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by Jonathan White

The new class of preschoolers of Palathuduwa

Our Tangalle Children Relay Preschool had operated with our suppport from 2006 until the end of 2009. During this time, Real Medicine covered the teacher’s, the children were provided with uniforms, stationary, playing instruments, school materials, cultural and educational tours, a daily meal, and medical treatments all free of charge.   In an great example of our long term goals of self-sustainability, over the past few years the community we have been serving has been able to slowly recover from the Tsunami and return to their previous lifestyle.  This also means the community is now in a position to be able to afford to send their children to a paying preschool and support their family’s needs without our outside help.

For 2010, the management of the school has decided to move the project to a new location, the village of Palathuduwa, to provide the same services to a much needed community.   Our group is very well known in the area for its charitable activities, and a preschool in Palathuduwa had approached our team for possible support to help fund and manage their preschool.  This other school had been operating successfully for many years, but had recently run into financial difficulties and was in danger of closing down without further help.

Background of the new location

Palathuduwa is about 2 km further inland from our old location in Tangalle. There are around 200 families in the area, mainly low income, and making their living in rice farming, animal husbandry, brick making and other labor work.   The temple and school is in the middle of the village, Palathuduwa temple has become the community centre for all the village activities and the chief monk is the leader of the village and guides the villagers.

Background of the existing preschool at Palathuduwa temple

The first preschool activity at the temple location started in year 1989, with some very basic facilities and untrained teachers.  The Tsunami didn’t do much damage to the temple and school buildings, but the impact to the village community of Palathuduwa was very high. After the Tsunami, aid agencies and other projects were set up in the area. During this time, the attendance at the preschool was very high, as many of the area’s parents did not want to send their children to the preschools closer to town and the coast, because of continued fears of another tsunami. In 2006, with the support of the locally established “Janasuwaya Foundation” and donation of foreign funds the community was able to build a larger and more suitable school building.

By 2010, the financial situation of the school and lack of funding to pay the teachers had come to a crisis point, and the school put out an appeal for help to the few NGOs or aid agencies that are still in the area.   Our group at the Tangale Preschool was presented with the appeal and due to the fortunate timing of the closure of our other project, they were happy to look into the school’s viability

Soon after our staff decided to take over the administration of the preschool on February 2010 with the support of RMF, the situation returned to normal. The teachers are very happy again, the chief monk is very proud to see the preschool is back in normal operation and the children are running here and there again. The villagers are also happy that they can again send their children to the preschool without any additional cost. Presently, there are 15 children attending the preschool with 3 preschool teachers. A freshly prepared mid day meal is provided each day. The stationary and working materials are provided free of charge to each child and teachers. The children’s health is also regularly checked.

Our goal is again to create a sustainable solution for these villagers, and enable them to eventually take over the funding and management of the school.

If you’d like to donate to this or any of Real Medicine’s causes, you can click the donate button on this page or through our website at realmedicinefoundation.org

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Primary Care Clinic, Yayawatta,Tangalle, Sri Lanka

By Jonathan White

The clinic that started it all off for RMF, more than 5 years ago in Tangalle, Sri Lanka, continues to thrive and provide, community outreach and health education programs to Yayawatta Village and the surrounding areas.  These areas have still barely gotten back on their feet after the complete destruction of many surrounding villages and infrastructure 5 years ago by the Tsunami. The clinic’s main beneficiaries include the population of Seenimodara, Kadurupokuna and Palapotha.

Having this convenient access to free healthcare is especially important for the areas young mothers, children, and the elderly.  During the last 3 month period of March, April and May a total of 642 patients were evaluated and treated at our free clinic. The diseases we see most frequently here are upper and lower respiratory tract infections, viral fevers, gastrointestinal tract infections, heart disease, hypertensive disorders, skin diseases and different forms of arthritis.

Our staff also periodically conducts field visits of the Nursing Officer from the Government Health Authority which continues to provide important information for mothers about proper methods of family planning.

In addition to medical treatment provided we also periodically conduct community outreach programs and are preparing to throw a Health is Wealth program during the upcoming traditional festival season.  We are hoping to have all the communities participate in this event with Drama, Art, and Essay competitions for both children and adults.

Some of our recent patients treated at the clinic:

Amila

Amila is a regular visitor to our clinic. He comes often and usually spends his time watching the activities at the clinic. He is featured in the photo above, wearing a red shirt. After the Tsunami he started suffering from depression and had changed completely from his old self. He also started engaging in destructive behaviors and was going out with friends who were abusing alcohol and smoking. After drinking he would frequently get into fights and quarrels with neighbors and family.  After being alerted to Amila’s changing personality, RMF’s Medical Consultant, Dr. Chamal, spent hours with him, counseling him and giving him necessary treatments and now, according to Amila and his family, he has finally gained some normalcy and direction in his life.

Nuwan Kumara

This is 3-year-old Nuwan Kumara from Kadurupokuna.  His mother had come to the clinic to have him treated for an allergic reaction, including a red rash on his face, hands and body.  His mother complained that he had been scratching his face and hands after eating fish for dinner. Dr. Chamal subscribed a medical ointment to treat Nuwan’s allergy and after 3 weeks of treatment the allergy has gradually subsided and the rash has disappeared.

Hasini Malisha

Hasini Malisha is the 14-year-old daughter of Mrs. Samanthie who works at our Clinic. She had been suffering from an enlargement of her thyroid glands. She started having fainting attacks and was rushed to the Real Medicine Clinic at Yayawatta to be consulted by Medical Consultant, Dr. Chamal.  He prescribed treatment to control the attacks and made arrangements to consult the Senior Surgeon, Medical Consultant Dr. Percy Dias immediately.

Two blood samples were sent to Colombo to check her TSH and T4 levels.  Medication was prescribed following the tests with the advice to continue the treatment and after 1½ months to return to the clinic for follow up blood samples and reports.  Hasini Malisha is feeling much better with the treatment.

Miss K.G. Maggie

Miss. K. G. Maggie is an elderly woman from Kadurupokuna. She has been a regular patient at the Real Medicine Clinic.  She has great difficulty walking ever since a tragic fall many years ago that dislocated her hip bone.  Recently she was very sick and could not make the journey to the Clinic and had pleaded with Dr. Chamal to come see her at her home. When Dr Chamal visited her he found her in very bad condition with severe swelling and redness in the lower part of her legs.  Dr. Chamal diagnosed her with cellulitis and treated Maggie with strong antibiotics, continued observation. She could be cured without admission to the local hospital, which Maggie was very grateful for.

Read more about our first clinic at: http://www.realmedicinefoundation.org/initiative/primary-care-clinic-yayawatta-isp-tsunami-village-seenimodara-tangalle

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Madu’s own words

Madumekala and her parents - September 2006“I am happy. The treatment I get from the R.M.F. gives me some hope and vision to my future life. Now I am 15 Years Old. “

Do you like to go to School?
Yes, of course. Now I feel I am like the other Girls. I have grown tall.

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What is your Hobby?

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Dancing. I attend a Dancing Class too.

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What do you feel about R.M.F.?  With this unfortunate destruction Lord Buddha had granted me a Real Blessing. Meeting Kind hearted and understanding persons. I am very thankful to Madam Martina. She is kind of a God for me. And I never forget Mr.Michael. I always love Real Medicine Foundation.
Thank you all. I love all of you. My Parents too love all of you. Thank you.

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MADUMEKALA UBEYWARNA.

Read: Little Madu’s Growing Up (Sri Lanka)

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Long-term Medication for Madumekala
Ruhuna Medical College – Children’s Growth Hormone Program
Real Medicine in Sri Lanka

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Little Madu is Growing Up (Sri Lanka)

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When Madumekala was 2 she suffered a massive head injury left her pituitary gland unable to produce Growth Hormone.

Usually, children grow at a rate of about 5.1 cm (2 in) per year but in 2003, when Madu’s illness was discovered, at 9 years old she was only 99.5 cms tall, about the height of a healthy 3 year old.

Dr. Silva, who first realized Madu’s condition, predicted that without treatment, Madu would not only grow up to be an incredibly short adult, but an adult with a number of serious health issues.

The pituitary gland is called the master endocrine gland of the body because it controls function over other endocrine organs. Without the variety of hormones released by this gland, the body simply cannot function the same way: muscles in the heart and lungs go undeveloped, bones do not grow or regenerate, fats and proteins are not metabolized, even the immune system is severely impaired.

The worst of it all for someone so young, is growing up knowing that you are not like everyone else, knowing that there is something wrong and being powerless to do anything about it.

Treatment was imperative, but very much out of reach. With treatment costs at 8,000 Rs. per week and a family income of 2,000 Rs ($20) per month, Madu’s family was forced to collect from their community in the hope of making even the initial payments.

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In 2005, their dreams to start treatment were washed away with Tsunami—or so they thought. After loosing everything, Madumekal’s Family moved to a temporary shelter at Kabul-Pura Flats, Seenimodara in Tangalle. It was here that Madu met Dr. Martina Fuchs of Real Medicine.

Touched by Madu and her family, in 2005 Dr. Fuchs decided to fund Madu’s hormone therapy through Ruhuna Medical College. A few months later, Madu began her treatment along with 5 other children from various parts of the Southern Region of Sri Lanka.

As of 2007, RMF also supplies Madu with a food parcel every month of milk powder, grains, red rice, fresh vegetables and fruit to ensure that her body has everything it needs to use the hormone treatment to its fullest potential.

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Since she has begun the program, Madu has gone from an 11 year old with the bone age of a 3 year old, to a 12 year old with the bone age of an 8 year old, to a 15 year old with the bone age of a 10 year old. She has grown over 22 centimeters (8.7 in) and is beginning to feel more like the other girls in her class.

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As our Country Director in Sri Lanka, Michael Lear wrote in 2008, “It is hard to put to put a price or value on the dignity, hope and possibility that this program has made available to these children. And I won’t even attempt to put into words what this program has meant to them. In the near future we’ll have posts from the children explain in their own words the impact of such support.”

Read what Madu has to say: Madu’s own Words

Long-term Medication for Madumekala
Ruhuna Medical College – Children’s Growth Hormone Program

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