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Showing posts with label Nepali Scholar. Show all posts
Showing posts with label Nepali Scholar. Show all posts

Monday, September 16, 2013

Upendra Devkota: Neurosurgeon




Dr Upendra’s brainchild

KUNDA DIXIT

In 1983, a young Nepali doctor got a scholarship to specialise in neurosurgery at the renowned Glasgow Neuroscience Institute. On his very first day, he found himself under the tutelage of the professor, Graham Teasdale.


Upendra Devkota remembers seeing famous surgeons from the United States and Canada being in awe of his professor.

But while he learnt the skills and craft of neurosurgery from his guru, Devkota would stay awake nights in Glasgow dreaming of one day building an institute as good in Nepal. It would take more than 20 years but that dream is finally coming true on 12 April when the National Institute of Neurological and Allied Sciences opens in Bansbari. And Devkota has invited Prof Sir Graham Teasdale to be guest of honour.


It is difficult to imagine that this construction site with bulldozers moving earth will be open for business in two weeks, but Devkota brushes aside skeptics. You can tell this is a labour of love for Nepal’s best-known neurosurgeon who on a recent morning was personally supervising the finishing touches: telling the foreman not to scratch the epoxy floor tiles, ordering the lift doors to be widened so beds can be wheeled in, directing carpenters to adjust the reception desk.


One third of the cost of the Rs 250 million hospital is financed through a bank loan for which Devkota has put up his family home as collateral. The hospital has three state-of-the-art operating theatres, a casualty ward and an ICU that can take 11 patients and 65 beds and besides treating patients will also be training Nepali neurosurgeons.


The hospital’s layout was designed by the Swiss consulting firm, Baumann, and every tiny detail is carefully planned to meet international standards. There is a central oxygen and compressed air supply for surgical instruments, the vital signs patients is transmitted to nurse stations on wireless systems and their CT scans can be downloaded in operation theatres. The waiting area for relatives is bright and relaxed and even has a multi-denominational prayer room.


Devkota has come a long way from his missionary high school in Gorkha where he was a classmate of Maoist ideologue Baburam Bhattarai. After returning to Nepal he has served at Norvic and Bir and did a brief stint as health minister after the royal takeover of October 2002. Asked why he returned to Nepal, Devkota replies: “My philosophy is that it is more satisfying to grow vegetables in your own garden than to buy them at Sainsbury." 

Baburam Bhattarai vs Upendra Devkota



this is an old article taken from nepali times



Class of 1970Destiny has brought the graduates of a small school in Gorkha together again.
THOMAS BELL and MAARTEN POST in GORKHA
From Issue #142 (25 April 03 - 01 May of nepali times

Once upon a time, 03)there was a school in Nepal where every student passed the SLC exams. It was the United Mission to Nepal’s Amar Jyoti Janata School in Gorkha, and it was a remarkable institution with remarkable students.

The class of 1970 stands out because its graduates have lived and led Nepal’s recent history. The chief ideologue of the Maoist movement, Baburam Bhattarai, and the health minister in the royal government, Upendra Devkota, were classmates. (In picture taken circa 1969, Bhattarai is at extreme left, and Devkota second from right.)

Today, in a dramatic instance of history coming full circle, the two are members of negotiating teams from opposite sides in proposed peace talks to end seven years of conflict.

“We were torch-bearers for our generation, extremely competitive,” says Devkota before his face darkens with the memory of his classmate. “You don’t say one person is better than another just because he got more marks in the SLC 30 years ago.”

Bhattarai came Board First and Devkota was Board Second in the 1970 SLC exams. The two have not met since Bhattarai went underground eight years ago. “He’s serving the old regime, I’m serving the new regime,” Baburam Bhattarai tells us, smiling. “We are in opposite camps.” Years ago they were in different camps too: Devkota and his friends from Bohoragau and Bhattarai and his friends from Kaplung were rivals.

Krishna Pokharel was in Baburam Bhattarai’s group. “Gradually Baburam and Upendra didn’t even want to talk to each other because Baburam wanted to stand first and Upendra was competition.” Devkota and Pokharel were leaders of different groups in school, while Bhattarai had has nose in his books and by all accounts was a serious student.

Pokharel recalls: “He (Baburam) was always afraid of the teachers, he wanted to be obedienthe was the most obedient student in the school.” Thomas Varghuese, who was principal of the school and his wife Mary who taught the boys Math, English and Science, both agree. “Baburam was extremely disciplined, very sharp and he had a phenomenal memory,” recalls Mary Varughuese, “Upendra was the more vocal one.” But both were eager to learn, and soaked everything in.






CLASSMATES: (From Left to Right) Baburam Bhattarai, Upendra Devkota and Krishna Pokharel pointing out the bullet holes in the wall of his school in Gorkha where Maoists tried to kill him two years ago.


The rivalry between the two groups took on a political dimension. The poet and TU lecturer Sita Ram Adhikary was two years senior, and remembers Upendra Devkota’s older brother as being attracted to communist ideology. In school, he says it was Devkota who appeared to be more influenced by communism than Bhattarai, and started a student union in school to oppose the authorities. Baburam, reportedly did not join the union. Surprisingly, Bhattarai who had a slight pro-Congress leaning in school went on to become a revolutionary, while the left-leaning Devkota is now a monarchist.


Upendra Devkota also rallied his friends against Christian activities at the missionary school. “Even in grade five, he used to say that it wasn’t proper to have to study the bible and go to church,” recalls Pokharel. “He called it religious imperialism, but I don’t think anybody at that time even knew what ‘imperialism’ meant. We used to say we were Nepali Congress and we liked BP Koirala just to oppose Upendra.”


After leaving school in 1970, the politics became more serious. Both Upendra Devkota and Baburam Bhattarai were passionate opponents of the Panchayat system, but differences remained. Pokharel, Devkota and Bhattarai went to Amrit Science College, now Amrit Campus. Bhattarai and Pokharel were roommates and remained close friends.



“In this period Devkota was still very interested in communism,” Pokharel recalls. “We used to discuss politics every day on the rooftop of the college. He believed that communism was the best political system for the poor.” But because communism did not guarantee personal freedom, Pokharel developed an antipathy towards it—a feeling that has lasted to this day. Baburam Bhattarai wasn’t particularly attracted by communism even then, but Pokharel says he was resolutely against absolute monarchy.


After college, the school friends went their separate ways. Sita Ram Adhikary returned to Gorkha to work as a teacher. But being a member of the Nepali Congress-affiliated Tarun Dal he was driven out for his anti-Panchayat activities in 1975. Upendra Devkota became a renowned neurosurgeon, studying and working in Britain and Hong Kong before returning to Nepal. Baburam Bhattarai went to Jawaharlal Nehru University in New Delhi to study architecture and did his PhD in urban planning.


Baburam stayed in touch with his friend Krishna Pokharel in Kathmandu, writing letters that described his political journey. He was impressed by his meetings with BP and Girija Koirala, then living in exile in India. “BP Koirala is the most patriotic personality in Nepal,” he wrote, “Girija is the most revolutionary personality.” Later, at JNU when he heard that BP Koirala had accepted the result of the narrowly-endorsed referendum on the Panchayat system in 1980, Bhattarai became a communist. “I think Marxism is better,” Baburam wrote to Pokharel.



Krishna Pokharel disagreed with Baburam, and recalls: “I also wanted to defeat the Panchayat system, but I accepted the result of the referendum.” Bhattarai tried to persuade Pokharel to start teaching communism in school, but he refused. Their correspondence then tapered off.


After the 1990 Peoples’ Movement, ideological differences were briefly set aside. Baburam Bhattarai’s United Left Front formed a pragmatic alliance with the Nepali Congress, but differences quickly re-emerged and this was to have dramatic consequences for the classmates from Gorkha.


While Baburam Bhattarai and his Maoist comrades launched the ‘peoples war’ in February 1996, Krishna Pokharel took out a bi-weekly newspaper called Daraundi. It was strongly critical of the Maoists, and Pokharel wrote an open letter to his classmate and friend: “Our society has invested so much in you and what are you giving back? I have two friends who are doctors now. One is saving people and one is killing them.”


Bhattarai responded in the Maoist mouthpiece, Janadesh, calling his old friend a government servant and a reactionary, and threatening that the role of the ‘peoples war’ was to eliminate people like Krishna Pokharel. That threat was nearly carried out: on 24 January 2001 four Maoists armed with revolvers came to the teacher training college in Gorkha where Pokharel was conducting class. They fired three shots, which missed and Pokharel fought them off.


Sita Ram Adhikary was in Gorkha at the time to vote in the general election. “I heard the shots and ran to the school,” he recalls. “I advised Krishna to move to Kathmandu. “When there is a famine, save grain. When there is disorder, save yourself,” Adhikary told Pokharel, quoting a Nepali proverb. Krishna did go to Kathmandu, but within a year was back in Gorkha to carry on teaching.


While Pokharel was in Kathmandu he witnessed the chaos following the royal massacre. He met his old friend, Upendra Devkota who was now a famous neurosurgeon. “We talked about the palace incident, he had treated Crown Prince Dipendra when he was in a coma. He still had strong convictions, but he is a monarchist now.”


For his part, Adhikary is pained by the violence of the past seven years. “I hate it,” he says simply, “change comes from the mind not from the barrel of a gun.” But he also regrets the path his own party has taken. “I remained a kangresi throughout but I am sad about how our leaders have let us down, our party has lost its prestige.”


And what about his school friends? “Upendra is the best doctor I know. He cares for his duty. Baburam is a unique personality, very creative, and kind-hearted. But both are ambitious.” The batch of 1970 is having a class reunion picnic this weekend in Kathmandu, but Upendra Devkota is not planning to attend. Baburam did not know about the event, but said, “I’ll go if they invite me. I’m proud of my school.”

Sanduk Ruit: an Ophthalmolgist


He was nominated for CNN Hero of the year 2011


The 2006 Ramon Magsaysay Award for International Understanding CITATION for Sanduk RuitRamon Magsaysay Award Presentation Ceremonies31 August 2006, Manila, Philippines
Cataracts, bane of the aging, are like clouds that gather over the eyes. They are the most common cause of blindness in Asia. In Nepal alone some half a million people are affected, the majority of whom live in remote areas where the curse of blindness is magnified by a harsh terrain and pervasive poverty. Yet, most of these people need not be blind at all, says Dr. Sanduk Ruit. Only the absence of medical care condemns them to darkness. Ruit, an eye surgeon and medical director of the Tilganga Eye Centre in Kathmandu, wants them to see again.

Sanduk Ruit was born in a mountain area of Nepal so poor and remote that the nearest school was eleven days away, by foot. Diligence brought him a scholarship to be educated in India. When he was seventeen, his older sister died of tuberculosis and this painful loss led him to medicine. Upon completing medical school in India, he returned to Nepal as a government health officer. Following an assignment with the WHO Nepal Blindness Survey in 1980, he completed a residency in ophthalmology. Later, in Australia, he learned from his friend and mentor Dr. Fred Hollows the latest techniques in cataract microsurgery using implanted intraocular lenses. By 1988, he was introducing the new techniques in Nepal.

There, Ruit faced the resistance of local eye surgeons. He patiently taught them the new procedures and began to win converts. With backing from the Nepal Eye Program Australia, he began trekking to Nepal’s far-flung towns to conduct eye camps, on-the-spot surgeries in which he almost instantly restored the sight of grateful country folk, hundreds at a time. While doing so, Ruit devised techniques to achieve hospital-quality standards of precision and sterility under makeshift conditions. These included his now-famous suture-less procedure that speeds cataract surgery and reduces patients’ recovery time.

Ruit opened the Tilganga Eye Centre (TEC) in 1994. It has become the hub of an ambitious expansion of eye-care services. In partnership with the Himalayan Cataract Project, TEC today manages six regional primary eye-care centers in Nepal. It operates Nepal’s only successful eye bank. It trains eye-care paramedics, medical residents, and nurses as well as visiting surgeons from Asia, North America, Europe, and Australia who come to learn Dr. Ruit’s techniques. It also manufactures extremely high-quality intraocular lenses for surgery and makes these once-exorbitant implants—nearly 1.5 million of them so far—available to needy recipients in some fifty countries for less than US $5.00 apiece. Meanwhile, the Centre treats three thousand patients a week and has performed more than ninety thousand operations since its inception. Surgery at TEC is inexpensive and prorated according to ability to pay; the poor pay nothing at all.

Today, Ruit’s mobile eye camps have expanded to China, India, Bangladesh, Cambodia, and even to North Korea, where in June 2006 he and his team performed sight-restoring surgery on over 1,000 patients in six days.

More than five hundred surgeons across Asia have now learned Dr. Ruit’s pathbreaking techniques. "We Nepalese have never been known to give anything to other parts of the world," he says. "I feel proud that we have given this expertise to many countries."

The good doctor Ruit is famous for his stamina at the operating table and can perform one hundred surgeries in a single day. At fifty-one, he remains inspired by the joyful satisfaction of giving the gift of sight, especially to the poor.

"Everyone deserves good vision," he says. "There can be no children of a lesser god."

In electing Sanduk Ruit to receive the 2006 Ramon Magsaysay Award for Peace and International Understanding, the board of trustees recognizes his placing Nepal at the forefront of developing safe, effective, and economical procedures for cataract surgery, enabling the needlessly blind in even the poorest countries to see again.


Dr. Sanduk Ruit, MD
Co-Director Himalayan Cataract Project
  
Dr. Sanduk Ruit grew up in a remote village in Eastern Nepal. He was educated in India and completed his three-year ophthalmology residency at the prestigious All India Institute of Medical Sciences in Delhi, India. He also completed fellowships in microsurgery in the Netherlands and Australia as well as additional ophthalmic training at the Wilmer Eye Institute of the Johns Hopkins University School of Medicine and the University of Michigan. Dr. Ruit met Professor Fred Hollows from Sydney, Australia in 1986 when Hollows visited Nepal as a World Health Organization consultant. He went on to study with him for 14 months at Sydney’s Prince of Wales Hospital. Hollows was Ruit’s mentor and an inspiration to him. The two men believed in the right of people with treatable blindness to have their sight restored, and that people in developing countries deserved access to the same quality of care and technology as those in the Developed World. They shared an ambitious vision: the elimination of avoidable blindness in the Himalayan region, a process they believed needed to be driven by local people.

When Dr. Ruit returned to Nepal he was instrumental in the formation of the Nepal Eye Program and worked on a large epidemiological survey of blindness in Nepal. He was the first Nepali doctor to perform cataract surgery with intraocular lens implants and pioneered the use of microsurgical extra-capsular cataract extraction with posterior chamber lens implants in remote eye camps. Although other important international organizations sponsored eye camps in the region providing eye care and training local ophthalmologists, the camps established by Dr. Ruit were the first to introduce the use of intraocular lenses in cataract surgery. Put simply, this is the removal of the cataract and insertion of a plastic intraocular lens. Before this, people who had cataract surgery in Nepal were given crude, Coke bottle-thick glasses that allowed only a poor quality of vision with terrible distortions in peripheral vision that made life on uneven trails difficult. Moreover, if the glasses were lost or broken the patients were unable to focus and again rendered blind.


Dr. Ruit later developed a sutureless form of the surgery, a technique that allows safe, high-volume, low-budget operations. A masterful surgeon, he can perform dozens of flawless cataract operations at eye camps over a 12-hour day – and laugh over a meal with his team at the end of it. Dr. Ruit insists on high standards from everyone and always raises the bar for his own work, an attitude that gains him enormous respect from all who work with him.


Dr. Ruit helped found the Tilganga Eye Centre, the Nepal Eye Program and its Australian counterpart, Nepal Eye Program Australia (NEPA). Using Tilganga as his base of operations, Ruit continues to upgrade the state of eye care in Nepal, training surgeons and paramedics, and furthering his vision to cure blindness throughout the Himalayas. Doctors Ruit and Tabin have been teaching their cataract surgery technique at the American Academy of Ophthalmology and at the American Society of Cataract and Refractive Surgeons annual meetings.

Dr. Sanduk Ruit awarded honorary order of australia

“If I've done nothing in my life but encourage Ruit, I'll have died a happy man.” Fred Hollows
Nepalese surgeon, Dr Sanduk Ruit, long-term friend and colleague of Fred Hollows, has been appointed an honoraryOfficer of the Order of Australia (AO).

Dr Ruit recently visited Australia to mark the 15th year of The Fred Hollows Foundation and to discuss future expansion plans for sight-saving programs in Nepal and around the world.
He has been a partner of The Fred Hollows Foundation since its inception in 1992.
In one of many interviews Fred gave during the final years of his battle with cancer he highlighted the high regard in which he held Dr Ruit.

“If I've done nothing in my life but encourage Ruit, I'll have died a happy man,” he said.
Since Fred’s death, Dr Ruit has worked tirelessly to end avoidable blindness in developing countries, personally performing approximately 70,000 sight-restoring operations.
“We are truly proud to work alongside the remarkable Dr Ruit, a man who has done more than anyone else to make Fred’s vision a reality,” said Brian Doolan, The Foundation’s CEO.
When Fred died in 1993, The Foundation continued its partnership with Dr Ruit, establishing the Tilganga Eye Centre in Kathmandu, incorporating the Fred Hollows Intraocular Lens (IOL) Laboratory, which produces the high-quality lenses necessary for modern cataract surgery.
Today, Dr Ruit and The Foundation continue to work together, training local doctors from countries such as Bangladesh, Cambodia and North Korea to perform modern cataract surgery, and carrying out thousands of sight-saving operations each year.

“There is no doubt Fred would be lifting a congratulatory glass of whisky for his great mate, Dr Ruit,” said Mr Doolan.

“However, both Fred and Dr Ruit would also see this as a time to draw attention to the work ahead,” Mr Doolan said.

Binay Shah: Hemato-oncologist




Dr Binay Shah

Binay Shah
 
University of Illinois at Chicago Medical center
840 S Wood Street
60612 Chicago
United States of America
email: binay.shah@gmail.com
Web site: http://binayfoundation.org/
Fields of Interest: Hematology, Oncology

Gyanu Lamichhane: Researcher at JHU



 As published in Ekantipur.
KATHMANDU, OCT 03/ 2011
Gyanu Lamichhane, a 35-year-old Nepali researcher at John Hopkins University School of Medicine, has drawn the world several steps closer in finding a better, faster and reliable cure for tuberculosis (TB), which kills over two million people across the globe each year.
His latest findings have paved the way for a much faster approach of weakening the TB causing bacterium, Mycobacterium Tuberculosis, which could potentially shorten TB treatment that now takes at least six months.
In recognition of his achievement, the US government’s National Institute of Health honoured Lamichhane with the coveted New Innovator Award-2011 on September 19 along with a direct funding of $ 1.5 million (Rs 117 million) for his research to be carried out at the university within five years. A statement issued by the Institute on September 19 stated that the award was conferred on Lamichhane and 48 other young scientists for various promising researches in health sciences. 
During his research at Johns Hopkins Centre for Tuberculosis Research, Lamichhane, the assistant professor at the university, discovered what exactly the cell wall of TB causing bacteria is made of. He revealed that the protective cell wall of Mycobacterium Tuberculosis is held together by an enzyme named L,D-transpeptidase. The revelation is said to have come as a breakthrough in the effort to develop medicine that could break the protective wall of the bacterium and thus weaken it and cure the disease altogether.
His research has a key finding that if L,D-transpeptidase is unable to function, Mycobacterium Tuberculosis will have its cell wall weakened and the remaining chemical linkages in the bacterial wall will be an easy target for drugs used in the treatment of TB. Lamichhane now intends to pursue his research on what effect antibiotics will have on L,D-transpeptidase and the possible cure for tuberculosis as well as other bacterial infections.
“My primary interest is the study of genes essential to the growth of mycobacteria. In future I intend to study the cell division and regulation of cell cycle in mycrobacteria,” Lamichhane told the John Hopkins University publication after receiving the award. He had harboured the dream of finding a cure for TB since 1993, when he was a high school student in Chitwan. In an interview with the Post in 2009, he had stated that his grandfather's death from TB pushed him to find a cure for it.
"My team was doing research with the aim to identify how mycobacterium tuberculosis  grows. We found that an unusual enzyme is required for the bacteria to grow properly and cause disease," he told the Post over telephone from the US on Sunday.
“We have demonstrated what needs to be done to make new drugs. Now the challenge is to work on making drugs and testing them,” he added.
About one third of the world’s population is believed to be infected with M Tuberculosis with 10 million new cases each year.
Tuberculosis is a leading cause of death among those who are infected with both HIV virus and M Tuberculosis, causing for the death of nearly 500,000 people with infections of both.
The complete treatment of tuberculosis requires at least six months for a “short” course treatment. Lamichhane hopes that the findings  will help shorten the treatment duration to mere two weeks.
Lamichhane, who himself suffered from latent tuberculosis, had received a grant worth $ 100,000 from the Bill & Melinda Gates foundation in 2009 for the research on tuberculosis. He was also featured as one of the 36 best and brightest in America by Esquire magazine in 2007.
Key findings
Lamichhane found what exactly the cell wall of TB causing bacteria is made of
He discovered that the protective cell wall of Mycobacterium Tuberculosis is held together by an enzyme named L,D-transpeptidase
Findings to shorten TB treatment duration considerably
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