General Diagnosis and Treatment

A lady in the labour room

As well as looking after thousands of people affected by leprosy each year, Lalgadh Leprosy Services Centre also helps many more thousands of people with general medical conditions. Around 5,000 people from the local community come each year for help with all kinds of difficulty, from the usual coughs and colds, fractures and burns, to cholera and snakebite, childbirth and malaria, road traffic accidents and much more. On top of that, another 85,000 come each year to get various skin conditions checked out, sometimes afraid that they may have leprosy, but often just because we are good with skin problems at Lalgadh.

Space in the wards has grown recently, with the addition of about 40 beds, bringing the bed capacity up to more than 90. The 60 or so beds dedicated to leprosy are 95% occupied throughout the year keeping our staff very busy. We are very grateful to the American Schools and Hospitals Assistance programme, ALM, the BUILD Organization, TLM England and Wales, and friends of Dr Graeme and Meena Clugston (based at LLSC)  for the extra ward space that has been built to allow more people with leprosy and more general cases to be accommodated. Dr Graeme has also obtained funding for a new children’s ward which should be completed in mid-2017.

LLSC has earned a good reputation as a centre where people can get real help, and where staff are not just interested in taking patient’s money, but aim to deliver a good and compassionate service. The phrase in the region is “Go and get some Lalgadh medicine” and many people even come from India for help. Lalgadh’s popularity with skin cases also means that a significant number of these can prove to be cases of leprosy. We have had 20 new cases of leprosy in one day!

A Busy OPD
Another Busy Day in the OPD

On a busy day, these large numbers mean that the OPD staff may have to examine as many as 900 patients in one day! This puts a considerable strain on services and can be very tough in the hot season where patient and staff tempers can get a little frayed, but by and large people wait their turn patiently and staff do their best to get through the load without turning people away. A challenge to NLT is to know how to handle so many general cases without impacting negatively on the leprosy services which are our primary concern. Our resources are limited and are provided for Leprosy work and so the general work has to be self-funding. This means that we have to charge for general services, but these charges are kept as low as possible. During 2016 the out-patient services have been expanded to make it easier to serve the large numbers who come for help, and the new facilities should be functional during 2017. In the meantime staff continue to do their best with what they have. They are a great team!