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Monday, October 26, 2009

Bir Hospital


Bir Hospital is the oldest and one of the busiest hospitals in Nepal. It was established in July 1889 by Bir Samsher Janga Bahadur Rana. It is located at the center of Kathmandu city. The hospital is run by the National Academy of Medical Sciences, a government agency since 2003.
The hospital provides high quality medical and surgical treatments to people from all across the country. Many patients from the rural areas come to this hospital to get free treatment. It current has a capacity of 458 beds. Some of the county's top doctors work in this hospital.Every year it produces qualified efficient and well trained post graduates in different subjects of clinical medicine e.g. general surgery, internal medicine, orthopaedic surgery, pathology etc. It has become an Internship centre for students who had passed MBBS from China and Russia and other parts of the world. Hundreds of nurses of different levels get nursing training in this hospital.


Facilities:

Nephrology

Nephrology service in Nepal started at Bir Hospital. Though over 40 kidney biopsies are done every year, due to lack of well trained manpower in the field of renal histopathology, glomerular diseases cannot be easily diagnosed with accuracy. Hence, training a renal histopathologist and a histopathology technician is found to be the most important task for the hospital in order to provide accurate service to the patients.

Disaster Response

The hospital has one of the best disaster response team in the country. Vast majority of disaster and mass casualty victims are treated either free or with minimal charges. Disaster situations faced mostly are from natural causes or road traffic accidents. The hospital's disaster management plan was used first in 1988 following a stampede incident in the national stadium in Kathmandu.

Surgery

Being the oldest department of the country, the surgery department has different units as General surgery, Gastro and hepatobiliary surgery unit, Burn and Plastic surgery Unit, Urosurgery, Cardiothoracic, Neurosurgery. The general surgery department performs about 3,000 elective and emergency operations each year, and similar number of minor general surgical cases.

Burn and Plastic surgery Unit

Burn and Plastic surgery unit has 16 beds, including 3 burn ICU beds. Every year more than 100 severely burned patients used to be admitted in this unit. It is providing both life savings and corrective surgery for burn patients. The unit is currently run by two general surgeons.

Dental department

Dental department started its new unit of orthodontics and dentofacial orthopedics since 2009 with the cost about one forth than that of other clinics and hospitals.

Funding

The yearly budget of NRs 27 Crore (About US$ 4.1 million), two third of which is funded by the government. The hospital has been facing financial difficulties for many years now. The lack of adequate funding is the major problem faced by this hospital.Despite the rising costs at other hospitals, it has not hiked its fees. To help in the financing of the hospital expenses, it runs a medical school, which conducts post-graduate medical, surgical and other specialists training and also runs bachelor's level in nursing.

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