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INDIA, Gangotri/Tehri Lake, May 29th June 1st, 2018
GPH Children’s Outing to Gangotri
A GPH supporter took five of the hospice children for a special outing to Gangotri and Tehri Lake. Four of the children were bereaved and one was a cancer patient.


     

Just to make sure that the children had a really good time, ten other children and four adults were invited to accompany them. The party set off early on Tuesday morning in a 12 seater bus and a 7 seater car. The host travelled by motorbike with the older children taking it in turns to have a thrilling pillion ride in the fresh mountain air.

Getting ready to leave
Getting ready to leave
 
     

 

 

The first day was a long drive and the group arrived in Gangotri tired but happy at 9 pm at night where their rooms had already been booked. By the next morning all the children were great friends and the wonderful day included a bath in the Ganga for those who braved the cold water followed by a visit to the temple. Later there was a trek for 4 kilometres up the path towards Gomukh where the children marvelled at the beautiful mountain peaks and shining Ganga river. In the afternoon the party walked through the sweet smelling pine and cedar woods to visit the Pandava cave and enjoyed watching Gangaji far below in the gorge.


   
Buying souvenirs in Gangotri

Buying souvenirs in Gangotri

In Gangotri Forest
In Gangotri Forest
     

 

 

After another good night’s sleep the party drove down the mountains past Harsila and Uttarkashi to spend the afternoon having a wonderful boat ride on Tehri lake which was followed by swimming and water games. The last night of the trip was spent at New Tehri with a fabulous view of the lake and the Himalayas.


   
Going for a ride on Tehri Lake

Going for a ride on Tehri Lake

A ride on a speed boat
A ride on a speed boat
     

 

 

As the little cavalcade wound its way back down the mountain towards Rishikesh, the children were bubbling over with exhilaration from the trip and danced and sang in their seats until they reached home. Thank you Ludo!




 

INDIA, Rishikesh, May 27th, 2018
May Clinic
An end-stage oral cancer patient with a gaping wound on his lip undertook an eight-hundred kilometre journey from near Lucknow to Rishikesh, in search of help.


     

The patient and his brother boarded a train from Rai Bareilley in Uttar Pradesh, and they arrived at the clinic carrying a flask of water, a bag with his medical reports, and a newspaper in which news about the Hospice had been published earlier. The patient is now admitted to the Hospice inpatient facility.

Sister Mamta and Dr Painuly comfort the young widow
The patient from Rai Bareilley
 
     

 

 

This patient's arduous voyage summed up the tenor of the May 2018 cancer clinic of Ganga Prem Hospice. Patients had travelled from nineteen different towns to reach the clinic, braving the searing heat, and the summer holiday traffic rush, as they were all looking for relief from their condition. The hospice team did its best to meet the challenge, and to offer support to patients. No patient was turned away, even when some arrived much after the clinic hours were over. The last patient was given as much time and attention as the first one of the day had been given.



   
Dr Vats writes a prescription

A patient with advanced cancer waits to see the doctor

Sister Priyanka with a patient
Dr Dewan explains the prognosis the a patient’s son
     

 

 

Eighty-seven patients were seen at the clinic, out of which a staggering sixty-one patients (70%) suffered from cancer. Another three patients were found to have symptoms that pointed towards possible malignancy, and needed diagnostic tests as follow-ups.

Not only were cancer patients in majority, but it was patients from outside of Rishikesh who out-numbered local patients. Fifty-one patients came to the clinic from towns other than Rishikesh, many of them from western Uttar Pradesh, the state that borders Uttarakhand. Some of the more financially secure patients turned into donors as they saw the service that was being provided by the Hospice team. 

With two oncologists seeing patients, and two other senior doctors providing support in consultation, the waiting time for patients was cut down, even though the clinic footfall was heavy.  Patients were also given counselling support, medicines and refreshments, and were offered home care and inpatient care, wherever needed.




 

INDIA, Pauri/Srinagar, May 22nd -27th, 2018
Pallium Ganga Prem in Pauri/Srinagar
In the last week of May 2018 Ganga Prem Hospice team visited Pauri and Srinagar as part of the Pallium Ganga Prem project to bring palliative care to all corners of Uttarakhand.


     

 

 

The GPH project manager, Shareena Bhaya, went ahead on 21st May to prepare meetings and engagements for the medical team which followed on the 24th May. Shareena took help from the Srinagar Rotary club to organise a cancer camp on the 25th May and also to have a meeting with the SDM at Srinagar to hand over the letters concerning applying to the State government for opening a palliative care centre with access to opiates. Arrangements were also made to hold a CME on palliative care on the 25th and for a meeting with the DM on the same day.


   
The Alakhananda at Srinagar

The Alakhananda at Srinagar

GPH Cancer Camp at Srinagar
GPH Cancer Camp at Srinagar
     

 

 

On 25th May Dr Aditi Chaturvedi and Sister Mamta Krishali from GPH conducted a CME on palliative care at the Government Medical College which was followed by a palliative care camp at the Sanyukta District Hospital in Srinagar. In the meantime Shareena met the District Magistrate in Pauri to explain what was needed and to arrange for a meeting with the GPH medical team in the evening. A second CME was conducted at the CMO’s office in Pauri and was followed by a successful meeting with the DM who was keen to open a palliative care centre in his district.


   
GPH team with the DM of Pauri

GPH team with the DM of Pauri

Dr Aditi leads a CME at Pauri
Dr Aditi leads a CME at Pauri
     

 

 

The 26th of May saw another CME for the doctors of the district hospital and was followed by homecare visits to patients in the town of Srinagar and in nearby villages. A rotary member sponsored a taxi to bring one of the patients down to the GPH inpatient facility.

The visit to Pauri and Srinagar were very successful with a plan to return in August for the inauguration of a local palliative care centre. Pauri already has a doctor and nurse who have received basic palliative care training and the DM has assigned a room to be readied to serve as a centre.



 
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