OREANDA-NEWS. December 23, 2015. The network of medical care under the management of the Dhulikhel Hospital has undertaken the greatest efforts to help thousands of people. Thus, it has proven its functional capabilities under extraordinary circumstances.

What was the situation like after the earthquake?

The most important task right after the earthquake was to ensure that Dhulikhel Hospital was ready to receive the injured. Most of the staff were home and needed to be called back immediately. The medical supplies and the operating theater needed to be ready. This was the first thing in my mind. I immediately headed back to Dhulikhel Hospital. When I arrived, I was pleasantly surprised to see that the staff was already prepared. Our staff showed exemplary dedication and selflessness as they treated the injured. Even during the aftershocks, our surgeons did not stop their work.

What were the most common conditions you had to attend to?
Injuries sustained due to falling objects like beams, bricks, stones etc. Many of the patients had been rescued after being buried under the rubble of their houses, walls or other infrastructure. The majority were trauma and orthopedic cases; arm and leg fractures, spinal injuries, skull fractures, rib fractures, head injuries, as well as bleeding, cuts, wounds.

What role did Dhulikhel Hospital and its outreach centers play in providing healthcare to the people affected by the earthquake?

We provided free medical services to all, immediately after the earthquake. Most of our outreach centers were damaged but the medical service was still provided in tents, under tarpaulins, and even in open spaces. Our team of doctors also went on foot to provide medical treatment to many places in our catchment areas that had been cut off due to landslides and road blockages caused by the earthquake and aftershocks.

Did the network structure of Dhulikhel Hospital and its outreach centers prove to be effective under dire circumstances?
Three of our outreach centers collapsed and others have major to minor damage. The staff at the outreach centers showed a high level of dedication and commitment. They managed to keep the medical services running even in these challenging circumstances. Since many of the outreach centers are in the badly hit region, there was a high number of injured there. Numerous teams of doctors and staff with medical supplies were sent to different outreach centers. So yes, I think we played an important role in caring for the injured in our catchment areas. And also the collaboration with the local volunteers and the government went very well.

Are you back to ‘normal’ working conditions now?
Yes, we are back to ‘normal’ working conditions given the circumstances. We have started rebuilding and restoring our damaged infrastructure. We also have a few earthquake survivors still receiving care in Dhulikhel Hospital. Additionally, we are now also receiving a number of injured who need recuperative care, especially physiotherapy.

What are the most challenging problems?

The repercussions of this earthquake will undoubtedly continue to affect us in the years to come. The general population has shown amazing strength in spite of their losses and are doing what they can to make life bearable for themselves and others. Those left homeless are living in temporary shelters. Rebuilding homes, schools, and public infrastructure is a major challenge. Bringing agricultural production back to normal and preventing the spread of communicable diseases are other challenges. The monsoon, which is causing landslides and floods, is an additional hardship for the people.

In the face of such terrifying reality, hope is sometimes the only lifesaver. Reinforcing this is one thing that we as doctors can do. Having the skill to save someone’s life takes on a whole different meaning under such dire circumstances. I am inspired by the thousands of ‘heroes’ who forgot themselves in selfless service of others. I see a better, brighter future for Nepal chiefly because of our people, who showed such dignity, strength, and kindness in the face of such adversity. I am deeply grateful to the overwhelming support from all levels of the society – national and international – during this catastrophe. We, at Dhulikhel Hospital, Kathmandu University Hospital are now more committed than ever to continuing to provide quality, affordable healthcare for all Nepalese. This has been and will be possible due to the close collaborations with national and international governmental and non-governmental institutions and support from all our friends and partners who have helped us reach where are today.