Great program on #rare #genetic #disease at #iccons covering #neurogenetic disorders and it’s genetic basis.
My talk of Cerebral Palsy and Genetic trends
I will be speaking on #cerebralpalsy and genetic trends this noon. Cerebral Palsy , while not under rare diseases does have some very interesting new genetic trends emerging which promises positivity in the care of these children.
Future Skeletal Dysplasia Clinic
I will also be interacting with doyens in field of Genetics in India and Paediatricians with experience in rare diseases to setup a rare Disease clinic at ICCONS that caters to Skeletal Dysplasia like Achondroplasia, Pseudo-Achondroplasia, Hypochondroplasia, SpondyloEpiphyseal Dysplasia etc..
Many of these disease are rare with rare mutations. Setting up a clinic with many specialists is very important to cater to this group comprehensively.
October 6th we will join the world at ICCONS, Shoranur , Kerala in celebrating #WorldCerebralPalsy day.
What we are lining up this month ..
We are starting the programme by joining the #GoGree4CP movement to dedicate ourselves to the care of #CerebralPalsy affect children.
We will be lighting up the entire building in green for the entire month and put prominent placards, posters and banners in local language of Malayalam and English to spread awareness about CerebralPalsy among general public.
Lined up after that is our free medical camps in both Paediatric Oethopaedics and Paediatric Neurology and Developmental Paediatrics along with cultural activities, parents education seminars, assistive technology programmes, research on Cerebral Palsy, Counselling for parents and other events.
We have dotted the events across this October to keep the awareness and dedication alive.
Attaching below is a poster and a banner of our medical camp and GoGreen4CP initiative.
Childhood in Kerala growing up was a pleasant time. There were no mad rushes, lot of rain and then, Onam. Onam celebrated on the Thiruvonam (Shravana Nakshatram) star day is a festival that is steeped in Hindu Puranic lore. The story involves the great King Bali (sometimes referred to as Maha-Bali ) and Vamana ( an Avatar or Incarnation of Lord Vishnu ).
The Onam / Vamana Jayanti Story, What it was and what it has become …
The story as in many Puranic lores is of the classic clash of a devout, efficient, benevolent King who is an Asura ( literally, one is not-a-Deva ). The benevolent Asura King usually causes flutter in the Deva Kingdom ( It’s king being Indra ) forcing the Gods to incarnate, kill the Asura and rescue the Devas. The story of Onam here follows this same storyline; only as in the other stories the symbolism is hidden, deep and often missed when one keeps celebrating festivals superficially. In the case of Onam there has been a systematic over-simplification of festival. I remember in my childhood we use to keep Trikkaakarayappan (Vamana) and Mahabali (sometimes called Maveli) as little clay pyramids in midst of the flower arrangements (Pookkalam ) we used to do in our home portico. Over the decades, this has all but disappeared from the celebrations. There is hardly any mention of Vamana anymore, no clay pyramids, many do not know Thrikkakarayappan. Some years back there was even a needless political controversy when Vamana Jayanti (Birthday celebration of Lord Vamana)wishes were given on even of Onam. The simple fact is, Vamana Jayanti is celebrated in our households and many Vaishnava homes just as it was earlier. It is just that with increasing commercialisation, securalisation of Onam and making it a harvest festival Vamana Jayanti seems to have been forgotten. This is unfortunate as Vamana Jayanti is Onam itself. There is no Onam without Vamana as much as there is no Onam without Mahabali.
In all this pell-mell of making it more secular, more harvest and less Hinduism, more commercial and less spiritual, more literal (Rich Noble Asuric King subdued by Brahmin Vamana and rudely pushed underground ) a narrative that suits the more left-leaning, liberal-leaning of the political spectrum has been woven into this mixture.
It is important that ancient India, it’s traditions cannot be painted with same brush. It is also important that one goes in to the original Sanskrit texts to reference stories of Mahabali and Vamana and read for oneself the narrative.
The Onam / Vamana Jayanti Spiritual Symbolism
Now is the time to resurrect the Vamana Jayanti Tradition, It’s symbolism, the true stature of MahaBali the Noble King. My poetic attempt at is below…
Symbolism Note : The reference to “Wild Sugarcane tasting ripe and sweet” is a reference to a Saivite Saint from Tamil Nadu, Pattinathaar or Pattinathu Swamigal. He was told by the Lord that he will attain Samadhi when the wild sugarcane tastes sweet. He used to go to the grove and taste sugarcane everyday to see if the day of his Moksha had come.
I am happy to announce that we successfully organised a Clubfoot Parental Awareness and Caregiving Programme at the Palakkad District Co-operative Hospital, Palakkad, Kerala on August 31st, 2019. This was done to organise parents into a self support group and to provide parents the necessary group counselling on Ponseti Method of Clubfoot treatment.
We have been organising World Clubfoot Day programmes, Free Medical Camps of Clubfoot and assiting children from underprivileged backgrounds get Ponseti standard of care Clubfoot along with CTEV Foot Abduction Orthosis via our charity trust https://mitratrust.org. We also described out #ArztForACause art and painting fundraiser which is undertaken originally to raise funds for children with Cerebral Palsy and now extended to children with Pediatric Orthopaedic Deformities.
The programme was well attended and was co-ordinated with our Obsterician colleague and all the staff nurses who are part of the Clubfoot Care team who counselled the young mothers on Breast Feeding, Child Nutrition, Clubfoot, Braces and Ponseti Exercises.
We were pleasantly surprised at the turnout on the day as it was organised in short notice. This programme will be followed up more such programmes on Clubfoot ( sometimes called CTEV : Congenital Talipes Equino Varus ) for Staff Nurses and train them in Ponseti Care .
Attaching below are the pictures from the event.
Clubfoot Parental Caregiving Advise - Presentation using Reveal.js and Emacs
Let's Talk about Clubfoot Braces - advising the parents about good clubfoot bracing
Clubfoot Parental Caregiving Seminar Poster - August 31st,2019 at Palakkad, Kerala
Parental Clubfoot Caregiving Semiar with Dr. Mini, Obstetrician. This was organised with the Clubfoot Clinic, Palakkad, Kerala, India at Palakkad District Cooperative Hospital
The Clubfoot Care Team of the Palakkad District Cooperative Hospital, Palakkad
Let's Talk about Clubfoot Braces - advising the parents about good clubfoot bracing
Parental Clubfoot Caregiving Semiar with Dr. Mini, Obstetrician
Clubfoot #Art for my upcoming project among #Clubfoot #children in #Kerala
Clubfoot Parental Caregiving Seminar at Palakkad Cooperative Hospital Clubfoot Clinic
Clubfoot - First and Last Plaster casts
Clubfoot Care Team at Palakkad District Cooperative Hospital, Palakkad, Kerala, India
We at the Palakkad Orthopaedic Club are organising a free medical camp on August 04th, 2019 to mark the celebrations of National Bone and Joint Day in 2019. We will be holding the medical camp at IMA Hall, Palakkad, Kerala on August 4th from 9.30 am – 02.00pm.
Dr. Tajan, President Palakkad Orthopaedic Club and Dr. V G Ponnirajan, Secretary, Palakkad Orthopaedic Club have been hard at work along with the other members of the local orthopaedic fraternity to organise this event.
We will be participating in this medical camp and are expecting a large turnout for the event. Brochures, Posters and Press release has been done and event has been publicised in the social media well so that maximum number of the deserving public can be reached.
Those seen at the camp and found eligible, free surgeries can be conducted at District Hospital and other local private hospital after screening. This ensures that the benefits of the event truly go to the deserving.
So happy that we’ve had a very successful #PediatricOrthopedic and #CerebralPalsy #Medical camp today at #Palakkad, #Kerala. This is one of a kind medical camp, parent education drive and cross speciality clinic that we’ve been hosting at Palakkad since 2014.
This is the 6th year of my setting up Paediatric Orthopaedic clinic here at Palakkad Cooperative Hospital, Kerala and patient awareness of the problem of Cerebral Palsy, ClubFoot has increased tremendously over these years.
Sevabharathi volunteers were as usual wonderful and committed. None of this would have been possible if not for the commitment of Biju Bhasker and his team of LifeCare Physiotherapy Centre at Palakkad, Kerala. He has been the main organising force behind this over the years.
Today we had a Pediatric Neurologist Dr. Velmurugan and Pediatric Gastroenterologist Dr. Jaganandan join us for the camp. Both specialists are from Coimbatore. It was so nice of them to take time out and join our efforts.
With God’s grace we’ve been able to consistently raise the standard and tune the camp to make it more cross specialist so that patients can consult multiple specialists in the same visit. We try with every camp to make it better. I was discussing with Udayasankar CN of Sevabharathi, Palakkad that next camp should be much better in many ways.
I could identify some children who will require surgical procedure, plaster casts, Botox injections which could be funded, if approved, via the planned free surgery program at Palakkad for the #Bone and #Joint Day of #IndianOrthopaedicAssociation in the first week of August.
As planned we will be conducting the free #CerebralPalsy and #PaediatricOrthopaedic medical camp this month on 21st at Palakkad, Kerala. It will be held at Life Care Physiotherapy Clinic, Fort Maidan, Palak kar, Kerala.I will be examining children with orthopedic problems, limb deformities, birth deformities like #ClubFoot, Cerebral Palsy and Spine disorders like #Scoliosis.
Like last time this camp will be conducted in association with #SevaBharathi who will provide logistic support. A big thanks the people and volunteers of SevaBharathi who’ve been associated with this since last 3 years.The medical camp this time is further expanded to include Paediatric Neurologist, Paediatric Gastroenterologist who will also be participating.Attaching the poster for the event below.Please do share and spread the word.Thank you.Dr. Easwar TR.Paediatric Orthopaedic Surgeon
The small town of #Palakkad #Kerala state may be one of the biggest contributors to #Indian #Athletics. It’s a town predominantly know for its large expanse of rice fields and farming community. In the past athletes like Valsamma, PT Usha have trained here and succeeded. Recently PU Chitra bought laurels to this small town. Many children here look upon these heroes as they train daily.
Recently Palakkad got it’s own first synthetic athletic track and provided a field where young athletes could be groomed better. Several promising athletes are in training in this otherwise rustic, tucked away place. Athletes who’ve successfully represented India at the Asian and Olympic level belong here and have trained here.
Most of these athletes use what is locally available in terms of facilities, gears, coaches to train themselves. The fact that until recently they didn’t even have a change room where they could change themselves into or out of the sports gear after coming from their schools or colleges speaks volumes of the lack of a system in place. Many are from very humble backgrounds. Driven by the need to succeed, as it’s very often the only glimmer of hope from poverty.
Things are changing though. Changing rapidly. As I train and interact with these children while setting up my Sports Injury Clinic here, I realise a renewed vigour in children, coaches and parents where they are unafraid to take up their needs with local authorities and get it done.
With more training facilities promised and the track and field itself being in the process of a long overdue upkeep and upgrade as I type this, it is certain that with children in #India taking to #Sports early and training intensively , #Pediatric #SportsInjuries will become more common. Though there is difference in the pattern of these injuries from those in the west, nonetheless, these required specialised care.
Just in last week I have examined and treated children with old hamstring tears who’ve not rehabilitated well, old ankle injuries with pain, back pain due to stress and renal calculi as a result of training in summer heat with very poor hydration. None of these children received adequate on field or off field medical attention. All of them were not aware of the type of injury they are having and its potential for causing premature career collapse.
I have realised that along with adequate sports injury prevention counselling, these children require counselling for sports nutrition and diet tailored to the sports they are participating. It is sad that while these could be given, not many maybe able to afford such a nutrition on daily basis. Mr. Haridas the coach of the Olympic Athletic Club here at Palakkad is so kind. Everyday he brings these kids mangoes from his farm. It’s little things like these that bind the coaches, parents and kids together and goes beyond simple trainer-trainee contract. The fact that he does this training free of charge is really something laudable.
This is the story of sports in India….
We need better facilities, coaching , gears but most importantly these children need better nutrition. They also need better awareness of injuries as they push themselves to greater heights.
This April I’d be starting my #Clubfoot clinic as part of the Pediatric Orthopedic Clinic at Sri Ramakrishna Ashrama Charitable Hospital, #Thiruvananthapuram, Kerala.
This hospital caters to poor patients in the city and a cost effective Clubfoot Clinic will add to the existing services run here.
Last month I had started my Paediatric Orthopaedic Clinic there officially and we plan to step up the services for Cerebral Palsy, Pediatric Sports Injuries and Pediatric Limb Deformities in coming months as more ancillary services are commissioned here.
Do pass the news around to people who may benefit. Our main focus would be to keep it state of the art and cost effective.
Overtime we will add features to the clinic and ancillary services . Watch this space !!
As part of #CerebralPalsy Awareness day that just passed us we are organising a two day programme for children with #PediatricOrthopedic Disorders, #CerebralPalsy, #NeurologicalDisorders, #Autism .
The programme is slated to be held for 2 days April5th and 6th.
Timing is between 8 30am and 1pm.
Prior registration is mandatory. This can be done by calling +919495888879.
The first day April 5th Friday for Pediatric Neurological disorders like seizures, autism and second day on April 6th Saturday. The event would be marked by free medical examinations camps, art competitions for children, vocational training for mothers abs awareness programme of respective disorders. It is to be held at #Palakkad #Kerala on these two days.
The event is kindly organised by the selfless efforts of people at #Sevabharathi #Palakkad ably guided by Dr. Sreeram Sankar , Biju Bhasker of #LifeCarePhysiotherapyCentre, Palakkad and assisted by Vinod Kumar of NationalOrthotics, #Coimbatore and several other sponsors. Dr. Velmurugan , Pediatric Neurologist would be part of the event on April 5th and Easwar Tr Pediatric Orthopedic Surgeon will take part on April 6th.
I have great pleasure to announce that along with the launch of a Cerebral Palsy Clinic at Sri Ramakrishna Ashrama Charitable Hospital , Thiruvananthapuram, Kerala I am also starting an exclusive Pediatric Orthopedic Clinic.
This will cater to children suffering with bone and joint disorders, congenital deformities like Club Foot, Flat foot, Knock Knees and Bow legs among many others. Treatment advise for Spine problems in children like spina bifida, congenital and idiopathic scoliosis are also offered.
I am hereby attaching a video clip showing the many clinical conditions for which services are being offered here.
This hospital being a charitable one caters to the poor and these services would be of benefit to many.
Kindly share among your friends so that people are aware of the new service.
Dr. Easwar TR Pediatric Orthopedic & Spine Surgeon
It has been a tough month for the home state of Kerala, which is grappling with the worst flood in a century. It has been a testing time for humanitarian work, for beliefs, for politics … for everything. Theories abound as to what caused the floods ranging from human disruption of natural ecosystem, divine wrath, Solar Minimum year, weak El-Nino/a effect, a mix of these and several other variations of these theories.
I distinctly remembered on morning in #Palakkad as it rained. This was before the floods. The first day of several that were to follow that first drenched and then drowned the state. As I drove from Coimbatore, a border city of Tamil Nadu to Palakkad, Kerala for work at about 8 am. As I drove past the western ghats I saw that the rain clouds hung so low and it was an eerie drive to say the least. Never in my memory have I seen clouds so low. I knew something was amiss. I called my wife and told her something was not right. Nothing however prepared me or my state for what was to come.
The rains started barely minutes after I drove into Palakkad. It had been drizzling the night before, but it just got heavier and heavier. Pounding continued for 2 days and flooded north Kerala first. Then it subsided for a day over Palakkad on Saturday leaving it in floods, something that the natives bragged they’d never seen.
But still nothing prepared Kerala for the destruction they were about to witness in the coming week. Rain pounded Kerala (especially middle Kerala) in coming days and left it battling floods, death and destruction.
In midst of the destruction speculation emerged that this maybe a divine wrath (specifically of Sabarimala deity Ayyapan) and other exhorting people to ‘pray for Kerala’. Needless to say, the non-believers camp rejected these with their own rebuttals and even some going to the extent to labelling prayer as useless. Their argument being that prayer at this hour of crisis is useless. What is required is working hands at ground zero.
Of course, these arguments represent a variant of the believer non-believer clash that has been there since time immemorial. At times of crisis like this where any argument of a merciful divine force does not appeal with rampant, apparently unreasonable destruction all-around, it is a time to reflect on ones belief.
These lines were penned before the flood, on the day of heavy rains in Palakkad that preceded the flood. Even just seeing the rains it was amply clear that something was grossly wrong. These rains were not normal. I knew it as going to be trouble. The lines was also partly meditative, as I prayed for rain to ease.
These lines are a tribute to the constant tug of war in nature and in spirit that tests our beliefs : whether it be theistic or atheistic. Man constantly asks God, but…
This was also penned before, this a tribute to the my home state.
It was late in the day, i was standing at driveway gate turning off the lights to my clinic. I just glanced across the road where the indoor stadia is. This is where young college kids are working round the clock , selflessly for the flood victims. They receive relief materials sent across the border and sort it. Authorities are scant, but I’m told the work is supervised.
I was struck how a fracturing society had gelled by a near cataclysm.