CCNEPal itinerary for #Nepal critical care teaching summer 2018, places and dates


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At Bir Hospital school of nursing, the B Sc program is for nurses who completed PCL then have worked for two years. The focus of education there is to improve medical-surgical nursing and they are keenly interested in critical care. I was there last year and the students were excellent. The “five assistants” are shown, wearing the distinctive uniform sari of Bir.

We arrive May 17th (Joe) and 19th (Valerie) and run around like crazy getting supplies and things organized for a couple of days. Wish us luck!

The schedule is falling into place

May 20th,21st and 22nd – Bir Hospital B Sc students. These nurses have completed their PCL nursing and are going for the B.SC. degree. Bir is government-run. It is the main teaching hospital for NAMS, the National Academy of Medical Sciences, and serves as a free-of-charge resource for people from all over Nepal. Located right on the edge of Old Kathmandu. This is a return engagement for us.

May 23rd, 23th and 25th Bir Hospital Trauma Center staff nurses.

May 26th holiday and recuperation

May 27th, 28th and 29th – National Burn Center staff nurses, Kirtipur

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The “HDU” at Kirtipur is the most active critical car unit for burn victims in Nepal. This will be our second trip to teach there.

May 30th and 31st National Burn Center Kirtipur, interns and Medical Officers (2-day)

June 1st and 2nd holiday for two days – r & r

June 3rd, 4th & 5th – Meditici 3-day #1 session. This is a new facility just outside the Ring Road in Lalitpur.

June 6th, 7th and 8th – Mediciti 3-day,  #2 session.

June 9th – travel day. From Kathmandu to Janakpur. This begins the Road Trip through Terai.  Most likely we will fly there. My first trip in 2016 was memorable and epic.

June 10th,11th and 12th, then 13th, 14th and 15th. – two 3-day sessions at Janakpur. This is also a return visit. In 2016 we worked to develop ICU staff there. I am pleased to report they are offering a full range of critical care services, such as thrombolysis. We expect to focus on schools of nursing there, and we have yet to determine whether we stay an additional week. It depends on the demand for training and also whether we will add a PALS course, etc.  specific breakdown TBD ( combination of 2-day and 3-day sessions)

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I asked to take a photo and the shopkeeper got a new vat of yogurt out of the fridge. the yogurt here is every bit as good as the fabled yogurt of Bhaktapur!

Travel day June 23rd. long distance bus from Janakpur to Chitwan.

June 24, 25 & 26th – College of Medical Sciences (COMS), Bharatpur.  Nursing 3rd years. Also known as “Purano.” This first session will be for nursing students. COMS is a location I visit since 2011. Because it is a major teaching facility, people i train here disperse throughout the Terai region.

June 27th, 28th and 29th – College of Medical Sciences (COMS) a second batch of nursing students.

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The College of Medical Sciences Teaching Hospital in Bharatpur operates one of the busiest Emergency Rooms in Nepal. They first hosted me in 2011.

July 1st,2nd, 3rd COMS – a batch of staff nurses.

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CMS Nursing College in Bharatpur enrolled their thirdyears in the CCNEPal 3-day class. They were really good.

July 4th, 5th, July 8th & 9th, July 10th & 11th – three 2-day sessions for Medical Officers and interns at COMS. 

July 12th, 13th and 14th – Maybe time to go to Chitwan National Park so Valerie can ride an elephant and feed a tiger. My personal favorite in that location is the river trip in a dugout canoe to observe wildlife, mainly birds.

July 15th, 16th, 17th Narayani Samaiyudak, Bharatpur.

July 18th,19th 20th open, any session needs to be in Bharatpur.

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(my photo) Rush hour in Sauraha, next to Chitwan National Park. This is what the tourists see. Most cities do not actually have these.

July 22nd, 23rd, 24th possible Danghadi. tentative, CCNEPal has never been further west than BTWL, it’s about time don’t you think?

July 25th, 26th, 27th possible Dangadhi at Zonal Hospital.

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The “standar5d class size” is thirty. Five are asked to be “assistants” ans then five groups of five each. So, we need five sets of the flash cards! They are colorcoded. Each assistant gets a laminated list of the possible scenarios we will eventually be doing……. this system is impervious to loadshedding.

Subsequent dates and locations tentative, will be announced as they are booked.

July 28th, travel day. We will disappear from one location and re-appear as if by magic, hundreds of miles away. Here is a short video that explains how this is done:

July 29th, 30th, 31st – one last session in Kathmandu. Historically, CCNEPal has always offered a few first-come-first-served sessions in Kathmandu, and we have been reminded that this year’s schedule has not allowed room for such trainings.

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Pediatric Life Support course: we have yet to schedule these sessions, stay tuned.

one of our youngest patients

Nepal is a low income country and the profile of illnesses are not quite what you would see in USA. Read my first book, The Hospital at the End of the World, to learn more.

Return to Kathmandu the week of July 29th.

Fly out back to USA August 2nd.

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Teaching #criticalcare skills to nurses and doctors in #Nepal, getting ready for summer 2018


Summer break. School in USA goes for one more week. Then in two weeks, CCNEPal gets on the plane for Nepal again, teaching critical care skills for summer 2018.
What does CCNEPal do, exactly?
This has been answered on the blog you are reading, right now. Since 2011 I wrote more than 262 entries here. We do a 3-day course for nurses and 2-day course for MBBS docs.  I write less when I am in USA and more when I am in Nepal. I have taught 110 sessions of this since 2011, awarding 3,200 certificates. I  can easily supply a list of references from Nepali hospital administrators, doctors and matrons who have hosted me.  There is also a FaceBook page that supplies plenty of photographic proof as to where I have been and what I have done.
You can also check out my YouTube channel, here is an old video that shows my teaching it’s 24 minutes but still a good representation of the spirit. https://youtu.be/FZjqfOdWRb8
here is a shorter video that shows the class members practicing megacode. it has a narrative that shows how we divide into groups that get the entire class involved: https://youtu.be/HCQmdtmmKVo
I do teach how to defibrillate: https://youtu.be/pp39rHm2fJI
In ten words or less, I teach a highly modified version of a ACLS class over the course of three days. We start with CPR but quickly go to team dynamics, how to conduct yoursel fduring an emergency, ecg, defibrillation, and the ACLS protocols. On the final day we also address issues of situational awareness to employ to prevent and mitigate “thrashing” when tension is high.
to read about what I need for a classroom, go here: https://wp.me/p1pDBL-1mk
here is the outline for the 2-day course we teach MBBS docs : https://wp.me/p1pDBL-to
we are highly scenario-based, and here is a list of the scenarios: https://wp.me/p1pDBL-tZ
here is a blog entry that describes how we teach situational awareness using role play: https://wp.me/p1pDBL-Bb  
New Team Member
This year I am pleased to announce that Ms. Valerie Aikman, RN, BSN will be joining me. Ms Aikman has a background in critical care management. She will add some unique skills to the project. In USA she works for a company that consults with hospitals regarding critical care, and she works as an “interim manager.” Typically, she goes to any given location for two or three months at  time and runs the ICU when the hospital is looking for a permanent ICU manager. Not only does she love to problem-solve and consultate (is that an actual word?) but she is good at it. She has always wanted to travel in Nepal and see what hospitals are like. She has a background in Er and Trauma ICU; I often get asked if I teach a mass casualty triage course and now? we can! She is a wonderful addition to our team.
Schedule of courses
We will be teaching two 3-day sessions at Bir Hospital starting May 20th, one for the B Sc students and one for staff nurses.
then a 3-day (nurses) and a 2-day ( doctors)  at the National Burn Center in Kirtipur
then 3-day courses at Mediciti Hospital in Lalitpur. We have confirmed one week, we may add a second week.
After that we will go to Terai, where will teach at Narayani Samaiyudak, College of Medical Sciences, and Janaki Health Care and Research Center in Janakpur ( two weeks).
Usually we offer some first-come-first-serve open to all comers sessions. We will plan to return to Kathmandu and announce some of these in late July.
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April 21 2018 Update on CCNEPal summer trip to Nepal


The ticket(s) have been purchased.

CCNEPal is (usually) a one-person circus of teaching and we never know whether any given trip to Nepal will be the last one. I have been saying this since 2007, the first year I visited Nepal, that “I don’t think i will ever do that again” – and yet, I do.

Nepal is a bigger country than you think

I am a volunteer, and I always am amused when I meet some other medical person (usually a young MD) and they tell me “Oh, soon they won’t need your training any more; I’m here in Nepal and I am training them how to do critical care. ”

Yes, more than one person has said something like that to me. So, I ask for more detail. Then they say, “I’m here for two weeks and I will work with a dozen people.”

Nepal has 30,000,000 people, 22 medical colleges, hundreds of nursing colleges, and many cities outside of Kathmandu Valley. There are seven medical colleges in just the Kathmandu Valley, and a government health bureaucracy as well.

So, more training is needed to ramp things up. A lot more. Um, I trained 3,200 people in many regions of Nepal over 110 sessions during a ten year period. And we are still getting up to speed. I am happy to say that more Nepalis are stepping up and teaching it themselves, which is the way it should be.

To get ready this year I spent $$$ buying teaching materials for ACLS and PALS.

acls instructor package 2015I always teach as much of the latest protocols as I can, though the American curriculum needs to be adapted to reflect things like the availability of drugs and equipment. I get the protocols from the American Heart Association and this year I got all the bells and whistles – the complete “Instructor Package” including books DVDs and posters.

pals instructor package

I also bought the stuff to present the latest Pediatric Life Support standards and protocols.

I have been updating some of the key handouts from my “usual class” so they make it easier to run each course.

Schedule

I will arrive in Kathmandu the 17th of May and begin the first session the 20th, at a major school of nursing in Kathmandu, one where the students come from all regions of Nepal and will return home after their degree. I will be teaching in Kathmandu for about three weeks, during which time we will award about 200 certificates.

After that I get on the bus to Bharatpur, where I will spend two weeks. I am not sure what to expect on the Mugling-Narayangarh road!

mugling road landslide

the main road from Kathmandu to the outside world goes through a spectacular river canyon and has been under reconstruction since the Dawn of Time. Lots of twists and turns. I try to minimize trips on this road. 

I will spend a week teaching in Janakpur also while in Terai.  If you wish to host my training, read this previous blog entry on what is needed. This requires a large classroom and at least 30 learners.

Colleague with a Secret Identity?

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Nurses never bring attention to themselves. My colleague is carrying on in the finest tradition of selfless secret identity. 

A person with extensive experience managing ICUs in USA will be with me, and I will do a blog introducing her soon. She is a USA RN with many years of experience who wishes to share her expertise with her Nepali peers. For now she will be a “mystery person” – isn’t it cool to travel with somebody who has their very own secret identity? Here is the first clue as to who, exactly, she may be.

 

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Doctors thrashed by mob of fifty people at work in India, after death of 26 year old man, March 20th 2018


Okay, so I use this blog to keep a running track of “thrashing incidents” in Nepal. I also list incidents in India since this problem is worse there. Today’s news was about the actual death of a resident doctor in India.

https://timesofindia.indiatimes.com/city/pune/relatives-assault-doctor-after-death-of-patient/articleshow/63447556.cms  

PUNE: A resident doctor was assaulted with a scalpel and a few paramedics were roughed up by relatives of 26 -year-old man after he suddenly died following a cardiac arrest at D Y Patil Medical College and Hospital in Pimpri late on Friday evening.
The resident doctor suffered a deep cut on his face and some blunt injuries in the assault. The hospital management on Saturday filed a complaint with the Pimpri police.

The doctors demanded strict implementation of the Medicare Act, 2010. It protects them from physical assaults and intimidation by patients’ relatives. These acts are non-bailable offences under the act.

A doctor of the hospital said, “After we broke the news of patient’s demise, the relatives burst into rage and barged into the ICU (intensive care unit). One of them took a scalpel and slashed it on a resident doctor’s face claiming negligence. Others joined him.”

Another resident doctor said, “A local politician claiming to be a policeman hoodwinked the security and entered the ICU, where quite a few critical patients were undergoing treatment. He arrived with some supporters within 10 minutes of the event.”

After entering the ICU, they proceeded to assault the men and women doctorsl. “Fearing for their life, these doctors are wondering if they should even go to the police,” the doctor said, requesting anonymity.

The securitymen of the hospital failed to prove their effectiveness during the assault. “The bouncers and security guards employed by the hospital stood back and did nothing. They have been identified and would be dismissed,” said another doctor.

There was some communication gap between the hospital’s senior and middle management. “The middle management did not inform seniors about the scenario. They were afraid of being found out for hiring a bad security agency,” said another doctor.

The hospital’s dean, Jitendra Bhawalkar, said, “We always stand by the side of our resident doctors and ensure that their protection is never compromised. We have filed an FIR with the police in this regard.”

 

Photo

The incident was also reported at: https://punemirror.indiatimes.com/pune/crime/deceased-patients-kin-attack-doctors-at-dy-patil-medical-college/articleshow/63447514.cms

News reports included a photo of the injured doctor, showing the injury with the scalpel. It was very graphic. Originally, I decided not to post it here, which turns out to be a good thing since the graphic photo was from a different person altogether! Also, the viral meme on the internet shouted the news that the doctor had in fact died – this needs to be verified.

CCNEPal training

If you are new to this blog, please read previous entries on the subject of “situational awareness” and thrashing of doctors. CCNEPal was originally started to provide better training of nurses and doctors in Nepal in the area of resuscitation after cardiac arrest. Soon after starting in 2011, we recognized the idea that the potential for being thrashed if things don’t go right was a major barrier in success. So, we teach about ways to identify a bad situation in advance and deal with it.  We expect to be back in Nepal in summer 2018 to train more personnel and raise awareness of this issue impacting medical care.

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Feb 16 2018 update from CCNEPal regarding summer plans for 2018


This will be brief. I haven’t added to this blog in some time, not since reporting on one of the most recent thrashing incidents. This blog provides commentary on issues affecting nursing and especially critical care nursing, in the country of Nepal.

I hope to return to Nepal this summer, as I have done since 2007. Since 2011 I specifically focus on teaching critical care skills to nurses and doctors there. Every time I return I think about how whichever trip I just completed might be the last time. And yet, I get another ticket.

This time is similar. I have ideas as to how I can contribute but never is ever firm until I commit by buying the ticket.

Want to host CCNEPal?

I want to hear from people interested in hosting the training. I will spend part of the time in Terai and a bit of time in Kathmandu Valley. In 2017 I needed to cut the time short and not fulfill promises I made to teach at certain places. I want to follow through despite the problems. I am not destined to only teach at certain places but not others….. the overall goal is to advance the practice of critical care in Nepal. How can we work together to accomplish this?

Family

One of my daughters tells me she may visit Nepal this time and if she does I will take time to be a tourist and show her around.  My other daughter has been lobbying heavily for me to join her in Maine as she works on the old farmhouse she bought. I love spending time with these two young women.

Browse

Feel free to browse the 262 previous entries on this blog. I love getting feedback!

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Resunga Hospital Incident Dec 20 2017


gulmi dec incident 2017

at some point, riot police were called. The typical weapon of police is the lathi, a four-foot stick.

This was first reported in OnlineKhabar, Nepali language. Rebublika published it after a day.

GULMI, Dec 21:  A patient admitted to Resunga Hospital of Gulmi has apparently died due to the negligence of doctors.

Shiva Lal Aryal, 53, a local of Malika Rural Municipality-6, Arje had gone to the hospital complaining of dental problem. As informed by the family members, Aryal who was taken to the hospital for normal toothache was insisted to conduct a surgery by the doctors.

Carelessness of the doctors ultimately led to his death, according to the family sources.
“Doctors had told us that a surgery needs to be conducted to take out the pus in his gums but unfortunately he didn’t wake up after the surgery,” said Hari KC, a relative of the deceased.

According to family members, the doctors were supposed to give antibiotics 24 hours before the surgery. However, they didn’t. Twenty-one-year-old son of Aryal is lying unconscious in hospital after the death of his father. Family members and relatives are refusing to claim the body accusing the doctors of the death. “We will claim the dead body only if the hospital administration along with the doctors holds a meeting with us,” said Shovakhar Giri, chairperson of Malika-6.

Tensions ran high in the hospital on Wednesday after Aryal’s death. Security personnel has been deployed at the hospital to avoid any kind of untoward incident. http://www.myrepublica.com/news/32917/

 

 

resunga hospital tensed dec 20 2017

Rasunga Hospital is located in Gulmi, Palpa District.

https://www.onlinekhabar.com/

 

As regular readers of this blog will know, I try to keep track of these incidents. For a list, go to: https://wp.me/p1pDBL-1yu

Many previous blog entries have been focused on the issue of safety of health personnel.

 

 

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Thrashing Incident in Sunsari Nov 16th 2017


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from Swasthya Khabar. Inaruwa Hospital in Sunsari. There was an incident. The hospital is tense.

Another incident of disrespect and physical violence against a doctor and seven health workers, this time in Sunsari (eastern Terai).

It was reported in Shwasthya Khabar in Nepali language. My ability to read Nepali is limited, so I used Google Translate.  I present the side-by-side of the translation. The source is: http://swasthyakhabar.com/news-details/10139/2017-11-17#.Wg5TJALM3Js.facebook

मुख्य समाचार प्रहरीद्वारा डाक्टरमाथि हातपात, इनरुवा अस्पतालमा तनाव

Police arrest a doctor on the doctor, stress in Anirawa Hospital

मदिरामा मातिएर बुट प्रहार गरे : डाक्टर झा

Beaten the watts on the wines: Doctor Jha

काठमाडौं- दुर्घटनामा घाइते भएका आफन्तको मृत्यु भएको विषयलाई लिएर प्रहरीले डाक्टरमाथि हातपात गरेका छन् ।

KATHMANDU – Police have arrested the doctor on the subject of the death of the injured in the accident.

जिल्ला प्रशासन कार्यालय सुनसरीमा कार्यरत नायब सुब्बा रामचन्द्र भट्टरार्इ सवारी दुर्घटनामा परेका थिए । दुर्घटना लगत्तै उपचारका लािग इनरुवा अस्पताल ल्याएको थियो । अस्पतालमा कार्यरत डाक्टरले भट्टराईको अस्पताल ल्याउनुअघि नै मृत्यु भैसकेको जानकारी दिएपछि प्रहरीले डाक्टरमाथि आक्रमण गरेको बताइएको छ ।

Nab Subba Ramchandra Bhattarai, who was working in the District Administration Office, Sunsari, had been on a road accident. After the accident, brought to the hospital for treatment. According to the police, the doctor working on the hospital has died before the doctor had already died before taking Bhattarai hospital.

मृतक भट्टराईका आफन्तपर्ने जिल्ला प्रहरी कार्यालय सुनसरीमा कार्यरत प्रहरी निरीक्षक सन्तोष पोखरेलले डा तुसार झा, स्वास्थ्यकर्मी ओम गोहीबार यादवलगायत सात जना स्वास्थ्यकर्मी माथि गुण्डा सैलीमा आक्रमण गरेको प्रत्यक्षदर्शीले बताएका छन् ।

Police Inspector Satosh Pokharel, who was working at the District Police Office, Sunsari, of Bhattarai, said that the deceased was attacked by gangster Sally on the other hand, including Dr. Tusar Jha, Health Worker Om Goharbar Yadav and seven health workers.

प्रहरी निरीक्षक पोखरेलले बर्दी र बन्दुकको आडमा रक्सीमा मातेर आफूहरु माथि आक्रमण गरेको पीडित तुसार झाले बताए। अस्पतालको इमर्जेन्सी कक्षमा रहेका डा झा सहितका स्वास्थ्यकर्मी र एक जना कार्यालय सहयोगी समेतलाई बुट र लठीले कुटपीट गरेको झाले बताए।

Police Inspector Pokhrel said that according to the victim, according to the victim, attacked the victim on the side of the fire and gun. Jha said that the health worker including Dha Jha in the emergency room of the hospital and a colleague who was beaten up by robbers and robbers.

विराटनगरबाट इनरुवातर्फ आउँदै गरेको को १ च ७०३३ नं को एम्बुलेन्सको ठक्करबाट जिल्ला प्रशासन कार्यालय सुनसरीमा कार्यरत नायब सुब्बा भट्टराइको मृत्यु भएको हो ।

हिजो साँझ इनरुवाबाट आफ्नो घर दुहबीतर्फ जाँदै गरेको भट्टराई सवार बा२४प ४२४४ नंको मोटरसाइकललाई एम्बुलेन्सले ठक्कर दिँदा भट्टराइको घटनास्थलमै मृत्यु भएको प्रत्यक्षदर्शीले बताएका छन्।

Neb Subba Bhattarai, who was working in Sunsari, has been killed by Ambulance of 1 f 7033 no one coming from Biratnagar to Anwar. According to the eyelasheshi, the motorbike was beaten by Bhabhari Rider B 24 Pa 4244 in Bhattarai incident on Sunday evening.

मृतक भट्टराई आफ्नो आफन्त रहेको र सिरानी नदिएको तथा उपचारसमेत नगरिदिएको आरोप लगाउँदै डाक्टर माथि आक्रमण गरेको त्यहाँस्थित एक जना कुरुवाले प्रतिक्रिया दिए।

घटनालाई लिएर जिल्ला अस्पताल पूर्णरुपमा बन्दगरी स्वास्थ्यकर्मीहरु अस्पताल अगाडि र सडकमा धर्ना दिएर प्रहरी प्रशासनविरुद्ध नाराबाजी गर्दै प्रर्दशन गरिरहेका छन्।

A corroborate responded that the deceased Bhattarai was attacked by a doctor who was not a relative of his relatives and was not given permission and was not even treated. According to the incident, the closure of the district hospital is being done by the health workers before leaving the hospital and protesting against the police administration.

चिकित्सकमाथिको आक्रमण सह्य नहुने भन्दै इनरुवा नगरपालिकाका प्रमुख राजन मेहता, अस्पताल विकास समितिका अध्यक्ष रमेश कटुवाल, नेपाली काँग्रेका सचिव केदार भण्डारी लगायतले ऐक्बद्धता जनाउँदै चिकित्सको आन्दोलनमा सहभागी भएका छन्।

Rajan Mehta, Chairman of the Hospital Development Committee, Ramesh Katuwal, Nepali Congress Secretary Kedar Bhandari, and involvement in the movement of the doctors, said that the attack should not be done.

चिकित्सकमाथिको आक्रमणको विरोधमा सुनसरीका सबै स्वास्थ्य संस्था साँझदेखि नै बन्द भएका छन् भने दोषीलाई कारबाहीको माग गर्दै इलाम, उदयपुर, धनकुटा, पोखरा, सप्तरीलगायतका क्षेत्रमा डाक्टरले सेवा अवरुद्ध गरेको स्वास्थ्यकर्मी राजीव मेहताले जानकारी दिए।

Regarding the attack on the doctor, the health workers of Sunsari, who have closed all the health institutions of Sunsari, have been stopped from evening till demanding action against the accused, said the health service blocked by the doctors in the area of Ulam, Udaipur, Dhankuta and Saptari.

जिल्लाको पाँच वटा प्राथमिक स्वास्थ्य केन्द्रमा कार्यरत चिकित्सकले घटना सुनेपछि राति ८ः३० बजे इनरुवा आइपुगेको र आन्दोलनमा सरिक भएको डा वसन्त यादवले जानकारी दिए। उता प्रहरी र प्रशासनले आफ्नो कमजोरी भएको भन्दै मिलाउने र वार्ता गर्ने तयारी गरिरहेको बुझिएको छ।

Dr. Vasant Yadav, informed that the doctor who was working in five primary health centers in the district came to the house at 8:30 am after the incident. It is understood that the police and administration are preparing to negotiate and negotiate with their weaknesses.

Okay. I asked my trusty FaceBook friends for a condensed version of the story, and the first one wrote:

its like …there was 1 death of police man occur due to embulance while returning from market by bike…..then dead body was brought to hospital…. one of the police officer was shouting and usuing slang word to every para medics and dr …medical officer and their co worker were beaten by police … that is the scene happened….death occur in road accident….but insulting to the dr …..misbeheved …. that is life of doctor

So, this one gets added to the list. Piecing it together, a policeman was killed in a road traffic accident, (by a passing ambulance?) then the police brought his body to the hospital where he was pronounced dead. The police did not want to hear that news so they thrashed the staff and arrested the doctor on duty. I am confused as to whether the doctor on duty had anything to do with the accident (he was not driving the ambulance and was not near the scene) but – voila! – he gets arrested. I re-read the translation above and it sounds like he is accused of a crime at the scene????????

??????? help!

UPDATE: somebody explained it to me – Police inspector is the culprit and the doctor is the victim. The drunk inspector thrashed the doctor, along with others because the doctor declared the inspector’s brother in law dead on arrival, who previously met with a RTA, road traffic accident.

Now the question is: how do the police get away with this? If there is supposed to be #JailWithoutBail, who lands in the jail? the police? do they arrest themselves?

If this is true, the police should know better.

UPDATE: Nepali Health ran a Nepali-language piece on this incident. http://www.nepalihealth.com/2017/11/17/24316/

Sunsari 1 house. Sunsari district hospital has been strained after the drug-based police inspector handled over the doctor. Thursday evening at 6 pm at the hospital. On the spot of Tausar Jha, the assaulted by Inspector Satosh Kumar Pokhrel, the deceased was attacked by alcohol.

Against the protest, doctors and health workers have now stopped all the services other than accidental. To discuss this issue, the district administration is preparing to register at 10 am.

Ramchandra Bhattarai, the district administration office of the road accident, was handed over to the hospital today. But when the hospital is completed, the doctors have died. He is said to be Vinju of Inspector Pokharel.

Dr. According to Jhaka, alcohol was allegedly harassed by other doctors of the Pokharel who were earlier identified. Finally, he said that he was attacked too. I’m the only doctor here. I came to know that the inspector had to bathe. Dr. Jha said, ‘I do not go after I go.’

After the attack, the hospitals of the hospitals had abused the service including casualty last night. However, Mukunda Gautam, head of District Health Sunsari, said that the emergency service was underway. He also informed that there will be registration at District Administration at 10 am in the morning to solve the problem.

SP Vidyananda Majhi team of Sunsari had taken immediate control under the instant inspection of the hospital. The SP said that after the medical examination, the fish did not consume alcohol.

With this incident, health workers are protesting against the police administration after they are in front of the hospital and by converting on the road.

Rajan Mehta, Chief of the Municipal Municipal Hospital, Hospital Ramesh Katuwal, and affiliate said that the attack should not be done

Regarding the attack on the doctor, the health workers of Sunsari, who have closed all the health institutions in the evening, demanded treatment for the perpetrator, said the health service blocked by the doctors in the area of ​​Ulam, Udaipur, Pokhara and Saptari and health workers Rajiv Mehta.

Dr. Vasant Yadav, informed that the doctor who was working in five primary health centers in the district came to the house at 8:30 am after the incident. It is understood that the police and administration are preparing to negotiate and negotiate with their weaknesses.

The protesters have warned that closure of the market will be closed for the indefinite period, till closing the market till Friday, as well as health institutions.

What is special?

Bhattarai died due to the collapse of Ambulance by 6 o’clock in the evening near Gonda Khela, between Sunsari Inrava- 6 and 5. He died due to the collapse of Ambulance from 1 to 7033 AH, coming from the Biratnagar to Ankara.

Bhattarai Rider, 24, 4244, who was going to Dubai from his house to Dubai, told that the incident occurred when Ambulance collapsed. He was hospitalized for treatment

Nov 18th about terai drunk cop

(from NMA FaceBook page)
Dr, a doctor working on INSURA Hospital on December 10, The Nepal Medical Association Central Office has been keenly concerned with the incident, according to police inspector Satosh Kumar Pokharel, who was beaten up by police, Ghali Gaulaj and other hospitals including Tussar Jha. Due to the worst condemned incident from Badriwala police inspector, all the doctors have been shocked
If such activities have been repeatedly repeatedly by the method of law and legislation, doctors and health workers can provide health services. The Nepal Medical Center, the central office, urges the police inspector to take action against such a serious situation as quickly as possible. As the police in Badri, there is no legal arrangement that can not be handled illegally.”

If there is anybody who can provide me more details, please send them. I will publish them here, anonymously if necessary. send email to joeniemczura@gmail.com

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