Sunday, October 16, 2011

Hiking Oct 8 2011 with colleagues

                                                  Saturday we went up the Mt Motigo
                                                          Church near top of Mt Motigo
                                            with colleagues from USA and Great Britian
                                                                 A three hour good hike

Visit to an orphanage




We missed home especially grand kids. Skype with Homing ,Katie and the two darlings last night. Alex has grown much in two weeks. Ethan appears more mature and gentle .Skype is indeed a great thing. 


Esther made these little cute hats for the premature infant
                    Esther also kept herself busy with  volunteer work, visits and bible studies-





                                               When you walk to Maternity Ward
                                               these Words of God encourage you.


 Spoke to a doctor who have been here longer..I asked him how much a patient who is scheduled to have abdominal surgery done will have to pay .He said that someone who have NHI (similar to a partial coverage insurance plan) will pay aout 20, 000 Kenyan Shillings . But a person without NHI may pay up tp 40,000 Kenyan SH. That is a lot for the Kenyans who live in this part of the country. She may need to sell a cow,or some of his/her land to raise  the money. A good cow  may be worth 25000KSH . But how many have a cow or two to spare??

We took a break in the end of our second week here -to Masai Mara







Tuesday, October 11, 2011

                                        Devotion of Medical Staff every Wednesday at 8 am
                                    Two year old boy, ate  goat meat.Diagnosis - Anthrax

Interesting things I never saw before

Monday, October 10, 2011

My office was an office and a place for the staff have their 10am Chai time.
I like the chai ,which is milk tea ,like Hongkong milk tea. I do not know how thay call it chai- Esther said it came from an Indian word.




I got to mingle with all the staff,and build up a friendship.


Esther at Nursery

Esther had an eye-opening experience when she offered her help in the nursery. No one had diapers nor bottles. Each mother cared for her own buddle of joy, nursing him/her with tender loving care and cleaning her/him gently with wet cotton balls.




Esther helped a mother with twins to tube-feed one of her babies and when a nurse found out that the baby had wetted Esther's apron, she sweetly said, "Oh! he has blessed you."

The Oasis in western Kenya




Many do not have

I am still patiently waiting for the CT to get the "go-ahead"from the Government. The new US unit donated by some friends in the USA has not arrived .Yet I was busy in the routine of things. I was called to scan a few times in the medical ward and OR.I was glad to be able to help ,when a little help was needed. The idea of mission is not really doing things spectacular,but the repetition of things common . I was happy doing that-simply serving God's people.


A reisdent's wife went to overnight visit to some rural areas. She picked up an abandoned 2 year old infant . Emaciated , weighing a mere 9 lbs. She took him to xray for a study. She had a very sad look in her eyes .On his xray was the most pronounced bone changes along the femurs (thigh bones). Two separated fractures of femurs had caused this .There was a third older fracture of the right shoulder . There is an example of gross neglect of a two year baby . My heart felt heavy . Now this child will go under someone's care in the hospital , later a loving adopted family. Pray that he recovers well.

Talking toccolleauges ,who have been here much longer, I am learned that some patients may choose to let their disease take its course , if the cost of the treatment is too much ; that they may choose to die and leave the money for their families. We were talking about less than a thousand US dollars.!!

PRAY for the people of this land.

First Sunday


We attended our first Sunday Service here at the church in the hospital ground .Esther took these pictures with the 5 year old boy who played the drum in the worship.Love him and the music.

Tuesday, October 4, 2011

First week at Tenwek

We have arrived at Tenwek Hospital for four days. I started to work in the X-ray department on the second day of our arrival. CT was delayed and we were praying for it to be in business by next week.

We brought 50 pounds of medical supplies from Health Parters International Canada and had them safely delivered. This was greatly appreciated.

I had to train the two green, but eager ultrasound technologists. It was bad timing, as the two best techologists had left for one year of training in the United States. I scanned many cases with them. The equipment was quite limited, two old ultrasound machines.One was hooked up to a thermal paper printer.The second machine is not  hooked up to any printer. What you write down on the requisition form became the record.




I pray that the newer machine donated by a colleague in North America,due to arrive soon, will have better capabilities.I pray that eventually newer ultrasound machines can be hooked up to the central server to keep the images and archieve them.

Two old xray machines were modified for CR. The images can be seen in a 18 x 10 inch monitor. High resolution monitors costing thousands of US dollars are not even dreamed off. But very soon they can be read in other areas of the hosptal via Wi-Fi.  As the week went  on ,this was  being implimented. Soon there will not be the need to print off a hard copy for the patient to take over to the clinic.

The is no fluroscopy machine.Interventional radiology is not done much here. The only two C-arms are kept in operating rooms and constantly used by the orthopedic surgeons. There is a portable ultrasound unit in the operation room,  adequate but not producing the best images.

There are many technical upgrading planned and being implemented.  Limited funding had caused making of hard decisons. Every test ordered is to be paid by the patient .Therefore no test was ordered that are not absolutely needed. Everyone has to adapt and do the best possible.

I witness the bravery of the people who would come to have thier ultrasound tests. They simply accept the occurance of disease and go on with life. There is the wordless bravery, and trust in God (for the Christians) and their inherited steadfast trust in living their life no matter how hard life is.

Esther kept herself busy by offering whatever help was  required. On her third day of our arrival, she went with the Community Health team to one of the rural area health station where oral polio and immunization shots were given to infants. She helped to measure and record the weights of over 80 babies, all carried by their mothers who walked for miles from local villages. Each baby had one needle on each leg. All screamed and cried aloud, but their mothers know that their love ones will be well protected from diseases.
                                                                Read off the weight !