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Maharashtra, March 30, 2017: Last month, my mother, who is 92, fell in the bathroom and broke her pelvic bone. I live in the rural town of Phaltan in western Maharashtra and to get a simple X-ray done was a nightmare.
We called the local orthopedics hospital and they sent a ramshackle ambulance. How an old Maruti Omni van got permission to ply as an ambulance is anybody’s guess. Even a healthy passenger would feel sick and his/her bones would be rattled in that ambulance while going over the potholed roads of Phaltan. Some of the worst roads in the country are in Maharashtra, especially in rural Maharashtra.
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The driver of the ambulance also doubled up as the paramedic and his callous and non-empathetic attitude almost broke my mother’s heel. He almost threw my mother on the stretcher! Most of the ambulances in rural areas are like that with hardly any facility to help the patient. I had to use an old saree to tie my mother to the stretcher so that her broken pelvis did not shake very much.
At the hospital, after a good deal of arguing, we got her X-ray done quite quickly. Otherwise it takes forever to get it done. Since the pelvic bone was fractured, the doctor advised complete bed rest and told us to take her home. In such cases, there is no surgery needed but just plain bed rest so that the broken bone heals by itself. That is also the reason why I did not take her to Pune for treatment.
We brought her home and were immediately confronted by the stark reality of who will take care of her nursing needs. We tried to locate nursing care in Phaltan but were unsuccessful. Even the hospitals do not provide that facility. The relatives of patients do that in most rural hospitals.
Finally, after great difficulty and searching, we got a 24-hour help (who had almost no training as a nurse) from Pune. This helped relieve our emotional and physical stress.
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Searching the net and talking to my doctor friends, I have finally been able to convert my mother’s room into a home health-care facility. This includes the adjustable hospital bed with an air mattress and a specially fabricated small wheel-chair, which can navigate the narrow passages of the house and can go into the bathroom. I feel I could get all this done because of our resources and ability to spend time searching for solutions on the net. Most of the rural population does not have this luxury.
Another tragedy in rural areas is that no doctor wants to do a home visit. No matter how ill or old the patient is, they insist that he/she should be brought to the hospital or their clinic. I was able to get a person who was not an MBBS doctor but could administer saline or do basic dressing for bed sores. That was a partial relief.
Secondly, I was greatly helped by my brother, who is an orthopaedic surgeon in Australia. He constantly advised us on the basic care and his telemedicine greatly helped us.
Very frequently I have seen that in rural — and also in urban — areas, the missing ingredient in patient care is good nursing facilities. Putting a patient in hospital (whether he or she is terminally ill or suffering from non-life-threatening ailments) means endless headache for relatives, who have to stay in the hospital, undertake the nursing care of the patient and run continuously to get medicines and medical supplies. Besides, the hospitals charge exorbitant amounts for surgeries and for lots of unnecessary tests performed on the patient.
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The government has mooted quite a number of good schemes which provide hospitalisation for below poverty line (BPL) patients and take care of their bills through insurance cover. Yet I have seen these schemes misused by doctors and hospitals where they admit the patients at the slightest pretext and charge them the full amount even for minor ailments. The money is then paid to the hospital by the insurance company.
Our medical care system in rural areas is, therefore, quite broken with very greedy doctors and hospitals that, in collusion with insurance agents, fleece both the patients and the government.
A hospice or home-care health system might alleviate this problem greatly.
This system will rely on specialised agencies that provide trained nurses (at nominal cost) for homes, simple equipment like small wheelchairs, beds, commodes and the like, and qualified doctors on duty who can respond through the internet or mobile phone to the queries from the nurses – and, in an emergency, make home visits. At present there are no such agencies but they are urgently needed.
For the terminally ill, a home-care system which provides nursing care and basic equipment will be extremely helpful. He/she will be surrounded by family and nursing care given by trained nurses will help relieve the pain.
Financially, this system will be much more viable than having a dedicated hospice facility. The financial arrangements on how the government can help organisations in facilitating such a system need to be worked out. A possible solution could be to provide insurance coverage for such a home-care system.
Also such a facility can provide home-care for patients who are discharged from the hospitals. Too often, relatives and the family have to provide prolonged post-operative care –which they are ill-equipped to do. Such a facility could be a boon for those patients.
In urban areas, better medical facilities, including good ambulances, can provide timely care. In rural areas, in the absence of such facilities it is very necessary to have a home-care facility. (IANS)
Remember, the right language is what matters for your app in the first place.
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By- Joseph Collins
An energy meter, also known as a Watt-Hour Meter, is a device that monitors the level of electrical energy or gas consumed by users. Utilities are among the agencies that place these devices in various locations such as houses, businesses, organizations, and commercial properties to charge for the power consumed. You can always know how much is gas or electric cheaper by contacting a utility company.
Electronic Energy Meters
When compared to traditional mechanical meters, these types of measuring equipment are more accurate, have a faster processing time, and are more trustworthy. When attached to a source, it uses less power and begins measuring immediately.
Analog or digital meters are both possible. Analog meters transform energy to proportionate frequency or pulse rate, which is then combined by counters inside the device. A high-end processor directly calculates power in a digital electric meter.
Logic circuits combine the power to obtain the energy as well as for testing and certification purposes. The frequency or pulse rate is then calculated.
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Smart Energy Meters
It is a cutting-edge metering technique that entails installing intelligent meters that read, process, and relay information to clients. It monitors energy usage, changes the supply to consumers remotely, and digitally manages the maximum energy usage.
For greater performance, smart metering systems make use of modern metering infrastructure system technology. These meters limit the number of times you have to go to the place to get your monthly reading.
In these smart meters, modems are utilized to enable communication technologies like phone, wireless, fiber cable, and power line communications. Another benefit of smart metering is that it eliminates the possibility of tampering with energy meters, which could lead to unlawful power usage.
An energy meter, also known as a Watt-Hour Meter, is a device that monitors the level of electrical energy or gas consumed by users. | Wikimedia
Working of The Meter
The conventional electric meter looks like a clock and keeps track of how much electricity you consume. A series of microscopic gears inside the meter moves as your home takes electricity from the power wires. The numbers on your meter that you notice when you look at it indicate the number of revolutions.
The quantity of electricity utilized determines the speed at which the rotations occur. The velocity of moving gas in the pipeline is measured by a gas meter. As the gas flow rate increases, the dials speed up.
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How Often is Meter Read?
Unless the meter is a consumer-ready meter, the government will demand utility companies read user meters quarterly. If the consumer checks the meter, the utility is asked to read it at least once a year. Almost every month, many utilities try and read their customers' meters.
If the meter isn't read, the utility might issue an estimated charge based on the previous usage. Keep bushes and plants away from the meter and allow access to the meter reader if your meter is within your home. All utilities demand their meter readers to have an employment ID as a security measure.
Smart meters limit the number of times you have to go to the place to get your monthly reading. | Wikimedia
Responsibility of Meter
The utility provider is in charge of meter installation as well as the gas and electric lines that go up to the meter. The wires from the meter to the customer's premises are his responsibility.Please call your gas or electric utility if your meter is broken or displays evidence of tampering. Manipulation with a meter is prohibited and may result in service termination, legal punishment, or both.
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A hilarious rhyme that children often chant cheerily while jumping around, Jack and Jill is another example of the dark history covered up in light-hearted rhyme. Instead of England though, this is a rhyme that sheds light on the history of France.
Unlike other rhymes, the rhyme is part fiction and part history, since only the first two lines can be taken as an allusion to the past.
"Jack and Jill went up the hill to fetch a pail of water,
Jack fell down and broke his crown,
And Jill came tumbling after."
King Louis XIV ruled over France in the late 18th century and was called out for treason. He had failed to uphold the economy of France. His spouse Marie Antoinette was an equally powerful influence in the monarchy but could not do anything when her husband was convicted.
King Louis XIV of France Image source: wikimedia commons
The French are famous for the guillotine, and Louis XIV was beheaded on this device. This act of executing a monarch is why the rhyme has the line "Jack fell down and broke his crown". The guillotine, at this point in history, was kept outside the city, and the journey to it was long and tedious. It was ideally located on a hill, so that the entire city of Paris could witness the execution of the accused.
Louise XIV is believed to have been dressed and taken on the long journey up to the guillotine, where his hair was cut off and he had to renounce his authority. He bid farewell to his friends and was followed up the hill by a crowd holding pikes and bayonets, to prevent his escape. He was then executed as the last monarch of France.
Death by guillotine was the most terrifying way to execute a criminal Image source: wikimedia commons
A few months later, when the hue and cry of Louis XIV's death has died down a little, but the political situation of France was no better, his wife, Marie Antoinette was also executed at the guillotine for her role in the fall of France. And this event alludes to the line, "Jill came tumbling after".
The rest of the rhyme is a fictional account of a moralistic idea for children, as a way to tell them to be careful of where they engage in play. Since a large part of the rhyme seems like a story of two children who have had an accident in play, that is how the rhyme has survived and the history behind it, has been forgotten.
Keywords: Marie Antoinette, Louise XIV, Guillotine, France, Nursery Rhymes, Monarchy