07 April 2009
The Tang of Langtang
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. ;)
04 January 2009
The Didi Dramas
17 November 2008
Rockclimbing, Puri Sabji, Banana Splits and the Bookclub
Friday night was Katherine and I relaxing at home watching DVD's. The problem with a plan like this, as I will illustrate when I get around to doing a "characters" post on Katherine, is her inexplicable ability to fall asleep the moment any part of her body reaches a parallel angle to the ground. 10 minutes into the movie she was a goner.
Early up on Saturday to join Flo and Mike and head towards Nagarjun forest, where Flo had been a number of times before on the advice of someone that told someone to tell his fiancee that it was a good place to go rockclimbing. The place is so out of the way that that's a rather normal way for you to hear about it. It was the party of people from countries beginning and ending with 'A', with representatives from Oz, the US and the land of the Sound of Music.
They were amazing climbers and I was a total novice, I don't think I held them back too much though, and we all enjoyed ourselves immensely. I'm still sore. We did get the chance to meet Freddie Wilkinson. Sound like someone important? No? Well, I'll have you know that he's a pretty famous climber. Yeah, I didn't know either, Mike was impressed though (he did well to hide his awe, except for that moment where he went "DUDE! That's Freddie Wilkinson!").
Leaving the forest I spotted one gigantic monkey. This big guys testicles were off the scale (if there even is a scale for such things). He was easily scared though, as two baby monkeys invaded his territory and moved on. Those things are so agile they scare me, youj never know if they are gonna go for your eyes or not. He didn't get away before we could knock off a few impressions:


Rockclimbing was followed by a rather intense nap, that left me wondering whether I was actually awake or just severely drugged. You know, when you sleep for a little bit too long in the afternoon?
I went to meet up with Flo, Mike and Mike's roommate Mana. Mike and Mana are Dartmouth students her working on Engineering Internships with a Nepali NGO. They do pretty cool stuff like pull apart batteries and attempt to reverse engineer Nokia stuff, and in their spare time they build bridges. They both have blogs going (checkout my links to the right to see what they have been doing [and their versions of the stories I have been telling], they're not all lies).
We had dinner at a place that Mike has been raving about for weeks. Puri Sabji was the order of the day for 30 rupes (about 50c). Potato curry that you shove into a thin puffy little bread thing. It was fabulous! And you get about 5 of them! I will be going back for more.
We followed this up with drinks and banana split sundaes back at Mana & Mike's house. There we were joined by Avi, Gemma and Annette(from Norway) and Katherine (who again pulled off her imitation of a tall blonde American with a sleeping disorder. They couldn't get us out of their house until about 1am. Just for future reference, after the first glass, Nepali whiskey isn't all that bad.

Monday night saw the inaugural meeting of the AYAD book club, with appearances from special guests Liz and Sanjana (whom I accidentally called Sandika - for no apparent reason other than a completeinability to remember Nepali names). Liz is an American I was introduced to by Lena and Sanjana works with Gemma, Annette, Katherine, Danielle, Sascha and Kat at Save the Children ("SAVE THEM! SAVE THEM!" - actually, with that many people to look after them, I hope they'll be ok).
We have been reading a book called the White Tiger by Aravind Adiga. I think its an absolutely fantastic bok that I got right into (I still haven't finished yet, as it proved mighty hard to find, and the Tihar festival got in the way of deliveriess, "come back tomorrow sir....not today sir, maybe tonight....no sir, please come tomorrow"). My enthusiasm was met by equal enthusiasm in the opposite direction with the others finding no sympathy for the protagonist, an Indian servant turned murderer . I don't have any sympathy for him, but I did appreciate his cynicism and wit. Check it out, it won the 2008 Man Booker Prize.
10 November 2008
The Good Bits
Nevertheless, let's stop wasting time:
Raju lifting the phone of the hook, taking his shoes off, putting his feet up on the desk and saying, "Rob, I sleep", and promptly doing so.
- Copping out on my Halloween costume and just going as a "local biker" - this is what I wear to work everyday BTW, (sans 2Pac shirt obviously, that was there to make me more "local", I just couldn't find a Britney Spears shirt to look hardcore)
Rosie after the Halloween party in an effort that just goes to prove that you never can exaggerate the danger of sewage filled manholes.
Trekking awesome-ness
The amazing people that I have met here (I have more than one for every single day). I made a specific list just to see how many I had. Its an amazing list, with entries such as "chow mein guy", "chow mein guy's wife", mohan's family, "grumpy fruit man" but also such amazing names as all the other AYADs and various volunteers I have become friends with, Raj, Gunga, oh yeah! And the "loud female rights activist lady".
The "Australian Big Day Out in Kathmandu" - a bizarre spectacle of 'Australian culture' right here in the Du. Complete with dancing and of course, man-love.
21 September 2008
In This Country
Firstly, on Friday, I was fortunate enough to catch up online with my South African friend Sheena. She did a 20 Q interview with me regarding my experiences so far, my mental state and explaining just why there are so many men around touching each other. You can read the interview here* (of course, I must stipulate at this point that any swearing contained therein was her creative input, and not mine..;))
It was strangely ironic that, in the evening of Friday I went to the Lazimpat Gallery Cafe to watch one of their weekly movies. The movie was called "In My Country", and was about the South African Aparteid and all the trials that took place. Knowing very little about the entire subject (it pains me to admit), I was very moved by this movie. It goes through some of the stories of victims of the racist regime and how they confronted their attackers. Amnesty would be granted to abusers (often white police) as long as they made a full confession, were confronted by their accusers and prove that they were under orders [anyone feel free to clarify my brief version of history]. The purpose of this amnesty was to allow the country to move on through their terrible past and start over.
The reason this was important to me is not just the movie itself (although I found it very informative and emotive), but what happened afterwards. Raj (the very friendly guy that seems to work at LGC 24/7 and now knows us quite well) asked if I had liked it. He said it was a very good movie and very significant to Nepal. I have found it all to easy to miss the fact that Nepal has been engrossed in a messy civil war for the last 12 years. In fact, it was only months before my arrival that the king was kicked out of office, and since my arrival that we had the "election" of the President, Vice-President and Prime Minister.
Raj said he saw the significance of the reconciliation and said that he thought it could easily work here. There were many human rights crimes committed by both the government/police/army and the Maoists as they battled for control of the country. He told of a story of a family in the village where he grew up "very far from 'ere". This is my understanding:
"A man and a woman had gone out to speak to the Maoists about the seizing of their land. The police arrived at their house and found their 7 year old child there. The child, completely unaware of the politics told them that the parents were speaking with the Maoists. The police shot the child and threw the body into the river. They believed that the parents were Maoists, and in that case that the child would grow up to be Maoist."
Raj believes that if there could be a confrontation and a complete and honest admission of guilt, then Nepal will be able to get on with getting on, and fix this country up some. If only things could be so simple.
It was a horrible reminder to me that this country is struggling with some terribly deep running scars, and that they are desperately recent.
*Not available yet
29 August 2008
Toilet Language
Just a quick update to let you know what has been happening, and what is on that abstract to do list.
IMAGINARY THINGS TO DO LIST
- Get some lights for the damn bike - seriously! It's getting dangerous out there! See the next point.
- Find someone official enough and demand they do something about that open manhole on the main street in Lazimpat. Currently a green tree branch is sticking out of it, warning all and sundry not to drive into it. Of course, this is quite an acceptable solution, until such time as the branch dies, and then people won't know what to do.
- Work out how to convince my didi (literally, 'big sister' but actually the lady upstairs that does my washing) that the money I am waving around in my hand is actually for her, for services rendered over the last month. The broad just won't take it!
- Write a paper on the optimal intraocular lens power for North Korean cataract patients based on a minuscule dataset that may or may not be complete and accurate.
- work out how to work out what the optimal IOL power for North Korean cataract patients should be.
- Work out how to convince colleagues that I don't know actually know how to work it out. There must be some research, formula or method for deciding these things. Not some Australian guy with no experience pulling numbers from tea leaves (while apparently a widely accepted fortune telling technique, I'm not sure the scientific community is likely to accept it) - however i could document it in the Methodology section.
- Find a colleague that doesn't nod and smile as I ask the above questions. I want some head shaking, frowning and even some yelling just so i know I'm getting somewhere, even if it's wrong.
- Determine how to jump the locked fence after 9pm without waking up the entire compound.
- Sound proof my bedroom from the morning sounds of neighbour's sex, dishwashing at the communal well, taxi music, taxi drivers, taxi exhaust and taxi maintenance sounds (apparently I live above some kind of taxi gang hideout).
THINGS THAT HAVE BEEN DONE LIST
- Established the phonetic difference between four and six (being 'char' and 'chha'). To the point where I was actually able to request half a dozen bananas. Seriously, what the hell do I want with 4 bananas anyway?
- Followed a conversation with a local shop keeper.
"namaste, tapaailaai kasto chha?" - "I greet the gods within you, to you how is it?"
"namaste sir, Thik chha" - "i greet the gods within you sir, OK is"
"chhawataa keraa dinus" - "six bananas give please"
"oho! countrymaa aaun-something something" - i interpreted as "hey! what country have you come from?"
"ma Australiamaa aaue: bhayo" - "I Australia at, came"
"ma Australia something something something something something suhuji" - i interpreted as "I want to open a shop in Australia"
"raamro chha" - "good is"
"paache-teis rupiyaa: dinus" - "25 rupees give please"
"la" - "there ya go"
"pheri aaun:aulaa" - "again come!"
Of course, at one point in there we broke into English to discuss the potential of his business and expected salary in Australia, which I craftily avoided, but I was pretty happy with my efforts. - Sunil came back from India about 2 weeks ago, and came to check in. Technically he wasn't "in" India, or anywhere near it in fact, but was working on an infrastructure project somewhere translating for the Japanese. So, not India then. Apparently Danesh (Denis, I have now worked out his actual name) couldn't work out how to use the key in my lock after I showed him), it is tricky - I'll give him that. Sunil "fixed" the toilet, by buying a new hose and applying duct tape. Always a good solution when times get tough. Aside from some acceptable sprinkling when you flush, the toilet seems to function to a most satisfactory level.
- I determined that Danesh is not the son of, but in fact the husband of my didi "Rita". Who knew?
- Had a lesson from my neighbours son (Bin) on making dhaal baat. It wasn't a lesson so much as him cooking for me using every food item in the fridge and every pot and pan available.
- Worked out that Jingo is called by a different name depending on who speaks to him. Bin dislikes him so much that he just calls him dog (cucuur). Bin's mum calls him something else and his brother Prim (they like to keep it simple for me) calls him something else again. SO I'm gonna stick with Jingo.
- Wrote a program in VB with Raju, technically its not part of either of our job descriptions, but it is "capacity building" so I'm not feeling too bad about it. It adds 7 days to a date of your choice. Sure, it hasn't got the most practical of applications, but it worked, which is a big improvement on my stuff from uni.
- Felt like I have lost a significant amount of weight. Not so much because I feel thinner, but because my favourite shirts have doubled in size due the Rita's "technique". What used to be a chest hugging arm-strangling polo now reaches to my knees and would probably function better as a nightie or some kind of short towel.
03 July 2008
"Training"
For me, I learnt a great deal more from the networking than I did from the training. I'm sure that there's parts of training that will come in handy to me down the track, but as it is with these things I'm sure I won't recognise the moment until well after it happens. Like the moment after you just stepped in dog poo with bare feet you remember firstly, that you don't like stepping in poo, and secondly that usually you would wear shoes to prevent the gross "oozing" effect it has as it slides uncomfortably through your incy toes.
No for me it was the networking, I met tens (I'd say hundreds, but there was only 100 of us) of people all with amazing back stories, future assignments and objectives. They're all doing this for different reasons and expect different things from it. I can barely remember all their faces now, let alone their names (praise the lord for stalk book an its wonderous ability to join faces to names) [except when those rude people put more than one person in their ruddy profile photo! Now is not the time for sharing the limelight!].
It came as a shock to me (and it shouldn't have) that so many people have either worked in or studied or wanted to get into the Development industry. Don't get me wrong. I've known all sorts of people that have studied international development and I have heard about development in the news all the time. I didn't actually realise, however that THIS is was it actually means!!!!! [apologies my dear friends...please stop gaping like codfishes]
That shock however was not quite as big as when I realised that most people (those that I met at any rate) were all very forward, strongly opinionated and dominating. I know that not everyone falls into that personality category obviously. However it does seem that there is a common characteristic among the people that are throwing their lot into this adventurous challenge.
I walked away feeling I had known these guys for so long. Like we had been at uni together or re-building a grass hut. No, we'd just been through lectures on Buddhism and condom wearing together, but I have a feeling that we have many adventures yet ahead.












