Have this man got Detox shots…!!!

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On my very first night call in Okhaldhunga hospital, attending nurse called me, ‘Bed no. 27 is having unusual behaviors’.  That guy had taken the canula out and bleeding from canula site, I just pinched the bleeding site and asked the nurse to have got dry cotton and the load diazepam shot. He received 50 mg IM shot in subsequent steps and fell asleep and open the vein with canula. On the same night after 2 hours of event, another guy started to show same behavior. I asked him to stretch his hands and abduct the fingers…it was… fine tremor. I said to nurse, ‘Have this man got detox till he sleeps.’

They wake up in the middle of night and start showing unusual behavior to other patients and hospital staffs. They come to nursing station with fluid holding in hands. Some take out the canula and need special FBI kind treatment. This is a cold mountainous place; possibly most of the people are habituated to alcohol to get rid of cold insult. Not the specific ones, most of the tribes do.

The unique finding after 24 to 48 hours admission especially in male patients here in Okhaldhunga Community hospital is withdrawal symptoms. One guy was admitted for wasp bite, very early morning next day he was fighting with his 8 year old son who had been caring him during all night. Another guy admitted for tibial fracture next day started  crying and begging for discharge. One old fella who admitted for ligament injury admitted he wanted to get detox against alcohol consumption. It just comes to my mind to give universal shots of detox for all male patients admitted but I cannot do this without evidence.

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