I’ve been getting a lot of emails asking what exactly it is that I do here, so this is my attempt to describe the craziness that is Nepal:
I am currently volunteering at the Primary Health Care and Resource Center (PHCRC) in Chapagaon. Occasionally, I drop by the Anandaban Leprosy Hospital and Lalitpur Orphanage, both just a couple towns away, but most of my energy is devoted to the PHCRC’s out-patient, emergency, family planning, and birthing clinics. I was lucky enough to have timed my arrival with that of a new batch of health-assistants-in-training so I tag along and assist the in-house doctor who teaches us how to take patient histories and vitals, make simple diagnoses, prepare injections, apply dressings, take heart rate/b.p./temp/weight measurements, etc. Most come into the out-patient and emergency wards with TB, COPD (chronic obstructive pulmonary disease), gastritis, cuts and lacerations in need of stitches, and diabetes. Others come on designated days for dental work, eye checkups, immunizations, and birth control. We even deal with the occasional schizophrenic, manic depressive, or senile patient, but so far three cases have truly cost me some sleep.
The first was a five-year old girl who came in to get her burns rebandaged. Every district of Nepal suffers from mandatory daily power cuts to conserve energy and a month ago, the child had been playing by candlelight when her clothes caught on fire. She suffered 3rd-degree burns over a quarter of her body and the wounds were still oozing blood as we applied a fresh dressing on her writhing little frame.
The second was an unconscious woman who, having come to in the emergency room, began screaming hysterically. At first, I thought she was having a psychotic break but soon learned the tragic back story: her son had fallen in love with a girl who, unbeknownst to him, was engaged to another man. The day after her arranged marriage, she broke the news to him by text and the distraught boy hanged himself. His mother found him hours later and collapsed.
The third was the worst. A 22-year old had given a home delivery and the inept midwife had made a hash of stitching up the torn vaginal membranes. Two days later, she had developed a massive infection and came into the clinic to be re-sutured. I almost lost it when I saw jagged, freely bleeding cut that the midwife had inflicted on the poor girl. The stitches were crooked, the skin inflamed, and the whole thing affected even our hardened doctor. Thankfully, she recovered after a few painful days in the post-natal care ward.
Now, on to happier topics… During my free time, I visit and go on little outings/picnics with my Nepalese friends, most of whom are relatives and friends of my host family. On Saturdays, Puru and Niroj take me to the nearby Hindu and Buddhist temples at 7am to worship and catch up with neighbors. The rest of my time is spent reading by candlelight, eating and sleeping. There is no such thing as a nightlife here so everyone goes to bed at ≈9pm and wakes up at ≈6am. I’m getting an unprecedented 9 hrs of sleep a day(!), waking up to a fresh cup of chiya and biscuits and spending at least an hour just sitting on the veranda with the family, looking out over the wheat fields, and watching the rest of the community rise.

As for the food, the Nepalese traditionally eat two meals of daal bhaat (lentil curry + rice) a day, one at 10am and one at 8pm—the same thing, everyday, for their entire lives. But what the meal lacks in variety, it makes up for in quantity. Seriously, the amount of rice consumed in one sitting would blow you away. A single meal consists of about 4-5 cups of rice, 2 cups of lentil soup, 1/2 cup of fried potatoes, and 1 cup of greens. I’m not familiar with counting calories but after a quick Google search, I figured that, even with the most conservative of estimates, I’ve been consuming at least a good 1500 calories twice a day. Add to that a light lunch of deep-fried “rice donuts” and I’m pretty much on a straight path to morbid obesity.

All in all, life just can’t get any better. Thanks to good friends, good food, and good sleep, I’m finally beginning to lose that nasty gaunt/harried look I’d acquired over the past summer and fall. For the first time in a long while, I don’t wake up feeling like I’m already behind; Americans tend to live according to the dictum, “work hard, play hard,” whereas the Nepalese are much more “work hard, but take your time.” I’d always defined myself as a type-A personality, but really, I could get used to this.