వైద్య పని

English original

Medical work has never been carried on in the Telugu Dispen- sanes. the same extent as it has been carried on in Mission to some other missions. had the good fortune to have a medical missionary in Generally the Mission has had to charge. with dispensaries of no great size, placed under trained excellent men, but mth lower Indians, than those of a doctor. has been of importance in the Mission department, but as an integral part of indispensable to its completeness. a few pages of description. We have already touched on its history. from the beginning of the Training Institution, carried out the medical treatment of his boys in a systematic way, and even in the old building, cramped as one room was space, for When a move was made into the new dispensaiy work was given a more dignified place. English readers are surprised that for a single institu- dispensary should be a tion

TX

MEDICAL WORK

Never, except lor one year, has it be content qualifications Nevertheless the medical work ; not as a separate the work and It therefore deserves Mr. Britten, it was for a apart dispensary. set buildings, the If necessary, they may be 158

English original

THE DISPENSARY, NANDYAL MISSION.

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AN INDIAN PRIEST WITH

HIS FAMILY.

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Illustration plate

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MEDICAL WORK

reminded that in India siclcness is a school of 150 children there will daily be cases in need of skilled attention. This dispensary was successful for its purpose, and as a model for a dispensary opened to the it served Kalasapad. public 1893 in at were opened, one at Mutyalapad, the second at Nandyal. The latter was intended for the general pubhc, and was situated in a well-built house near the church, at a little distance from the school. missionaries had Sometimes the training they possessed to manage these medical But generally the pensaries. Indians possessed a special of ' Hospital of a as that India qualification by undergoing obtain their in medicine and surgery training training covers a good deal supposed to be able to deal with the great majority of cases that present themselves. taken in a Government hospital, but able, if it were possible, to get men trained in a mission In this kind of work the motive makes the hospital. difference, and in mission medical work very greatest the motive is so much higher that the results are corre- We need workers who have lived spondingly greater. in a missionary atmosphere throughout their training. The L.M.S. hospital something to supply the need. there, to which any Mission was class was opened ing allowed to send quahfied pupils on guaranteeing

159 rife that even in so on two Later others whatever use to dis- dispensaries were under qualification known in These men Assistant.' three years' The at a hospital. of ground, and they are The course is generally it would be desir- at Jammalamadugu has done Some years ago a train- their

English original

MISSIONS IN THE TELUGU COUNTRY

i6o support during training, and at the end of the course all returned to their respective missions. time, a second similar class some S.P.G. students are now attending. Nandyal is comparatively well is a Government There qualified Indian medical man. Mutyalapad is nothing there Readers may conceive the position of a sick pensaries. person, for example at Kalasapad, without the Mission The nearest medical aid dispensary. dispensary, maintained by the Government at Giddalur, is twenty miles away, and the road to which which The patient, only partly made. hardly be carried there in a cart and survive the journey. He must then be carried on a bed, by men—a slow and The next exhausting process. thirty miles away on the other at Badvel, dispensary To this place there is a good road. side of Kalasapad. But the nearest doctor is to be found at Jammalama- dugu, in the L.M.S. hospital, which is sixty miles away. there In this also direction to be crossed. has river ment dispensaries, fifty miles place to come to aid for It should ie added that patients in India dispensary. to Government mission prefer dispensary has so much less equipment than the Govern- provide, many ment to can afford cannot get to Jammalamadugu, will come to Kalasapad. One example may show what a dispensary may mean

Recently, for the opened, which has been off for medical aid. a with there hospital fully But at Kalasapad and except the Mission dis- is provided at a is ill, could if seriously is another aid nearest is a good road, but a big Thus, between two Govern- is no other apart, there the Kalasapad Mission but Even though our aid. if they patients,

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MEDICAL WORK

In the autumn of 1908 cholera attacked to the people. the of Kalasapad. valley is so rapid a disease that, if medical aid does not come quicldy, it is useless for it to come at available from Government sources. upon the outbreak, hundreds of cholera pills, suitable to be taken on the appearance of the first symptoms, were at the Kalasapad dispensary, and were manufactured to the mission sent senior The teachers in forty villages were use. for the outbreak cholera, to send to the nearest place of Over and above the benefit from for these medicines. panic, a great factor the the medicine, by these was of cholera, Christians, in that visitation, suffered very little. Fully qualified doctors dispensers have to treat nearly every case that presents itself, and they perform operations, some under chloro- Most, of course, though not all, of the operations form. ' minor.' are of the class called beds are available for in-patients, and when in-patients come their friends have to be freely admitted to cook for Most persons prefer to be out-patients, and tend them. and the number of in-patients In one year, for instance, at Kalasapad, there were only as against seventeen in-patients To illustrate the kind following statistics of the largest classes of cases treated in that same year at Kalasapad. these, and in the that in given above, the cases are

i6i well known, Cholera, as is No help was all. But immediately with agents instructions told, on in the spread The precautions allayed. being the so far distant, A very small number of is comparatively small. out-patients. 4,655 of work done, we give the It should be noted out-patients total of just Each patient all new. not

M

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MISSIONS IN THE TELUGU COUNTRY

i62 receives medicine for to compel him to come daily and watched. progress is daily is noted in the books, irrespectively of their being old or new patients. malaria follows 743, : tism 452, of the eye 351, diseases of the skin 230, diseases of the digestive system 536, ulcers 279, other diseases In the same year the number 244. the number of operations performed, was 96 ; Women enjoy a large amount Dispen- sary Telugu country, and can come to a dispensary, there- patients. fore, almost as easily as outnumber female cases. All classes of the population come to the dispensaries for treatment, as the following month at the Nandyal dispensary will show Mohammedans Sudras 117, 23, 88 children school ; average, aU patients, 29. It may be asked, perhaps, for what sum so useful an Cost of a dis- dispensary may a as institution pensary. answer we give the cost of the Kalasapad dispensary. A sum of about £66 per annum covers the salaries of the hospital assistant and his assistant compounder, and the cost of medicines together with all ordinary expenses. The school children always receive the first attention Treat- ment of at the dispensary. school for the hospital assistant children. pensaries, yet generally there is a separate compounder

day one a This at tinae. is insure that to his The number treated cases of The for the year were as totals rheuma- and rheumatic fever diseases of the ear 520, dyspepsia 321, diarrhoea injuries treated of 86. freedom the of in StiU, male men. decidedly for an average figures Brahmans : Christians 102, 31, new daily 361 patients, total ; For be kept up. At Nandyal, though there is one school and the pubhc dis-

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MEDICAL WORK

At Kalasapad the for the school. hospital assistant each day is to inspect all the children sent to him by the matrons. Every case in the boarding- daily in a book entered schools is the superintending missionary, of complete record of the health of his schools. The rehgious character of the medical work is kept The dispensary is an auxihary to the always in view. The preaching of the Gospel. the compounder Christian are ' medical former the of is title to make endeavour missionaries the work of heaUng is one of the fruits of the Christian religion, and, through its means, to give them a know- For this reason teaching is given ledge of the reUgion. daily to the patients, generally as a prehminary to their At such times the broad principles treatment. are explained. Christian faith either by the hospital assistant and the compounder, or agent who by some Christian other The early morning purpose. is then that the greatest number for this work, for it Though gathered. are patients of open again in the afternoon to then to be found in such large numbers. to the work at the dispensary intervals make short tours in the neighbouring villages and opportunity as offers medicines and advice. The long distances that patients come to be treated, thank-offerings they sometimes leave and the

163 first work of the the inspection for who has thus a The Dis- ^ ^"jf^^ assistant and hospital agency, The teachers. official The evangeUst.' understand that all of the The teaching given is attends the for is the great opportunity the dispensary is patients, they are not But in addition itself, the staff at regular and preach they give (for the

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MISSIONS IN THE TELUGU COUNTRY

i64 treatment is are proofs free), by good the of the d'one appreciation of it by the patients themselves. In 1908 a new impetus was given to the work by the Dr. Nivin. arrival of Nandyal. There, while learning the language, he built up a good quite private increasing the usefulness visited Mutyalapad and Kalasapad, and took in hand the improvement of the his breakdown and Unfortunately frustrated for a time the plans of advance. It is earnestly to be hoped that the attempt will be Few parts of India present a greater demand. renewed. The absence over wide areas readiness of the people to receive it, make a silent appeal, but over the existence of herents makes an urgent claim. the presence of the missionaries ? from capable advice and waste of strength if not of Hfe. at Jammalamadugu

L.M.S.

hospital sibility of medical work of the What we want in the first place is a mission like ours. out, prepared to learn on doctor to come conditions of the problem and to draw up a wise plan by which efficient medical aid within reach of to bring the many needy people in the S.P.G. Mission

the wide recognition of and dispensaries, the of He spent his time chiefly in besides immensely practice, He of the dispensary. also in those dispensaries places. departure in 1909 aid, and the of medical ' Christians and ad- 18,500 And may we not add Their isolation, far in sickness, makes help for The experience of the proves the pos- first grade in a village the spot the area.

English original

STIMID "TOOHOS-ONId¥VOd "IVAANVN

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Illustration plate