Report from Dr. Joel Bechtel

Of Cobras Bites, Ghost Stockings, & Thanking Pigs 
 Volunteer Experience CMC&H, 05/2001

Dr. Joel Bechtel on bike in VelloreAt fifty-five years old and after twenty years of developing a fast-paced, high stress pulmonary and critical care medical practice in Colorado, USA, my attorney wife and I elected to take a "time out" three month mini sabbatical to reappraise our priorities and lifestyles.  After considerable thought and much Internet research, we decided on volunteering at CMC&H in Vellore, India for one and one-half months, followed by travel and biking through Australia for the remaining time.

We found both Mr. Philip Ansalone, Program Manager for the Vellore CMC Board (USA), and Mrs. Jebamani Augustine, Deputy Director at CMC&H, to be extremely helpful and knowledgeable in getting us set up for our adventure.

Despite our extensive preparations, we were both bug-eyed and mouths agape on arrival to Chennai Airport and witnessing the hustle bustle of India.  The taxi from Vellore was a most welcome sight.  The drive to Vellore showed the city of 350,000 to be busy, noisy, crowded and, in April, hot.  Our bright, airy room at the New Darling Residency was very pleasant and the last half of our stay at the fine venerable Big  Bungalow on the quiet and beautiful medical college campus was perfect.

Dr. Bechtel with staff of Department of Respiratory Medicine
Dr. Bechtel with Staff of Department of Respiratory Medicine. Top row: Dr. Bechtel, Dr. D.J. Christopher, Dr. Anil. Front Row: Dr.Sujoy, Dr. Rhuna, Dr. Sophra

I worked primarily in the new and developing Department of Respiratory Medicine under the very able direction of Dr. D. J. Christopher.  The first patients I saw in the ICU were a young woman suffering from a cobra bite and a young man with falciparum malaria, neither illness encountered very often in Colorado!  Too many patients present for medical care late in the course of their disease - e.g. tuberculosis, cancer, bronchiectasis - in part from poverty and also lack of education.  All were grateful for the medical care provided, and on one occasion, a patient's family intercepted Dr. D. J.  and myself in the pulmonary lab and knelt at his feet to deliver him darshan in appreciation for his care of their loved one.

CMC&H with about 2000 beds is one of the premier referral medical centers in India, attracting patients from Nepal in the North through Sri Lanka to the South.  The hospital and staff practice sophisticated medicine, including CT, MRI and DSA scanning along with cardiac stenting and open heart surgery, in a wholesome Christian atmosphere.

Although I observed and helped with bronchoscopies and patient ward rounds, because of my clinical experience and India's stance on limiting hands-on patient care, I worked more with developing and implementing medical systems and teaching.  I lectured to theClick on image to see it larger attending staff, house officers and medical students on various topics, including asthma, early detection on lung cancer, and pulmonary embolism; participated in interdepartmental conferences; performed bedside teaching rounds with the medical students (on one occasion twenty showed up instead of the anticipated four); and gave weekly teaching sessions to the respiratory therapy staff.  Later, I was able to help set up an asthma provocation test and help with initial development of a cardiopulmonary resuscitation policy and pulmonary rehabilitation program.

I found Dr. D. J. Christopher (who has a penchant for wearing socks decorated with tiny green ghosts) and his consultant, Dr. Anil Roy (who informed me with a giggle that I had not been thanking - nanri - people, but rather calling them a pig - panri - with my flawed Tamil language skills) to be two of the hardes working, most caring physicians I have ever worked with.  Their kindness and friendship made for a wonderful experience at CMC&H.  I thoroughly enjoyed this first volunteer effort and was made to feel that my contributions were helpful and appreciated.

Joel. J. Bechtel

 

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