Tibetans preserve their unique culture.
Zadoh Preliminary Trip Report September 2001
Submitted September 11, 2001
Dr. Robbie Chase
[Excerpted from an email message to Zasep Rinpoche.]
1. MEDICATIONS FOR LAMA RIGDEN AND OPUG'S WIFE
I started to write instructions in English for taking the medications
for hypothyroidism and diabetes. Both are chronic conditions
and the dosage will need adjusting based on symptoms and urine
tests. This needs to be translated and given to them BEFORE
they start taking them. Rinpoche, I was going to email this
to you and then you could translate it and mail it to Jamdak?
First, I need to confirm the pills George ordered:
Metformin (for diabetes) was 500 mg, (how many? 1000?).
Thyroxine I don't know the pill size - 50 micrograms?
Can Sharon track down the exact strength and number? I will
get this to you when I have the information to work with.
Today I sent a letter to Carole Jay at CANMAP with a signed
prescription for the medications they supplied. According to
her records the medicines CANMAP provided had a price of $210.35
CAN, with a value of $444.48. We used all the acetaminophen
(tylenol), hydrochlorothiazide (by high blood pressure), metformin
(diabetes), and cimetidine (stomach ulcer), which has the value
of $222. The other mediations (amoxicillin, iron tablets, and
penicillin) were donated to Dr. Urgyen inYushu.
Not included in this is the albendazole tablets (for hydatid
cyst and intestinal parasite treatment) and the tobramycin drops
(for eye infections) that John Rumball arranged - cost for this
3. OTHER MEDICATIONS COSTS
At least half of the bulk of the medications we brought was
donations, a lot of them antibiotics, oral contraceptives, and
topical treatments. Overall I would say they had greater value
than the CANMAP donation $600, but we didn't distribute them
as much, and what remained was given to Dr Urgyen's clinic.
This includes a few knee, wrist and back braces, wound cleaning
solutions and swabs, and elastoplast bandages.
Also, I purchased in Winnipeg 500cc wart remover ($35) - all
used, and urinalysis test strips (500 for $225) and blood glucose
test strips (200 strips for $165) - total bill $425 - paid by
Gaden Relief. The total value then is $1870, out of which I
would estimate that we distributed $300.
On departure the following medical equipment was stored in the
suitcase for future use:
1. hemoglobinometer- costs $375; works in 2x"C" size batteries
2. 2 blood pressure kits - mercury filled
3. 1 blood pressure kit - rotary dial
4. 1 stethoscope
5. 1 Bayer 'Glucometer Elite' blood glucose meter. Uses a 'CR
2032' battery. Test strips and control testers expire within
a year and will have to be re-purchased
6. 36 - 5cm x 4.5m rolls of elastoplast bandages
5. ZADOH HEALTH ACTIVITIES
I recorded 141 patients seen at the clinics and sessions we
organized. I summarized this in a 6 page table listing age,
sex, site, health complaint, blood pressure, hemoglobin level
if taken, and treatment (TB sputum test, advice or which drug
given). I will send a copy of this to Evan for his records.
In summary, 78 were women, 63 men. Five were 13 years or younger
(9%), 27 older than 60 years (19%), the rest between 17 and
59 (109 people, 72%). We saw 28 at our first clinic at the Zadoh
hospital on August 11, 38 at the second clinic on Aug. 20, 19
elsewhere in Zadoh (Karno's house and elsewhere), 7 during household
visits connected with the genogram interviews, 30 at Jamseng
Health Centre, 10 at the nunnery, and 8 seen at Jhampa's house
on the way to Chepu.
There were probably an additional 20 for whom I didn't write
anything down, of which half would have received pain medication.
Eighty-two (58%) received acetaminophen or another pain/arthritic
reliever. Ten (7%) received blood pressure medication. A 25-day
course of cimetidine for ulcer treatment was given to 6 individuals.
Other less common medications included metformin to two diabetics,
cough syrup to 4, amoxicillin courses to two children with perforated
ear drums and chronic ear infections, topical cortisone and
antibiotics for chronic skin conditions. Six had a morning sample
of sputum collected, a slide prepared - I will hand these over
to the HSC TB laboratory here [in Winnipeg] for staining and
6 ACTIVITIES IN CANADA
Today I got four CD copies of most of my digital pictures. I
saved them all as jpegs, but did not shrink their size or quality
too much; most are still big files 200-400 KB and are not he
best format for a website or email. I will keep one copy, send
one to Evan, one to a Toronto friend of mine, so I have copy
for you if you would like me to send it to you, let me know.
I went to Videovid in Vancouver and they recorded a half hour
I did summarizing the trip and talking about the health issues.
I hope that ends up being useful for Evan's CD project.
In the next month l will prepare a report summarizing our experience,
and thoughts about future activities which I will share with
you and others (Michele, Sharon, Evan and Conrad) for comments
and changes. I still need to organize my notes and contacts
I would be happy to help organize proposals for future plans,
but I am not in a position to lead it. The idea of a meeting
in Vancouver with people in the Zadoh committee, Rokpa, Seva
and TRAS (including Isaac Sobel, Candace Cole and colleagues
at UBC) sounds great, over a weekend at the end of November
or early December was suggested, which would work for me. Let
me know if this is likely to happen so I can plan.
Work starts up again with lots to do. The MSF project has moved
ahead while I was away, with plans that Tajikistan will be the
site for the first pilot program for children. I will be in
Toronto Sept 21-24, and October 12- November 12 for that project,
which involves developing the 'genogram' into a useful assessment
tool to help with program evaluation. It was great to have an
opportunity to use it in the households we visited in Zadoh.