Thursday, September 1, 2016

Uterine Prolapse Prevention Program--Part 2


We are proud to present to you Part 2 of the report of our Uterine Prolapse Prevention Program.

If you missed Part 1, read it here:  http://scheermemorialhospital.blogspot.com/2016/08/uterine-prolapse-prevention-program.htm

You will find the introduction and reasoning for the program...
and this Thank You:
We want to thank the Finland Ministry of Foreign Affairs and Finland's Adventist Development and 
Relief Agency (ADRA) for the financial and emotional support they gave us to have the chance to give educational information to Nepal's next generation.  We also thank all those all over the world who also support us, not only financially, but also prayerfully!  Thank you!

Now, here is Part 2, quoted from the official report  written by Mr. Sundar Thapa,
Senior Executive Officer and director of the program.  The photos are also Mr. Thapa's.

"The second and final phase of training was conducted from 08 – 10 April 2015 by  Scheer Memorial Hospital OB/GYN, physiotherapy and nursing staff, Dr. Binod  Aryal, Dinesh Chataut, and Mrs. Sunita Chataut, respectively.


"Train-the-Trainer candidates learned about anatomic support structures for pelvic    organs, as well as how failure of these structures results in pelvic organ prolapse.  They also learned  simple steps could be taken to prevent this condition.  This was essential training for these trainers to be able to train other individuals in the causes  and prevention of pelvic organ prolapse.





"Because of the major earthquakes in Nepal on 25 April and 12 May, commencement of the rest of our program was delayed until late August. 

"The training of teachers sessions lasted for two days, whereas health teachers (who have a stronger background in health sciences) only required one day of training. The training centers were placed in appropriate secondary/higher secondary schools, i.e. those schools that have been used as a Resource Center and which covered at least 15-25 schools in that particular cluster.

  " A 20-minute video called 'Obstacles yet to Overcome' precedes the actual start of instruction. This emotionally-charged video affects most people who watch it and provides an understanding the plight of many women in Nepal.   It portrays the difficulties their medical condition imposes on them, their families, and the communities in which they live.  It highlights the many challenges of daily life and especially the social isolation from family and community that pelvic organ prolapse creates.





          "On the first day, only the Female Community Health Volunteers attended training.  On the second day the health teachers also attend, but all training was conducted separately.  Prior to the start of training, a short introduction was provided, followed by a pre-test to assess the student’s level of knowledge regarding pelvic organ prolapse. At the end of training, all students took a post-test to assess their level of comprehension and mastery of the material."


Mr. Sundar Thapa and Mr. Dhruwa Nepal pass out completion certificates in Banepa, 
Kavre District.



Bhupan gave lectures for health teachers.  This lecture was at Kawasoti Center,
Nawalparasi District. 

Training sessions commenced here and there:


   
Syangja:

Syangja:

Nawalparasi:
Ramechhap:
A district health officer from Ramechhap visited a training session.


We want to thank all of the team members for their time, efforts, and participation
in this important program.



Stay tuned for Part 3, which will show you the pictures of the program in progress at schools where young people were fortunate to learn about preventing this condition for themselves
and future generations.

Have a nice day and thank you again to all of our friends and supporters for all you do!

Tuesday, August 23, 2016

August 2016 Health Calendar

August Health Awareness


(photo credit:  http://blog.ezdoctor.com/?tag=/soarasis)

Do you know what psoriasis is?
This webmed.com page below gives a good overview and has links and slideshows.
Please don't let your children see the slideshows, as they could scare a young child.
http://www.webmd.com/skin-problems-and-treatments/psoriasis/understanding-psoriasis-basics#1

This article gives one young lady's experience:
http://www.maneobjective.com/2015/08/psoriasis-awareness-month-living-with-psoriasis-curly-hair.html

Here are some more stories of people living with this embarrassing condition,
and also some videos:
http://www.channel4embarrassingillnesses.com/conditions/psoriasis/

To find out about the physical, emotional, psychological, and social toll psoriasis
has on people, check this out:
http://www.biotech-now.org/health/2012/08/august-is-psoriasis-awareness-month-psoriasis-isnt-contagious-but-awareness-is

You can be a beacon of light and compassion to someone with this condition if you know about it.


(photo credit:  http://infusionexpress.com/august-is-psoriasis-awareness-month/)


The first week of August was:


(photo credit:  youtube.com)

The below photo credit is an excellent read.

Check out this photo credit site for information such as:
How Breastfeeding Changes as Baby Gets Older.
Top 10 Breastfeeding Problems Solved.
10 Breastfeeding Super Foods.
How Long Should I be Nursing on Each Side
12 Ways to Make Breastfeeding Easier
Unsafe Foods for Nursing Moms
...and lots more pregnancy topics...including maternity fashion!!!

Not everyone has smooth sailing with breastfeeding.
Read this to find out more:  https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Warning-Signs-of-Breastfeeding-Problems.aspx

Be sure to come in for a consultation if you have any questions!!!

Thank you again and always to all of our friends and supporters!
We appreciate all your help!

Have a nice day and stay healthy!
You know what to do if you're feeling sick or have questions!



For info on staying healthy in your later years, read the below photo credit.

(photo credit:  http://goweloveit.info/health-and-fitness/how-to-stay-healthy-and-happy-in-your-later-years/)

Monday, August 15, 2016

Uterine Prolapse Prevention Program--Part 1

We are proud to present to you Part 1 of the report of our Uterine Prolapse Prevention Program.

You may have heard that uterine prolapse is a huge health problem in Nepal.
http://america.aljazeera.com/articles/2014/6/9/uterine-prolapsethehiddenagonyofnepalesewomen.html

We are thankful for medical teams who give of their time and medical expertise, and using their own
financial support, come and do surgery for uterine prolapse victims, many of whom have
been acutely suffering in silence for many years.

To read more about their work, check out the websites of these teams:

Centura Global Health Initiatives:
https://www.centuraglobalhealth.org/CGH/Home/

Vrouwen voor Vrouwen...or Women for Women in English.
This organization is from Holland and their website is in Dutch.
Below is the translated link.  If you have trouble, use your own translator.
https://translate.google.com.np/translate?hl=en&sl=nl&u=http://www.vrouwenvoorvrouwen.nl/&prev=search

Open Heart International:
http://www.ohi.org.au/

If you missed it, see our June 6, 2016, post for a uterine prolapse patient story.

However, treatment is something done after the fact.  Prevention can open up the world
to upcoming generations of young Nepalese women who won't have to suffer as their
mothers, grandmothers, aunts, friends, etc. have done for countless years.

Prevention and educational programs are necessary for this reason.

Here is a long, but comprehensive study about prevention:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3422110/

Knowing the necessity of joining the other organizations with prevention programs,
Scheer Memorial Hospital was able to launch its own Uterine Prolapse Prevention Program.

Here, in quotes, are details from the official report written by Mr. Sundar Thapa,
Senior Executive Officer and director of the program.

"As a country, Nepal faces many health challenges.  A major affliction affecting many women is the wide-spread problem of uterine or pelvic organ prolapse.  This disorder results from the heavy labor and the societal roles of Nepali women, in addition to the lack of proper nutrition.  Carrying heavy loads, returning to manual labor soon after child birth, home childbirth deliveries, and social taboos are also major contributing factors.

        "Non-governmental organizations (NGOs) and International NGOs (INGOs) traditionally concentrate their efforts on treatment programs rather than pursuing the more effective prevention programs.  In collaboration with the Finland Ministry of Foreign Affairs and Adventist Development and Relief Agency (ADRA) Finland, Scheer Memorial Hospital sought a different approach.  We initiated an educational project (Uterine Prolapse Prevention Program or UP3) to train Female Community Health Volunteers, with three-four volunteers chosen from each Village Development Committee and Health Teachers from each of the government run secondary/higher secondary schools within each district.

Dr. Dale Mole', Scheer Memorial Hospital's CEO, signs the agreement between
Scheer Memorial Hospital and ADRA Finland to implement the program.
(photo credit:  ADRA Finland)

(Note:  We want to thank the Finland Ministry of Foreign Affairs and Finland's Adventist Development and Relief Agency (ADRA) for the financial and emotional support they gave us to have the chance to give educational information to Nepal's next generation.  We also thank all those all over the world who also support us, not only financially, but also prayerfully!  Thank you!)

         "Prior to conducting training sessions for Female Community Health Volunteers and Health Teachers, an orientation program was conducted for district officials such as the Chief District Officer, Local Development Officer, District Health Officer, and District Education Officer.  Other concerned officials, as well as local media, also attend the orientation and education programs which provided a broad overview of the project and its objectives. 


"The Training for Fieldwork Trainers or Training of Trainers was conducted for our selected candidates by a team of experts provided by Mrs. Aune Greggas (Finland).  A large Finnish contingent was augmented by local experts at Scheer Memorial Hospital.  

Some of the participants:
(photo credit:  ADRA Finland)

"The first phase of intensive training was conducted from 18 – 20 March 2015 at SMH.  The team consisted of the following experts:

·         ""Mrs. Ritva Kuusisto – Midwife & Public Health Nurse and Trainer: She provided instruction on the uterus from conception to delivery, physiologic changes that occur with pregnancy, and what steps are important for a healthy mother and baby.  

·         "Mrs. Harriet Fagerholm – Physiotherapist: With the assistance of her son, Andreas Fagerholm as a translator, explained the importance of Kegel's exercise in strengthening the pelvic floor muscles and its role in the prevention of pelvic organ prolapse.

·         "Mr. Ben Greggas – Program strategist: Provided an overview of the benefits, including the economic advantages, of preventing pelvic organ prolapse.  He provide a comprehensive overview of often ignored or rarely considered aspects of the benefits derived from prevention programs.

·         "Mrs. Uma Thapa, Director of Nursing at SMH - Mrs. Aune Greggas had asked her to present in Nepali all the most important topics from her health education workbook "Healthy and Happy Nepal". The workbook and the PowerPoint-lectures have been translated into Nepali and they will help the participants to find good sources of materials for health education to live healthy.  

·         "An additional aspect of this training session was the inclusion of two nursing students from Diaconia University of Applies Sciences (Finland), Hanna Maasola and Reija Koivukangas, who were able to assist with the program evaluation and measures of success."


Here is the main team from Finland, left to right,
Mrs. Ritva Kuusisto, Harriet and Andreas Fagerholm, Aune and Ben Greggas
(photo credit:  ADRA Finland)

Again, we want to thank them for coming and for helping us get this program up and running!

Stay tuned for Part 2!

Blessings to all of our friends and supporters!





Sunday, July 31, 2016

July 2016 Health Calendar

July is International Group B Strep Awareness Month


This is something very important to learn about.


Do you know what Group B Strep is?  If not, we invite you to read the above photo credit.
This website has all the information you need to know, including the following brochure:

This information is too critical to not know about!

Read the below photo credit for an informational article that's easy to read:

On a side note, that page has a very interesting link:

What is it?  It's a Week by Week Pregnancy Calendar!
It's very interesting!!!
Check it out!


July 28 was World Hepatitis Day


The photo credit is from the World Health Organization's website and not only 
has lots of information, it also has numerous important links, such as:
which answers the question, "What is hepatitis?"


The Hepatitis B Foundation's website also has more information
than you can imagine:  http://www.hepb.org/
including pages for adults, children, and pregnant women.

is full of patient stories.  Very interesting.

Want to learn about hepatitis in Nepal?  Check out this article, which is three years old,
but still relevant:


The article is the above photo credit is two years old, but also still relevant.
You will also find information about avoiding hepatitis and protecting yourself
and your beloved family.

Don't forget to come in for a consultation if you have questions.
You don't have to be sick to have a question and answer appointment.

As you move into August, please stay healthy!

Here are some summer health tips:
https://www.sccgov.org/sites/sccphd/en-us/Residents/HealthyActive/Pages/August.aspx

and http://www.health.com/health/gallery/0,,20930813,00.html
Picture from this page:
You will learn about summer food poisoning.  Important!

Have a nice day!

As usual, we want to thank all of our friends and supporters
for your generous donations which keep us running!

Monday, July 11, 2016

Patient Stories--Knee Injury & Physio

Knee Injury!!!




(photo credit:  http://www.byllp.com/en/knee-injuries/)

Wow, if you've ever injured your knee,  you know that it can be disabling!

If you haven't, man, you don't know what you're missing! Seriously, it's nothing to laugh about.
When everything is going well, you take your knees for granted.  When you injure one or both knees,
you realize:  http://thoughtcatalog.com/brandon-gorrell/2014/03/10-problems-only-people-with-knee-injuries-understand/

Your whole life is affected. 

Here is an overview:  http://www.webmd.com/pain-management/knee-pain/knee-problems-and-injuries-topic-overview

That website also has many links with such topics as Exercises, Dos and Don'ts,
a Sports Injury Quiz, Healthy Aging, and Joint Health Tips.  Check it out!

Here is Subritra and her husband.  Look at that smile!
Why is she smiling?  Read on!

One day Subritra was out collecting food for her animals, like women do every day in Nepal.

As we have all done at one time or another, she slipped and fell.
There was a sharp pain in her knee!  Ouch!  It somehow seemed different from other times she had fallen.  However, life goes on and Subitra limped painfully home.
Her family helped do some of her chores so she could rest her knee, but it soon became apparent
that a visit to the doctor was in order.

For ten years she went from hospital to hospital looking for relief.  TEN YEARS!  However, her days were filled with hopelessness and frustration.  When you're a busy wife and mother, having constant pain
while you take care of your family can be physically and emotionally draining.

http://blog.muellersportsmed.com/what-to-do-during-and-after-your-knee-injuries

http://www.drdavidgeier.com/signs-knee-injury-serious/

Eventually, after the above mentioned ten years had gone by, Scheer Memorial Hospital
became the next hospital in line! 

Dr. Prameed Pilli, orthopedic surgeon, diagnosed PCL.

What is PCL?  Read here to find out:  http://orthoinfo.aaos.org/topic.cfm?topic=a00420


Yes, as you may have imagined, her injury, old though it was, needed to be operated on.
After surgery, Dr. Pilli sent her home with instructions to rest until it was time for physical therapy.

Yes, Physical Therapy is important!
Read here for information:  http://www.burke.org/blog/2015/10/10-reasons-why-physical-therapy-is-beneficial/58

and here:  http://www.medicalnewstoday.com/articles/160645.php

Here is our Physical Therapy, or Physiotherapy, team,

and our Physiotherapy Department.


Mr. Dinesh Chataut, head of the Department of Physiotherapy, seen here with the now happy couple,

put Sumitra on an intense physiotherapy program.  Even though it was understandably
painful, Sumitra knew it would be the best course of action, and she faithfully stuck
to the program.

You know the saying:
(photo credit:  youtube.com)
It's true!

 Also:
(photo credit:  pinterest.com)

Yes, if you noticed Subrita's smile, you'll know why!  Her persistence paid off!
Determination is worth it!  She finally feels like her old self again!  Her family is glad to have Sumitra walking around the house and doing her chores with a smile on her face instead of a grimace!

Do you fix your own brakes?
If not, don't fix your own medical problems!  See your doctor, and when advised,
see your physiotherapist!  http://www.idahopt.com/dont-fix-your-own-brakes/
You many accidentally make things worse if you don't know what you're doing!
 
Exercising incorrectly could also cause knee pain.
http://www.shape.com/fitness/workouts/7-workout-routines-secretly-causing-knee-pain

Come in for a consultation!  What can it hurt?
Read this photo credit:
 http://fitstopphysicaltherapy.com/2015/05/6-signs-that-you-need-to-go-see-a-physical-therapist/

Physical Therapy is not only for adults!
Read this photo credit:  http://ptsolutions.com/the-importance-of-pediatric-physical-therapy/
for information.

Again, come in if you have questions.
Thank you for reading this!
 We also really thank our supporters who keep our hospital running!
THANK YOU!




Monday, July 4, 2016

June 2016 Health Calendar

Now that it's July, let's take a look back at health issues that were emphasized in June
and you can see how well informed you are!


(photo credit:  http://partnersinfreedomnj.com/june-is-mens-health-month/)

Sometimes men neglect their health!  Come on, you know you do!
It's not unmanly to see a doctor!  It's important!

Don't be this person...



(photo credit:  whisper.sh)

 Read  http://www.dph.illinois.gov/topics-services/life-stages-populations/mens-health
for information, including many links with such topics as
Chronic Diseases in Men, Screening Information, Tips for Healthy Living,
Top Ten Causes of Death in Men, and even For Women Only!  Ladies, don't miss this!
There are also links with information about prostate and testicular cancer.
Just because it's not talked about much, doesn't mean it isn't around.  It is and it's important to know.

Did you catch this article last year?  If not, please read it.
https://thehimalayantimes.com/health/never-ignore-prostate-problems/

The following article, from The Nepali Man is an amazing article with so much important information.
Please do yourself and favor and read it.
http://tnm.com.np/a-cancer-overlooked-and-historys-greatest-health-epidemic-prostate-cancer-hivaids/


The last week of June was
Worldwide Helen Keller Deaf-Blind Awareness Week

If you don't know the story of Helen Keller, please do yourself a favor--grab a drink and a snack, and settle down to read the amazing story of a little blind and deaf, yes, blind AND deaf girl who became a world renowned advocate for disabled people.

Image result for helen keller quotes
(photo credit:  quotesgram.com)

http://www.biography.com/people/helen-keller-9361967

http://www.helenkellerbirthplace.org/helenkellerbio/helen_keller_birthplace2_bio.htm


Here's the website for the Nepal Association of the Blind, an important association
for those who really need help.  With help, they can thrive as well as anyone can!
http://www.nabnepal.org/


(photo credit:  http://kisbyto.blogspot.com/2013/06/deaf-blindness-awareness-week.html)

Yes, there are organizations helping the deaf in Nepal, such as the
National Association of the Deaf and Hard of Hearing Nepal.
http://nadhnepal.weebly.com/index.html

This website post, Being Deaf in Nepal, has lots of great links.
http://gurkhatech.com/blog/being-deaf-in-nepal/

The following organization is helping disabled students in Nepal.
http://www.nepalyouthfoundation.org/programs/disabled-students/

If you're ever having a bad day, just be thankful that you're not disabled!

(photo credit:  pinterest.com)

Be thankful for all you have--especially your health!

(photo credit:  pinterest.com)

This July, keep this in mind:
Image result for helen keller quotes
(photo credit:  quotesgram.com)

Have a nice day full of blessings!

Thank you to all of our supporters!