- Created: 15 December 2016
- By Paula Rashkow
There was definitely a special something in the air that Saturday night. We had just had a fantastic day off from clinic visiting the home of one of our rock star interpreters. As we wove through farm fields and villages, the other practitioners and I fell in and out of many conversations about what we have been observing of rural life in Nepal. Bottom line: It is hard work. We were constantly trying to figure out what kind of recommendations would be useful and realistic for these folks who farm the land of the Himalayan foothills. So much of what we see in clinic is basic wear and tear from years of walking these hills with heavy loads and the back breaking labor it is to subsistence farm without the mechanization we are used to in the west. We also see lots of COPD from cooking over open fires in the home with no chimney to ventilate, eyes becoming scarred and irritated from so much dust and sun exposure, and trickier issues of lots of GERD from an irregular eating regimen, unmanaged diabetes and hypertension all probably due to modernizing processed diet over the past few decades.