Author: Lombard Hospital

July 3, 2019

The Diabetes Story: Dr Sushil Jathanna

Fast growing life, work-place concerns and little time for recreation is killing us softly. As a nation, India is soon going to be the world’s diabetic capital. Those diagnosed with diabetes are only the tip of the ice-berg. Those undiagnosed is like a ticking time bomb.

The word diabetes mellitus was originally coined by Apollonius in 230BC as Diabetes means honey and Mellitus means to pass through. However, the famous Indian physician Sushruta coined the word “Madhumeha” which means the passage of sweet urine after he had observed the attraction of ants over the urine of a patient with diabetes.

Diabetes is a chronic disease caused by either insulin deficiency (Type 1) or a combination of insulin deficiency and insulin ineffectiveness which is called Type 2. Type 1 is commonly seen in children and young adults whilst Type 2 is commonly seen in older people. Type 2 diabetes comprises about 90% of people with diabetes worldwide.

Diabetes as a disease is becoming increasingly common and it is increasing at an alarming rate amongst Indians. Today it is estimated that there are about 61-63 million people with Diabetes and it is estimated that this will rise to about 100 million by the year 2030. Originally it was thought that Diabetes was a disease of the rich but it is now found in everyone including children and young adults.

The diagnosis of Diabetes is a combination of patient history, clinical symptoms and blood tests. The diagnosis of diabetes is established when the fasting blood glucose is greater than 126mg/dl or the two hour post prandial blood glucose after a 75g glucose load is greater than 200 mg/dl or HBA1 is greater than 6.5% especially if this is repeated twice. A random blood glucose of greater than 200mg/dl is also strongly suggestive of diabetes.

Diabetic retinopathy, when it affects the small blood vessels of the eyes. It is one of the most common causes of blindness in adults. Diabetics should have their eyes checked regularly as it does not produce symptoms in the early stages and can only be detected through check ups.

Heart disease is one of the most important causes of death in diabetics. It is important to remember that in some diabetics it may not present with the classical symptoms of chest pain which may delay diagnosis and treatment. Strokes are at least three times commoner in diabetics leading to death or significant disability in those who survive. It is therefore important that good control of the blood glucose is maintained and regular check ups are undertaken to minimize the risk of complications.

It is important for every diabetic to look at their diet and nutritional requirements and their levels of physical activity such as exercise. Increasingly we have become used to a sedentary lifestyle and the eating of low fibre high fat diets.

Lifestyle management complemented by oral drugs and or insulin is the cornerstone of treatment of diabetes. Insulin and oral hupoglycaemic drugs should be started on the advice of a doctor. When it comes to food, Ideally the diet should be customized taking into account factors such as age, gender, weight, height, physical activity and the needs of the individual. However, foods with a low glycaemic index, high in fibre, low in fat are preferable. Animal protein such as meat often contains a higher quantity of saturated fat. Vegetable protein like beans, legumes, nuts and seeds are encouraged. Fish being a good source of omega 3 fatty acids is also good. It is important for diabetics to take meals/snacks at regular intervals avoiding both over eating and under eating. Smaller portions are always better than larger ones.

The moral of the story is simple, we live in times where we do have treatment options for diabetes to maintain you for life. There are now newer drugs and different types of insulin available. But we do not have a cure for Diabetes. To what extent the disease progresses or to what extent you remain healthy is a question best you can answer. Proper control of blood glucose with lifestyle modifications and regular check ups is important. Patients with diabetes should be empowered to take control of their management of diabetes with the help of health professionals. Always remember to have a personal life untouched by work-place concerns. When the workload increases, see that you prioritize what you need from what you want. In that way you can not only add years to life but life to years.

Lombard Memorial (Mission) Hospital- A Beacon of Hope : Mrs Vanitha Karkada

Fast growing life, work-place concerns and little time for recreation is killing us softly. As a nation, The Lombard Memorial (Mission) Hospital was established in 1923 by Dr Eva Lombard a Swiss missionary doctor. It is a charitable hospital which works on the principle that any income should go towards the Church for its evangelical work after provision for continuous upgradation of facilities and technology and other expenses. It has provided yeoman service to the people of Udupi and its surrounding areas. It was a beacon of hope for many poor people especially women and children for whom this was the only hospital providing affordable healthcare. It was the first hospital providing health care and maternity care when women were ostracised in the early 1900’s. From a six bedded unit it grew to nearly 250 beds in its heydays.

In the early 1900’s life was very different in the temple town of conservative Udupi. Medical care was patchy and women especially were poorly served as there was no woman doctor. Childbirth was very difficult and infant mortality rates very high. In the year 1923, a young swiss missionary doctor, Dr Eva Lombard arrived in Udupi via Mission Hospital, Mysore to start a small six bedded hospital with 1 doctor, 1 nurse and 1 sister on 16th of June 1923 in the Bungalow in Udupi. News of the young lady doctor spread like wild fire and many people thronged to the hospital to seek medical help. Medical knowledge was not so well advanced as today so not everyone could be treated with medicines alone. Dr Eva Lombard was not just a doctor but an evangelist as well. When medicines could not cure she prayed hard for the welfare of the people who thronged to see her. Her prayers were often answered. Soon she came to be called Amma of Udupi.

The Mission Hospital continued to grow and was a beacon of hope to everyone in Udupi and the surrounding areas. The hospital not only grew in bed strength but added new facilities and equipment. New wards were open and many doctors and nurses of eminence both from India and abroad have served here with distinction. The Mission Hospital soon became the hospital to go to when you were ill. The hospital provided not only medical care but spiritual care too. It became particularly well known for maternity and child care. People came from afar for the healing touch from God and the staff of Mission Hospital. The Mission Hospital evolved and adapted to the changes in Society and medical practise and technology. In 1954 Dr Eva Lombard retired and the staff had to bid farewell. She was replaced by Dr Mrs K A Salins as Medical Superintendent. Several Directors have served the hospital since then with courage and conviction. Many nurses and other staff have played a valiant role in building the Mission hospital into a hospital of great eminence.To be associated with Mission Hospital was a mark of honour and respect.

The Mission hospital grew from strength to strength. There were always struggles to find the financial resources but God was always there to help. He never let the hospital down. Initially it was the Kanarese Mission which supported the development but later on the Basel Mission took over the support and recently it has been under the umbrella of the Church of South India. However, whichever organisation supported it, the Mission hospital treated everyone without discrimination for religion, caste or creed. Patients from all religions and faith were welcome at the gates of the Mission Hospital.

Unfortunately the Mission Hospital has lost its pre eminence in the last two decades and has been struggling with financial problems and quality of care provided. The infrastructure has deteriorated and the equipment has become outdated. More high tech private and commercial hospitals have sprung up in Udupi making the Mission hospital obsolete and unviable. The morale was also low despite the best efforts of previous Directors who have worked hard to improve the hospital. The Mission Hospital went through a series of Directors who all made sincere efforts to rebuild the hospital. At one stage the staff went on strike because they were not paid their salaries for several months. But they continued to work without a salary which shows the dedication of the staff. The nursing care for which the hospital was well known started to deteriorate and duty doctors were not always available.

Staff quarters started crumbling and modern equipment was not available. This was a time, a few years ago when some well wishers came forward to save the hospital with some interest free loans. Some organisations such as CSI KSD and CSI Holdsworth Memorial Hospital also came forward with interest free loans. Other loans were taken from the banks as well. As a result a chapel was renovated and the pharmacy relocated. Some essential equipment and an Ambulance was also purchased. But this was not enough and the hospital still struggled because of lack of patients. Throughout these difficult years, the Mission Hospital has been conscious of their calling as a Christian institution and served the patients with love and care.

The Mission Hospital has now embarked on a major renovation and modernisation programme so as to improve not only its capacity but also its services so that it can once again become the prestigious hospital it once was under its current Director Dr Sushil Jathanna. Dr Sushil Jathanna, son of late Bishop C D Jathanna is a consultant physician with experience in hospital management. He was the first Indian CEO of the NHS in Cambridgeshire in the UK where he worked for 32 years after graduating from KMC, Manipal. He took over the reins of Mission Hospital in September 2014. In the last two years, the Mission hospital has been transformed and has made a small profit for the first time after decades of making operational losses. All outstanding salaries have been paid and the salaries have also been increased to reflect the going rates for staff working in hospitals.

What is commendable is, that this has also been achieved with fewer donations than in the past as Dr Sushil Jathanna and his team is determined to make the hospital self sufficient from its own resources. The Mission Hospital has started paying back all the loans it has taken in the past and currently has no bank loans pending. It has also started contributing regularly without fail towards the Church and Diocese work.

Significant improvements have been made to the infrastructure and many new equipment has been bought. Recently the entire B ward that had completely collapsed has been renovated and a new ICU established. New nurses including a new Nursing Superintendent Helen Mathias have been appointed and there is now a full complement of duty doctors providing round the clock medical care. The Laboratory is now being renovated and new services such as a Dental unit and Microbiology unit has been started. Many staff quarters has also now been renovated and patients have started coming back to the hospital in increasing numbers. The number of deliveries has increased and recently during the monsoon season the hospital was full for the first time. The once famous College of Nursing is now once again completely full.

Dr Sushil Jathanna says he is grateful to all those donors and well wishers who have contributed to the development programme of the hospital. He is also grateful to all the staff and his management team for their hard work in delivering good care. But most of all he says he is grateful to God Almighty for His continued blessings and the prayers of all those well wishers.

But the Mission Hospital would need the further support and help of generous donors and well wishers to fund the full development programme. Once it is complete, Lombard Memorial (Mission) Hospital will not only become self sufficient but also become a nett contributor towards the evangelical work of the Church and Diocese which we all cherish. Once the development work is complete, there is no chance of the Mission Hospital being dependent on any one for further financial support.

In about two years time it is possible for this hospital to be a superspeciality hospital. And God willing, it is possible to plan for a possible medical college for our community. We know this is a tough challenge and can only be achieved through Gods help and if we are all united and keep politics away from the gates of the hospital. Let us try to stay true to the legacy of Dr Eva Lombard and all those doctors and nurses who have worked tirelessly all these years. It rests on us the present generation to keep alight the flames of love, compassion and hope to countless people who come to the hospital.

The challenge is not only for those working in the hospital but all our well wishers and benefactors outside the hospital too. It should also be a calling for everyone in our own community and all those interested in preserving the legacy of Dr Eva Lombard. So, as a hospital, as a church, as a community let us all strive and pray for the development of the Lombard Memorial (Mission) Hospital so that it becomes a beacon of hope to the many sick people who visit the hospital. Let us all join together to save and preserve one of our institutions for the future generation. We believe as William Carey said: Expect Great Things From God, Attempt Great Things for God

Mr Sabhapati impressed with the facilities and care provided at LMH

27 th JUNE 2017

Mr. Oscar Fernandes, M.P. Rajya Sabha, Govt. of India and Mr Sabapati, Ex MLA, Govt. of Karnataka who are the personal associates of Mr. Roland T. Salins (Project Manager, Spcl. Projects), visited Mr. Salins’ Mother, Mrs. Josephine (Josephinakka) (Ex. Mission Hospital Employee) at Lombard Memorial (Mission) Hospital, Udupi in the month of June 2017.

Mr Oscar and Blossom Fernandes prayed for God Almighty’s blessings and wished speedy recovery to Mrs. Josephine (Josephinakka) who is a patient in LMH.

Mr Roland Salins-Project Manager (Special Projects), Dr Sushil Jathanna – Director were present to receive the dignitaries and Dr Ganesh Kamath- Sr Medical Officer, Mrs Helen Mathias-Nursing Superintendent, Mrs Veena Menezes- Principal School of Nursing, , Ms Ileen Karkada- Sr Nursing Staff, Ms Christabel Bangera-MCU & LMH Staff joined in welcoming them.

He prayed for God Almighty’s blessings and wished for a speedy recovery to Josephine Aunty.

Looking at the classic face-life of Lombard Memorial (Mission) Hospital, Mr Sabhapati appreciated the significant improvement in the last two years. He wished Dr Sushil Jathanna’s vision of making LMH into a super-speciality hospital come true for the people of Udupi. He was impressed with the facilities and care provided at LMH.

He also encouraged the people of Udupi to continue the love and the support towards the first hospital of Udupi which is been serving people for 96 years.

Visits by Eminent Dignitaries

25 th JUNE 2017

Mr Oscar Fernandes, MP (Rajya Sabha), Govt of India and his wife Blossom Fernandes, New Delhi, visited Lombard Memorial (Mission) Hospital, Udupi on 25.06.2017, Sunday to meet Roland T. Salins – Project Manager (Spcl. Projects) and his mother Mrs. Josephine (Josephinakka) (Ex. Mission Hospital Employee).

Mr. Roland T. Salins received Mr. Oscar Fernandes and Dr Ganesh Kamath, Senior Medical Officer and LMH Staff joined to welcome them.

Mr Oscar and Blossom Fernandes prayed for God Almighty’s blessings and wished speedy recovery to Mrs. Josephine (Josephinakka) who is a patient in LMH.

Mr Oscar Fernandes and Mrs Blossom Fernandes were impressed by the transformation of Lombard Memorial (Mission) Hospital and appreciated the significant improvements in facilities now being provided at the hospital. He was also impressed with the staff of the hospital and the excellent nursing care given to patients. He commended Dr Sushil Jathanna, present Director and supported his vision of making Lombard Memorial Hospital a Multi Speciality Hospital. He assured the hospital of his full support and best wishes.

On 11 th June 2017, Sunday, Mr Vinay Kumar Sorake, MLA & Ex Minister, Government of Karnataka, also a personal associate of Mr. Roland T. Salins – Project Manager (Spcl. Projects) visited Lombard Memorial (Mission) Hospital, to wish good health and prayers to Josephine Aunty. He was also impressed with the facilities and services provided in Lombard Memorial (Mission) Hospital.

Lombard Memorial (Mission) Hospital has embarked on a major transformation programme and has upgraded its facilities and services. It is the oldest hospital in Udupi having served the people of Udupi for 96 years. Our vision is to make this into a super speciality hospital for all to be proud off with quality of care at affordable costs the main intention.

Talk on Health Care Associated Infection- Preventive Measures

15 th JUNE 2017

The nursing staff of our hospital attended a talk held at Indiana Hospital and Heart Institute, Mangaluru on 15 th June 2017 between 3.00 pm to 5.00 pm. The talk was on Health Care Associated Infection- Preventive Measures. Dr Bhaskar (MD), Clinical Microbiologist of the hospital was the speaker.

Healthcare associated infection is one of the most common complications of health care management. Hence, the speaker focused on prevention and control of hospital associated infection. He briefly explained the various aspects such as, the causes, infection control programme and it objectives, responsibility of the hospital administration, conducive health environment, prevention, routes of transmission, Bundles, surveillance, data collection, feedback, and outbreak investigation. The ultimate objective of the speaker is to minimize the risk of infection to patients and staff in the hospital by implementing good infection control programme.

Mrs. Prema, Mrs. Pushpalatha, our infection control nurses attended the talk as well as Ms. Ameeka Shereen Lobo, Quality and Training Coordinator attended the session.

CSI Lombard Memorial (Mission) Hospital, Udupi – celebrating Alumini Meet* of their School of Nursing, on Saturday the 2th February, 2019

On the Dias:
Mrs Fathima Voilet Almeida, Principal – Mangala College of
Nursing Principal – Mangalore – CHIEF GUEST.
Dr. Sushil Jathanna – Director, LMH
Dr. Beata Jathanna
Rev. Dr. Ivaleen Amanna – Chaplin.
Mrs. Veena Manezes, Nursing Principal
Mrs. Helen Mathias, Nursing Supdt.

Personnel Present:
Dr. N. Peralaya, Consultant Microbiologist and Head of Laboratory & Vice Principal of Lombard Paramedical College, LMH
Roland T. Salins, Project Manager (Special Projects), LMH and others.