Urban Daydreaming
Referring a newborn baby to the Sick Newborn care unit. This is being done by 102 (Mahtari Express ) now. In the past Mahtari Express refused newborns. However now a new issue has arisen- the PHC refers the newborn and the ambulance does not take the mother , whom the PHC keeps. This fulfills the 48 hour admission rule, but disrupts the supply of breast milk, warmth, TLC and so affects the baby- who desperately needs mother’s milk till six months. Measles vaccination - are we too busy to visit the one or two mothers who reach 9 months post delivery? The vaccine gets given before one year of course. But are we losing the home visit and the human touch? Diabetes prevalence is low still - only one of 20 Mitanin Trainers in the room had a blood sugar of 198 mg/ 100ml when tested. Everyone was tested using a glucometer, around 2 hours after a meal. And one area had 5 similar newly found suspected hyperglycemics. What should a type 2 diabetic eat? A sed...