KNH NEWSLINE EDITION 17.

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NEWSLINE We Listen, We Care

Issue 17.

27/8/2021

Dr. Victor Bargoria - KNH Orthopaedic Surgeon and sports team doctor Athletics Kenya with the G.O.A.T, Eliud Kipchoge

KNH @120 YEARS

From Tokyo with Love KNH staff give an account of their experience with Olympic champions

By Ngure Jacqueline

R

emember the story of Kenyatta National Hospital staff selected to take part in the international sporting events as team doctors, nutritionists, and physiotherapists?

Well, the team is back from Tokyo, Japan where Kenya bagged 10 medals in the Olympics. Newsline had a chat with them.

Dr. Victor Bargoria, a KNH orthopedic surgeon was the team doctor.

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He was privileged to be in Saporo, with the world’s greatest marathoner, Eliud Kipchoge. Wouldn’t we all want to be in such a presence?

Mr. Kipchoge is the best male marathoner in the world today.

The Kenyan runner won gold at the Olympics and the Rio Games in 2016.

In 2018, he broke the marathon world record, finishing the Berlin race in 2 hours, 1 minute, and 39 seconds - more than a minute faster than the previous record. Kipchoge is the only person in history to run a sub-2-hour

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marathon.

Dr. Bargoria describes his Olympics experience as incredibly overwhelming and humbling at the same time.

The opportunity to interact with a man we all refer to as the ‘Greatest Of All Time’ (G.O.A.T), who epitomizes such humility and great discipline and be part of his journey towards making Kenya so proud, was, to say the least, phenomenal.

“I have been the sports team doctor for Athletics Kenya for well over five years now, and I have had the

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Kenyan team marches during the opening ceremony of the Tokyo Olympic games.

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opportunity to care for the sportsmen and women in their training and competitions, but this year’s Olympics is the most memorable of all,” notes Dr. Bargoria.

Ms. Emily Koskey, on the other hand, was the team Physiotherapist.

She vividly remembers the warmth they received as team Kenya especially from the fans, in recognition of the country’s prowess in athletics.

“Most of them offered to exchange their kits with any brand Kenya merchandise that our team had, from wrist bands to t-shirts and caps, to keep as mementos, even in the Olympics village where we were residing, you would be walking around and someone would say ‘Jambo’ or wave in acknowledgment, and they were so kind to us,” she says.

A physiotherapist’s role in the journey includes injury assessment during the competition, fatigue and lactic acid treatment after hard training, soft tissue manipulation for their sore muscles and massages.

Getting such high-level exposure is a huge plus for our staff, which they gratefully attribute to the goodwill that KNH has in the eyes of the country.

Kenya was the best African nation and 19th overall, with 10 medals – 4 gold, 4 silver and 2 bronze – all panned from athletics.

They are more than ready to continue offering the best services to our athletes when called upon to do so and keep raising the KNH flag higher.

- The East African/ Nation.

Africa

Ms. Emily Koskei - KNH Physiotherapist with the Kenyan Ambassador to Japan H.E. Tabu Irina

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There’s credibility and trust accorded to the specialists, so much so that they are entrusted to walk the journey with our world champions.

To plan their diets, assess and treat their injuries, and ultimately offer guidance to Athletics Kenya in all matters concerning their overall wellbeing.

That is no mean feat and as an institution, we take pride in our skills and expertise pool.

The highlight of the Tokyo Olympics for both Emily and Dr. Bargoria was during the closing ceremony when only two anthems were played in the stadium, the Kenyan anthem being one of them.

It was quite the emotional roller coaster for them, stirring up the flames of patriotism from deep within.

The team has nothing but gratitude for the support and facilitation they continue to receive from the KNH management, without which they would not have come this far.

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Ms. Mercy Barwecho (centre) KNH Senior Nutritionist is the sports team Nutritionist for athletics Kenya.

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Role of Nuclear Medicine in a changing healthcare landscape

By Shiphrah Ajiambo

Njeri

and

Melody

W

Jacob Kioko- Theraphy Radiographer

hat comes to mind when you come across the signage “Nuclear Medicine?”

No doubt that many would be confused. Most people associate the name Nuclear with Nuclear Power, Nuclear energy, or even atomic bombs, but never really medicine.

It is no wonder then that a patient or client may ask if the nuclear medicine department specializes in explosive materials.

So, what is Nuclear Medicine?

Well, it is the specialized use of radiopharmaceuticals (very small amounts of radioactive materials) to diagnose and treat various diseases.

Nuclear imaging enables visualization of organ and tissue structure as well as function. The gamma camera is used to detect radiation given off by the targeted organ once the patient ingests a radionuclide.

Digital signals are produced and stored by a computer when the gamma camera detects the radiation.

Single Photon Emission Computed Tomography (SPECT) and Positron Emission Tomography (PET) scans are the two most common imaging modalities in nuclear medicine.

By measuring the behavior of the radionuclide in the body during a nuclear scan, the healthcare provider can assess and diagnose various conditions.

While trying to demystify this unit of specialized medicine, we had a sit down with Dr. Catherine Nyongesa, the HOD Cancer Treatment Center (CTC), and had an insight into what nuclear medicine in KNH is all about.

Interesting fact, KNH is the only public facility in Kenya that offers nuclear medicine treatment and acts as a training center of the same.

The only other facility in the entire country that offers nuclear medicine services is the Aga Khan University Hospital.

“This is a special mode of treatment that is generated from the nucleus of an atom by radioactivity and is used to diagnose and treat various diseases. The radiopharmaceuticals are safe for human consumption” says Dr. Nyongesa.

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The patient becomes radioactive once they ingest the radiopharmaceuticals, meaning that they have to be quarantined for at least 14 days, after that they are free to mingle with other people.

One of the most treated diseases through nuclear medicine at Kenyatta National Hospital is thyroid cancer Dr. Nyongesa explains that it can be used for non-cancer patients as well.

Many patients who have undergone nuclear medicine treatment at KNH have nothing but praises for the doctors and nurses that took care of them. When the unit was active, doctors could

handle around fifteen (15) per day.

Despite these successes, the unit has been dormant for about three years now.

“We have the plans of reviving the unit;” says Dr. Nyongesa.

“The unit shut down when the previous doctor retired. We also lost our supply of medicine; Before, we used to import the radiopharmaceuticals from South Africa prepaid, then have the medicine supplied for the entire year,” she says.

“But since the law on government procurement changed (the supplier has to deliver goods first before payment) our main supplier became hesitant.

Luckily, we have found a local supplier who imports the medicine and sells it to us.”

“We are hoping to get the medicine for Thyroid Cancer first then move to the diagnostic aspect after reviving the machine that has been idle for quite some time. Once we get a qualified doctor with at least 3 years’ experience within KNH to be trained on nuclear medicine, we are good to go!” she goes on.

We then walk to the equipment room where technician Mr. Kioko, welcome us. The state-of-the-art machine is humongous. He explains to us that the machine is very expensive to acquire and that it’s one of the reasons why they are just two in the country.

Our biomedical engineers are on the Dr. Catherine ground to ensure that the Nyongesa - HOD machine works perfectly.

Cancer Treatment Mr. Nicholas Mulongo, who Center (CTC)

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Mr. Kioko says the functional imaging helps the doctor to see how strong body organs, like the heart or the kidneys are. Other functions of the machine include; • Renal scans: These are used to examine the kidneys and to find any abnormalities. These include abnormal function or obstruction of

the renal blood flow.

• Thyroid scans: These are used to evaluate thyroid function or to better evaluate a thyroid nodule or mass.

• Bone scans: These are used to evaluate any degenerative and/or arthritic changes in the joints, to find bone diseases and tumors, and or to determine the cause of bone pain or inflammation.

• Heart scans: These are used to identify abnormal blood flow to the heart, to determine the extent of the

damage of the heart muscle after a heart attack, and or to measure heart function.

Mrs. Susan Kariuki, a thyroid cancer survivor has all but praise for the work being done at the hospital.

“I’ll not hesitate to recommend any cancer patient to visit the hospital for treatment. I’ll be forever grateful to the staff that walked with me through my fight with cancer,” she says.

We hope that once nuclear medicine is revived, many will be able to access this specialized service at our facility.

Demystifying bullying at the workplace

By Verah Mugambi “Respect is an antidote for bullying or to bullying. You cannot bully someone you respect,” those were Mrs. Judith Murithi, Head of Employee Assistance Program’s initial words as we settled down for an interview in her office.

“So let people respect each other as teammates and also as individuals with different opinions on how to do things as long as is for the good of the company,” she went on.

“I was once in a meeting where a colleague lost their temper, undermining a colleague and just made the co-worker cry. They differed in opinion, and the bully shouted and started making bad jokes and everyone started laughing at the other colleague.”

“It wasn’t a pretty sight. This made me realize how frustrated many people are.

Many of us don’t have the confidence to stand up to bullies in our workplaces,

communities, or even homes,” added Mrs. Murithi But what is bullying? This is a form of aggressive behavior in which someone intentionally and repeatedly causes another person injury or discomfort.

Bullying can take the form of physical contact, words, or more subtle actions.

Mrs. Muriithi further describes it as a persistent pattern of inappropriate behavior, direct or indirect, whether verbal, physical or otherwise, that intimidates or degrades and is conducted by one or more persons against another, at the place of work and or in the course of employment, which could reasonably be regarded as undermining the individual‘s right to dignity at work.

Workplace bullying cuts across all categories of staff from volunteers, work experience students, interns, apprentices, casual and permanent employees.

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For example, objective and constructive critique and disciplinary action directly related to workplace behavior or job performance aren’t considered bullying. But criticism meant to intimidate, humiliate, or single someone out without reason would be considered bullying.

“Unfortunately most of the time people don’t realize they are bullying or being bullied. People working at the same level often bully through gossip, work sabotage, shouting and pointing fingers, making bad jokes/remarks where the rest of the group start murmuring and giggling or criticism” she explains.

How to identify bullying in the workplace. · Repeated hurtful remarks or attacks, or making fun of your work or you as a person (including your family, sex, education, or economic background) · Sexual harassment, particularly extreme intrusion of private space, sexually explicit comments, and requests that make you uncomfortable. · Excluding you or stopping you from working with people or taking part in activities that relate to your work. · Playing mind games, ganging up on you, or other types of psychological harassment. · Intimidation (making you feel less important and undervalued). · Giving you pointless tasks that have nothing to do with your job. · Giving you impossible jobs that can’t be done in the given time or with the resources provided. · Deliberately changing your work hours or schedule to make it difficult for you. · Deliberately holding back information you need for getting your work done

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properly.

Initiation or hazing - where you are made to do humiliating or inappropriate things to be accepted as part of the team.

“Bullying is real and is happening every day. When bullying happens in any organization, the whole organization suffers since the productivity of the department goes down. Bullying can affect someone emotionally, psychologically, or even sometimes physically and this will greatly affect one’s work since they will always be away from work stations for counseling or staff clinic seeking help”, says Mrs. ·

Murithi.

A toxic environment makes one less active or successful, less confident at their workplace.

Most of the time, those bullied feel scared, stressed, anxious or depressed, have less job commitment, low selfesteem amongst others.

She urged the leaders to walk the talk and have clear rules and stated consequences of bullying at the workplace.

“Give people an open forum to speak freely, let’s have a transparency policy, and let’s have campaigns on anti-bullying. Here at the Employee

Assistance Program, we are here for you. Let all our KNH staff feel free to talk to us, we shall listen and we can link you to the right person if it’s beyond us. Every workplace benefits from full transparency. Let’s be our brothers and sisters’ keeper,” Mrs. Murithi adds.

“With introspection, I can comfortably say that the power lies with us. Words can be healers of spaces, broken bones, and souls. Use them wisely. As the quote says; be sure to taste your words before you spit them out. We have to be our brothers and sisters’ keepers. May the healing continue.”

Pomp as new Prime Care Pharmacy launched

KNH Board Chair Mr. George Ooko cuts the ribbon to mark the opening of Prime Care Pharmacy. Cheering on beside him is CEO. Dr. Evanson Kamuri.

By Laura Jepkorir ,Petterson Njogu and Luke Kung’u KNH has launched a state-of-the-art Prime Care Pharmacy at the Doctor’s Plaza which will provide drugs on retail at competitive market rates, and operate daily from 8.00 a.m-8.00 p.m including public holidays.

This is in line with the KPCCs vision of becoming a world-class facility in the provision of prime healthcare services.

The pharmacy was officially opened

by KNH Board Chair Mr. George Ooko in the presence of CEO KNH Dr. Evanson Kamuri and KPCC Director Dr. John Ngigi among other KNH staff.

The Board Chair lauded the move terming it a game-changer in the provision of healthcare to our clients.

“I am willing to make this place get

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to the top of healthcare provision and reach greater heights,” said Ooko.

Dr. Kamuri on his part promised the administration will continually fund KPCC projects.

“We want to continuously improve the services in this hospital. This is just but one major step towards realizing this,” he said.

Dr. John Ngigi on the other hand said: “The opening of the new pharmacy will ensure that we achieve competitive medical essentials by expanding our pharmaceutical services and providing drugs at competitive prices. This will in return generate income for the hospital.”

The facility is an initiative of KNH management aimed at generating revenue for the hospital while providing quality pharmaceutical services to the

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public.

Newsline had a one on one interview with Dr. Ngigi. This is what he had to say: Tell us more about this facility?

We have for a while been trying to have good financial as well as clinical outcomes. However, there have been some bottlenecks hindering financial growth. KPCC is the business unit of KNH with the sole aim of supplementing revenue streams in the General hospital and ease overdependence on government funding. Truly this is a strategic idea whose time has come.

So far the dispensing of medicine has started in earnest, what is the perception by the specialists and the clients getting services at the

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As I mentioned earlier, this is an idea whose time has come. I believe and know that we have made it easier for our specialists to be able to prescribe drugs as well as know the status of the stocks at a stone throw distance as well as easing the burden of spending more to look for hard to find drugs. We endeavor to always have a conversation with the specialists as well as the clients in ease of access to quality medication at a fair price.

We have other pharmacies still dispensing quality drugs, why the additional pharmacy?

Our goal is to gain market leadership through good costing by economies of scale and sell as many volumes of quality drugs as we possibly can, even internationally. It is an additional revenue stream that gives us an edge to dive into the ever-dynamic and highly competitive niche. We are strategically placed, able, and willing to provide leadership in the provision of affordable quality medicine any day of the week including public holidays. Our opening and closing times are very flexible and we will not lock any client out. Our mode of payment is also friendly and safe

KNH Board Chair Mr. George Ooko cuts a cake to mark the opening of Prime Care Pharmacy. Looking on CEO. Dr. Evanson Kamuri (left) and Irene KamauNutritionist KPCC (right) What was the overall cost?

We have spent less than Kshs. 2 million because we were refurbishing and renovating the building to suit our purpose.

as we are using digital modes and issue receipts.

How do you perceive the uptake?

I remain optimistic and encourage all to utilize the facility which comes coupled with the privilege of getting a one-stop specialists hub at a prime and easily accessible area as well as top-notch amenities. The fact that the safety and security of all are guaranteed makes it more of a choice than an option.

Parting shot?

I feel privileged to be among the team that has made the dream a possibility, I am glad to have witnessed this milestone. I perceive a more robust, healthy, and competitive leadership on this front. The advantage lies with the market rates as well as the large client base which is Kenyatta National Hospital.

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“The Opening of the new pharmacy will ensure that we achieve competitive medical essentials by expanding our pharmaceutical services and providing drugs at competitive prices. This will in return generate income for the Hospital.” ” - Dr. John Ngigi - Ag. Director KPCC and HOD Renal Unit.

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From the Communication Desk:

Effective communication during conflict

By Sheila Murithi Like it or not, conflict is an inevitable human phenomenon. Whenever there is human interaction, conflict can sprout from time to time.

Conflict can be positive; it can be used to raise and address problems and bring about the desired change.

A 2009 article by Professor Abdul Ghaffar from Qurtuba University in the Journal of Managerial Sciences states that “Conflict isn’t the same as discomfort. The conflict isn’t the problem – it is when conflict is poorly managed that it is the problem.”

In busy work environments, such as KNH, good communication can feel like a luxury no one has time for. You either get it or roll with the punches.

At times this can prove to be problematic as assumed expectations may be set or individual roles may not be clear and therefore work done does not meet the expected standard or give the anticipated result.

It has been observed that poor communication always leads to misunderstandings and eventually conflicts. Communication has an immense role to play in conflict management but before we dive into it let us first understand the different causes and types of conflict. Ghaffar produces a list of causes of conflict in the workplace: • Affective conflict: arises when group members have interpersonal clashes that are characterized by anger, frustration, and other negative feelings • Substantive conflict: that arises when group members disagree about the task or goal at hand.

• Conflict of interest: This takes place when there’s an inconsistency between two parties for how a scarce resource is to be allocated. This, despite the fact the parties in dispute have the same understanding of the situation – i.e. that the resource is in scarce supply; • Retributive conflict: which, as its name suggests, takes place when the conflicting parties feel the need for a drawn-out conflict to punish the opponent.

• Conflict in values: occurs when two social entities differ in their values or ideologies on certain issues.

• Goal conflict: something that arises when the parties involved

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disagree about what the preferred outcome of a task or situation should be.

• Displaced conflict: when the conflicting parties either direct their frustrations or hostilities to social entities that are not involved in the conflict or argue over secondary, if not insignificant issues.

The most common source of conflict is poor communication. When communication is used poorly or not used at all, it can be the catalyst that can heave parties headlong into a conflict.

Here are ways to resolve conflict and improve colleague relationships through better communication: Be very clear and straight forward on what you expect from the other person. Don’t always expect the other person to understand everything on his own.

When some information is not clear it can add to the confusion and result in displeasure and disagreements. For instance, when you are requesting a meeting be sure to mention the time, venue and have a clear agenda so that the other party can come well prepared.

Don’t merely depend on verbal communication, instead follow up communication through email or a shared platform such as WhatsApp and keeping every member in the loop. It is generally observed that conflict among individuals arises when they feel neglected or left out.

Transparency is essential at all levels for better understanding and avoiding he said she said scenarios.

Disagreements can arise anytime

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so make sure that the superiors are always available to the rest of the team for any clarification.

Build active listening skills.

You may be hearing what your colleagues have to say, but are you listening to them? Listening is such an undervalued skill, and it can have a real impact on how often conflicts arise and how they can be avoided.

An individual must not assume things on his own and overreact on petty issues. Every individual has the right to express his views and one must first listen to what the other person has to say.

Recognize and respect personal differences. Opposing viewpoints, behaviors, and work styles can cause a lot of arguments and misunderstandings among colleagues.

We each interpret what we have heard or seen, give it meaning, and draw conclusions based on our experiences.

Recognizing that differences exist makes it easier to begin having discussions that help resolve workplace conflicts.

Never be loud and always be very careful about your pitch and tone. Be polite and convincing.

Make your point very clear but do not shout at others as they may feel bad and go against you. Some light reading I did during the week from Dr. Githinji Gitahi’s #50years50lessons booklet, his lesson number 20 stated; always reflect on your words and tone of your voice “Raise your words, not your voice. It’s rain, not thunder that grows the flowers - A 13th Century Poet Rumi. Enough said.

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KNH AT IT AGAIN!

KNH has emerged best in Energy Management, Policy Planning and Project Management in this year’s Energy Management Awards. The ceremony was held on August 27, 2021 at Safari Park Hotel.

Hongera!!!

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KNH-Othaya launches Private Wing Nurse Joy Agnes attending to patient 001 at the newly opened private wing.

By Julius Ita Kenyatta National Hospital - Othaya private wing opened its doors to the public this month, with two patients being admitted at the wing, signaling yet another major milestone.

Patient 001 (Name withheld) was grateful to the team of medics at the facility for the care and support offered.

“I am so grateful to the doctors and nurses because they have been good to me. The ward is clean, services are good, I am so grateful,” said the patient.

A Private Wing Project Implementation Team chaired by the Senior Director Dr. Peter Muiruri took barely a month to turn around a whole wing into what it is now.

“This is a great achievement and a testament to the team spirit of delivering not just on time but quality, impactful service,” he said.

“With the increase in demand for Private Care services in this region, the new wing is very strategic market segmentation, one that will see us lead to self-sustainability of services.”

The team of medics operating the Private Wing team is upbeat about its prospects.

“It honor to be among the team that is ushering in our private wing patients,”

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CEO KNH Dr.Evanson Kamuri while touring KNH-Othaya at the newly opened private wing

Corridors of the the newly opened KNH-Othaya private wing

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said Joy Agnes, Private wing Nurse.

She went on; “Definitely it’s the first days which come with challenges but we have to stay positive if we are to realize this vision of a KNH-Othaya private wing.”

On his visit to the Private wing, the CEO of Kenyatta National Hospital Dr. Evanson Kamuri commended the team and was quick to remind them to aim higher that this is just the beginning now the work begins.

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Against all odds: KPCC Cancer survivor story

By Petterson Njogu When scans revealed Ms. Stella Ombati had stage three breast cancer and she was to start chemotherapy in March this year; she thought her world was coming to an end.

This was not the case. When she sought treatment at Kenyatta National Hospital’s Prime Care Centre, things have never been the same. She is now on the road to full recovery. “ It has not been easy. But I’m proud of myself for pulling through the excruciating process,” she says.

Cancer is a disease in which some of the body’s cells grow uncontrollably and spread to other parts of the body.

To keep the cells from growing and dividing, chemotherapy is employed where drugs are used to destroy

Ms. Stella cuts a cake with Dr. Odhiambo to celebrate completion of her chemo sessions. Onlooking are Dr. John Ngigi and Ms. Doris Kimbui

OUR VISION A world class patient-centered specialized care hospital OUR MISSION To optimize patient experience through innovative healthcare; facilitate training and research; and participate in national health policy formulation OUR MOTTO We Listen, We Care

cancer cells.

“Being diagnosed with cancer at my fairly young age, and to start chemotherapy did cast worry and sorrow in me but I knew I had to be strong, family and friends were my pillars of strength, they were there for me throughout the time” added the 35-year old medical doctor.

According to Mrs. Doris Kimbui, KPCC’s Manager of Nursing and Clinical Services.

“KPCC is committed to giving the best care in an even better environment to support our patients in their treatment and recovery journey.”

KPCC’s Specialized Oncology clinic runs every weekday from 9 am at our corporate outpatient center (COC). We are committed to giving you and your loved ones quality healthcare.

Inspirational Sayings We cannot solve problems with the kind of thinking we employed when we came up with them.”

— Albert Einstein “Learn as if you will live forever, live like you will die tomorrow.”

— Mahatma Gandhi “Stay away from those people who try to disparage your ambitions. Small minds will always do that, but great minds will give you a feeling that you can become great too.”

— Mark Twain “When you give joy to other people, you get more joy in return. You should give a good thought to happiness that you can give out.”

— Eleanor Roosevelt

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“When you change your thoughts, remember to also change your world.”

—Norman Vincent Peale “It is only when we take chances when our lives improve. The initial and the most difficult risk that we need to take is to become honest.

—Walter Anderson “Nature has given us all the pieces required to achieve exceptional wellness and health, but has left it to us to put these pieces together.”

—Diane McLaren

To contribute or report on newsworthy items, please contact the Editorial team; Marketing & Communication Department Editorial Team: .Dave Opiyo, Edel Q. Mwende & Winfred Gumbo Stories: Jacqueline Ngure, Shiphrah Njeri, Melody Ajiambo, Verah Mugambi , Sheila Murithi, Laura Jepkorir , Petterson Njogu and Luke Kung’u Design By: Collins Cheruiyot Photos: Nicholas Wamalwa & Julius Ita

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Tel: +254 20 2726300-9 Ext. 43121 or 43969 Fax: +254 20 272572 Email: caffairs@knh.or.ke knh.caffairs@gmail.com

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