Written Stories

Sunita Pun and Her Desire

This is the story of Sunita Pun, a dress maker from Birbas, Gulmi District, Nepal. She is 30 years old and has been married to her husband, a businessman, for three years. In 2010, she fell pregnant for the first time and gave birth to a baby boy at 40+2 weeks. She had a normal delivery but her baby, unexpectedly, became very unwell shortly after her return home and sadly passed away.Later that year, Sunita fell pregnant again. Three months into her second pregnancy she developed appendicitis and unerwent an appendicetomy at Lumbini Medical College, Palpa. An abdominal ultrasound was performed during her admission, and in addition to showing an inflamed appendix, it revealed a large uterine fibroid (8.4 x 4.3 cm). Sunita was advised to have...

The Story of the Eighth CS

It has been 2 months since I came here at Kalikot. The CS we did this morning is the eighth one and I feel it needs a bit of retrospection. The Monsoon is on its full swing and the roads and the transportation are at their worst possible at the moment. Meanwhile, the locally produced electricity is also getting more and more unpredictable. Sometimes the voltage is high enough to fry the gadgets and at other times, light there is none. The thick cloud cover has been hovering over these gigantic hills for so many days now. No way for the solar batteries to get charged! And during such trying times we need to tackle the case of a primigravida of 20 years with short stature. During the entire night the progress of cervical dilation hasn’t...

First Exploratory Laparotomy In Karnali Zone

Late in the night, the phone rang and as expected that was a call from the hospital. Two doctors including myself went to attend the case. The case was a female complaining of pain abdomen since 2 days. Her pain was of moderate degree and she had no other complains. The emergency staff on the duty had given injection Aciloc and Buscopan to her but she said that there was no improvement and the pain was increasing. I tried to take the detail history of the patient, from her and her family member but could not find the relevant point.Meanwhile we started to do the clinical examination and found that there was no abnormality except tenderness on the right iliac region and I felt she looked slightly pale .As the patient was of reproductive age,...

Being a Doctor in Remote Place

"Namaste Doctor Saab" a low pitch voice stopped me as I was about to leave the hospital. It was about 4 pm of 2nd Asahd 2067."Namaste" I reluctantly replied. Another patient at the end of working hour? Oh god! That would be the last thing I needed. Why can't these patient come on time? I was thinking. Before I could utter any words the middle aged thin built man with unkempt hair n tired looking face caught my attention. The wrinkles on his forehead and reddened eyes made him appear way older then he actually was. He may not have washed his clothes for few weeks or more. My thoughts were broken when he started pleading "please doctor saab come with me to my home, I am in problem and you are the only hope … my wife … my wife &h...

First Caesarean Section Delivery in Salyan Hospital

Salyan hospital was established in 2024 BS with efforts from then prime-minister Marich Man Singh Shrestha. It is located in Khalanga, Salyan about 3 kilometers from main bazaar area.  This is a 15 bedded hospital which has not provided any surgical services to patients since the establishment. After completing my MDGP from NAMS I was posted in Salyan hospital through NSI with goal for betterment of hospital and most importantly to start the surgical services in the hospital. I was fully aware of the challenges that I will be facing in the due course of time. After arriving in Salyan and getting to know the situation of the hospital. I came to know I had to start from a scratch. Realizing this huge task ahead I felt a little helpless, ...

पूर्ण इतिहास लिन सके हुन्छ रोगको निदान

२०६८ सालको आश्विन महिनाको एकदिन म OPD मा बसेर बिरामी जाँचिरहेको थिएँ । २४ बर्षको कल्पना राना नामकी एकजना युवती OPD मा आईन् र निकै निराश हुँदै “सर, म त मर्छु होला, मलाई अब सन्चो हुँदैन होला” भन्दै लामो श्वास तान्दै मेरो छेवैमा बसिन् । मैले उनितिर फर्केर किन, के भयो र, भनि सोधें । उनको हातमा ए...

भीरबाट खसेर दुर्घटनामा परेकी वालिकाको सफल उपचार

कविता कुमारी सिंह बझाङ्ग जिल्लाको कैलास गा.वि.स. वडा नं. ४ मा बस्छिन । उनको बुवाको नाम डम्बर बहादुर सिंह हो । उनको उमेर ९ वर्षको थियो र कक्षा ४ मा स्थानीय प्रा.वि. मा अध्ययन गर्दै आइरहेकी थिइन । २०६७ साल बैसाख महिनाको कुरा हो शनिवारको दिन विद्यालय बन्द थियो । उनी बाख्रा चराउन घर नजिकैको जं...

आफ्नै प्रयासले क्षयरोग प्रयोगशालाको स्थापना

मध्यपश्चिम विकास क्षेत्र भेरी अञ्चल बाँके जिल्ला चिसापानी गा.वि.स. बाँके जिल्लाको उत्तरी भागको अन्तिम गा.वि.स. हो । जुन सुर्खेत र बर्दियाको सिमानाको रुपमा अवस्थित छ । यहाँको जनसंख्या ६१७९ छ । यहाँ क्षेत्री, थारु, ठकुरी, बाहुन, गुरुङ्ग, मगर, मुस्लिम, आदिको समिश्रण बसोबास रहेको छ । वि.स. २०३...

MDGP डाक्टरले गर्दा गर्भवती महिलाको ज्यान जोगियो

चकमन्न मध्यरात करीव ११ बजे जुम्ला नजिक भौगोलिक बनावटबाट ठगिएको कालीकोट, पाखा १ निवासी भिमकोसा मल्ल अध्यारोमा यातायातको सुविधा सर्वसुलभ नभएको कारण स्ट्रेचरमा करीव ८ घण्टाको कठीन यात्रा पार गर्दै अस्पताल आइपुगी गर्भ जाँच गर्दा full term को थियो तर उनको गर्भ tranverse lie थियो । tranverse lie मा C/S नितान्त आव...

A Frightened Experience in My Life

It was a last day of Dashain vacation and we heard a news of road traffic accident in nearby VDC colliding motorbike behind the truck and bad news of spot death of motorbike rider and only other victim was brought to higher centre for needful management. We heard that road is completely blocked and locals are protesting with many demand. It was our busy day in hospital with overcrowded emergency with many patients; busy indoor with many inpatients and five deliveries and one emergency cesarean section for post dated pregnancy with severe oligohydramnios. We did morning and evening hospital rounds clearing emergency, taking deliveries and performing cesarean section. In the evening the phone ranged, it was an unknown number. It was a call ...