DR. BIREN KAGALWALA’S OFFICE SIGN

This sign is located at the entrance of his clinic.

CHILD GETTING LACERATION TREATED

This is a young child who suffered from a superficial injury to the skin. The patient has been examined and is now getting a dressing which contains Calendula (Marigold Paste). Dr. Kagalwala stated that Calendula has antibiotic effects and helps the healing process of wounds. Dr. Kagalwala also prescribed the patient medication that he prepared for her to take 3 times daily. The patient was charged 30 rupees.

DR. KAGALWALA IN HIS TREATMENT ROOM

This is Dr. Kagalwala preparing the dressing.

DR. KAGALWALA PREPARING HOMEOPATHIC MEDICATION

This is the homeopathic medication that the child is to take 3 times daily. Dr. Kagalwala is putting homeopathic doses of Calendula on dehydrated milk tablets. Homeopathic medications are important in type of medication and the dilution of the medication. It is considered a more potent medication if it is more dilute.

WAITING ROOM

This is the waiting room of the clinic. As you can see, the first child that has been treated and is sitting with her dressing on her head. A boy has just come in with a deep laceration to his foot while playing cricket in the street without any shoes.

BOY WITH DEEP LACERATION

This child was playing cricket outside with his friends without any shoes. This is a deep laceration and will be treated slightly different than the previous child.

LEDUM PAL

The boy’s wound was cleaned and dressed the same as the girl. Instead of Calendula tablets, this boy will receive tables of Ledum-Pal. Ledum-Pal is said to have anti-tetnus properties and is prescribed to this patient.

LOOKING IN

This is a view of the consultation area from the waiting room. The waiting area is separated from the consultation area by the square windows. Dr. Kagalwala calls the next patient up through the open window.

PHARMACY

This is Dr. Kagalwala’s pharmacy from which he makes his preparations for patients.

PATIENT WITH SUPRAPUBIC PAIN

This patient is being evaluated for suprapubic pain. Dr. Kagalwala takes a detailed history, checks vital signs, and palpates the abdomen. Dr. Kagalwala suspects from the history the patient has a UTI and writes a script for the patient to get a urine analysis at the pathology clinic. The patient is to return for medication if it is positive.

DR. KAGALWALA’S DESK

This is Dr. Kagalwala’s desk with instruments and textbooks that he uses on a daily basis.

OFFICE HOURS

This is a sign showing office hours.

OUTSIDE IN

This is looking at Dr. Kagalwala’s clinic from the main entrance.

NO HIPPA

This pediatric patient is being evaluated while the next patient to be seen is resting on the divider.

AN ACUTE PATIENT

Dr. Kagalwala is examining a patient that stumbles into the clinic with the assistance of two friends. The patient is somewhat responsive and complains of LUQ pain which is reproduced on examination by the doctor. Dr. Kagalwala writes a script for the patient to have an ultrasound of the abdomen. After the patient leaves, Dr. Kagalwala tells me that he believes that this patient was most likely suffering from hysteria, common among very low socioeconomic status patients. These patients tend to act out more in Indian culture to get help since they are frequently ignored by society.

PATIENT DIAGNOSED WITH HYSTERIA

As you can see, the patient is very malnourished and in pain during examination.

PATIENT LEAVING CLINIC UNDER ASSISTANCE

Although this picture is blurry, I think that the patient is feeling and seeing like this picture. She cannot walk under her own power and is being assisted by her friends. She looks very ill.

ANOTHER GIRL WITH A LACERATION

This little girls is being treated for a superficial laceration. She is also given tablets.

TREATMENT ROOM

This is a picture of the treatment room with the doctor’s supplies. It is very small.