Sri Lanka: Long Term Medical Support and Growth Hormone Treatment for Children

Madumekala Ubeywarna

Age 22

January-March 2016

• Madumekala is a 22-year-old young woman. She came to the meetings with her mother. She received 5 vials of growth hormone (GH) for the months of January, February, and March.
• Madumekala is continuing sex hormone medication: Climen, 1 tablet daily. Her bone age is 11 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 treatment.
• As Professor Sujeewa instructed, Madumekala’s growth hormone therapy was increased again from 12 clicks to 14 clicks from January 14th, 2016. She also needs 5 vials of growth hormone (GH) for each month (increased from 4 vials).

Fazeer Ahamed

January-March 2016

• Fazeer did not attend the monthly meetings in January, Februrary, or March, and we received no information from him. He did not receive his 4 vials of growth hormone therapy for the months of January, February, or March.
• We did not purchase Fazeer’s 4 vials of growth hormone for the months of January, February, or March 2016, and we instructed the medical authority of Ward No.1 not to issue the vials, as Fazeer must meet with us in Tangalle before going to the clinic in Karapitiya.
• Fazeer’s dosage is 10 clicks at night, daily. Since he did not attend the monthly meeting, Fazeer was not provided with a food parcel for the months of January, February, or March.

Madura Madushanka

January-March 2016

• Madura received 4 vials of growth hormone for the months of January, February, and March. He did not check his height during this time period.
• He had attended school and private classes, and completed the Advanced Level Exam. At the moment, he is taking a computer course too.
• His mother is very much concerned with his progress, and the medical authorities at Karapitiya Teaching Hospital are very satisfied with her.

Gayan Madushanka

January-March 2016

• For the month of January, Gayan’s parents received 2 vials of growth hormone (GH) for him, and Gayan visited the clinic at Karapitiya once to check his progress.
• For the months of February and March, 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 once to get the Testoviron injection.
• Gayan had stopped attending school. He is hoping to find a job. Gayan’s mother had returned the auto click machine and the remaining needles.

Tharindu Hasanga

January-March 2016

• Tharindu’s increased medication had to continue. He will need to visit the Karapitiya clinic with his new blood profile in February 2016. No change in his medication.
• 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 increased. The medical consultant gave 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.
  In April, Tharindu will need to visit the clinic with a new blood profile. His weight is 84.3 kg, and his height is 165 cm.
• 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.