Christian Hospital Taxila, Pakistan

ANNUAL REPORT OF

CHRISTIAN HOSPITAL AT, TAXILA, WEST PAKISTAN

(From January 1st 1969 to December 31st 1969)

It is my privilege to write this report once again for this hospital. I am most grateful to God for giving me most efficient and helpful colleagues in the person of Dr and Mrs Christy, Dr Eileen Umar Khitab and Mrs P. LaII all the nurses, technicians, clerks and other staff members who have worked hard so that once again we can rightfully claim that a very good quality of medicine is being practiced in this hospital and thus the name of Jesus Christ is glorified. This year we have increased our staff considerably to meet the growing demands of better nursing care. We have increased the nursing staff to twenty-five nurses, two laboratory technicians, three dispensers and four clerks. With increased number in staff and some additions in the Outpatients building we have effectively reduced the time, patients have to spend in the hospital to get medicines and treatment.

Amanat Mall came back after getting training in anesthesia and now is incharge to the Operation room staff. We are glad to say that Miss Martz of U.C.H. has kindly consented to train another of our staff nurses in anaesthesia and thus we hope that by next year we will have two very well trained nurse anesthetests in this hospital. This is a very significant step forward in the history of this hospital. Big building programme is now under construction. Some ofi t is completed and some of it wil I be completed later in the year. Christian Hospital, TaxiIa received one hundred thousand dollars from 'fifty million fund' for new operating room block and two eye wards. The two eye wards are already completed and were used for patients last Fall eye season and the operating room block will be completed by the end of this year. All the work is undertaken and supervised by Mr K.G. Old (mission builder). With the addition of these two new wards our accommodating capacity has increased to about one thousand patients. That is just the number we had during our last eye season so we feel that these new wards are built just in time to meet the demand of this hospital. We are glad to say that Oxford Committee for Famine relief were most generous in giving us a large sum of money to build a new mens ward. The old ward was built in 1922 and needed replacement and thus a very real and urgent need was met at the right time by OXFAM. Mr K.G. Old planned the building and is now constructing the building and we hope that it will not be too long before it will be in use.

Joint Mission Hospital Equipment Board in London have been very helpful in getting us some good equipment for the hospital very cheap. Soon we should have three O.R. lights, three wheel chairs and one anesthesia machine acquired through this board. Once again Mr van der Giessen, Director SIMAVI in Holland has come to our help in allocating funds frem SIMAVI to Purchase one very fancy Swedish orthopedic table and portable X-ray machine for use in the hospital. We are indeed very grateful for the help in the past and this equipment.

We also hope to have a electric photometer and ECG machine for the hospital very soon. Blood Bank donated by OXFAM last year has proved to be very good asset to the hospital. Renovation and extension of old nurses home was undertaken and completed this year. Now we are happy to report that we have accommodation for seventeen women nurses with one dinning room, roomy kitchen and good toilet facilities. Now we feel we are ready to accommodate more women nurses if need be.

Last year we have had two final year residents from Greater Baltimore Medical Centre. Each one of them spent one month each in the season and were able to get good experience in eye surgery. Dr Rock from Austin Texas also spent some time with us. Three young nurses from Richland, Washington came to Taxila to spend six months in this hospital from September '69. Their trip to Taxila was sponsored partly by their church in Richland. Mr and Mrs Old were mainly responsible for the initiative for this project. In the next one or two years we have already plans on hand to build eighteen staff quarters and also eight new private rooms. With the completion of all the building projects we fecI that needs of this hospital for next five years will be met adequately. We are grateful to God for His help in the past and we feel strongly that our needs in the future too will be met fully.



Total number of new General patients20,320
Repeat number of new General patients13,881
Total number of new eye patients26,555
Repeat number of eye patients9,192
Grand total69,948
Total number of eye operations9,526
Total number of Cataract operations6,944
Total number of major General operations511
Total number of minor operations770

Dr Ernest Lall.
Medical Superintendent.

 

SUMMARY OF SURGERY FOR 1969

EYE SURGERY

TOTAL

GENERAL SURGERY

Cataract extractions
lntracapasular
Linear extraction
Capsulotomy
Capsulectomy

Glaucoma operations

Iris inclusion
Basal iridectomy
Peripheral iridectomy
Cyclodialysis
Scheie operation
Optical iridectomy
Iridotomy
Enucleation
Evisceration
Exenteration
Squints
Orbital tumors
Scleral, corneal and conjunctival tumors
Cornea I grafts I
Lid and socket plastics 9
Lid tumors 21
Needling for blood 19
Needling membrane .17
Iris prolapse excision 182
Iris prolapse repositcd 30
Trichiasis plastic 360
Trichiasis electrolysis 8
Pterygium 866
Sumrnerskill sac op 178
Sac probing 100
Lid scraping 2
Symblepharon lysis 7
Chalazion 64
Corneal wound repair 11
Scleral wound repair 2
Tarsorrhaphy 16
Corneal Foreign body 80
Corneal ulcer cautery 34
Conjunctival flap
Clot removal
Foreign body in AC
Retrobulbar alcohol
EDT A irrigation
Mucocoele of sinus
Secondary air injection
Tumor sac
Major eye operations
Minor eye operations
Minor eye procedures
Total eye procedures

General

Laparotomies
Appendectomy
Appendiceal abscess
Cholecystectomy
Splenectomy
Intestinal obstruction
Sigmoid volvulus
Sigmoid resection
Other volvulus
Colostomy
Bowel anastamosis
Gastrojejunostomy
Hydatid cyst
Ventral hernia
Inguinal hernia
Thyroidectomy
6944
6733
159
51
1



209
1
2
9
12
74
22
26
15
7
14
3
17
1
9
21
19
17
182
30
360
8
866
178
100
2
7
64
11
2
16
80
34
10
9
2
45
1
2
71
2
7781
1413
332
9526




35
14
2
3
1
7
2
1
1
1
2
2
1
8
56
2
Thyroid cyst
Mastectomy
Breast tumor
Vein ligation
Parotid tumor

Gynecology and Obstretrics

Normal deliveries
Forceps deliveries
Craniotomy
Ceasarian sections
Retained placenta
Cervical polyp
Pelvic abscess
D&C
Perineal repair
Vesico-vaginal fistula
Vaginoplasty
Abdominal pregnancy
Hysterectomy
Ovarian cysts
Tubal ligation
Myomectomy

E.N.T.

Tonsillectomy
Nasal polyps
Tracheotomy
Mastoidectomy
Ear polyp

Rectal

Hemorrhoidectomy
Anal fistula
Anal fissure

Neurosurgical

Meningocoele
Sympathectomy
Nerve sheath stripping
Nerve repair

Orthopedic

Amputation Hand
Finger and toe
Foot
Leg
Open reduction
Closed reduction
Osteomyel itis
Tendon lengthening
Triple arthrodesis
Arthrodesis
Excision bursa
Casts
Excision condyle mandible
Bunion operation
Dupeytren's contracture
Arthroplasty
Excision patella
Club foot
Tendon repair
Decompression spine
Hip nailing
Bone tumors
Excision calcaneum
Excision cartilage knee
Removal bone plate

Genito-urinary

Bladder stone
Cystotomy
Kidney stone
Prostatectomy
3
2
1
1
2





56
8
3
7
1
8
1
59
8
1
3
1
]8
15
4
2


49
4
1
2
2



28
21
2


4
2
2
1




1
4
6
5
17
56
41
1
1
2
1
94
3
3
1
2
5
9
3
1
6
2
1
1
4




16
6
2
40

Nephrectomy
Bladder neck plastic
Kidney cyst
Orchidectomy
Vasectomy
Hydrocoele
Hypospadias
Circumcision
Undescended testis
Retrograde pyelogram
Cystoscopy
Meatoplasty

Plastic

Skin graft
Scar plastics
Harelips
Rhinoplasty

Miscellaneous

Lacerations
Foreign bodies
Gland excision
Secondary wound closure
Ganglion
Small cysts, tumors, etc.
Biopsies
Ingrown toenail
Abscess I and D
Curettage

Minor Procedures

Urethral dilatations
Manipulation joints
Chest tapping
Abdominal tapping
Tooth extraction
Lumbar puncture
Aspiration

General Surgery totals

Major operations
Minor operations
Minor procedures
Total
Total general and eye operations
and procedures
Anesthesias
General
Spinal
Total
Other Statistics
Admissions in 1969
Out patients
New general patients
Repeat general visits
Total general visits
New eye patients
Repeat eye visits
Total eye visits
Total outpatient visits
X-Rays
Laboratory tests
Blood grouping and matching
4
1
1
2
3
7
4
25
4
3
4
2


13
10
14
4



136
13
3
7
2
62
9
4
124
22



115
21
16
47
85
7
41


511
770
332
1613

11,139

695
231
926

10,377

20,320
13,903
34,223
26,580
9,202
35,782
70,005
2795
19,874
469
Developed by ASSoft, +92-346-5708278