Darjeeling five years later I was very astonished that the SADDAR hospital drom that time did no longer exist. A new hospital had been built with funds of the World Bank. The building certainly was much better and cleaner too than the previos. Also in the meantime there were necessary diagnostics such as a laboratry, ultrasound and X-ray radiology. It also was new, that patients had to pay a contribution towards thees investigations (see table). Unfortunately Dr. Chaudhuri, the Gynaecologist who had trained me at that time had been taken to Calcutta with a suspectet myocardial infarction. Instead I spoke with the new Medical Superintendant. It complained that a beautiful new hospital building had been erected with the assistance of loans of the World Bank, but there was no money for maintenance. Thus he hopes that the X-ray machine and ultrasonographie keep on working as long as possible. The Superintendant seems to welcome foreign medical students very muich. Applications are to be addressed directly to him, so he can pass them on to the Chief Medical Officer. We visited the labour ward. I was hapy to see old faces again. But I was shocked to see that behind this new facade hardly nothing had changed. There still was no runing water and the furniture such as the tables were birth was given and the newborn child beds are still the old ones. Also the instruments "are sterilized" in the old way. I notice at the aspect from Susanne that I am already quite "toughend". Sees, what she writes: "Another topic than the many tee plantations is the general hospital here again. Elias had done an elective period in the materinity ward five years before. Already the photos which I had seen left me quite shocked. We visited the nurses. And suddenly we found our selves in the labour room. This was both the nurses room as well as the birth area with four metal plank beds. On everyone a woman was laying and was giving birth. On the ground there were big puddles of blood and the women groand quietly. The nurses were busy with us. The next day we returned because Elias hoped to meet a lady doctor from the former times. Today only one of the metal beds was occupied. We sat at the desk around an electrical furnace, where the nurses warmed themselves. We had tee. As soon as the woman in labour moved or became louder again the nurses hushed here to be quiet again. When the smal head apaered the nurses went into position. The birth went very quietly. The baby was dead. Everything happened in the same room, only a few meters from us drinking our tee. I was sad as we left the hospital. In the evening we visited one of the nurses at home, whom Elias knew from former times. On the question why she was not married, she answered that she has to much fear to bear a child. In the meantime she dose not work in the labour ward any more. Now shw is posted on the pedeatric ward." Elias and Susanne Darjeeling, 31/10/05 Address for elective periods: Government District Hospital Darjeeling F.A.O. The Medical Superintendant Darjeeling, West Bengal PIN 734101 India Old friend
| The new District Hospital of Darjeeling The Labour Ward nurses and Susanne Labour Ward Room for the new born The cleaning women. On the stive cotten wall being "sterilisied" Round on the labour ward
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