CHURCH
OF SOUTH INDIA HOSPITAL
(Karnataka Central Diocese)
No.2, Hazarat Kambal Posh Road,
Bangalore 560 051
(For private circulation only)
Volume 1, No. 8 October 2003
Trust in the Lord with all your heart. Never rely on
What you thank you know. Remember the Lord in
Everything you do, and He will show you the right
way. Never let yourself think that you are wiser than
you are, simply obey the Lord and refuse to do wrong.
If you do, it will be like good medicine, healing your
Wounds and easing your pains.
Proverb 3: 5-8.
Medical Records - Mr. Martin, Staff and Students
School of Nursing - Mrs. P.S. Roberts, Staff and Students
YFC -
Nursing Service - Sr. Joy Hanah and Staff
Monday to Friday - 6.45am – For Students
Saturday - 8.30am
Sunday - 6.00pm
We welcome the following persons to the CSIH family
Rev. Suresh Pawar, Presbyter of Hindustani Church Bangalore, has joined the Religious Works Department as Chaplain. He will serve along with Rev. Shanthi Anandaraj in ministering to the sick.
Dr. Seena Mathew, after completing her MBBS at Shree Siddhartha Medical College, Tumkur worked in our hospital for two years and has rejoined as Senior House Officer, in the Department of Medicine.
We announce with deep sorrow the demise of Mr. Sathiaseelan, husband of Mrs. N.F. Vasumathi, Clerk, Department of Accounts, on September 9, 2003. Our condolence and prayers to the bereaved family.
Lamp Lighting Ceremony for the first year Nursing Students will be held on October 11, 2003 At the Hospital Chapel.
“In that hour of misery, a lady with a lamp I see…” Henry Wordsworth Longfellow could beautifully capture the essence of Florence Nightingale in his poem. This ceremony was initiated to commemorate her service to the sick. Florence Nightingale “The lady with the Lamp” as she was affectionately called was born on May 12, 1820 to William and Frances Nightingale. One day while she was walking in her garden she believed she heard God’s calling about the purpose of her life. This incident changed her outlook and she dedicated her life to the social causes. Her work during the Crimean War had gained the attention of Queen Victoria.
Florence Nightingale defined and revolutionized the Nursing Profession. She set up the Nightingale Training School and succeeded in transforming the nursing profession into a responsible and respectable career for women. She died on August 13, 1910 at the age of 90. The Crimean Monument was erected in Waterloo Place, London in her honor for the contribution she had made to the health needs of the armed forces during the war.
Therefore, in commemoration of Florence Nightingale’s service, the nursing students take an oath, after their three – month preliminary period, the “Nightingale Pledge”, with a lamp in their hands during the Lamp Lighting Ceremony. Thereafter they are admitted to the regular nursing course.
“I solemnly pledge myself
before God and in the presence of this assembly to pass my life in purity and to
practice my profession faithfully.
I will abstain from whatever is deleterious and mischievous. And will not take or knowingly
administer any harmful drug. I will
do all in my power to maintain and elevate the standard of my profession and
will hold in confidence all personal matters committed to my keeping and all
family affairs coming to my knowledge in practice of my calling. With loyalty, I will endeavor to aid the
physician in his work and devote myself to the welfare of those committed to my
care”.
CSI Hrudayalaya: A free cardiac and diabetic screening camp was held on September 6, 2003 at the Bank of India for the staff and customers. Two hundred and twenty five people were screened.
A free cardiac and diabetic screening camp was held on September 20, 2003 at the Suzanne Memorial AG Church, Benson Town. One hundred and seventy five people were screened.
The Department of Pediatrics observed the Oral Rehydration Solution (ORS) Day on 30th July 2003 by conducting a workshop on ORS for the Staff and Student Nurses of CSIH. The workshop consisted of a talk by Dr. Maria Lewin on the basic management of
dehydration due to diarrhoea. This was followed by a skit on ORS by the students of the School of Nursing directed by Dr. Femine. The workshop concluded with a practical demonstration of preparation of WHO ORS by the staff and student nurses and supervised Dr. Maria Lewin. The workshop was attended by the staff and student nurses as well as the doctors.
Department of Obstetrics and Gynaecology: World Menopause Day October 18, 2003.
A free cancer screening camp will be held on October 18 at the Department of OBG at 9.30am. Free Blood test, Pap smear, Urine test and Mammography for those who require will be done. Only a limited number of women will be screened. Kindly register early to avail this opportunity.
Matching Grant Project of the Rotary Foundation in partnership with the Rotary Club of Bangalore Banashankari, Rotary Club of Wahia-Wawaialua Oahu and Rotary Club of Kyoto-Rakuchu, Japan, donated a Ventilator and Anaesthesia Machine to the Hospital. This was organized by past District Governor Rtn. Narasimhan Ramji. The equipment were formally handed over to the Bishop Rt. Rev. S. Vasanthakumar, Chairman of our Board of Management, on September 16, 2003. Those who attended the function were 30 Rotarian with their spouses and Dist. Governor Rtn. Prabha Shankar, Rtn. A. Basappa, President, Rotary Club Bangalore Banashankari, past President Rtn. B.V. Kumar, past President Rtn. T.R. Nagaraj and past President Rtn. Ramesh Kumar R. We thank the Rotary Club for their generous gesture and their involvement with the healing ministry of our Hospital.
What is cancer screening?
Cancer, we all know, is a dreaded disease and a killer disease. It is possible to cure cancer if it is detected in the very early stages or in the precancerous stage itself. At this stage, the individual does not have any symptoms and will be blissfully unaware of the invader within. The purpose of cancer screening programs is to do a simple examination of all individuals and pick out those with such early changes.
Cancer used to be considered the end of everything, until a couple of decades ago. It is still one of the leading causes of death and disability.
Figures in cancer are rising, for at least three reasons:
v With increase in life expectancy, we have more people in the ‘cancer age’.
v Mortality from other medical and surgical diseases had come down.
v We are now exposed to more carcinogens from the environment
How do we limit this? We should
v Prevent cancer
v Detect cancer in the early, curable stage.
The screening methods available for gynaecological cancers like Breast, Cervical, Endometrial, and Ovarian cancers are:-
Breast Cancer:
Breast Cancer in women is a major killer, and our focus is on prevention and early detection, when it is entirely curable. Mammography is now recognized as an essential tool in the early diagnosis of breast lesions, including cancer. Breast Self examination and annual clinical examination are the main screening methods for the general population.
Those with family history of breast cancer, those on long term estrogen therapy or Hormone Replacement Therapy (HRT), and nulliparous women or those who have not breast fed their children are at a higher risk for breast cancer. These women must have a mammography done at 1-2 yearly interval. Post-menopausal women on Hormone Replacement Therapy also need to undergo periodic screening for early breast cancer, and these women need mammographic examination too.
Self examination should be taught to the population, and it should be done at monthly intervals, postmenstrual in those having menses, and day 1 of each calendar month in those without menses. This is to avoid pain and anxiety, because the breasts can feel lumpy in the premenstrual phase.
Cervical Cancer:
In Karnataka, the incidence of cervical cancer is 21 / 100000, with the peak incidence in the 35 – 64 yrs age group. Widespread screening with Pap smears has helped achieve an 80% reduction in mortality and morbidity in the developed countries.
Pap smears is a cytological study of desquamated cells from the genital tract. Ideally all women above 18 years of age should have Pap smears done at least once in two years. Those with equivocal reports, and women with multiple sex partners, genital infections, those with post coital bleeding, etc. need to be screened once a year, while women with two negative reports may have it done at 3 year intervals.
If the smear cytology is abnormal or atypical, or if it is repeatedly reported as inflammatory, a colposcopic examination and directed biopsy are indicated, to localize the lesion and confirm the diagnosis.
Endometrial Cancer:
Transvaginal ultrasound is the only available screening method for endometrial cancer. As this cannot be applied to the masses, targeted screening of the high risk population is what can be done. Post menopausal women, those who are obese or diabetic or of low parity and those with a positive family history need to be screened. Women with Dysfunctional Uterine Bleeding (DUB), intermenstrual bleeding, those who have been on long-term estrogen therapy including HRT also need to be screened.
Ovarian Cancer:
The worst situation is with ovarian cancer, where the disease has no premalignant state, no early symptoms, becomes symptomatic only at an advanced stage in the disease. Currently, clinical examination and ultrasound are the only available methods to identify early ovarian cancer. Tumor markers have not been useful because of limitations in terms of specificity and positive predictive value making their use in general population difficult. This has lead to the concept of limiting screening to defined high risk groups. This includes those with polycystic ovaries, nulliparity and those who have had treatment for infertility with ovulation inducing drugs. Genetic screening, again with its limitations, may be advised for those with a family history of ovarian cancer.
This protocol is being followed in our hospital for our staff, and this is so strictly followed that only after going through their annual medical examination in all the departments, the next increment is given. This has helped us to identify uterine, and breast cancers in our staff.
Cervical cancer or cancer of the ‘mouth’ of the uterus is the commonest cancer in women. The ‘skin’ of this part of the uterus may have precancerous changes which might perhaps develop into cancer in 10 – 20 years. This can be detected by doing a simple, quick and painless test called Pap smear, named after the person who brought this into practice.
1. Who should have a Pap
Smear?
It is suggested that every woman over 18 years of age should have this test done. If it is normal, it is very unlikely that there is anything wrong with the skin of the cervix. The test must be repeated every 3 years to find any precancerous changes that develop in the future.
2. When
should it be done?
While any time is good time for a cancer screening test, Pap smears are best done following a period, after all bleeding stops.
3. What are the requirements before the
test?
The person coming for a Pap smear should avoid any vaginal medication or douche prior to the test. She should also abstain from intercourse during the previous 24 hours.
4. When is it urgently
indicated?
Symptoms such intermenstrual bleeding or contact bleeding should alert the person to the possibility of uterine cancer and therefore these individuals should have the test done without delay. Chronic white discharge per vaginum is also a valid reason to undergo this test without further delay.
5. What are
the complications of this test?
There are no complications due to this test. It is painless. It does not cause bleeding, except in those who have contact bleeding, when there may be a slight spotting after the test.
6. Where is
it done?
The test can be done in the consulting room of your doctor / gynecologist, while doing a routine gynecological examination itself.
7. How much
will the test cost?
The test will cost your approximately Rs.200/-
8. What if
the result is abnormal?
Those with suspicious smears may have the test repeated. Those with very early and minimal changes may repeat every three months to six months. Those with pathological or abnormal smears should have a further evaluation by colposcopy, before a diagnosis is made. Your gynecologist will advise you on this.
To Conclude: The best advice is an annual clinical examination including Pap smear for the general population. A transvaginal ultrasound and mammography may be added for those at high risk for ovarian, endometrial or breast cancer. This simple protocol will go a long way in bringing down the mortality and morbidity due to gynecological cancers.
Solve this puzzle that was given
in by Dr.Joyce Gemson, Senior House
Officer,
Department of paediatrics and
win a prize. Contact
PRO.
There
are thirty books of the bible in this paragraph. Can you find them? This is a
most
Remarkable puzzle It was found by a gentleman in an
airplane seat pocket, on a flight
From Los Angles to Honolulu, keeping him occupied for house. He enjoyed it so much he passed it on to some friends. One friend from Illinois worked on this while fishing from his john boat Another friend studied it while playing his banjo. Elaine Taylor, a
Columnist friend ,was so intrigued by it she mentioned it
in her weekly newspaper
Column. Another friend judges the job of solving this puzzle
so involving, she brews a
Cup
of tea to help her nerves. There
will be some names that are really easy to spot.
That’s
a fact. Some people, however will soon find themselves in a jam, especially
since
The
book names are not necessarily capitalized. Truthfully, from the answers we get,
we
Are
forced to admit it usually takes a minister or a scholar to see some of them at
the
Worst.
Research has shown that something in our genes is responsible for the
difficulty
We
have seeing the books in this paragraphs. During a recent fund raising event,
which
Featured this puzzle, the Alpha Delta Phi lemonade booth
set a, new sales record. The
Local paper, The Chronicle, surveyed over 200 patrons who have reported that this puzzle was one of most difficult they had ever seen .As Daniel Humana humbly puts it, the Books are all right here in plain view hidden from sight. Those able to find all of them
Will
hear great lamentations from those who have to be shown. One revelation that may
Help is that books like Timothy
and Samuel may occur without their
numbers. Also, keep in mind that punctuation and space in the
middle are normal. A chipper attitude will
Help
you compete really well against
those who claim to know the answer. Remember,
There
is no need for a mad exodus, there really are 30 books of the bible
lurking
Somewhere in this paragraph waiting to be
found
Published by the Department
of Public Relations