Yesterday I gave two back-to-back lectures on my favorite topic, cardiac electrical activity and the genesis of the electrocardiogram. During the lecture the students are extremely attentive and I face a sea of bright receptive faces. Partly because I was teaching for two hours and partly because English is not the student’s first language, I built in frequent breaks where I invited the students to discuss in Nepali what I had just taught. I often given students in Canada time to reflect on a difficult topics during my lectures, but here the second I make the offer “Nepali bolnus” the students virtually thrown themselves into discussion. Drawings are pored over, rapid-fire gestures are made, differences in understanding are vigorously debated and the energy level is palpable. It’s like a fire hose of clarification for the students. For me, it’s educational crack cocaine.