Dr. Upendra Devkota - A personal remembrance

I first met Dr. Upendra Devkota in June of 1972. We had earned a scholarship under the Colombo Plan to study medicine at Assam Medical College, Dibrugarh, Assam, India. During the process of various briefings at the Indian Mission, including medical check-ups, we became acquainted with each other and we quickly became each other’s support system. Both of us were still in our teen years when we flew to Dibrugarh via Calcutta.  We arrived at our college in late July  1972. We were admitted on the same day and spent our formative years of basic medical education for the next five and half years together.

Since then I have met Upendra on and off in Kathmandu while he was a surgical registrar at Bir Hospital and later in London while he was senior registrar at Atkinson Morley (one of the advanced neurosurgery centers in the world that was instrumental in the development of the CT scan). During my residency days in Plymouth, England, I used to stay with him while I was visiting London. It was my permanent go to place while in London. Later, I kept close contact with him and his lovely wife, Madhu, whenever Anita and I visited Kathmandu on holidays. 

I have seen him start a unit on the top floor of Bir Hospital, and then advance to opening his own hospital for neurosurgery.   Upendra and Madhu gave me the tour of the hospital just before it was opened for service.   At the time it was the state of the art hospital in the Kathmandu valley with a CT scan and other latest technology for ICU and OR care. Both Madhu and Upendra were heavily involved in planning the project. In subsequent years, his hospital was recognized as a premier center of excellence for neurosurgical patients. In addition to serving the sick and infirm for many decades, he established a postgraduate training course at his hospital to personally train the future generations of quality neurosurgeons for Nepal. 

While many of us would have slowed down and been content to enjoy the successes and glories of the days gone by, Upendra was full of energy and going full speed ahead with his plans for the future. Not surprisingly, he was operating on a day he felt weak which prompted a medical checkup. It was then that he received the diagnosis of Cholangiocarcinoma. In spite of best of the treatments, he succumbed to this incurable disease He breathed his last on June 18, 2018, amid loving care of his friends and family.

Over the many decades, I observed that this young man I once spent my earlier days at Assam Medical College never wavered from his guiding values of sincerity, accountability, and honesty. He had a sharp sense of analytical thinking, transparency, and courage; this courage was finally put to test as he faced the ultimate fear: death.  He was an extraordinary man. 

Upendra was determined to become a surgeon right from his clinical years in medical school. I must say it was his sheer determination and ambition that drove him to be a good general surgeon. He was a surgical Registrar for 4 years under Dr. Dinesh. N Gongal at Bir Hospital before he traveled to England to train for six grueling years in neurosurgery. He returned to Nepal  (as its first neurosurgeon) to prove his mettle and against all odds over the years,  he was recognized as a visionary, a great humanitarian and a great surgeon of Nepal. His list of achievements and many milestones in Nepali medical fields are well documented. (See the Wikipedia link below).


Before his dying days, Upendra chronicled his personal, intimate and honest account of his life’s journey from a small village in Gorkha to Kathmandu, from Assam to Bir Hospital, from England to Nepal.  He describes his struggles in establishing the first neurosurgical department at Bir Hospital and then a separate hospital dedicated to neurosurgery in the Kathmandu valley. This is published as serial memoirs in Nepali: .https://deshsanchar.com/2018/06/13/65080/

When one reads his personal account, one is in awe of how on earth this mortal man could surmount so many difficulties to achieve his goal!  To me, this truly is a story of a man of grit. Given the backdrop of decades (1990-2010) of Nepali political upheavals compounded with a decade-long near civil war, Royal massacre, and the newly proclaimed Republic in Nepal, anyone else would have become disappointed, paralyzed with despondency and withdraw their efforts.  But defeat was not for Dr. Devkota; he pushed right through to manifest his vision during those extraordinary trying times. 

Unlike other specialties of medicine, neurosurgery is especially difficult to sustain in quality control as a perioperative infectious process can spell utter disaster for any surgical undertaking. In Nepal, this is much more of an issue than in other parts of the world. To overcome such an intractable hindrance, Upendra set up very strict rules to stop the spread of infection by maintaining an impeccable sense of duty on his supporting staff. Visitors were severely restricted to see postoperative patients. For this alone, he earned many an ire from patient’s well-wishers, but he would not care for such misguided distraction;  Such was his laser-sharp focus on finding a solution to a problem; the best for the patient was his only motive. He did not care for the adulation from bystanders!

I find it difficult to fathom how a friend who was at the peak of his professional career, with many more decades to contribute to and transform Nepal’s health care system, just passed away. His sense of social justice and progressive political ideas was just getting disseminated into rest of the society as evidenced by his recent well thought out interviews to the media. These were widely well received by Nepalis at large. By every standard, he was a well-recognized persona in Nepali society whose potentials were shining like a midday sun.

To lose any friend prematurely is hard but to lose such a bright star makes it so much difficult and frustrating. During his career, his wife Dr. Madhu Devkota and their three lovely daughters were the bedrock of his life. Now he is gone for the ages. I wish the family great strength and perseverance, forbearing to overcome the indelible void in their lives.

Dr. Upendra Devkota has left a legacy and body of work that is worth emulating.  I hope future visionary Nepalis will look to Dr. Devkota as a beacon of hope and inspiration, to overcome their struggles and to achieve the goals and mission of life itself.

Wishing peace to my good friend, Upendra, and bon voyage to his next dimension of existence!

Gaury S Adhikary
Past President and Co-Founder
American Nepal Medical Foundation

For Prof. Devkota full bio please visit his webpage - https://en.m.wikipedia.org/wiki/Upendra_Devkota 

ANMF Supports Telemedicine at Bir Hospital

Bir Hospital is set to launch telemedicine services to provide healthcare services to people living in remote areas.

The services will first be launched in Dhading and Dolakha and gradually be extended to  Butwal, Chitwan and Biratnagar in collaboration with doctors of National Academy of Medical Sciences and Bir Hospital, as per Dr Bhupendra Basnet, director, Bir Hospital.

“Doctors living in remote areas can consult specialists in Bir Hospital through video conferencing. This will improve delivery of treatment,” said Dr Bhupendra Bahadur Basnet, Director of Bir Hospital. 

More at https://thehimalayantimes.com/kathmandu/bir-hospital-start-telemedicine-services/ 


ANMF VP speaks at International Science and Technology Conference

Dr. Santosh Sapkota, vice president of America Nepal Medical Foundation (ANMF) spoke at the ninth annual international conference on Saturday, April 1 2017, titled “Science and Technology-New Perspectives and Challenges.”


Conference coordinator Menuka Karki said the conference is one of the biggest events NeSA engages in to keep NMSU vibrant and visible across the United States. Topics of the presentations include science and technology; health, science, technology and engineering; and education, literacy, diplomacy and development. Durga Neupane, president of NeSA, said students from various disciplines and universities will present their research findings. 

Added Ram N. Acharya, associate professor and NeSA adviser, “The conference challenges students to get involved in applied research, provides opportunities to develop professional network, and showcases their research to a wider audience.”

Based on Source - http://krwg.org/post/nepali-students-nmsu-host-annual-science-and-technology-conference

You can view His presentation at the conference click here 

The Nepalese Students’ Association (NeSA) is a chartered student organization at New Mexico State University, Las Cruces, New Mexico, USA, which was established in 2006. The NeSA organizes various programs and celebrates Nepalese religious, cultural, and traditional festivals. There are more than 40 members including active (full time students) and associate members (faculty, staff, dependents, and Nepalese families living in Las Cruces, NM and El Paso, TX).      Web - http://web.nmsu.edu/~nesa/
FB - https://www.facebook.com/nesa.acad

State of Neonatal and Pediatric ICU in Nepal and ANMF's role

Dr. Sangita Basnet, current president of ANMF has been instrumental in advancing pediatric and neonatal critical care services and training in Nepal. She led the fundraising efforts as well as implementation of the project to establish the PICU and NICU at Patan Hospital along with generous support from the Simons Foundation. She has written extensively about the challenges of establishing such center in low-resource setting. Her recent paper analyzes the need to invest in advancing the care to the most vulnerable population in Nepal. 

Important findings - 

  • 75% could manage central venous catheters and only 75% had a blood gas analyzer.
  • 32% had only one functioning mechanical ventilator
  • 38% had only two ventilators
  • Only one institution had a pediatric intensive care specialist.
  • The majority of patients (88%) came from families with an income of just over a dollar per day. All patients were self funded with a median cost of PICU bed being $25 U.S. dollars (interquartile range, 15-31) per day. The median stay was 6 (interquartile range, 4.8-7) days.
  • Mortality was 25% (interquartile range, 20-35%) with mechanical ventilation and 1% (interquartile range, 0-5%) without mechanical ventilation.

Your Support to ANMF helps us so that we can continue this important work. 

1. Challenges in Setting Up Pediatric and Neonatal Intensive Care Units in a Resource-Limited Country Sangita Basnet, Neelam Adhikari, Janak Koirala Pediatrics Oct 2011, 128 (4) e986-e992; DOI: 10.1542/peds.2010-3657
2. Aayush Khanal, MD, Arun Sharma, MD, Sangita Basnet, MD, FAAP, FCCM. n.d. “Current State of Pediatric Intensive Care and High Dependency Care in Nepal.” Pediatric Critical Care Medicine: A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 
3. ANMF  Patan Hospital ICU Project

Nepal Reconstruction Authority Appreciates ANMF's work

स्वास्थ्य चौकी भवनहरुको पुनर्निर्माण

भूकम्पबाट क्षति पुगेका स्वास्थ्य चौकी भवनहरुको पुनर्निर्माण हुँदैछ । यसैक्रममा सिन्धुपाल्चोक जिल्लाको चौतारा, भीमटार, टौथली, ठूलोसिरुबारी,सिपापोखरी,पिस्कर,पेटकु, हाइबाङ्, भोटेसिपा, लिष्टिकोट, अत्तरपुर र इरकुमा स्वास्थ्य चौकी भवनहरुको पुनर्निर्माण गरिएको छ ।

अमेरिका नेपाल मेडिकल फाउन्डेसनको सहयोगमा पुनर्निर्माण गरिएको स्वास्थ्य चौकीको २०७३ साल असार १८ गते राष्ट्रिय पुनर्निर्माण प्राधिकरणका प्रमुख कार्यकारी अधिकृत सुशील ज्ञवालीले उद्घाटन गर्नु भयो । उहाँले सबैको सहयोगमा भूकम्पले पुर्याएको भौतिक स‌ंरचनाको पुनर्निर्माण सम्भव हुने बताउँदै आ-आफ्नो क्षेत्रबाट सहयोग गर्न सबैलाई आग्रह गर्नुभयो ।

कार्यक्रममा स्वास्थ्य मन्त्रालयका सहसचिव महेन्द्र श्रेष्ठले भूकम्पबाट ११ सय स्वास्थ्य चौकीमा क्षति पुगेको भन्दै पछिल्लो समय पुनर्निर्माणलाई प्राथमिकता दिएर काम गरेको बताउनुभयो । सो अवसरमा फाउन्डेसनका अध्यक्ष डा. ज्योती भट्टराईले १२ वटा स्वास्थ्य चौकी भवनको साँचो स्वास्थ्य मन्त्रालयका प्रतिनिधिलाई हस्तान्तरण गर्नु भएको थियो ।

ANMF Nepal Leadership Team with NRA's CEO

ANMF Nepal Leadership Team with NRA's CEO


Source - http://www.nra.gov.np/news/details/111