गोरखापत्रबाटः Vice chairman of the Council of Ministers Kirtinidhi Bista presenting a letter of felicitation to Bir Hospital staff for his 25-year-long service to humanity. Bir Hospital, the nation's largest and oldest hospital, marked its 116th anniversary in Kathmandu, Wednesday. Photo: Rajendra Chitrakar/ Gorkhapatra

सरकारमा बस्नेहरु कस्ता कुत्ता, एकोहोरो भेडा, मानवियसंबेदनाहिन, तुछ्छ र नालाएक छन् भन्ने कुरा त यो धागोमा दिएको लिंक र तलको समाचार तुलनागर्दा नै देखिन्छ। -नेपालको भविश्य Bir Hospital should live upto its lofty image?E Poor patients to get free heart-valves RSS KATHMANDU, July 27: His Majesty's Government has decided to provide 100 sets of heart valve to Bir Hospital every year for treatment of economically weak heart patients free of charge. Vice Chairman of the Council of Ministers and Minister for Health and Population Kirtinidhi Bista made this announcement during the 116th anniversary of the Bir Hospital. Inaugurating the programme, Vice Chairman Bista wished that the historic hospital will set an inspiring example by maintaining its image as per its norms and values while providing quality services to people. On the occasion, Vice-chairman Bista presented a letter of felicitation to former medical superintendent, Dr. Indra Bahadur Khatri for his life-long contributions to development and expansion of Bir Hospital. He also presented a letter of appreciation to doctors, nurse and staff for their 25 years of service while giving away the Bhaktakumari Sick Service Fund award to the nursing supervisor, Tirth Kumari Shrestha for this year. The prize carries a purse of Rs. 5 thousand and certificate. Similarly, the prize of the Mrigendra Memorial Medical Guthi was given to Dr. Mani Prasad Gautam and ECG technician Srijana Rajopadhayaya. Assistant Minister for Health and Population, Nichha Shumsher Rana shed light on remarkable contributions made by the Bir Hospital in the health sector of Nepal with limited resources and observed that health service of the hospital need to be upgraded upto the international standard. On the occasion, other speakers also expressed their views.

yes shirish all nepalis - educated burgueous (that word again) and unfeeling unthinking spectacle-wearing people lets get kathmandu to the state of rolpa if we cant improve rolpa to the level of kathmandu by the way my house is not air conditioned but i do have a portable air conditioner does that count? tell me soon - i need to buy stuff to kill myself of guilt

locum: Kill me I am guilty ! I dont deserve to live in this comfort by deserting Nepal. I had scholarship provided by the government and instead of serving for life, I chose to have fun. I am guilty. Kill me. Kill us all....Please.

well you should have gone to a remote mountain cabin where the nearest patient is 3 day's walk away with a bancharo and a hansiya as surgical instruments you could ride a horse provided by HMG and have a peon to cook your food or you could be in bir hospital,earning money by outsourcing the patients needing a CT or MRI to surrounding nursing homes or you should have been a non medic ,happily criticizing all doctors till you run out of breath and you chose to be a medic? you chose to live outside nepal? how could you mate? how could you? let me sharpen my hansiya now

Bir Hospital - A disgrace in the name of national hospital. In the heart of ktm, 5 minutes from the palace, the only source/ place for millions of nepalese below poverty, and yet, our elected and chosen secreteries turns a blind eye. A female in pain in funeral room for 4 days; without any medical attention whatsoever. Now, even Bir Hospital would not be THAT neglegible and inhumane. Or so i thought. anyways, who am i kidding here? I myself do not have a pleasant experience on Bir H. it's been eon. - IndisGuise :( ------ "scholarship provided by the government ," Sirish?

These crooks Doctors got free education in the best foreign university by scholarship and these crooks Doctors get high salary in hospital. Even though these crooks Nepali Doctors do not even have little shame or morality to corrupt society and destroying Major Hospitals of Nepal where poor Nepalese come with great hope for survive. ----------------------------------------------------------------------------------------------------------- God dont these docs have a heart? Atleast they have seen the world. Are there any Nepalese who really would think of others besides just them. Makes me sick. Jati padeni always testai.

Here I gonna play as devil's advocate. I am not defending Bir Hospital but feel pity for docs. Not all docs got scholorships. But as you all know before going abroad or they make you sign a deal to come back if needed. The problem there is not because of doctors, its because of buerocracy. Source force and mantris and sajibs trying to make money out of corruption.

Well highfly nice to see you play the devil's advocate. I understand that doctors are people too, and people do have bad habits from time to time, but the problem is our seem to have all the time. Every one there should learn to take responsibility for their actions. But then again, we are talking about Nepalese. hmmm. How sad. :( For God's sake they are DOCTORS: HELLOOOOOOO, DO THEY EVEN KNOW THE MEANING OF IT!

matrix, Enivronment is not there to work. Nobody gives a damn about anything over there. I am not talking about bad habits. I am talking about environment. There is no environmnet for the fair play. The tone needs to be set from up. Thats not there.

Well instead of blaming this and that, why not try to find a middle path. IMHO, I actually think the problem is we expect more of our politicians than we do of ourselves or our friends. How many of us can say we've never lied? How many of us can say we've never held a hypocritical opinion? How many of us can say we've never done something to take advantage of a particular position we've been placed in? I wouldn't think it would be many. Politicians are human too. They make mistakes. Just like us. The problem is, when they make a mistake, they're required to deny it and cover it up, because if they just come out and say "I stuffed up", although they would get respect from some people, there would be far too much public pressure on them telling them to slink off quietly into the night.Thus, one slip up, and you spend the rest of your life digging a bigger hole to cover it up. I don't think it should be that way, and I'd love to see people more willing to accept politicians will sometimes do the wrong thing, and it's not really the end of the world in most cases. I'd much rather have someone who does a good job, and like everyone stuffs up every now and then but is willing to come clean on it, than some moron who spends all his or her time keeping his or her nose clean in the eyes of the public. So my take on it all is that there are very few people who are truly corrupt, it's just that many more people appear that way because we're judging them by false standards. If we take a more realistic view of how our politicians should behave, then yes, I think we will see better behaviour from them. At the least, they're more likely to be truthful about their minor transgressions. Now whether I think the politicians we have are particularly good at what they do, or whether I think the game of politics is one that best serves the general populace, is another issue. But as far as corruption goes, I think we tend to blow it way out of proportion. Just a thought....

think the problem is we expect more of our politicians than we do of ourselves or our friends. How many of us can say we've never lied? How many of us can say we've never held a hypocritical opinion? How many of us can say we've never done something to take advantage of a particular position we've been placed in? Excuse me but spare me from these questions coz I have no positive answers. BTW, these were among some of the questions I had been addressing in one of my Nepali threads sometimes ago. Wow, someone thinks similarly as I do.

Diagnosing doctors ( A piece of humor by by oohi ashu and M. Singh) Doctors and long-distance bus drivers have much in common in Nepal. Both are responsible for other people's lives. Yet, both often fail in their duty. Just as our highways are littered with squashed men, women and children for whom the light at the end of the tunnel was that of an oncoming bus they failed to dodge, our hospital cabins andnursing home-rooms are filled with patients --overmedicated, over-ignored and overcharged, and, singing a "knock, knock, knocking on Heaven's door". If you want to learn more about drivers, hitch a ride on the rattling Sajha Bus to Dang from Kathmandu. If you want to get the inside dope - no, not THAT dope, silly -- on Nepali doctors, read on. Dr. SIGNBOARD-ONLY: This doctor is more interested in keeping his degree-studded, Shyam-Arts-painted brown signboard outside his clinic cleaner than your lungs. More a salesman than a doctor, he knows how to fudge a routine, ordinary and even necessary two-week-long post graduate training in Poona as an impressive-sounding degree on his beloved signboard. When you visit him as a patient, just watch him: He has absolutely no idea what in Nepal is wrong with you. Yet, in a serious voice, he intones that you take Cetamol twice a day, each time with a glass of Aqua Mineral water. And ladies, don't ever let him squeeze your breasts just because he seems a little too obsessed about curing your headache. How this guy exists as a doctor says wonderful stuff about our Nepal Medical Association and the Nepal Medical Council. Dr. ALL-IN-ONE: This doctor acts as though he were the direct descendant of Mr. Hippocrates of Athens. He knows all about medicine, and he wants you to know that he knows all about medicine. Even in casual conversations, he makes references both to the New England Journal of Medicine and the Kamana magazine's health columns. The word "referral" is alien to him: He'd rather kill you than send you over to someone more qualified in Nepal. This guy, being Dr. All-in-one, practices all kinds of medicine. On Sundays, he deals with mere mortals like you and me. On Mondays, he operates on your newly-rich neighbor's dog. And he spends the rest of the week, peddling cod-liver oil from his wife-managed drugstore. Oh, in between, he has plenty of time, not to mention cash, to rush his relatives to Delhi or Vellore, even if they have as much as a sneezing problem. Dr. NO SOURCE-FORCE: Remember that wide-eyed, bushy-tailed ASCol classmate from Urma VDC in Kailali zilla, who drove you nuts with his "tapai ka tapai" salutation and oh-so-formal spoken Nepali? Well, guess what. The guy wiped his nose clean, studied hard, got a Colmbo Plan scholarship to study medicine, and has now become a football -- kicked around by the Ministry of Health. Since this doctor, then as now, lacks connections that matter, the bureaucrats keep on transferring him from one remote zilla to another, ordering him to fill in the "rural service quota" of yet another slick Kathmandu medical boy who enjoys the benefits of his Papa's right connections. Yet, our No 'Source Force' hero uncomplainingly moves on -- like the mighty Hercules holding Atlas, dreaming of those juicy government scholarships to Edinburgh, Dublin or Dhaka. But, alas, those never arrive, leaving our "daktar-shaheb" spend his working days in places like Khalanga, Jajarkot -- playing cards all day with the peons, stealing "chuskis" of banned raksi, and being reduced to massaging broken jaws of the Maobadis. Dr. NO ETHICS: There exist at least three variants of this mutant medico species in our beloved Nepal. The first variant worships money. To that end, he's always ready to make arbitrary diagnosis, go for unjustifiably expensive procedures, and prescribe back-breaking nostrum which he wants you to buy at the drugstore of which he is a shareholder, if not the owner. He pockets commissions from pathology labs and much else besides. The second variant, though officially an employee at a state hospital, will only see you at his private clinic, where, up on a wall-papered panel, hangs his license to kill. Always busy, he treats you as though you were a Hero Honda motorbike, whirring over to him for a quick tune-up. "Roll on, roll on", he seems to say, "and hand over the money to my brother-in-law outside." The third variant practices medicine by becoming skilled at politics - both local and national. Acting as advisors to political parties, he, together with his comrades and "jai nepal" friends tears medical fraternities apart -- choosing to operate on the patients only with (choose one) a Congressi or an RPP or an UML or a Maoist knife. Ah, such and more are the hidden tales from the medical land. At least, the bus driver hasn't made us swim out of the Trishuli yet! (Originally published in The Kathmandu Post; circa 1999).

उपचारभन्दा ज्यानकै खतरा जनक नेपाल/नेपालगन्ज नेपालगन्जका शिक्षण अस्पतालहरूमा लापरबाहीका घटना हुँदैआएका छन् । वैशाख २८ गते दिउँसो ३ बजेतिर सामान्य अवस्थामै स्वास्थ्य परीक्षणका लागि बीपी चोकस्थित शिक्षण अस्पताल पुगे, इन्जिनियर रामविलास गुप्ता । तर, उनी र्फकन पाएनन् । उच्च रक्तचाप र मुटुको रोग त थियो तर ज्यानै जाने स्थितिमा थिएनन् । नियमित जाँचका लागि गएका गुप्ताले सधैँ डा कौशल किशोरसँग उपचार गराउँथे । त्यस दिन उनी भेटिएनन् । गुप्ता डा कौशललाई पर्खिन चाहन्थे तर इमरजेन्सी वार्डमा रहेकी डा रीतु चौधरीले तीन इन्जेक्सन मगाइन् र करैले लगाइदिइन् । त्यसको अढाई मिनेटभित्रै उनको मृत्यु भयो । "डोज मिलेन कि के भयो कुन्नि, इन्जेक्सन लगाएपछि फिँज काढ्नुभयो । गलत औषधि पर्?यो भन्दै बित्नुभयो," गुप्ताका कान्छा छोरा अभयकुमार, ३५, भन्छन्, "सिकारु डाक्टरले गर्दा बुबाको ज्यान गयो ।" उनका अनुसार गुप्ता २८ वर्षदेखि मुटु तथा उच्च रक्तचापका बिरामी थिए । तर, नियमित व्यायाम र आहारविहारले रोग नियन्त्रणमा थियो । "ठीकठाक मान्छेलाई अस्पतालले मार्?यो," बुहारी रीताले भनिन् । डाक्टरको लापरबाहीले गुप्ताको मृत्यु भएपछि आक्रोशित छिमेकीले दोषी चिकित्सकमाथि कारबाहीको माग गर्दै अस्पतालमा तोडफोडको प्रयास गरे । तर, हुलदङ्गा गर्न खोजेको भन्दै सार्वजनिक मुद्दा चलाउन प्रहरीमा उजुरी गरेको पीडितले बताए । त्यही रिसइबीमा अस्पतालले जेठ १७ गते पुगेका आफन्तलाई 'डेथ सर्टिफिकेट' दिनसमेत इन्कार गरेको छ । मृतकका परिवारले लापरबाहीले ज्यान गएको आरोप लगाउँदै १५ लाख रुपियाँ क्षतिपूर्ति र चिकित्सकमाथि हदैसम्मको कारबाहीका लागि प्रशासनमा उजुरी गरेका छन् । डा कौशलले 'सबैलाई बचाउने ठेक्का लिएका छौँ र ?' भन्नेजस्ता गैरजिम्मेवार व्यवहार गरेको सम्झँदै अभयकुमार थप्छन्, "डाक्टरको लापरबाही र गैरजिम्मेवारीले हद नाघेको छ ।" आठ वर्षदेखि सञ्चालित नेपालगन्ज मेडिकल कलेजको नेपालगन्ज र कोहलपुरस्थित शिक्षण अस्पतालमा यस्ता लापरबाहीका घटना बारम्बार हुने गरेका छन् । नेपालगन्ज मेडिकल कलेजका डा सन्तोषकुमार शर्मा गल्ती नदोहोर्?याउन अस्पताल व्यवस्थापनद्वारा कडाइ गरिएको बताउँछन् । तर, लापरबाही भने घटेको छैन । कलेजद्वारा जुम्लामा वैशाख ७ गते सञ्चालित स्वास्थ्य शिविरमा उपचार गर्न आएका यज्ञराज न्यौपाने, ५०, को पित्तथैलीमा पत्थरी छ भनेर निःशुल्क शल्यक्रिया गर्न नेपालगन्ज बोलायो । महँगो हेलिकप्टर भाडा तिरेर उनी वैशाख १३ गते नै कोहलपुरस्थित शिक्षण अस्पताल आए । महँगो शुल्क तिरेपछि जेठ २७ गते डा एसएम मिश्रले शल्यक्रिया गरे तर पत्थरी भेटिएन । किनभने उनको पित्तथैलीमा पत्थरी नै थिएन । आक्रोशित न्यौपानेले विद्यार्थीलाई सिकाउने प्रयोजनका लागि अपरेसन गरेको आरोप लगाएका छन् । आफ्नो शरीरको अङ्ग निकालियो कि भन्ने शङ्का छ उनलाई । त्यस्तै नियति भोग्दैछन्, हुम्लास्थित खार्पुनाथ- ३ का जितबहादुर शाही । दुईपटक शल्यक्रिया गर्दासमेत डाक्टरले मृगौलाको पत्थरी निकाल्न नसकेपछि ज्यानको क्षति र धनको खर्चले चिन्तामा छन् उनी । अस्पतालले यस्ता घटना लुकाउने गरेको छ ।

त्यस्तै भयो, नेपालगन्ज- ८ का उत्तमसिंह नेपालीका छोरा उदित, १६, को उपचारमा पनि । नेपालगन्ज शिक्ष्ाण अस्पतालका अल्ट्रासोनोलिस्ट डा केदारनाथ अग्रवालले जेठ २४ गते उनको दुवै मृगौलामा पत्थरी रहेको बताउँदै शल्यक्रिया गर्न लगाए । तर, उत्तमसिंहलाई शङ्का लाग्यो र लखनउस्थित देवीशिव हेल्थकेयरमा लगेर डा सञ्जय श्रीवास्तवसँग जचाए । मृगौलामा पत्थरी भेटिएन । डा अग्रवालको रिपोर्टले आफ्नो परिवारमाथि खैलाबैला नै मच्चाएको उल्लेख गर्दै उत्तम भन्छन्, "यसको क्षतिपूर्ति दिनुपर्छ ।" अस्पतालसँग एक लाख रुपियाँको क्षतिपूर्ति मागसहित उनले प्रशासनमा निवेदन दर्ता गराएका छन् । नेपालगन्ज- ७, फुल्टेक्राका दिलीप परियार, ३७, ले मृगौलाको पत्थरी झिक्न शल्यक्रिया गराउँदा झन्डै ज्यान गएको थियो । जेठ ५ गते बिहान ११ बजे कोहलपुरस्थित शिक्षण अस्पतालमा चार घण्टा लगाएर शल्यक्रिया गर्दा पनि डा विलोकरले पत्थरी निकाल्न सकेनन् । घाउ त्यत्तिकै सिलाएर अरू दुई दिन पनि शल्यक्रिया गरे । तर, बिरामी सिकिस्त हुँदै जाँदा पनि चिकित्सकले पत्थरी भेट्न सकेनन् । अन्तमा ८ गते राती घाउ आधा सिलाएर अस्पतालले लखनउ 'रिफर' गर्?यो । त्यहाँ जगरानी अस्पतालमा 'लिथोटि्रप्सी' प्रविधिबाट पत्थरी फुटाइयो । १५ दिन लखनउ बसेर सञ्चो भएर फर्केका परियार भन्छन्, "धन्नै ज्यान गएको ।"

"आशै मार्ने स्थिति बनेको थियो," घटना सम्भ?mदै श्रीमती सरिताले थपिन्, "अपरेसन बिगारेपछि न डाक्टर वार्डमा आउने, न नर्सहरू नै देखिने । अस्पताल निर्देशकसम्म पहुँच नभएका भए ज्यानै जाने रै'छ ।" डा विलोकरले जेठ ११ गते गरेको यस्तै अर्को शल्यक्रियामा कोहलपुरकी डम्बरकुमारी पराजुली, ५५, को मृत्यु भयो । आफन्त आक्रोशमा आएपछि अस्पतालका डाक्टरहरू केही घण्टा भाग्नुपर्?यो । शिक्षण अस्पतालमा चिकित्सकको लापरबाहीले ज्यान गएका यस्ता घटना बारम्बार सार्वजनिक हुँदैछन् । तर, कलेज प्रशासनले गम्भीरता भने देखाएको पाइँदैन । सामान्य रोग वा शल्यक्रियामा आफन्तको ज्यान गए पनि उजुरी गर्ने निकायसम्म पहुँच नहुँदा सधँै मर्कामा परेका छन् । जीउज्यानमाथि नै खतरा पुग्ने गरी उपचारमा हेलचेक्र्याइँ भएमा उपभोक्ता संरक्षण ऐन २०५४ को दफा ६ -१) क, ख, घ, ड. र दफा १० अनुरूप चिकित्सकलाई सजाय दिलाउन र पीडितले क्षतिपूर्ति पाउने अधिकार हुन्छ । तर, कारबाहीका लागि प्रशासन वा अदालत जानेहरूको सङ्ख्या भने कम छ । जिल्ला प्रशासन कार्यालयमा शिक्षण अस्पतालका लापरबाहीबारे तीनवटा उजुरी परेका छन् । ती उजुरीमा एक लाखदेखि १५ लाख रुपियाँसम्म क्षतिपूर्तिको माग छ । कलेजका प्रबन्ध-निर्देशक डा सुरेशकुमार कनोडिया गल्तीभन्दा धेरै हल्ला हुने गरेको बताउँछन् । कलेजद्वारा सञ्चालन गरिएका झन्डै छ सय ५० शय्याका दुई अस्पतालमा करिब एक सय डाक्टर कार्यरत छन् । तीमध्ये दुईतिहाइ हिन्दीभाषी भारतीय हुन् । त्यसैले अस्पतालमा आउने पहाडका बिरामीलाई रोगबारे विवरण दिन र डाक्टरलाई बुझाउन कठिनाइ हुन्छ । कहिलेकाहीँ त भाषाकै कारण रोगभन्दा फरक उपचारसमेत भएको पाइएको छ । कलेजबाटै एमबीबीएस पूरा गरेका चिकित्सकसमेत उपचारमा संलग्न छन् । "उपचार बिगि्रयो वा मर्?यो भने डाक्टरले मार्?यो भन्छन्," डा कनोडियाले भने, "जेलाई पनि 'इस्यू' बनाउने प्रयास हुन्छ ।" उनले गम्भीर गल्ती नै प्रमाणित भएमा माफी माग्न र उचित क्षतिपूर्ति दिन कलेज तयार रहेको बताए ।

this reminds of kanti bal aspatal. bichara baccha haru haat purai dadeko, funding nabhayera yettikai alamalla parera baseka ama bau..kasto daridra awastha cha tyaha..bir hospital ma gayo bhane chahi bharkhar school bata niskeka practitioner haru kasto arrogant. doctor haru ko schooling ma euta humanity ko class pani rakhnu parne (class nai nachahine ho tyesto awastha dekhepachi ta dhunga ko pani mutu paglincha).

Nepali Doctors are corrupt and criminals. Why? How come? If these doctors are truly patriot of Nepal, and well educated in socialism, development and moralize, they have power to do something about. They can do. But they do not want to do because they are enjoying to do corruption and crimes in this great situation. So nobody care, nobody oppose, nobody punish them. Free corruption. Otherwise, Nepali doctors can be unit and do demand or strike to government of Nepal for development or changes in medical field or hospitals. These Nepali doctors are well in financials background. They can do something about. But Nepali doctors never ever done nothing for new changes, just because it is against their self-interest and profits.

nothing will change unless all the old-timers (docs) die they are over 80 and stilllk practising and they practise acc to how things were in the '50s god save nepali people

Locum Sadhai testo bhanna hayena ! Purana dactar haru_le banako jugma naya pidhi le parkhar banaune ho bujhou! Upendra dactor pani swastha mantri bha'kai hun, khai ke napyo ra? Budha ka darja ka hoinan tini, ki hun? Dos deu na ma justa paji lai... Desh le etro kharcha garyo... etro lagani garyo.. euta sakcham ko tham liyera padhiyo(?) ... sewa garne chahi bidesi ko.....