Bodnath Stupa at Swayambunath, 

KathmanduNepal Medical Elective Website - the 

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May 2005
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Asia 05 - trip blog

From May 27 to June 24 I am travelling through Thailand, Cambodia, Vietnam and Nepal. I hope to keep this journal up to date with the latest stories!

Savouring every last moment in KTM (Thursday, June 23, 2005)

There's been a distinct lack of posts recently, but that's just because time has been filled as I slowly realise that the 0815 flight from KTM on Friday is the one I'll be on!
 
In the last few days, experiences have included the Soaltee Hotel Casino (where I turned 0 rupees into 1000 rupees), a rain-drenched hike up Swayambunath with some of the children from Hopeful Home and their German volunteer Katarina, and numerous farewell dinners for my host family who are going on a 3 week trip to the UK! It's been a real privilege to have been included in these feasts, with loads of food (and that the more you eat, the more polite it is - I like that kind of hospitality!).
 
Better be off.  Loads of things to do and see before tomorrow... sorry the stories have been a bit lacking of late!
 
Namaste!

Back to old ways (Sunday, June 19, 2005)

Routine is a funny thing, and despite it being a year since I was here, I've very quickly got back into the pattern of daily life that I was used to in 2004.
 
Yesterday was Saturday, meaning the day off (the working week here is Sunday to Friday).  After loads of chopping and changing plans, I headed out to the Hopeful Home again for a day out.  However, it was so hot that even a trip up Swayambunath was beyond thinking about, so we spent most of the time indoors doing balloons, reading stories, telling jokes and the kids playing around with my digital camera... it's so good for taking loads of photos for absolutely no cost!
 
Jemma, a medical student from Liverpool, flew in yesterday at 4pm so I went up to the airport to meet her.  It was great to show her some of Kathmandu, and especially ensure that she didn't get fleeced for taxi charges like I have a habit of doing!  We met later for mango dalquiris (same place as last time, in Maya's Bar - 2 for 1 offer till 10pm!) then went for some great stone-baked pizzas in the Roadhouse Cafe, also in Thamel.
 
Today was my first back in the hospital, and it was amazing that quite a few of the doctors recalled me from last year.  It's strange coming back now that I'm qualified.  Even though I'm not really a fully graduated, working doctor, the fact that I'm qualified does result in some (embarrassingly) elevated status within Nepali culture.
 
So I caught up with how Kanti Hospital has changed, and had a look around too.  I'm hoping to get some good photos - including of typical "patient journeys" - for use back in the UK, though I'm still thinking through how important it is to get permission from everyone involved.  UK standards can be quite nauseating, but then there is no reason why those standards should be any lower in Nepal.  That said, the relevance of a piece of paper and a signature is also dubious as there is such a status aspect here that I don't think any parents would disagree.  Hmmm.
 
In the afternoon I headed over to Hopeful Home again.  Yesterday one of the kids was explaining that their football was really flat and decrepit.  And yet footballs are so important so I swung by the ultra-hectic New Road stores to get one, complete with pump.  I hope that by next year there will be some Beckhams, Peles and Ronaldos, and this afternoon - during the inaugural Match With The New Football - they were discussing forming a HH team for inclusion in one of the Kathmandu youth tournaments.  Good on them.
 
And now I'm knackered, having spent a good hour chasing a ball and, as expected, not really doing anything too constructive with it.  Perfect for a cold shower (great in this heat), half-an-hour with a book and then some of Rama's dahl baat.
 
Routine is ramro cha (very good) indeed.
 
Namaste!

Peaceful in Pokhara (Thursday, June 16, 2005)

So Pokhara has been chilled.  It's been very very hot too, so frustratingly I've had to eat lots of ice cream and drink lots of lager.
 
This morning I left Sacred Valley at 8am with Hari (or Harry) who is one of the local trekking guides associated with Sacred Valley Inn.  I guess this was my own introduction to Nepali trekking as I haven't really done much before.  We started the trail up to Sarangkot, which offers great mountain views from the top, and before long we were amongst the more rural areas of Pokhara, even though there was plenty Sprite and jewellery available for the tourists.




 
There were loads of people asking questions on the way up and down, but I suppose the most interesting tale of the day was when a boy called from the track "medicine"!  It took a few seconds to realise he wasn't asking for money or sweets, as loads of other kids had done the same.  I asked Harry to translate, and it transpired that he'd been slashed over the heel with a scythe the previous morning.  A look at the wound revealed a incision no deeper than the subcut fat, but with loads of debris and grit packed into it.  So we stopped and 6 antiseptic wipes, 3 complimentary steri-strips, a large dollop of noxious TCP and a bandage for effect later he was "fixed", with strict instructions to parents to keep it clean and get rapid medical help if a fever developed.




 
The rest of the day was spent consuming loads of fluids (I reckon 4-5 litres between leaving at 8am and arriving back at 1pm) as the sweat just keeps flowing here!  On another medical observational note, it's interesting that UK-sticky-sweat turns into near-water after a few weeks in hot climates... and it's very effective too!
 
Anyways, tomorrow will probably be a lazy one before I fly back to KTM at lunchtime.  Perhaps the pilot will leave his door open again, something I've never seen before, which allows you to watch how he controls the aircraft.  On Wednesday it was mostly fine and calm, except for the landing.  I didn't realise that as soon as the plane touches down, the engines are immediately cut until more power is needed to taxi... that was a bit disconcerting.  Here's a photo of the cockpit... and you might be able to make out the very British and typical-pilot moustache that the big yin pilot sported with a back-to-front baseball cap.

 
Tis all for now.  I'm going for dinner.
 
Namaste!

It feels like home (Wednesday, June 15, 2005)

Okay, I don't mean to start all sentimental and stuff... but when the plane touched the ground of Tribhuvan Aiport in Kathmandu, I felt so content, excited and happy to be back.
 
The overnight stay in Bangkok Airport was boring as anything, and most of my time was walking round looking at overpriced "duty free" goods.  My body clock was knocked out of kilter as hunger at 3am led to a bowl of noodles being had.  Breakfast was a highly nutritious packet of M&Ms and so you can see the 12 hours was highly stimulating stuff.
 
Kathmandu hasn't changed much, despite all the stories in the media.  For sure, the political situation has changed dramatically and there is some evidence of this in the capital.  However, for the vast majority of tourist living here, things haven't been altered.  I realise that my own ultra-enthusiasm for Nepal - probably with a dose of travelling naivety - will blind me from some of the big issues that certainly exist in Nepal's political climate.  But to me it is very similar, and that was very reassuring.
 
And so things have been amazing.  I didn't mean to go into Duracell-Bunny mode quite so rapidly, but after an emotional welcome by the Joshi family (with whom I stayed last year) I set about a plate of delicious dahl baht - for which the taste I have been waiting for nearly 11 months! - and caught up with the family.  Toni, one of the current premed students at Kanti, joined me to visit the orphanage - a quick hello before dusk when the path becomes dangerous - and then stopping by in Thamel for mango dalquiris in Maya Bar... a favourite when we were here last year.
 
The orphanage remains an amazing place, with 39 kids being homed there.  They are all very healthy, some of them gaining much-needed weight in the last year and all very happy.  We spent a few hours doing circle games and me trying, unsuccessfully as ever, to remember their names.  It was great fun, and they gave me a tikka and flower chain before I left. "Humbled" doesn't cover it.




 
Now I'm in Pokhara.  We took the 8 hour 200 Rupee (around 1.50 UKP or 3 USD... I'm getting used to this!) trip here last time by bus.  But as time is limited I splashed out on taking the 25 minute 50 USD flight.  The reason for coming here - mainly because I wanted to see Pokhara again.  I have so many great memories of our time here last year, but also I knew I could expect great hospitality from Ailsa, Ganga and Bishnu at the Sacred Valley Inn.  You can read more about the Inn by going to Nepal --> Things to do on this website.
 
The place is chilled out, and I'm about to head for a drink at the Monsoon Bar which has great views up the lake towards the Annapurna Range.  Of course, it's different being here on my own instead of 5 other students, but this is set to be the relaxing part of my Nepal leg before catching up with folk and doing as much as possible at Kanti/Hopeful Home during my short stay back in KTM.
 
It's so good to be back.
 
Namaste!

Leaving Ho Chi Minh (Monday, June 13, 2005)

Tonight I fly out of Ho Chi Minh after 3 days here.  As expected it's been a relaxed interlude between the fast-paced travelling in Cambodia and the expected intensive time up in Nepal.  I think I resigned myself fairly early on that it would be impossible to get a good look at Vietnam with such a short stay in such a Westernised city.  And so instead we've enjoyed the comfort that this offers... and I think we feel we deserve it after 2 weeks of hot and dusty travelling in a bus!
 
But the main sites have been done.  From the accusative War Remnants Museum (the Americans in our group felt very intimidated and isolated) which includes very graphic photos of the effects of napalm and the horrific massacres that took place during the war... to deformed babies in a jar to show the longer-term consequences of the chemical warfare.  As I mentioned before, I now realise how ignorant I've been about both the America/Vietnam War and the Khmer Rouge regime in Cambodia.
 
Visits have also been made to the Reunification Palace - of massive historical importance and with impressive basement operations rooms from where the war could be commanded in the event of the palace coming under attack... and also the Museum of Ho Chi Minh City, with loads of relics from past revolutions.
 
As for leisure, we've gone to town by enjoying the excellent exchange rate... meaning that drinking in top hotels The Majestic and The Sheraton (from their horizon-view bars with excellent table service) costs little more than a typical UK/US pub.  Our hotel - Huong Sen - has also been a great base with constant hot showers and comfortable rooms... we've really been spoilt.
 
But now things are ready to move on.  I'm really excited about getting to Nepal... so many things to see and do, so many people to catch up with.  I'm hoping to make a quick trip up to Pokhara to stay in the fantastic Sacred Valley Inn again - which is owned by Ailsa from Scotland and her Nepali husband Bishnu.  If you're going to Nepal yourself, a stay here is highly recommended.  Things have worked out that it makes sense for me to go to Pokhara early on in the trip (and this time I will be flying instead of bussing - safer and quicker) so activities for KTM such as Kanti Hospital and Hopeful Home will really kick off next week I think.
 
For now, all I have to do is get on the bus and make it to Ho Chi Minh airport by 1900hrs tonight.  In the meantime I think I have time for at least another boulevard-side coffee... it's a hard life!

Ho Chi Minh City, Vietnam (Saturday, June 11, 2005)

We arrived in Ho Chi Minh City, Vietnam yesterday.  Time has flown by and to think we've just spent 2 weeks in Cambodia is crazy.
 
We've seen so many sides to the country in such a short duration.  So many of my assumptions about Cambodia have been radically challenged, and I've also discovered how ignorant I've been about both the Khmer Rouge and America/Vietnam Wars.
 
Thankfully, we were extremely lucky in getting a fantastic tour guide - Vireak - who is Cambodian.  Sometimes the Intrepid tours are led by Westerners, others by locals.  That we had 24 hour access to a human encyclopaedia of knowledge, with the personal experience to match, was well above our expectations of the trip.  The "Basix" nature of the tour meant that our accommodation and travel would be sorted, leaving us flexible to do and see what we wanted.  However, because the group got on so well, and because Vireak is so enthusiastic about showing visitors round his country, we benefited from a much more insightful visit.
 
From the ultra-touristy Siem Reap (which also brought comforts such as sit-down toilets and air conditioning) to the hospitality of our homestay, when we were fed, watered and entertained by a "real, live" Khmer family, there have been so many experiences to remember.  And I've added fried crickets to the list of culinary delights.
 
The next few days promise to be more relaxing.  We don't have any early bus journeys, cramped between seats for hours on end (but enjoying it all, really).  Half the group are continuing with Intrepid up to Hanoi, whereas others are flying home or onto new countries.  I'm looking forward to doing the must-see sights of Reunification Palace and War Remnant Museum, but I won't feel guilty about taking a couple of hours out for well-brewed coffee stops amidst the French colonial buildings.

Some photos from recent days, showing traditional Khmer dress, and a balloon session at the homestay evening...

I'd like to say a few words... (Thursday, June 09, 2005)

I'm alive.  Reports have been short as we've either been on the road or seeing places... not long to stop in internet cafes and ponder.  More stories soon, perhaps when I have a whole night in Bangkok International Airport on Monday.
 
Thanks for the comments!