Using a brief break in the monsoon this weekend, climbers are making another push to climb Manaslu even as they try to overcome deaths and injuries on the mountain. More than 400 mountaineers aim to reach the summit of the world’s eighth highest mountain – by far the most climbers on any Himalayan peak in Nepal this autumn. The expeditions have had to overcome news of deadly avalanches and the death of the world’s most famous extreme skiers. American ski mountaineer Hilaree Nelson went missing just below Manaslu’s true summit after she and her partner, Jim Morrison, attempted to ski down the 8,613m peak. Read also: <a href="https://www.nepalitimes.com/banner/peak-climbing-season-in-nepal/">Peak climbing season in Nepal</a> On Wednesday her body was recovered by a helicopter rescue team at an altitude of 6,500m on the south face of Manaslu after two days of searching. She appears to have fallen from near the summit after her skis set off a small avalanche and a cornice collapse. Nelson was 49. A day later, a snow avalanche near Camp 4 killed a Nepali guide and injured 13 climbers and guides. Wounded and stranded climbers were rescued by helicopter on Tuesday. Nelson, who lived with her two children in Telluride, Colorado, was one of the most prolific ski mountaineers in recent history. According to Morrison’s Instagram post, Nelson was swept off her feet in a small avalanche and, ‘carried down the south side of the mountain over 5,000m’. Morrison then skied on down to base camp for help, but poor weather conditions delayed the start of a rescue mission until Tuesday morning. <div class="embed-block"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114131148/637239799c7e80680e0c73e2jpeg.jpg" alt="" width="1252" height="496">432 of the 502 climbing permits issued by the Nepal government this year are for Manaslu.</div> These deaths and injuries are a stark reminder of the extreme dangers associated with climbing the world’s highest and deadliest peaks. With fixed ropes and experienced teams from Nepal fixing these to the summit, many tend to look at summiting an eight-thousander as something quite normal. This is reinforced by climbing seasons like this summer on K2, the world’s second highest mountain in Pakistan. There were more than 300 climbers, mainly Pakistanis and Nepali, and their clients on the Abruzzi spur, and only one fatality. <a href="https://www.nepalitimes.com/banner/journey-to-the-mountain-of-the-spirit/" target="_blank">Manaslu</a> this autumn has seen heavy snowfall from post-monsoon storms, increasing the danger of avalanches on a mountain that is already notorious for objective danger. A new post-monsoon low pressure system is expected to hit Nepal next week, and expeditions are expected to make their summit pushes over the weekend. According to North Face, Nelson’s sponsor, Hilaree distinguished herself by completing dozens of first ski descents through more than 40 expeditions to 16 different countries. In 2012, Nelson became the first woman to summit two eight-thousand-meter peaks within 24 hours before returning to Lhotse in 2018 to become the first person to ski from its summit. Hilaree’s career shattered expectations and has inspired a generation of female athletes as they <a href="https://www.nepalitimes.com/banner/why-we-climb-mountains/" target="_blank">aspire to climb</a>, trek, and ski the deadliest routes in the world. Through her daring expeditions, Nelson paved the way for women in the adventure sports space. In a North Face video, she reminded viewers that women, “can throw down just as hard as men”. Her friend and professional climber, Emily Harrington, thanked Hilaree for, “showing us that we could be everything- follow our passions as well as raise a family.” <div class="embed-block"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114131148/6372397c9c7e80680e0c73e3jpeg.jpg" alt="" width="1080" height="1350">Jim Morrison and Hilaree Nelson. Photo: JIM W MORRISON/INSTAGRAM</div> Conditions on Manaslu this year were dangerous because of a lot of new snow piled on top of the precarious overhangs on the summit ridge. Summiteers from early September have said the slope is unstable and may not be suitable for the hundreds of climbers hoping to reach the top in the coming weeks. On Manaslu right now, Purnima Shrestha, the Nepali climber who became the fastest woman to summit all seven of Nepal’s 8,000-meter peaks in May of 2022, plans to reach Manaslu’s true summit without supplemental oxygen. While grieving for her fellow climbers and reminded of the unforgiving nature of Manaslu, she and her team will go up anyway. Norwegian climber Kristin Harila recently reached Manaslu’s true summit last week as she attempted to break Nims Purja’s speed record on the 14 eight-thousand-meter peaks. She expressed deep sadness after hearing that Hilaree had gone missing, and is now focused on gaining permission from Chinese authorities to climb Xixapangma. But while waiting for that she has moved across to climb Cho Oyu from the Nepali side. Besides Harila, 13 climbers have made it to the true top of Manaslu this month, including a Nepali rope fixing team from <a href="https://www.nepalitimes.com/review/on-screen-mountains/" target="_blank">Nims Purja</a>’s Elite Exped that got to the top on 9 September. For a mountain already known for its propensity for avalanches, the climbers still on Manaslu will have to hunker down for more snowstorms next week. The narrow weather windows in the next few days will be critical as they follow Nelson’s footsteps to the mountain’s true summit.

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After deaths, a weather window on Manaslu

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d12e09c7e80680e0a98f8jpeg.jpg" alt="" width="1500" height="1000"/><figcaption>All photos: DAVID POKORNY</figcaption></figure>I was initially preparing to run the 2021 <a href="https://www.nepalitimes.com/here-now/everest-trail-repaired-during-pandemic/" target="_blank" rel="noopener noreferrer">Everest Trail</a> Race following the 2019 Annapurna Marathon and another trip in 2016. The race was canceled because of the pandemic, but when Nepal re-opened to vaccinated tourists I immediately grabbed the opportunity to trek, since there would be <a href="https://www.nepalitimes.com/banner/hiking-in-the-himalaya-during-covid-19/" target="_blank" rel="noopener noreferrer">only few other travellers</a> on the otherwise usually over-crowded trekking trails. I had to move fast to get all the shots, tests, visas and Covid forms to get to Nepal on 7 October.I have kept returning to Nepal, true to the country’s former tourism slogan: ‘Once Is Not Enough’. What draws me here is the hospitality and kindness of the people, the rich cultural heritage, and of course the superb scenery.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d12e59c7e80680e0a98f9jpeg.jpg" alt="" width="1920" height="1080"><figcaption> </figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d12e99c7e80680e0a98fajpeg.jpg" alt="" width="842" height="508">The <a href="https://www.nepalitimes.com/banner/tracing-past-glacial-floods-in-kangchenjunga/" target="_blank" rel="noopener noreferrer">glaciers and high mountain ecosystem</a> are feeling the threat of global warming, but the isolation of being in Nepal‘s Himalayas is unparalleled. And it is even more isolated because of the slump in tourism internationally.Trekking in Nepal, you get to challenge yourself on the best (and some of the hardest) hiking trails in the world. No wonder Nepal is repeatedly listed by the Lonely Planet as a top destination, as it did also for 2022.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d12ed9c7e80680e0a98fbjpeg.jpg" alt="" width="1500" height="1000"><figcaption> </figcaption></figure>This time around, I wanted to go solo, fast, high and far. I wanted to be where few other trekkers go. So with the trek company that took care of me on my previous trips, we created a customised itinerary and on 11 October set forth with three guides and porters.We headed east to the <a href="https://www.nepalitimes.com/here-now/remembering-nepals-conservation-heroes/" target="_blank" rel="noopener noreferrer">Kangchenjunga Conservation Area</a> on Nepal’s northeastern tip, and below the world’s third-highest mountain.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d12f19c7e80680e0a98fcjpeg.jpg" alt="" width="5087" height="2861"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d12f59c7e80680e0a98fdjpeg.jpg" alt="" width="4000" height="3000"><figcaption> </figcaption></figure>Lodgings on <a href="https://archive.nepalitimes.com/page/go-eat-to-kanchenjunga" target="_blank" rel="noopener noreferrer">the Kangchenjunga trail</a> are more basic than those on the Annapurna Circuit, but it is more authentic. Rooms and food are simple, there are no printed menus. The dal bhat is the staple, with at least one meal a day. We ate by the warm kitchen fire, often sitting on the floor.We trekked higher along a rumbling, roaring river and passed waterfalls, streams and other glacier-fed rivers. At Kambachen, a wide-open view showed evidence of receding glaciers all around. Near Lhonak, a lake with icebergs marked the point where the Kanchenjunga Glacier was calving.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d12f99c7e80680e0a98fejpeg.jpg" alt="" width="2880" height="2160"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d12fd9c7e80680e0a98ffjpeg.jpg" alt="" width="1620" height="1080"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d13019c7e80680e0a9900jpeg.jpg" alt="" width="1620" height="1080"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d13049c7e80680e0a9901jpeg.jpg" alt="" width="1620" height="1080"><figcaption> </figcaption></figure>The glaciers flowing down from Kanchenjunga and Jhinsang merge here, and it is an awe-inspiring place to be with its primal, unspoilt beauty. We were the only people there.Next, the high passes of Nango La and <a href="https://www.nepalitimes.com/banner/the-lumba-sumba-passage/" target="_blank" rel="noopener noreferrer">Lumba Sumba</a> were the hardest part of the trek. Very few people had used the Nango La trail in the recent past. At the Yangma River a crew from Olangchun Gola was replacing a washed out bridge to reopen the route. They tied four logs roughly together and then walked over the Yangma. This sure makes Nepal an adventure destination in the true sense of the word.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d13089c7e80680e0a9902jpeg.jpg" alt="" width="1620" height="1080"><figcaption> </figcaption></figure>On 19 October were pelted by heavy post-monsoon rain in Olanchung Gola, the snow was deep at  higher elevations so we added two porters with tents and kitchen for the <a href="https://www.nepalitimes.com/review/a-personal-encyclopaedia-of-the-himalaya/" target="_blank" rel="noopener noreferrer">Lumba Sumba traverse</a>. We camped on new snow at Pass Camp and then began a hard 10 hour push breaking trail up to the pass.As daylight faded, we dug a snow shelf at 5,159 meters and made camp. The next morning’s sunrise view of <a href="https://www.nepalitimes.com/latest/crystal-clear-air-makes-the-peaks-of-the-eastern-himalaya-visible-from-the-nepal-tarai/" target="_blank" rel="noopener noreferrer">Kanchenjunga</a> to the east and Mt Everest to the west was other-worldly. The trek team’s determination and confidence made the Lumba Sumba crossing possible.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d130c9c7e80680e0a9903jpeg.jpg" alt="" width="920" height="613"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d130f9c7e80680e0a9904jpeg.jpg" alt="" width="1620" height="1080"><figcaption> </figcaption></figure>It felt like a family dinner the next evening on the other side of the pass, when six of us snuggled into sleeping bags on the kitchen floor and benches of our Thudam home-stay.Trekking has highs and lows, and the next day was the worst. It is impossible to enjoy a long day on a muddy slippery trail with leeches clinging to your pants. You just have to keep on walking with the prospect of a cold beer at our Chyamtang lodge beckoning us.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d13129c7e80680e0a9905jpeg.jpg" alt="" width="1620" height="1080"><figcaption> </figcaption></figure>The final challenge was crossing the Arun, up to Shipton La to <a href="http://archive.nepalitimes.com/news.php?id=190#.YZDY2WBByUk" target="_blank" rel="noopener noreferrer">Makalu Base Camp</a>. At Num, I said thanks and goodbye to the porters and camping equipment. Only three of us would carry on. There were more trekkers on the Makalu Trail, and several were Nepali families who spoke English. More and more Nepalis are trekking now, and making up for the absence of international tourists.There are two things about Makalu that were remarkable: the trail steps from Tashigaon to Dobato. Nepali engineers build the best and safest trail steps. Both uphill and down I try to hold a quick pace. My heart is racing, and I literally yip and shout with joy at the challenge.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d13169c7e80680e0a9906jpeg.jpg" alt="" width="1620" height="1080"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d13199c7e80680e0a9907jpeg.jpg" alt="" width="1620" height="1080"><figcaption> </figcaption></figure>Pemba Ringin Sherpa and Lakpa Kipa Sherpa own the Langmale Kharka and Base Camp lodges on Makalu who kept the lodges open despite the deep snow just for us. Lakpa welcomed us with a warm stove, delicious dal bat and a can of Tuborg. Their kindness gave me more joy than photographing the Milky Way over Makalu, or seeing a bright, crisp sunrise the next morning.Nepal, I will keep coming back. Next year, it will be Manaslu and <a href="https://www.nepalitimes.com/here-now/building-back-a-beyul-in-tsum/" target="_blank" rel="noopener noreferrer">Tsum Valley</a>.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d131d9c7e80680e0a9908jpeg.jpg" alt="" width="2000" height="1500"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111016114/636d13229c7e80680e0a9909jpeg.jpg" alt="" width="3289" height="1850"><figcaption> </figcaption></figure>David Pokorny is a 54-year-old American traveller. His nickname in Nepal, ‘Poko’, means ‘pack’.

Himalayan highs

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111156/636cd9529c7e80680e092e94jpeg.jpg" alt="" width="1125" height="1500"/><figcaption>The summit of Mt Everest taken in 2019 by Karma Tenzing. In the foreground is the remnant of the Hillary Step that came down during the 2015 earthquake. Photo: Karma Tenzing / Nepali Times Archive</figcaption></figure>A year to the day after Nepal went into its first Covid-19 lockdown on 23 March 2020, climbers are back at Mt Everest Base Camp as high altitude guides start fixing ropes and ladders up the Khumbu Icefall.The Department of Tourism says nearly 300 foreign climbers are expected to attempt climbing Everest this year, and the numbers are high because of pent-up demand as well as the Chinese side of the world’s highest mountain being closed indefinitely.Many mountaineers had cancelled their plans after Europe went into a second coronavirus wave, and with Nepal requiring a <a href="https://www.nepalitimes.com/here-now/nepal-should-now-allow-visa-on-arrival/" target="_blank" rel="noopener noreferrer">7-day hotel quarantine on arrival</a> in Kathmandu. However, the government’s decision on Sunday to waive quarantine for tourists with vaccine passes means the numbers might go up.In 2019, there were 381 foreign climbers on Mt Everest, and many of them bunched up during a two-day weather window on 22 May, creating a <a href="https://www.nepalitimes.com/here-now/nirmal-purja-on-his-viral-everest-photo/" target="_blank" rel="noopener noreferrer">traffic jam below the summit</a>. Because of the bad publicity, Nepal revised its rules and required those attempting Everest to have climbed at least one Himalayan peak above 6,500m high.The re-opening of Mt Everest and other mountains in Nepal this climbing season has finally provided a ray of hope to hundreds of thousands of lodge owners, porters, cooks and expedition employees <a href="https://www.nepalitimes.com/latest/where-have-all-the-guides-gone/" target="_blank" rel="noopener noreferrer">who have been without income</a> for a year. Even so, the fear that the second wave hitting India may come to Nepal like last year has prompted the government to issue public warnings about masking up and avoiding crowds.There are altogether 30 expeditions attempting Mt Everest, and some of them including a 15-member team from the Bahraini Royal Guard have already completed their quarantines and established Base Camp on <a href="https://www.nepalitimes.com/banner/on-thin-ice-in-the-khumbu/" target="_blank" rel="noopener noreferrer">the Khumbu Icefall</a>.“The climbers are moving in all kinds of supplies, from food, tents, gear to stacks of oxygen cylinders to Base Camp,” says Mingma Sherpa of Himalayan Trail Blazers, an expedition support company.Mira Acharya, the head of the Mountaineering Divison at the Department of Tourism told Nepali Times that all climbers have been asked to strictly follow safety and health protocols. She added: “We have opened up this spring only after ensuring that all back-up support is in place for health and safety of climbers and support staff as well as search and rescue and other security measures.”However, the government’s announcement last week that climbers would not be allowed to post on social media photographs of themselves on the mountains without permission has made Nepal the laughing stock of the world for coming up with yet another absurd and un-enforceable rule.“As usual the Nepal government is not trying to solve the real problem,” said one mountaineer who did not want to be named. “It should be the crowds of amateurs who should be stopped, not taking pictures of them. This is censorship.”Acharya from the Mountaineering Division, however, clarified: “There has been a great deal of negative coverage about Everest … this is an attempt to prevent that. This is rule is applicable to expeditions on other mountains as well.”Despite the predictable bungling, Nepal’s mountains are still a great draw, and the fact that there so many other expeditions on mountains besides Mt Everest proves the point. There are climbers this season on other eight thousanders like Lhotse, Dhaulagiri, Annapurna and Manaslu, as well as <a href="https://www.nepalitimes.com/banner/what-is-it-about-ama-dablam/" target="_blank" rel="noopener noreferrer">Ama Dablam</a>, Nuptse and other lesser peaks.With the onset of March, there has been a surge in applications for climbing permits and flight bookings. “Tourism businesses are hoping that the economy that has been suspended since the beginning of the pandemic will pick up now,” said Dipendra Karna of Buddha Airlines, which has seen a healthy growth in domestic traffic.<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/latest/nepal-allows-royal-himalayan-expedition/" target="_blank" rel="noopener noreferrer">Bahrain’s Royal Guard</a> was the only foreign expedition to receive a special permit to climb Manaslu during the pandemic, and acclimatised on Lobuje is the Khumbu before that.The team has returned to scale Mount Everest in April-May, and according to the team's Instagram, all members of the Bahraini <a href="https://www.nepalitimes.com/here-now/nepal-building-a-highway-to-everest/" target="_blank" rel="noopener noreferrer">Everest</a> team were vaccinated before flying in. However, it also brought 2,000 doses of the Chinese Sinovac to inoculate the people of Samagaon in Upper Gorkha, but the vaccine has not got approval from the Ministry of Health yet.On Everest, Kami Rita Sherpa hopes to make his 25th <a href="https://www.nepalitimes.com/banner/mt-everest-grows-by-86cm/" target="_blank" rel="noopener noreferrer">Everest summit</a> this spring, while Lukas Furtenbach of California-based guiding company, Furtenbach Adventures is assisting 22 climbers in five teams, two of them on Everest.Three Nepali women, Maya Sherpa, Poornima Shrestha and Sharmila Syangtyan will be climbing Annapurna I from the north side. Annapurna is the tenth highest mountain in the world, and regarded as one of the most dangerous in the Himalaya, mainly because of avalanche and rockfall danger. One in three climbers attempting the peak does not make it down alive.Meanwhile, Slovak climber Peter Hamor and Romanians Horia Colibasanu and Marius Ganu are gearing up for Dhaulagiri, and another attempt to complete their 2019 route along the formidable northwest ridge of the world;’s seventh highest mountain. Also on Dhaulagiri northwest ridge is Carla Perez from the US.

Spring returns to Nepal’s mountaineering

<figure><img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70be9c7e80680e060094jpeg.jpg" alt=""/><figcaption>All Photos : MANISH PAUDEL</figcaption></figure>It is a truism in tourism of the Himalaya that the closer we get to the mountains, the less we see of them. This holds for the <a href="Annapurna%20Base%20Camp%20Trek" target="_blank" rel="noopener">Annapurna Base Camp Trek</a>, which follows the narrow <a href="https://www.nepalitimes.com/banner/go-take-a-hike/" target="_blank" rel="noopener">Mardi Valley</a> where Machapuchre is hidden by towering cliffs. And it is true of the <a href="https://www.nepalitimes.com/banner/everest-fights-back/" target="_blank" rel="noopener">Everest Trek</a>, where the highest mountain in the world is not visible after Tengboche, unless trekkers climb Kala Patthar.For the best panoramas of the mountains, therefore, one has to step back to mid-mountain peaks, like Pathibhara in Taplejung for a view of <a href="https://nepalitimes.atavist.com/the-kingdom-of-cardamom" target="_blank" rel="noopener">Mt Kangchenjunga</a> and Jannu, or Kalinchok for a grandstand view of Mt Gauri Shankar. Then there are peaks like Pulchoki on the southern rim of Kathmandu Valley, Bandipur for a tour d’horizon of the entire Central Nepal Himalaya, and the famous Poon Hill for the vista of Dhaulagiri and Annapurna. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70c19c7e80680e060095jpeg.jpg" alt="">But one of the best kept secrets of trekking in Nepal is Pikey Peak in Solu, which offers a view of eight of Nepal’s eighthousanders from one place, including Mt Everest. The 4,065m peak used to be a favourite of Sir <a href="https://www.nepalitimes.com/banner/hillary-centenary/" target="_blank" rel="noopener">Edmund Hillary</a> after he climbed it to take a look around during the walk-in on his 1953 expedition.For several decades after that Pikey was isolated because it was so difficult to get to, and most people doing the Everest Base Camp trek overflew Pikey en route to <a href="https://www.nepalitimes.com/here-now/everest-garbage-caravan/" target="_blank" rel="noopener">Lukla.</a> Indeed, there is a parade of planes overhead every morning doing the Kathmandu-Lukla ferry.https://www.youtube.com/watch?v=1vDEMl1dCdg&amp;feature=youtu.beBut with new roads from Kathmandu to Jiri and the Solu Highway reaching Phaplu via Okhaldhunga, Pikey is suddenly accessible. After major snowfall last month, Pikey saw dozens of Nepali youngsters roughing it out on a camping trip. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70c59c7e80680e060096jpeg.jpg" alt="">Winter is the not the best time for a Pikey hike, but the views can be stunning especially after snowfall blankets the mountains in white. The best time is actually early spring when rhododendron forests are abloom in pink, red and white and the mountains are dazzling against deep blue skies. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70c99c7e80680e060097jpeg.jpg" alt="">Since few people know about Pikey, visitors will find the trails deserted and the tea shops basic, although new lodges are now coming up, and the local Sherpa community is trying to promote homestay tourism. Pikey is revered by the Sherpas as a deity and climbing it does seem more like a pilgrimage than a trek.The fortunate thing about Pikey is that you can make it a circuit so you do not have to come down the same way you went up. A recommended itinerary is to drive up the Jiri Road from Kathmandu, continue on to Shivalaya, following the old trek route <a href="https://www.nepalitimes.com/banner/on-thin-ice-in-the-khumbu/" target="_blank" rel="noopener">to Khumbu</a> before Lukla airstrip was built in 1968. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70cb9c7e80680e060098jpeg.jpg" alt="">From Shivalaya it is a leisurely three-day trek to Bhandara, Namkheli and Pikey Danda with only some steep sections. The trail winds through thick oak and rhododendron forests, with pine giving way to grasslands in the higher reaches.What is astounding is that from Pikey on a clear day one can see more than 800km of horizon from Dhaulagiri to Kangchenjunga. All along during the walk-in, Annapurna, Manaslu, Mt Everest, Cho Oyu, Makalu, Lhotse, Kangchenjunga and other eight-thousanders play hide and seek behind lesser but nearer peaks. But smack in front is the elegant summit of Mt Numbur, standing tall above Mt Karyolung. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70cf9c7e80680e060099jpeg.jpg" alt="">Sunrise from Pikey Peak is a ‘lifetime experience’ as the slogan for <a href="https://www.nepalitimes.com/opinion/make-sure-you-visit-nepal-in-2020/" target="_blank" rel="noopener">Visit Nepal 2020</a> puts it. The sun rises from behind Kangchenjunga, illuminating the peaks to the north one by one, even as the valleys below are shrouded in fog.For the return, the descent can be down to Junbesi, and on to Phaplu, from where you can either take a flight back to Kathmandu or make the trip by road. For those pressed for time, you can make a flight in and out from Phaplu with a circuit to Pikey via Lamjura and down through Dhap. (See map).  <img width="1000" height="1118" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70d29c7e80680e06009ajpeg.jpg" alt="">...

Lifetime experience on Pikey Peak

On Tuesday, leader of the monarchist RPP once again gathered on Kathmandu’s streets to deliver fiery speeches, but this time there was no arson and looting and no need for riot police to fire live rounds or tear gas.
RPP leaders demanded the release of their members including vice-president Rabindra Mishra and MP Dhawal Shamsher Rana were arrested during the violent <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">28 March protests at Tinkune </a>which left two dead. 
They denounced the current leadership of the main parties, demanding the <a href="https://nepalitimes.com/editorial/nepal-party-reincarnating-hindu-monarchy">restitution of Nepal as a Hindu kingdom</a>. They also said the government was responsible for the fatalities on 28 March because it provoked its rally with a tear gas attack even before it started.
It has now been revealed that the police fired at least 100 live rounds from high powered assault rifles at the crowd. Twenty-one of the 120 injured received bullet wounds, and most of them were bystanders and people trying to reach home. 
Tuesday protest on the Ring Road in Balkhu was much more subdued, and comparatively fewer RPP supporters showed up. The arson and vandalism in the previous protest appears to have cost some support for <a href="https://nepalitimes.com/news/the-ghost-of-monarchy-returns-to-haunt-nepal">former king Gyanendra </a>especially for the anointment of medical tycoon and bank defaulter <a href="https://nepalitimes.com/news/street-politics">Durga Prasai </a>as ‘commander’ of the Tinkune rally.
Some monarchists acknowledge Gyanendra’s mistakes when was king 2001-2008, but say he has had a lot of time to reflect on his shortcomings and seems more disciplined and committed. His supporters have tried to build on nostalgia among some Nepalis for<a href="https://nepalitimes.com/news/why-invest-in-nepal"> domestic stability </a>and international respect that <a href="https://nepalitimes.com/here-now/if-birendra-was-alive-nepal-could-still-be-a-monarchy">the monarchy</a> commanded. 
“Nepalis were promised better service delivery, opportunities for the underserved, as well as better, more honest use of state resources, but the <a href="https://archive.nepalitimes.com/news.php?id=16992">people in leadership </a>have not been able to deliver on their commitments,” says RPP leader Prakash Chandra Lohani. “The gap between their rhetoric and reality has widened, the people feel betrayed, and the respect Nepali people had previously had for them has changed to revulsion.” 
Indeed, many commentators have warned the three main parties and their <a href="https://nepalitimes.com/editorial/politics-as-usual">serial prime ministers</a> who have ruled Nepal for much of the past 30 years should address rising public anger with them, and see the writing on the wall.
‘<a href="https://nepalitimes.com/news/nepal-government-changes-again">The UML, NC and Maoists</a> must introspect about their conduct,” warns Gunaraj Luitel, editor of Nagarik, in an op-ed this week. ‘These leaders for life may save themselves from simmering public anger, but they will not be able to save the system. The monarchist wave can only be dispelled when citizens are assured of <a href="https://nepalitimes.com/here-now/nepal-s-local-election-gives-power-back-to-people">better governance</a> through <a href="https://nepalitimes.com/latest/real-world-training-for-youth-leaders">younger leaders</a>, and reforms.’ 
Rifts between radical royals who are gunning for a return to <a href="https://nepalitimes.com/here-now/mob-movement-and-mayhem">Panchayat-style absolutism </a>and moderate monarchists who favour a constitutional king have also weakened the movement somewhat. The split between the RPP and RPP-Nepal cost the royalists numbers in Parliament in 2022, and both parties denounced the violence last month, albeit shifting the blame on the government.
The irony is that the same royalists who want to scrap the republican Constitution had formed electoral alliances with the UML during the 2022 elections. RPP-Nepal chair Kamal Thapa contested the 2022 election with the UML. Thapa has not taken part in the last two rallies, saying he will only be a part of a movement under a national flag, and not a RPP party banner.
For his part, the RPP’s Rajendra Lingden is said to be hesitant to censure some of his party’s more radical royalists for fear of fissure within his ranks, despite his aversion to Durga Prasai’s role. 
Analysts have questioned why <a href="https://nepalitimes.com/news/old-is-still-gold-in-nepali-politics">supporters of the monarchy </a>have decided to reestablish an institution that would not ultimately have executive decision-making power. There are doubts about whether authoritarian-minded Gyanendra will be satisfied being a <a href="https://archive.nepalitimes.com/news.php?id=13957">ceremonial king</a>. 
Read also: <a href="https://nepalitimes.com/news/nepal-s-deja-vu-on-black-friday">Nepal’s déjà vu on Black Friday</a>, Sonia Awale
"The Nepali people will not accept <a href="https://nepalitimes.com/here-now/forgotten-woman-who-sheltered-communist-activists">an absolute monarchy </a>at this point of time, and both the public as well as <a href="https://archive.nepalitimes.com/news.php?id=8371">king Gyanendra</a> are fully aware that there is no other possibility beyond a constitutional monarchy," asserts the RPP’s Lohani. “The traditional monarchy’s institutional capacity might have been enough to meet the needs of feudal Nepal, but an absolute monarchy is impossible both in concept and practice in the context of <a href="https://archive.nepalitimes.com/regular-columns/Economic-Class/waiting-for-an-industrial-revolution,784">modern day Nepal</a>.”

New year revolutions

Besides multiple <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">street demonstrations </a>that gridlocked Kathmandu’s traffic for the past weeks, public discourse in Nepal has also been dominated by dangerously <a href="https://nepalitimes.com/here-now/air-pollution-is-more-dangerous-than-smoking">high air pollution levels</a>. Caused mostly by hundreds of <a href="https://nepalitimes.com/news/wildfire-season-starts-early-in-nepal">forest fires </a>raging across the country, the smoke contains suspended soot particles that harms <a href="https://nepalitimes.com/opinion/playing-with-poison">human health</a>. Thursday’s rain have cleared the air somewhat, and many people will soon forget how bad the air quality was. But the time to address the roots of next summer’s fire season is now.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524.jpg" data-media-id="editor_4" data-image-id="20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524" data-rendition-name="original" width="502" height="540" loading="lazy" alt="Wildfires"> <figcaption>EXTINGUISHED: Forest fires raging all over Nepal in the week after 3 March (above) reduced air quality, creating a public health hazard in Kathmandu and across the country. Each red dot is a fire detected by infrared sensors on the NASA Fire Information for Resource Management System (FIRMS) satellite. But the rain on Thursday doused most of the fires (below) with more rain forecast over the weekend.</figcaption> </figure>  The reason everyone was talking about air pollution was because the<a href="https://nepalitimes.com/banner/nepal-is-going-up-in-smoke"> smoke from wildfires</a> was visible. But much more toxic are the invisible and odourless <a href="https://nepalitimes.com/news/nepal-doubles-its-carbon-footprint">gases from vehicular and industrial emissions </a>which have always been there. The theme of World Health Day on 7 April this week was ‘Healthy Beginnings, Hopeful Futures’ dedicated to <a href="https://nepalitimes.com/opinion/comment/saving-more-mothers-and-babies">preventing maternal and newborn deaths</a>. It is estimated that in Nepal, 30% of neonatal mortality can be blamed on air pollution. But that is only part of the story. Harmful as fine particulate matter is to human health, carbon monoxide, nitrogen dioxide, ground-level ozone and other gases in vehicular emissions are more hazardous to health. While the concentration of suspended particulate matter tinier than 1.5 microns (PM2.5) is closely monitored, these toxic gases are invisible, not measured much, and the public is not aware about the dangers they pose. Surface ozone is produced by the interaction of various gases found when <a href="https://nepalitimes.com/news/fossil-fuels-poison-air">burning fossil fuels</a>. Besides being poisonous, ground level ozone contributes up to 0.23°C to <a href="https://nepalitimes.com/here-now/nepal-s-mountains-are-melting">global warming</a> because it is also a greenhouse gas. A new policy brief by the Clean Air Fund titled The Case for Action on Tropospheric Ozone blames surface ozone for a half a million premature deaths every year, 54.8% of which are in South Asia. Ozone also stunts plant growth and reduces crop yields by 26% globally, and 11% loss in <a href="https://nepalitimes.com/news/economic-benefits-of-saving-the-ecology">forest productivity</a>, the report adds.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85.jpg" data-media-id="editor_11" data-image-id="20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85" data-rendition-name="original" width="998" height="724" loading="lazy" alt="Gas Chambers"> </figure>  Read also: <a href="https://nepalitimes.com/here-now/bad-air-and-polluted-politics">Bad air and polluted politics</a>, Sonia Awale Ground-level ozone is not emitted directly into the air like other gases, but is formed when oxides of nitrogen (NOx), carbon monoxide (CO) and volatile organic compounds (VOCs) released from automobile tailpipes or industry smokestacks react chemically with each other in the presence of sunlight. The main source of carbon monoxide in Kathmandu Valley are its 1.2 million two-wheelers. “Usually the concentration of carbon monoxide is 200-500 parts per billion (ppb), this has increased up to 3,000 in Kathmandu. Meanwhile, ground-level ozone has gone from 70-80 ppb to 150 ppb,” says Ravi Sahu, regional air quality specialist with the Kathmandu-based International Centre for Integrated Mountain Development (ICIMOD).&nbsp; Sahu says <a href="https://nepalitimes.com/news/no-smoke-without-fire-p7vb9dcj">rampant forest fires of the past weeks</a> have also added to carbon monoxide and ozone in the air, not just the fine particles that make up the visible smoke. He adds, “There isn’t much awareness about <a href="https://nepalitimes.com/banner/poisoning-the-air-we-breathe">ground-level ozone and carbon monoxide</a>, we need to urgently look into it.” A distinction must be made between good and bad ozone. Stratospheric ozone protects living beings from harmful ultraviolet (UV) radiation from the sun.&nbsp; Tropospheric ozone can again be separated into two types: ozone in the free atmosphere which is a greenhouse gas much more potent than carbon dioxide, and ground-level ozone which has adverse impacts on health and agriculture. ‘Cutting tropospheric ozone presents a unique challenge as it requires smart and fast action across multiple greenhouse gases and air pollutants, as well as multiple economic sectors,’ notes the Clean Air Fund's policy briefing. ‘It is a growing and neglected problem that needs an integrated approach on both a local and global level to tackle climate change and air pollution together.’ Dying young There was a time when Nepal made it to international news bulletins only if there were fatalities on Mt Everest. Now, Kathmandu’s bad air frequently makes headlines all over the world. This past week, the concentration of PM2.5 that harms human health was up to 40 times the WHO recommended guideline — adding to the poisonous gases already present from vehicle emissions. The Department of Environment says 40% of the pollution in the past weeks was from wildfires sparked by nearly 6 months without substantial rain over central Nepal. Most of the rest is from vehicular and industrial emissions from Kathmandu itself and across the southern border. NASA’s Fire Information and Resource Management System (FIRMS) which issues daily maps of fires, showed hundreds of blazes raging across Nepal on Wednesday, mainly in Chitwan, Parsa and along the East-West Highway.&nbsp; “If we look at the figures for the last few years, it is clear that wildfires have become the biggest source of air pollution, they are seasonal but have overtaken vehicular emissions,” says urban planner and environmentalist Bhushan Tuladhar. “Forest fires, stubble burning, and open burning of garbage are the bigger problems now. Nepal, India, Bangladesh, and Pakistan are at risk every year, we shouldn’t further delay in finding solutions,” warned air quality expert Bhupendra Das during an event on air pollution organised on 7 March by the Nepal Forum of Environmental Journalists (NEFEJ).&nbsp; Indeed, studies have shown that in winter 60% of the air pollution over Kathmandu is transboundary from the south, and in November it is compounded by smoke from crop residue burning by farmers in India and Pakistan blown in by prevailing winds. Forest fires are a regular pre-monsoon occurrence in Nepal, often intentionally set by farmers and herders to stimulate new grass growth for livestock. Winter rains have failed for eight of the past ten years, and this means the fires often spread out of control. The other reason for the increase in wildfires is the doubling of forest fires to 46% of the country’s area in the past 25 years. But this has happened simultaneously with outmigration, with some mountain districts losing 30% of their population between 2011-2021. With less pressure on forests for fodder and firewood, the undergrowth of community forests is loaded with dry fuel just waiting for a spark. The bowl-shaped topography of Kathmandu, Pokhara and other valleys further concentrates pollutants as they are trapped by surrounding mountains. But a year with a high number of wildfires is usually followed by a year or two with fewer incidents. For example: there were 6,537 fires in 2021 but the following year the number was down to 1,528. There were 5,216 fires last year, this year the number has already reached 1,800, and the trend is likely to be broken. Heavy rains forecast for the coming days are expected to douse some of the fires and clean up the air. But the damage has been done: Kathmandu residents of all age groups this week crowded clinics and hospitals with burning eyes, itchy throats, difficulty breathing, headaches, and dizziness. But in the longer term, soot particles that are tiny enough to jump the blood-air divide in lung capillaries do not just cause Chronic Obstructive Pulmonary Disease (COPD), asthma, but also cancers, heart attacks, strokes, birth defects and other chronic diseases. The latest Air Quality Life Index (AQLI) report by the University of Chicago shows that the annual concentration of PM2.5 in Kathmandu’s air rose from 17.87µg/m3 in 1998 to 31.33µg/m3 in 2022. Air pollution has got worse by 75% in Kathmandu in 25 years. During this time, air pollution has reduced the average life expectancy of Kathmandu’s residents by 3.5 years. According to the Health Effects Institute in Boston, dirty air is among the biggest public health concerns in Nepal killing over 42,100 a year. The adverse impact of high levels of air pollution is not limited to public health, it is seriously affecting tourism. Operators in Pokhara this week said that there were many negative online posts by visitors unable to see the famous panorama of Machapuchre and the Annapurnas even from Sarangkot. Aviation is also affected, as planes have to circle sometimes for hours burning a lot of fuel because of runway visibility being below minima at Kathmandu airport. The higher fuel cost is just passed down to customers, making air tickets in and out of Kathmandu some of the highest in the world. Kathmandu, with a population of four million, has not implemented a concrete policy to curb toxic air despite having formulated various action plans and repeated commitments by the government to protect the environment and control air pollution. The Department of Environment’s 2017 Air Quality Management Action Plan for Kathmandu put forward a policy to reduce air pollution caused by vehicles which was approved by the Cabinet, but has yet to be put to practice. The action included the immediate implementation of the Euro 5 emission standard to reduce pollution emitted by vehicles. However, Nepal has not even been able to implement Euro 4 standards so far. India, meanwhile, has already moved forward with the implementation of the Euro 6 standards. Says Ravi Sahu: “Air pollution in Nepal is not just about air pollution, it has ties to tourism, aviation, the economy so we must be prepared for annual conditions like forest fires, and this requires urgent interdisciplinary collaboration.” &nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742.jpg" data-media-id="editor_15" data-image-id="20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742" data-rendition-name="original" width="839" height="784" loading="lazy" alt="Silent Killers"> </figure>  &nbsp;

What is invisible is more dangerous

Here in the mountains of far-western Nepal, the biggest threat to life and limb is gravity. Women collecting fodder fall from trees, boys grazing goats fall off cliffs, heavily loaded tractors plunge from dirt roads carved out of steep slopes. There is nothing to be done about those who die on the spot. But for the severely wounded there is only one hospital: Bayalpata. And it is there that <a href="https://www.youtube.com/watch?v=CJzWlnYd0ZM&amp;t=8s" target="_blank">orthopaedic surgeon Mandeep Pathak</a> is the last hope for many wounded people. Pathak, 42, is too modest to tell us how many lives he has saved over the past 10 years he has worked at Bayalpata. But hospital records show he has performed more than 4,000 operations in the past decade, many of them so patients did not suffer permanent physical disabilities. Pathak also did 800 major life-saving surgeries in that time. “I treat patients with injuries, but I wish I could also treat poverty,” Pathak says, emerging from Bayalpata’s surgical theatre one recent afternoon. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/CJzWlnYd0ZM?si=s_rkbU4YDaw87gqH" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> Sudurpaschim Province in Nepal’s far-west is far away from everything: from Kathmandu, from adequate medical care, from food security, and far from the reach of government services. It has suffered state neglect for centuries, its men mainly migrating to India for seasonal work to families who depend on subsistence agriculture. Pathak remembers the searing sadness he felt when a patient once told him, “Doctor, I sold the last of my rice to pay to come here, please give me a medicine that I can take on an empty stomach.” Pathak was born in Kathmandu, and after getting his MBBS from Kathmandu University, he got an MD from The Philippines. At a time when many Nepali doctors and staff nurses were emigrating, Pathak did not just return to Kathmandu but decided to go to one of the remotest districts in Nepal to serve those most in need. The hospital was established in 2009 in the village of Bayalpata, and has been managed by the non-profit <a href="https://www.nyayahealthnepal.org/" target="_blank">Nyaya Health Nepal (NHN)</a> as a public-private partnership treating 100,000 patients a year for no fees at all. NHN is now preparing to hand over the running of the hospital to the Sudurpaschim provincial government so its <a href="https://nepalitimes.com/banner/this-is-how-to-upgrade-nepals-rural-health" target="_blank">model of hospital management</a> can be replicated.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae.jpg" data-media-id="editor_4" data-image-id="20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Bayalpata hospital"> <figcaption>Bayalpata hospital in Achham.</figcaption> </figure>  People from not just Achham but surrounding districts, and from as far away as Humla, bring patients to Bayalpata, sometimes walking for days. Some with complicated pregnancies are brought in stretchers, young children with broken arms walk into the emergency, and sometimes there are mass casualties when a tractor or bus falls off a road. And Pathak is always there with his team performing triage, and doing orthopaedic surgeries that would be difficult even in Kathmandu. Recently, his team did a hip replacement at <a href="https://nepalitimes.com/banner/state-of-the-art-rural-hospital" target="_blank">Bayalpata Hospital</a>. Mild mannered, modest, soft-spoken, hard-working, professional are the words families of patients who have been treated at <a href="https://nepalitimes.com/here-now/nepal-s-rural-lifeline" target="_blank">Bayalpata Hospital </a>use to describe Mandeep Pathak. But the surgeon is too busy to let all this get to this head.&nbsp; Asked why he does not emigrate like his peers or get a lucrative position at a private hospital in Kathmandu, Pathak answers simply, without a trace of self-importance, “I do not think I could get the satisfaction or sense of fulfilment anywhere else.” When travelling to attend medical congresses overseas or visit family in Kathmandu, Bayalpata has other doctors to take care of patients, but many wait patiently till Pathak returns for their consultation or surgery.&nbsp; When he returns from seminars abroad after learning the latest skills, Pathak’s suitcases are not full of clothes or presents, but titanium bone implants, external fixation rods, or intramedullary nails to be used in <a href="https://nepalitimes.com/news/altruistic-healthcare-models-in-nepal" target="_blank">surgeries at Bayalpata</a>.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80.jpg" data-media-id="editor_8" data-image-id="2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80" data-rendition-name="original" width="2048" height="1368" loading="lazy" alt="surgery"> </figure>  Before Bayalpata Hospital was established, most people suffering broken bones had to travel down to Dhangadi or Nepalganj for treatment. No more. Although Pathak’s specialisation is orthopaedic oncology, he is mostly treating fractures and rejoining broken bones.&nbsp; Now as Bayalpata’s Hospital Director, Pathak also has administrative and fundraising duties. He has to take the 10-hour ride down to Dhangadi often to meet various Sudurpaschim ministries to release the hospital’s budget — that is sometimes more difficult than the most complicated surgery. Recently, he had to cancel an appointment with the Chief Minister to rush back to Bayalpata because there was a patient who needed emergency surgery. “I told myself, let me save this patient first, then I will try to save the hospital,” he recalls.&nbsp; Once, when he had to be away for a month on emergency surgery training in the US, the family of a 90-year-old woman who had dislocated her hip after falling from a staircase was waiting for him to return. Her son told Pathak: “Doctor, either put her out of her suffering, or cure her.” Pathak told him it was too dangerous to operate at her age, but the son said his mother was in so much pain it was worth the risk. The operation was touch-and-go, but it was successful. The woman who had been brought in on a stretcher, walked out of the hospital three days after the operation.&nbsp; A few months later, a 27-year-old woman was brought into the ER bleeding profusely from an arm mangled by a thresher machine. Even in that state, she was breastfeeding her baby. Pathak welled up seeing this display of selfless motherhood, as he wheeled her into surgery. She needed three operations, but now has full use of her hand. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/xJdxLD0hBqo?si=mOpM2R_DsYL88Lfg" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> It is the sense of achievement from such recovery that keeps Mandeep Pathak here in this isolated village in the middle of nowhere. Bayalpata Hospital has not just saved lives, it also saves families from poverty because they do not have to take sick relatives to expensive city hospitals.&nbsp; In January, a woman was brought to Bayalpata with both hands broken. She said she had taken a fall, but Pathak did not believe her. When alone in the surgery, she finally admitted that her husband had beaten her.&nbsp; It was her husband who had brought her to hospital for treatment, but she refused to file a police report. Pathak quietly put both her arms in casts, thinking about the poverty, patriarchy and injustice in society that he is unable to treat.

manaslu