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Monthly Archive for December, 2011

Posted by Duncan Maru A five-year-old boy presented with five days of dark-colored urine, swelling around his eyelids, and a recent rash over his left lower leg that itself had started over three weeks ago.  He lived relatively closer than many patients, a one and a half hour walk from Bayalpata.  He was brought in [...]

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 Posted by Duncan Maru Our patients often walk or are carried several hours to receive care, and in evaluating such patients, our providers often order an x-ray.  Our providers are highly skilled in x-ray diagnosis, but, unlike most doctors in the United States and other resource-rich areas, they do not have the benefit of having [...]

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Dear members of the Nyaya Health family, I am writing you today to tell you why we must forever change the way infectious diseases are diagnosed and treated in Far-Western Nepal through a new partnership with One Day’s Wages. That “why” for me was found in Maya, a patient at Bayalpata Hospital last October. Maya was like many [...]

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Posted by Jesse Brady   ————-  Jesse Brady is the Blog Editor of Nyaya Health and is currently pursuing her MS in International Medicine at Montana State University. Tweet This Post

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Posted by Duncan Maru A baby boy died at 36 hours of life.  I had first heard about him back at the staff quarters at around midnight, when a seven month pregnant woman had just given birth in the bathroom.   He was small, 1.5 kg.  His heart rate was very slow, and we started bag-mask [...]

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Posted by Duncan Maru There is a new HIV diagnosis in the outpatient department for a man whose wife is dead, an infant in respiratory distress in the emergency department, an inpatient unit whose patients seem to be bathing in flies.  Another child in the emergency department fell on her elbow from a few feet [...]

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Posted by Duncan Maru “We’re just going for a walk down the hill.”  As he passed by me, I saw a sense of pride and almost playfulness in the father’s eyes.  He seemed to relish going for a walk with his daughter on a beautiful spring day in Achham.  I had met his daughter, sixteen [...]

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 Posted by Duncan Maru We had engaging x-ray rounds today at Bayalpata Hospital.  On rounds the day before, we had been frustrated by the inefficiency and low quality of reading x-rays at the patient’s bedside without a viewbox.  Viewing x-rays at the bedside also did not afford us an opportunity to give meaningful feedback to [...]

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Posted by Jesse Brady   ————-  Jesse Brady is the Blog Editor of Nyaya Health and is currently pursuing her MS in International Medicine at Montana State University. Tweet This Post

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Posted by Duncan Maru This week, a 70-year-old woman with emphysema and heart failure was admitted to Bayalpata Hospital with shortness of breath and limited ability to walk, likely related to heart failure.  She had murmurs indicative of aortic and tricuspid valve insufficiency.  Based on an echocardiogram (ultrasound) performed by our Health Assistant Uday Kshatriya [...]

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Posted by Duncan Maru As I wrote in a recent tumblr post, it was wonderful to walk again through the halls of Bayalpata and to witness its continued transformation into a dignified hospital.  Over the course of ten months since my last trip, nearly every part of the hospital has been better organized and cleaned, [...]

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Posted by Duncan Maru In September of 2011, Bayalpata Hospital in rural Achham, Nepal almost collapsed under the weight of its own staff discontent.  The hospital, a government facility, had been largely abandoned until 2009 when our organization Nyaya Health endeavored to open it in partnership with local and national authorities.   Since then the hospital [...]

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Posted by Jesse Brady   ————-   Jesse Brady is the Blog Editor of Nyaya Health and is currently pursuing her MS in International Medicine at Montana State University. Tweet This Post

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Posted by Duncan Maru She arrived walking, her sandals dusty.  Her small heart, failing her, literally bounding out of her chest, somehow carried her three hours from her village and up the mountain to our small hospital in remote Achham, Nepal.  I first saw her after being called by Chanakya Timilsina, our Health Assistant, who [...]

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Living and Thriving

Posted by Tess Panizales Within the bosom of Nepal’s southwestern mountains, lies another life, challenged by its topography. A culture of its own, surviving, and living life the way it has existed and cherished, the way it has evolved and learned.   Trodding through the rugged path, coddling the sick over one’s arms, or a [...]

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