Our visit to Nepal: January 2018

Several members of the charity travelled to Nepal earlier this month to run some medical courses, both established and new.

Jeremy Ward and Kamal Aryal ran a 1 day NOTSS  (Non-technical skills for surgeons) arranged locally by the Transplant Hospital in Bhaktapur and sponsored by HExN and Nepalese Doctors Association (NDA) UK.  This is a course run through and badged by the Royal College of Surgeons of Edinburgh.  It focuses on various aspects of Human Factors and their importance in surgical outcomes and patient safety.  Although completely new to much of the Nepali surgical fraternity it was well received and there was great engagement from the 24 delegates and we were lucky to have the company and support of Prof CL Bhattachan, President of the Society of Surgeons of Nepal (SSN).  We hope to build on this with stronger links and more education in collaboration with Society of Surgeons of Nepal.

We then travelled to Dhulikhel Hospital where we were joined by Andreas Brodbeck, anaesthetist from Great Yarmouth, Roshan Lal, general surgeon from Great Yarmouth, and Patrick Keating, gynaecologist at Lancashire Teaching Hospitals.  Over a busy 3 days we ran the annual laparoscopic surgery course and Andreas presented several workshops on various aspects of intensive care and anaesthesia.  On the surgical side, as well as lectures and interactive discussions, delegates had a day practising on simulators and a day in theatre seeing / assisting in / performing laparoscopic procedures including cholecystectomy, hernia repair and appendicectomy.  Patrick had a busy day of gynaecological procedures which was much appreciated by the gynaecology trainees.  We were sorry to leave our friends at the end of a very fruitful 3 days with great engagement and positive feedback.

Finally we had one free “rest” day when we trekked 12km between Dhulikhel and Nagarkot, through the foothills looking up to the mighty and beautiful Himalaya. Andreas with the help of his running club from Gorleston donated 2 laptops and projectors for 2 schools in Darbung and Arubas where HExN has built 2 school buildings destroyed by earthquake.

All in all, although a short visit it was packed with activity, extremely worthwhile and we look forward to continuing to build our links.

Respiratory Medicine symposium and non-invasive ventilation (NIV) workshop: 6-7 October 2017

The programme was jointly organised by society of Internal Medicine of Nepal (SIMON), Royal College of Physicians of Edinburgh (RCPE) and Health Exchange Nepal (HExN). The symposium, held in Pokhara, was attended by over 100 delegates from different parts of Nepal. 60 of the delegates participated in the workshop where they got hands on experience on the use of NIV machines and other equipment used in treatment of respiratory failure.

The faculty included five speakers from different parts of UK, including Professor Derek Bell, the President of RCPE, and five speakers from Nepal.

American British Course in Neuroradiology (ABCNR): Emergency and Trauma Neuroimaging: 9 / 10 October 2017

Health Exchange Nepal (HEXN) is a proud collaborator in supporting this sought after neuroimaging course held at the National Trauma Centre in Kathmandu, organised by Nepalese Radiological Association (NRA).

This one and half day course was designed to provide an interactive forum to discuss the pearls and pitfalls in common diagnostic and interventional emergency neuroradiology. There were six faculties from the UK and one from the USA. The course was actively participated by over 100 trainee and consultant radiologists from Nepal who provided excellent feedback after completion of the course.

We would like to thank the organising team, under leadership of Dr Narayan Bikram Thapa (Associate Professor), for their excellent work in making this course a grand success.

Type 1 Diabetes Education for Children: June/July 2017

We worked in partnership with our friends at Diabetes Nepal to start this patient education course in Kanti Hospital, Nepal.

We enabled two trainers to go to India and learn about Type 1 Education. On their return, they conducted this for children with type 1 diabetes and their parents. This programme was conducted during five weekends of June and July 2017.

This was the very first type of education and support provided to children with type 1 diabetes in Nepal, and Somila Kakshapati helped us run the programme.


13th Society of Internal Medicine of Nepal (SIMON) International Conference: 5 and 6 May 2017

We were one of the main sponsors of this conference. Professor Derek Bell, President of the Royal College of Physicians of Edinburgh, inaugurated the event with the lighting of the traditional lamp.

We supported the “Symposium on golden hours in acute medicine” session that included speakers from the UK discussing such matters as Early Warning score, Respiratory failure, Pulmonary embolism, Endocrine emergencies and acute kidney injuries. 300 trainees and physicians from Nepal and neighbouring
countries participated on the course.

We held talks with Professor Bell on how to start an MRCP programme in Nepal and we will continue to develop our ideas with him over the coming months.


Royal College of Physicians of Edinburgh Meeting, Kathmandu: 4 May 2017

We supported the RCPE meeting in Kathmandu; inaugurated by the President of the Society of Internal Medicine of Nepal, Dr Lava Joshi.

Seven speakers from the UK presented various topics including Parkinson’s disease, infection and diabetic foot ulcers. The meeting was attended by about 70 trainees and physicians. Dr Kevin Jones from Bolton delivered a very popular lecture on how to give a good presentation.

The President of Royal College, Professor Derek Bell, closed the meeting by explaining the role that the college of Edinburgh can play in improving medical training and CME in Nepal.

Health Exchange Nepal's General Secretary Professor Satyan Rajbhandari, and Treasurer Dr Mohan Thapa represented our charity.


Workshop on Ultrasound Guided Regional Blocks, Dhulikhel Hospital: 26 March 2017

Dr Purna Raj Joshi, Consultant Anaesthetist at Pinderfields Hospital in Wakefield writes:

I was invited as the Course Director for the Workshop on Ultrasound Guided Regional Blocks, held at Dhulikhel Hospital in Nepal. The workshop was jointly organized by Health Exchange Nepal (UK), Dhulikhel Hospital, Kathmandu University and Society of Anaesthesiologists of Nepal (SAN) on the occasion of 18th National Conference of SAN. 

20 postgraduate residents and practicing anaesthesiologists from different hospitals of Nepal participated in the workshop. The morning session started with a lecture on Principles of Ultrasound Guided Regional Blocks and demonstrations of ultrasound machine and needling techniques.

Participants were divided at four stations for practical sessions which were equipped with ultrasound machines, Blue Phantom ultrasound regional anaesthesia training blocks and were supervised by faculty members. After familiarisation with the ultrasound machine and learning the needling techniques, participants went through three separate sessions on Upper Limb Blocks, Lower Limb Blocks and Abdominal Wall Blocks. Each session started with a lecture and demonstration on volunteer model and followed by practical sessions at workshop stations. All the participants had ample time for learning needling techniques on Blue Phantom ultrasound training model blocks, hands on practice of sonoanatomy on healthy volunteer models and interactions with faculty members.

The workshop was very successful and all the participants gave high rated feedbacks.

I am very grateful to Dhulikhel Hospital for inviting me as Course Director. I would also like to thank HExN for co-sponsoring the workshop and to my colleagues at Pinderfields Hospital for contributing towards Blue Phantom Fund.

Diabetes Nepal Conference: 1 - 4 March

March 5, 2017

HExN Secretary Dr Satyan Rajbhandari attended this year's Diabetes Nepal Conference. he shares his experience below: 

My trip this time to Nepal was exciting. For the first time we were going to conduct Diabetes conference outside Kathmandu. HExN has helped ‘Diabetes Nepal’ to conduct six annual professional conferences and they were all held in Kathmandu.

As soon as I landed, I realised that Kathmandu was dirty. Some people have named it ‘Dustmandu’. They were digging streets for drinking water supply and left gaping hole. I admired the resilience of Kathmandu people. They do not complain, no matter how bad things are. I started my work and met office bearers of Diabetes Nepal.

Next day I went to the graduation ceremony of paramedics for Nepal Ambulance Service whom HExN has helped. Then I went to Dhulikhel to discuss how to develop ‘Orthotic & Prosthetic Course’ there. Dhulikhel was as beautiful as ever.

Next day I went to Pokhara where I met Marie-France who came back from trekking. She is consultant from Leicester and one of our faculty member for Diabetes Conference. We had first regional diabetes conference in Pokhara on 1st March 2017. It was held in Hotel Barahi and attended by 40 doctors. I was greatly encouraged by participation from senor doctors. We also discussed about conducting future medical conferences there.

We drove back to Kathmandu on 2nd March. We stopped at scenic Bandipur on our way, which was a nice break. On 3rd March we had first ever meeting on ‘Diabetes Educator’ at Maharajgunj Campus. This was aimed at nurses and nutritionists. Around 200 people participated in this.

4th March was our 7th Annual Diabetes Conference held at Hotel Yak & Yeti. Around 150 doctors participated in this. This programme was inaugurated by Mr Satya Mohan Joshi, ‘Man of the Century’ of Nepal. He is 97 and gave his secret to disease free life. His secret was a glass of milk in the morning and a measure of whiskey at night. Dr Deshpande from India, Prof Jude from Manchester, Dr Kong from Leicester and myself from Preston were the international speakers. We had two workshops this time, which was very popular. We agreed to hold another conference again in a year’s time.

My final day was spent with Nepal Television who took my interview on Diabetes, HExN and my life. This was broadcast live.

Liverpool Fundraising Event Raises £2600.00

February 13, 2017

It was an honour to welcome His Excellency Ambassador Dr Durga Bahadur Subedi and Nepalese MP and philanthropist Dr Arzu Rana Deuba to our Health Exchange Nepal cultural fundraising event in Liverpool this weekend.

The event was supported by the Nepalese Community in Liverpool Group and included a full agenda of traditional dancing and singing accompanied by a buffet of Nepalese and Indian food and raffle and auction.

The earthquakes which hit Nepal in 2015 have had a long-lasting effect beyond the loss of lives and permanent injuries caused to so many. Tourism, a vital source of income for Nepal, has dipped sharply, so all profits from the day go directly to Health Exchange Nepal to help its work of providing clinical and educational support in Nepal, improving the lives of thousands of people each year.


2017 Training Programmes announced

18 February: Clinical Governance Meeting at Civil Hospital, Kathmandu

1 - 4 March: Diabetes Nepal Conference

(1 March in Pokhara for Doctors, 3 March in Kathmandu for Nurses and National Conference in Kathmandu on 4 March)  

26 March: Regional Anaesthesia Course at Dhulikhel Hospital
26 & 27 March: Neonatal Life Support training at Dhulikhel Hospital
April (Date TBC): Recognising Child Abuse workshop at Kanti Hospital
4 May: RCPE / SIMON joint symposium
5 & 6 May: SIMON Conference
October (Date TBC): Respiratory Meeting in Pokhara
October (Date TBC): Neuroradiology Training Course in Kathmandu
November (Date TBC): Laparoscopy Surgery Training in Dhulikhel Hospital


Ultrasound anaesthesia workshop at Kirtipur

November 23, 2016

The two day ultrasound anaesthesia course at Kirtipur, led by Dr Aryal and Dr Brodbeck, included two practical sessions in ICU and Theatres, and an additional ultrasound of lung, heart and abdomen. 

An enthusiastic group of eleven young doctors attended the workshop, most of whom had some ultrasound experience, and the feedback was excellent.

The colorectal course facilitated by Lancashire Teaching Hospital Consultant Patrick Keating included lectures in the morning and a theatre case video linked into the lecture room in the afternoon. 


Anaesthesia Pain and Critical Care Medicine (CURRENT 2016) Refresher Course in Kathmandu

November 15, 2016

Health Exchange Nepal (UK) organised a refresher course in Tribhuvan University Teaching Hospital (TUTH) on 26 August 2016 in Kathmandu, Nepal.

Dr Shambhu Acharya took the responsibility of forming an international faculty and the rest of the faculty members were from TUTH for this meeting. It was an opportunity as well as a challenge to find the experts in the relevant fields who were willing to go to Nepal during a holiday season on a voluntary basis.

Three consultant anaesthetists from Aintree (Dr Shambhu Acharya, Dr Raj Nagaraja and Dr Shetty) and Dr Jagadish Agrawal from Wirral Hospitals and one paediatrician Dr Sujay from United Arab Emirates kindly agreed to be the faculty members to go to Nepal.

A range of topics were included in the course. The international faculty covered the following topics:

  • Anaphylaxis: Dr Shambhu Acharya
  • Complications of regional anaesthesia: Dr Ravish Shetty
  • Pregnancy induced hypertension: Dr Jagadish Agrawal
  • Neonatal resuscitation: Dr N Sujay
  • Critical appraisal of scientific papers: Dr Raj Nagaraja
  • Fluid management in trauma patients: Dr Raj Nagaraja

There were many challenges for our faculty as Nepal lacks many resources and some drugs are not available there and some alternatives were to be found that could be used in Nepal. 

Photo (Left to Right):
Dr Gentle Shrestha, Dr Diptesh Aryal (Co-ordinator for the course in Nepal), Dr Nagaraja, Prof Bimal Kumar Sinha (Acting Dean, Institute of Medicine), Dr Acharya, Prof Marhatta (HoD of Anaesthesia, TUTH), Dr Anil Shrestha