26 February 2009
The Question
Load shedding fun fact #2: They don't seem to need a schedule anymore, they just give it to you when it suits them, which was not for 36 hours the other day.
23 February 2009
Distant Closeness
21 February 2009
AlooRob! [dat da da daaaa]
13 February 2009
OMG @ the OMEC
The first time I saw surgery I was almost physically ill. The skin peeled back, a chisel pulled out and some bone chipped away. I’ve seen videos of cataract and other eye surgeries being performed as part of my assignment that I would liken to a game of billiards. But in Banepa, a small trading town on the road to Tibet, in a makeshift operating theatre inside a school classroom, Dr Ruit made cataract surgery look like an art form – 67 times.
Last weekend, I departed at 7am Saturday morning for my very first surgical camp (Outreach Microsurgical Eye Camp). We didn't actually travel far for this one. At an OMEC there are a lot of activities, all of which I sort of helped out with, sort of interfered with, all the while trying to keep my jaw from dragging along the ground. I could go on for hours about all the different parts of it. Most of that I am going to save for an article I am writing for our magazine, but I'll give you the main ingredients:
Departure and unloading - leaving Tilganga at 7 sharp we travelled the relatively short distance (as far as OMECs go) to the town of Banepa (somewhere Mike and I passed through on our Tibetan adventure), we unloaded all the makings for an anaesthetic room and an operating theatre and ate breakfast...mmmmmmm curried soybeans and oily deep fried bread! Sorry, I accidentally deleted the photos!
Screening camp - much like the trip I have already written about, I travelled on with a few of the boys to Dolalghat,
a nice little getaway another 40-50km or so on from Banepa. Many Kathmandu families go here for picnics and the area is famous for its fresh water fish (yuck). Here we screened more than 300 patients, 22 of whom needed cataract surgery.
I was in the counselling room "explaining" about their surgery and what was going to happen. In all honesty, I was writing down their details, while Ripon's brother (with no training qualifications or understanding of what, in fact, a cataract is) told the patients that we would be taking them to Banepa to "clean" their eyes.
[one of my favourite photos]
Apparently, mentioning the word surgery causes a kind of mass exodus that doesn't look good on our statistics.
Or to our donors.
I took a photo of one lady before stupidly trying to show it to her. She politely pointed out that she was effectively blind, and couldn't see the photo I was showing her.
I am constantly amazed at the ability of 80 and 90 year old Nepalis to wait patiently in this position for hours.
We returned on Saturday evening to finish preparing the "operating room", which was actually a classroom, and do final tests on the 22 cataract patients we identified and the other 30 or 40 the other screening camp group found.
Surgery Day 1 - Sunday was the start of surgery. From 8am Suha-daai started anaesthetising patients. Dr Ruit and two American doctors, Matt and Paul showed up and got straight into it!
One of the most amazing stories was an elderly mute man with bilateral "hand motion" visual acuity. Meaning, he could effectively only see you waving a hand in his face and not much more. Constantly frustrated in waiting around for he knew not what he often yelled out angrily, banging his stick on the ground.
[waiting for anaesthetic for surgery 1]
The surgeons got through about 60 patients on the day and we didn't get back for dinner until about 8pm.
[surgery 1]
I popped over to the hall where the patients were staying. That was it, a hall. With blankets and pillows.
[post surgery 1, not a happy camper]
Food, Cards and Good Company - As last time I found the field trip to be a great friend building experience. People I had previously only seen around the hospital were now joking around and making fun of my lack of Nepali. The girls would say stuff to me and then giggle hysterically. Pemba-daai gave me a new nickname. "Aloo Rob". Apparently "rob" also means "plant" in Nepali, I asked "what? like a potato (aloo)?" This caused a huge burst of laughter from the girls and solidified my new name. Pemba still thinks its funny a week later.
Surgery Day 2 - The second day of surgery, all the bilaterally blind patients (first eye operated on the day before) went back for their other eye to be done, following a post-op inspection. The eye-patch put on following surgery the day before is lifted and the ophthalmic assistants check the position of their new lens. It was a very special moment when my special guy's patch was lifted. His son stood at the top of the stairs and held up two fingers. He held up two in response and yelled excited nothings. I don’t know that there are many points in life where you feel the way I did in that single moment. I could not help but giggle as a wave of welcome happiness rushed through my entire body.
[post-op from surgery 1, yelling and pointing at his son]
Surgeries continued as did the screening downstairs. The patients had to wait calmly as each of them had their turn 'inside the room'.
Last Day - It was the last day, we had to finish up our post-ops, pack up and get back to Kathmandu. The patients needed instructions for any problems they might experience and we checked their visual acuity so we can analyse the camp for its level of success later.
[post-op surgery 2, laughing while everyone pointed at me and said "white man"]
The camp was such an amazing experience. I'll have to do another post to tell more of the special stories.
[the man in the beanie was a gorgeous gentleman that always gave me the thumbs up when he caught my eye, he was so happy to be able to see again {massive understatement}]
I was quite amazed to see people the DAY AFTER SURGERY with unaided visual acuity better than mine! Lucky buggers.
[one cool cat]
In total, we did 110 eyes and screened more than 700 patients. Less than 4 days work. That still amazes me. I'll put some links up soon for those of you that want to be able to contribute to this amazing phenomenon. For as little as $25 you can give one of these people their sight back. ;)
05 February 2009
Charpi and Disappearance
04 February 2009
Gutful, an Absolute Gutful
02 February 2009
Bats, 'Rents and a Busy Week!
incredibly busy week, not only having Mum and Dad here, but preparing for
their arrival.
Firstly my house needed to be cleaned. Like really cleaned. Fortunately my
efforts did not go unnoticed. UNfortunately, my mother was shocked and
appaled that I had survived 6 months without a grater, 4 weeks without a
peeler and had no plates on which to serve meals. "I mean, how do you cook
things without a grater?" It seemed as if I had a grater it could have done
all the work for me, so long as a peeler and serving plates were also nearby
to take up their portion of the workload.
It didn't occur to me to say it at the time, but I think that I came to a
conclusion long ago that using a grater only forces you to have to wash it
later. A similar conclusion is obvious for the peeler but also stands for
serving plates. Washing up is already a tireless and strenuous activity
without having to throw in the complicated step of working out how exactly
to get a grater clean without cutting yourself or leaving chunks of sponge
embedded in the grater to be enjoyed next time it comes out. The peeler is
similar in that I can never get bits out of the little corners, tires me out
just thinking of it.
As I live alone, I see no problem with eating directly from a steaming hot
saucepan except for the obvious dangers of skin or tongue vs burning hot
metal (I do like to lick the bowl when finished to ensure I get all my
nutrients). I therefore have no need for fancying up a meal by putting it
on a seperate plate simply for the purpose of serving it to myself (and
therefore creating more washing up).
On top of that, I can buy samosa's for 8 rupees, momo's for 20, puri sabji
for 30 or a beautiful green salad with amazing dressing for 60. You have to
really enjoy cooking to give up on action like that!
I took Mum and Dad to Pokhara for a nice relaxing weekend in the middle of
the week. The trip there is not that relaxing, rather an incredibly
uncomfortable 7 hour bus ride with inexplicable stops. Dad quite rightly
pointed out that there were a few potholes on the other side of the road he
thinks the driver missed, and suggested we might go back to pick them up.
We went wandering through a bat cave, briefly contemplating not paying to
hire a torch for some reason thinking that perhaps there might be light
inside a bat cave [damn you Bat Man]. Luckily common sense won out and we
shelled out 30 rupes for a torch. Inside, there are thousands and thousands
of bats along with a rather treacherous route around and through rocks and
stalagmites. My 61 year old mother tried to squeeze through the gap to the
outside world at the end of the cave and quite nearly got stuck rather than
admit it would be both more comfortable and less muddy to go back the way we
came. The 15 or so male 20 somethings egging her on and pushing here and
there and giving advice did absolutely nothing to discourage her.
I was really keen to go to the World Peace Pagoda (a buddhist stupa) at the
top of a hill overlooking the lake that Pokhara has grown up near.
Unfortunately, we thought we had chosen the 10 minute route. In fact it was
a 75 minute route almost straight up. I was worried I would give one of
them a heart attack. We did eventually make it to the top for one of the
best views I have yet enjoyed in Nepal. It would have been better were we
able to see the Himalayas, but the view of the lake made up for it. It was
truly the first time I have felt at peace for at least a month with all of
the stressors I have been feeling back in the Du.
Their departure yesterday left me with a whelming (neither over or under,
just a smack bang) feeling of isolation and loneliness and I went about my
business alone on Sunday afternoon. I am more than 6 months through this
assignment however, and my next big thing to look forward to is the arrival
of the new AYADs in Feb and then the arrival of my 'wife' and friends in
March! YIPPEE Everest here we come!