update

Hey crew, sorry it's been a whil since updating, I'm goign to need some
approval for some expenses incurred. At the current moment I've spent
15000NRps for duty fees in getting all the donated supplies across the
boarder. The boarder rep was originally asking for 25000, but I arbitrarily
asked for 15000. When the final bill came out, I realized that only 1700 was
required by the government our boarder rep pocketted the rest...

other potential requests are
- air hose y-connector,
- screening for windows to prevent flies from entering the hospital wards
-

still trying to setup a bank account

So a typical day. Woke up at 0530 and saw off 2 friends at a bus station.
Went into the hospital early to get a head start only to be greeted by the
most ridiculous time waster exercises. E.g. physically cleaning ethernet
connection in the back of the computer to connect to hospital network. So
frustrating spendingso much time on things you know should take a fraction
of the time. It definitely teaches patience though. So finally finish a
draft for donation list for the charity and a coupon draft for free
pediatric consultations at the hospital. There's still a ton to do for the
conference which is in a week and the CPAP machine has yet to be setup due
to some connectors that still have to be obtained.. Things are slow in this
country.

Anyway, rounds today are a bit less depressing as most of the patients are
decently managed. But it's overkill for the director who rounds twice on
every pt in the hospital while doing outpatient services from 0800-2000
everyday. I remember the first day tha we rounded, there was pneumonia case
in the NICU intubated and ventilated on PC 25/5 FiO2=1.0, RR=60bpm. Modelled
and let's just leave it at that. Goign through charts, it seems there are
enough cases of kids who come to the hospital a bit too late. Perhaps
reflective of the fact that only ~19% of Nepal's births are attended by a
skilled birth attendant.