Narok Fistula Hospital

07/07/2021

Fistula surgeons

27/05/2020

Restoring hope and dignity

26/03/2020

23/03/2020

Discussing fistula

29/07/2019

FIGHTING CANCER.

My advice:

Start with ceasing Sugar, make your body ALKALINE because no cancer cell survives in alkalized body; increase vitamin C and finally, Get clean air into your lungs and body. More importantly, DON'T GIVE UP.

What Cancer Cannot Do: Cancer is so limited.

It cannot cripple LOVE.
It cannot shatter HOPE.
It cannot corrode FAITH.
It cannot destroy PEACE.
It cannot kill FRIENDSHIP.
It cannot suppress MEMORIES.
It cannot silence COURAGE.
It cannot invade the SOUL.
It cannot steal eternal LIFE.
It cannot conquer the SPIRIT.

WE SHOULD FIGHT CANCER TOGETHER; WE ARE STRONGER THAN CANCER.

Cancer is a monster and am in agreement that it will die too one day...

28/07/2019

Stress Management: Change your attitude

Stress is the result of the interaction of two components; a certain situation and your attitude towards it.

To cope with worries, you can influence the first component. For example, if your work causes you irritation, try to find another job. If you are afraid to be late for a meeting, leave your house early.

If you don't have any leverage over the situation, try to change your attitude. It is proven that the negative perception of a problem is more dangerous than the problem itself.

To save your mental strength, try to find positive aspects, share your feelings with your loved ones or be indifferent to the worries.

There is no point in worrying about what is beyond your control. This will only exacerbate the state of stress.

Manage to accept difficulties as life experience and move on without looking back.

But did you also know that most of the stress we feel doesn’t come from having too much to do but by not finishing what we started?

23/06/2019

Fistula translation- Unyanyapaa wa Nasuri

Unyanyapaa miongoni mwa wanawake kufuatia hali ya Nasuri umekithiri hususan katika kaunti ya Garissa. Mwanamke mmoja mwenye umri wa miaka 28 na mama ya watot...

23/06/2019

JNC 8 earlier used. We're at AHA 2017 or ESC 2018 for management of hypertension

23/06/2019

JNC 8:

1. Normal bp:

is SBP less or equal to 120mmHg AND DPB between 60 to 79. Motivate to keep on the healthy lifestyle.

2. Pre-Hypertension:

SBP of 120 to 139 OR DBP of 80-89.
Lifestyle modification is the key. Avoid sedentary lifestyle.

3. Stage 1 Hypertension:

SBP of 140 to 159 OR DBP of 90 to 99

Medical therapy added to lifestyle modification.

Monotherapy with optimization of a Thiazide Diuretic UNLESS there are compelling reasons to avoid thiazides eg DM (thiazides lead to poor sugar control)

If these compelling reasons exist: ACE inhibitors alone should be optimized unless ACE inhibitors cause problems in which case ARBs should be used.

4. Stage 2 Hypertension:

SBP of 160 or more OR DBP of 100 or more.

These are the candidates for polytherapy with a Thiazide diuretic PLUS ACEIs as mainstay unless these can not be used.

Remember ACEIs are RENOPROTECTIVE and slow down progression to hypertensive kidney disease so we should use them as much as possible unless specifically contraindicated.

Proper patient evaluation to accurately diagnose and group the patient is key.

This is how I approach hypertensive patients though am not a cardiology guru.

21/06/2019

Cervical screening is a quick test (about 5 minutes)which checks the health of your cervix & can prevent cancer before it develops.

20/06/2019

(1)

A uterine fibroid (leiomyoma, fibromyoma) is a benign tumor that evolves from the smooth muscle tissue of the myometrium (the muscle layer of the uterus)

Uterine fibroids are most common among women of reproductive-aged
Uterine fibroids do not spread to other organs
Large fibroids can cause severe symptoms like secondary infertility
Uterine fibroids usually remain benign and have a low risk of becoming malignant
Among the main causes of uterine fibroids are:

Genetic changes – fibroids are often hereditary with a distinct familial predisposition. Genetic testing of fibroids found hereditary mutations in some of the genes.
Hormonal changes - the uterine lining is very sensitive to hormonal changes. Histological analysis of fibroids indicated a larger quantity of estrogen and progesterone receptors than in a healthy myometrium (middle layer of the uterus).

18/06/2019

What Can Cause Infertility?

June is World Infertility Awareness Month.

If a couple cannot conceive a child in a year of having regular unprotected s*x (six months for those older than 35), it means that they may be facing an infertility problem. In this case, they are not alone, as at least 1 in 7 couples worldwide have difficulty conceiving.

Infertility means that either the man or woman, if not both, have something happening in their bodies that prevents conception. Male and female infertility are equally common so its crucial that both partners get checked for factors that may cause the problem.

What Causes Male Infertility

- Too Little S***m Count. If a man’s semen contains fewer than 15million s***m cells per milliliter, this may be not enough to conceive.
- Low S***m Motility. S***ms can be too slow to reach and fertilize an egg.
- Abnormal S***m. S***m Cells can have defects that prevent them from fertilizing an egg.

What Causes Female Infertility

- Ovulation Disorders. These may be caused by polycystic o***y syndrome (PCOS) or another hormonal abnormality.
- Blocked Uterine Tubes. A tube can be blocked as a result of pelvic inflammatory disease, endometriosis or surgery.
- Gynecological Conditions affecting the uterine cavity. These include chronic inflammation, intrauterine adhesions, uterine fibroids and polyps, or adenomyosis.

In some cases, the exact cause of infertility may remain unclear. But there are known risk factors for both male and female infertility.

What can Cause Infertility In Both Women and Men

- Age. This is the most important factor affecting fertility.
- Sexually Transmitted Infections (STIs) such as gonorrhea and Chlamydia
- Being Underweight or Overweight
- Smoking and Drinking Alcohol
- Chemotherapy and/or Radiation Therapy
- Exposure to certain chemicals
- Chronic stress
- Poor diet

In some cases, infertility can be successfully restored after the underlying condition has been managed. Otherwise, infertility can be successfully managed with the appropriate medical treatment, endoscopic surgery, or with the help of assisted reproductive technology (ART). Its techniques vary in the approach to the problem.
Consulting a specialist is the best way to find out which option to choose.

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