Friends of Patan Hospital

News Archives

New Cytogenetics Laboratory Opens

In December 2011, Mayo Clinic Fellow, Dr. Aaron Mansfield traveled to Patan Hospital to help establish the new cytogenetics laboratory that will help in the administration of the cancer medication Gleevec. Patan Hospital is the Gleevec International Patient Assistance Program Center for Nepal, and over 200 patients from all over Nepal have been given Gleevec free of charge through this program which is supported by the Max Foundation and Novartis Pharmaceuticals. Dr.Mansfield recently assisted Patan Hospital by arranging for the donation of two fluorescent microscopes from the Mayo Clinic for use in the new cytogenetics laboratory. During his time at Patan Hospital he lectured on chronic myeloid leukemia and cytogenetics to the pathologists and lab technicians. FOPH provided support to help defray the travel expenses for this project.

Two New Outpatient Clinics Opened

In July 2011 an outpatient Ear Nose and Throat Clinic and an outpatient Psychiatric Clinic were opened at Patan Hospital. Three full time physicians have been added to the hospital's staff to run the ENT Clinic. Establishment of the ENT Clinic was seen as needed to provide instruction for students at Patan Academy of Health Sciences. One full time psychiatrist has been hired to run the psychiatric clinic, which previously operated on a part-time basis. It is planned to establish a psychiatric inpatient ward at Patan Hospital in the future

The new ENT Clinic opened in July 2011.Construction of a new four-story building for the Pediatric Ward
and medical school use.
The new ENT Clinic opened in July 2011.Construction of a new four-story building for the Pediatric Ward and medical school use.

Planned Improvements

Dr. Paras Acharya, Hospital Director of Patan Hospital and a Board member of FOPH, has provided FOPH with information about the current priorities and action plan that have been established for Patan Hospital. This year they are focusing on the operating room, to improve the equipment and facilities there. During the prior fiscal year the focus was on the radiology and laboratory departments, where substantial improvements were made, including the renovation of the laboratory (which was financed by The Oxford Clinical Research Unit) and installation of a CT Scanning Machine (which was provided by the Nepal Ministry of Health). There is also an ongoing project which began in July 2011 to retrofit the Pediatric Ward, where a four-story building will be built, that will also provide space for the medical school. This project should be completed by 2014.

July, 2011

New CT ScannerNew CT Scanner Installed

Patan Hospital's Radiology & Imaging Department installed a new CT scanner on March 24th, 2011. The CT scanner was given to Patan Hospital by the Nepali government. One of the existing x-ray rooms was renovated in order to make a separate area for the CT scanner, a console room, and a reception area. Three radiographers with BSc degrees have been on duty since April 14th, and two radiologists have been recruited and enrolled as faculty - an Associate Professor and a Lecturer. They joined Patan Hospital on May 15th. With the addition of the new faculty members, it is hoped to start interventional radiology services.

Plan Adopted to Improve the Supplying of Oxygen to Patients

The high cost of oxygen needed for patients has been an ongoing problem at Patan Hospital for many years. Oxygen is supplied by small providers in cylinders. Approximately 50 large cylinders are used each day. Dr. Jim Hecht, FOPH's Chairman Emeritus, has discussed this problem with the leaders of Patan Hospital for many years. Last October, Dr. Paras Acharya, Director of Patan Hospital, developed a plan to install a small oxygen plant in the rear of the hospital and to also install piping to the beds in the wards. This plan will meet the increasing needs of the hospital for many years.

After a thorough review of Dr. Acharya's proposal by Dr. Hecht, FOPH's Board of Directors has agreed to support this plan by giving $130,000 of the approximately $330,000 of the total cost of building of the plant and completion of installation of piping of oxygen to the beds in the wards. Jim and Marilyn Simons have agreed to provide $200,000 to support this project. This project is only possible because of their generous support of Patan Hospital.

There will be substantial savings to the hospital by having their own oxygen plant, and the improved system for providing oxygen to the beds in the wards will help to eliminate past problems in the delivery of oxygen to patients. Since more than 1/2 of the investment is for the piping, the cost of the oxygen plant itself should be recovered in 2 to 4 years. There have been problems at the hospital because of the limitations of the current system for distributing oxygen to the beds. Sometimes the tanks run out of oxygen when the gauge on a tank gave an incorrect reading. The new system should eliminate these problems and should be much safer in its operation.

June, 2010

PICU & NICU Units Are Fully Functional

After three years of preparation, fully functional Pediatric and Neonatal Intensive Care Units with 6 beds each opened in July 2009 for patient care. Comprehensive training over a 3 month period was provided by a team of 20 volunteers including 6 physicians, 11 nurses and 3 pharmacists was led by Dr. Sanjita Basnet, a Nepali physician who works in Illinois, and the late Michele Avila, a critical care nurse at Stanford who was Vice President of FOPH. Dr. Theresa Grover, an Associate Professor at the University of Colorado Medical School who is in charge of the 60-bed NICU at Children's Hospital in Denver, also provided leadership in this training in Nepal. Training was provided to 25 physicians and 60 nurses.

The main focus of training was in strengthening and reinforcing assessment skills, 24 hour monitoring and critical thinking. Emphasis was placed on teamwork, infection control practices and organization. Nurses and physicians learned about assembly, use, care and storage of equipment, medication calculations and errors, procedures and general nursing care in these units. Further follow up training for nurses and physicians will be provided this year by FOPH volunteers, including Dr. Saraswati Kache, who teaches at Stanford University School of Medicine.

The cost for a newborn or child patient in the PICU/NICU is approximately $42/day if a ventilator is not required. If a ventilator is required, the cost is about $69/day. Total billed amounts for a hospital stay in these units average about $500 for a typical patient. Although such an amount is small when compared to the cost for similar care in the United States, it is a substantial amount in Nepal. Accordingly, there is an increased need for charity care donations which can be used to save the lives of children at Patan Hospital.

Pediatric ICUNeonatal ICU
Pediatric ICU opened July 7, 2009Neonatal ICU opened July 2, 2009

Patan Academy of Health Sciences Begins Operation

Lecture Hall
This new lecture hall is used for training at Patan.

Patan Academy of Health Sciences (PAHS) has been established to train healthcare workers to provide care in rural areas of Nepal. PAHS has established a new medical school which will train physicians. These doctors, many of whom are recruited from rural areas, will be required to spend 2 to 4 years in rural areas after completing their medical training at Patan Hospital. The first class of approximately 50 medical students will begin training this summer.

The provision of health care services in rural areas is a serious problem in Nepal and throughout the developing world, and the PAHS model brings together lessons from the experience of other programs in a unique combination for dealing with the problem of retention of rural health care workers. PAHS takes a substantial number of its students from rural areas and gives them preparatory courses to help them meet the standards for admission to medical school. The PAHS curriculum actively and directly engages with rural communities, socializing and teaching students within that context in rural postings. The model continues to take responsibility for supporting former students after they graduate by developing support networks as well as infrastructure for them in the field. It also develops family practice and related residency programs that give priority to PAHS graduates who have completed their initial rural service obligations and are willing to take on an additional commitment of rural service. In this manner rural service becomes a key part of a career path.

The government of Nepal has made a substantial commitment to PAHS. It has provided about $1 million for construction of new facilities at Patan Hospital and has also provided support for 16 five-year scholarships for students. PAHS has raised about 4 more pledges from western sources. The yearly cost of a scholarship, including a stipend for room and board, is approximately $10,000.

FOPH has agreed to support PAHS in its mission to help improve access to health care in rural areas. FOPH donors who wish to support PAHS can make gifts to PAHS by notifying FOPH of their preferences in this respect. FOPH has set up accounts for scholarship donations and for capital donations to PAHS.

Funds Raised by Children at Montview Boulevard Presbyterian Church

The children at Montview Boulevard Presbyterian Church in Denver, Colorado recently raised $1,316 to support charity care for children who are served by the Neonatal ICU at Patan Hospital. About 50 families participated in this effort to teach the children about healthcare in Nepal and to encourage their participation in helping children in Nepal.

Dialysis Unit Operational

The German Nepal Help Association has donated hemodialysis equipment to Patan Hospital which has been used to equip a newly operational dialysis unit. Two hemodialysis machines are presently operational, and there are plans to expand the unit to accommodate a total of 6 machines.

New Adult Intensive Care Unit Operational; Training Provided to ICU Nurses

Rhonda Martin provides instruction to ICU and Step-down unit nurses at Patan Hospital in
March 2010.
Rhonda Martin provides instruction to ICU and Step-down unit nurses at Patan Hospital in March 2010.

The new adult ICU with 8 beds has replaced the prior 5-bed ICU, and the prior ICU has been converted to a High Dependency Unit (HDU) with 5 beds that is used as a medical step-down area for patients needing extra monitoring before being transferred to the wards. The total cost of these improvements was approximately $150,000, of which $50,000 was raised in Nepal. Jim and Marilyn Simons matched the Nepali donations, and FOPH also donated $50,000 for these improvements.

In March of 2010, Rhonda Martin and Jeanne Praetsch, two critical care nurses at Brigham & Women's Hospital in Boston, traveled to Patan Hospital to provide training to the ICU nurses. This program was initiated a year and a half earlier when several Patan Hospital doctors traveled to Boston to invite doctors and nurses to teach and mentor at both Patan Hospital and the Patan Academy of Health Sciences. Rhonda was asked to help with the expansion of the ICU and to provide content on cardiac nursing to the ICU nurses. An exploratory trip was made in late 2008 to ascertain exactly the nurses' needs, what education they felt they needed and wanted and at what level.

Jeanne, a nurse educator with a strong background in cardiac nursing accompanied Rhonda to provide the didactic and practical training. They were at Patan hospital for 7 days providing morning and afternoon classes to 23 ICU & Step-down Unit nurses, as well as mentoring on the unit, downloading educational programs to the laptop and assessing needs for the future.

Endowment Fund Update

Despite the recession as a result of the prudent management by the investment committee of FOPH, the FOPH Endowment Fund has maintained its value despite having given FOPH $20,000 in 2009 and $20,000 in 2010 for expenditures. As of June 23, 2010 the Endowment Fund had a value of $507,900. The endowment was created in October 2007 with a gift of $500,000 from Jim and Marilyn Simons. It creates an opportunity for Patan Hospital supporters to make donations to the hospital in their estate plans. Suitable memorial acknowledgements are made by Patan Hospital to show appreciation for such support.

FOPH Mourns the Death of Michele Avila

FOPH's Vice President Michele Avila's unexpected death on February 23, 2010, has saddened and distressed her many friends and colleagues in Nepal and the United States. Michele's untiring work helped bring better health care to children in Nepal. Her leadership role last year in training healthcare professionals who staff the Neonatal and Pediatric ICUs at Patan Hospital was greatly appreciated by all who were involved in this effort. She will be greatly missed as follow up training is provided for these units in the future.

September 25, 2009

New Equipment Being Purchased from Nepali Contributions

While FOPH and the Nick Simons Foundation have been playing the key roles in updating the equipment at Patan Hospital, this year significant funds also have been raised from Nepalese contributions. These have been encouraged by the generous offer of Jim and Marilyn Simons to match all funds raised in Nepal for Patan Hospital. As a result, the hospital soon will have a haemodialysis and nephrology unit (at a cost of $130,000) and the equipment to use digital X-ray technology (at a cost of $51,000).

June 15, 2009 to August 1, 2009

NICU and PICU Units Started Up

Dr. Neelam Adhikari, Head of Pediatrics at Patan, with Michele Avila, FOPH VP, in the new NICU.

Starting on June 15 a team of 20 FOPH volunteers trained over 40 of the Patan Hospital personnel who will be involved in the NICU (neonatal

Saving a life.

intensive care unit) and PICU (pediatric intensive care unit). All but 3 of these volunteers spent at least 2 weeks on the project; over half spent 3 or more weeks. The group consisted of 6 physicians, 11 nurses and 3 pharmacists -- all whom were specialists in critical care. Leadership was provided by Michele Avila, the Vice President of FOPH who is a pediatric critical care nurse practitioner at Stanford's Lucille Packard Children's Hospital, the overall Program Coordinator; Dr. Sanjita Basnet, a Nepali pediatrician who teaches at a medical school in Illinois; and Dr. Theresa Grover, a pediatrician who is a professor at the University of Colorado Medical School where she also directs the 60-bed NICU at Children's Hospital. One volunteer, Titia Boers, a nursing educator, spent 12 weeks in Nepal.

The units were started up in early July and by July 15 both were fully functional and lives were being saved. Training continued, shifting from classroom lectures to working alongside the Nepal staff. Many of the volunteers worked long hours. And some of the volunteers plan to return to Kathmandu in either November, 2009 or next year for follow-up training.

February, 2009

FOPH Donates Funds For A New ICU & For An Endoscopy Suite

Once there were sufficient resources to furnish the new 150-bed maternity wing, the number one priority at Patan became a new enlarged ICU to replace the very outdated 5-bed unit. The plan was for an ICU with 10 beds (later reduced to 9 because of space limitations) that would be much better equipped than at present. The present ICU would then be converted to a High Dependency Unit (HDU). An HDU is needed since many sick patients after surgery now have to be transferred directly to the ward, increasing their risk of both morbidity and mortality. Such patients require close monitoring, but not intensive management, and keeping them in an ICU is a waste of strained resources.

The estimated cost for the new ICU was almost $150,000. Because of the great need for this life-saving improvement, $50,000 was raised in donations in Nepal. This was matched by an equal amount from Jim and Marilyn Simons. The hospital then requested $50,000 from FOPH so that it could proceed with this important improvement. The FOPH Board quickly approved this request and the new ICU will be available for use in several months.

Another pressing need at Patan was for a new video gastroscope, an important diagnostic tool. There was one at Patan which had been donated used a long time ago. It now was giving poor quality pictures and was not expected to be able to do even that in a short time. Also, all endoscopy was being done in the main operating room which caused problems. These problems will be solved by FOPH's donation of a gastroscope which will be placed in a new endoscopy suite at a cost of $25,000 donated by FOPH.

February, 2009

FOPH Helping Health Care In Rural Areas

FOPH is making a large difference in the care that can be given in Okhaldhunga Community Hospital which is in a very poor area in eastern Nepal. In the past year, on a trial basis, FOPH has included equipment and supplies for the Okhaldhunga Hospital in its Project C.U.R.E. shipments, using 15 to 20 percent of the shipping container. The material destined for Okhaldhunga is unloaded at Patan, temporarily stored, and then trucked to near the hospital from where it is carried to the hospital. This has worked satisfactorily for all parties involved. Okhaldhunga is a charity hospital much like Patan and has a strong relationship with Patan. All Patan resident physicians do a rotation at Okhaldhunga to acquaint them with medicine in the rural areas and Okhaldhunga sends patients to Patan who cannot be treated at the rural hospital.

The support FOPH gives Patan Hospital helps in the rural areas in many other ways since Patan continues to increase its programs to train health care workers at a number of levels. Now there is a good chance that Patan may play a direct role by being central to a Nepali-government-funded telemedicine program to allow rural hospitals to communicate with specialists at Patan.

January 15, 2009

PICU and NICU Units Funded

Jim and Marilyn Simons, who donated the funding for the new maternity wing in memory of their son Nick, visited Patan Hospital on January 15. Most of the new wing had by this time been placed in operation and the Simons were so pleased with what they saw that they agreed to provide $300,000 so that the 6-bed PICU and 6-bed NICU units could be suitably equipped.

These units, which will startup in June, will be firsts for Nepal. Led by Michele Avila-Emerson, a critical care nurse at Stanford and FOPH Vice President, and Dr. Sanjita Basnet, a Nepali pediatrician who works in Illinois, a 15-member U.S. team has been recruited to provide the necessary training this for these units to function properly. These volunteers held a weekend meeting in California early in January to develop the curriculum for training the Nepali staff.

August 18, 2008

FOPH Board Meets in Kathmandu

The Board of FOPH held a meeting in Kathmandu the day after the new Maternity Wing was dedicated. Four Directors from the United States and all three Directors resident in Kathmandu participated. In addition, several senior staff people at Patan Hospital also took part. Since many U.S. Directors were not present, it was agreed that no votes would be taken since the practice of voting by email has worked well, but this was a great opportunity to bring key hospital personnel into a wide-ranging discussion of how FOPH can help Patan and Nepal. Highlights of the discussion were:

(1) There is broad agreement that FOPH and Patan should play a greater role in improving health care in the rural areas. The experiment of assisting Okhaldhunga Hospital by devoting a small part of a Project C.U.R.E. shipment to the needs of that rural hospital has been judged to be a success and there was agreement that this should continue with a maximum amount of 25 percent of a container. Okhaldhunga meets the requirements that should hold for assistance It is a charity hospital and has a close working relationship with Patan. For example, all Patan residents do a rotation there.

(2) There also is broad interest in the possibilities of using telemedicine to aid rural hospitals. The government of Nepal is considering funding a telemedicine system which would use Patan Hospital as its center and connect rural hospitals to specialists at Patan.

(3) The desirability of having foreign medical professionals spend time at Patan was discussed. While a stay of 4 weeks or more is most desirable, even a short visit or lecture can lead to a mutually beneficial relationship.

(4) It was agreed that FOPH needs to get its message better publicized to bring professionals to Patan and to obtain support in the forms of money and equipment donations. A short video made into a DVD might be useful as would a new brochure. Stories are needed.

(5) The desirability of having a Donor Relations Officer was broadly supported. This person would both help raise money in Nepal and assist FOPH in such ways as keeping in touch with Americans who spend time at Patan Hospital. The FOPH Board already has agreed to fund such a position and the hospital will be seeking a suitable person to fill it.

(6) The older section of the hospital has many critical needs for maintenance. These include replacing rusting galvanized pipes, upgrading electrical fixtures, replacing at least one of the two elevators, and providing medical gas piping.

August 17, 2008

Patan Hospital's new maternity wing

New Maternity Wing Dedicated

The Prime Minister of Nepal, Prachandra, and over 500 others attended the dedication of the new Maternity Wing, funded by Jim and Marilyn Simons in memory of their son Nick. It was Prachandra's first public appearance after being elected two days earlier.

By the standards of a poor country the new wing is a wonderful facility. Unlike the rest of the hospital, much of the building is heated. To save on operating costs, this is being done by a state-of-the-art solar heating system. The new wing, besides adding 150 beds to the hospital, contains two operating rooms, an auditorium, meeting rooms and a library. The building is well lighted and relatively spacious. Steve Brooks of OZ architecture, an FOPH supporter, assisted the Nepali architects.

Prime Minister Prachandra at the dedication ceremony Entrance to the new wing

May 1, 2008

Resources in Hand to Furnish and Equip the New Wing

The major goal of FOPH in the past 18 months has been to be able to furnish and equip the new wing since this was not part of the grant from the Simons. During this period many items have been secured by donations including beds, furnishings and medical equipment. Recently, hospital staff compiled a list of items badly needed which had not been donated and found these could be purchased for $938,500. FOPH was able to supply $100,000 of this amount and Jim and Marilyn Simons then generously offered to donate the remaining $838,500. Thanks to the generosity of the Simons and many other donors, the new wing will be able to provide an unprecedented level of service to the people of Nepal.

November 20, 2007

Patan Hospital Celebrates 25th Anniversary

FOPH Chairman Jim Hecht receiving a citation from Girija Prasad Koirala, Prime Minister of Nepal

Patan Hospital had a large celebration on November 7 to mark the 25th Anniversary of its founding. Over 800 people, including the Prime Minister of Nepal, attended the celebration.

The contribution that Friends of Patan Hospital makes to the hospital was recognized when Dr.James Hecht, the Chairman of FOPH, was one of the two people honored with a citation and bronze statuette presented by the Prime Minister. Jim views this honor as one shared by all those who have supported FOPH in any way.

Jim and Marilyn Simons, the donors of the new Maternity Wing, also attended the celebration. Marilyn told the assembled group a personal story worth repeating. Some years ago when she and Jim were vacationing in Maine they went out into the ocean in a small boat with Jim's daughter and son. They beached the boat on the sand of a small uninhabitated island which they then explored. When they returned, they found that the tide had gone out and, in order to be able to get back into the ocean, they would have to lift the boat and carry it to where the surf now was. With a great effort by everyone, they were just able to do it. Jim's daughter, who was then 16, small and not very strong, then exclaimed, "It took all of us working together to be able to do it."

The Simons recognize that their donations through FOPH are dominant in its fundraising efforts, but that the support of others -- not necessarily financial -- makes a huge difference. They are encouraging such support by matching all funds donated to FOPH by others.

October 1, 2007

Construction of New Maternity Wing Proceding

Construction of the new 140-bed maternity wing, made possible by the generous donation of Dr. Jim Simons and Dr. Marilyn Simons in memory of their son who died in an accident, is now scheduled to be completed in April, 2008 -- 6 months later than the original target date established two years ago. Given the unstable political climate in the country since then, the delay is not unexpected. With approved upgrades such as an extra floor for an education wing and an energy-efficient heating system, the projected cost of the project is about $3.4 million

June 4, 2007

FOPH Assisting in Establishing PICU/NICU Units at Patan Hospital

The new maternity wing provides the opportunity for establishing intensive care units for children and new-born babies. These will be the first such units in Nepal. A team to assist the hospital in this undertaking is being formed under the leadership of Dr. Sangita Basnet of Springfield, Illinois and Michele Avila-Emerson of Fresno, California, a nurse practioner. This team is seeking equipment for the two units, each of which will have 6 beds. Startup is scheduled for mid 2009 and the team will spend time then at Patan Hospital training the staff.

May 14, 2007

Patan Hospital Nursing Director Visits U.S.

Ram Shova Risal, the Director of Nursing at Patan Hospital, spent almost a month in April and early May visiting the United States to learn about U.S. methods of hospital administration and nursing practices that might be useful in Nepal. FOPH paid all costs of the trip and FOPH supporters arranged a busy schedule in Washington, DC, the Philadelphia area and California. While in Washington, Ram Shova attended the annual meeting of the American Organization of Nurse Executives (AONE) which gave her a full scholarship for the conference and a pre-conference workshop. She also visited Sibley Memorial Hospital. In the Philadelphia area she was hosted by the nursing schools at the University of Pennsylvania, Villanova, Temple and Thomas Jefferson and the hospitals associated with them. In California she visited hospitals associated with Stanford University and then went to Fresno where she visited two other hospitals -- one of which was a Children's Hospital. She also gave several presentations which brought home the compassionate care given at Patan Hospital, but also the disparity of health-care resources between the U.S. and Nepal.

April 3, 2007

GE & Children's Hospital (Boston) Make Donations

The General Electric Company has donated $50,000 of equipment for the new maternity wing. The equipment is new and current technology. GE provided shipping of the equipment as well as training of personnel to use it. The equipment consists of an ultrasound unit, a CarePlus incubator, a Corometrics fetal monitor and a Dash 4000 patient monitor. Each of these fills an important need.

The donation from Children's Hospital in Boston consists of 16 ICU monitors and 13 infusion pumps. All of this equipment is fairly new and in excellent condition. Children's Hospital covered the cost of packing and shipping this equipment to Project C.U.R.E. which will send it in the next shipping container to Patan Hospital. This gift was arranged by Dr. George Taylor, a renowned radiologist at the Harvard Medical School.

October 20, 2006

Update on Maternity Wing Construction

They say a picture is worth a thousand words, so below is a picture taken several days ago of the construction of the new maternity wing. The work is proceding close to the original schedule. If that continues, construction will be finished by the end of 2007.

Contruction on the new maternity wing

October 10, 2006

Patan Hospital Pediatrician Receives Advanced Training

Dr. Shrijana Shrestha, a pediatrician at Patan Hospital, spent four weeks in September at Childrens' Hospital in Denver for advanced training in pediatric rheumatology, pediatric nephrology and neonatology. Seven professors from the University of Colorado Medical School participated in the program. FOPH supporters made all of the arrangements and FOPH paid for all of the costs of the trip. Dr. Shrestha learned a great deal; her visit also was educational for the people with whom she had contact. In Nepal even the best of medical care must take into account limited resources.

September 15, 2006

In August 2006 an Acuson probe and a replacement track ball were purchased with funds donated by the Nepal Scanner Fund of Marcellus and Central New York and FOPH. These were hand delivered by Cyndi Langworthy when she returned to Patan Hospital after her visit to Adams, New York.

May 4, 2006

Special Report on Nepal and Patan Hospital

Because of the extent of media coverage it received — three times more on CNN than at the time of the royal massacre — most of you are aware of the demonstrations in Nepal. These resulted in the King giving up the power he seized on February 1, 2005 and the restoration of parliamentary government. For those of us who have affection for the Nepali people, what has happened is encouraging. The people of Nepal have — at the risk of their lives — shown that they will not accept an authoritarian government, only a democracy.

Serious problems of governance remain. The government consists of the "old brigade" who mismanaged the country so badly that when the King first seized power the move was generally welcomed. We can only hope that the clear will of the people for the politicians to cooperate and to make peace with the Maoist rebels will result in that happening.

These events affected Patan Hospital. We have received a report that on the evening of April 19 it was announced that a 19-hour curfew was to be in place starting 2:00 a.m. the following morning. The authorities refused to allow curfew passes for ambulances or hospital vehicles used to transport staff to the hospital so the shift that was on duty at that time ended up working three consecutive shifts. Throughout the period of the disturbances the hospital staff performed with great diligence under difficult conditions.

You may have seen a lengthy article in the New York Times about how casualties in Kathmandu were being taken to Model Hospital. This is a private hospital in the center of the city which was close to where most of the violence by the army occurred -- and this is why they were taken there. However, Model was unable to cope with the load so during periods when the curfew was lifted many of the casualties were taken to other hospitals. Patan Hospital receive almost 100 during this period, most of whom were treated in the Emergency Department and discharged from there. It appears that six required in-patient treatment for up to a week.

All treatment administered to demonstration casualties was given free. Considerable money was collected from the crowds for this purpose and Patan Hospital will receive part of that money for the services rendered.

February 14, 2006


FOPH Directors Jim Hecht and Bob Shields spent four busy days at the end of November and the beginning of December visiting Patan Hospital to get a better picture of how FOPH can assist the hospital in its mission. They were accompanied in these visits by Jim's wife, Amy, who before her retirement was the Dean of the College of Health Professions at Temple University. Here is a summary of their report.

This is a time of transition for Patan Hospital. After eight momentous years as Medical Director, during which there was great growth in the hospital's capabilities, Dr. Mark Zimmerman is leaving to become Director of the new Nick Simons Institute (NSI) in Kathmandu. This new organization will receive $10 million over the next five years for a program to improve health care in the rural areas of Nepal, largely through training programs. Mark and the Simons (the donors for the new maternity wing at Patan) expect that Patan Hospital will play a key role in this work and Mark will continue as a Board Member and Vice President of FOPH. A new Medical Director will not be chosen until after the Nepali government approves a new Constitution for the Hospital which probably will make it an independent entity. In the meantime, Dr. Kundu Yangzom serves as the Acting Medical Director. She is the Chief of Obstetrics and Gynecology at Patan and is a very able physician and administrator.

Excellent progress is being made on the new 140-bed maternity wing which will increase the in-patient capacity of the hospital by almost 50 percent. Seven qualified contractors bid for the major construction contract. To qualify a bidder had to get at least 80 out of a possible 100 on a rating scale established by JSA, the Nepali architects working on the project. The final decision was easy since the lowest bid was submitted by the contractor who was rated the highest with a score of 99. The contract with Tundi Construction was signed on November 23, several weeks earlier than in the original schedule.

Thanks to the generosity of the Simons, the project has grown in scope and the cost will be slightly above $2 million. The new wing will consist of an underground parking facility for cars and motorcycles which is badly needed and for which there is no land available, plus a four story building. The ground floor will consist of the replacement of facilities which have to be demolished to make way for the new wing: birthing center, kitchen, canteen and an expanded retail area which will bring income to the hospital. The first and second floors will be the new maternity facilities including two new operating theaters. The latter will be a great help to the hospital since, once they are equipped (and equipping these are not part of the Simons donation), there will be sufficient capacity for surgery in the hospital and non-emergency operations will be able to be done promptly instead of the present three-month waiting period. Finally, there will be a third floor, an expansion of scope in the project, which will be for educational purposes and will include a 150-seat auditorium as well as other meeting rooms and a library.

While the new wing will not include the amenities of an American hospital, it is being designed so that it will be the best facility of its type in Nepal for many years to come. The design was coordinated by a planning committee which held over 50 meetings prior to the signing of the contruction contract. This committee consisted of the Medical Director, the Chief of Obstetrics/Gynecology, the Chief of Pediatrics, the Head of Maintenance and his deputy, the Nursing Director, the Administrative Officer for the Hospital, a part-time coordinator for the project and representatives of the local architects. To give a picture of what type of decisions are being made, one involved the ratio of beds to toilets. Originally JSA designed this ratio to be six to one, the current Indian standard. However, OZ Architecture, the American firm that has worked with JSA on the design to bring in a broader background of hospital design experience, suggested four to one, still twice that of the practice in U.S. hospitals where the need for toilets is less than in Nepal since in Nepal maternity patients have a larger number of visitors than in the U.S. The committee decided therefore to increase the number of toilets and left it to JSA as to how close to approach the level of four since there were other design considerations.

Thanks to the assistance Patan Hospital has received, the Radiology Department is well equipped with ultrasound machines. However, there still is a need for two new probes. The effort here has been spearheaded by Bob Shields with significant help from the Marcellus United Methodist Church and others in the Syracuse area. Patan now has five ultrasound machines and has expanded the ultrasound offices to take care of the increased number of patients. The favorite machine is an ATL (Philips) which was sent in 2004 after purchase with money raised in the Syracuse area -- and this machine includes a cardiac probe which is being used by a cardiologist for heart scans. As a result of equipment Patan already had and its use of ultrasound technology, Patan was designated the official training center for all of Nepal under an international program administered through Thomas Jefferson University in Philadelphia. One benefit of this designation was the donation of two ultrasound machines which were received the end of 2004. The training consists of courses put together by Jefferson for which Patan charges about $700 (usually paid for by the trainee's organization) of which 10 percent goes to Jefferson. The remainder stays with Patan and provides a good profit over the cost of giving the course. This can then be used for charity care.

Meetings were held with almost all Chiefs of services to get a feel for the needs of their units. These ranged from toothbrushes for the dental department to give away to some of the 80 to 100 people seen daily by 3.5 dentists to many needs for sophisticated equipment.

Low salaries, while competitive with other hospitals in the Kathmandu area, are a serious problem. For example, a department chief gets paid only about $300 a month. Patan is solving the problem of keeping most of its best doctors by allowing them to treat private patients in the hours that they are not working and is moving to allow this to be done in hospital facilities as well as in their own offices. Although charges for private patients are low compared to the U.S., this practice accounts for much of these doctors' income.

There is a serious problem of keeping senior nurses. In this case the problem is emigration. Fluent in English, nurses can go to English speaking countries such as the U.S., U.K., Canada and Australia and earn a great deal more money. The nursing staff at Patan of 220 includes only 12 with B.S. degrees. Starting nurses earn about $142; however, a senior nurse earns only about $171 a month. Indira Shrestha, the Assistant Director of Nursing, felt that if the salaries of senior nurses were increased 50 to 60 percent it would be much easier to retain them.

Finally, this report would not be complete if mention were not made of the gratitude shown by all the people with whom we talked for the help that has been given by Friends of Patan Hospital.


Recently we received a very generous contribution from Peter Rollston of Annerley, Australia, along with a letter which told how in 1995 he was traveling in Nepal with his partner, a young woman who had just graduated from University, when she became very ill. Eventually they came to Patan Hospital where she was diagnosed with Hepatitis E, slipped into a coma and never recovered. They were evacuated to Sydney where she died 16 days after she had come to Patan. In his letter, which was inspiring and reassuring to those of us who volunteer time on behalf of the hospital, Mr. Rollston wrote:

"One of the things that sustained me through this very difficult time was the professional care provided by all the staff at Patan Hospital. Prior to being admitted to Patan, we had visited the Pokhora Hospital where the conditions left us in despair, prompted us to rush back to Kathmandu and make plans to leave Nepal for Australia as quickly as possible. When Jennie's condition rapidly deteriorated, the locals advised us that the only place for us was Patan. This was good advice.

"Key things that sustained me as a carer at Patan were having a private room throughout, the bedside manner of Dr. Zimmerman and nursing staff, and being given access to phone to contact relatives, friends and organize the medical evacuation."

December 2, 2005

Four probes were delivered to the Ultrasound Department during a visit to Patan Hospital by Bob Shields and Jim and Amy Hecht. They were put right to use on the new ATL machine that was delivered previously. Two more probes are still needed. The new heart probes are being used to good advantage and have added a whole new capability to the department.

November 1, 2005


FOPH supporters in Denver, Colorado held a fundraising event on October 5 which was attended by 165 people who paid $35 and up a person. The event, which was held in the Denver Museum of Nature & Science, consisted of a reception, an illustrated talk by Dr. Thomas Hornbein and -- for those paying $100 or more -- a buffet dinner. With all bills paid the event has raised almost $12,000, and some people who did not come may still join the 25 who made donations even though they were unable to attend.

Tom Hornbein first achieved fame in 1963 when he and Willi Unsoeld made the first ascent of Mount Everest by the West Ridge -- a route so dangerous that since then more climbers have died trying to reach the summit than have succeeded. Hornbein and Unsoeld were part of the "Americans on Everest" expedition that, on the same day, placed two other Americans at the summit using the conventional route, and which previously had Jim Whittaker (accompanied by Sherpa Nawang Gombu) become the first American ever to climb the world's highest mountain. Since then Dr. Hornbein has gone on to become a world-famous physician for his research on the effects of altitude on the human body at the University of Washington Medical School. Tom thrilled the group with his illustrated talk of his climb, his reflections on how mountaineering had influenced his life, and some philosophical thoughts on risk and heroes. He also told how for many years he has supported a health program in Ladakh, India (which is in the Himalayas) and how he now was glad to make a contribution to Patan Hospital in Nepal.

June 14, 2005


The design of the new maternity wing is nearing completion and construction related to the project will begin soon.

Thanks to the willingness of the donors, Jim and Marilyn Simons of New York, the scope of the project has been increased to include a badly needed underground parking facility, modernization of some existing facilities and the ability at some time in the future to add an education wing. The estimated cost of the project now is $1.9 million. It will increase the number of beds in the hospital by almost 50 percent to about 450.

The new facility not only represents a great contribution by FOPH but also a challenge for the future. With the ability to care for more patients, Patan will need more FOPH support if it is to continue to provide care for all who come regardless of ability to pay.

June 13, 2005


The Patan Ultrasound Department was designated as an affiliated training center of the internationally acclaimed Jefferson Ultrasound Research and Education Institute (JUREI) of Thomas Jefferson University Hospital in Philadelphia. Recently JUREI sent over two additional XP-128s. Also an ultrasound training curriculum has been developed for the Ultrasound Department. All this was made possible by the previous gifts of two ultrasound scanners and probes.

December 21, 2004

Recent Expenditures by FOPH:

During the 4th Quarter FOPH support for Patan Hospital has included the following:

(1) Another Project C.U.R.E. shipment. For an expenditure of $8,500, the hospital will receive over $300,000 of medical supplies and equipment. Also included in the 40-foot shipping container were 5 cartons of business books donated to the Library at the Kathmandu University School of Management by employees of DexMedia, a Denver-based company which publishes the yellow pages and telephone directories for 14 states. The Directors of FOPH have approved using a minute portion of shipping containers to assist the School of Management because Patan Hospital will be helped by an improved economy in Nepal brought about by well-trained Nepali business managers.

(2) Purchase for $2,800 of needed welding equipment in the U.S. of a quality not available in Nepal. This equipment was sent to Kathmandu in the Project C.U.R.E. container.

(3) Purchase in Nepal for $6,000 of a Urocam and accessories. This allows surgeons to take stones out of a patient's ureter without doing open surgery.

(4) Purchase in Nepal for $8,000 of a deep-well pump to replace one that recently burned out. This provides protection against the erratic supply of water provided by Kathmandu.

(5) Two new ultrasound scanners donated by GE to Assist International, a charity organization. We were able to get these machines because Patan Hospital has been designated as the training center for all of Nepal. FOPH paid $2,000 for refurbishing these machines for use in Nepal and Bob Shields, an FOPH Director, arranged with UMCOR, a Methodist relief organization, to pay for shipment by air to Kathmandu.

October 1, 2004

Update on New Maternity Wing

Design has started on the 150-bed addition to Patan Hospital for the new maternity wing.

Because of the scope of this project, it has been decided that an American architect with experience designing hospitals should be part of the design team and have responsibility for the schematic design. FOPH played an important role in finding the architect who has been hired: Stephen Brooks. A principal in the large Denver firm of OZ, Mr. Brooks has been the architect for several hospitals including one built in suburban Denver 12 years ago at a cost of $25 million. Mr. Brooks brings to this assignment another advantage: he has worked in developing countries. He will visit Kathmandu soon for an on-site inspection and to hold meetings with those concerned with the maternity wing project in late October.

In the meantime, a Maternity Wing Building Committee has been holding regular meetings in Kathmandu to provide planning and coordination for the project. This committee includes Dr. Mark Zimmerman, the Medical Director, the Heads of Ob/Gyn and Pediatric Divisions and top Patan Hospital managers from Administration and Maintenance. Excellent minutes from each meeting are keeping us informed.

FOPH Supports Staff Scholarships:

FOPH's latest support for Patan Hospital has consisted of a $5,000 check for scholarships to longtime employees of Patan Hospital to upgrade their skills. This represents FOPH's first investment in people as opposed to facilities -- but it is one which the Board of Directors views as equally important.

April 28, 2004

Major Gift Will Enable Construction of a New Maternity Ward

Thanks to the generosity of Jim and Marilyn Simons of New York, design has started on adding a 120 to 140 bed addition to Patan Hospital for a new maternity wing. If all goes well, the Simons will fund the entire cost.

Benefit Dinner in Denver Raises Over $12,000

One hundred and twenty people attended a dinner on March 19 to benefit Patan Hospital; in addition, 40 others who were unable to attend the dinner made contributions. As a result, FOPH raised $12,000 for future needs.

At the dinner, Dr. Mark Zimmerman, the Medical Director of Patan Hospital and a Board Member of FOPH, gave a talk and answered questions. In addition to discussing the hospital including its role in training medical personnel, he brought home how greatly Patan affects the lives of patients, some of whom spend several days being transported from their villages to the hospital.

FOPH Board Holds First In-Person Meeting

On March 20, FOPH held its first in-person board meeting at the home of Chairman Jim Hecht. By taking advantage of Dr. Zimmerman speaking in Denver and the fact that three members of the Board live in the Denver area, seven of nine members of the Board were able to attend. Board members from New York, Ohio and Alabama attended.

One accomplishment of the Board meeting was that members got to know each other. This will facilitate the normal way of doing Board business: by email.

The Board meeting started at 9:00 a.m. and went until 7:30 p.m. (through most of dinner) -- with a two-hour break for lunch to hear Dr. Zimmerman give a talk on Nepal to the Denver World Affairs Council. The Board meeting included a detailed review of the financial status of the hospital. Last year the operating budget of Patan was about $2.3 million and, despite the fact that this was the first year without a direct subsidy from United Mission to Nepal, the budget was balanced. The medical supplies furnished without any cost to the hospital by the partnership between FOPH and Project C.U.R.E. were important in reducing operating costs and making this possible.

Capital needs of the hospital were reviewed and those being given priority for near-term FOPH funding are listed under "Needs" on the website. Also listed is the need for more money for scholarships to provide training for staff.

A giant new initiative under consideration by the hospital is to open a medical school which would use Patan for training — with emphasis on preparing medical personnel to provide health care in the rural areas as well as urban areas. New initiatives for FOPH which were discussed were (1) to have a short video which could assist fundraising efforts; and (2) to have programs for people from the U.S. who go to Nepal to experience the country in order to interest them in supporting FOPH.

December 1, 2003

FOPH Chairman Hecht visits Patan Hospital

My wife, Amy, and I visited Kathmandu from November 9 until November 21. We made 7 visits to Patan Hospital for periods up to five hours touring facilities, meeting with staff and discussing future plans for the hospital and how Friends of Patan Hospital (FOPH) can help.

My most vivid memory of Patan Hospital from our trip to Kathmandu in 2000 -- many people streaming in and out of the hospital -- was reinforced during our visit. Over a thousand people are treated at the hospital every day and most come with one or more family members. Thus, particularly in the morning, there is a continuous stream of people coming through the front door.

There have been some important improvements in facilities during the past three years. The new 60-bed pediatric wing which was completed in 2001 is attractive and functional reflecting smart design -- an amazing structure for one costing only $350,000. More recently, the emergency room was enlarged and improved thanks to a grant from the German government. As we were shown around, whoever was taking us would constantly point out items received from Project C.U.R.E. shipments paid for by FOPH. The C-arm X-ray machine they just received has been set up and is nearly completely functional -- a wonderful addition to the hospital. Lesser items are all over. "That bed came from Project C.U.R.E." was something we heard many times. Other items we saw in use which were mentioned as coming from CURE were an incubator and a dental chair. The many medical supplies sent make an important contribution in decreasing operating expenses.

Two contributions made by FOPH which did not come through Project C.U.R.E. were shown to us. The new ultrasound machine, which was purchased with money raised in the Syracuse, NY area under the leadership of FOPH Director Bob Shields, is in constant use. And the new telephone system, which was purchased for $12,000 from other FOPH funds, is making an enormous difference. The breakdowns in the old telephone system were only one problem; the old system allowed only ten calls in the entire hospital at any one time. The new system has no limit.

In terms of needed facilities, a top priority for the hospital is to build a new maternity ward which would have 120 beds. The popularity of Patan has placed tremendous stress on this function of the hospital. Not only have extra beds been placed in the wards for the maternity area, but beds now line the hallways and also are in rooms originally built for storage. The cost of a new wing for maternity will be over $500,000. There is an excellent chance that a single American donor will make a contribution for this purpose; I will keep you informed on this.

One of the many admirable things about Patan Hospital is the establishment of a multi-tier system of pricing which is working well. No one who comes to Patan is turned away; the charge for care is minute compared to an American hospital and if people cannot afford even this amount -- and many cannot -- they receive equal treatment as charity patients. However, in order to move the hospital closer to being self-sustaining, several years ago a Private Clinic was set up which charges higher rates for those who can afford to pay. Patients who go to the Private Clinic do not get better medical care, but they are given priority in getting treatment and the treatment area is nicer. The Private Clinic now accounts for about 10 percent of Patan's outpatient revenue and the profit from this operation helps pay for charity cases. Parallel to this program, there now is a Private Ward where there are 18 single rooms and 12 double rooms.

Training health professionals who will serve throughout Nepal is an important function of Patan -- much more so than I appreciated before my visit. Thus, while some surgical procedures are carried out using the most modern methods of anesthesia, when appropriate ether is used. The reason: in most of Nepal this is the only way a patient can be anesthetized so those who are going to give health care in the regions where most Nepalis live must be trained in this old-fashioned method.

Because of the type of hospital it is, Patan may become the teaching hospital of what would be the best medical school in Nepal. At present, the Kathmandu University Medical School (KUMS), which was established about ten years ago, is the best. However, several months ago the Director of KUMS and a number of key professors resigned because the University administration chose as a teaching hospital a private for-profit hospital near the University rather than Patan Hospital. The former Director, Dr. Arjun Karki, is now on the staff of Patan Hospital and he and his colleagues are working to establish a new medical school which would use Patan as its teaching hospital. We spent two hours with Arjun, one afternoon and later had breakfast with him and the recently retired Dean of an American medical school who was visiting him. Dr. Karki, who spent six years as a resident in three American hospitals, wants to head a medical school which not only trains doctors well but instills in them the desire to spend part of their time meeting the unmet needs of the rural population -- and which trains them to be effective in that difficult task.

I think what most distinguishes Patan Hospital is the incredible use of the limited resources they have. For example, Patan uses ultrasound scanning in very sophisticated ways to avoid the high cost of more expensive equipment such as CAT scanners and MRI machines. These very expensive diagnostic tools are not even on Patan's current wish list. There are several of each elsewhere in Kathmandu; when there is a real need for such a test, the patient is transported to one of the hospitals that has one. This has worked satisfactorily. Much thought is given to establishing priorities for new equipment and new facilities that will do the most for the money available -- and the resulting judgments made by the staff have been very sound.

One of the many people with whom we talked was a young American doctor who was spending two months working in the emergency room where over 100 patients are treated each day. She was there as part of a program with Yale University which sends one resident physician every two months to work at Patan. This young woman, a graduate of Harvard who was almost finished with her tour in Nepal, observed that the emergency room at Patan could not be compared in quality to that of a leading U.S. hospital, but until she came to Nepal she did not believe that a developing country could have such a good emergency room.

A very serious problem facing Patan is that UMN (United Mission to Nepal) is completely revamping its programs and will be withdrawing all financial support from Patan and two other hospitals over the next few years. Amy and I believe this is a big mistake, but that is what will happen. Still unresolved is the timetable for withdrawal and how the hospitals will be administered in the future. Many options are being discussed. Whatever happens, FOPH will be needed more than ever.

October 21, 2003

New Scanner Delivered at Patan Hospital

News from Dr. Mark Zimmerman relative to the HDI 3000 Ultrasound Scanner:

"On October 16 the wooden crate finally pulled into Patan Hospital. It had been craned onto the back of our flat-bed truck. Unfortunately our maintenance crew could not get the crate off, so the truck was driven over to a place where we have a laundry winch--a grand scene. We have word from Cindy (Cynthia Langworthy from Adams, NY) that the machine has been installed in ultrasound, checked out by our biomedical maintenance dept and it is marvelous. She is very pleased......"

As reported in the August Connections, the next need is for funds for periodic maintentance. The original scanner has never been maintained and, now that the new one is in place, the original Acuson should be sent to Singapore for maintenance. About $9000 more is needed for this purpose and for maintaining the new HDI 3000.

Thanks to all the churches and individuals who helped make this dream come true for Patan Hospital. To contribute to the maintenance phase, please send contributions to the Marcellus United Methodist Church, 1 Slocombe Avenue, Marcellus, NY 13108, payable to the MUMC Nepal Scanner Fund.

October 14, 2003

HDI 3000 Scanner Is In Kathmandu

The Patan Hospital staff requested an ATL HDI 3000 High Definition Imaging Ultrasound System, which uses later technology and includes the all important echo cardiology probe plus four other probes and software that Patan needs. This second scanner was shipped from Sonora Medical Systems on 31 August 2003 and is now in customs at the Kathmandu airport. It should be in the hospital very soon, if it is not there now. UMCOR, the United Methodist Committee on Relief, paid for the shipping giving us extra funds that we can use for other support of the ultrasound radiology group.

The original XP128 Ultrasound Scanner does 1000 scans a month and, even with its malfunction, has been invaluable to the mission. However, attempts to fix the display malfunction failed. Once the new scanner is in place and working, the XP128 should be shipped to Singapore for maintenance when we have sufficient funds.

Remember to tell the other Friends of Patan Hospital that there is still a need for additional funds to provide critical periodic maintenance for both machines.

August 26,2003

Our second shipment to Patan Hospital of medical supplies and equipment donated to Project C.U.R.E. is on its way to Kathmandu.

By paying the $7,500 cost of shipping, FOPH has been able to supply Patan Hospital with almost $500,000 of material, including large amounts of medical supplies donated by the manufacturers and donated used equipment in good working order. In the latter category is a Philips BV-25 C-arm X-ray which was given a value of $25,000 by the donor, but is equipment still sold by Philips and would cost $70,000 new. If the machine survives the trip, it will meet the high-priority need of being able to do contrast X-rays.

While almost all of the $500,000 shipment was donated through Project C.U.R.E., the shipment included about $5,000 of dental supplies and equipment which were donated to the "Saving Lives Worldwide Program" of the Rotary Club of Louisville, Kentucky and about $1,000 of new tools needed by Patan Hospital's Maintenance Department which are of a quality which cannot be obtained in Kathmandu. The latter were purchased with funds collected for that purpose by supporters in the Syracuse, New York area. It should be noted that our first Project C.U.R.E. shipment included six computers which were obtained by a Denver-area supporter who got them from her employer when they became available as a result of a computer system upgrade.

June 18

We have received a $5,000 contribution from Dr. Jay Packer, a pathologist who lives in Sierra Madre, California. In a cover letter he wrote: "In the spring of 1997, I had the opportunity to spend five weeks working as a pathologist at Patan Hospital... My short time at Patan was unforgettable. I'm very pleased that your organization has undertaken the worthy task of providing capital financial support to such a remarkable place."

New Scanner Ordered

An ATL HDI 3000 Scanner was ordered on June 18 from Sonora Corporation in Longmont, Colorado. Sufficient funds ($47,000) have been collected to place the order for this scanner which will include five probes including the much needed echo cardiology heart probe and software. About $23,000 more must be raised to provide for shipping and periodic maintenance. This scanner will take some of the load from the Acuson XP128 workhorse and will provide more capabilities and productivity from the Radiology staff. Sonora refurbishes and rebuilds high end scanners and provided the Acuson now in Patan Hospital. Marcellus United Methodist Church in New York is spearheading the drive.

April 20

Matching Gifts Received

Friends of Patan Hospital (FOPH) received its first matching grant from a corporation in April. Many corporations match a contribution by an employee to a 501(c)(3) charitable operation such as FOPH. In this case the employee¡¯s gift was $2500 that was matched by the employer, PepsiCo, to make a total gift of $5000. You might check with your company to see if it has matching contributions.

March 30

Patan Hospital Gains JUREI Support

Excitement reigned when the Jefferson Ultrasound Research and Education Institute (JUREI) of Thomas Jefferson University Hospital in Philadelphia chose Patan Hospital as an affiliated teaching center. Under this program JUREI provides, at no charge, training and technical expertise to hospitals in third world and poor countries in applications of ultrasound. A team of instructors will come from Philadelphia to train staff at Katmandu and a team from Katmandu will go to Philadelphia for training. This significant arrangement should benefit many patients of Patan Hospital. It would have not been possible if the hospital did not have the Acuson XP128 that was delivered in February 2000.

March 5

Fundraising Dinner In Denver A Success.

Over 120 people attended a fundraising dinner for FOPH in Denver on February 27.

In order to get the story of Patan Hospital before as many people as possible, the cost of the dinner was only $80, but half of those attending were patrons who gave $125 or more. The result: after all the costs associated with the dinner were paid about $10,000 was raised for needs of the hospital. This included contributions from about 30 people who did not attend the dinner.

The success of the dinner was largely due to recruitment of a Dinner Committee of 32 people and their spouses which included many people well known in the community. These included former Governors Dick Lamm and Roy Romer, both of whom held office for 12 years. Other members of the Dinner Committee included 11 doctors and 3 of Denver's more prominent lawyers. Everyone agreed that there should be another event next year -- and now that FOPH is better known we should do better.