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NEWSLINE We Listen, We Care
Issue 6.
26/03/2021
Another First For KNH
Dr. Lawrence Mugambi performing a procedure in the KNH Interventional Radiology Lab
Regional Leader In Management Of Retinoblastoma By Jacqueline Ngure
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team of specialists from KNH and UoN have performed an intricate intra-arterial chemotherapy procedure on a six-yearold girl with retinoblastoma marking yet another hospital milestone. The procedure which was done in the radiology department on Friday, March 13, 2021, lasted about 3 hours and brought together Interventional radiologists, ophthalmologists, peadiatric oncologists, and nursing
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teams to save the remaining eye of Baby Tiffany Jepkorir. Tiffany had already lost one eye to retinoblastoma when all other therapies used to treat the disease failed. By this time the cancer had already spread to her second eye, and for the multidisciplinary team taking care of her, it was a fight to prevent losing her sight entirely. Dr. Kahaki Kimani an ophthalmologist describes retinoblastoma as cancer of the eye, which is most common in children.
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The unique thing about retinoblastoma is that it is 100 percent curable, especially when detected in the early stages and does not require specialized equipment to diagnose. “By looking at a child’s eye you can pick out either a cross-eye or something whitish in the eye, which is how it mostly presents”. Says Dr. Kimani Retinoblastoma can affect one or both eyes and usually by the time the child is being brought to KNH, is already in the advanced stage.
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http://www.knh.or.ke Treatment of the disease is usually by laser or cryotherapy, which involves freezing the tumor to shrink and kill it. Sometimes the tumor could be so big so you need to give chemotherapy before you can perform the other therapies. According to Dr. Lawrence Mugambi, the lead Interventional Radiologist in the procedure, the chemotherapy drug is injected into the artery that feeds blood to the eye, accessed through the groin/leg (Femoral artery). This requires skill and expertise to maneuver the tiny blood vessels with a catheter and inject the drug right into the affected eye guided only by x-ray. It is the first procedure of its kind to be performed not just in Kenya, but Sub-saharan Africa. “Other than South Africa & Ghana, we are excited to be the first ones in the East African region to do this procedure successfully.” Said Dr. Mugambi The success of the procedure is a big win for KNH, whose mandate is specialized referral, training & research and national policy formulation. The Hospital has capacity in terms of specialized equipment and the personnel to perform such intricate procedures. “Currently, we have about 7 Interventional radiologists in the country and 4 of them are in here in KNH. We are however training more doctors in this specialty to build capacity so that we can give even more access of these services to Kenyans who greatly need them.” Dr. Mugambi says KNH is the only public health facility where this procedure can be
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@CeoKnh @KNH_hospital performed, placing Kenya on the world map in the provision of quality specialized
“Other than South Africa & Ghana, we are excited to be the first ones in the East African region to do this procedure successfully.” - Dr. Lawrence Mugambi
healthcare. Dr. Mugambi appreciates the support that KNH management has continued to give the department of Radiology, which enables them to give quality healthcare services to their patients. Tifanny was discharged to go home on Tuesday, 16th March 2020. She will however be monitored closely by the specialized teams through the peadiatric oncology clinic. The team of specialists are confident that Tiffany, who is progressing well after the procedure, will make full recovery and enjoy a normal healthy life into adulthood.
Dr. Mugambi leads the Specialised Interventional Radiology Team in a procedure.
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Medical Social Workers…Just what do you know about them? By Verah Mugambi “Please go talk to a social worker,” is a phrase commonly used whenever a patient accompanied by their family approach medical and support staff with financial difficulties. If you love to serve people amid challenging medical issues and to make sure that individuals and their families don’t suffer unnecessarily due to socio-economic challenges, you might consider becoming a medical social worker. Medical social workers are part of an interdisciplinary team of care providers and related health professionals who work in concert to serve patients across the entire healthcare sector. They use case management skills to determine what psychological, social, or financial problems a patient is having due to their medical condition. Social workers within hospitals work in different departments from emergency rooms, pediatrics, ICU, hospice among others. Their work mainly revolves around improving people’s wellbeing, especially the most vulnerable populations in these unprecedented times. Mr. Kandie Kelwon, Ag. HoD Medical Social Work at KNH says the primary role of a medical social worker is to “restore balance in an individual’s personal, family and social life, to help that person, maintain or recover their health and strengthen their ability to adapt and reintegrate into society”. A typical day of a Medical social worker at KNH A social worker is more than just a financial crisis solver. During an interview with Newsline, Mr. Kandie notes that they also assess the psychosocial functioning of patients and families and intervene, as necessary. Interventions may include connecting patients and families to necessary resources and support in the community like preventative care, providing psychotherapy, supportive counseling, grief counseling, or helping a patient to expand and strengthen their network of social support. “Our day’s activities are unpredictable, like a sea, it has ups & downs and
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it’s really hard to have a schedule of to-do list since every day comes with new and different social problems,” Mr. Kandie explained. The daily challenges and responsibilities of being a medical social worker vary depending on the healthcare setting. Be it hospitals, nursing homes, assisted care facilities, or residential treatment centers. “The most challenging of it all, is the perception people have of social workers. The fact that people presume we have all the answers and unlimited resources at our disposal to assist a patient in an instant, makes our work more difficult. It’s because of such assumptions that sometimes cases reach us too late; something which we could have handled at the admission stage, we get it at discharge point”, Mr. Kandie said. A hospital social worker assists patients in dealing with the sometimes-overwhelming effects of hospitalization. Patients and families of patients are often under a lot of emotional pressure and financial stress due to illness or injury. They help patients meet all these needs by providing training, resources, and other support. In other words, a hospital social worker works directly with patients in a variety of capacities; helping patients, and their families navigate the process of illness from hospitalization to recovery. They might also work with a patient that is soon to be discharged on the types of aftercare that are available to them and
how to procure such services. The importance of social workers Hospital social workers are the ideal go-between for patients and the hospital. Not only do they help facilitate proper care during and after hospitalization, but they also help educate medical staff about how to work effectively with different kinds of patients and how to assist families in dealing with the stress of illness and injury. Additionally, hospital social workers are critical in the delivery of services after a patient is released from the hospital. They play the crucial role of connecting patients to needed services, coordinating payments and insurance reimbursements, and facilitating communication between all stakeholders involved to ensure that the best care is being provided to the patients. Some of the roles of a medical social worker include but are not limited to; psychosocial assessment of patients, contact tracing, home placement, helping patients/families adjust or explore emotional/social responses to illness and treatment, coordinating patient discharge and post-hospital care, and also arranging for funds to finance medications, durable medical equipment, and other monetary support. On a very basic level, hospital social workers act as liaisons for patients such that the patient and their family can better navigate the health care system, which can sometimes be quite confusing. Though hospital social workers are not doctors or nurses, they nevertheless have a key part to play in helping patients recover and do so as quick as possible.
Mr. Kandie Kelwon, Ag. HoD Medical Social Work at KNH
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Igembe South Cancer Village By Luke Kung’u Riaki village in Igembe South Sub-county is sandwiched between Nyambene hills. It would pass off as a typical sleepy village, save for the hustles and bustles common in many Kenyan rural areas. The people in this area are indeed very friendly and welcoming to visitors, but behind the warm and happy faces is a major problem that has wreaked havoc on many family set-ups in the region. The last five years has witnessed an increase in the number of deaths as a result of an upsurge of cancer cases. The region has recently witnessed at least 33 deaths, 20 of them being from cervical cancer while the remaining 13 from breast cancer. “The story of Riaki village resembles a script from hell, almost every household is secretly suffering from the repercussions of the creepy enemy,” says Mr. Rodgers Muriithi an advocate of the bottom-top approach in cancer care across the Igembe region. He goes on: “The name itself elicits mixed reactions coupled with anxiety and fear; economically it is not sustainable to pay for the medications and follow-up clinics not mentioning the ruthless and heart-wrenching chemotherapy characterized by loss of hair even to the privy parts.” “It is as if once you are confirmed to be suffering from it, you are left on your own devices albeit the family members and local leaders who give the topic a wide berth. It is heart-breaking as well as a money guzzler, it strikes where it hurts most. Something needs to be
A KNH staff testing the sugar levels of a patient who turned up for the outreach done quickly and urgently,” he adds. The local leadership under the auspices of Dr. Mithika Mzalendo has worn the best shoe and tied the laces tightly as they are squaring it on all fronts even involving other stakeholders and donors to raise awareness on the same. It is against this backdrop that a twoday camp by medics from Kenyatta National Hospital was successfully carried out in the area, with a large number of locals turning up for the screening. “Interestingly, the number of men who have turned up for the exercise surpass the women – a rare occurrence in many of the outreaches conducted by KNH. I now understand why our CEO Dr. Evanson Kamuri has been so passionate about medical outreaches. It is a worthy course to restore hope in humankind and alleviate suffering,’ said Ms. Roseline Okumu, an Oncologist at KNH. Of the 400 that registered, 350 of
Elizabeth Ndunge Kasimu- Assistant Chief Nutrition Officer giving a health talk during the Medical Outreach Kenyatta National Hospital
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them (179 men and 171 women) were screened. Of this number, 301 were found to be ok, while the other 47 were referred for specialized treatment: 24 cervical, 12 breast, and 13 prostate. Many in the rural households believe that the area was used as a battleground between the whites and the Africans in the search for freedom. During the war, residents claim that radioactive bombs may have been dropped in the region, affecting their major source of water and in extension quality of life. Others believe that a meteorite fell many years back and the place that had the impact produced streams of water that could also be radioactive. However, all of them agree that the cancer issue needs to be urgently addressed. “When you see a toad jumping during the daytime, then know that an enemy is going after it. We are running by day and night time we cannot get enough sleep as we ponder on the way forward. There is an ingrown fear of the unknown and a bleak future lies ahead. Until when and until who dies shall we take the corrective measures? Enough has been said and the time for action has never been better than now,” said Dr. Mzalendo. “There is goodwill from both county and national government and we hope that this will shortly be dealt with once and for all. This is just one village that we have undertaken to consider, how many others are suffering in silence not only in this region but also in the country?” he posed. Mr. Muriithi adds: “Many other suspicious causes are ranging from the use of agrochemicals, lifestyle and environmental changes to name but a few. It is a common understanding that we have been consuming a
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http://www.knh.or.ke lot of chemically grown food in the many upcoming greenhouses that are poorly regulated. Currently, there are varieties of crops that are resistant to many diseases and pests, probably genetically modified (GMO’s) finding their place on our tables.” “The indigenous crops such as arrowroots and cassava are slowly being replaced by GMO’s and junk food. Mostly our food is purified with chemicals and sold to unsuspecting customers. There is a need to look into lifestyle causes and the poisoning of
our environment. Waste management needs to be emphasized to all and sundry such that all agro and industrial chemical effluent are handled and disposed of properly,” he goes on. “Over-the-counter drug dispensation needs to be regulated and emphasis given to proper review by qualified medical personnel, for medical indications such as headaches or general body aches; this may be a game-changer,” added Mr. Muriithi, a community advocate for early and regular screenings.
Although KNH has partnered in many medical and surgical outreaches, there is a need to carry out in-depth results geared research right from the village set-ups as well as equipping primary healthcare providers. Many of the cases presented for specialized care can be well taken care of at early stages thus lessening the burden of medical care. Advocacy for healthy living needs to be emphasized in all medical setups with health insurance policies taking the front line such as NHIF.
One on One with a Surgeon By Luke Kungú Newsline had a brief one-on-one conversation with Dr. James Ikol, a surgeon at KNH, on the sidelines of an Outreach in Kitui County just to understand his trade…read on. Q. Is being a surgeon a calling? A. Being a surgeon entails selflessness and hard work. When you are a family man and you take a lot of time in theatre and fail to balance the family life, then it is catastrophic. You may become an absent parent and a stranger to your family and especially the rural folk. Our schedules run into weekends and emergencies even into the nights. Sometimes you get so exhausted that even driving home is impossible and you take a nap in the car or even midway home you get an emergency call and rush back. The nerve-wracking traffic jams witnessed in the city, especially during rainy seasons, sometimes make it hard to balance the two. Q. Understandably, most of the patients cannot afford such surgeries and here you are giving your services for free, why and what do you stand to benefit from it? A. Service to mankind is service to God, this is just giving back to society since I am also part of it. One act of kindness to one member goes a long way in helping society gain hope in surgical interventions and demystifying urological dysfunctions. In instances like this, whereby most of the patients have been suffering for long periods and have hopped from one health facility to another and spent a lot of money; I put myself in their shoes and relive their life and pains coupled
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Dr. James Ikol- surgeon at KNH with stigma and ridicule. I ask myself ‘what if it was me in such a situation and cannot afford it?’ The emptiness in such a thinking pattern spurs me to greater heights and gives me profound energy to perform the surgeries. Q. What if a surgery does not achieve the aspired outcome? That is a weighty question that touches on the aspirations of quality life
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and restoration of hope. I internalize all that and consider it, but in most instances, it ends up successful. If there are complications, then we refer the patient for specialized services at KNH. I beg to leave for the next surgery in theatre two. Thank you Dr. Ikol for your time and wish you all the best.
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Earplugs handed to artisans to mark World Hearing Day By Winfred Gumbo KNH in collaboration with the Ministry of Health, Operation Ear Drop Kenya, World Health Organization, University of Nairobi, Nairobi Audiology Centre, Christian Blind Mission, and Nairobi ENT Clinic marked World Hearing Day at Kamukunji grounds. The event aimed to create awareness on prevention & management of hearing loss, promote ear & hearing care. This year’s theme was Hearing care for All! Screen. Rehabilitate. Communicate. Some of the activities carried out were hearing screening, ear examination, free treatment of ear infections, referral for hearing rehabilitation, and teaching on proper ear cleaning techniques. WHO estimates that more than 460 million people globally have disabling hearing loss and by 2050, over a 900million people will have disabling hearing loss i.e. 1 in 10 people. Dr. Kigen Bartilol, Head of National Referral Services (MoH) speaking on behalf of Director-General MoH, Dr. Patrick Amoth said the event was an important part of the realization of Universal Health Coverage since the government is working on the provision of hearing aids to all working in noisy environments. “Timely and appropriate care helps reduce hearing loss cases. I want to thank Operation Ear Drop Kenya for donating these noise plugs through Christian Blind Mission (CBM),” he
The 2,800 noise plugs donated to the artisans within the Kamukunji Jua Kali market to create awareness on prevention & management of hearing loss and to promote ear & hearing care.
said. Dr. Chimmy Olende, Chairperson Operation Ear Drop Kenya said
Jackline Andal - Senior Nursing Officer in charge ENT Clinic (Right), explaining to the artisans how to use the ear plugs at the Kamukunji grounds during the World Hearing Day outreach.
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their organization deals with those who require surgery & urged the artisans to seek help immediately they suspect they are beginning to develop hearing problems to avoid further complications. “This year’s event is being celebrated differently due to the launch of the world report on hearing in Geneva and subsequently here in Kenya at the Kamukunji hall,” said Prof. Isaac Macharia, Senior Lecturer ENT at UoN and Chair Technical Committee Operation Ear Drop Kenya. Mr. Mwaura Thuo, Chairman, Kamukunji Jua Kali said because of the working conditions, most artisans face challenges like leg & hand amputation as well as arthritis caused by sitting down for a long period on the cold metals. He added that they also need continuous sensitization from healthcare workers on how to take care of themselves through proper ear care. Serah Ndegwa, Chairperson of World Hearing Day Committee thanked the sponsors for giving 2,800 noise plugs which were handed over to the artisans within the Kamukunji Jua Kali market. She also urged the artisans to have work schedules that will enable them to take breaks from loud noise at work.
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A GENTLE SOUL HAS RESTED; Fare Thee Well Mrs Mary Ndunge Kikuvi By Ngure Jacqueline The Late Mrs. Mary Ndunge Kikuvi has been eulogized by family, friends and colleagues as a hardworking team player, with a kind and gentle soul. In a memorial service held at the Kenyatta National Hospital chapel on 25 th March,2021, glowing tributes from her loved ones and KNH colleagues outpoured as they mourned her untimely demise. The late Mary Kikuvi went to be with the Lord on Saturday, 20 th March 2021, after a short illness. She was under the care of her colleagues in the KNH Main CCU. Until her demise, Mrs. Kikuvi was the Senior Assisant Chief Nurse (SACN) in charge of Nursing Standards at KNH, a position she held for two years.
She joined KNH 35 years ago and through the years worked in various departments such as Paediatrics, Patient Affairs, Nursing standards among many others. Her dedication to patient centered care and strict adherence to nursing standards in the practice saw her rise through the ranks over the years to the senior position of SACN. Mr. Anthony Wainaina, who worked with the late Mrs. Kikuvi in Patient Affairs Department for six years, remembered her burning passion for patient centered care which saw her successfully champion several policy documents in the Hospital, such as Patient Centered Care Guidelines & the Patient Charter. She was also part of the team that conceptualized and implemented the
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current KNH Information center. Mrs. Judith Mugambi, the Director for Nursing Services described Mary as a balm that brought healing to people around her. She was also the department’s computer expert, always ready to help those who got stuck on matters technology. The Senior Director for Clinical Services, Dr. Irene Inwani, eulogized Mary as not just a colleague but a personal friend as well, who radiated warmth with her infectious smile. We wish her family, friends and colleagues and the entire KNH fraternity peace and grace during these very difficult times. Rest in Eternal Peace Mrs. Mary Ndunge Kikuvi.
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1. Mr. James Kikuvi, Late Mary’s husband giving his tribute during the memorial service 2. Director Nursing Services - Mrs. Judith Mugambi comforts an overwhelmed member 3.Senior Director Clinical Services - Dr.Irene Inwani gives her tribute 4. KNH Nursing staff follow proceedings during the memorial at KNH Chapel.
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World Glaucoma Week marked at KNH
Kidney Health for Everyone, Everywhere By Sarah Wanjiku And Susan Wakiuru World Kidney Day is celebrated to make people aware of the importance of early detection and treatment of the disease. Being diagnosed with the disease can be a huge challenge, both to the patient and those around them. Its diagnosis and management, particularly in advanced stages of the disease, impacts severely upon their lives, by reducing their, and that of family and friends, ability to participate in everyday activities like work, travel, and socializing whilst causing numerous problematic side effects – e.g. fatigue, Kenyatta National Hospital renal unit recently conducted a free screening exercise as part of celebrations to mark the World Kidney Week celebrations at the Information Centre grounds. At least 547 people (236 males, 307 females, and 4kids) were screened. “Living well with kidney disease” was this year’s theme. Prof Joshua Kaima, a Nephrologist at KNH’s Renal Unit in his speech encouraged Kenyans to at least undergo one kidney screening exercise per year for early detection and treatment of the disease. At KNH Othaya, medics marked the World Kidney Day with an outreach at the hospital’s recreational field. According to research done by Kenya Renal Association, Kidney disease is projected to become the fifth leading cause of premature death globally by 2040. Almost 500,000 Kenyans are living with chronic kidney disease and more than 12000 have end-stage kidney disease requiring dialysis. Also, currently, more than 5000
patients are on dialysis in Kenya. The research indicates that the onset and progression of chronic kidney disease are often preventable. The preventive interventions include early medical check-ups, control of blood pressure, blood sugars and cholesterol, and weight loss. The outreach, that saw about 520 people screened for kidney disease, mainly targeted people with diabetes, hypertension, people with a family history of kidney disease, smokers, overweight individuals, and those above 50 years. These being the people at a higher risk of getting kidney disease. Kenyatta National Hospital- Othaya Senior Director, Dr. Peter Muiruri encouraged residents to make good use of the facility and its wealth of knowledge from experts in various medical fields. These remarks were also echoed by the area chief Mr. Githaiga Muchiri: “We are very privileged to have this hospital in our area, the services that we receive from the hospital are exemplary. This medical is going to help us and we request that the management of the hospital make it an annual event,” said Benedita Njeri, a patient who had attended the kidney Camp. “We are grateful that this camp was successful, being a first of its kind at KNH- Othaya. It was a great platform to create awareness about kidney disease and share information about ways to prevent kidney disease. As the month continues, we will have health talks with our patients. We are looking forward to celebrating the same every year,” remarked the Nurse-In-Charge Renal Unit, Mr. Stanley Morumbe. Your Kidneys are vital! Take care of them
Dr. Kalu Idza Agnes- Consultant Opthamologist By Winfred Gumbo This year’s Glaucoma Awareness Week was marked at KNH with medics carrying out intraocular pressure testing and examination of the optic nerve to patients at the Eye Clinic. Explaining the importance of the week, Dr. Kalu Idza Agnes, a consultant Ophthalmologist said Glaucoma is a disease of the eye that damages the optic nerve, which is vital for good vision. “It is important for individuals to be tested at least once a year so that the doctor can give advice whenever there is a problem detected,” said the medic. “Glaucoma can come with an increased intraocular pressure, which further leads to the damage of the optic nerve. Most of the time it is painless so without frequent screening, individuals may go blind without having known prior existence of the condition hence the need for increased awareness,” Dr. Kalu added. The event which saw more than three hundred patients, their caregivers, and staff screened and given eye care health talks was marked under the theme “The World is Bright, Save Your Sight” Dr. Kalu thanked the KNH management for having sponsored the event. “This disease is like a silent thief of the eyesight and there is so much to be seen in this world so it is important to take good care of our eyesight to enjoy all the world has to offer,” she concluded.
Members of the public register for Kidney screening in celebration of the world Kidney day
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OUR STORY IN PICTURES
KNH CEO - Dr . Evanson Kamuri cuts a cake in celebration of his 50th birthday. He is joined by Rose Njoroge, Director Supply Chain Management at the KNH Boardroom.
KNH CEO- Dr. Evanson Kamuri having a cake to mark his 50th birthday at Kenyatta Prime Care Centre (KPCC).
KNH Karate club in action during their routine training.
KNH staff enjoy a cup of tea, courtesy of Kericho Gold during Patient Engagement Week.
Part of the team of KNH Opthamology department during the Glaucoma Awareness week.
Dr Rose Nyabanda recieves an assortment of electronics from RJ Kanani Foundation donated to the Maternity Ward
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Celebrating World Day of the Sick By Winfred Gumbo & Linnette Leyi Kenyatta National Hospital has marked World Day of the Sick at Shrine of Mary help of the sick Don Bosco Church Upper Hill. The event led by Father John Kariba, Head of Unit Chaplaincy and moderated by Father John Mwesige, aimed at praying for the sick and their families, all those who work in hospitals and those taking care of the sick at home. In attendance were the sick from various wards and their caregivers. This year’s theme came from the book of 2nd Corinthians 12:10 which says, “When I am weak then I am
Director Nursing Services - Mrs. Judith Mugambi leading KNH team during the church service. Bottom: KNH staff members singing go light your candle hymn during the service to commemorate World Day of the sick
Inspirational Quotes Whatever you do, do it well. – Walt Disney All limitations are self-imposed. – Oliver Wendell Holmes
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
Problems are not stop signs, they are guidelines. – Robert H. Schiuller If you tell the truth you don’t have to remember anything. – Mark Twain Determine your priorities and focus on them. – Eileen McDargh Dream as if you’ll live forever, live as if you’ll die today. – James Dea
strong,” thus it encourages all going through trying times like sicknesses to believe in God since He is the provider of strength. While addressing the congregation, Father Mwesige said those who live with God cope with sickness easily. “I would like to thank all those taking care of the sick since is not easy for the sick to be alone,” he said. After the prayer session, a team of healthcare workers sang the song; Go light your candle and thereafter recited a healthcare workers’ pledge which requests God to help them make visible the love of God to all those committed to their care. Representing the Chief Executive Officer, Director Nursing Services Mrs. Judith Mugambi thanked the Don Bosco Church officials for allowing the KNH team to conduct the event. She also thanked the KNH management for allowing release of patients and KNH staff to attend the event. The donations from KNH staff were received by Sister Janerose Njoroge, Director of Kwetu Home of Peace who said they will go a long way in helping the needy.
OUR MOTTO We Listen, We Care
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To contribute or report on newsworthy items, please contact the Editorial team; Marketing & Communication Department Editorial Team: .Dave Opiyo, Hezekiel Gikambi. Stories: Winfred Gumbo, Verah Mugambi, Jacqueline Ngure, Luke Kung’u, Linnette Leyi, Sarah Wanjiku & Susan Wakiuru Design By: Collins Cheruiyot Photos: Yvonne Gichuru, Nicholas Wamalwa, Linnette Leyi & Shiphrah Njeri
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