Sri Lanka: Long Term Medical Support and Growth Hormone Treatment for Children
4 Children Receive Care: Q3 2017
November 10, 2017
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Madumekala with her food parcel
Madumekala Ubeywarna
JULY 2017
- Madumekala is a 23-year-old young woman. She came to the meeting with her mother. She did not receive 5 vials of growth hormone (GH) for the month of July, and she visited the clinic in Karapitiya twice.
- Madumekala is continuing sex hormone medication: estrogen, 1 tablet daily. The traveling fee to Colombo to purchase the medication was Rs. 1,000/=.
- Dr. Muditha Weerakkody, a consultant endocrinologist, prescribed Progynova as Madumekala’s new medication for menstruation instead of Climen. The dosage is 0.5 every other day. Madumekala has been on this new medication for three months with no complaints.
- Madumekala’s bone age is 13.5 years. It is below her chronological age. Madumekala was treated by Dr. Manilka Sumanthilaka, a consultant endocrinologist. He again referred Madumekala to Professor Sujeewa for further observation as the medical consultants believe she should stop the growth hormone therapy.
- Madumekala now has to visit the Karapitiya Teaching Hospital in Galle once a month.
- The case regarding Madumekala’s attempted rape went to court on July 30th.
- Madumekala’s food parcel was changed slightly; instead of red rice, she is given more milk powder, salmon, and cheese. This change makes the food parcel easier for her to take to Galle.
AUGUST 2017
- Madumekala is a 23-year-old young woman. She came to the meeting with her mother. She did not receive 5 vials of growth hormone (GH) for the month of August, and she visited the clinic in Karapitiya twice.
- Madumekala is continuing sex hormone medication: estrogen, 1 tablet daily. The traveling fee to Colombo to purchase the medication was Rs. 1,000/=.
- Dr. Muditha Weerakkody, a consultant endocrinologist, prescribed Progynova as Madumekala’s new medication for menstruation instead of Climen. The dosage is 0.5 every other day. Madumekala has been on this new medication for three months with no complaints.
- Madumekala’s bone age is 13.5 years. It is below her chronological age. Madumekala was treated by Dr. Manilka Sumanthilaka, a consultant endocrinologist. He again referred Madumekala to Professor Sujeewa for further observation as the medical consultants believe she should stop the growth hormone therapy.
- Madumekala now has to visit the Karapitiya Teaching Hospital in Galle once a month.
- Madumekala’s food parcel was changed slightly; instead of red rice, she is given more milk powder, salmon, and cheese. This change makes the food parcel easier for her to take to Galle.
SEPTEMBER 2017
- Madumekala is a 23-year-old young woman. She did not come to the meeting with her mother. She did not receive 5 vials of growth hormone (GH) for the month of September, and she visited the clinic in Karapitiya twice.
- Madumekala is continuing sex hormone medication: estrogen, 1 tablet daily. The traveling fee to Colombo to purchase the medication was Rs. 1,000/=.
- Dr. Muditha Weerakkody, a consultant endocrinologist, prescribed Progynova as Madumekala’s new medication for menstruation instead of Climen. The dosage is 0.5 every other day. Madumekala has been on this new medication for three months with no complaints.
- Madumekala’s bone age is 13.5 years. It is below her chronological age. Madumekala was treated by Dr. Manilka Sumanthilaka, a consultant endocrinologist. He again referred Madumekala to Professor Sujeewa for further observation as the medical consultants believe she should stop the growth hormone therapy.
- Madumekala now has to visit the Karapitiya Teaching Hospital in Galle once a month.
- Madumekala’s sodium valproate dosage has stopped, but other medications continue.
- Madumekala’s food parcel was changed slightly; instead of red rice, she is given more milk powder, salmon, and cheese. This change makes the food parcel easier for her to take to Galle.
- Madumekala, along with the other beneficiaries, visited the clinic in Karapitiya to meet with Professor Sujeewa. Her height and weight were recorded, and Professor Sujeewa advised her mother to train Madumekala in household duties.
Professor Sujeewa talks with Madura
Madura Madushanka
JULY 2017
- Madura received 4 vials of growth hormone (GH) for the month of July.
- He had attended school and private classes and completed the Advanced Level Exam. At the moment, he is taking a computer course.
- His mother is very much concerned with his progress, and the medical authorities at Karapitiya Teaching Hospital are very satisfied with her.
AUGUST 2017
- Madura received 4 vials of growth hormone (GH) for the month of August.
- He had attended school and private classes and completed the Advanced Level Exam. At the moment, he is taking a computer course as well as learning the Japanese language.
- His mother is very much concerned with his progress, and the medical authorities at Karapitiya Teaching Hospital are very satisfied with her.
- As Professor Sujeewa requested, Madura is now attending the clinic for his kidneys and taking medication as well.
- His mother is very much concerned with his progress, and the medical authorities at Karapitiya Teaching Hospital are very satisfied with her.
SEPTEMBER 2017
- Madura received 4 vials of growth hormone (GH) for the month of September.
- He had attended school and private classes and completed the Advanced Level Exam. At the moment, he is taking a computer course as well as learning the Japanese language.
- His mother is very much concerned with his progress, and the medical authorities at Karapitiya Teaching Hospital are very satisfied with her.
- As Professor Sujeewa requested, Madura is now attending the clinic for his kidneys and taking medication as well.
- His mother is very much concerned with his progress, and the medical authorities at Karapitiya Teaching Hospital are very satisfied with her.
- Madura, along with the other beneficiaries, visited the clinic in Karapitiya to meet with Professor Sujeewa. His height and weight were recorded. Professor Sujeewa explained to Madura the danger of not coming to the clinic to have his kidneys checked, and Madura promised to attend each month. Professor Sujeewa referred Madura to Dr. Harshani, and the medical consultant had further tests done.
Professor Sujeewa talks to Gayan’s mother
Gayan Madushanka
JULY 2017
- For the month of July, Gayan did not receive any vials of growth hormone (GH). After observing the progress of Gayan’s height, Professor Sujeewa had instructed to stop therapy for him. Gayan visited the clinic at Karapitiya on July 27th to get the Testoviron injection.
- Gayan was treated by Dr. Muditha Weerakkody, a consultant endocrinologist, who increased Gayan’s thyroxine dosage from 100 to 150 mg per day.
- Gayan has to visit the clinic at Karapitiya after 3 months.
AUGUST 2017
- For the month of August, Gayan did not receive any vials of growth hormone (GH). After observing the progress of Gayan’s height, Professor Sujeewa had instructed to stop therapy for him. Gayan visited the clinic at Karapitiya on August 24th to get the Testoviron injection.
- Gayan was treated by Dr. Muditha Weerakkody, a consultant endocrinologist, who increased Gayan’s thyroxine dosage from 100 to 150 mg per day. Other medication is continuing as well.
- Gayan has to visit the clinic at Karapitiya after 3 months.
- Gayan is currently working at a tailoring shop as a helper.
SEPTEMBER 2017
- For the month of September, Gayan did not receive any vials of growth hormone (GH). After observing the progress of Gayan’s height, Professor Sujeewa had instructed to stop therapy for him. Gayan visited the clinic at Karapitiya on September 21st to get the Testoviron injection.
- Gayan was treated by Dr. Muditha Weerakkody, a consultant endocrinologist, who increased Gayan’s thyroxine dosage from 100 to 150 mg per day. Other medication is continuing as well.
- Gayan has to visit the clinic at Karapitiya after 3 months.
- Gayan is currently working at a tailoring shop as a helper.
- Gayan, along with the other beneficiaries, visited the clinic in Karapitiya to meet with Professor Sujeewa. His height and weight were recorded, and Professor Sujeewa inquired about Gayan’s new job.
Mrs. Keshani checks Tharindu’s height
Tharindu Hasanga
JULY 2017
- Tharindu’s increased medication had to continue. He has to meet with the medical consultant again in the first week of August.
- Tharindu’s cholesterol level was low, but there was no change in his medication. Senior medical consultant, Dr. Arosha, had instructed Tharindu to do more exercises, such as cycling, to decrease his weight. Tharindu’s weight has decreased by several kilograms. The medical consultant had given Tharindu a diet system, and he must eat what is listed on the chart.
- Professor Sujeewa Amarasinghe, the senior pediatrician at Karapitiya Teaching Hospital in Galle, Sri Lanka, had referred Tharindu to Dr. Arosha.
- Tharindu takes Rosuvastatin (40 mg) and Ezetimibe (10 mg) each night. He also receives a food parcel with more grains and a packet of fat-free milk powder. For his food parcel, we also reduced the quantity of red rice and had added soy protein as instructed by Dr. Arosha.
AUGUST 2017
- Tharindu’s increased medication had to continue. He met with the medical consultant with his new blood profile on August 3rd.
- Tharindu’s cholesterol level was low, but there was no change in his medication. Senior medical consultant, Dr. Arosha, had instructed Tharindu to do more exercises, such as cycling, to decrease his weight. Tharindu’s weight has decreased by several kilograms. The medical consultant had given Tharindu a diet system, and he must eat what is listed on the chart.
- Professor Sujeewa Amarasinghe, the senior pediatrician at Karapitiya Teaching Hospital in Galle, Sri Lanka, had referred Tharindu to Dr. Arosha.
- Tharindu takes Rosuvastatin (40 mg) and Ezetimibe (10 mg) each night.
- Tharindu is 165.5 cm tall and weighs 79.5 kg.
- He also receives a food parcel with more grains and a packet of fat-free milk powder. For his food parcel, we also reduced the quantity of red rice and had added soy protein as instructed by Dr. Arosha.
SEPTEMBER 2017
- Tharindu’s increased medication had to continue. He has to meet with the medical consultant with his new blood profile in January 2018, after 6 months.
- Tharindu’s cholesterol level was low, but there was no change in his medication. Senior medical consultant, Dr. Arosha, had instructed Tharindu to do more exercises, such as cycling, to decrease his weight. Tharindu’s weight has decreased by several kilograms. The medical consultant had given Tharindu a diet system, and he must eat what is listed on the chart.
- Professor Sujeewa Amarasinghe, the senior pediatrician at Karapitiya Teaching Hospital in Galle, Sri Lanka, had referred Tharindu to Dr. Arosha.
- Tharindu takes Rosuvastatin (40 mg) and Ezetimibe (10 mg) each night.
- Tharindu is 165.5 cm tall and weighs 79.5 kg.
- He also receives a food parcel with more grains and a packet of fat-free milk powder. For his food parcel, we also reduced the quantity of red rice and had added soy protein as instructed by Dr. Arosha.
- Tharindu, along with the other beneficiaries, visited the clinic in Karapitiya to meet with Professor Sujeewa. His height and weight were recorded, and he was instructed to drink a glass of water before every meal.
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