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Nepal Orthopaedic Hospital 1

N D A

NEPAL ORTHOPAEDIC HOSPITAL

KHAGENDRA NEW LIFE CENTRE Jorpati-04, Kathmandu Nepal, Tel: 00977-1-4911725, 4911274, 4910505 E-Mail: [email protected], Website: www.noh.org.np

Dr. Pramod Bahadur Shrestha Member

Dr. Saju Pradhan Member Secretary

Mr. Bhola Nath Chalise Member

Mr. Kedar Babu Shibakoti Member

Mr. Luc Salens (Belgium) Honorary Advisor

Mr. Gajendra Kumar Lama Chairman

Mr. Yagya Prasad Upreti Member

Mr. Umesh Shrestha Member

Mr. Ganesh Raj Shrestha Member

Mr. Shiva Bhakta Rajbhandari Member

MANAGEMENT COMMITTEE

Nepal Orthopaedic Hospital has no official agent or individual designated to collect funds or donations on its behalf. Reports of of misappropriation of funds taken in the name of

Nepal Orthopaedic Hospital cannot be verified. Thus please donate or give funds directly to the hospital through adminstration to avoid such mishaps.

our address for correspondence is

NDA-NEPAL ORTHOPAEDIC HOSPITAL

Khagendra New Life, Jorpati-04, Kathmandu, Nepal

Tel: 00977-1-4911725, 4911274, 4911505, Fax: 00977-1-4911467

E-mail: [email protected], Website: www.noh.org.np

NOTICE ! ! !NOTICE ! ! !

Nepal Orthopaedic Hospital2

69 Ms. Kanchan Sangroula Physiotherapist II70 Mr. Alok Kumar Jha Asst. Physiotherapist

71 Ms. Goma Thapa Asst. Physiotherapist72 Ms. Bidhya Pandey Physio Asst.

S. No.

NOH Staff

Name Degination DeginationS. No. Name

Doctors

Nursing Staff

Paramedical Staff (Physiotherapy, Radiology,Pharmacy, Emergency, Clinical Laboratory)

Dr. Saju Pradhan Consultant Ortho. Surgeon14 Dr. Anil Bahadur Shrestha Consultant Ortho. Surgeon15 Dr. Rajesh Maharjan Jr. Consultant “ “ 16 Dr. Yubaraj Kharel Jr. Consultant “ “ 17 Dr. Kailash Kumar Bhandari Jr. Consultant “ “ 18 Dr. Mukti Nath Timalsena Registrar Ortho. Surgeon19 Dr. Dinesh Kumar Shrestha Registrar Ortho. Surgeon20 Dr. Bidur Kumar Baral In-house Anaesthetist (Registrar)21 Dr. Chhatra Krishna Shrestha Visiting Cons. Anaesthetist22 Dr. Amir Babu Shrestha Visiting Cons. Anaesthetist23 Dr. Sujita Manandhar Visiting Cons. Anaesthetist

24 Dr. Ravi Ram Shrestha Visiting Cons. Anesthetist25 Dr. Ratna Mani Gajurel Visiting Cons. Physician 26 Dr. Sonam Zangbu Sherpa Medical Offi cer27 Dr. Sujan Man Singh Medical Offi cer28 Dr. Sandeep Bhandari Medical Offi cer29 Dr. Amir Ratna Shakya Medical Offi cer30 Dr. Bijendra Dangol Medical Offi cer31 Dr. Yogesh Bajracharya Medical Offi cer32 Dr. Niranjan Bista Visiting Plastic Surgeon33 Dr. Binod Karn Visiting Plastic Surgeon34 Dr. Kishor Man Shrestha Visiting MO

35 Ms. Meena Gurung Asst. Matron36 Ms. Suman B.C. Acting Sister37 Ms. Anita Gurung Sr. Staff Nurse38 Ms. Regina Dhakal Sr. Staff Nurse39 Ms. Kalpana Pant Sr. Staff Nurse40 Ms. Meena Thapa Staff Nurse41 Ms. Rolina Karki Staff Nurse42 Ms. Rama Budathoki Staff Nurse43 Ms. Sabita Shaha Thakuri Staff Nurse44 Ms. Srijana Sapkota Staff Nurse45 Ms. Rita Pokhrel Staff Nurse46 Ms. Laxmi Khatiwada Staff Nurse47 Ms. Rama Pudasaini Staff Nurse48 Ms. Sulochana Karki Staff Nurse49 Ms. Nirjala Pokhrel Staff Nurse50 Ms. Sita Lama Staff Nurse51 Ms. Rachana Acharya Staff Nurse

52 Ms. Sona Pokhrel Staff Nurse53 Ms. Bijaya Deuja Staff Nurse54 Ms. Anita Pokhrel Staff Nurse55 Ms. Sharada Devi Batas Staff Nurse56 Ms. Sita Tripathi Staff Nurse57 Ms. Saraswati Shrestha Staff Nurse58 Ms. Sharada Gurung Staff Nurse59 Ms. Muna Basnet Staff Nurse60 Ms. Anita Budathoki Staff Nurse61 Ms. Anju Shrestha Staff Nurse62 Ms. Santoshi Mali Staff Nurse63 Ms. Rekha Rajbhandari Staff Nurse64 Ms. Reniya Shrestha Staff Nurse65 Ms. Usha Thapa Staff Nurse66 Ms. Tara Ghimire Staff Nurse67 Ms. Jayanti Khanal Staff Nurse68 Ms. Loojala Singh Visiting Nurse

1 Dr. Saju Pradhan Medical Director2 Mr. Shyam Prasad Rupakheti Administrative Offi cer I3 Mr. Saroj Satyal Account Offi cer- III4 Ms. Pragya Guragain Sharma Offi ce Assistant I5 Mr. Santosh Badal Offi ce Assistant I6 Ms. Shanti Tamang Offi ce Assistant I

Administrative Staff

7 Ms. Parumala Adhikari Offi ce Assistant I8 Ms. Sangita Thakuri Offi ce Assistant II9 Ms. Ushna Maharjan Offi ce Assistant II10 Mr. Suman Bhandari Offi ce Assistant II11 Harikala Kandel Offi ce Assistant II12 Mr. Dil Bd. Thapa Driver II13 Mr. Badri Khadka Driver II


88 Mr. Dhurba Giri Sr. Electrician89 Mr. Som Pd. Upadhaya Bio Medical Asst. Technician90 Mr. Ghanashyam Neupane Housekeeper91 Ms. Sabitri Dulal Sr. CSSD Assistant92 Mr. Rajan Dulal Helper II93 Mr. Dharma Das Chaudhari Helper II94 Ms. Til Maya Gautam Helper II95 Ms. Parbati Karki Helper II96 Mr. Nayendra Baral Helper II97 Mr. Lok Nath Badal Helper II98 Ms. Pabitra Timilsina Helper II99 Ms. Surath Bdr. Thapa Helper II100 Mr. Bishnu Bdr. Magar Helper II101 Mr. Ram Krishna Raut Helper II (Gardener)102 Ms. Krishna Kumari Ghimire Helper II103 Mr. Devlal Pode Helper II104 Mr. Arjun Nagarkoti Helper II105 Mr. Dharma Raj Ghimire Helper II106 Mr. Rama Damai Helper II107 Mr. Ramesh Sapkota Helper II

108 Mr. Gopal Pudasaini Helper II109 Mr. Ramu Khanga Helper II110 Ms. Radhika Acharya Helper II111 Ms. Kumari Majhi Helper III112 Mr. Manahari Dahal Helper III113 Mr. Kedar Nath Poudel Helper III114 Ms. Ajita Karki Helper III115 Mr. Bhakta Bdr. Karki Helper III116 Ms. Ramila Shrestha Helper III117 Ms. Rama Pandit Helper III118 Ms. Meena Chaudhari Helper III119 Mr. Leela Nath Pokhrel Helper III120 Ms. Saraswati Chalise Helper III121 Mr. Bharat Kr. Lama Helper III122 Ms. Saraswati Uprety Helper III123 Ms. Laxmi Chaulagain Helper III124 Mr. Rajkumar Nagarkoti Helper III125 Ms. Yemu Maya Magar Helper III126 Ms. Parbati Rayamajhi Helper III127 Ms. Brinda Sharma Bhandari Helper III

Housekeeping Staff

CongratulationsNEPAL ORTHOPAEDIC HOSPITAL

For Completing 12 Years of

Selfl ess Service !!!From

ROTARY CLUB OF PATANDistrict 3292, Club No. 23126, Yala Maya Kendra, Patan, Lalitpur.

S. No. Name Degination DeginationS. No. Name

73 Mr. Narendra Kr. Chaudhary Sr. Radiographer74 Mr. Amit Kumar Gautam Radiographer75 Mr. Sushil Maharjan D R Operator II 76 Mr. Shyam Maharjan D R Operator III77 Mr. Bikash Joshi D R Operator III78 Ms. Bina Upadhyaya Pharmacy Assistant79 Ms. Radhika Khagi Pharmacy Assistant80 Mr. Dinesh Basnet CMA (Pharmacy)

81 Mr. Subindra Shakya Pharmacy Helper82 Mr. Suman Silwal Lab Technician83 Mr. Pawan Kumar Chhetri Lab Assistant84 Mr. Laxman Gyawali Sr. CMA (Emergency)85 Mr. Kailash Chandra Lama Sr. CMA (Emergency)86 Mr. Kedar Raj Giri CMA (Emergency)87 Mr. Sudeep Chalise CMA (Emergency)


The hospital is now operating in its 13th year. I note with pride that the hospital is fully self-dependent on operational costs for the hospital. The hospital has been able to even afford small investments on infra-structure development. However, Nepal Orthopaedic Hospital still needs support from its well-wishers. Without the support from them it would not have been possible to evolve from a small organization to this big specialized orthopaedic hospital. The doctors, nurses, paramedics and administrative and other support staff need to be again thanked for carrying out their responsibilities efficiently. Dr. Saju as well as other board members must also be thanked for guiding the hospital and continuing the path of service above self in the field of orthopaedics.

Congratulations to Dr. Saju’s leadership in successfully organizing the 5 kilometer disability awareness walk in conjunction with various Rotary Clubs. This helped the hospital raise funds for its ward extension programme as well as raise awareness about disability. The hospital also got media mileage out of this event which is very important. The challenge ahead in the future is to remain competitive so that more patients can be attracted and at the same time continue charity work and reduce treatment costs.

Hopefully, in 2011, Nepal Orthopaedic Hospital can claim to be a successful 100 bedded specialized care organization after the addition of 26 more beds.

Warmest Regards,

Gajendra Kumar LamaChairmanNDA-Nepal Orthopaedic Hospital

Message from the Chairman


I am extremely happy to announce that activities of the hospital last year has been very much successful. Many free surgical camps in conjunction with our partners were carried out last year. The six day a week surgery routine has also been very successful. Patients don’t need to wait for their turns. The patient flow has been good as well. However, we have to remain ever vigilant and keep our services very good, quality wise and cost wise. This is because there are so many other hospitals cropping up around the valley, which will be catering to the needs of the population. Our hospital is not located in a very accessible area and the only way to keep attracting patients is to keep the services cheap and at the same time give the best care possible.

It is very difficult for a hospital like ours to give charitable services to the poor patients and also give a satisfactory salary to our employees. It is also not easy to keep the hospital neat and clean and also at the same time not compromise on quality of care. We have been doing it since many years and we will strive to keep it that way. There is a lot of cost involved for this and I have to thank all the doctors, nurses, paramedics and administrative staff who have been doing all the hard work to keep the hospital’s economy still self-reliant.

The 5 kilometer disability awareness program was also successful in raising awareness for the plight of the disabled people and also at the same time we could generate some funds for the extension of the proposed ward. The staff union also must be thanked for the lottery program through which they were able to contribute to the construction fund. I must also thank the Rotarians, the pharmaceutical companies and the many business partners who contributed for the success of the fund-raising effort.

The plans for the future now include the addition of a male and female general ward, which will make NOH a 100 bedded hospital; computerization of admission and discharge of patients and wireless networking of the various sections of the hospital; repair and maintenance of the physical infra-structure of the hospital; expansion of laundry services; addition of public toilets, addition of patient waiting lounge etc.

The hospital also needs to send our surgeons for specialized training so that we are able to keep abreast with the developing trends in the field of orthopaedic and trauma service.

Finally, I would like to thank all the well-wishers and donors of the hospital who have been relentlessly helping us in times of need. Without you all this hospital would not have been what it is like today.

Dr. Saju PradhanMedical DirectorNepal Orthopaedic Hospital

Message from the Medical Director


It is with immense pleasure and indeed a gratifying feeling to have been approached for the message in the newsletter issue, volume 12 on this great occasion of the 13th anniversary of Nepal Orthopedic Hospital.

I assure you that Rotary Club of Patan will continue all cooperation and support to NOH and the Hospital Management Board as was being done in the past.

RCP is dedicated to participate in further expansion activities of General Ward Extension plan as well as Rotary Matching Grants for bed and furniture plus laundry and washing machine.

Finally, on behalf of Rotary Club of Patan and on my own, I would like to thank entire members of the whole team of Nepal Orthopaedic Hospital for the friendly support and hard work to bring this hospital to this stage. I hope to receive the same team spirit in the days to come.

Believing in the motto: “Lead the way” and “Service above self”.

Rtn. Dr. Prakash Raj RegmiPresident 2010-2011Rotary Club of Patan

Message from the President Rotary Club of Patan


Happenings in 2010

Computerized System in OPD And Laboratory Department

A new OPD BOOK has been issued and computerized

billings started in OPD since January 1st 2010. Th is

new book has an introduction about the hospital and

also describes in brief the services given. Th e hospital

also started giving out computerized laboratory reports

from January 01, 2010. Th e billing of patients has also

been computerized since January.

“100% Safe Drinking Water Treatment Plant”

A Japanese water treatment plant was donated to our

hospital as a matching grant project (MG# 70299) by

Rotary Foundation in conjunction with the Rotary Club

of Shimodate, Japan (District 2820) and host club Rotary

Club of Kasthamandap, Nepal (District 3292). Th e plant

is able to dispense 100% safe drinking water. Th e unit is

able to eliminate all kinds of bacteria, viruses and fungii.

Th e water is currently being used for patients, hospital

staff and visitors for drinking putrposes. Some of the

water is diverted to the Operation Th eater and is used

in the autoclave machines for sterilization of instruments.

All these changes have given NOH a more modern

outlook. Also these changes have made work for our

staff much easier.

Th e water treatment plant was inaugurated on July

23, 2010 by the Japanese ambassador Mr. H.E. Tatsuo

Mizuno and District Governor of Rotary District 3292

Mr. Ratna Man Shakya. Many other Rotarians from

various clubs and hospital staff s were present during

the occasion.


machine and a C-arm fl uoroscope. Th ese units were

installed on June 19th, 2010. Major Yam Bahadur

Gurung representing the Kadoorie Foundation

facilitated the culmination of the project. Th e hospital

had applied for a grant to upgrade its radiological

services earlier in 2009.

Aft er the installation of CR machine, new portable

x-ray machine and C-arm fl uoroscope with image

intensifi er, the radiology services have become more

advanced. Th e quality of the X-rays in the hospital are

much better, the waiting time for the patients to collect

reports has been much shortened and also surgery has

been facilitated because of the availability of two C-arm

fl uoroscopes in the operation theaters.

Installation of New Autoclave:

A horizontal cylindrical high pressure, high speed type

steam sterilization (Flash Autoclave) was installed

on 1st October 2010 for a total cost is NRs.10, 93,450.

Th e hospital had three old autoclaves in its CSSD and

one of them was a real old autoclave which had been

used for nearly 15 years. These autoclaves needed

Wheelchair Donation :

Nepal Bangladesh Bank Ltd. Donated 10 wheel chairs

to NOH on the occasion of NB Bank’s 17th Anniversary

on June 06, 2010. CEO of NB Bank Mr. Govinda Babu

Tiwari handed over the wheelchairs to Mr. Shyam

Prasad Rupakheti who works in the administration

department. Th ese wheel chairs are currently being

used by the patients of the hospital.

Ins ta l la t ion of Computer ized Radiography, Portable X-ray Machine & C-Arm Fluoroscope

The Kadoorie Charitable Foundation, Hong Kong

donated NRs. 5,660,000 for the installation of a

computerized radiography unit, a portable x-ray


constant repairing and maintenance and the hospital

was spending money all the time to get these old units

in working condition. Th ere was an urgent need to

either replace or add a new autoclave machine. Th us the

hospital decided not to wait for any donations to come

for a replacement and ordered this new generation

autoclave which is much faster and of higher capacity

than the old ones. Th e other older autoclaves have also

been repaired and thus now all four are in working

order.

Th e OR staff are fi nding it much easier to operate the

CSSD.

New Store Room

A new store room has been built near the ground floor ramp to house old and defunct equipment in the hospital. As the hospital is growing and getting older, ageing equipment and furniture need to be placed in a safe store for repair or before they are discarded as defunct waste. This store room has alleviated our storage potential to some extent.

Foot and Ankle Surgery

Th e Foot and Ankle Surgery camp 2010 was organized

with the help of Healing the Children, USA. The

camp was held for fi ve days from Oct-31, 2010- Nov

04, 2010). Th e team was headed by Rtn. Dr. Stephen

Miller with Dr. Tom Chang, Dr. Ryan Jense, Dr. Mark

Sinkey, Dr. Robert Apter, Ms. Bojen Kurre, Ms. Brenda

Graham Apter (Administrator), Ms. Marian Sinkey,

Ms. Maureen Waterbury, Ms. Teresa Alexander, Ms.

Catherine Ruggels, Dr. Nick Kassebaum, Dr. Jay Ryan

and Mr. Marc Estvold.

Many patients with disabilities in the foot and ankle

from Kathmandu valley and various parts of Nepal

came for the treatment. Twenty nine patients were

screened during the camp and 18 were operated

amongst them. The surgeries included clubfoot,

equinus contractures, hallux valgus, fl at foot etc. All the

patients were treated free of cost by the hospital. Even

bed charge, medicine charge and surgical charge were

not taken. Th e total cost of NRs. 405,365 was written

of as charity for the patients.

Total Knee Replacement

A Total Knee Replacement camp was held in Nepal

Orthopaedic Hospital with the help of Operation Walk

Chicago which is a philanthropic organization from the

USA. Th is team has been doing a great humanitarian

service by operating on hips and knees of poor patients

in the third world countries. Th e services provided

are free of cost for the patients and this team does not

charge anything from the patients.

Th e preliminary pre-visit team had come to NOH on

April 30, 2010 with team leader Dr. Victoria Brander.

Altogether 21 patients were screened and confi rmed

for surgery. They had inspected the conditions of

the operating rooms and also many other logistical

details were discussed before a fi nal date was fi xed for

operating on our Nepali patients.

Th e total knee replacement camp was held for 5 days

from November 10, 2010 till November 14, 2010. A total

of 45 team members including surgeons, anesthetists,

physiotherapists, nurses, administrators and other

para-medics had come for this huge task.


Twenty one patients were operated, which included

twelve bilateral knees and nine unilateral knees. Th is

meant 33 knees were implanted in fi ve days!

Th e surgical camp went very smooth and except for

some medical related hiccups, no real challenge was

seen during the entire camp duration. Surgeons from

the US and from NOH scrubbed together in most

cases and it became a great learning opportunity for

the local doctors and other OT staff . Th e whole camp

was a grand success, the patients and their families

were hugely grateful to the entire team from Operation

Walk Chicago and they were very happy. All patients

are now pain free and can walk independently. Th e

cost for total knee replacement is unaff ordable to most

people in Nepal.

Th e TKR camp was organized in Nepal Orthopaedic

Hospital with team leader Dr. David S. Stulburg and

Dr. Victoria Brander with Dr. Lalit Puri, Dr. Nasim

Rana, Dr. William Gilligan, Dr. Ronak Patel, Dr. Tony

Aram, Dr. William Brander, Dr. Nicole Higgins, Dr.

Kiran Chekka, Dr. Amit Darnule, Dr. Christopher

Cambic, Mr. Odell Woods, Ms. Sophie Sauser, Ms.

Celeste Carlin, Ms. Jane Scanlon and other members.

New Ambulance:

Th e hospital is acquiring a Nissan ambulance very

soon. Th e new ambulance should be delivered to the

hospital by April-March 2011. Th is acquisition is a

fruit of the Matching Grant Project (MG # 73090)

from the Rotary Foundation in conjunction with the

Rotary Club of Fidalgo Island, USA (District 5050)

and host club Rotary Club of Kathmandu West, Nepal

(District 3292).

Th e cost for the ambulance is US $ 34,200 whereas the

Matching Grant Amount is US$ 30,924. Th e diff erence

will be borne by the hospital. The ambulance we

currently have is a TATA jeep which is 11 years old and

the cost for the maintenance has been very high and it

doesn’t have all the equipment an ambulance should

have (oxygen cylinder, fi rst aid kit box, bed trolley). Dr.

Steve Miller from Rotary Club of Fidalgo Island was

instrumental in the realization of the project.

FUND RAISING PROGRAMME FOR NEW PAYING WARD CONSTRUCTION:

Dashain Tihar Lottery:

The Nepal Orthopaedic Hospital staff union had

organized a Dashain-Tihar Lottery. Many tickets were

sold which were worth Rs 50 each and a lucky draw was

done to announce the winners of the lottery.

The winners were given various prizes and the

remaining sum was handed-over to the Medical

Director Dr. Saju Pradhan to keep in the hospital

construction account. NRs. 1,01,111.00 was deposited

in this account. Th is gesture has shown the immense

responsibility our staff members have towards the

hospital.


“5 KM WALK/RUN/WHEELCHAIR FOR DISABILITY AWARENESS” in support of Nepal Orthopaedic Hospital:

A “5 KM WALK/RUN/WHEELCHAIR FOR

DISABILITY AWARENESS” in support of Nepal

Orthopaedic Hospital was organized on December

04, 2010 on the occasion of the 19th International

Disability Day with the joint eff ort of NOH, Rotary

Nepal Disability Awareness Campaign, RC Patan, RC

Kasthamandap, RC Kathmandu West and Craft Art

Studio.

Revenue collected from ticket sales for the event:

1. Nepal Orthopaedic Hospital Rs. 5,89,000

2. Rotary Club of Patan Rs. 32,000

3. Rotary Club of Kasthamandap Rs. 20,322

4. Rotary Club of Kathmandu West Rs. 64,000

Th e event became a grand success and Rs. 7,05,322 was

collected from this activity.

Board Member Change

Rtn. Mr. Umesh Shrestha has been nominated to the

member of NOH management committee in the place

of Rtn. Mr. Rajan Raut who just had fi nished his two

years tenure. Rajanji had been a very active member of

the management committee and his contribution will

be much valued in the years to come.

Mr. Shrestha is the current president of RC

Kasthamandap and Former Executive Chairman-Nepal

Education Foundation (NEF), Founder Principal-Little

Angels' School, former President-PABSON, current

President-Higher Secondary Schools Association

of Nepal (HISSAN), Founder Director-Ideal Model

School.

NEW STAFF RECRUITMENT:

DoctorsDr. Sandeep Bhandari Dr. Amir Ratna Shakya

Dr. Bijendra Dangol Dr. Yogesh Bajracharya

Dr. Anil Ghimire Dr. Rupak Kandel

Staff NursesMs. Muna Basnet Ms. Anita Budathoki

Ms. Anju Shrestha Ms. Santoshi Mali

Ms. Rekha Rajbhandari Ms. Reniya Shrestha

Ms. Usha Th apa Ms. Tara Ghimire

Ms. Jayanti Khanal

echnical StaffsMs. Goma Th apa Mr. Amit Kumar Gautam

Mr. Suman Silwal

Adminstrative StaffMs. Ushna Maharjan Mr. Suman Bhandari

Ms. Harikala Knadel Mr. Ghanashyam Neupane

Helpers Ms. Parbati Rayamaghi

Ms. Brindha Sharma Bhandari

The objective of the event was to mark World

International Day for the Disabled and also to generate

revenue for the building of the Male and Female

General Ward above the administrative block.

Th e event started from Dashrath Stadium Tripureshwor

and ended at Patan Darbar Square. Around 400 runners

and walkers participated in the event. Representatives

from different banks, students from Rato Bangla

School and other schools, medical representatives

from many pharmaceutical companies, hospital

suppliers, Rotarians, disabled people, doctors, nurses,

administrators, other paramedical staff and family

members of hospital staff participated. Th e procession

moved from the Dashrath Stadium and participants

braved the cold weather at six in the morning and ran

till Pulchowk in front of the municipality building

and then again reassembled into a huge crowd waving

banners and placards. Th is group moved in unison

around the streets of Patan and ended in Patan Durbar

Square. Speeches were given by the Medical Director of

Nepal Orthopaedic Hospital, the Chairman of Nepal

Disabled Association, Rotary District Governor of

Nepal, Presidents of various Rotary Clubs. Finally

certifi cate distribution and prize announcements were

made for the participants.


Out-Sourcing of Cleaning Staff

Since its inception, the hospital had been recruiting its

staff s internally. Th e current trend is to hire staff s by

outsourcing. Th e hospital has outsourced six cleaning

staff s from the Nepal European Security Service Pvt.

Ltd. Outsourcing of human resources have proven to be

cost-eff ective because the outsourced staff have proven

to be more effi cient in cleaning the hospital. Th e house-

keeping department has evaluated them positively.

12th Anniversary Celebration:

Th e hospital celebrated its 12th Anniversary with the

chief guest Dr. Sudha Sharma, Secretary-Ministry of

Health, Nepal on August 13, 2010. She distributed

fruits to the admitted patients on the occasion. Cultural

shows were performed by the hospital staff s.

Also international students from Denmark, USA, UK,

Germany, Belgium, Netherland, Canada, Australia,

Austria, and France have come for their internship as

in the past.

Now the hospital is looking more decent and hopefully

we will not be requiring maintenance for at least fi ve

to ten years.

Learning Institute:

Many national and international students (Nursing

students, Medical students, paramedical students

and others) come to this hospital for their clinical

placement. In the year 2010 students from National

Vision Nursing Campus, Nepal Institute of Medical

Science and Technology (NIMST), Chakrabarti Habi

Nursing Campus, Binayak Nursing College, OM

Nursing College, Nobel Nursing College, Shan Nursing

College, St. Xaviers, Rato Bangala school, Nobel

College, College of Bio-medical engineering have come

to this hospital for their practicals.

Many Rotarians, doctors from different hospitals,

representatives from diff erent partner organizations

and hospital staff s were present during the occasion.

Tarring of the Road Around the Hospital Premises:

Th e tarred road in the hospital premises was getting

frayed and old and had many pot-holes. Water and

dust collected in these holes and the whole premise was

looking untidy. Th us the road needed to be maintained

and RS. 7,64,618.14 was spent on new tarring of the

road. Th is was done in October 2010 and no outside

sponsors were involved in fi nancing this.


OUT-REACH SURGICAL CAMPS

Camp in Seti Zonal Hospital, Dhangadi,

Kailali:

Th e camp was held from March 22, 2010 till March

28, 2010 in Seti Zonal Hospital Dhangadi, Kailai.

Th e Handicap International and Nepal Orthopaedic

Hospital had jointly organized the camp. During fi ve

days, 201 out-patients were seen, 42 surgeries were

performed and 75 patients were referred to Kathmandu.

In that camp, twelve team members were involved

which included doctors, nurses, administrative staff

and technical staff s.

Camp in District Hospital, Dipayel-Silgadi,

Doti:

3. Lab Assistant Pawan Kumar Chhetri is undergoing

his three years CMLT training in Yeti Health

Science Campus.

4. Senior Staff Nurses Regina Upreti and Anita

Gurung have completed their Bachelors in Nursing

and resumed work at the hospital.

5. Dr. Mukti Timalsena finished his MS in

Orthopaedics from China and has started

resuming duties. He is currently doing spinal

surgeries as well as routine surgeries.

FUTURE PLANS

Addition of a 26- bedded male and female

general ward

Th e hospital has evolved from a small time service

provider to a major service provider in the care of

Nepal’s trauma and orthopaedic needs. Th us more

and more patients are coming out of their own free

will because of the good reputation the hospital

has garnered in these past years of operation. Th e

peripheral health outlets and the central hospitals

are also referring cases to our hospital because of its

high standards in giving care to the patients. Th us the

hospital bed occupancy is always on the higher side.

Sometimes all the beds are occupied and it has been

very diffi cult to admit new patients or discharge old

patients because we have no more beds or the patients

are not yet ready for discharge.

Nowadays, surgery is being done 6 days a week. Most

of the operated patients are poor and they prefer to stay

in the General Ward because it is cheaper. Most of the

times the General Ward is full and poor patients have

to stay in the more expensive private ward or they have

to opt for another hospital where they have a cheaper

general ward. Th us we see this need to add one more

General Ward. Th e best place for that would be above

the administration building.

Th e preliminary design for the addition of 26 more

beds has already been made. Th e addition of these

extra beds would enable us to become a 100 bed

hospital and this would open up more opportunities

for the hospital.

Th is camp was conducted from September 26, 2010 till

September 30, 2010 in the District Hospital, Dipayel-

Silgadi, Doti. Th e Handicap International and Nepal

Orthopaedic Hospital had jointly organized the camp.

During fi ve days camp, 217 out- patients were seen and

53 patients were successfully operated and 47 patients

were referred to Kathmandu for further treatment.

TRAINING AND SEMINARS:

1. Administrative offi cer Shyam Prasad Rupakheti

was sent to Mahidole University Bangkok Th ailand

for 3 months (11th Jan 2010 to 28th March 2010)

for Hospital Management Training.

2. Junior Consultant Dr. Kailash Kumar Bhandari

participated in the SIGN Conference in Washington

DC, USA from 10th September to 20th September

2010.


treatment plant, automatic lift , shade and truss) to

provide better services for the patients. Th e preliminary

design for the addition of laundry has already been

made. Th e estimated cost for extension of laundry,

water treatment plant, water boring and addition of

lift is NRs. 36,51,738. Financial assistance is being

discussed with Stichtung Hulp Voor Nepal for this

project.

Surgical Equipment Upgradation

Surgical equipment also needs to be periodically

upgraded and maintained. In 2011, the need for this

will be assessed and necessary action taken.

Lab Department Extension

Since almost thirteen years, the lab has been providing

essential services to the patients of the hospital in a

very low key fashion. Th e lab does not look that very

impressive if you look at the physical infrastructure

there. However, all tests necessary for pre-operative

assessment and also for orthopaedic and rheumatic

work-up are given by the lab. Th e lab has been adding

analyzers discreetly over the years and computerized

reports have been given to the patients since last year.

Th e room is too small and there is no separate room

for phlebotomy and other tests. Th us a lab expansion

project at a cost of Rs. 1,50,000 has been contemplated

for the future.

Other Important Projects

ICU Set-up/Ventilator Facility

The hospital currently has a post-operative ward

which essentially is a six-bedded post-operative

care unit managed by two nurses round the clock.

Th is needs to be up-graded into an Intensive Care

Unit. For this, patient monitors need to be available for

each bed and possibly a ventilator needs to be in hand

to be able to handle any emergencies. Six bedside

monitors were donated by Operation Walk Chicago

Team in November 2010. We are still working on

how to get a ventilator with some of our contacts

who have pledged to support this. Nurses and doctors

also need to be trained when the time comes to be able

to run this ward.

Th e total estimated cost for the construction is NRs.

1,17,27,793. Preparations are being made to raise

money both internally through fund-raising activities

and also asking for donations from our partners

externally. Th e construction of the ward is planned for

March-April 2011.

Laundry Department Extension

With expansion of extra beds, we need to extend

others facilities (laundry, water boring and water


COMPLETE RANGE OF ORTHOPAEDIC INSTRUMENT & IMPLANTSSushrut-Adler Trauma products including One-LOCK Spine system

MANMAN BONE CUTTING, DRILLING, REAMING SYSTEM Manman Craniotome, Perforator & Sternum Saw

PNEUMATIC TOURNIQUET (ELECTRIC & MANUAL)VISSCO Products & IMI Physiotherapy Products

SURGICAL INSTRUMENT OF ALL SORTS (PAKISTAN & GERMANY MADE)Dental Equipment, Instrument & consumables (J.Morita)

ANESTHESIA UNIT, VENTILATOR, INFUSION PUMP, PATIENT MONITOR, Steelcraft Hospital Furniture, OT Table & OT Light

HIGH PRESSURE HIGH SPEED HORIZONTAL & VERTICAL STERILIZERSComplete Range of Suture & Catguts (Dolphin Brand)

LABORATORY & BLOOD BANK EQUIPMENT, DIAGNOSTIC KITS (ELISA/RAPID)Vaccines and Specialized Drugs

With Best Wishesfrom

Mediaids (Nuraz) Pte. Ltd.

M e d i a i d s ( N u r a z )No. 108,Ground Floor, JDA Complex, Baghdurbar, PO Box 21896, Kathmandu, Nepal

E-Mail: [email protected], Tel.: 4251922, 4265245 Fax: +977-1-4218379

OFFICE & SHOW ROOM

R E A D I LY AVA I L A B L E :OK Meter (Blood Glucose Monitor), Pulse Oximeter, ECG machine,

Patient Monitor, Foetal Doppler

D E A L E R S O F :


Charity Provided by NOH

ADULT CHARITY STATEMENT FOR THE YEAR 2010

Month No. of Patients Charity Amount (Rs) Total Cost (Rs)

January 25 138,093.00 792,721.00

February 20 227,589.00 675,752.00

March 20 86,905.00 526,778.00

April 20 99,220.00 357,253.00

May 27 213,110.00 886,074.00

June 28 270,465.00 1,020,405.00

July 22 124,955.00 761,985.00

August 23 106,675.00 788,440.00

September 23 147,465.00 731,020.00

October 15 26,280.00 482,150.00

November 21 68,710.00 731,006.00

December 20 78,460.00 658,270.00

Total 264 1,587,927.00 8,411,854.00

Month No. of Patients Charity Amount (Rs) Total Cost (Rs)

January 12 49,580.00 290,865.00

February 8 11,895.00 136,955.00

March 11 62,610.00 151,870.00

April 24 61,825.00 331,643.00

May 14 26,475.00 236,780.00

June 14 65,890.00 230,780.00

July 12 27,360.00 287,730.00

August 16 106,755.00 354,255.00

September 8 24,025.00 111,100.00

October 6 10,360.00 98,070.00

November 11 26,225.00 152,725.00

December 13 93,092.00 265,215.00

Total 149 566,092.00 2,647,988.00

No. of surgeries done in the year 2010 : 2,278

No. of Adult Charity patients in the year 2010 : 264

No. of surgeries done in the year 2010 : 2,278

No. of Children Charity patients in the year 2010 : 149

CHILDREN CHARITY STATEMENT FOR THE YEAR 2010


(2010)


BACKGROUND:

Som comes from a typically poor farming family from Sindhupalchowk. He sustained a supra-condylar fracture

of his left humerus while playing with his friends. He was fi rst taken to Hetauda hospital, which is near to his

district, where primary management was done. He was then referred to NOH. He needed surgery and thus was

admitted and operated upon. He comes from a poor family. His father has one goat and a cow. He sells milk to

earn a living and they have a small fi eld next to their house. His family also sells vegetables in the market to earn

some extra money. Th e hospital subsidized his treatment as his family was unable to pay for all the hospital dues.

Som is recovering now. His k-wires have been removed aft er the fracture healed.

CHAR ITY PROF I LE - 1

Charity Profiles

NAME : Som Lama C.R.No. : 04-012/2010 AGE/SEX : 8 years old boy

IP No. : 10/1445ADDRESS : SindhupalchowkCHARITY : Rs.4000.00 out of Rs.17400.00

(01) 5250017-19 l fax: (01) 5250027 l [email protected] l www.jagadambapr.com


CHAR ITY PROF I LE - 2NAME : Dinesh Gole C.R.No. : 07-06/2010 AGE/SEX : 7 years old boy

BACKGROUND:

Dinesh studies in grade one in the local school in Kavre. His father is a labourer and mother is a housewife. Th ey

have four members in the family. Dinesh sustained a lateral condyle fracture of his right humerus. Th is injury

requires surgery. If left untreated, the arm will become deformed later when the child grows older. Dinesh was

operated successfully and the outcome was very good. Th e k-wires were removed aft er the fracture healed. Partial

charity was given as his family could not aff ord all hospital bills.

RESTOFOS(Alendronate 70mg tab.)

TIZAN 2(Tizanidine 2mg tab)

HYDROQUIN(Hydroxychloroquine 200mg. tab)

IVEPRED 500/1000(Methylprednisolone sod. succinate 500/1000mg)

PANTOCID 20/40(Amitriptyline 10/25 mg tab)

PANTOCID I.V. (Pantoprazole I. V. inj )

With Best Compliments from

MAKERS OF

ROLSICAL(Calcitriol 0.25 mcg S. G. cap.)

ONCOTREX 2.5/7.5/10 (Methotrexate2.5/7.5/10mg tab.)

DEPOPRED (Methylprednisolone acetate 1ml/2ml )

GABANTIN 300/400(Methylprednisolone sod. succinate 500/1000mg)

ELIWEL 10/25 (Amitriptyline 10/25 mg tab)

NITREST (Zolpidem 10 mg tab)

IP No. : 10/680ADDRESS : KavreCHARITY : Rs.5340.00 out of Rs.14340.00



BACKGROUND:

Devika studies in grade eight in the local school in Dolakha which is north east of Kathmandu. Her father left the

family three years ago. Her mother works for other people to earn a living. Th ey have six members in the family.

Devika had a right neck of humerus fracture when she fell down accidentally while playing with her friends. She

was brought to NOH and she underwent surgery. Closed reduction and k-wires were placed to reduce and stabilize

her fracture. Th e k-wires were removed aft er four weeks and she is back to school studying. Now she is doing her

daily work and helps her mother to do household work. Partial charity was given for her treatment.

We wish

Nepal Orthopaedic Hospital all the best. We

are proud to be associated with NOH as its

business partner.

Gautam Medicine SuppliersChhetrapati, Kathmandu

Tel: 01-4254725, 4252827

We wish

Nepal Orthopaedic Hospital all the best. We are proud to be associated with NOH as its business partner.

Star Surgical SuppliersTripureshwor Kathmandu, Tel: 01-4260190

Remember us for:

Hospital furniture, Lab Chemicals, Nebulizer, Oxygen Concentraror, Air bed, Stretcher,

Wheel Chair, others sugical goods etc.

We wish

Nepal Orthopaedic Hospital all the best. We

are proud to be associated with NOH as its

business partner.

Rajan Drug HouseJorpati, Kathmandu

Tel: 01-4912372

NAME : Devika Raut C.R. No. : 12-08/2010 AGE/SEX : 14 years old girl

IP No. : 10/975ADDRESS : DolakhaCHARITY : Rs.3040.00 out of Rs.16340.00



NAME : ASHIM KHADKAC.R.No. : AGE/SEX : 4 years old boy

BACKGROUND:

Ashim suffers from a congenital disorder called

clubfoot. He had bilateral congenital clubfeet. Th is

sort of disorder needs treatment from birth. Normally

serial casting to correct the deformity and maybe a

small surgery would have been enough, had he been

seeing a good orthopaedic hospital for his care. Sadly

though, most children do not get adequate screening

and treatment in Nepal. Left untreated, this will lead

to a life of disability and disadvantage for children

aff ected by this disorder later in life. Ashim presented

to the hospital only aft er four years of his life for this

disorder. His mother had heard that NOH was the

best center to treat this disorder.

His father had abandoned his family two years ago.

His uncle brought him to this hospital.He lives in

a joint family having fourteen members. His uncle

works in a private offi ce and earns some money but

it is not suffi cient for his family to sustain a decent

living. Ashim needed a complicated surgery known as

posterior-medial release. Aft er surgery the feet were

casted to keep the ankle and foot straight. Almost three

months were spent on his treatment. Th e result of the

surgery was satisfactory. He now has two straight feet.

He walks normally and he has a bright future ahead

of him. Almost half of the hospital fees was waived

as charity. Clubfoot surgery would have been very

expensive in other hopitlas.

IP No. : 10/1254ADDRESS : DOLAKHACHARITY : Rs.7, 000.00 out of Rs.20, 000.00


NAME : Samjhana B.K. C.R. No. : 05-09-2010AGE/SEX : 9 years old girl

BACKGROUND:

Samjhana has fi ve members in the family. Her father is a manual labourer and he earns daily wages. She comes

from a lower caste family in the hill society. Her family doesn’t have any land or any permanent place to live in.

She fell down from a height while playing and sustained a supra-condylar fracture of her left humerus. She was

operated successfully and she has recovered fully. Supra–condylar fractures are very common in children in Nepal

and this surgery is not very costly in Nepal Orthopaedic Hospital. Almost half of the hospital bills were processed

as charity for this poor family.

IP No. : 10/1083ADDRESS : NuwakotCHARITY : Rs.6, 750.00 out of Rs.16750.00


B-long

Tantum Gel

With Best ComplimentsFrom

ELDER PHARMACEUTICAL LTD.Makers of:

Chymoral Forte / DS Trypsin + Chymotrypsin (6:1)

Tobraneg (Tobramycin Sulphate 20mg/60mg/80mg IM/IV)

Clostagen(Clostebol Acetate 0.5% + Neomycin Sulphate 0.5%)

Eldervil-12 inj/Cap

Shelcal-05Shelcal 500/250/syp


NAME : Sujan Karki C.R. No. : 08-04/2010 AGE/SEX : 11 years old boy

BACKGROUND:

Sujan comes from a very poor family. His father is a daily wage earner and his mother is a housewife. Altogether

they are fi ve in the family. Th ey live in a rented house in Kathmandu. His mother also has a knee problem.

Th eir fi nancial condition looks very poor. Sujan sustained a radius and ulna fracture in his left forearm. He was

admitted and a simple surgery known as Rush-nailing was done. Compared to other hospitals, the cost of care is

very aff ordable at Nepal Orthopaedic Hospital. Inspite of this, many patients need fi nancial assistance. Almost

half of the hospital bills were waived as charity for this hapless family. Sujan’s Rush nails have been removed and

his bones have healed very well. He is back in school studying hard to get good results.

BACKGROUND:

Raj Kumar is from Dhading. He is a student of grade

fi ve He has two sisters and one brother and they all

are studying in government school. His father is a

farmer and mother helps him to farm. Th ey have a

small farm and income from that is not suffi cient for

their livelihood.

Raj Kumar had a supra-condylar fracture of his right

humerus and he required surgery. His operation was

successful and the pins have been removed from his

arm aft er the bones healed. He has now resumed

studies at school. More than half of the hospital bills

were given as charity for this poor family.

NAME : Raj Kumar Rijal C.R. No. : 14-04/2010 AGE/SEX : 10 years old boy



IP No. : 10/441ADDRESS : DhadingCHARITY : Rs.8605.00 out of Rs.16605.00

IP No. : 10/392ADDRESS : KathmanduCHARITY : Rs.4855.00 out of Rs.10855.00



NAME : Tika Ram ShresthaC.R. No. : AGE/SEX : 8 years old boy

BACKGROUND:

Tika Ram studies in grade two in the local school in Sindhuli. His father has some health problems so he cannot

work to earn a living. His mother is twenty eight years old and works daily as a labourer to earn for their family.

He fell down from a tree and sustained a complex open fracture of his right forearm bones. He was taken to a

local hospital where primary management was done. Th e bones were protruding out of the skin. Th e wound got

infected and thus he was referred to NOH. Th is case was very complicated and he needed a series of surgeries

to get him back to normalcy. He stayed for thirty four days in the hospital. He needed K-wire fi xation, fl ap

separation, fl ap inset and several debridements to clean the dirty wounds. His hand was luckily saved by our

skilled team of doctors. His hospital bills came to nearly ninety thousand rupees and they were not able to pay

for it. Almost ninety percent of the bills were waived as charity. What was important was that our hospital had

saved a young boys limb.

IP N° : 10/769ADDRESS : Sindhuli CHARITY : Rs.77670.00 out of Rs.87670.00



NAME : Tek Bahadur Lama C.R.No. :AGE/SEX : 35 years old male

BACKGROUND:

Tek Bahadur is a painter who works on a daily basis to earn a living for his wife and two daughters.He fell from

a two storey building while he was painting a wall. He was fi rst taken to Teaching Hospital for treatment but as

there was no vacant bed he was referred to our hospital.

He sustained communited fractures of his left distal tibia and fi bula. Th is was a complex fracture requiring

treatment with the Ilizarov frame. Th is is a costly procedure even by NOH standards. His contractor deposited

Rs.42, 000.00 at the time of admission. He was successfully treated but he had to stay in hospital for nearly six

weeks. During hospital stay, his wife and contractor didn’t come to visit him. He didn’t have any money for food

so the hospital provided food for him as well. At the time of discharge charity was provided to cover for the rest

of his bills. Now his implant has been removed and he is able to resume his previous work.

IP No. : 10/870ADDRESS : SarlahiCHARITY : Rs.12, 155.00 out of Rs.54, 155.00

From

RANBAXY LAB LTD.

Altrafl am(Aceclofenac 100mg tab)

Volini gel(Diclofenac Gel)

Sporidex AF 750/375(Cephelexin 750/375 mg tab)

Neupent AF 450/600(Gabapentin extended released tablets)

Raciper 40(esomeprazol Magnesium 40 mg)

M a k e r s o f :M a k e r s o f :



NAME : Hazari Rana C.R. No. :AGE/SEX : 50 years old female

BACKGROUND:

Hajari is from the far-western part of Nepal which happens to be an under-developed region of Nepal. Her husband

had already died a few years ago. She fell down from a height of twenty fi ve meters. and sustained injuries to

multiple parts of the body. She was initially given primary care locally. Later on she was fl own to Kathmandu

and then a CT scan was done to rule out head injury. She was later referred to NOH aft er head injury was ruled

out. Her son-in-law is looking aft er her and he had brought her to Kathmandu. Her son-in-law works for the

Nepal Army and he deposited some money during admission but he said he could not clear all the dues. Th us, Rs.

8,265 was given as charity. She was treated for a left tibial plateau open Gustillo III A fracture. An Ilizarov device

was used in her case. She also had a mandible fracture which was treated conservatively. Her fracture has healed

completely and the frame has been removed. She is back in her village and is resuming normal activities.

IP N° : 10/927ADDRESS : BaitediCHARITY : Rs.8, 265.00 out of Rs.48, 265.00



BACKGROUND:

Fift y two years old Krishna Bahadur Banmala is an alcoholic and therefore his wife has to do everything for the

family. Th ey have a small farm (Nursery) where they grow seasonal fl owers which they sell in the market. He has

one son and three daughters. One day he fell during an alcoholic stupor from his balcony and sustained injury

to his right hip region. He was initially taken to Bir Hospital but they were unable to manage him there, so he

was referred to NOH. He was operated for his inter-trochanteric fracture and he is doing well during his regular

follow-ups. Charity had to be processed for him as his wife was not able to aff ord the full cost of care.

NAME : Krishna Bdr.BanmalaC.R. No. :AGE/SEX : 52 years old male

IP No. : 10/1074ADDRESS : BhaktapurCHARITY : Rs.6,405.00 out of Rs.18, 405.00

We wish Nepal Orthopaedic Hospital all the best. We are proud

to be associated with NOH as its business partner.

Ortho Trade LinkChabahil, Kathmandu,

Tel: 9851070433

Remember us for:

All types of surgical implants.

We wish Nepal Orthopaedic Hospital all the best.

We are proud to be associated with NOH as its business partner.

Tri-Dev PharmaceuticalsBhotebahal, Kathmandu

Tel: 01-4242986, 4250616

e-mail: [email protected]

We wish Nepal Orthopaedic Hospital all the best. We are proud

to be associated with NOH as its business partner.

Best-Mode MedicineChhetrapati, Kathmandu

Tel: 01-4230361

e-mail: [email protected]



Sanghai PharmaceuticalsChhetrapati, Kathmandu

Tel: 01-4218247, 4218327


NAME : Tara Devi RokkaC.R. No. :AGE/SEX : 45 years old female

BACKGROUND:

Tara Devi Rokka and her husband both work in their farm. Th ey have a small farm where they grow vegetables

and rice. She has fi ve members in the family. She has three children. Th e eldest daughter had to stop her studies

because of poor fi nancial condition. Other two children go to the local school. She fell from a height of eight feet

and sustained a Monteggia fracture in her right elbow. She also had a fracture of her radial head. She needed to be

operated and plating was done for the ulna fracture and the radial head was excised. Post-operatively she had no

complications and now she is doing well. Charity had to be processed so that she could clear all her hospital bills.


IP N° : 10/985ADDRESS : SindhuliCHARITY : Rs.6765.00out of Rs.24765.00

WITH BEST COMPLIMENTSFrom the makers of

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PARAFLAMIbubrofen 400mg &

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ANTIFLAAceclofenac 100mg Tab

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OFROXOfl oxacin 200/400 mg

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NAME : Hari Bdr. BalC.R. No. :AGE/SEX : 45 years old male

BACKGROUND:

Hari Bahadur works as a daily wages worker. He has seven members in the family. His three children study in

school and his mother also stays with him. His wife also works as a daily wages worker to support him fi nancially.

Th eir income is Nrs.150-200 per day. He sustained a fracture to his right olecranon process of the ulna and he

needed to be operated. A tension band wiring procedure was done which addressed his problem. Post-operatively

he is doing extremely well. He had to be processed for charity to clear all hospital bills.

CHAR ITY PROF I LE - 13IP N° : 10/1006ADDRESS : Daman, MakwanpurCHARITY : Rs.6405.00out of Rs.18405.00



N U R A M E D D I S T R I B U T O R SSundhara, Kathmandu Tel: 01-4246301, 4266830, 4220196


CHAR ITY PROF I LE - 14NAME : Bishnu Maya Sunar C.R. No. :AGE/SEX : 45 years old female

BACKGROUND:

Bishnu Maya Sunar’s permanent address is in Dolakha. She has a small house there. She and her husband shift ed

to Kathmandu and stayed in a rented house recently. She has fi ve members in the family. She and her husband

sell vegetables for their livelihood. Her three children are studying in government school. Her monthly income is

Rs.10, 000.00. She sustained a fracture of her left distal radius when she accidentally fell down. She was admitted

and the bone was fi xed with a plate and screws. She has recovered fully and she has gone back to work. Partial

charity was provided for the services she received.

IP No. : 10/887ADDRESS : Kapan, KathmanduCHARITY : Rs.9605.00out of Rs.26055.00



S U S A H P H A R M A C E U T I C A L SChhetrapati, Kathmandu

Tel: 01-4260297, 4246409


List of Common Surgeries Done in 2010

2,278 surgeries were done in 2010

S. No. Type of Surgery No. of Surgeries Remarks

1 Posterior Instrumentation with Pedicle Screws for Spinal Injury 49

2 Discectomy 11

3 DHS for Intertrochanteric Fracture 47

4 DHS for Subtrochanteric Fracture 12

5 DHS for Neck of Femur Fracture 7

6 Plating for Tibia/Fibula/Femur Fracture 52

7 Plating for Radius/Ulna/Humerus Fracture 102

8 TBW for Patella/Olecranon Fracture 43

9 Clubfoot Surgeries 25

10 Rush Nailing for Radius/Ulna Fracture 32

11 Total Knee Replacement 35

12 Supra-condylar Fracture Humerus (CRIF/ORIF with k-wires) 124

13 Lateral-condyle Fracture Humerus (ORIF with K-wires) 38

14 SIGN Nailing for Tibia Fracture 62

15 SIGN Nailing for Femur Fracture 31

16 Ilizarov For Open Tibia/Tibial Plateau Fracture 28

17 Reconstruction Plating for Clavicle Fracture 14

18 Hemiarthoplasty for Neck of Femur Fracture 14

19 External Fixators for Open Tibia / Femur/Humerus/Tibia Fracture 26

20 K-nailing for Femur 13

21 Inter-Locking Nailing for Humerus Fracture 5

22 Above Knee Amputation 4

23 Below Knee Amputation 6

24 Knee Arthoscopy 24

25 Bone Patella Bone Reconstructive Surgery For ACL Tear 7

26 Malleolar Screws for Bimalleolus Fracture 15

27 Implant Removals 382

28 Others 1,070

Total 2,278


Statistical Record (1998-2010)

Distribution of Admitted Patients According to District (1998-2010)

S.NO. DISTRICT NO.OF PATIENTS PERCENTAGE REMARKS

1 Achham 7 0.061

2 Argakhanchi 45 0.394

3 Baglung 26 0.228

4 Baitadi 7 0.061

5 Bajhang 3 0.026

6 Bajura 7 0.061

7 Banke 15 0.131

8 Bara 134 1.173

9 Bardiya 23 0.201

10 Bhaktapur 558 4.883

11 Bhojpur 85 0.744

12 Chitwan 209 1.829

13 Dadeldhura 12 0.105

14 Dailekh 3 0.026

15 Dang 159 1.391

16 Darchula 8 0.070

17 Dhading 572 5.005

18 Dhankuta 26 0.228

19 Dhanusa 40 0.350

20 Dolakha 351 3.071

21 Dolpa 4 0.035

22 Doti 8 0.070

23 Gorkha 197 1.724

24 Gulmi 32 0.280

25 Humla 10 0.088

26 Ilam 20 0.175

27 Jajarkot 2 0.018

28 Jhapa 102 0.893

29 Jumla 6 0.053

30 Kailali 27 0.236

31 Kanchanpur 53 0.464

32 Kapilbastu 56 0.490

33 Kalikot 32 0.280

34 Kaski 68 0.595

35 Kathmandu 3237 28.325

36 Kavre 334 2.923

37 Khotang 87 0.761

38 Lalitpur 344 3.010

39 Lamjung 74 0.648

40 Mahotari 50 0.438


S.NO. DISTRICT NO.OF PATIENTS PERCENTAGE REMARKS

41 Makwanpur 460 4.025

42 Manang 4 0.035

43 Morang 116 1.015

44 Mugu 8 0.070

45 Mustang 7 0.061

46 Myagdi 26 0.228

47 Nawalparasi 167 1.461

48 Nuwakot 670 5.863

49 Okhaldhunga 146 1.278

50 Palpa 84 0.735

51 Panchthar 9 0.079

52 Parbat 10 0.088

53 Parsa 87 0.761

54 Pyuthan 39 0.341

55 Ramechhap 407 3.561

56 Rasuwa 72 0.630

57 Rautahat 156 1.365

58 Rolpa 40 0.350

59 Rukum 14 0.123

60 Rupandehi 184 1.610

61 Salyan 17 0.149

62 Sankhuwasabha 65 0.569

63 Saptari 60 0.525

64 Sarlahi 229 2.004

65 Solukhumbu 205 1.794

66 Sunsari 348 3.045

67 Surkhet 40 0.350

68 Syangja 193 1.689

69 Sindhuli 172 1.505

70 Sindhupalchowk 114 0.998

71 Siraha 33 0.289

72 Tanahu 71 0.621

73 Taplejung 9 0.079

74 Tehrathum 9 0.079

75 Udayapur 86 0.753

76 Other Countries 38 0.333

Total 11428 100.000

Distribution of Surgical Categories (1998-2010)

1 Major 4,952 34.187

2 Intermediate 4,631 31.971

3 Minor 4,902 33.842

Total 14,485 100.00

S.No. Categories of Surgery No. of Patients Percentage


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Comparative Financial Chart for the last 12 years

Year Percentage PercentageInternal & National Income (Rs)

International Income (Rs)

Total Income (Rs)

1998/1999 10,51,812.37 34 19,88,968.63 66 30,40,781.00

1999/2000 28,73,869.82 51 27,76,959.60 49 56,50,829.42

2000/2001 38,67,241.50 53 34,74,681.77 47 73,41,923.27

2001/2002 67,29,191.26 77 20,36,166.25 23 87,65,357.51

2002/2003 82,80,143.06 78 22,92,780.00 22 1,05,72,923.06

2003/2004 99,51,584.55 85 17,09,673.40 15 1,16,61,257.95

2004/2005 1,53,44,253.10 91 14,71,657.75 9 1,68,15,910.85

2005/2006 1,82,57,284.90 92 16,24,291.26 8 1,98,81,576.16

2006/2007 2,51,06,149.65 97 8,58,684.00 3 2,59,64,833.65

2007/2008 3,99,25,752.82 97 12,98,958.00 3 4,12,24,710.82

2008/2009 5,60,07,319.50 97 19,32,000.00 3 5,79,39,319.50

2009/2010 5,15,77,784.68 97 15,95,522.95 3 5,31,73,307.63


DO YOU WANT TO SUPPORT NEPAL ORTHOPAEDIC HOSPITAL ???

1. Ventilator 2. Orthopaedic Hand Drills3. LCD Projector 4. Bedside Monitors

5. Anaesthesia Machine 6. Plaster Cutters7. Gentamicin Beads8. Shaver for Arthroscopy Unit

Wish List

Th e hospital requests humbly to individuals and organizations

to consider donation of items mentioned in the wish list.

Please contact hospital administration directly by

e-mail or phone or correspondence.

Please donate whole - heartily and join your hands with ours

so that poor patients who are not able to aff ord the cost of

care can be treated and relieved of their troubles.

If you want to help the hospital or support the patients

for their treatment, please correspond to the

following address as:

Dear Medical Director / Administrator:

NDA-Nepal Orthopaedic Hospital

Khagendra New Life, Jorpati-04, Kathmandu, Nepal

Tel: 00977-1-4911725, 4911274, 4911505, Fax: 00977-1-4911467

E-mail: [email protected],

Website: www.noh.org.np

nda nepal orthopaedic hospital - nohnoh.org.np/materials/annual report 2010.pdf · nepal...

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