living and expectations.

Tea time for health worker's at Acwerk, Navapatty.
It is quite an advantage to the village people who have accessible health care at Acwerk that is aimed at preventive and early medical intervention, mostly skin problems and chest infection.

Sunday, June 27, 2010

Acwerk Clinic-25 June, 2010-Navapatty-Doctor&Patient's

K. Kaliappan, 58 Years
Navapatty
Manual Worker
`Pyrexia' after Trauma
Gen. Med.-New
(Orthopedics & Neuro)

Kaliappan met with a road traffic accident six weeks ago and injured his left fore-arm and corresponding side of head.
His main complaint was fever and anxiety.

Body temperature was raised, 100`F.
He was well oriented, respiratory rate normal, vital signs were normal and motor and sensory functions intact.

There was no evidence of head injury externally, his chest and abdomen showed no appreciable diagnosis.
His bowel and bladder functions were normal.

Kaliappan was reassured, advised rest and a course of antibiotics and antipyretics for two weeks.
He was screened in lab to rule out probable infection from head injury.
On review he was requested to produce relevant papers and reports of his treated trauma.

A. Kandaswamy, 60 Years
Ponnagar
Vendor
Cured `Leprosy' with Disability-
Review

Kandaswamy was diagnosed at Acwerk in 2002 and underwent surgical correction of foot-drop of right foot at Chettipatty.
He sells house-hold utensils on his bicycle. Constant use of his feet to pedal the bicycle has caused ulcer's.
His wound was dressed, treatment given for two weeks and a pair of new MCR foot-wear.

S. Devi, 38 Years
Ammapettai
House-Wife
`Urticaria'
Skin-New

Itching generalized associated with skin rash, was the main complaint.
No sign of rash on examination.
`Urticaria' is an allergic condition of the skin that is usually precipitated by an insect bite or pollen.

Devi was advised a course of antihistamine for two weeks and to avoid excessive cosmetic preparations for skin care that she used.

Acwerk Clinic-25 June, 2010-Navapatty-Doctor&Patient's

M. Ayyannan, 73 Years
Nattamangalam
Retired Industrial Worker
`Treated P.Tuberculosis'
Tuberculosis Screening-New

Ayyannan was treated and cured of Pulmonary Tuberculosis at Perundurai TB Sanitorium in 2004,Erode District.
He complained of cough with expectoration for a period of 2 weeks.

Ayyannan was coherent, able to explain his condition and problems quite well. Breathing comfortably, had no bout of cough on examination or history taking.
Chest contour symmetrical, respiration normal, breath sounds normal on auscultation.
Advised screening in lab for Tuberculosis and medication for 2 weeks symptomatically.

K. Vaishnavi, 8 Years
Ammapettai
Student
`Tuberculosis' Screening-New

Body weight low for age/height.
Appetite low and easily fatigued were reasons to suspect early Tuberculosis.
Advised lab screening and symptomatic treatment for 2 weeks.

Acwerk Clinic-25 June, 2010-Navapatty-Doctor&Patient's

S. Selvi, 40 Years
Nattamangalam
Manual Worker
Soft Tissue Injury Left Ankle-
`Hematoma' , Left Ankle
Gen. Med. New-Ortho

Selvi had a fall two weeks ago while at work. Twisted her left ankle when she fell down a slope.

A diffuse swelling of the left ankle was present. No signs of external injury.
The area of trauma was limited to her left ankle and the other foot was normal.

Positioning of feet showed slight inversion of left ankle from avoiding pressure on the heel.

Movements of left ankle joint was full and without pain.
Skin temperature was normal.

Topical Analgesic application and passive exercises were given.
Selvi was advised to have a warm saline bath of left foot for ten minutes once a day for a week.

A Pressure Bandage was given to minimize swelling and enhance normal gait.

A pair of MCR foot-wear was provided after that and Selvi was quite comfortable to move.
Symptomatic medication and to continue physiotherapy at home after removal of bandage was advised.

Acwerk Clinic-25 June, 2010-Navapatty-Doctor&Patient's

M. Lakshmi, 43 Years
Nattamangalam
Manual Worker
Cured `Hansen's Disease'
with disability of Hand's.
`Claw Hand Deformity' and
`Trophic Ulcer's'
Review and POD Clinic
(POD:Prevention of Deformity)

Ulcer's were treated with dressing and medicines every 15 days.
Lakshmi was trained to care for her hands at home.

Her deformity is irreversible, she manages to work with her hands at home, menial jobs.
The wounds have healed well.
loss of sensation of touch and pain is the main reason for Ulcer's.

Lakshmi was first treated at Navapatty in 2004.
Her condition was similar to the present and her disability was already an established one.
Management was aimed at further prevention of deformity.

Advice to surgically correct the disability in 1987 was denied by her for personal reasons.

She had taken `Mono' treatment at Chettipatty (LRRC) in 1987, for a period of five years. Management of Ulcer's of her hands and rehabilitation were provided to her at that time.

Viable movements of her hands are trained to keep her active as possible. Psycho-sociologically she seems well adapted.

Her thumb action of both hand's are possible to 30% of the full range and others are negligible. Action is more of the palms and grasping with both hands.

Muscle tone is good of hands and arms.
Her general condition is fair and willing to accept changes to manage herself.

Lakshmi is regular in attending review clinics. Her attitude is good and there is good improvement in her general condition.
She is provided with maintenance allowance every month along with clothing periodically.