Nepal 2012

Training course, consultation-hour, renovation work

in Chyangmityang

Solukhumbu

 

On 26 March 2012 we started our this year’s journey to Chyangmityang.

The third training unit for the village population included basic medicine, hygiene and first aid.

We, Dr. Friedrich Feurer, a general practitioner with years of professional experience, Dr. Rainer and Anne Claußnitzer set off for Nepal.

After a long flight with a stopover in Doha we arrived in Kathmandu on 27 March in the morning. We were picked up on time and were warmly welcomed. And also at the hotel „Kathmandu View“ there was a happy reunion .

After a short break we meet Phuti Sherpa and Ngima Sherpa in the afternoon. Both of them will accompany us and translate the lessons for us.

The following two days are filled to the max with meeting of different kinds of people: we deliver donations from German organizations for school projects and for the first time we meet representatives of the Himalaya Natural Fibre Foundation, who present us their projects.

These projects are about a possible cooperation in a region where people live without adequate health care. We agree on a further meeting before we go back to Germany.

On the early morning of 30 March 2012 we start off in a Jeep to Shivalaya. The way is not far but the road becomes increasingly bad and our driver brings us in a 10 hours drive from Shivalaya via Bakhtapur, Dhulikel and Jiri safely to our destination. On the next morning we start our tour to the village. After crossing the Deuralipass (2705m) and the Bandhar pass (2150m) we arrive after eight hours in Kenja (1570m). The mountain Numbur (about 7000 m) rises in the afternoon sun. On the next morning we have an early start and leave for the next mountain stage across the Lamjurapass (3500m) via Jumbesi (2500m). On the way we have delightsome views and explore some major changes. In the late afternoon we arrive at our Lodge and are glad to have time for a rest. On the following day we have a relaxing hiking tour. We walk along the Jumbesi Khola in the warm morning sun and arrive our destination(Phaplu) in the afternoon.

Our visit to the Hospital District in the afternoon is disappointing. Nobody is interested in talking to us or in our donation in kind which are intended in particular for the poorest patients. So we decide to take them with us again. In the evening we find out that the hospital is not accepted and used by the people. It is a shame because last year we had been openly received and we had hoped that new opportunities will open up for cooperation with the Village clinic. The conversations with two young men in the evening are very interesting: one of them is on his way to the Everest base camp, where he works as a doctor and where he is responsible for the hospital-tent, the other one devotes himself to the project   „Health insurance for all“ in Nepal – an almost unimaginable task…

It is our intention to arrive “our village” on 2 April. We have an early start and after two hours we get to the pass. The road, which was dredged into the mountain side last year, has changed into a wasted out/ slippery track. Due to the track the landscape has changed significantly. When we arrive on the top of the pass it starts to rain with thunderstorm and hail. During a cloudburst we arrive at Chyangmityang and the monastery. This time we are staying at the monastery during our visit and we are glad that we don't have to put up our tent. We get a warmly welcome with a cup of tea and then we move into our rooms. The next morning we meet the village committee, Dali und Sarkini (for about six months they are completing a medical training course "district nurse course"), their parents, the healthworker Dinesh Rai and representatives of the monastery. The training contracts are solemnly read out and signed. Ngima translates; then we hand over the first study fees directly to the highly motivated young women. Then we discuss the contract which regulates the payment of the healthworker by the MSD, the monastery and the American Maya Sherpa Organization and sign the contract. Here too we hand over our open. At present the continuous support from abroad allows the monastery to assume the costs.

In the afternoon we stay in the village clinic, and examine together with the committee the renovation and discuss the work assignements for the following days. Dr. Friedrich and Dr. Rainer – as they are called by the people – pass the various gifts for the practical work on site on to Dinesh Rai: a wide variety of medication, dressing material, ointments and bandages… Then the first patients are waiting and the two doctors are busy, particulary because they constantly have to teach the healthworker in the following days.

For two days there is a „woman’s health“ –course in the village clinic. At seven o'clock in the morning I start with my lessons in the fully occupied classroom. Women and girls listen attentively my words and follow with curiosity my lecture. Sometimes they are surprised but after a while they open up and start to ask many questions about issues they have always wanted to know. The issues discussed range from anatomically basics, normal physiological processes, infection diseases, birth control, specific risk factors, possibilities for self-help, and life concepts to prospects for young people. On the first day Phuti Sherpa translates, on the second day she is supported by Mgima Sherpa - Phuri Lamas wife.

During the workshop Dr. Friedrich and Dr. Rainer stay at the school. Thanks to a generous donation from a MSD member more renovation could be carried out in the last weeks. The roof isn’t leaking anymore, the waterpipes of the toilets and of the schoolyard is leading water again and the floor in the staff room is concreted.

In big white letters“Eckardt Ruoff School MSD " is written onto the corrugated iron roof. Due to partly damaged wood floors two of the three classrooms can only partly be used. There is an urgent need for action. As a donation from the MSD Friedrich and Rainer give a volleyball net, ball and pump to the students.

In the following two days Dr. Friedrich and Dr. Rainer give lessons. Practical review and reinforcement of important topics of the last two courses are written on schedule: Hygiene, first aid, infection diseases, possibilities of self-help without a doctor and medication, practical training to apply the bandages. Ngima translates using images and he is very engaged; he has drawn extra posters.

After the lessons the people can come to the consultation hour, finally the renovation is going fast: windows, doors and furniture are painted, window panes are put in, the guttering is fitted around the roof, and the entrance area is concreted. A porter has to carry all the material to the village. Phutis father Pasang Sherpa is the organizer, the driving force and / allround-handyman of this action.

We spend a whole day at the monastery on teaching the monks. Especially the little boys (six years and older) have fun doing the practical exercises. We are astonished at their speed of learning and their ability of rapid implementation. They are very concentrated during the lessons. Anyway their way of living is very impressive and enriching.

Many have come to say farewell. The participants of the workshops answered in details questions about the course and get a certificate. Many photos are taken; Kata's (lucky scarves) are given to say thank you, and again consultation hour.....

With heavy hearts we leave the monastery. Over helmed with plenty of blessings and compliments and the request to come back the monks say good bye to us.

Then we are on the road again. The tour leads us along an impressive panorama track to Basa (1200m difference in attitude) and then downhill to Dud Koshi (1452 m). At the suspension bridge we have a break and walk up to Jumbing (1680 m), our destination for this day. In the sunset light Kusum Kangou and Thamserku greet– beautiful! The next morning we climb up to the Kharikola-pass (2070 m). We visit the monastery, fantastic views to the ice giants in the distance, then we walk downhill to Kharikola (1800 m) and uphill again to Bupsa (2360 m). After the lunch break we are well rested and ready to climb up to Khari La-pass (2860 m). After a clear and cold night we have a marvelous view over the imposing mountain panorama in the sun, also the view to the Cho Oyu is clear! A very steep path leads us downhill to Surke (2300 m). After the break we walk further to Chaurikharka, before it starts to rain we move in our lodge. We come back to the places that are toured and the days without seeing tourists are over. On the next morning we travel to Lukla. A large number of trekkers are leaving Lukla and come up to us. In the afternoon it is raining again, but on the next morning the sun is shining again. We take our donation which were previosly refused by the hospital in Phaplu to the „Pasang Lamu-Nicole Niquille-Hospital“. We meet the organizational manager, he shows us the clinic, and explains the concept and he is very grateful for the medication, bandages and glasses that we give him.

The next day flight alongside the Great Himalayan Range couldn't be more beautiful, and then the citylife has us back.

Twice we are able to meet representatives of the Himalaya Natural Fibre Foundation. We have learned about nettle fibre production and further processes with the view to create work and income for people.

The important issue raised was wether there is any way to supervise a project based on the model of Chyangmityang, where the other twelve villages can participate in. Cooperation with HNFF is conceivable; a project of this size must be precisely planned and carefully reassessed.

The pictures, the impressions, thoughts and plans gained from this successful journey accompany us in our everyday life in Germany.