Medicine in Nepal

Dhulikhel hospital from the library. Quite a climb to the wards!

We've already seen some really interesting things--even in two days in Dhulikhel. Things that wouldn't even enter my differential diagnosis are commonplace here: tuberculosis, typhoid, brucellosis! We saw a patient who had come in with adrenal insufficiency secondary to disseminated tuberculosis, which is completely crazy (it's speculated that this is what killed Jane Austen! Of course I know something like that...)

We have started the past couple mornings with morning report hearing from all the doctors in the hospital about who was admitted overnight. Then we have tea break :) Then we meet for rounds to see some patients and have a lecture on a topic of global health (so far, TB and typhoid). Then we have lunch (usually with chia!). Afternoons involve (so far) more lectures, before, yes, another chia break!

Tomorrow the tentative plans are to go to a TB hospital and later in the week we are hoping to do a "community outreach" experience, which I'm psyched for because I love community health!!!

There are kinks to work out as far as our clinical experience, but overall this is completely fascinating and really inspirational. I am really looking forward to the rest of this month.

Cool factoid!!  You can get chronic typhoid infections if you are coinfected with schisotsomiasis because the typhoid can live inside the schistosomes and avoid being killed with antibiotics!! What??!! 

View in a room in our guest house where we actually aren't staying but you get the idea.

Morning Report at Dhulikhel Hospital

Studying in the library!