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Domestic Abuse And Its Effects On People 's Health

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I still remember the night I received the call and rushed to the gynecology ward. There she lay, a young girl of about 16-17 moaning in pain with blood oozing out of her vagina. It had been slit by a razor, by her spouse. Feeling dumbstruck, I secured an IV access, ordered for blood transfusion and started suturing the wound as a desperate measure to stop the bleeding. She fared well and I was relieved. However, it was just another day in a series of regular days in rural Nepal. Domestic abuse, migrant workers suffering from AIDS, road traffic accidents with casualties flooding the emergency department, wards full of elderly with COPD, children with pneumonia, intoxicated and belligerent patients, adolescents with organophosphate poisoning were everyday problems. Having been brought up in a family in urban Nepal, these encounters exposed me to the harsh realities of an underdeveloped society and the effect they had on people 's health. I started seeing life in a new light, with a broader perspective and lesser complaints. It was my thirst for knowledge and a quest for adventure that led me to work as a Medical Officer in a rural hospital for 2 years. The hospital was a referral center for three neighboring districts serving a population of about 600,000. We were a group of young doctors, and our job came with responsibilities that we were not fully prepared for. I realized that I was dealing with a patient 's life all by myself. From treating a DKA in minimal resource

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