The traveler has to knock at every alien door to come to his own, and he has to wander through all the outer worlds to reach the innermost shrine at the end. (Rabindranath Tagore, Gitanjali)
My sejour in Kathmandu began on Dec 12. I arrived in Nepal during its winter season ... when temperatures can reach 25C during the day but drop to near freezing at night. This proved to be a challenge given that there was no central heating in the residence where I lived! I came to long for day light hours when I would finally warm up.
I was in COMPLETE shock driving from the airport. As the taxi proceeded towards the hotel, I saw dead (human) bodies piled up in a field along the roadside. The cab driver explained that this would be a common site in Kathmandu. The bodies were being prepared for cremation. At a nearby Hindu temple (Pashupatinath), tourists are welcome to witness the open air cremations. In Hindu religion, fire is considered a sacred gateway to the spiritual world. Cremation of the body has to occur within six hours of the person's death in the simplest ceremonial way.
I spent the subsequent three days with my dear friend Tom. Together we explored Swayambhu (monkey temple), Thamel Chowk, Durbar Squares (Kathmandu and Patan) and Potters' Square. We shopped-til-we-dropped and shared each other's company over delicious meals and bottles of wine. Tom, thank you for easing my transition to Kathmandu and to life without my travel partner Ann!
Eventually, I made my way to the Shechen Clinic and Hospice (http://www.madonnagasaki.org/en/popup_shechen_clinic.html) where I was warmly greeted by all. On the sunlit staff terrace, I enjoyed lunch with my colleagues and spent the rest of the day settling into my room. It was nice to unpack and begin to get a sense that I was ‘home’.
The Shechen Clinic and Hospice is located in a subdivision called Boudhanath. It is a magical place. The main focus of the neighbourhood is the stupa (a mound-like structure containing Buddhist relics, once thought to be places of Buddhist worship, typically the remains of a Buddha or saint). The Boudha stupa is a pedestrian only area surrounded by 37+ monasteries. Throughout the day (but especially at dawn and dusk) hundreds of people walk clockwise around the stupa and chant, pray etc. Given that it was winter season, many Tibetans had descended from the mountains to escape the cold. So the stupa was always a gathering of thousands of monks in burgundy robes and Tibetans / Nepalese in their traditional clothing. I attended the stupa every day as the energy of the place was palpable and calming.
The immediate neighbourhood around the hospice was quiet and like in San Miguel Mexico, I got to know the vendors of: baked goods, vegetables, cheese, etc and they became part of my daily life in Boudhanath.
The clinic and hospice were staffed by Nepalese nurses, physicians, Psychologist and allied health personnel. Volunteers included nurse volunteers from Canada and France, and a doctor and dentist from France. Patient care included Western Medicine, Tibetan Medicine, Complimentary Therapies (i.e. accupuncture). Spiritual care was also important part of our routines. We accompanied patients to the monastery once a week so that they could spin the prayer wheels and participate in chanting / praying. On the evening shift, we burned incense at the bedsides. Incense are a pivotal part of the Buddhist meditation practice.
The clinic has its own "chapel" and I spent a lot of time there as it was elegant and warm (candles galore). The grounds of the clinic were picturesque --- complete with sculptured plants etc. Security guards watched over the gated clinic / hospice area 24 / 7. I felt very secure.
VOLUNTEER LIFE:
The volunteers (Pauline, Helene, Veronique, Brigitte) were well connected. Typically, we had breakfast and dinner together every day (there was a private kitchen in the volunteer quarters). Usually, we ate soup or pasta for dinner and invented the recipes on the spot! We particularly enjoyed a wide variety of fresh vegetables and locally made oatmeal molasses bread (Saturday Café bakery owned by a woman from Ottawa!), yogurt curd and yak cheese.
Brigitte (RN) made the evening tea: fresh lemon, ginger, and honey. YUMMY. I came to appreciate that tea is a staple of the Nepali diet. It was served to all patients four times per day and the sweet tea is a very important part of this culture. It is made with cinnamon, cardamom, ginger, honey etc. At precisely 1000hr and 1600hr, the assistants appear in the clinic and exclaim "Nepali tea time. Nepali tea." All work is abandoned and you must indulge in this tradition. The patients are served tea as well ... even if by naso-gastric tube!
Volunteers frequented local restaurants on evenings when the power shutdown overlapped with dinner hour. Since meals cost as little as 50 cents, we ate out often! My favourite dishes were Nepali momo, chawmein and curry vegetables.
My room was huge (16 X 12 feet). It was basic (like university residence) but had nice hardwood floors and three windows so was very cheerful. There was an ensuite bathroom and it was clean and nicely tiled. Initially, I shared the room with a young nurse named Lao who had travelled from Japan to volunteer over a one year term! Volunteers work only day shifts (0700am until 1300hr, 0830am until 1630hr) or evenings (1300hr until 1900hr).
The volunteers live in the same wing as the patients but one floor above them. I felt very connected to them and it seemed that we each received / gave energy to the other. Most patients are outside during the day (to take advantage of the sun) and they really seemed to thrive in the warmth. Living among the patients meant that we are often engaged with them during our time off. That was nice. When you attended the bedside, you got a sense that you meant something to each other. The feelings were powerful and genuine.
The only drawback of living and working in the same environment is that it is difficult to find quiet and personal space. As on-site volunteers, we tended to leave the compound as soon as our shifts were complete. This 'escape' gave us a chance to refresh and come back renewed.
Power was shut off to the city 16 hours per day. The schedule of power outages was different each day. We have a generator during regular clinic hours 0830hr until 1630hr. Each volunteer's bedroom was equipped with candles and rechargeable lanterns. Water was heated by way of solar panels on the roof. Usually, we had no hot water until at least midafternoon (in my room, the water was never warmer than tepid). Volunteers took turns dashing to their rooms during the shifts in order to take advantage of the rare opportunities to shower with decently warm water. Otherwise, you washed with ice cold water (or boiled water!). Pauline (dentist) was the only one brave enough to shower in the morning. However, she stopped this ritual when Veronique (doctor) diagnosed the early stages of frost bite on Pauline's toes. The ice cold shower water pooling at her feet each day had started to freeze the tissue!
What a pioneer life I lead. There was seldom electricity when I was off duty and that meant dining and roaming around my room with a lantern or candles to guide my way. The patient care areas had no light after sunset and the nurses lit candles to give them comfort. Patients' bedtime is early (1600hr) as the temperature drops drastically and given the lack of central heating, patients need to dive under the covers early in order to stay warm! The rooms were so cold in the mornings, that the patients 'steamed' when we removed their covers to give them bed baths. The water for bed baths was boiled and placed in thermos containers.
Socially, things were always fun and adventurous. Despite having only one day off per week, we managed to do and see a lot while in Kathmandu. We attended a live music (Indian drums called Tabla) concert, a staff picnic, a downtown Reggae bar!, dinner parties galore and puja ceremonies at the Boudha stupa and Shechen monastery. We also enjoyed a visit by Alvaro, a Spanish clown (www.biciclown.com). Alvaro is a lawyer who gave up his law practice and is cycling around the world to bring joy to the people. He has been cycling for the past 5 years already and will be in Canada in 2016.
One event that stood out for me was attending a local movie theatre. Surprisingly, I understood the love story despite the language barrier! The atmosphere in the movie theatres was the most entertaining part of the experience: people answer their mobile phones and speak in loud excited voices; movie goers cheer / scream at the 'love scenes' ... which are so benign and involve no body contact!
Another highlight included taking a local bus ride with Brigitte. To travel by bus, you stand at the road side and as buses or vans drive by, you scream "Boudha" (my neighbourhood was Boudhanath). If the vehicle is going in that direction, you hop on --- sometimes as it is still in motion. The cost is 20 cents. So a white van pulled up. There were many bodies inside. Limbs were hanging out of doors and windows. People were jolly and gay. Brigitte literally DOVE into the bodies and was absorbed. I stood in shock. The bus driver's assistant (who acknowledges your shout) was yelling at me to get in. I said “How am I suppose to get in there, there is no room”. Well, he grabbed me and pushed and pushed to get my body inside. Someone inside took hold of one of my hands and pulled until it was placed on something to hold. Someone else grabbed the other hand and pulled and pulled in the opposite direction, until it was placed on something solid to hold. I was hanging out the van and away we went. Luckily, traffic was at a crawl due to rush hour. I never laughed so much in my life. Again, I kept thinking that I had been wise to buy travel insurance.
Although the social and tourist aspects of my time in Kathmandu were wonderful, my ministry in the hospice is the memory that I will most treasure. Nursing in the Shechen Hospice was one of the most profound experiences of my life. Despite their limited resources, the staff taught me about the ‘heart’ of hospice care. I was in awe everyday witnessing the love afforded patients by the beautiful, caring nurses.
The patients impacted me most though. Nepali people are the gentlest people. Patients we cared for were poor and vulnerable yet they were so grateful and forever giving despite their suffering. I was often moved to tears by the generosity the patients demonstrated: bowing to us “Sister”, greetings of Namaste, touching us forehead-to-forehead to show their affection, offering an orange as a thank you etc. I am forever grateful to have been afforded this opportunity to volunteer.
Whatever joy there is in this world
All comes from desiring others to be happy.
And whatever suffering there is in this world
All comes from desiring myself to be happy.
(14th Dalai Lama)
I spent the subsequent three days with my dear friend Tom. Together we explored Swayambhu (monkey temple), Thamel Chowk, Durbar Squares (Kathmandu and Patan) and Potters' Square. We shopped-til-we-dropped and shared each other's company over delicious meals and bottles of wine. Tom, thank you for easing my transition to Kathmandu and to life without my travel partner Ann!
Eventually, I made my way to the Shechen Clinic and Hospice (http://www.madonnagasaki.org/en/popup_shechen_clinic.html) where I was warmly greeted by all. On the sunlit staff terrace, I enjoyed lunch with my colleagues and spent the rest of the day settling into my room. It was nice to unpack and begin to get a sense that I was ‘home’.
The Shechen Clinic and Hospice is located in a subdivision called Boudhanath. It is a magical place. The main focus of the neighbourhood is the stupa (a mound-like structure containing Buddhist relics, once thought to be places of Buddhist worship, typically the remains of a Buddha or saint). The Boudha stupa is a pedestrian only area surrounded by 37+ monasteries. Throughout the day (but especially at dawn and dusk) hundreds of people walk clockwise around the stupa and chant, pray etc. Given that it was winter season, many Tibetans had descended from the mountains to escape the cold. So the stupa was always a gathering of thousands of monks in burgundy robes and Tibetans / Nepalese in their traditional clothing. I attended the stupa every day as the energy of the place was palpable and calming.
The immediate neighbourhood around the hospice was quiet and like in San Miguel Mexico, I got to know the vendors of: baked goods, vegetables, cheese, etc and they became part of my daily life in Boudhanath.
The clinic and hospice were staffed by Nepalese nurses, physicians, Psychologist and allied health personnel. Volunteers included nurse volunteers from Canada and France, and a doctor and dentist from France. Patient care included Western Medicine, Tibetan Medicine, Complimentary Therapies (i.e. accupuncture). Spiritual care was also important part of our routines. We accompanied patients to the monastery once a week so that they could spin the prayer wheels and participate in chanting / praying. On the evening shift, we burned incense at the bedsides. Incense are a pivotal part of the Buddhist meditation practice.
The clinic has its own "chapel" and I spent a lot of time there as it was elegant and warm (candles galore). The grounds of the clinic were picturesque --- complete with sculptured plants etc. Security guards watched over the gated clinic / hospice area 24 / 7. I felt very secure.
VOLUNTEER LIFE:
The volunteers (Pauline, Helene, Veronique, Brigitte) were well connected. Typically, we had breakfast and dinner together every day (there was a private kitchen in the volunteer quarters). Usually, we ate soup or pasta for dinner and invented the recipes on the spot! We particularly enjoyed a wide variety of fresh vegetables and locally made oatmeal molasses bread (Saturday Café bakery owned by a woman from Ottawa!), yogurt curd and yak cheese.
Brigitte (RN) made the evening tea: fresh lemon, ginger, and honey. YUMMY. I came to appreciate that tea is a staple of the Nepali diet. It was served to all patients four times per day and the sweet tea is a very important part of this culture. It is made with cinnamon, cardamom, ginger, honey etc. At precisely 1000hr and 1600hr, the assistants appear in the clinic and exclaim "Nepali tea time. Nepali tea." All work is abandoned and you must indulge in this tradition. The patients are served tea as well ... even if by naso-gastric tube!
Volunteers frequented local restaurants on evenings when the power shutdown overlapped with dinner hour. Since meals cost as little as 50 cents, we ate out often! My favourite dishes were Nepali momo, chawmein and curry vegetables.
My room was huge (16 X 12 feet). It was basic (like university residence) but had nice hardwood floors and three windows so was very cheerful. There was an ensuite bathroom and it was clean and nicely tiled. Initially, I shared the room with a young nurse named Lao who had travelled from Japan to volunteer over a one year term! Volunteers work only day shifts (0700am until 1300hr, 0830am until 1630hr) or evenings (1300hr until 1900hr).
The volunteers live in the same wing as the patients but one floor above them. I felt very connected to them and it seemed that we each received / gave energy to the other. Most patients are outside during the day (to take advantage of the sun) and they really seemed to thrive in the warmth. Living among the patients meant that we are often engaged with them during our time off. That was nice. When you attended the bedside, you got a sense that you meant something to each other. The feelings were powerful and genuine.
The only drawback of living and working in the same environment is that it is difficult to find quiet and personal space. As on-site volunteers, we tended to leave the compound as soon as our shifts were complete. This 'escape' gave us a chance to refresh and come back renewed.
Power was shut off to the city 16 hours per day. The schedule of power outages was different each day. We have a generator during regular clinic hours 0830hr until 1630hr. Each volunteer's bedroom was equipped with candles and rechargeable lanterns. Water was heated by way of solar panels on the roof. Usually, we had no hot water until at least midafternoon (in my room, the water was never warmer than tepid). Volunteers took turns dashing to their rooms during the shifts in order to take advantage of the rare opportunities to shower with decently warm water. Otherwise, you washed with ice cold water (or boiled water!). Pauline (dentist) was the only one brave enough to shower in the morning. However, she stopped this ritual when Veronique (doctor) diagnosed the early stages of frost bite on Pauline's toes. The ice cold shower water pooling at her feet each day had started to freeze the tissue!
What a pioneer life I lead. There was seldom electricity when I was off duty and that meant dining and roaming around my room with a lantern or candles to guide my way. The patient care areas had no light after sunset and the nurses lit candles to give them comfort. Patients' bedtime is early (1600hr) as the temperature drops drastically and given the lack of central heating, patients need to dive under the covers early in order to stay warm! The rooms were so cold in the mornings, that the patients 'steamed' when we removed their covers to give them bed baths. The water for bed baths was boiled and placed in thermos containers.
Socially, things were always fun and adventurous. Despite having only one day off per week, we managed to do and see a lot while in Kathmandu. We attended a live music (Indian drums called Tabla) concert, a staff picnic, a downtown Reggae bar!, dinner parties galore and puja ceremonies at the Boudha stupa and Shechen monastery. We also enjoyed a visit by Alvaro, a Spanish clown (www.biciclown.com). Alvaro is a lawyer who gave up his law practice and is cycling around the world to bring joy to the people. He has been cycling for the past 5 years already and will be in Canada in 2016.
One event that stood out for me was attending a local movie theatre. Surprisingly, I understood the love story despite the language barrier! The atmosphere in the movie theatres was the most entertaining part of the experience: people answer their mobile phones and speak in loud excited voices; movie goers cheer / scream at the 'love scenes' ... which are so benign and involve no body contact!
Another highlight included taking a local bus ride with Brigitte. To travel by bus, you stand at the road side and as buses or vans drive by, you scream "Boudha" (my neighbourhood was Boudhanath). If the vehicle is going in that direction, you hop on --- sometimes as it is still in motion. The cost is 20 cents. So a white van pulled up. There were many bodies inside. Limbs were hanging out of doors and windows. People were jolly and gay. Brigitte literally DOVE into the bodies and was absorbed. I stood in shock. The bus driver's assistant (who acknowledges your shout) was yelling at me to get in. I said “How am I suppose to get in there, there is no room”. Well, he grabbed me and pushed and pushed to get my body inside. Someone inside took hold of one of my hands and pulled until it was placed on something to hold. Someone else grabbed the other hand and pulled and pulled in the opposite direction, until it was placed on something solid to hold. I was hanging out the van and away we went. Luckily, traffic was at a crawl due to rush hour. I never laughed so much in my life. Again, I kept thinking that I had been wise to buy travel insurance.
Although the social and tourist aspects of my time in Kathmandu were wonderful, my ministry in the hospice is the memory that I will most treasure. Nursing in the Shechen Hospice was one of the most profound experiences of my life. Despite their limited resources, the staff taught me about the ‘heart’ of hospice care. I was in awe everyday witnessing the love afforded patients by the beautiful, caring nurses.
The patients impacted me most though. Nepali people are the gentlest people. Patients we cared for were poor and vulnerable yet they were so grateful and forever giving despite their suffering. I was often moved to tears by the generosity the patients demonstrated: bowing to us “Sister”, greetings of Namaste, touching us forehead-to-forehead to show their affection, offering an orange as a thank you etc. I am forever grateful to have been afforded this opportunity to volunteer.
Whatever joy there is in this world
All comes from desiring others to be happy.
And whatever suffering there is in this world
All comes from desiring myself to be happy.
(14th Dalai Lama)