Friday, February 13, 2009

Trisuli and the road to Chitwan

This is one of my favorite pics from the road down to Chitwan. The road curves through the steep foothills along the Trisuli river, which ebbs ands flows from monsoon deadly to tamer during the dry season. Holly saw it post-monsoon and said the churning waters looked “wicked”. To provide some perspective, if you look just below the center, there is a 2 story Nepali home on the hillside. The hills are so steep and high! On the far right is the road up ahead. As that road is a major highway, the people can walk to the nearest tandem crossing (or a metal cord with a box cage that you physically pull across) to have access to selling their produce roadside or catching public transport to a village market. A few weeks ago, small tangerines called “suntallahs” were selling for 35 rupees/kilo (~50 cents). Tis the season.

Wednesday, February 11, 2009

Wednesday Feb 11

So, there was no power yesterday during work hours. We have a few car batteries for backup on a few key machines; but they are 4yrs old, do not hold much charge anymore and don’t get enough time to recharge on the limited city power schedule (pic in a previous post). We currently have a small 4kv generator that is being packed around the hospital to selectively run the operating theatre, a ward OR a few hospital lab test machines for a bit. With the rotating outage schedule, it now runs that way several days a week. The most we receive is a four hour block of city power during work hours (Mon, tues, Friday, Sat).  Kapil, the lab manager, and two grad students covered the weekly leprosy clinic held at Patan Hospital in town today; while Saraswoti, a research assistant, and I headed to Tribhuvan University to meet with faculty there to discuss academic issues related to microbiology and biotechnology graduate coursework. We currently have two graduate students from the micro dept finishing their thesis and two new ones beginning their work in the hospital lab. Saraswoti then headed to government offices to deal with paperwork processing required for various projects. Never a dull day and never a lack of things to tackle. In the attached pic, Saraswoti and Chhatra, the other research assistant, are processing cells from new patients (back in the days we had more power). We are trying to develop a test with some Dutch collaborators to see if we can predict which patients will have a leprosy reactional episode during their first year of treatment. This would be very useful for the doctors, as no one can now predict which patients may have the damaging and sometimes very painful reactions. Potentially, this could help towards the development of intervention strategies to prevent patients from developing more nerve damage and becoming more disabled (which can still happen during the years after they have technically been “cured”).  

Tuesday, February 10, 2009

Meeting between lab staff of Lalgadh and Anandaban in South Nepal

We’re working on collaborations between the labs of Anandaban (Kathmandu) and Lalgadh (~10hrs drive south) to strengthen the capacity of leprosy research in Nepal. There are many challenges, but many more patients need us to pursue better tests and treatments. Please pray that the labs can effectively work together to develop better ways to eradicate the causes and consequences of leprosy.

Monkey joining in an outdoor lab meeting

 

 

There are some reasons for the delay in posting...

Dear friends,

 

The power outages are still at 16 hrs/day (4hrs am, 4hrs pm on a rotating schedule). The power lines destroyed earlier this year in monsoon flooding crippled Nepal from buying supplementary electricity from neighboring countries during the corresponding dry season. Therefore, this year’s power outages in this hydroelectric dependent country are unprecedented. I’d experienced limited power outages in Louisiana after hurricanes, but this is months of sustained power outages that significantly affect a developing world economy. At least, no electricity is needed to grow rice and vegetables (mainly done by hand here anyway – it took months before I sighted a tractor). No one I talk to remembers it ever being more than 8-10hr/day outages at this time of year. To make matters worse, the main generator and smaller backup generator for Anandaban have been broken for weeks. Imagine trying to run a hospital with surgery, emergency care, 115 beds, xray, computers and lab tests. It’s been challenging. We’d initially hoped that the electrical authorities would grant the hospital additional hours; however, after weeks of promises and negotiations, the plan fell through. No extra electricity will be forthcoming. We had sent our electrician to India to get an emergency part for the main generator. He could find none; and while trying to return, got delayed for days in southern Nepal due to road blocks and protests. A second man was sent to India by plane. He returned with a part. Everyone sighed with relief. The electrician returned Monday, installed the part and…found out that it did not work. Another person was dispatched to India yesterday in an attempt to get a functional part. The government is saying the power lines will be repaired soon. Everyone wants to believe.

 

Anyway, some friends from my previous workplace, The National Hansen’s Disease Programs Laboratory Research Branch in Baton Rouge, will be coming to visit me soon!! Hopefully, the power will be better when they come. They are packing to leave, and should be here March 5-11th. I have to plan an appropriate itinerary for them. Let’s see, meal planning is easy. Daal bhaat. Daal bhaat. Daal bhaat. Just joking. Maybe. J

 

By the way, this post is a test. Apparently, it is possible to blog by email. With the current power and internet situation, it is difficult to get online sometimes, much less navigate a series of pages over time and then upload materials. Email would be much simpler and straightforward. If this works, hopefully I will be able to post more often!! It may also take pics – so enjoy this scene out my back door. No zoom was used, and he seems only to respect slingshots. I need to practice!! Thank you (Dhanyabad) for your prayers.

Tuesday, January 13, 2009

I'm hurrying, we'll begin boarding soon...

Such lovely friends to visit...
Outlets for plugs in surgery theatre
A dead pangolin was found on the property! (Nepalese anteater-relative of the armadillo)
Deb sent me her first quilt to help stay warm!
New years at the chandlers
Arden Olivia, day1
Anandaban is the tiny white speck of buildings on the hill in the middle. Kathmandu is the valley city behind. The himalayas are visible in the distant back. A valley of farms, brick kilns and gravel pits lies below anandaban. Beautiful!!
Holly giving lessons in cake decoration
Elisa and a slug (part of the exponential upsurge of critters post monsoon)