Category Archives: medical volunteer in Nepal

Book Review of Official U.S. Army Civil Disturbances Handbook


Background, June 7th, 2020. Like everybody else I have been glued to the tee vee as the protests unfold since the murder of George Floyd. I have been appalled by the lack of training and professionalism of the police departments … Continue reading

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May 31st Update for those who came here after the riots in USA


May 31st Update as to plans for summer 2020 I had not really looked at the most recent diary on this page until today. Normally I mostly activate this blog when I am actually physically present in Nepal. I’ve linked … Continue reading

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CCNEPal 2020 summer plans


This will be brief. CCNEPal teaches a version of Advanced Cardiac Life Support to nurses and doctors in Nepal. Since inception in 2011 we have trained 4,500 nurses and doctors. ( yes, it’s a large number, hard to believe). We … Continue reading

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Book Review of “The Vagina Bible” by Jen Gunter, MD


This is a book review of The Vagina Bible, which finally hit bookstores only a couple of days ago. I posted it on another blgo then figured I would crosspost here.  The executive summary? Get it. Read it. Share it. If … Continue reading

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CCNEPal report of summer 2019 activities


I am back in USA this week, and next week I resume teaching at a nursing college in Tampa, Florida. The flight from Nepal to USA was uneventful but long. Oh wait – I lost my wallet and one of … Continue reading

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Should Every Nursing College in Nepal build their very own hospital? Of course not!


Swasthya Khabar needs to stop attacking and start helping So there has been a series of newspaper articles in Swasthya Khabar that investigate issues within the nursing profession of Nepal. These have been written in Nepali language, and I start … Continue reading

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Practical Tips for Teaching nursing abroad when the students have some English but not quite fluent


Seen ’em come and seen ’em go Over the past eleven years I have watched others come to Nepal to try to teach something, and not succeed. Maybe they don’t assess the audience before preparing teaching methods, or maybe they … Continue reading

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About the 65% Failure rate on June 2019 Nepal Nurse License exam – some factors to consider


Two-thirds failure rate on June 2019 Nursing License Exam The recent pass rate for the Nursing License Exam in Nepal was 35% announced in July. In other words, 65% of the examinees failed the exam. The exam is a two-and-a-half-hour … Continue reading

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Techniques for any Nurse or Nursing Student who is not a native English speaker.


This will be brief. I wrote a piece on my other blog that describes how to use the settings feature of YouTube to improve your language skills before taking NCLEX, or starting nursing school in USA. I have found that … Continue reading

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June 22, 2019 Stop and Smell the Incense in Kathmandu


CCNEPal completed session number eleven yesterday with 38 students from the BNS and BMS program at Bir Nursing Campus. This was the third time I have worked with that school and I appreciate the people there. Since the earthquake they … Continue reading

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Crowdfunding an Airway Management Trainer for doctors and nurses in Nepal summer 2019


I am in Bharatpur Nepal teaching critical care skills as before. My partner here is the College of Medical Sciences, a well-established medical college that supplies doctors and nurses who will practice throughout the Terai region. I met with them … Continue reading

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June 8th 2019 Itinerary Update – sessions available in Kathmandu – let’s talk


I am presently in Bharatpur at “Purano” Medical College, and I just finished the seventh session. As of June 6th, there are 193 certificates awarded. Remaining Sessions in Bharatpur 8) June 9th, 10th & 11th h last three-day session for nursing staff at … Continue reading

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UPDATED calendar for CCNEPal summer 2019 as of May 24th 2019 – dates for added sessions are available


I am presently in Bharatpur, finishing up the 3rd session of the summer. This week it was three groups of MBBS for two-day sessions. I will be here another three weeks. Remaining Sessions in Bharatpur 4) May 26, 27 & 28 three-day … Continue reading

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Two links to cross-posted blogs on the subject of midwifery in Nepal


Many of you know that I also write occasionally for a USA blog named “DailyKOS” – it’s a blog with a million subscribers. It’s focused on electing political candidates from the Democratic Party. But since it’s so big I can … Continue reading

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CCNEPal will visit Nepalgunj in July for five sessions


Since 2011, CCNEPal teaches critical care skills to nurses and doctors. Sessions have been conducted in Kathmandu Valley, and also in Dulikhel, Biratnagar, Janakpur, Bharatpur, Butwal, Palpa, Pokhara, and Bhairawaha. We have logged more than 120 sessions and given about … Continue reading

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List of CCNEPal sessions summer 2019 – start planning now


As previously announced, CCNEPal will be in Bharatpur at College of Medical Sciences (CoMS) for about six weeks in a row and we will offer sixteen sessions of our critical care course. For nurses, the course is three days in … Continue reading

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January 5th Update for summer 2019 teaching schedule of CCNEPal


CCNEPal offers a threeday course in critical care skills to nurses of Nepal since 2011. Browse past blog entries on this site to learn about our activities. As of January 2019, the plan is to arrive in Nepal around May … Continue reading

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Ten Rules for the “Flipped Classroom”


Ten Rules for the Flipped Classroom in Nursing School By Joe Niemczura, RN, MS Without lot of introduction, this is a tool to help students get into the mindset needed to thrive in a flipped classroom. These are not “rules” … Continue reading

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Plan now for course with CCNEPal in summer 2019


Destination – the future! Now that Christmas is over, it will fade out of sight in the rearview mirror as we hit the gas for our destination – 2019. Naturally it starts out as a year full of promise. Destination … Continue reading

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How I am spending the 2018 winter break.


Time for a deep breath This blog goes a bit dormant when I am back in USA. I returned to my teaching job at an Associate Degree nursing program in Tampa Florida where I carried an ambitious schedule. I was … Continue reading

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Team of Quebec Nurse educators to visit Nepal in spring 2019 – want to meet them?


I got a unusual email that led to a phone call. Hello Joe, I’m a Canadian nurse and educator, planning a trip to Nepal in the spring.  I have been to Nepal twice before (about 30 years ago) with my … Continue reading

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Summary of Summer 2018 CCNEPal activities


This is “late” seeing as how I returned to USA six weeks ago. My job in USA – my “real job” keeps me busy. Locations and hosts CCNEPal taught 19 sessions in Nepal in summer 2018, and distributed 593 certificates … Continue reading

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#WarAgainstDoctors in Nepal with #mulukiAeen #WeAreWithYouNMA


The doctors of Nepal are leading a nationwide protest by shutting down hospital services except for emergency cases, starting today ( well, strictly speaking, yesterday since they are a day ahead of us on the International Date Line). The government … Continue reading

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Teaching when #English is the #Second #Language for the Entire Class #ESL


Pre-emptive announcement: This blog is directed to my videshi readers. I am pointing out the need for videshis to adapt to the culture of Nepal.  I invite comments but I will only publish if they are respectful.  Give yourself time … Continue reading

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July 25th 2018 Time to stop and smell the incense in #Kathmandu


So the last teaching session for 2018 finished yesterday. Final tally:  sessions: 19 total certificates: 583. These are easy to quantify. Nursing consultations: many.  Not so easy to quantify, perhaps priceless! Valerie Aikman, RN, BSN is an experienced and qualified … Continue reading

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Monkey Business in Nepal Critical Care Training July 21st


July 22 update the trip back to Kathmandu was uneventful. The temp here is is in the 80s (f)  as opposed to 100 (f) and it is amazingly quiet at night when you don’t run the air con. For some … Continue reading

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July 6th 2018 Update for CCNEPal


UPDATED July 13th This will be brief. we now have about two weeks remaining on this trip. We have taught seventeen sessions and given 489 certificates. We will give about a hundred more if all goes to plan. Valerie Aikman,RN, … Continue reading

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CCNEPal 2018 updated schedule as of June 9, 2018 “On the trail to six hundred certificates”


This is the updated itinerary for CCNEPal as of June 9 2018. We have taught six sessions since arrival, with 179 certificates given. We will do two more three-day sessions this week in Kathmandu, at Mediciti Hospital. Mediciti has been … Continue reading

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June 9 2018 update on anatomy lab for our training course on critical care skills


The first session for this year’s series of training programs in Nepal was held at National Trauma Center, part of Bir Hospital, for a group of BN nursing students. One member of the class had previously taken the course and … Continue reading

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


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 … Continue reading

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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 … Continue reading

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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 … Continue reading

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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 … Continue reading

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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 … Continue reading

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Resunga Hospital Incident Dec 20 2017


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 … Continue reading

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Thrashing Incident in Sunsari Nov 16th 2017


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 … Continue reading

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Medical Education Ordinance certified, but continuing vigilance is needed. calling Doctor Narsingha….


According to legend (with help from Wikipedia https://en.wikipedia.org/wiki/Hiranyakashipu ), Hiranyakashyapu asked for the following boon from Brahma: O my lord, O best of the givers of benediction, if you will kindly grant me the benediction I desire, please let me … Continue reading

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Will Nepal become a “degree factory” for doctors?


The Big Problem with medical education in Nepal Unless the trend of opening medical colleges in Nepal is stopped, the country risks gaining a reputation as a “diploma factory.” The MBBS degrees awarded to young students in Nepal will not … Continue reading

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Harrassment of female M.O.s in Nepal, a case study.


Update: got 280 hits in the first eight hours. Please share on FaceBook. Feel free to send anonymous stories about this topic. At the end of my last blog, I requested readers to send stories about the incidents in which … Continue reading

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#JailWithoutBail is not the only answer


There have been highly publicized episodes of threats and attacks against doctors in Nepal. In September the Cabinet proposed a rule change to put the burden of payment to surviving family firmly on the back of whichever doctor was involved when a … Continue reading

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Partial review of media reports of “thrashing” of doctors in Nepal and India. Please send more links


Internet based list of links to thrashing episodes in Nepal Compiled by Joe Niemczura, RN, MS September 2018 Update: click here to read my take on the NMA protest. This is provided as background to the issue of thrashing. I … Continue reading

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More #thrashing incidents in #Nepal Oct 8th, a registry and data collection system is sorely needed!


There was more news over the weekend, the bad kind of news nobody wants to read. The Nepal Medical Association published a letter to the government: Here is the translation, roughly. My friend in Nepal used Google translate so there … Continue reading

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Sept 31st: The NMA hospital protest fizzles out


The hospital protest is over, and the question is whether it made any difference. Here is the press release in Nepali from Nepal Medical Association. I sent out a general query as to whether it was a successful protest or … Continue reading

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Sept 2017 Protest by doctors regarding Cabinet proposal in “malpractice”


“Thrashing” of doctors is a problem Last week the Nepali cabinet proposed that doctors in Nepal be responsible for compensating the family of any person that dies under their care. The Nepal Medical Association called for a  “bandh” (work stoppage) in protest. … Continue reading

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Join CCNEPal summer 2018 to teach critical care skills in Nepal


Interested in using your skills in an international setting for global health? ……. but don’t have any contacts or  know where to start? You are invited to contact CCNEPal and see if we are a fit for you for summer 2018. We … Continue reading

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Report of Summer 2017 CCNEPal sessions in Nepal


Packing up for a long flight This is a quick summary of activities for summer 2017. The trip this year would not have been viable without the support of a GoFundMe campaign, to which thirteen people contributed. The campaign allowed me … Continue reading

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Any USA acute care pediatric nurses out there? plan now for summer 2018 in Nepal!


You are now reading the blog to accompany a project that trains Nepali nurses and doctors in critical care skills using a 2- or 3-day course based on the American Advanced Cardiac Life Support (ACLS) course. ( let me be … Continue reading

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Revised Schedule for Summer sessions of CCNEPal 2017


Three weeks shortened from end of schedule Updated June 24th I need to update my schedule. I cancelled all the previously-scheduled sessions outside Kathmandu Valley  after June 23rd. I gave the talk in Kirtipur, and will deliver the sessions listed below. I … Continue reading

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Don’t put 10 cc air in the cuff of any endo-tracheal tube


Use the minimal-leak method instead. Described below. In a recent blog, I got lots of hits but very few clicks on the actual video. I decided to rewrite this to focus only on this one specific issue. Summary: Here is a … Continue reading

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You are invited to a talk June 21st about Thrashing, plain and simple


Who: Joe Niemczura, RN, MS Principal faculty of CCNEPal What: Public lecture Violence Against Health Care Workers in Nepal and what can be done about it When: Wednesday June 21st from 2 PM to 3, then Q & A afterwards … Continue reading

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about mechanical ventilator patient in Nepal


Update:  This one got hundreds of hits, but few clicks on the video and I think I needed to be more focused. I made a separate entry to focus just on the ET tube cuff volume issue.  CLICK HERE for … Continue reading

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CCNEPal critical care training update June 7th 2017


June 7th update We’re about to begin this year’s only session in Pokhara. This is my fifth trip here – I spent two weeks in 2016 and led five sessions. Charak Hospital is the venue, and the training hall is … Continue reading

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May 25th Summer 2017 updated schedule


May 2017 1 & 2. May 18th, 19th – two one-day trainings at MC are now in the history books. 18 and 18. May 20th – travel to Palpa 3. May 21,22, 23 – Batch #1 3-days course for nurses at … Continue reading

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CCNEPal concept paper for Strengthening a decentralized health system in Terai of Nepal May 15th 2017


Notice of Funding Opportunity The Ministry of Health and USAID have proposed a new project in Nepal which will focus on “Health Systems Strengthening” over a five year period.  To inform the groups that will apply for the funds, USAID … Continue reading

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CCNEPal Summer 2017 How to arrange hosting a session of the ICU training


It starts May 12th and ends July 14th May 16th update: I leave for Terai in the morning. My Nepal phone chip has been activated. The number is 98010 96822 To call me from USA: 011 977 98010 96822 I … Continue reading

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#Janakpur Medical College for sale April 2017


Here is a story of Health Care in Terai that is not getting any national attention in Nepal, though it should. जानकी मेडिकल कलेजका कर्मचारी आन्दोलित http://www.enayapatrika.com/2017/04/08/138097/ एक वर्षभन्दा बढी समयदेखि तलब नपाएको भन्दै जानकी मेडिकल कलेजअन्तर्गत सञ्चालित शिक्षण अस्पतालका कर्मचारी … Continue reading

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Feb 27th – CCNEPal announces NEW GoFundMe campaign for summer 2017


Summer 2017 CCNEPal will once again teach in Nepal. Today we announced a new, scaled-down fundraising campaign to support CCNEPal’s summer 2017 activities. We are trying to raise $4,000 for a three-month trip to teach ACLS in Nepal, especially the … Continue reading

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CCNEPal 2017 summer plans – sign up now!


This is a brief announcement. I expect to be in Nepal once again for summer 2017. My plan is to teach more sessions of the 2-day course in Cardiac Life Support for MBBS docs and interns, as well as the … Continue reading

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getting a handle on #GlobalSurgery via video links Dec 30 2016


Everything I write is based on a simple premise: If you are a medical professional from a developed country trying out #Globalhealth or #globalsurgery for the first time, you need to know as much as possible before you go. No … Continue reading

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Vandalism and anger at CMC Dec 2016


A pregnant woman died in Terai last week, and the family was overcome by grief. They showed it by angry protests. The doctor is always blamed, regardless of the facts. This is an issue that prevents young doctors from wanting … Continue reading

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Arranged Marriage with Nepali guy in USA on H1-B visa? read about the H4 visa issue, here


As you know, I travel to Nepal to teach critical care skills to nurses and doctors. My goal is to improve the skill level and have a positive impact on health outcomes in Nepal. One of the challenges for me is … Continue reading

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Nepal nurse takes NCLEX and the result is……. ????


Seems like every Nepali nurses is curious about NCLEX A Nepali nurse-friend now in California told me she passed NCLEX, and I invited her to write a guest blog. It’s lightly edited  – I broke it up into more paragraphs … Continue reading

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Bharatpur/Chitwan is the “Medical City” of Terai part one Oct 11th 2016


Bharatpur, Nepal is located where the east-west highway  intersects with the highway to Kathmandu and Pokhara. Tourists going to Chitwan National Park to see wildlife go through Bharatpur on the bus. Because of the location, Bharatpur is home to four major … Continue reading

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what you need to know about Scrub Typhus in Chitwan, Nepal Oct 11th 2016


http://emedicine.medscape.com/article/971797This caught my eye yesterday: RATNANAGAR, Oct 10: As many as 59 new cases of scrub typhus infection have been reported in Chitwan district in Asoj, pushing the number of patients in the district to 264 in the last six months. … Continue reading

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CCNEPal goes to Norvic Hospital, Kathmandu August 2016 – some pics


In August 2016 CCNEPal conducted a session of the three-day course at Norvic Hospital in Thapathali, a neighborhood of Kathmandu right near the river. This was not the original plan, but turned out to be fortuitous and fun. Web page … Continue reading

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चरीकोटमा भएको जस्तो हमलालाई कसरी टार्न सकिन्छ ?


ग्रामिण क्षेत्रमा स्वास्थ्य सेवा उपलब्ध गराउँने चिकित्सकहरू को हुन् ? नेपालमा एमबीबीएस डिग्री एउटा स्नातक तहको चारवर्षे कार्यक्रम हो जसको अन्त्यमा एक वर्षे इन्टर्नशिप गर्नुपर्ने हुन्छ। चारवर्षे यो कोर्श अत्यन्त प्राज्ञिक खालको छ र यसमा पढ्ने र परीक्षा लिने विधिमा … Continue reading

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About the Charikot Incident, Sept 28th 2016


Sept 30th update and correction The post below was written shortly after I learned of the events in Charikot. Turns out the patient was two-and-a-half years old, not a newborn. There have been other developments – all the doctors have left; … Continue reading

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Announcing “The Himalayan Zap Trek 2019”


Mention Nepal and everyone thinks of #Everest. Thirty million people live in Nepal, and 99.999999999% of them do not live anywhere near Everest.  Nepal also has a large rice-growing region, where western tourists are rarely seen. See the above photo! … Continue reading

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The Three-legged Stool of Global Health Nursing – for October 15th in Boston!


Nurses: A Force for Change: Improving Health Systems’ Resilience above is the title of the Oct 14th and 15th 2016 meeting of Boston’s Global Health Nursing Caucus (in Boston of course!) and the event can be found at:http://seedglobalhealth.org/nursing-conference/#.V96VLIf2Zjo It’s co-sponsored … Continue reading

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CCNEPal begins planning for 2017 in Nepal – taking it up a notch?


CCNEPal began a special project to upgrade critical care skills of nurses in 2011. Since that time we have trained 2,885 nurses and doctors to perform cardiac life support skills using scenario-based teaching, which in itself is new to Nepal. … Continue reading

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Biratnagar Part three – a few scenes of Nobel Medical College August 2016


This is the third of a series about the two-and-a-half weeks I spent teaching critical care skills at Nobel Medical College in Biratnagar Nepal. I taught 200 nurses and MBBS students and doctors, there. When I posted the blog about … Continue reading

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Biratnagar 2016 excursion part 2 – the sessions


In summer 2016 I spent two weeks teaching in Biratnagar, Nepal. Though it’s the second-largest city in the Himalayan country, it’s not on tourist path. In the first part of this series I described a few things about the town. … Continue reading

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Biratnagar Nepal – a jewel of the Terai July 2016 – the town


In late July, 2016 I spent more than two weeks in Biratnagar, Nepal, teaching critical care skills to nurses and medical students at Nobel Medical College. This is Nepal’s second-largest city, in the eastern Terai, generally acknowledged as the center … Continue reading

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Nepal’s Role in the “Global Resuscitation Alliance” -is there one?


This past week brought the announcement of two new organizations to promote better resuscitation from cardiac arrest, worldwide. “The Global Resuscitation Alliance” and the “Resuscitation Academy.” wow.  I love an audacious goal, but – I’m a bit of a skeptic. … Continue reading

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Janakpur summer 2016 – part 3 – JHCRC


Two weeks in Janakpur Nepal, training nurses and doctors in critical care skills. The first part of this series focused on Janakpur, the town in eastern Terai. It is the market town for the district, and the home of a major … Continue reading

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Janakpur visit summer 2016, part one – the town


I spent the summer of 2016 teaching the CCNEPal course in Nepal, mostly in Terai. I was invited to teach in Janakpur, in eastern Terai for two weeks. It turned out to be a highlight of the summer. I am proud … Continue reading

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Burn care in Nepal, an update August 2016


Update April 27, 2019 Here is a report in The Kathmandu Post that discusses burn care. The 21-year-old woman was a victim of “bride burning.” The piece includes a description of the incident, as well as a graphic photo ( … Continue reading

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CCNEPal report of critical care training August 13th 2016


Summary: It was good. More detail? Original goal for summer 2016 was to teach as many sessions as possible, focus on areas of Nepal outside of Kathmandu Valley, while yet minimizing bus travel. Each session is two or three days … Continue reading

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The Siren Song of Global Health electives in Nepal July 2016


The siren song of Global Health in Nepal this is for my USA readers. Most of the time I comment on events here in Nepal it’s directed to a Nepali audience. Not this time. In USA these days the wish … Continue reading

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July 21st report for the summer and upcoming schedule


I’m back in Bharatpur, where I was a month ago. The return bus ride through eastern Terai was wonderful – like riding through The Shire. Statistics to date: As of today I taught 19 sessions, with 560 certificates awarded.  The present … Continue reading

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Ten Rules to Prevent Thrashing of Doctors in Nepal


Update October 2nd 2016 In Charikot, Dolkha district, there was an “incident.”  I do not pretend to know the details, but one pertinent feature was publishing a videotape of the doctors involved, apologizing for what happened.  Fortunately, these particular doctors … Continue reading

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June 6th update as to schedule


Update CCNEPal has completed the sessions in Pokhara. I loved meeting all the people there. Dr. Umid Shrestha of Paschimanchal Community Hospital and Matron Sushila Neupane of Charak Memorial Hospital were wonderful hosts. ‎ I thank them. They are visionaries … Continue reading

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The Overall Schedule for CCNEPal summer 2016 is taking shape


The Theme of Summer 2016 In past years, I don’t worry too much about what the schedule will be when I get to Nepal. As long as the first few days are scheduled, I know I will get many eager … Continue reading

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How to register for critical care training sessions in Pokhara May 2016


UPDATED with more specific info Wednesday May 4th and 12th ACLS training registration can be done at: Registration desk Paschimanchal Community Hospital Buspark, Prithvichowk, Pokhara – 9, Kaski, Nepal. Phone no. 061 530722 Email: pchospital2071@gmail.com Please share widely. CNEPal will … Continue reading

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CCNEPal planning for summer 2016


CCNEPal is an ongoing educational project since 2011. We have trained 2,170 nurses and doctors in Nepal to use a particular set of critical care skills. May 1st Update I bought my ticket and I arrive May 16th to TIA.  … Continue reading

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CCNEPal goes to CUGH 2016 in San Francisco, April 8th to 11th


CCNEPal will be at the meeting of the Consortium of Universities for Global Health 2016 Annual Meeting in San Francisco, CA April 8th through 11th. Click here for the conference program. Poster Presentation Final Poster Number on Poster Board: 2.037_HRW … Continue reading

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part 1 of 3: #IamwithDrGKC revives after New Constitution, January 2016


Executive Summary Start here with a video by Subina Shrestha. It’s titled “Nepal doctors Back Hunger-Striking Colleague” Doctor Govinda KC is an orthopedic surgeon from Kathmandu who has been a champion of reform for medical education in Nepal.  He is … Continue reading

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2015 annual report for CCNEPal blog


One of the things I like about WordPress is the ease of access to statistics. They sent me a summary of activity for this blog. 152 countries That’s how many locations my readers live. wow! https://joeniemczura.wordpress.com/2015/annual-report/  

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“The Dream Trap” is required reading for Nepali nurses thinking of going to the UK


I usually share information about the process of getting a nurse’s license in USA, and I don’t pretend to know about the UK system. The other day somebody shared a link with me that brings you to a paper written … Continue reading

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India Nursing Council takes 30,000 Nepali women hostage Nov 9th 2015


link to news article in Nepali language काठमाडौं– भारतमा नर्सिङ पढेका नेपाली नर्सहरु आन्दोलित भएका छन् । इन्डियन नर्सिङ काउन्सिलले त्यहाँ पढेका नेपाली नर्सलाई दर्ता नगर्ने नीति लिएपछि उनीहरु आन्दोलनमा उत्रिएका हुन् । – See more at: http://swasthyakhabar.com/2015/11/35866.html#sthash.Ie9Edl0j.2owCsNgz.dpuf http://swasthyakhabar.com/2015/11/35866.html Please … Continue reading

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Critique of the Human Rights Watch report on Nepal Oct 16th, 2015 and suggestions


“Like We are Not Nepali” The Human Rights Watch published a 44-page report investigating the killings in Nepal during the Terai Andolan of August-September 2015. The report was accompanied by a press release and a New York Times article to … Continue reading

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Welcome Nurse Eye Roll fans!


Welcome Nurses of USA! I have more than one blog, and this is the one that describes, in professional terms, “CCNEPal” the critical care education project in Nepal that I started in 2011. Please feel free to browse the site. … Continue reading

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What you need to know about “Rubber Bullet” in Nepal used by riot police kill 4 year old boy.


June 4th 2020 Update after George Floyd protests in USA – I wrote this five years ago and the medical details are unchanged. Needless to say, #BlackLivesMatter and now the right to peaceably assemble is being challenged in my own … Continue reading

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Somebody who is not exactly with Dr KC in Nepal


please share widely Right now I am not exactly with Dr KC even though I agree with him that things need to be fixed and brought out into the open. Dr KC is a positive and inspiring role model. The … Continue reading

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What nurses and doctors need to know about the patient in eastern Nepal pulled from Ambulance and murdered Sept 11th, 2015


Every nurses and doctor in Nepal has probably already heard about the patient that was thrashed and killed by a mob in eastern Terai Friday. (Kathmandu) The Red Cross in Nepal expresses its deep concern at increased incidents of vandalization of ambulances … Continue reading

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Two doctors thrashed at Patan Hospital Sept 10, 2015 and what to do about it


ATTENTION: the text in color, is “hyperlinks” – click on each colored word and it will lead you to another place that provides background. News from Patan Two doctors got beaten by angry relatives of a patient, at Patan Hospital. here … Continue reading

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#Nepal is more than just Everest and Kathmandu. A quick guide to the Terai


This entry is not about current events, though I will reiterate my  plea to stop the violence. It’s to educate people as to The Terai of Nepal. (note; I am publishing it now but that does not mean it’s finished. send … Continue reading

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What every nurse and doctor in Nepal needs to know about Triage of mass casualties Sept 7, 2015


The protests and response in Nepal are continuing and many people are worried they will get larger and more aggressive, provoking more violence as the Army tries to control things. I am not here to take sides. The politics are … Continue reading

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Hospitals in Nepal Terai and elsewhere need to keep their workers safe Sept 2 2015


update:  a short video about the incident in Rajbiraj Zonal Hospital https://youtu.be/TdgVjSCPpXg This will be brief.  And this blog entry does not take sides in the current Andolan. It is my prayer for Nepal that everyone will live long and prosper. The … Continue reading

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Aug 31st update. Post-Tikapur events


In my other blog, I wrote  about the  many bandhs and andolans taking place right now. Click here t go to that that blog. The people in Terai have a legitimate grievance, but the decision to kill seven police and a child … Continue reading

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August 23rd 2015 CCNEPal update


I checked the statistical report of blog hits and I see that the home page, and whatever is there, is still getting a lot of hits every day. So – I need to put up something substantive instead of just saying … Continue reading

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