Friday, June 19, 2015

Last day in Nepal; long trek home

Today Shankar drove Cynthia and I to the Minister of Health and Population.  He had to go to a meeting, and we told him we would walk home.  In typical and universal ministry style, we sat down 5 minutes before our exit meeting for 9 am.  No one showed for 20 minutes, and the first 3 who did proceeded to sit down at their computers and check their email.  There was some laughing but no one noticed we were there.  Finally a woman came in who knew what she needed and then told us we had to wait until 10 am when the person would arrive who knew how to operate the printer.  Then she changed her mind and gave me a blank form to complete that said "DEMO" at the top.  It continued from there with a few more gliches, finally we filled out what she needed, and we headed for the hotel.










The walk home was our first long walk through the main area of town.  We saw a sea of blue tarps that was a covered market area.  Not sure if they are re-located from permanent but now dilapidated buildings, or if this is always here.  It looked a bit too dark to want to walk down there.


We finally got to the Thamel area and walked around.


Some of the streets looked like they ought to be avoided in the event of a quake.


We wandered through a garden near our hotel.  Zoom into the middle of the photo for a surprise.


Beautiful tree.


Beautiful flowers.


An inset into the sidewalk


Photo of Nepali women at the hotel.


There are 2 wooden feet in the bar for climbers to sign who make it to the top of Mt. Everest.  It is a short and elite list of some of the best climbers in the world who stayed at the hotel.  Notice the last name on the left, our auspicious surgeon.  Before the waiter could stop him, the deed was done, and he is on the list.


Nepali crow, waiting for treats.  He was very friendly!


Statue and flowers at the hotel.


Up close; she is very serious.


Butterfly outside the hotel this morning.


Some sort of bird of prey soaring above.


















Last day of work; goodbyes and dinner out

Last day at work.  Lots of collaboration.  Heard a talk by Tom.


This patient is prone for debridement and flap for a sacral decubitus ulcer.


Shankar, Kiran, resident, and Tom all working together on a burn patient.




Patient with Treacher-Collins.  She has had surgery before, and the scar on the left side of her face contracted severely and has pulled down her left orbit.  She cannot close that eye.  She is only 14 years old.


Dr. Tom evaluating the patient.


Results - her mouth can close, her nose looks better, and she can partially close her left eye.



Evaluation of a patient with a neck contracture.



Connect the dots; drawing on the puzzle pieces.



Dr. Pradeep performing a supraclavicular block.



Dinner out with the crew...


Food as hot as you can stand it ...



And the rest of the crew.  Will miss everyone!




Wednesday, June 17, 2015

Lectures, cases, and exploring Kathmandu

More photos than news...

Beautiful carvings everywhere; this one colored.



Photos are out of order and I am at work, so am not going to fix this.  Yesterday afternoon we walked up to the monastary and the nuns showed us around.  They had a beautifully trimmed and tended cactus garden.

Every day the big blue sky has been filled with threatening clouds, but only some sprinkles at night so far.


The monastary - you can see the damaged stucco on the walls.  These doors would not open so the sanctuary was off limits.  But they reconsidered and took us in the back door.  I did not want to photograph inside; it felt somehow disrespectful.  But there were may cracks and exposed bricks inside; tragic.


Cactus seen as we were leaving the monastary; filled with cobwebs.  Oddly beautiful.

 
Dogs everywhere - and a puppy!


Family outside of Bir Hospital, this kid really wanted his photo taken, and when I showed it to him, he rang out with peals of laughter.  One of those delightful moments that come so frequently here.


We walked to dinner and passed this beautiful old tree with painted box.


Back to the monastary - this is the nuns' dog!  Looks very pampered.


From the monastary - view of Kathmandu from above.


Dogs in the walkway on our way back to the hospital from the monastary.


On the road to the monastary, we passed a young child playing in an old dilapidated bulldozer,


Another view from the monastary.


Prayer flags everywhere.


More flags.



Nuns catch a ride home to the monastary from the hospital with the ambulance drivers (remember in Nepal driver is on the right side).


Tom consulting patient with Kiran.


Pramila at work.


Pramila with team.


More teamwork.


Child sleeping post-op; beautiful face.


Everyone having lunch.


Another case; Tom, Bishal, and Pramila.


Tom caught me in the act!


Team at work; rhinoplasty


Child burn debridement.


Underside.


Cow crossing guard.


Don't hurt the cow - prison time!


Plastic waste everywhere.


Nurses at Bir Hospital.


Progress taking down the old army hospital next to Bir Hospital.