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News: 22 August 2010
New Publications
- Please see the updated list of publications, including 2 chapters (pdf files) published in the Oxford Textbook of Medicine ( 5 th edition) on altitude illness and enteric fever here. Dr Parry and Dr Basnyat wrote the enteric fever chapter, and Drs Pollard, Basnyat and Murdoch wrote the altitude sickness chapter.
- Dr Basnyat writes regularly on medical topics in the Nepali Times ( weekly) and the New Spotlight (fortnightly ) which are in English and come out of Kathmandu, Nepal. Please google these for the web addresses.Happy reading.
News: 16th June 2010
Web Site Updated and Other News
- Please read the case report which originated from this clinic, The Japanese need Typhoid Vaccine which was published in the latest issue of The Journal of Travel Medicine.
- We think Gatifloxacin is clearly the drug of choice for typhoid fever. It is once a day dosing, inexpensive in South Asia, and the most effective of all the current typhoid drugs ( that is, it has the smallest MIC, minimum inhibitory concentration). Azithromycin is equally effective but it is more expensive; however azithromycin generally also treats typhus, and leptospirosis besides typhoid. Whether gatifloxacin is active against typhus and leptospirosis in unknown.
- If you get a chance please visit the Everest ER website ( www.everester.org ) and read the interesting blogs written by Drs Steve Halvorson, Luanne Freer, and Peter Hackett.
- Finally when you get a chance please read this article that Dr Basnyat wrote in the Spotlight newsmagazine in Nepal.
News: 26th Feb 2010
Web Site Updated and Other News
- The clinic has Digital X-Ray Facility now !!! So no need to go outside for any X-Ray.
- We have updated our section on Common Diseases
- We now have Arterakine ( an artemisinin drug) in our pharmacy which is very effective against both the life threatening falciparum and vivax malaria.
- Treatment of typhoid fever in the US, please see Dr Basnyat's letter to the editor in JAMA (JAMA. 2010;303(1):34 )and the authors' response for treating this potentially dangerous illness in the US. This is also available in the download section of this site.
- If you are going to Mount Kilimanjaro, please see http://www.theuiaa.org/act_medical.html ; please check the download on Kilimanjaro prepared by Drs Windsor and Rodway. There will be more write ups on other trekking mountain routes like these ( Aconcagua for example) that are presently unavailable elsewhere besides this site.
- Finally, the UIAA medical commission had its annual meeting here in Kathmandu in Nov 2009 and the Mountain Medicine Society of Nepal and the HRA played an active role.
News: 9th Sept 2009
New!! Newsletter from MMSN , BMJ article and a Short Story
1. The Guardian ran a short story here:
http://www.guardian.co.uk/world/2009/jul/06/hindu-pilgrims-himalayas-deaths-altitude
2. See Downloads Section for:
(i) Pilgrim Article Print Issue BMJ
(ii) Newsletter from Mountain Medicine Society of Neapl
News : 3rd June 2009
Methanol Poisoning ?
A Suspected Case of Methanol Poisoning (bottles of local whisky) at Everest Base Camp was treated by HRA (Himalayan Rescue Association) doctor/s successfully with guess what...
IV VODKA infusion (Ethanol)
News : 3rd June 2009
Question: Guess why no one could summit Mt. Everest without Oxygen this year?
Answer: The Queue(line up) to climb Everest at the top was very very long
News : 3rd June 2009
About Nepali Porters :
Nepali Porters get more frostbites than others due to the following conditions
a) Hypoxia from high altitude
b)Hypothermia from lack of proper clothing (Proper Shoes,Boots,Gloves etc)
c)Dehydration from minimal fluid intake
News : 19th May 2009
Too Eager To Climb ?
Some climbers are so eager to climb Mt. Everest that they are even willing to take 4mg of Deaxamethasone(Steroid) three times a day for one month as a prevention against altitude illnesses. This is highly dangerous.
News: 29th April 2009
Swine Flu :
As you may all be aware about the Swine Flu Epidemic (caused by A/H1N1), please visit
WHO and CDC Atlanta Web Sites for Precautions and other details.
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Smoking :
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