Have you heard of Days for Girls?

If you haven’t, check out their website   https://www.daysforgirls.org

A huge thank you to the Canberra Days for Girls Team who are making  menstrual kits for both women and girls at NHEDF and our fistula patients in Dharan. Days for Girls provide both normal menstrual kits and also heavy flow kits and whilst the latter are not suitable for women with unoperated fistula they are regularly used for women with light incontinence.

In Nepal many women do not have access to information about menstruation, nor do they have access to menstrual products. They simply use rags and cloths. Also in Nepal, particularly in the far west of the country,  the ancient Hindu tradition of Chhaupadi is still practiced. To listen to women’s experiences of Chhaupadi click here http://www.bbc.co.uk/programmes/p050vkpj

Watch this space as we have some exciting developments!

Have a look and see what Manis is getting!

Manis had a left femoral artery aneurysm which resulted in the loss of the blood supply to his leg. He required a left above knee amputation. Two weeks post-surgery a he was sent back to his village. His wound got infected, so he returned to hospital and was there for 3 months before being referred to NHEDF for ongoing wound management of both a groin incision and a difficult stump wound, as well as physiotherapy.

Finally, his wounds are now healed and he has had a prosthesis fitted and when this is finally made he will be able to return home to the remote village of Baitadi in western Nepal. He is really excited!

Anjeela, NHEDF’s physio is a legend at stump bandages! Improper stump bandaging can cause irreversible damage whilst proper stump bandaging results in shrinking and shaping the stump and is a major key to successful prosthetic fitting.

Karna is NHEDF’s longest staying patient… read his story here

Karna was 27 years old when he was admitted to NHEDF. He is not married and has two brothers. He had been to university and had done a sociology degree and used to work as a Red Cross worker. He comes from Rolpa in the far mid- west of Nepal 280km from 

Kathmandu.

When the first earthquake happened, Karna was crushed by a falling wall and was in hospital for many months. By the time he was discharged from NHEDF in March 2018 he had undergone thirteen surgeries. These included the ongoing insertion of external fixators because as each fracture healed the fixator was removed but further surgery was required to fix the next fracture, and this involved an operation to apply another fixator because only one fracture could be fixed at a time. Karna ended up having three fixators – the first for two months, the second for nine months and the third fixator for eight months. 

Fixators require daily dressings to prevent infection and regular adjustment and medical review. Karna also needed daily physiotherapy support, as well as regular hospital follow ups and X-rays to assess progress.

Karna was eventually discharged home in March 2018 after a bout of osteomyelitis and has now been employed by NHEDF as a field worker visiting two hospitals a week in Rolpa and finding patients for NHEDF. He assesses the eligibility of patients for NHEDF and coordinates their transfer to the Shelter and monitors their progress when they return.

We wish Karna all the luck in the world after almost three years of hospitals and an epic journey along the road to rehabilitation. Take care Karna!

 

 

 

This is Keshar’s story

Keshar is 17 and comes from a place called Udhayapur in the east of Nepal. He was admitted to NHEDF in mid December 2017 and was discharged in late February 2018.

Keshar comes from a poor family, and when he was 13  he broke his right leg. His family brought him to Kathmandu for medical treatment and he had surgery but they could not afford for him to stay in hospital for long, so the limb was plastered and Keshar was sent home. He went on to develop osteomyelitis and was left with severe rigidity or stiffness in his right leg which made mobility difficult .

In 2015, as bad luck would have it, Keshar was injured in the earthquake whilst running away in an attempt to seek safety. This time he sustained a fracture of his other femur (thigh) and was again brought to Kathmandu for treatment. He was operated on and sent back home with his leg in plaster and instructions to have the plaster removed  after 3 – 4 months. During this time he became unable to move his leg but his family could not afford any further treatment. Eventually however he was brought to Kathmandu with a wound requiring debridement, and a diagnosis of chronic osteomyelitis was made  with ankylosis (severe stiffness) due to injury and infection . He was transferred to NHEDF for nursing care and physiotherapy and whilst further surgery was suggested, it was going to cost about $10,000  At that time NHEDF was unable to help Keshar so he returned to his village.

In 2017, two years after the earthquake, Keshar re-presented to the Shelter with severe pain in his left leg and a number of consultations were sought. By late February consensus was that Keshar should not have a bilateral hip replacements now due to the high risk of  complications and the likelihood that this surgery would not be successful.

Keshar was advised to contact NHEDF if he experiences increased pain and there is a possibility that simpler surgery could possibly be performed or a decision will be made to perform hip and knee replacements as required, should funding be available.

It is hard for NHEDF who are so committed to helping when patients cannot be helped because the risks are too great, or the operation is simply too expensive. Reflect how lucky we are in a place like Australia where we can have whatever surgery we need in a public hospital at no cost to ourselves…Sure, we may have to wait a while, but there is a system in place to facilitate appropriate timely surgery for those that need it….and it is free under Medicare.