NG’ANG’,AELIJAH|PHOTO StrokeTherapyOccupationalSurvivor:works Issue 18 26/8/2022Newsline More than just health
The KNH Orthopedic Technology and Clubfoot multidisciplinary clinic prescribed bilateral transtibial prostheses and successfully fitted as well as gait trained him. Master Wachira is now a bubbly and very active boy able to trespass all obstacles, exhibits heightened interpersonal interactions, and can comfortably walk unnoticed of any disability. See baby Kariuki’s video by clicking on this link: https://bit.ly/3KbvcrK
This is the predicament that baby Emmanuel Kariuki Wachira faced at a very young age; a week after birth. He was born a normal child but developed kidney complications that led to gangrene in both limbs (bilateral legs) and was indicated to have transtibial amputation with the right side very short.
Seeing a child grow normally is every parent or guardian’s dream. However, there are instances where the inevitable happens that necessitates amputation of one or both limbs. It is quite devastating, to say the least.
This is the ultimate game-changer that reinforces the Kenyatta National Hospital commitment to offering quality specialized health care services.
Dear Colleagues,
Mr. Luke Kung’u MarketingCACAOII & Communication
Kenyatta National Hospital Marketing & DesignDepartmentCommunicationConceptTeam: Dave Opiyo, Edel Q. Mwende, Yvonne Gichuru & Collins Cheruiyot Editorial Team: Dave Opiyo , Edel Q. Mwende, Linnette Leyi, Priscah Angwenyi, Winfred Gumbo, Verah Mugambi, Shiphrah Njeri & Samira Yusuf Stories: Verah Mugambi, Edel Q. Mwende, Priscah Angwenyi, Luke Kung’u , Winfred Gumbo, Samira Yusuf, , Luke Kung’u, Petterson Njogu, Elizabeth Wangui, Melody Ajiambo & Faith Gesambi Design By: Collins Cheruiyot Photos: Nicholas Wamalwa, Elijah Ng’ang’a, Gad Omondi, Merolyne Gwala & Melody Ajiambo Tel: +254 20 2726300-9 Ext. 43121 or 43969 Fax: +254 20 272572 Email: caffairs@knh.or.keknh.caffairs@gmail.com Editor’s note Editor’s note p.2 Stroke survivor: Occupational theraphy works p.3-4 KNH bags Platinum Top Score for Service Charter and Business Process Re-engineering sub-indicators p. 5 The parenting manual p.6-7 Gastroschisis awareness month: Facts about gastroschisis p.7-8 Positive mentions from KNH socials p.8 Intern’s experience p.8 The chronology of rheumatic disorders p 9-10 Bob Leaky: A charismatic actor and theatre sterility advocate p.11 The role of Occupational Therapy in scar and lymphedema management p.12 Acts of kindness for patient dignity p.13-14 Our story in Pictures p.15 Birthday wishes to August babies p.16-17 Comic zone p. 18 ON THE COVER Stroke Survivor: Occupational Therapy works p. 3 Kenyatta National Hospital @KNH_hospital@CeoKnh Kenyatta National Hospital Official Page www.knh.or.ke Find us on Social Media Contents ISSUE 18 To contribute or report on newsworthy items, please contact the Editorial team.
Baby Kariuki can now walk: KNH restoring hope for transtibial amputees
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All the Newslines and Newsletters can be accessed online at: https://bit.ly/3uQGCcI
“So, in November 2018, a friend of ours introduced me to Mr. Asungu here at KNH. Since I was too weak to even walk, Mr. Asungu came to the house and we had a
“I started my sessions and it has been an amazing journey. I say amazing because I was so positive
PHOTO |
ELIJAH NG’ANG’A Assistant Chief Occupational Therapist, Mr. Japheth Asungu during a dressing training session with Ms. Eunice Naliaka, a patient at KNH Occupational Therapy Department
Meet Ms. Eunice Naliaka, a beneficiary of the Neuro-Rehabilitation Clinic at KNH
“Surviving multiple strokes is not easy. I got a stroke in early April 2018. Before that, I used to have severe headaches but since I had an underlining condition; fibroids I was told that the headache was a result of the low hemoglobin count.”“Inearly April that year, I got my first stroke and I lost my memory and was immediately rushed to the hospital. While in hospital, I got a second stroke, and this time, the bleeding had gotten worse. I was then taken straight to Intensive Care Unit (ICU),” Ms. Naliaka narrated.Shestayed in the Intensive Care Unit (ICU) for two weeks and by the time she woke up, the left side of her body was completely paralyzed. “I couldn’t feel a thing. I was incapacitated; I couldn’t do anything even activities of daily living like washing, bathing, and dressing or preparing myself,” she continued. Ms. Naliaka was admitted to the hospital for two months before going home. “I left the hospital in a wheelchair and a cane for walking. I was in diapers and I could not do anything. It was frustrating having people do everything for me including going to the washroom. I was too weak to even go to the hospital for my appointments,” she recalled with a sad face.
Ms. Naliaka is an officer at Kenya Revenue Authority (KRA) and a patient at the neurological rehabilitation clinic who had a stroke in 2018. At the time, she was working in the Kerogoya branch, but since her husband works in Nairobi, she and the kids had come to visit her husband for the April holiday. It was during that time that she got an ischemic stroke.
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“Today looking back, I understand the great effort by Mr. Asungu and the team and I appreciate them. When I came here, they assessed me and placed me in different programs. They introduced me to a support group and at least you realize you are not alone,” she explained with a grateful smile.
Stroke Survivor: Occupational Therapy works conversation. He insisted I have to start doing something like washing my cup after tea or plate after a meal.“Atfirst, I was so annoyed, wondering if he couldn’t understand my medical situation. My hand was held with a leso just to prevent it from dropping; that is how serious it was,” she explained while demonstrating.Ms.Naliakawith the support of her family started practicing and she was determined to go back to how her life was before the stroke.
“A stroke is a wishhandledandemergencymedicalshouldbelikesoand80%ofthedisabilitiescanbeprevented.Wearehavingseveredisabilitiesbecauseofthedelayindiagnosis.Ithehealthsectorcoulddeclarestrokeasamedicalemergency.”,”saidMr.Asungu
By Verah Mugambi In edition 16 of the KNH Newsline, we discussed the A to Z of Neurological Rehabilitation. While gathering information on that story at the Occupational Therapy (OT) Department, we crossed paths with Ms. Eunice Naliaka a beneficiary of the Neurological Rehabilitation Clinic at AccordingKNH.to World Health Organization (WHO), Stroke is the fifth leading cause of death today. It occurs when a blood vessel in the brain ruptures and bleeds, or when there’s a blockage in the blood supply to the brain. The rupture or blockage prevents blood and oxygen from reaching the brain tissues.There are two main causes of stroke: a blocked artery (ischemic stroke) or leaking and bursting of a blood vessel (hemorrhagic stroke).
PHOTO | ELIJAH NG’ANG’A
PHOTO | ELIJAH NG’ANG’A
26/8/2022 ISSUE 18 | Kenyatta National Hospital Newsline We Listen, We Care 4 and determined to relearn the dayto-day activities so even on days I did not feel like doing so, I just did it,” she continued. How did the condition affect your family life? First of all, a stroke is very expensive, so we were financially strained. My family was stressed a lot, especially my kids. Imagine seeing the mother you have known for so long very weak even in a diaper.Myfirstborn who was in form four at that time was affected and I think it hit her the most. I thank God for her teachers who held her hand, supported, and encouraged her, and she is now in campus. My other children are young so they were oblivious of what was happening, but they had to learn to accommodate me and help me when needed. Almost four years down the line, I am okay and they even make fun of me now on how I used to walk. When did you go back to work & how was it? I went back to work in the first quarter of 2019 and it was weird. I was afraid of the lifts; she said while laughing, and when I discussed it with the doctor, he told me that what I am scared of, is what I should do. My colleagues also sympathized a lot and assumed that since I have had a stroke, there are a lot of things I could not do. Whenever I tried to do anything, someone would say; “usifanye hiyo, wacha tutafanya” and I always told them that I had to do it so that I could heal.“One thing I have learned during this journey is that one should never lose hope. I had a high spirit that I must come out of this and if it was not for me, then I would do it for my family. I have been coming to KNH for too long and I see most patients coming in feeling sorry for themselves,” says Ms. Naliaka. “Also it helps to have a strong and positive support system. Lastly am so thankful to the KNH O.T staff. These people were so warm to me when I came and I can’t believe now am even able to drive; take my children to school and I can cook chapatis. Generally, I can say that I am almost back to normal,” Ms. Naliaka Newsline.emergency.”coulddiagnosis.disabilitiesprevented.andandbesomeOccupationalAsungu,Accordingconcluded.toMr.JaphethanAssistantChiefTherapistatKNH,neurologicalconditionscanprevented.“Astrokeisamedicalemergencyshouldbehandledlikeso80%ofthedisabilitiescanbeWearehavingseverebecauseofthedelayinIwishthehealthsectordeclarestrokeasamedicalMr.AsungutoldPHOTO|ELIJAHNG’ANG’A
Assistant Chief Occupational Therapist, Mr. Japheth Asungu during a cog nitive/memory training session with Ms. Eunice Naliaka, a patient at KNH Occupational Therapy Department
Assistant Chief Occupational Therapist, Mr. Japheth Asungu during a coordination training session with Ms. Eunice Naliaka, a patient at KNH Occupational Therapy Department
Assistant Chief Occupational Therapist, Mr. Japheth Asungu during a gross hand function training session with Ms. Eunice Naliaka, a pa tient at KNH Occupational Therapy Department
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KNH bags Platinum Top Score for Service Charter and Business Process Re-engineering sub-indicators
At the end of FY 2021/22, the Huduma Secretariat, in a letter to Chief Executive officer Dr Evanson Kamuri, EBS says it received 100% of the submissions expected from the Hospital, which translates to a 3.8% score in the Performance Contract.Thistranslates to 2% for service charter implementation and 1.8% for documenting and sharing service processes, being the highest score an institution can receive from the organisation.Kudoseveryone for the excellent work!
By Edel Q. Mwende Kenyatta National Hospital has received a platinum award for the implementation of the Citizen Service Delivery Charter and Business Process ReEngineering sub-indicators. This is in line with the 2021/2022 performance contracting guidelines.Theguidelines provide that ministries, departments, and agencies share with Huduma Secretariat copies of the Citizen Service Charter, and Quarterly Service charter Monitoring reports as well as Re-engineered Service processes.
The parents are nurturing, responsive and supportive yet set firm limits for their children. They attempt to control their children’s behavior by explaining rules, discussing, and reasoning. They might listen to a child’s point of view but do not always accept it.
A type of parenting style characterized by low demands with high responsiveness. Permissive parents tend to be very loving yet provide few guidelines and rules. The parents do not expect mature behavior from the children and often seem more like a friend than a parental figure. This kind of parenting promotes psychological development and protects children from toxic stress.
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Did you know that parenting has got no Everymanual?parent’s dream is to become their child’s best friend and confidant but once too often, most fail at that and the main question is why? The personality of parents affects a child’s behavior and in addition, the relationship and the family structure affect the overall growth of a child into adulthood. There are also other predisposing factors during parenting that lead to psychiatric conditions.
Permissive Parenting
ParentingStrict/Authoritarian
Types of parenting styles
To expound more on this, Newsline had a sit down with Ms. Caroline Thuranira, Senior Nursing Officer at the KNH Youth Centre on the different parenting approaches that are used.
This is extremely strict. Parents expect children to follow the rules with no discussion or compromise. They use this approach for many reasons. This is because of their nationality, culture, or their ethical background. This is what dictates such kind of parenting. Children with this parenting style have positive attributes such as; being well behaved, academically successful, independent, self-reliant, and socially acceptable.
The children have attributes such as independence, self-reliance, good performance, well-behaved, and socially acceptable. They are also less likely to report depression and anxiety, and they are less likely to engage in antisocial behavior such as delinquency and drug use.
Strict/Authoritarian Parenting:
Some are more often than not withdrawn, with a poor judgment of character, and become rebels when they are older.
By Priscah Angwenyi
The children tend to have a high dependence on rules that they end up having a rule for everything. Such parenting encourages children to rebel and have low self-esteem.
The children also tend to have negative attributes such as; low self-esteem, aggression, shyness, and cannot make their own decisions.
Authoritative/Democratic Parenting
The parenting manual
Authoritative/Democratic Parenting
PHOTO |HEALTHLINE
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The positive traits include selfassurance, exploration, and creativity.
Gastroschisis awareness month: Facts about gastroschisis
PHOTO |DR.PREM Neglectful parenting
By Elizabeth Wangui & Petterson Njogu
On the other hand, the children are less aware of the limits of acceptable behavior. The children tend to exhibit worse impulse control and have more behavioral problems. When facing stressful situations, they are likely to resort to using aggression. Neglectful Parenting This is also called uninvolved parenting, which carries more negative connotations. It is a style of parenting where parents do not respond to their child’s needs or desires beyond the basics of food, clothing, and shelter. Parents with little empathy often neglect their children and don’t even realize it, while there are also parents who do not care. Either way, the child grows up wondering about their self-worth and value. Traumatic experiences like abuse and neglect harm children’s brain development. These children are usually under the care of house help. The children tend to be anxious or stressed due to the lack of family support. They are emotionally withdrawn and fear becoming dependent on other people. They end up having an increased risk of substance abuse. It is in this kind of parenting that children experience physical trauma, sexual trauma, attachment challenges, mistrust, and poor coping mechanisms.Developmental stages without a parent may cause adverse childhood experiences. This will in the long-run cause mental health challenges such as post-traumatic stress disorder (PTSD), anxiety disorder, attention deficiency syndrome, low selfesteem, suicide ideations, and other related illnesses.
‘A good parenting mix is ideal so that a child can have an all-round personality, survival skills, good academic performance, and great interpersonal relationship skills,” concluded Ms. Thuranira.
PHOTO | PUBLISHING.SERVICE.GOV.UK
In the month of August every year, the world commemorates Gastroschisis Awareness Month. The awareness is primarily geared towards creating an enabling environment for the promotion of medical research, providing family support and instilling community awareness.Newsline interviewed Kenyatta Prime Care Centre Pediatric Surgeon, Dr. Tim Jumbi for an in-depth understanding of Gastroschisis. What is Gastroschisis? Gastroschisis is a congenital defect on the anterior abdominal wall usually associated with evisceration of intestines and sometimes other
Tasks: Preparing proforma invoices, rotation to finance office, batching and dispatching NHIF claim forms, billing of institutional patients, discharge of patients on credit and preauthorization of NHIF. Three things you’ve learnt about KNH: It’s a big hospital that listens and cares for its patients just like it’s motto states. It recognizes the critical role it plays on the achievements of region, global and nation at large in matters Ithealth.hasa huge and busy environment with new skills to learn. How has the internship added value to you? Being here has elevated knowledge and skills related to my profession, helped build my confidence and communication skills. Most memorable moment at KNH? I enjoyed dispatching institutional invoices because it was an opportunity to know different departments at KNH. Your career plan after graduating I would like to work at a big institution like KNH to sharpen and learn more skills in the finance sector.
The intern’s experience
When is detected?Gastroschisis Gastroschisis can be detected prenatally or antenatally (before birth) via an antenatal ultrasound done usually by the end of the first trimester (11 to 14 weeks) and certainly in the second trimester. Without a prenatal diagnosis, gastroschisis is usually detected at birth during delivery. Is it a defect or an impairment? Gastroschisis is a defect occurring as an abnormal body wall formation of the unborn baby, during the developmental period in the mother’s uterus. This results in a disruption of the continuity of the anterior abdominal wall with subsequent extrusion of the bowel. What are the main categories of gastroschisis Gastroschisis can be clinically categorized as simple or complex. Complex Gastroschisis occurs in association with other complications of the intestines such as atresia, intestinal perforation, necrosis, malrotation, or volvulus. Neonates with complex Gastroschisis have significantly more complications in the neonatal period and therefore may have poorer outcomes.
On average, Kenyatta Prime Care Centre, the neonatal surgical unit at KNH manages three (3) such cases per week. What are the causes and prevention measures to be taken? Gastroschisis does not have one proven cause, rather a number of factors genetic, maternal and environmental may be at interplay. Preconception and antenatal counseling is advised among females of childbearing age, such counseling has an aspect aimed at preventing birth defects such as KPCC’s maternity wing, theatres and newborn unit (NBU) continue to take pride in the experienced, qualified staff and highend equipment and facilities to gastroschisismanageprocedures.
Positive mentions from KNH socials abdominal organs to the external environment.
What is the gastroschisis treatment procedure? Upon delivery, the immediate treatment of the neonate is aimed at keeping the baby alive by preserving warmth, assisting the baby to breathe and managing fluid and electrolyte losses. The herniated bowel is covered with a sterile transparent plastic film. Preferably, this is done in a centre with neonatal and surgical expertise. The treatment goals in gastroschisis are reduction of closurecavityabdominalbowelherniatedintotheandof the abdominal wall. This is achieved through a staged approach or a single-stage approach.Kenyatta National Hospital has great expertise in the management of gastroschisis.
Jonah Wepukhulu: You are doing a great job of preserving and taking care of our departed ones. May God Bless you abundantly.
By Luke Kung’u Mary Mwangi: My mother was admitted there in August 2017, she was in ward 6, and pacing up and down to see her daily and make sure she wasn’t feeling lonely wasn’t easy. Working and skipping lunch to go and see her was the best sacrifice we could make. She was waiting for an operation for her knee which had tendons torn from the knee down and upon examination one or two doctors were not enough to do the operation. You guys went ahead to organize a team of four orthopedics to operate on her. During that time, I was pregnant in my first trimester and due to stress I lost it but my mum was OK and I’m lucky to see her walk majestically. I’m proud of you guys. I don’t know the team that did the work but God bless you dearly. The best part was that NHIF catered for the whole bill so we left happy customers.
Meet: Cindy Esulio Department: Finance
By Faith Gesambi
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Robert Kemboi: Congratulations Dr. Kamuri for your leadership.outstandingBeblessed!
Cheptoo Sharon: Thanks KNH. We appreciate your hard work and the value for your patients. Thanks for ensuring that they get their medication on time.
Ogero Manoti Paul: Wooow kudos to Mary Ngunjiri for the tour of the morgue in April, it was insightful!
Elizabeth Nderitu Sifuna: I can confirm this, there is a nurse at the mental health department who when on duty will always encourage the patients and later pray for them. Mary Kihika: Kusema kweli, KNH ni kiboko yao. Wanajua kazi yao. Mzazi Solomon Kamau: At KNH, prayers happen as early as 7:45 am for the love of hope. Treatment without faith and hope bears results, but slowly.
Fact: Rheumatic diseases are not directly passed on from parents to children, although in some types of rheumatic diseases there are genetic factors that influence the tendency of the offspring to suffer from the same disease.
PHOTO | Stock A graphic representa tion of bodyaffectedRheumotologyareasinthe
Newsline spoke to Dr. Etau Ekwom, a Senior Medical specialist in internal medicine and rheumatology under the department of medicine, currently, Ag. Head of Unit-Rheumatology at Kenyatta National Hospital (KNH) to get further insights on rheumatic disorders.
Myth: Rheumatism can be caused by eating green vegetables and nuts Fact: Green vegetables and nuts do not cause joint pain. The only rheumatic diseases associated with food (alcohol, shellfish, large amounts of red meat) are gout disease or gout joint disease (caused by gout).
The chronology of rheumatic disorders
What are the common symptoms of rheumatic diseases? Patients mainly complain of intense pain, swelling, warmth, and body stiffness. Muscle weakness can make joints unstable. Depending on what parts of the body is affected, it can be hard to walk, grip objects and even sit. How do you diagnose rheumatic diseases? We usually ask about the patient’s medical history and symptoms. A physical exam is then carried out thereafter. By the time a patient seeks treatment, there are changes visible on an X-ray of the joint. The X-ray may show narrowing of the joint space or the presence of bone spurs. In some cases, lab tests and an MRI (Magnetic Resonance Imaging) is required to provide a clearer picture of the inside of the joint. What are the regardingmisconceptionscommonandfactsrheumaticdiseases?
Myth: Rheumatic disease is a hereditary disease
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By Marian Moraa
Rheumatic disease is an illness that attacks the joints and surrounding tissues. It can affect anyone, male or female, the elderly, or children. This disease has been around for a long time and has even been known for thousands of years.
What causes rheumatic diseases?
Most of these conditions happen when a person’s immune system is low and attacks their tissues. Sometimes it is in their genes while other times it is a result of something in the surrounding environment, like cigarette smoke, pollution, or something that causes an infection. Gender also plays a role; rheumatic diseases seem to affect women more than men.
Unfortunately, many things associated with this rheumatic disease are not necessarily true (myths) but are believed in our society. Knowledge of the facts regarding rheumatic diseases is important and can help find appropriate therapy and solutions for patients so that disabilities that often occur in rheumatic diseases can be prevented and the patients quality of life can be equal to that of healthy people. Some of the myths and facts include:Myth: Rheumatic disease is caused by frequent bathing at night or being in an air-conditioned room or cold weather. Fact: Getting a night shower or cold weather does not cause rheumatic disease. However, in certain rheumatism patients, the cold factor can exacerbate complaints so that when exposed to cold, pain feels in the joints, this can be explained by changes in atmospheric pressure increases the pressure in the joint space, cold temperatures that cause disruption of synovium flow and stimulate nerve nociceptors around them. Joints that cause arthritis to become painful and or stiff.
Rheumatology is a unique specialty of internal medicine that deals with auto-immune and generative diseases. Rheumatology comes from rheumatic diseases which include illnesses associated with bones, joints, and muscles. Some of the common diseases include rheumatoid arthritis affecting multiple joints and elderly people, gout, muscle diseases, and lupus (an autoimmune disease that commonly affects women).
What is Rheumatology in clinical terms?
Fact: All the tissues around the joints can be affected by rheumatism, such as bones, muscles, tendons, and others, besides that, other symptoms can also be obtained such as fever, tiredness, weakness, etc.
Dr. Etau attending to a patient at clinic
Fact: Rheumatic disease is not dominated by old people, because children and even babies can get rheumatism. For example, rheumatoid arthritis can affect children. On the other hand, not all parents will suffer from rheumatism.
Myth: Rheumatic disease only affects women Fact: It is not always women who experience this disease. Men have more frequent gouty arthritis, while women have more lupus, osteoarthritis, and rheumatoid arthritis.
Dr. Etau Ekwom, a Senior Medical specialist
Myth: Nothing can be done to prevent rheumatic disease
STEVE ARWA
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STEVE ARWA
Myth: Rheumatism is a disease of old people
Fact: The causes of rheumatic disease are very varied, some of which are not even known, but many factors influence the onset of rheumatic disease and some of them can be prevented so that they do not cause joint pain or aggravate existing diseases, including maintaining ideal body weight, exercising regularly, avoiding prolonged physical and psychological stress and avoiding smoking.
17 PHOTO |
Myth: Rheumatic disease only affects the joints and bones
The KNH Christmas video where I featured as Santa in December 2020 helped me serve the scooped several awards during competitions organized by the Ministry of Sports, Culture & Heritage. Where do you see yourself in the next five years? I want to have grown people’s talents in the Drama Club so that they earn National recognition. Your love for theatres both in art and the health sector is noticeable. Is this a coincidence? I did not perceive it that way, but maybe I just like being on stage and making an impact. Tell us about your passion for drama and how you started. I began drama back in Secondary School and I would excel at the National Level. Drama is innate, and I have always loved passing impactful messages through drama and acting. What keeps the team going? The team’s passion and zeal to serve the public through the dissemination of beneficial information. What opportunities do you foresee for the Drama Club at KNH? To see the Drama Club make an impact nationally and contribute to the KNH Sports and Arts activities. Your hobbies? Watching football. I am a Manchester City F.C. fan and my favorite footballer is Fernandinho. I also love traveling and networking. Favorite meal? Mbuzi Choma, Ugali and Saga. What advice would you give anyone seeking to scale the heights you have? Anything is possible when you have passion, dedication, and focus. Your parting shot? The KNH Drama Club is a giant of giants in arts. We have several productions as a Club, which we shall share on various communication channels for public education about the Hospital and its services. We urge our audience to enjoy our work of art, escape the worries of the world, and immerse their senses in the joyfulness of live theater.
Bob Leaky: A charismatic actor and theatre sterility advocate
The Newsline team had a chat with younger but later discovered my talent in drama and arts as well as my passion patients’ lawyer with the kind of job that I started my career as a General Health Assistant at Coast General Teaching & Referral Hospital and I would encounter patients coming I discovered that the infections course and upon completion, I practiced at Embu Level 5 Hospital and Tenri Embu Children Hospital. Thereafter, KNH advertised for TSAs and I applied, interviewed, and qualified for the
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Engage with:
steered by an enthusiastic and gifted Bob Leaky Assistant (TSA) at the Hospital since 2013 when they are unconscious as a result of every surgical procedure he assists Club chairperson since 2016 after having served as the Club’s secretary
GWALAMEROLYNE&MELODYAJIAMBO
PHOTO | GWALAMEROLYNE&MELODYAJIAMBO
Mr. Nicholas Kantai, an Occupation Therapist at KNH told Newsline that occupational therapy is used to help patients perform normal day-to-day functions after injuries and deprive them of that Occupationaljoy. therapy in scar managementUsingapressure garment and silicon, the occupational therapist can control the growth of a scar. Mr. Kantai explains that silicon is used to soften the scar while the pressure garment flattens the scar and limits itsThisgrowth.treatment goes on for about three (3) months with patients expected to visit the clinic monthly for adjustment. It is important to note, however, that this treatment plan cannot be done on a fresh wound- the patient will have to wait for wounds to heal before visiting the hospital.
The role of Occupational Therapy in scar and lymphedema management
On some occasions, manual lymph drainage is necessary to relieve the
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By Melody Ajiambo When an accident occurs, most survivors are left with scars that constantly remind them of the horrible ordeal that almost took away theirThelives.accident could be domestic for example a house fire, an occupational hazard, or a road accident. Whilst the scar may be a small price paid for preserving one’s life, it can be a huge hindrance to the survivor. Some scars are extremely painful, could affect movement, or just make one feel highly uncomfortable. This is where occupational therapy comes into play.
Occupational Therapy (OT) is used to manage scars – post-burn contractures and hypertrophic scars, keloids (they may appear naturally), andLymphedemalymphedema.is damage to the lymphatic system -a condition in which extra lymph fluid builds up in tissues and causes swelling, majorly affecting arms and legs. This condition is caused by a blockage in the lymph nodes, viral or bacterial infection in the lymph vessels, and chemotherapy, which often enlarges the vessels allowing infection to enter the body. The truth is, such issues may hinder the patients from performing seemingly simple tasks like walking, doing house chores, or even holding a cup of tea.
Mr. Nick Kantai, an therapist,KNH.occupational MEROLYNE GWALA & MELODY AJIAMBO
Mr. Kantai helping a patient with a scar tissue to put on a pressure garment glove.
Occupational therapy in lymphedema management As mentioned earlier, lymphedema presents as a swelling of a limb or other body parts when the lymphatic system is infected or not functioning normally. The patient will be seen with swollen feet or arms, often hindering movement. When treating lymphedema, the occupational therapist uses a pressure garment or Coban wrap to prevent the lymphatic fluid from pooling in a certain area in the body. The pressure garment can be used before and after a lymph node transfer surgery.
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PHOTO | NICHOLAS WAMALWA
PHOTO | NICHOLAS WAMALWA
Citi Bank CEO Mr. Martin Mugambi addressing the audience during a donation event by Citi Bank in partnership with Toto Care Box, Junior Achievement Kenya and Miti Alliance at the KNH Administration Block Grounds
The package contains an assortment of 18 essential items including a sleeping box that doubles as a crib, waterproof mattress, mosquito net, under sheet, blanket, set of baby clothes, a leso, cotton wool 100g (for mums to cater for postpartum bleeding), 50g cotton wool Acts of kindness for patient dignity
“Data shows that if nations and organizations are committed to accelerating progress in reducing child and maternal mortality, they must give more attention to resources around delivering quality care at the time of birth and during the critical day and weeks after birth, and this is why Toto Care Box was born. It is a newborn survival kit that we use as an incentive to encourage women from poor and marginalized communities to attend at least 4 antenatal care visits and deliver in a health facility,” said Ms. Kaigutha.
By Winfred Gumbo & Samira Yusuf Kenyatta National Hospital witnessed greatness in coming together.CitiBank in partnership with Toto Care Box, Junior Achievement Kenya and Miti Alliance donated 10 beds towards the Adopt A Bed initiative, 665 Toto Care Box package, dignity pack bags and 20 chairs to the labour ward staff on Wednesday, August 24, 2022.The event was graced by KNH Board of Management representative, Dr. Stanley Kamau, EBS who welcomed and thanked the donors for their kind gesture which will go a long way in ensuring that the mothers who come to KNH to welcome their bundle of joy are comfortable and have a positive birth“Atexperience.KNH,westrive to give the best health care services to our patients. Our guests partnering today to give dignity during sickness to the patients is much appreciated,” said Dr. Kamau. Citi Bank CEO Mr. Martin Mugambi, emphasized on the need to counter neo-natal mortality rate which as of 2018 stood at 19.6 deaths per live births in Kenya according to the World Health Organization. This, he said was slightly above average but still needed more effort to keep the numbers down.Toto Care Box CEO Ms. Lucy Kaigutha reiterated the need for dignity in maternal health care which led to the birth of her Toto Care Box maternity package.
KNH Board of Management member Dr. Stanley Kamau, EBS (R) receiving a sample of Toto Care Box maternity package from Citi Bank CEO Mr. Martin Mugambi (2nd R) during a donation event by Citi Bank in partnership with Toto Care Box, Junior Achievement Kenya and Miti Alliance at the KNH Administration Block Grounds
“At KNH, we strive to give the best health care services to our patients. Our guests partnering today to give dignity during sickness to the patients is much appreciated,” Dr. Stanley Kamau, EBS
PHOTO | WAMALWANICHOLAS Citi Bank CEO Mr. Martin Mugambi (F) unpacking the contents of the Toto Care Box maternity package to a section of patients at the Labour Ward
PHOTO | NICHOLAS WAMALWA
PHOTO | NICHOLAS WAMALWA
26/8/2022 ISSUE 18 | Kenyatta National Hospital Newsline We Listen, We Care 14 and surgical spirit for umbilical cord care, water guard, painkillers, tissue paper, 3 reusable nappies, 3 nappy liners, soap, condoms, DTS-Z kit which contains flavored ORS and dispersible Zinc Sulphate tablets combined in one easy-to-use box, a Toto care leaflet among others. The team later on visited the labor ward led by Ag. Director Nursing Services, Ms. Raheli Mukhwana to demonstrate to the new mothers how to use the packages handed over to them. The mothers appreciated the kind gesture saying it will go a long way in helping them keep their babies healthy.Thiscame as Citi Bank marked the 17th World Global Community Day whereby Citi volunteers around the world engage in service activities that benefit local communities.
KNH Board of Management member Dr. Stanley Kamau, EBS addressing the audience during a donation event by Citi Bank in partnership with Toto Care Box, Junior Achievement Kenya and Miti Alliance at the KNH Administration Block Grounds
A group photo of Volunteers from Citi Bank, Toto Care Box, Junior Achievement Kenya and Miti Alliance staff when they joined KNH Board of Management member Dr. Stanley Kamau, EBS, Citi Bank CEO Mr. Martin Mugambi and Director Affiliation and Institutional Development Mr. Tom Menge Front Row-M) during donation event at the KNH Administration Block Grounds
PHOTO | NICHOLAS WAMALWA Toto Care Box CEO Ms. Lucy Kaigutha addressing the audience during a donation event by Citi Bank in partnership with Toto Care Box, Junior Achievement Kenya and Miti Alliance at the KNH Administration Block Grounds
26/8/2022 ISSUE 18 | Kenyatta National Hospital Newsline We Listen, We Care 15 Our story in pictures PHOTO | GYVIRA ODHIAMBO Shawn Omondi - Marketing Officer KPCC(Middle) poses for a photo with twins during the commemoration of the World Twins Day 2022 at KNH PHOTO | NICHOLAS WAMALWA PHOTO | STEVE ARWA Father John Kariba(r) with Chaplaincy unit members pose for a photo as they donated a tea urn to ward 5B PHOTO | STEVE ARWA Responsible Conduct of Research Participants display their certificates after completing their course at KNH Research Center. PHOTO | ELIJAH NG’ANG’A A Citi Bank representative (F), leading in a prayer session after a visit to the Labour ward by Citi Bank in partnership with Toto Care Box, Junior Achievement Kenya and Miti Alliance A othercommissionIndiandelegationfromtheHighvisitedwardGFD,1EandOncologywards
26/8/2022 ISSUE 18 | Kenyatta National Hospital Newsline We Listen, We Care 16 MISS. PAMELA ATIENO NDOLO MR. FRANCIS KARANJA KARIUKI MRS. ISABELLA KWAMBOKO OSORO 4. MR. GEORGE WAWERU MUCHARAGE 5. MR. SIMON SILA NDOLO 6. MR. MELTUS OWINO KUTOTO 7. DR. NAOMI WAMBUI GACHARA 8. MRS. JOYCE MUCECE KIREMU 9. MISS. FLORENCE AUMA ODUOR 10. MR. WILLIAM OMTSEMBI ALUBOKHO 11. MR. PIUS CHINA MALOBA 12. MR. MESHACK ORETI OMONDI 13. MR. ANTHONY SULUMET PAPAI 14. MRS. VERONICA WANDIA NJAGI 15. MISS. MARY GRACE AKINYI 16. MISS.JYLINE IRERI KAARI 17. MRS. SABINA WANJIKU GATIBA 18. MR. AUGUSTINE GEORGE MAKATIA 19. MRS. ROSALIND KIJALA MWAPOO 20. MISS. HELLEN CHEPKEMBOI RONO 21. MISS. SOPHY WAWUDA MWALUMA 22. MR. KENNEDY AGWATA OTINGA 23. MRS. SCHOLASTICA WAMBUI MUCHERU 24. MRS. JANE NJERI NDEREBE 25. DR.(MRS) IRENE WAMBUI INWANI 26. DR.(MRS) ANNE GATHONI MUNGAI 27. MR. ROGERS MWANGI MWAI 28. DR. SAMUEL KABERERE NJENGA 29. DR. ADELAIDE NASAMBU KITUYI 30. MISS. ROSEMARY WANJIRU GIKONYO 31. MRS. PRISCILLA DZIDZA KAI 32. MRS. CATHERINE ADHIAMBO ABUOR 33. DR.(MRS) THEODORAH MALLA KILUKUMI 34. MISS. VICTORIA LUKANIA IMBEFU 35. MISS. PENINAH WAMJIRU THUKU 36. MRS. MARGARET WAIRIMU NGUGI 37. MRS. PURITY WAMWITHA MUNENE-WAWERU 38. MR. CHARLES OGWENO 39. MR. NICHOLAS MANYARA 40. MISS. LUCY WACHU KURIA 41. MR. STANSLAUS S. MUKABWA 42. MRS. JANEROSE WANJIRA NDUHIU 43. MRS. ROSE ATIENO KENYATTA 44. MRS. GRELIS NJERI KIRUNDA 45. MISS. JULIET NYAGUTHII MURUGA 46. MISS. ALICE MUTHONI KARIUKI 47. MR. JOHN OTIENO NYATADO 48. MR. DANIEL NKUUBI NDEGWA 49. MISS. ESTHER MATUI 50. MRS. REPHER OMUYESHI LUMBASI 51. MR. JOSEPH MURIUKI MWANGI 52. MISS. ANNE WANJIRU MWAI 53. MR. MOITIE JAMES LETEPELU 54. DR. EDWIN KIPNG’ENO RONO 55. MISS. TERESIAH MUMBI NJUKU 56. MR. NICHOLAS MWITI KAIBUNG’A 57. MISS. DANIEL JEPTUI 58. MISS. JOAN NJERI KAGEMA 59. MISS. LINDI KHANJILA KHAEMBA 60. MISS. MERCY GACUGU MUNYI 61. MR. OLAPH NYABINGE OSUMO 62. MISS. ROSE ANYANGO OWAGO 63. DR. BEATRICE MUKHABI MULAMA 64. MISS. RHODA ANTONELLA KORERE 65. MISS. GLORIA LILIAN ADEMBA 66. MISS. EMILLY ATIENO ONDUSO 67. MR. JAMES MACHARIA MWANGI 68. MRS. JANET A. BONDI 69. MRS. EDITH KARIMI GITONGA 70. MR. JIMMY ADUNDO ACHARCHI 71. MISS. PRISILA JELAGAT MURREY 72. MISS. JANE KHALUSY AKHWIYANGA 73. MR. GEORGE DENNIS ODHIAMBO 74. MR. RICHARD KANDIE KELWON 75. MRS. IRENE MUNYAZI MLAGHE 76. MR. PHILIP AGUKO OYUGI 77. MR. SAMUEL AWILI NDEDA 78. MISS. DORCAS MARTHA NGUNDI 79. MR. RONALD NYAKUNDI ACHUKI 80. MISS. JANE NJAMBI NGUGI 81. MR. ERASTUS WERU WANARUA 82. DR. JAMES REEVES ADUNG’O IKOL 83. MISS. AGATHA ADHIAMBO NYAMBOK 84. MISS. WILKISTER WINNIE OWELLE 85. MISS. LEAH WANJIKU PAUL THANDI 86. MISS. CAROLINE JEROTICH SESAT 87. MISS. ANN WAITHERA NJENGA 88. MISS. PHANICE OYIKO ONDEKO 89. MISS. MADINA GUYE ADEN 90. MRS. PAMELLA KERUBO OBARE 91. MR. JOEL KINYUA 92. MR. CHARLES ANDREWS MATANDA 93. MR. ALFRED KIBISU JUMBA 94. MR. BENJAMIN NAMASAKE SEWEDE 95. MISS. NANCY MUTEVANE AYIEDZA 96. MR. SAMMY MUTHUI NZUMBU 97. MR. STANSLAUS OCHIENG BITA 98. MISS. HELLEN KERUBO MISIANI 99. MISS.MERCY NJERI NJUGUNA 100. MR. MUSA TALLAM 101. MRS. AGNES MACHARIA 102. MRS. EUNICE WAWIRA KARANI 103. DR. DAVID NDUNG’U KANG’ETHE 104. DR. MUGAMBI M’ARITHI 105. MISS. HAMINAH KATHAMBI 106. MR. JAMES MWANGI KIARIE 107. MISS. JANE KARUNGARI WAKIBIRU 108. MISS. DOROTHY MWIKALI KIMATHI 109. MISS. JANE WANJIRU MUIRURI 110. MRS. EUNICE NJAMIU NDIRITU 111. MR. DANIEL MUTINDA NTHUMO 112. MISS. NANCY WANJIRU GACANJA 113. MRS. CRYSTAL BARAKA 114. MR. PATRICK MUGAMBI MUTHAURA 115. MRS. JANE GACERI AKUNDA 116. DR. SAMUEL R. GICHUHI NJIRU 117. MR. JAPHETH MIKA ASUNGU 118. MR. ROBERT NYAMWEYA MOKUA 119. MRS. PURITY MUTHONI NDIRANGU 120. MR. ERICK RACHUONYO OKOTH 121. MISS. LOICE MAKUMBI KANINI 122. REV.JOHN PERMINUS WEGA 123. MISS. CATHERINE WAIRIMU NDERITU 124. DR. OSCAR MUWALE ONYANGO 125. MR. FRANCIS KIORIAH MWANIKI 126. MRS. LILY KARIMI NJOROGE 127. MR. HAMILTON MWANIA KWEMA 128. MISS. GRACE WANJIRU KYAU 129. MISS. ANNE KAGWIRIA MAGAMBO 130. MRS. DOREEN IGOKI MURIIRA 131. MISS. FRANCISCA WANZA MAKAU 132. MISS. ALICE WAIRIMU KAMAU 133. MISS. PHILIS KAMWENDA KARANJA 134. MR. BOASH ODHIAMBO OGELLO 135. MISS. BEATRICE KHASOA KHANDEGAH 136. MR. SUGARREY OTIENO ODHIAMBO 137. MISS. SALLY CHEPKEMBOI KOSKEI 138. MR. DUNCAN GITAHI IRUNGU 139. MISS. CHARITY NAZARIA MARIGU 140. MISS. CATHERINE WANGARI KINUTHIA 141. MISS. JOYCE JESHI LETIKIRICH 142. MISS. MIRIAM MUSIMBI KAVAI 143. MISS. NANCY MWALI NAKWEYA 144. MR. ALFRED IHACHI MUGAITSI 145. MISS. KELLEN KAWIRA KANGORI 146. MISS. LILIAN WANJIKU MWANGI 147. MR. PHILLIP WANUNDA OWINO 148. MISS. ELMELDA KERUBO OMBATI 149. MISS. EVA WANJA MWANGI 150. MISS. NAOMI WANJIRU MWANGI 151. MISS. SIMONETA MUTHONI FRANCIS 152. MR. ROBERT KIRIMI IKIARA 153. MISS. JENIFFER MORAA BIKERI 154. MISS. JOSEPHINE JEBET ROTICH 155. MISS. GLADYS NABILIKI WANJALA 156. MRS. CAROLINE JETALAM KIPLAGAT 157. MR. HARRISON JULIUS MWENDA 158. MISS. WYCLIFFE OMWOLO MIRIKAU 159. MISS. FELISTA WAKUTHII MUNDIA 160. MISS. JENIFFER KARIMI MUTUMA 161. MISS. MARGARET JEROTICH CHEBII 162. MR. STEPHEN OTIENO OMONDI 163. MISS. MAIMUNA JEPKEMOI TOMNO 164. MISS. CATHERINE GAKII GITONGA 165. MISS. IRENE MARGARET WANGARI 166. MRS. RAEL KAKUKO LOKAMOI 167. MR. PAUL KIBET KIRUI 168. MISS. DINAH MASITSA LUVEMBE 169. DR. WYCLIFFE AKIKUVI MUSALIA 170. MISS. CAROLINE MWENDWA THURANIRA 171. MISS. RUTH KASYOKA MUSYOKI 172. MR. SYLVESTER MASEGHE MNEGO 173. MISS. CATERINA G. MUGAMBI 174. MR. ALFRED NGETICH NINJA 175. MISS. WINNY NINI WAKAHIHIA 176. MR. DANIEL OTIENO WERE 177. DR. STANLEY MURIUKI NGARE 178. MISS. CHARITY CIOMATI KAIBUTIA 179. MISS. BETH WANYAGA GIKONO 180. MR. DAVID OYUGI NGISA 181. MR. JULIUS MAINA WAIRURI 182. MISS. LUCY KAGWIRIA KIROGO 183. MISS. MAUREEN KAWIRA MBURUNGA 184. MISS. PURITY KANYIRI ANAMPIU 185. MISS. DORCAS MBETE MUINDE 186. DR. POLLY OKELLO 187. MISS. JANET NTHENYA MUTUA 188. MISS. LINNET KHASOHA MULINYA 189. MR. ALPHONCE REUBEN TONUI 190. MRS. NAOMI BOSIBORI OBIERO 191. MISS. JOYCE WAIRIMU NGARIU 192. MISS. JANE WANJIRU WOGOMA 193. MR. ARCAPITUS ISUTSA 194. MR. BARASA WANJALA WILLIAM 195. MR. DAVID WEKESA WANJALA 196. MISS. EUNICE KANINI JAMES 197. MR. FRANKLINE GITONGA MUTUMA 198. MISS. RITA MUENI NGAI 199. MISS. HELLEN KAWIRA 200. MR. JAPHETH SANG KIPROTICH 201. MR. DANIEL KIPLAGAT 202. MISS. NANCY NJERI WANGOMBE 203. MR. ALFRED MUTU GITAU 204. MR. GEORGE KINYUA MURIUKI Happy birthday to the 480+ August babies! From Marketing & Communication team HAPPY BIRTHDAY AUGUST BABIES
26/8/2022 ISSUE 18 | Kenyatta National Hospital Newsline We Listen, We Care 17 205. MR. SYLUS KIBIWOTT KIMETTO 206. MISS. PURITY FAITH KAGWIRIA MBAYA 207. MISS. JANE MUTHONI KARURU 208. DR. FANE BOSIBORI NYAATA 209. MISS. STELLA MUMBUA MUTUKU 210. MR. JULIUS NYARORI MOSE 211. MRS. REBECCA JEPKONGA TUITOEK 212. MISS. JANE WAITHERA KIBERA 213. MR. DANIEL NZIOKA MUTUKU 214. MISS. SUSAN GATUNE NKONGE 215. MRS. CELESTINE ADHIAMBO J. OMBOGO 216. MR. ERICK MURITHI MUKANGU 217. MISS. BEATRICE AKOTH OWIYO 218. MISS. JOSEPHINE NDILA NDICHU 219. MR. GEORGE OTIENO ADIE 220. DR. KOMEN AHMED ABDI 221. MISS. JOSPHINE MUENI WAMBUA 222. DR. JAMES NG’ANG’A KIGOTHO 223. MISS. CONSOLATA WAITHERA NDUNGU 224. MISS. CATHERINE NYAMBURA NDUNGU 225. MRS. SENAH JEPKEMOI KIMAIYO 226. MISS. ESTHER WAMBUI KAMAU 227. MISS. MARIS MUTHONI MOSES 228. MISS. MARY NYAGUTHII GITHAKA 229. MISS. ISABELLA WACUKA KINYANJUI 230. MRS. FRIDAH MAKENA IRUNGU 231. MISS. AGNES KANGAI BOORE 232. MR. RICHARD KOISOK CHERUTICH 233. MR. PIUS MUTIE KILONZO 234. MISS. BILHA WANJIRU MICHUKI 235. MR. DAN ONJIRA OTIENO 236. MR. HERMAN KAIRU NDUNGU 237. DR. SERAH WANJIKU KAARA 238. MISS. EMILY KENDI NTURIBI 239. MISS. PAMELA ADHIAMBO TOL 240. MISS. LILIAN NAISENKE KASURAH 241. MR. JOSEPHAT NZUSYO NTHAE 242. MR. PHILIP AINEAH APWOKA 243. MR. EDGAR NYAGUDI MBOGO 244. MISS. CHRISTINE KAGWIRA MUGAMBI 245. MISS. ELOSY KINANU JAPHETH 246. MRS. JOSEPHINE WANJA NJERU 247. MISS. PERIS KEMUNTO MWIRE 248. MISS. JANE WAIRIMU NJAGI 249. MRS.SHEILA KHAYANGA LUNANI 250. MR. MISHECK WANJII KIRUMBA 251. DR. NANCY NYABOKE OKONU 252. MRS. JANE IMBASA ACHEKULWA 253. MISS. NANCY MICERE GACHOKI 254. MISS. CAROLINE J. WAIRIMU 255. MR. RAMADHAN KANDIA MUYIKA 256. MISS. RUTH JEPKURUI LIMO 257. MR. ISAIAH KAINDIO MIRITI 258. MR. JAMES M. MATI 259. MISS. EMMILY JEBIWETT CHELANGA 260. MISS. TERESIA NDUMU KIBUNJA 261. MR. ELIJAH KHANCHON LERTE 262. MR. GEOFFREY OTERO MATUNDA 263. MRS. MARGARET WAMUTIRA KABUI 264. MISS. DIANAH KATHURE MUGO 265. MR. KYENGO KYALO 266. MRS. FLORENCE KALUNDA MUTHWII 267. MR. ROBERT MBUCHO KARIUKI 268. MR. DANIEL OJUKA OJUKA 269. MISS. ELIZABETH MUTHONI MURIITHI 270. MISS. HILDER MUTHONI SALESIO 271. MISS. RACHEL CHEPKEMOI MAINA 272. MR. BENSON MUTURA MKAURA 273. MR. ERICK OMONDI OTIENO 274. MR. PAUL KANJA MWARIRI 275. MR MICHEAL WAWERU WAHOME 276. MISS. PHOEBE OLESI NAMBUTE 277. MISS. JUDITH NYAMWEYA MATONDA 278. MISS. CAROLINE GATWIRI NYAGA 279. DR. MOHAMED AKIL SALIM FAZAL 280. MR. DANIEL GACHUGU MAINA 281. DR. ROOPKAMAL KAUR SAINI 282. MISS. ALICE KEMUNTO MONARI 283. MISS. HELLEN BIRGEN CHELANGAT 284. MISS.ZIPPORAH WANJIRU MAINA 285. MR. JUMA ERICK OCHIENG AKECH 286. MISS. CATHERINE WANGUI MUCHUKI 287. DR. HENRY THADDEUS NANG’AYO OYATSI 288. MR. WYCLIFFE MUGWANG’A ASALA 289. MISS. CAROLYNE KAKI MUTISYA 290. MISS.JOYCE KANINI MUMO 291. MISS. LUCY HIUKO NJOGU 292. MISS. MERCY OWENDY ACHULU 293. MRS. ANNE AKINYI ONYANGO 294. MISS. LINET MMBOGA ATONGA 295. MISS. MAURINE NEKESA WERE 296. MR. ISAAC MULINYA 297. MR. CHARLES GETETE MAKORI 298. MRS.JUDITH JERUTO KIPRONO 299. MISS. MARY WAMBUI NJAU 300. MR. NICHOLUS SAMORA ODENY 301. MISS. JOYCE CHEPKIRUI LANGAT 302. MISS.NANCY KAMBONA NYAKOBOKE 303. DR. NDUKU KIKO 304. MR. BENARD OUKO ONDARI 305. MR. CALVIN NYACHOTI MOGUTE 306. MRS.IDDAH CATHO ANYANGO ONYANGO 307. DR. ALEX KASUKU KIMANI 308. MISS. CATHERINE NAILAEN KOIMEREK 309. MR. DENIS SANYO MBOKA 310. MISS. ANNE NJOKI NJOGU 311. MR. KELVIN MWACHI 312. MR. DAVID EMASE OTWANE 313. MR. NELSON NDIRANGU MATHENGE 314. MISS. NELLY JEROP CHEPTOBOK 315. MISS. RABECCA INJETE LUSIMBO 316. MISS. RODAH CHEPTONUI MIBEY 317. MR. FRANCIS KAMAU MWANGI 318. MRS.FAITH RUGURU NYAGA 319. MISS. CAROLINE.JEMIMAH WAMWIRUA NJIR 320. DR. SUSAN WANJIRU KARANJA 321. MRS. PRISCAH CHEMUTAI CHOGE 322. MISS.RHODA WAMBUI MWANGI 323. MR. EVANS KOSGEI TOROITICH 324. MISS. TABITHA WANGECHI WAGURA 325. MR. LAWRENCE MUTICHI OSUNDWA 326. MRS.PURITY KAGWIRIA MUTHOMI 327. MR. DAVID KAGUAMBA MURIITHI 328. MISS. CAROLINE KWAMBOKA MACHOKA 329. DR. REBECAH NAMWEYI NANDASABA 330. MRS. LINDAH IRENE NYAMBEKI MOGONCHI 331. DR. FAITH JEPCHIRCHIR TUIKONG 332. DR. ANDREW ONYINO WERE 333. MR. HENRY KIMANI NJUGUNA 334. MISS. GRACE FREDA MUKAMI NJIRU 335. MR. ABDULLA KANANO GODANA 336. DR. CAROLYNE ROBAI NEKESA MATIFARY 337. MISS. RACHAEL WANJIKU WAICHUNGO 338. MISS. PENINAH MUKAMI 339. MISS. BETTY MWANIGA ASALA 340. MISS. PENINAH ADONGO MAGWAR 341. MISS. LIDIA CHEPKORIR KIPLANGAT 342. MISS. EVERLYNE CHELANGAT SOI 343. MR. PETER MUTHOKA MALONZA 344. DR. LENABOSU HABIBA 345. MR. STEPHEN KEYOMBE ATALIDZA 346. MR. AMOS KIBET NYALUKE 347. MR. JARED ANGATIA MULANDA 348. MISS. CATHERINE WAWIRA IRERI 349. MISS. PAULINE AWINO ODIANGO 350. MR. SIMON MAHUNGU WARURU 351. MISS.ROSE RASOA SHIRANDULA 352. MISS. JOYCE WAMUYU MUKURIA 353. MR. ALEXANDER MUNENE ITAH 354. MR. SAMUEL NZAU MATATA 355. MISS. JOSEPHINE NTITILAI LEKALKULI 356. MR. VINLEY MWAMBI OBWOCHA 357. MR. AARON MABEYA ONCHOKE 358. MRS.HELLEN JEPCHUMBA KIRWA 359. MISS. FAITH JEMUTAI KIPLAGAT 360. MISS. JENIFFER MUMO NTHIANI 361. MISS.ELIZABETH WANJIRU NJAMBI 362. MR. JOHN NJAGI MAINA 363. MISS. JELAGAT PRISCAH 364. MISS. ANN KAOSE MAPENA TORONKEI 365. MISS. LYDIAH WANJIRU KINYUA 366. MRS.ROSE JEPKOSGEI CHICHIR 367. MISS.JACKLINE CHEPKIRUI 368. MRS.LINET ADHIAMBO OYARE 369. MR. JOHN KYUNGUTI NDETO 370. MISS. PHOEBE ALUOCH ONG’ALE 371. MR. DENIS MURIMI MWANIKI 372. MR. EDWIN SHAPASHINA KINGOROSH 373. MR. KEVIN ODHIAMBO OMONDI 374. MISS. JACQUELINE KAGURE WANJIRU 375. MISS.REBECCA NJERI WACHIRA 376. MR. OBED WANJALA SOITA 377. MISS. MERCY MUMBUA MBENGEI 378. MR. ALEXANDER KAMAU MACHARIA 379. MR. SHALOM MAITHYA MWEU 380. MR. VINCENT KWAKE MUTISYA 381. MISS. SILVIA JEMUTAI KIMENGICH 382. MISS. TRUPHINE ACHIENG ORAO 383. MRS.ROSELYN MUNANIE MUSYA 384. MISS. ESTHER WANGARI CHEGE 385. MISS.NASRI ISSAK ABASS 386. MRS.ISINTA VANE 387. MRS.JACKLINE ATIENO OCHIENG 388. MISS. ARLEEN MWENESI NENGO 389. MISS. CHRISTINE ACHIENG OTIENO 390. MR. EVANS SINDANI OKIRING 391. MISS. JANIFFER JERIA MACHUKI 392. MISS.LOVINE ANYANGO OSONGO 393. MR. ESTHER MUMBI NYAGA 394. MR. YAHYA AHMED SEBIT 395. MISS. JOYCE WAMBUI MAINA 396. MISS. MARTHA MUTHONI KINYUA 397. MRS.GRACE KANINI KAUMBUTHU 398. MISS. CHEPKURUI KOROS 399. MISS. EUNICE ATIENO OCHOLI 400. MISS. PAMELA GAKII RIUNGU 401. MR. PETER MAMWACHA NGISA 402. MR. DANIEL MUNUVE KITHOME 403. MISS. CAROLINE MOSINIK CHEBET 404. MR. PETER KAMAU GITAU 405. MR. SAMUEL KILOMBE WAMBUA 406. MR. ANTONY WAFULA MAINA 407. MRS. CLARIS AWUOR OLANDE 408. MISS. FLORENCE WANJIRU WACHIRA 409. DR. BUNU RASHID BUNU 410. MISS.ESTHER MONGINA KIYONDI 411. MISS.IRENE WANJA WANJIKU 412. MISS.PURITY WAIRIMU NJERI 413. MRS.CAROLINE WANJIRU NDUNGU 414. MR. DENNIS KIHUGA KARIUKI 415. MR. WYCLIFFE BUKHEBI MANG’OLI 416. MR. SAMUEL IRUNGU MURIITHI 417. MISS. HANNAH GATHONI NJUGUNA 418. MR. BENARD ODONGO MAKOKHA 419. DR. RITA AKOTH AROGO 420. MR. GRIFFIN KHAMISI ILABO 421. MISS. GLADYS MOKEIRA MARANGA 422. MR. JOSEPH WAMBUGU MUTHONI 423. MR. MWITA DANIEL MAHENYE 424. MR. CRESENT MOFFAT ODONGO 425. MISS. CAROLINE KIMA MASHINIKO 426. MISS. UNIVER KWAMBOKA NYAKUNDI
• Look at the sparrows; they do not know what they will do in the next moment. Let us live from moment to moment - Mahatma Gandhi
• There is no royal road to anything. One thing at a time, all things in succession. That which grows fast, withers as rapidly. That which grows slowly endures - Josiah Gilbert Holland
• Luck is a dividend of sweat. The more you sweat, the luckier you get -Ray Kroc
Doctor’s conclusion I said to the doctor at the hospital, “I keep dreaming my eyes change colour”. He said “It’s just a figment of your imagination”
• When I hear somebody sigh, ‘Life is hard,’ I am always tempted to ask, ‘Compared to what?’Sydney Harris
• Be not afraid of life. Believe that life is worth living, and your belief will help create the factWilliam James
Osteopath friend A friend of mine was destined to be an osteopath. He said he could feel it in his bones.
InspirationalTzu Quotes
26/8/2022 ISSUE 18 | Kenyatta National Hospital Newsline We Listen, We Care 18
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 ISO ACCREDITED15189 ✓
• Nurture your mind with great thoughts. To believe in the heroic makes heroes - Benjamin Disraeli
Laughter, the best medicine!! Comic Zone By Edel Q. Mwende
• Even if you’re on the right track, you’ll get run over if you just sit there - Will Rogers
• Life is 10% what happens to us and 90% how we react to it Dennis P. Kimbro
• When I let go of what I am, I become what I might be - Lao
• When I stand before God at the end of my life, I would hope that I would not have a single bit of talent left and could say, I used everything you gave me - Erma Bombeck
