Thursday, November 17, 2011

Parenting experience in Nepal

Note: this article was published on Kathmandu post dated 13th November 2011, available in following link http://epaper.ekantipur.com/ktpost/showtext.aspx?boxid=1324484&parentid=14462&issuedate=13112011

When kids become sick: Dhup batti, Abipattikar churna and Azithromycin

-Dadhiram Khanal and Neeti Aryal Khanal

Ask any parent about their worst experience. Child’s sickness: that will be their definite answer. Didn’t we believe during those early happy days of a new parent, that dealing with dirty nappies/diapers and wailing at midnight is only for couple of years? After that, we were supposed to be as carefree as before. But soon enough we know that children, sick at any age are handful. So, extend your deadlines, postpone your weekend plans and forget your favorite TV shows. Your mobile is suddenly in control of little hands, and you are in no position to protest or negotiate. Don’t be surprised if your colleague calls you in not so pleasant voice and ask about numerous missed calls and blank messages. Don’t let weird ringtones and peculiar profile settings deter you either.

The issues that we are discussing in this article may not be representative for all Nepali parents. But chance meeting and sharing with parents in waiting rooms in hospital confirms that many middle class working parents undergo similar dilemmas and experiences.

First of all, when a child becomes sick, the first thing we usually do is search for reasons. Ask any doctor, one of the definite answers will be germs or virus. Many of previous generation of our parents strongly believe on influence of food habits and perhaps some of them even believe in concept of “evil eye”, ankha lagne. Thus, modern ajabholika Nepali parents like us have a unique way of looking at and dealing with children’s sickness. Here, we share the whole emotional drama of parent’s lives surrounding children’s sickness.

Investigation for reasons starts every time our five year old son starts coughing or sneezing. Was that the fistful of chocolate he ate coaxing his hajurama? Or was it the whole bottle of cold water he insisted in drinking claiming that he was too thirsty for warm water? Or was it because he was playing outside in cold evening without his cap? So it goes on. After the end of this mini-research, we start rehearsing an agreed version of “what went wrong” to retell it to the inquiring neighbors, relatives and pediatrician we may soon visit. But often, we are too troubled by the little one’s misery and discomfort that we do not know what to say.

The most recurring debate surrounding children’s treatment is over the merit of Ayurvedic vs Allopathic medicine. In our home, it occurs in divergent intensity depending on the level of the sickness. Our son’s hajurbuwa strongly believes in the power of the herbs and he himself is somewhat a self taught kabiraj. Often, visiting relatives swear by his self prepared concoction, Pachak to cure any tummy problem of kids and adults. Even our mother says that “kabiraj” medicine though working slowly always goes to the root of the problem whereas doctor’s medicine does not. So, mild sicknesses are often convincingly cured by some churna, bati and ras.

Sometimes, you are caught unaware when kids fall seriously ill often at the most hectic week at your work, as it happens with us now and then. We visit our trusted Pediatrician, who really listens. He seldom snatches his pad for hasty prescription of antibiotics within two minutes of consultation. But in serious illness, one has to give in to antibiotics despite all that apprehensive feeling of a parent on its supposedly negative effects. We have often heard few parents’ emotional turmoil over wrong diagnosis, sometimes at cost of child’s health. Often, parents consult multiple doctors all in good faith but are terribly confused with divergent diagnosis.

So, going back to our household drama, hajurama just doesn’t trust on power of kabiraj and doctor saab alone. For her dear naati, she is willing to go an extra mile and hail over all gods and goddesses she knows. Thus, usually the treatment starts with chants of mantra along with lighting Nepali paper incense, Bateko dhup and moving it over the body of the sick child. Definitely reminds us of some shamanic rituals of yesteryears, isn’t it? Earlier as new parents, we regarded it as useless superstitious gesture. But with time, we have learnt to accept and respect her efforts. Firstly, it makes her feel better that she is doing something worthwhile for recovery of her grandchild. Secondly, even our son is emotionally strengthened by his hajurama’s selfless efforts. Thirdly, may be somewhere out there god is really listening to us. Then grandpa joins in with his recommendation of some churna, bati and ras. But in times of prolonging sickness, hajurbuwa gives in to doctor sab’s Azithromycin. But definitely, he would soon start his ayurvedic practice after this bout of illness is over. His concern is on building immunity power of his nati. Soon the daily dosage of lip smacking Chyawanparash and not so yummy Abipattikar churna will start under hajurbuwa’s careful supervision.

And then, after about a week of sleepless nights and mobileless days, we go back to our normal selves. Of course, there will be chocolates, cold water and lot of playing without the cap on, all behind our back. After few months, there will be a cough here and a sneeze there. Then we know it would be time to roll up our sleeves, give up our mobiles and get ready for another roller coaster ride that parenting entails.

Disclaimer: The medicines discussed in the article are used as example only and in no way should be understood as prescribed medicines.

As parents of two children, the writers love to discuss different issues relating to parenting in Nepal. They can be reached at apednepal@gmail.com.