Inviting CME Proposals

I would like to request all the specialists,doctors and staff of MRRH,to volunteer ( as Resource)for the weekly CME sessions on Friday. It has been very smooth going ever since we started having these sessions about three months back. Participation has been encouraging and we would like this to continue as usual. Please submit your proposals to me for forwarding to BHMC for approval of credits.

Thanking you for your encouraging participation so far!

Pentavalent gets a green signal

The expert WHO committee, which was involved in the investigation following the incidences of suspected deaths to Pentavalent, has concluded that the vaccine was not responsible for the reported deaths. This means that the vaccine will probably be re-started in the country again .

I think this is the reality and that the vaccine should be re-started sooner than later.

Nurse Assistants

Twelve nurse assistants, who recently completed their training for four months, have been appointed to work at Mongar Hospital. They will support the nursing staff in the ward, mainly on non clinical errands. Many of them are expected to go for GNM training to India sometime in the future.

CME: Maternal Collapse

Dr Sonam Gyamtsho, Gynecologist, presented on this rare but important subject of " Maternal Collapse", few of which have occured in our country in the past. Overall the important causes and management, highlighting on the multi-disciplinary team that is required, was emphasised. About 26 participants were present for the CME.

EMOC Workshop

A three day workshop will commence tomorrow at Bumthang to discuss issues related to EMOC and Neonatal care in the country. Program officers and all the EMOC focal persons will be attending the workshop at Hotel HOME.I will also be attending the same to discuss the neonatal part.

Another five day long workshop on Mental Health is already underway at Bumthang Hospital from today , mainly for the new group of doctors who have recently joined service.

Mongar Hospital staff selected for training

Two Mongar hospital staff have been selected for further training , through the open competition conducted by the Ministry of Health.

• JB Darnal,ACO for field course in Epidemiology(Thailand)
• Lungten Pema, Ultrasoud Technician for diploma in Ultrasonology( India)

Our congratulations to both!

Neonatal Equipment through JICA

The JICA office, through the neonatal nurse currently posted at NICU, Mongar , has supplied some essential neonatal equipment that was felt necessary for a long time.These include neonatal stethoscopes and saturation probes. These will be very useful for the unit.

Clinical Discussion: CLL

A case of 60 year old with anemia and splenomegaly that was confirmed to be CLL was discussed today. Clinical history, findings and a differential diagnosis was discussed by Dr Kesang, GDMO.

Away at Paro

I am away at Paro for couple of days for a workshop on Research Ethics and have not been able to update the site. Will catch you all once am back to station.

CME: Approach to Coma

A very comprehensive coverage on "Approach to coma cases' was made by Dr Kesang, Medical Specialist, on the CME session today. Common causes, relevant history and physical findings,and basic management aspects were outlined.

Alcoholic liver disease leading to hepatic encephalopathy as one important and common cause of coma in our set up was especially highlighted.

Clinical Meeting: HSP

A case of Henoch Shonlein Purpura in a 15 year old adolescent patient was discussed today at the Doctors Lounge,where most of the doctors were present. A detailed outline of vasculitis syndromes was also presented by the Medical Specialist, Dr Kesang.

Proposal of conducting such meeting weekly was discussed with the doctors present.

First Phase HPV Vaccination

The first phase of vaccination against Cervical Cancer commenced today with girl children between 12-18 getting the first of the three dose series of the vaccine.

I had the priviledge to witness the event at Lingmethang and Gyelposhing schools. Apart from some grins from the children, everything seemed going smooth. Meanwhile some other doctors including the Medical Superintendent have been deputed to supervise the event at various vaccination centres in the Dzongkhag.

The campaign will go on for another two days.

Making Mongar Hospital Academically Active!

It's already been smooth going since we started having regular CMEs on Fridays . More than 15 sessions have so far been organised which have helped the staff to fetch CME credits required for their promotions and career enhancement.

To keep the doctors and specialists engaged, we are also planning to have a clinical case conference every week ( Thursdays) on some interesting cases that we encounter in our practice.This will be mainly for doctors and ACOs although all interested can join. We have already had few such conferences where we discussed Chronic Eosinophilic Pneumonia, Fanconii Anemia and Hypertension in the Young.

The last discussion on Hypertension was particularly fruitful!

HPV Vaccination Awareness

Various doctors from Mongar Hospital visited the Schools around in an attempt to create awarenesss about the upcoming HPV Vaccination aimed at preventing against cervical cancer.

As there was lot of confusion on the consent issue, the DoPH has sent a letter stating that this is not necessary for vaccination. This will surely ease the job of the vaccinators and improve coverage.

First phase will kick off on 5th May!