Sri Lanka: Long Term Medical Support and Growth Hormone Treatment for Children
Patient Updates for 4 Children: Q2 2017
August 10, 2017
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Minerva and Madumekala
Madumekala Ubeywarna
APRIL 2017
- Madumekala is a 23-year-old young woman. She did not come to the meeting because she was very ill with the flu, so her mother came alone. She received 5 vials of growth hormone (GH) for the month of April, 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/=.
- Madumekala’s 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 observation as the medical consultants believe she should stop the growth hormone therapy.
- As Professor Sujeewa instructed, Madumekala’s growth hormone therapy was increased again from 14 clicks to 16 clicks from January 14th, 2016. She needs 5 vials of growth hormone (GH) for each month. After completing one year, her height is improving now.
- Dr. Nayananjani Karunasena, an endocrinologist, revealed that Madumekala’s last convulsion attack was on May 21, 2013.
- Madumekala is given 75 mg thyroxine in the morning.
- Madumekala is given 5 mg hydrocortisone in the morning and 2.5 mg hydrocortisone at night.
- Madumekala is given 100 mg sodium valproate in the morning and 200 mg sodium valproate at night.
- The Climen tablet given to Madumekala was changed to an estrogen tablet.
- 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.
MAY 2017
- Madumekala is a 23-year-old young woman. She came to the meeting with her mother. She received 5 vials of growth hormone (GH) for the month of May, 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’s 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 observation as the medical consultants believe she should stop the growth hormone therapy.
- As Professor Sujeewa instructed, Madumekala’s growth hormone therapy was increased again from 14 clicks to 16 clicks from January 14th, 2016. She needs 5 vials of growth hormone (GH) for each month. After completing one year, her height is improving now.
- Dr. Nayananjani Karunasena, an endocrinologist, revealed that Madumekala’s last convulsion attack was on May 21, 2013.
- 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.
JUNE 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 June, 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’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.
- As Professor Sujeewa instructed, Madumekala’s growth hormone therapy was increased again from 14 clicks to 16 clicks from January 14th, 2016. She was given 5 vials of growth hormone (GH) for each month. Her height has improved. The growth hormone therapy was stopped, and the relevant documents were forwarded.
- 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.
Madura’s mother receives the travel fee
Madura Madushanka
APRIL 2017
- Madura received 2 vials of growth hormone (GH) for the month of April.
- 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.
MAY 2017
- Madura received 2 vials of growth hormone (GH) for the month of May.
- 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.
JUNE 2017
- Madura received 4 vials of growth hormone (GH) for the month of June.
- 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.
Gayan signs the paperwork
Gayan Madushanka
APRIL 2017
- For the month of April, 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 now working as a helper.
- Gayan visited the clinic at Karapitiya for his Testoviron injection on April 4th. He has had no complaints and no problems with the stunt.
MAY 2017
- For the month of May, 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 May 25th 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.
JUNE 2017
- For the month of June, 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 June 22nd 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.
Tharindu with his food parcel
Tharindu Hasanga
APRIL 2017
- Tharindu’s increased medication had to continue. He has to meet with the medical consultant again in the second week of May.
- 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.
MAY 2017
- Tharindu’s increased medication had to continue. He has to meet with the medical consultant again in July.
- 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.
JUNE 2017
- Tharindu’s increased medication had to continue. He has to meet with the medical consultant again in the first week of July.
- 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.
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