Today we had a great day. We observed on the IUI (intra-uterine insemination) which has a 18% success rate. Which is similar to worldwide rate of 20%. The nurse-midwife, who had been trained in India, explained the whole process to us, showing how the spin and seperate the sperm from RBC and WBC. I even made them giggle when I said those poor sperm, get spun around a 2000 rotations per minute and then got to get to the egg first....I guess kind of like pin the tail on the donkey lol!?!? We got to see the sperm under the microscope and then with permission from the ladies, observed the insemination. They use a catheter and allow for ten minutes before the woman can go home, and return again in one week to try again. The hospital charges 5000 rupees (about 50 UK pounds) per session. We then got to attend the Atenatal Clinic (ANC) where we, along with 5 other nursing-midwifery students got to assist with the examinations. The government of Nepal encourages a minimum of 4 visits in pregnancy and this was this ladies 2nd visit. She was 27/40 and was given a very thorough head to toe assessment. Very similar to the UK. The one major difference was the waiting room.....they have 250+ women per day!!!
Kiran then took us into Kathmandu where we enjoyed some more window shopping and had some very yummy snacks, We had a huge pancake and nan bread like food with very yummy chickpea dips and spicy soups. We had a very unique desert, that was sweet and sour, I made Sam eat more of it than she wanted to!! hehehe
We then headed off to Patan Hospital to see Rashmi, sadly again we missed the babies being born, but got to see their pharamcy, record keeping and A&E department. I must say I was very tempted to sneak back in when I heard about the police cases locked in the back....guess I will always be nosey! We were going to have tea when the pressure I had earlier put on Sam to be polite and finish her sweet and sour desert came back to bite me....and sadly more her in the ass!!
After a what seemed like a long taxi ride home for Sam, we arrived back at home to settle down and discuss our day. Just as we started to relax watching Sex and the City we were under attack!! a COCKROACH the size of my head....ok not my head, but hand..was in our room, we both did what any good girl would do and jump to the couch and scream at the top of our lungs. Sam who was frozen in fear left me no choice but to act responsibly, so I threw a book at it.....luckily we were saved by our neighbour downstairs, who spoke no english, who came in took the cockroach and threw it outside...what happened next was even more worrying, as she gestured that we should have eaten it!!?? What was in that sweet and sour desert....maybe a cockroach??!!
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