<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022120710128/639058359c7e80680e0ce191jpeg.jpg" alt="" width="1500" height="1000"/><figcaption>Pheriche Aid Post where David Shlim lived in 1979 where it was just part of seasonal yak pastures, managed by the Himalayan Rescue Association</figcaption></figure>My first home in Kathmandu was a glass A-frame house nestled in a lychee and mango orchard, sheltered by a magnificent old fig tree in Bansbari. It was rented from Prem who lived with his young family in the same garden, rice fields stretching beyond the back wall with distant views of the northern hills. It was tiny, with seating on floor cushions and the bedroom a mattress on the mezzanine accessed by a precarious circular staircase, but that did not preclude large parties on the lawn and jolly meals around a polished table in the cramped dining alcove.As Dr David Shlim recounts in his memoir, A Gentle Rain of Compassion, it was here at dinner one evening that his life was profoundly changed by meeting Jane, a leggy blond Canadian who worked for us at Tiger Tops. This chance encounter led to a series of events (spoiler alert) that broke his pattern of ricocheting romances and obsessive despair which, in the mysterious way of this magical Valley, eventually catapulted him out of his misery and onto the healing path of spiritual awakening.That evening would lead to the transformation of David’s life through his discovery of Tibetan Buddhism, personal tuition by reincarnate lamas and an enduring friendship with Chokyi Nyima Rinpoche, whom he met when offering free healthcare in his Boudha monastery. But this journey towards enlightenment, compellingly written with David’s signature self-deprecating humour, encapsulates much, much more. In the words of Jon Krakauer, author of Into Thin Air: ‘Dr. Shlim’s story is candid, wise, fascinating, funny, tragic, astonishing, hopeful, and wonderfully entertaining.’<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022120710128/639058399c7e80680e0ce192jpeg.jpg" alt="" width="1500" height="844"><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022120710128/6390583c9c7e80680e0ce193jpeg.jpg" alt="" width="1500" height="1384"><figcaption> </figcaption></figure>Today David is world renowned as a specialist physician in travel medicine and has pioneered the bringing together of Buddhist philosophical practice with modern medical theory. Based in Jackson Hole Wyoming, he has lectured around the world on travel medicine topics and spends his time coaching caregivers to apply compassion in their daily interactions with patients, teaching Buddhism, and directing the Medicine and Compassion Project (<a href="http://www.davidshlim.com/medicine-compassion-project" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=http://www.davidshlim.com/medicine-compassion-project&amp;source=gmail&amp;ust=1668505584783000&amp;usg=AOvVaw20UaHm5NlXkxsR3gmzaaPd">www.davidshlim.com/medicine-compassion-project</a>).Collaboration with Chokyi Nyima Rinpoche and others resulted in the first-ever book that provided authentic Tibetan Buddhist insights into altruism and compassion for Western medical professionals, Medicine and Compassion, published in 2004. Monk philanthropist Matthieu Ricard (who David’s son is named after) writes: ‘Uniting his medical vocation with the essence of Buddhism … led to his teaching physicians around the world on how to bring back compassion at the heart of their profession and day to day activities.’<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022120710128/639058409c7e80680e0ce194jpeg.jpg" alt="" width="957" height="820"><figcaption> </figcaption></figure>Dr Shlim, as he is known locally, was a popular guest and a well-known fixture in 1980s’ Kathmandu. Adept at tolerating local conditions, both personal and medical, he first worked in Nepal in 1979 as the volunteer doctor posted in the Pheriche aid post high in the eastern Himalaya, lured away from his lacklustre life and flailing medical career in the US by the peerless mountain doctor and climber, Dr Peter Hackett.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022120710128/639058439c7e80680e0ce195jpeg.jpg" alt="" width="948" height="1061"><figcaption> </figcaption></figure>Returning as director of CIWEC, Nepal’s first international clinic with which he remains associated, Dr Shlim was a lifesaver, literally. Prior to CIWEC’s establishment in 1982 with Canadian assistance, we all relied on the Shanta Bhawan Hospital in a former Rana palace, run by dedicated and hard-working missionaries. I would regularly invite David down to Chitwan and Bardia for the reassurance of his gentle medical expertise when we had celebrity guests such as Henry Kissinger, Ringo Starr and Robert Redford in our care.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022120710128/639058469c7e80680e0ce196jpeg.jpg" alt="" width="1141" height="1261"><figcaption> </figcaption></figure>In a unique position to study medical conditions afflicting travellers, including diarrhoea, tropical diseases and travellers’ depression, the research that David led during his 15 years in Nepal made CIWEC the most famous travel clinic in the world. In addition, he served ten years as medical director of the Himalayan Rescue Association and became president of the International Society of Travel Medicine, an organization with 4,000 members in 100 countries. In 1998 Dr David Shlim was recognised by the Prime Minister of Nepal for his lifetime contribution to Himalayan rescue and mountain medicine.It was to CIWEC that Beck Weathers and Makalu Gau were brought after the epic 1996 high altitude flight by Madhan KC above the Everest icefall, at that time the highest ever helicopter rescue. I coordinated the rescue operation, manning the phones in Kathmandu with Rob Hall’s team at basecamp, the American Embassy and Adventure Consultants in Christchurch. Having been left for dead above Camp II after the storm, we held the phone to Beck Weathers’ ear as he called his wife from David’s consulting room to tell her that he was still alive, tears streaming down his face, his frostbitten nose treated and both hands bandaged by Dr Shlim.David is a good storyteller as this page-turner attests, and inevitably was at the centre of expat life in those early self-reliant days, with all their dramas, disasters, accidents and adventures. A sober physician by day, David let off steam as a rock and roll singer by night. The Fear of Heights band had us dancing late into the night, a precursor for another twist in his eclectic career as tour doctor travelling the world with the Rolling Stones for three years - David had originally met Mick Jagger and his family in 1990 at my house in Kathmandu.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022120710128/6390584b9c7e80680e0ce197jpeg.jpg" alt="" width="1622" height="1160"><figcaption> </figcaption></figure>As Chokyi Nyima Rinpoche writes in the Foreword: ‘Dr. Shlim’s life was filled with many challenges and many successes, both medically and personally. He tells these stories very well.’  Particularly remarkable is the way he shares the step by step progression of a Jewish American doctor’s skepticism that evolved from a growing spiritual awareness into a deep connection with Tibetan Buddhism.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022120710128/639058529c7e80680e0ce198jpeg.jpg" alt="" width="1500" height="1022"><figcaption> </figcaption></figure>But this unputdownable book is about more than medical sagas and spiritual exploration, on which David clearly left his mark in Nepal and vise versa, gripping as they are. The narrative gallops along, featuring romances, travel and personal trauma, sweeping us through the delights and deprivations of Kathmandu life in the 1980s and the stark reality of Sherpa living in the high Khumbu with little health support. We follow David through the unsatisfactory dead ends of his early years in the US, settling into the beguiling rhythms of life in Nepal, then returning to the American Tetons having found the other Jane - another beautiful Canadian lady chanced upon in Kathmandu with whom he has shared his extraordinary life and two children.Recently released in the US and Kathmandu, it is fitting that A Gentle Rain of Compassion was selected as the best autobiography/memoir by International Book Awards 2022 - a great boost for Dr Shlim, and nice recognition for Nepal as the most rewarding of adventure and spiritual destinations.A Gentle Rain of Compassion by Dr David R Shlim Di Angelo Publications USA 2022Distributed in Nepal by Vajra Books362 pages $19.99<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022120710128/639058569c7e80680e0ce199jpeg.jpg" alt="" width="1500" height="1383">

Lisa Choegyal

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The good doctor

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151116/636bb65c9c7e80680e07bc59jpeg.jpg" alt="" width="2048" height="1365"/><figcaption>Photo: MONIKA DEUPALA</figcaption></figure>Last year this time, the Infectious and Tropical Disease Hospital in Teku would be filled with patients suffering from mosquito or dog bites. But for the past week, entire families are sleeping in the open overnight at the hospital gate waiting for their turn to get Covid-19 PCR tests in the morning.The novel coronavirus has overshadowed many prevalent diseases and their treatment in Nepal, and one of the deadliest among them is <a href="http://archive.nepalitimes.com/news.php?id=19652#.X3E9tS2B0b0" target="_blank" rel="noopener noreferrer">rabies</a>.Last month, on a day that saw six Covid-19 fatalities nationwide, at least three people died of rabies in Dolakha district after a dog bit 10 people. The three, aged 32, 14 and 8, died despite receiving anti-rabies vaccines.Their families filed police complaints against a local clinic for using faulty vaccine, but ward chair Raj Kusum Lama later said the three died because they did not go for the full treatment of three injections.In Kathmandu, the Teku hospital is the only one which administers free anti-rabies vaccines. It used to get as many as 150 dog bite cases a day, but the number dwindled to only about 30 daily cases in the past months – even though there is anecdotal evidence of hungry street dogs getting more aggressive during the lockdown.Surya Ghimire was recently walking from his home in Dhapakhel to a school in Patan where he is a security guard, when he was suddenly attacked by a <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/woof-of-fresh-air-for-street-dogs-in-kathmandu,4132" target="_blank" rel="noopener noreferrer">canine pack</a>."There were no cars on Sat Dobato, and the dogs ruled the intersection. It was so dangerous, I started carrying a stick to protect myself,” he recalled. “The dogs were chasing people on motorcycles. They never did this before.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151116/636bb65f9c7e80680e07bc5ajpeg.jpg" alt="" width="3264" height="2448"><figcaption>Photo: BASU PARAJULI/THE KAT CENTRE</figcaption></figure>The lockdown also meant that without transport, people could not travel to health facilities to access the vaccine on time. Even after travel restrictions were lifted, many dog bite victims are afraid to visit Teku because it is also where Covid-19 patients are tested and treated.“Rabies is a under-diagnosed and under-rated in Nepal,” explained Buddha Basnyat of Patan Academy of Health Sciences. “Rabies doesn’t take any prisoners, it kills. Good thing we have a set of highly effective preventive measures.”A post-exposure prophylaxis, commonly known as anti-rabies vaccine, must be administered immediately after a dog bite, even if the dog may not be rabid. No one wants to take the chance. The vaccine takes about a week for the body to develop antibodies to fight the virus.While completely preventable, <a href="http://archive.nepalitimes.com/news.php?id=17455#.X3E9tS2B0b0" target="_blank" rel="noopener noreferrer">rabies</a> is a disease with the highest documented case-fatality rate -- close to 100%. Globally, it is responsible for 59,000 deaths every year, and 40% of all human rabies deaths are of children under 15.While rabies occurs in more than 150 countries, it is endemic in South Asia and Africa. India alone accounts for 40% of all annual rabies deaths in the world.Nepal has an average of 125 cases a year, but experts say most of the cases in remote rural areas go unreported. In fact, given the uncontrolled and growing population of stray dogs in urban areas, rabies and its preventive measures deserve more attention.“Teku hospital is synonymous with dog bite treatment, but the anti-rabies vaccine should be made available across the country and not just in few government hospitals,” says Prativa Pandey of CIWEC Travel Medicine Centre in Kathmandu. “Widespread access to the vaccine also means cutting down on travel cost for patients seeking treatment.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151116/636bb6629c7e80680e07bc5bjpeg.jpg" alt="" width="640" height="530"><figcaption>Photo: KAT CENTRE</figcaption></figure>Indeed, if all major hospitals, health facilities and clinics had a stock of vaccines, many more lives would have been saved during the lockdown. Free anti-rabies vaccines are available only in Teku and limited district hospitals. Private hospitals stock the vaccine, but there is a hefty charge. Even then, most facilities are not equipped with immunoglobulin, which together with post-exposure prophylaxis is considered a complete treatment against rabies.An immunoglobulin shot is crucial in severe bite wounds, but both equine and human immunoglobulin can be found only in a select few clinics.“South India has made much progress in equine serum and we should invest on making it more widely available in Nepal,” says Basnyat. “It’s much cheaper than human immunoglobulin and doesn’t need a lot of maintenance, and the side effects are reduced.”Knowledge about immediate and thorough bite wound washing with soap and water is also crucial, and can save lives. But prevention by <a href="http://archive.nepalitimes.com/news.php?id=17934#.X3E9xS2B0b0" target="_blank" rel="noopener noreferrer">controlling the street dog population</a> and canine vaccination are equally important. Although bats and monkeys also carry the rabies virus, dog bites make up 99% of all transmission in Nepal.Animal welfare organisations such as Kathmandu Animal Treatment (KAT) Centre and Sneha’s Care have been immunising community dogs in the Valley. Along with individual initiatives, they have also been busy <a href="https://www.nepalitimes.com/banner/singha-darbar-dogs-go-hungry-in-lockdown/" target="_blank" rel="noopener noreferrer">feeding and caring for stray animals during the lockdown</a> so they are not as aggressive.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151116/636bb6649c7e80680e07bc5cjpeg.jpg" alt="" width="1500" height="1000"><figcaption>Photo: MONIKA DEUPALA</figcaption></figure>On Monday, 28 September, the Global Alliance for Rabies Control is marking the 14th World Rabies Day with the slogan ‘End Rabies: Collaborate, Vaccinate’. Nepal and other endemic countries should renew their commitment to end rabies by prioritising and <a href="https://www.nepalitimes.com/banner/bhaktapurs-dog-catchers/" target="_blank" rel="noopener noreferrer">investing on preventive measures</a> and meet the World Health Organisation (WHO) target of bringing down human deaths from dog-mediated rabies to zero by 2030.Elsewhere in the world, pre-exposure vaccines are readily available and most travellers to Nepal use one so that even in case of a dog bite, they can survive with only one booster dose of the anti-rabies vaccine.Says Prativa Pandey: “Ideally, immunisation against rabies like we have for polio is recommended for this part of the world even though it is expensive. Even so, we must make the vaccine available and invest on preventive measures to save lives.”

Dog bites man is still news in Nepal

Climber, expedition leader and later a supplier of bottled oxygen to Himalayan mountaineers, Henry Barclay Todd died on 3 November 2025 in his favourite place on earth, Kathmandu.&nbsp;
Todd was larger than life, a metaphor often used, yet it could not be more fitting. Standing nearly 2m tall, and possessing an unshakeable will, he lived life on a grand scale, both in body and spirit.&nbsp;
Todd was a pillar in the Himalayan climbing community, supporting many mountaineers across Nepal and Pakistan, making it possible for them to fulfil the dream of standing on the world’s highest peaks. He believed deeply in the strength, skill, and potential of the Sherpa people, and offered them opportunities that might otherwise have remained out of reach.&nbsp;
“Thank you, Henry. Your trust changed my life. Rest in peace, my leader, my teacher, my friend,” said Dorjee Gyelzen Sherpa in his tribute.
Born in 1945 to Royal Air Force officer Henry Todd and May Todd of the Women’s Royal Air Force, Henry spent his early years in Singapore. He led a lively childhood with his two brothers, far removed from the mountains that would later define his path.&nbsp;
A gifted swimmer like his father, Henry never pursued the sport professionally. Instead, after returning to Dundee as a teenager and attending seven different schools, he set off for London, where he began working for an insurance company before finding his true calling in adventure.
Henry Todd first came to Nepal in the mid-1980s and made his first attempt on Ama Dablam in 1987, an expedition that marked the beginning of an extraordinary and colourful climbing career. <a href="https://www.himalayandatabase.com/" target="_blank">The Himalayan Database</a> lists 61 expeditions that he led in Nepal alone — there were more in the Karakoram, Argentina and the Alps.&nbsp;
But Todd would joyfully say that a few hard Scottish ascents held a more personal meaning to him than even the greatest Himalayan summits.
Over the decades, he crossed paths with many legendary climbers like Anatoli Boukreev, Jerzy Kukuczka, Doug Scott and Chris Bonington as well as celebrities including members of Pink Floyd and Nobel Prize laureates whom he befriended.&nbsp;
He had a gift to never name-drop, but would simply mention that he had had lunch with Minnie Driver (niece of his long-time friend Andra) or that he had bought his first car from Donald Sutherland. For Todd, these were not bragging rights, they were simply part of the colourful tapestry of his life.
Todd’s life was filled with extraordinary experiences from surviving plane crashes, avalanches and earthquakes to quietly solving countless problems, which was one of his favourite past-times. His hands, famously large and steady, were always ready to help whether in the chaos of the mountains or the calm of a base camp.&nbsp;
With his sharp sense of humour and the beloved exclamation “Whoopie!”,he could bring lightness even to the toughest moments. He never tired of taking on challenges or helping when someone was in need, and he enriched so many people’s lives with his endless stories.
His legacy is immense. He helped build the human backbone of Himalayan climbing, enabling generations of climbers to test themselves in the world’s highest places. With his passing, an era of bold, spirited Himalayan guiding has come to a close.
Todd survived by a loving family, many close friends and a global community of climbers and Sherpas who will never forget him and his endless tales.&nbsp;
His family said in a statement: ‘Henry’s strength, warmth and unyielding belief in others will live on far above the clouds. He was indestructible in our eyes and in our hearts, he always will be.’
There will be a memorial service at Pashupati Temple in Kathmandu on 8 November 2025 around lunchtime.

Henry Barclay Todd, 80

The autumn mountaineering season is not over yet, and already there have been 12 fatalities on Himalayan peaks in Nepal.
Of the 1,450 climbing permits issued, 436 were for Mt Ama Dablam (6,812m), 374 for Mt Manaslu (8,163m) and 186 for Himlung Himal (7,126m). There were deaths on all three mountains.
The death of two French climbers on Ama Dablam happened before unseasonal blizzards hit the mountains. But Cyclone Montha from the Bay of Bengal brought on high winds and up to 1m of snow in the peak trekking and mountaineering season.
This increased avalanche conditions, and made helicopter evacuation of stranded and injured climbers difficult. Lower down the mountains, more than 1,000 trekkers from Nepal and around the world were stuck in the Annapurnas, Manaslu circuit and the Khumbu.
However, there have also been allegations that it was not just the weather that delayed rescues. Multiple levels of bureaucracy and the need for flight permits to restricted areas like Manang and Manaslu critically delayed evacuation flights.
Italian climbers Farronato Stefano and Caputo Alessandro were found dead in their tent at Panbari Himal Camp I (6,887m) in the Manaslu area. They had been trapped by heavy snowfall since 28 October, and their bodies were found on 4 November by a team from the expedition organisers, Sherpa Alpine Trekking Service. The team was made up of high level mountain guides and expedition leader Valter Perlino.
The team had been climbing to Camp 3 but decided to descend to base camp because of thrombosis in Perlino’s left foot. The two climbers who would eventually get trapped decided to break at Camp I, a decision that would prove fatal after the projected six-day snowfall arrived two days early.
“They were sleeping in a tent and were buried under 2.5 metres of compacted snow. It happened during the night between Thursday and Friday. While they were sleeping, absurd,” said Perlino.
A deadly incident took place the morning of 3 November, when five foreigners and two Nepalis died in an avalanche on Yalung Ri at 5,630m in the Rolwaling. They were part of a larger group of 15 that were acclimatising for an attempt on the nearby Dolma Khang (6,332m).
Local authorities in Gauri Shankar Conservation Area say calls were immediately made to helicopter companies as well as various ministries in Kathmandu that have to issue permits to fly to the region bordering China.
But the permits for rescue flights to Rolwaling Valley were delayed by eight hours. Rescue flights in these areas require permission from the Ministry of Tourism, the Ministry of Defence, the Home Ministry, and the Civil Aviation Authority of Nepal (CAAN).
Experts say this should be exempted in times of emergency when time is of the essence. CAAN spokesperson Pratap Babu Tiwari claimed to not know of the avalanche on Yalung Ri and deflected questions to the permission department.&nbsp;
There was a similar tragedy on Himlung Himal in Manang as well. Australian Chin-Tark Chan, 49, was climbing with 8K Expeditions and fell ill on 27 October at about 6,800m, developing snow blindness and loss of mobility. The guides immediately called the US insurance company Global Rescue for authorisation of a longline rescue.
Global Rescue refused, saying a rescue at that height would violate Nepal’s aviation rules and put the pilot at unacceptable risk. They asked the guides to transport Chan to Camp 3 at 6,400m to a permitted altitude. Seeing it was a life-or-death situation for its client, 8K called in an aerial rescue anyway, but the helicopter could not land due to bad weather. Chan died slightly below Camp 3 on 29 October.
Global Rescue said in a statement that it was ready to send in a helicopter after Chan had been transported to Camp 3, but several hours were lost for that attempt, and the weather did not get better in the next few days.
To underscore just how dangerous helicopter rescues in the Himalaya can be in bad weather, a chopper from Altitude Air skidded off the helipad at Lobuche below Mt Everest while trying to rescue trekkers in whiteout conditions.&nbsp;
CAAN announced a ban on flights during blizzards or dense fog. While rescue missions are often heroic and courageous, they should not be foolhardy if conditions are unsafe and the risk to pilots and rescuers too high. This autumn was a lesson for future expeditions and for the Nepal government.&nbsp;
The Italian duo on Panbari were caught out by snow that arrived two days ahead of schedule, but the group on Yalung Ri should have postponed their ascent after multiple warnings from the Department of Hydrology and Meteorology to avoid high altitudes.

Deadly autumn in Himalayan climbing

This is the 73rd episode of Diaspora Diaries, a Nepali Times series in collaboration with Migration Lab providing a platform to share experiences of living, working and studying abroad. I don’t remember playing with dolls as a little girl. There is not much to remember from my childhood.&nbsp; My responsibilities began at a very young age, as I had two younger brothers to take care of. I was born in Sarlahi, but we moved around quite a bit as my father was in the government and got transferred frequently.&nbsp; From Rasuwa to Dang, from Nepalgunj to Kathmandu. I struggled to adjust in Kathmandu because I joined Grade 9 in the middle of the term. The education was different and fellow students also did not support me initially. But over time, I adjusted and made friends. I did not dream of becoming a nurse. It was by accident. I wanted to pursue medicine, but failed the entrance exam by a few marks. I did not want to lose a year, so decided to take up microbiology instead.&nbsp; I got married after my undergraduate, and my husband encouraged me to take up something more technical like nursing or engineering instead of Masters in Microbiology. As my quantitative background was weak, I chose nursing. I felt like I was born to be a nurse. Juggling my married life and studies was difficult. My teachers would often ask me why I am falling behind. It was not easy, but I managed and took up a full-time job as a nurse. There are challenges being a nurse in Nepal. You are overworked, underpaid, there is lack of appreciation. Superiors can be overbearing. These problems persist. But the bright spot is that you get to serve fellow Nepalis, and be close to your family.&nbsp; Just like I had no intention initially of becoming a nurse, I had no intention of migrating overseas. But life had different plans for me. After my baby boy was born, I noticed that something was off. Even at nine months he had not started crawling or sitting. As a nurse I knew something was wrong, and I took him for check-ups. He tested negative for down syndrome, but he had a heart defect.&nbsp; The cardiologist recommended that I take him to India where he was diagnosed with Williams Syndrome, a rare genetic condition that affects 1 in 10,000 people. It delayed his development. I looked for therapy. It was either not effective, or too expensive. Some schools also refused to admit him, and it drove me to tears.&nbsp; My family members overseas in the UK, US told me to emigrate as there were better facilities for differently abled children. So I decided to apply to the UK. Luckily just then there were calls for candidates under the Nepal-UK government-to-government pilot scheme for 100 nurses. Only 40 met the criteria, and I was one of them.&nbsp; I still remember the day I received the news on the day of my puja. There were people around me, and they told me that it was the result of my fasting and devotion on that auspicious day. Perhaps it was. Life was taking a new turn, and I was happy. I made it to the UK in February 2024 without paying a single paisa to any broker. The G2G scheme was unique as we were treated with dignity and valued for our skills: they covered costs for the ticket and visa, reimbursed us for exams we had taken and costs involved in the preparation and testing of the Objective Structured Clinical Examination were also covered.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251106071148_dc5a0d0ea3024b34a4f2735754f8eb67a650bc7f61b98c75d589676c65b02a0c.jpg" data-media-id="editor_0" data-image-id="20251106071148_dc5a0d0ea3024b34a4f2735754f8eb67a650bc7f61b98c75d589676c65b02a0c" data-rendition-name="original" width="1200" height="1600" loading="lazy" alt="Nurses NT"> </figure>  It was of course difficult to leave my son behind. But I was doing it for his future. I had the option of taking him from the start, but it was a new place and I wanted to be well-settled and knowledgeable about the options available for him before bringing him along. As I packed, he would ask me to take him with me in my suitcase. It did not seem like he was affected by my departure, and it was only later that his teachers said that he would express his feelings more openly at school. He just did not know how to tell me he missed me, and he would tell teachers he was worried I had forgotten him if we did not speak for a day.&nbsp; He missed me, and that realisation made me emotional. But I had to carry on. Life in the UK was difficult in the beginning. Even so, I wanted to prove to myself that I could do it. Fortunately I had cooperative staff who patiently answered my questions. I think I would have been irritated if I were in their place. But they did not seem to mind, and their support and guidance made it easy for me to adjust to the new work environment. APPRECIATION I still struggle to understand the accent of my English patients, and have ask the matron for help. They compliment me on my English, but I can speak better than I understand. The good thing about working in the UK is that you are appreciated for your work, which can be motivating. Sometimes, after a long day’s work you get a message from your supervisor acknowledging your work with a thank you. That’s enough to erase your tiredness.&nbsp; So far I have received 32 WOW nominations which are acknowledgements from patients for a job well done. It can be motivating, especially in the beginning. The main difference between the Alpana who first left Kathmandu for the UK and the Alpana now is that I am a much more confident person. What makes a good nurse? Skills, knowledge and qualifications are of course a given. But mostly, you need humanity. A smiling face. The way you communicate. Your empathy. These attributes can already solve many problems that patients are facing. This is my second time back home in the last 20 months. And this time, I have arranged for my son’s visa. I will go back after Tihar with my son and husband.&nbsp; I am happy, but also a little nervous about what awaits us. What kind of school will I put him in? Will it really be different from schools here? Will his needs be addressed? Will it be like here, or will he be able to adjust?&nbsp; But I am determined to make it work. Success for me would be if he adjusted well and there is a change in his condition. He still cannot recognise alphabets and read words like kids in his age group. Hopefully he will get learning support in the UK. He also has a knack for music, and this is common among individuals with Williams Syndrome. His ears perk up when he hears music, and he takes part in musical events at school. He still does not recognise letters &nbsp;but he uses voice commands to search for guitar videos on YouTube. I will enrol him in music classes, and help him develop this gift. For now, I worry how he will behave on his long flight. He has a short attention span and gets restless. He is also very social and will want to speak with everyone around him, and might irritate fellow passengers.&nbsp; I have already started trying to make him understand that he will need to behave on the flight. He nods in agreement. Let’s see how it goes. &nbsp;

“I felt like I was born to be a nurse”

A month after September’s GenZ movement in Nepal, nurses working in private hospitals took to the streets demanding better work conditions, and salaries equal to what government nurses are paid.&nbsp;
The strike started at Pokhara’s Manipal Teaching Hospital before spreading nationwide, and nurses working at government hospitals joined in.&nbsp;
Nurses at private hospitals are forced to work for far less than Nepal’s minimum monthly wage of Rs19,550 — without overtime, breaks, and other benefits and under physically and mentally taxing conditions. This is driving many qualified nurses to emigrate.
For newly-appointed Health Minister Sudha Sharma Gautam in the interim government, the strike became her first order of business. She met representatives of the Nursing Association of Nepal (NAN), the protesting nurses, and others from the health sector.&nbsp;
An agreement was reached under which private hospitals and medical colleges will pay nurses a minimum monthly salary of Rs34,730. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
“It is a shame that nurses have been working under such exploitative conditions all this time” says Radha Adhikari, at the School of Health and Life Sciences of the University of the West of Scotland. “The agreement is basic, and there is a long way to go to improve their working conditions. But it is a start.”
NAN chair Chandrakala Sharma has said the ministry’s task force to look into working conditions will also look into facilities for nurses in government hospitals.&nbsp;
“We are committed to solidifying the wage agreement by amending relevant laws within this month,” Sharma said in a video posted by NAN on Facebook. “Our movement is not over, we are still protesting and &nbsp;following up with the Ministry.”
NAN issued an ultimatum to the government to implement the agreements within 48 hours. That deadline has now lapsed and the nurses are back on strike. Many of those protesting now accuse NAN of betraying them.
Jyoti Ranabhat of the Nurses Struggle Committee was present in the meeting, but refused to sign the agreement. “It did not address what we were demanding, we will now go it alone into Plan B,” she tells Nepali Times.&nbsp;
Previous grievances of the nurses did result in similar agreements, but private hospitals failed to comply with government’s past directives — most recently the minimum salary and benefit determined by the state in December 2024.&nbsp;
The Nepal Nursing Council says there are 126,580 registered nurses, specialists, midwives, and Auxiliary Nurse Midwife (ANM) professionals in Nepal. Yet, nursing positions at hospitals remain vacant.&nbsp;
The reason for understaffing is a mass emigration of medical professionals, including nurses. Nursing student enrollment is also declining and there is disinterest in a profession that does not afford health workers quality of life, respect, or dignity.
“Our fight is not with the private sector, it is by definition profit-oriented, our grievance is with the state,” says Ranabhat. “The government is responsible to provide us dignity, respect, and fair pay.”&nbsp;
GREENER PASTURES
Poor pay and working conditions are driving doctors and nurses abroad in large numbers in recent years. Many have simply quit the profession, leading to a shortfall in medical professionals. 

The shortage of nurses is a global phenomenon, and countries like the US, UK and Australia have compensated for their own shortage by offering jobs from countries like the Philippines, India and Nepal.&nbsp;
Nepal Nursing Council data shows that outmigration of nurses rose sharply after 2002, and an estimated &nbsp;20,000-45,000 nurses have left since.
“The state’s denial, derision, and disregard of nurses has caused resentment and disillusionment in the community, driving nurses out,” says Ranabhat. “Ultimately, Nepalis will pay the price when there are no nurses left here.”
Many Nepali nurses who have gone abroad are happy with the respect and quality of life in their jobs abroad. But many others face exploitative recruiters in Nepal and employers abroad. Nursing consultancies have mushroomed as nursing colleges struggle to meet demand.&nbsp;
Adhikari herself worked at United Mission Hospital Tansen before moving to the UK 30 years ago, and remembers that working conditions then were much better for nurses.&nbsp;
“Nepal’s health sector has gone downhill since privatisation,” she states. “Medical colleges are only concerned with supplying doctors and nurses internationally, because that is what makes money.”
But once Nepal’s nurses are abroad, there is no guarantee that they will have jobs in the nursing sector. Many find themselves working outside their field of expertise, in hospitality or sales.&nbsp;
“Nepal has become a production hub for nurses, and Nepali nurses have become products for export,” adds Ranabhat. &nbsp;“People might think this will add to remittances, but no one is thinking about what will happen to Nepal’s health sector.”&nbsp;
For many, nursing has become a way out of Nepal rather than a vocation. In 2022, the government signed an agreement with the UK to send Nepali nurses to work there at zero cost, with benefits and protection equal to UK nurses.&nbsp;
The pilot phase was expected to recruit 100 nurses, and applications opened in July 2023, with 45 nurses said to be selected by Britain’s NHF representatives by the end of 2023. Forty-one of them obtained labour permits.&nbsp;
They may be treated well, but the reality of working in the international health sector is not as straightforward.
Radha Adhikari told us from Scotland: “Market saturation, exploitation, discrimination based on race, gender, and foreignness prevent nurses from finding the right, respectful jobs even here. Ultimately, migration cannot be sustainable for Nepal’s nurses.”

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