KNH NEWSLINE EDITION 9

Medic lands scholarship to prestigious HIV Conference

Editor’s note p.2

Medic lands scholarship to prestigious HIV Conference p.3 - 4

Women and their role in transformative leadership in Healthcare p. 5 - 6

Decision-making should be data-driven Making smarter decisions to fuel organizational growth p.7 - 8

Taking care of our mental state-Better together p.9

Decades of excellence in repairing ‘broken hearts’ p.10- 11

Intern’s Experience p.11

Boost as KPCC receives additional nursesp.12

Mjue mwanasoka wa KNHFC - Fabian Odhiambo p.13

KNH Nurses join national festivities to mark International Nurses and Midwives Week 2023 p.14-15

Our story in Pictures p.17

KNH feted again at Energy Management Awards p. 18 -19

Understanding HR: The Backbone of Success p. 19-20

Positive mentions from KNH socials p. 20

Jhpiego learning exchange visit to the KNH Gender Based Violence Recovery Center p. 21 Comic zone p. 26

Marketing & Communication Department

Design Concept Team:

Dave Opiyo, Edel Q. Mwende, Yvonne Gichuru & Collins Cheruiyot

Editorial Team:

Dave Opiyo , Edel Q. Mwende, Winfred Gumbo, Verah Mugambi, Shiphrah Njeri, Steve Arwa, Phillip Etyang, Linnette Leyi & Priscah Angwenyi

Stories:

Dave Opiyo, Edel Q. Mwende, Phillip Etyang, Yvonne Gichuru, Luke Kung’u, Linnette Leyi, Steve Arwa, Elizabeth Wambui, Christine Kanana Hezron Okioma, & Wilson

Mwaniki

Design By: Collins Cheruiyot

Photos:

Dave Opiyo, Linnette Leyi, Steve Arwa, & Maureen Mwikali

Tel: +254 20 2726300-9

Ext. 43121 or 43969

Fax: +254 20 272572

Email: caffairs@knh.or.ke knh.caffairs@gmail.com

Dear Colleagues,

It is a fact that women in healthcare leadership have been working tirelessly behind the scenes and therefore, need more recognition than they are receiving. They play a critical part in both the clinical and administrative frontiers within healthcare systems.

These women have demonstrated a delicate balance in delivering services at both the strategic leadership level and in the family unit. They nurture, mentor, lead and correct with love. With this blend, they are able to pass the baton and in the long run, healthcare institutions deliver better clinical outcomes.

Under research and innovation, women in healthcare have also led from the front, receiving recognition and accolades for their various roles and duties in the provision of quality healthcare services.

Let us remember our grandmothers, mothers and sisters, especially in the past week that we celebrated Mother’s Day.

All the Newslines and Newsletters can be accessed online at: https://bit.ly/3uQGCcI

Ms. Priscah Angwenyi

Marketing & Communication Officer KNH

Medic lands scholarship to prestigious HIV Conference

By Dave Opiyo

Dr. Nancy Ngumbao was overjoyed when she received one of the best news this year.

The Medical Officer at Kenyatta National Hospital (KNH) has just had her conference abstract accepted and will be traveling to Brisbane, Australia, to attend one of the World’s most influential conferences on HIV research and its applications.

The 2023 International Aids Society (IAS) Biennial Conference on HIV Science will be held between the 23-26th June, 2023. Participants are expected to present critical advances in basic, clinical, and operational HIV research that move science into policy and practice.

Through its open and inclusive program, the convention will shine a spotlight on the world’s advances in HIV research. With its wide range of cutting-edge studies, it will become the benchmark for HIV science.

According to Dr. Ngumbao, who is based at the Medical Research Department, this is exactly what she wanted and dreamt of. Getting to this stage, according to her, was no mean feat.

“Not everyone gets an opportunity to be here,” she told Newsline in an interview. “It took months of planning, hours of getting ready, and ensuring that all your documents are in order. I’m glad all this has come through for me,” an elated Dr. Ngumbao said.

Her journey to achieving this fete began in January this year when she submitted an abstract for consideration to the event organizers. According to Dr. Ngumbao, she did this out of pure passion for research.

“One of my areas of focus in research has been on HIV prevention especially among

the pregnant and breastfeeding mothers as they are a critical population. This is because they are at a higher risk of getting HIV as their conditions easily predispose them. Secondly, if a mother gets HIV during pregnancy, they can easily transmit it to their child hence that can become a cascade of the HIV pandemic.”

“As part of my thesis for my Masters in Public Health, I looked at the core factors for taking up self-HIV testing or PREP or using interventions when given. If a pregnant woman is given an option of taking either of the interventions, which one will she choose? And if she chooses both, what is she predisposed to for choosing both?” She adds.

She goes on: “What I did for my Masters, I made it into an abstract and submitted it to the conference in January this year. Normally, the abstracts are reviewed and ranked where the top abstracts are given for oral presentation then some are given for post-presentation and others are rejected.”

Dr. Ngumbao explained that she applied for a scholarship to get an opportunity to disseminate her work, listen to others, and see whether that can be implemented to improve care at KNH, in the country and thirdly to network and rub shoulders with those in the HIV research field.

“The communication that my application had been accepted for oral presentation came as a real surprise to me. It will be a first for me to present at such a forum. I was informed that I had been given a full scholarship to do the presentation. This means that the organizers will pay for transport, accommodation, and conference registration. The conference registration tends to be pricy therefore, I’m glad they are catering for all of that,” she says.

Asked what the scholarship portents for research not only in her Medical Research Department and the Hospital as a whole, Dr. Ngumbao said this will encourage others to take-up the subject.

She said, they have for the

“Not everyone gets an opportunity to be here,” she told Newsline in an interview. “It took months of planning, hours of getting ready, and ensuring that all your documents are in order. I’m glad all this has come through for me,”

- Dr. Ngumbao

longest time, tried to demystify the notion that research must be done by a particular cadre or by a particular level of research scientists.

“Conducting research is a matter for every one of us. It simply involves identifying a problem within our area and trying to solve them,” she said.

She went on; “But you will be required to put in some work. In our department, as we speak, we have a walk-in policy where anyone can seek help with their thesis, research title, and proposal. We also have a mentorship group that we have circulated to all KNH staff where we do monthly sessions on how to develop your proposal, how to write an abstract, do analysis, and carry out your research and it is running every month throughout the year. We have not closed it out for particular people, anyone can join.”

“We have also been organizing various training opportunities where we do proposal development training, manuscript writing workshop, and invite guests. We conducted one in January this year where we hosted a team from the University of Washington that came over and trained anyone who wanted to learn on how to develop their abstracts and manuscripts.’

‘We sensitize staff and circulate this to the entire hospital. I think there is just a perception about research that it is difficult, it cannot be done, that maybe my idea is to demystify that it can be done and by anyone at any point.”

As we finished, Newsline asked

THESIS BIG QUESTION?

Dr. Ngumbao what advice she offers to people who would wish to follow her academic journey and this was her response in verbatim;

“To be honest I think I have grown in research by just interacting with the department. We have a lot of resources here. But sadly, not all of us are taking advantage of these resources. You know you can take a cow to the river, but you cannot force it to drink. There is no way it will come to you if you don’t take a step. I usually say when you are trying something, you are not worse off from where you are.”

“If I can give an example when I was submitting my abstract to IAS, I did not know that I was not going to go to the conference either way, my trying and getting it rejected just puts me at a better step because now I will know why I have been rejected.”

“Therefore, my advice to people is that they have to try to take a step and things will fall into place. Do not be afraid to make mistakes. There is nothing different about it if you had not tried and would not have had the opportunity either way. So, if you try you will learn something and that becomes a step towards where you are going. When I began doing research, I had zero knowledge of how it is done. Research is a matter of learning. If you have an interest you can start,” she concluded.

“As part of my thesis for my Masters in Public Health, I looked at the core factors for taking up self-HIV testing or PREP or using interventions when given. If a pregnant woman is given an option of taking either of the interventions, which one will she choose? And if she chooses both, what is she predisposed to for choosing both?”

PHOTO | STEVE ARWA

Dr, Nancy NgumbaoMedical Officer and research scientist KNH

Women and their role in transformative leadership in Healthcare

By Priscah Angwenyi & Philip Etyang

Globally, women in leadership have experienced many pitfalls and challenges that have at times been a hindrance in the achievement of greater success.

However, for some of the women at the summit of Kenya’s healthcare system, leadership roles have helped them overcome some of these obstacles.

Their is a success story, especially in the accomplishment of organizational goals and in the transformation of their followers into better people.

Time has demonstrated that their leadership style emphasizes on the need for teamwork and authentic communication as keys in the achievement of longterm goals.

Their leadership philosophies have been all-inclusive while at the same time encouraging equal participation where power and information are shared with those being led by leaders. These women are resourceful, enterprising, energetic and simply loving! The Newsline Team, had a chance to engage candidly one-on-one with some of them.

Mrs. Rose Mugambi Njoroge, OGW, Director Supply Chain Management at Kenyatta National Hospital (KNH)shared her nuggets of leadership that have placed her at the decisionmaking table of the Executive Management Committee of KNH.

With more than 20 years of result-oriented experience in Strategic Supply Chain Management in both the public and private sectors, streaming operations in her field is her core business. This has led to

improvement in performance and excellence in service delivery translating to positive clinical outcomes.

“As the team leader, I share the departmental vision and set clear goals and targets in line with the Hospital’s Key Performance Indicators. (KPIs) I always give positive feedback and maintain a reward system, thus encouraging teamwork and a healthy office environment. With a listening ear, I offer empathy on the unique challenges that career women face and encourage them to have a work-life balance,” said Mrs.

Njoroge.

Mrs. Njoroge’s leadership style includes delegating some official responsibilities to her staff so as to empower them in the professional line of service. Provision of opportunities for development through seminars, workshops and internal training so as to give them a competitive edge in the marketplace.

“As the team leader, I share the departmental vision and set clear goals and targets in line with the Hospital’s Key Performance Indicators(KPIs).”

PHOTO | Thelesi Co.

Mrs. Rose Mugambi Njoroge, OGWDirector Supply Chain Management

always have an accountability partner so that one does not neglect their family duties.

“Find a mentor or coach, be assertive in your decisions and stay focused. Encourage stakeholder involvement and be ready to consult widely so as to make prudent decisions. A positive work culture should be encouraged. Conflict resolution meditation is a key goal for survival. You need to know your trade very well so as to earn respect in every sphere,” continued Mrs. Njoroge

“Keep the right networks as your network is your net worth. Be a risk-taker to become a trailblazer. Have great negotiation skills and assert your place and space in any field. Always be a lifelong learner. Ensure you have the discipline of time and unquestionable integrity and character,” stated Mrs. Njoroge.

With the attributes above, Mrs. Njoroge was feted with the Order of the Grand Warrior via gazette notice No. 8229, 8th July, 2022, for streamlining the procurement operations at KNH. This led to her seconding to the National Hospital Insurance Fund where she would up measures in streamlining the procurement department as per the government guidelines.

“Always have wide stakeholder consultation to come up with structured and productive decisions. You must be ready to learn, unlearn and relearn all the time,” concluded Mrs. Njoroge.

On her part, Dr. Lydia Okutoyi, Obstetrician-Gynaecologist and the Director Health Care Quality at KNH believes that for women in leadership to operate at their optimum, a balance between the various facets of life is necessary.

“Women in healthcare face multiple challenges today and in my opinion, it is critical for them to strike a balance between the various facets of life. Striking the correct balance in self-care and social life is key if women are to continue winning,” she said.

Dr. Okutoyi, who also doubles up as the President Society for Quality Healthcare Kenya, believes that life’s teachings can adequately prepare one for the various roles one has to play in life.

“I am a firm believer in lifelong learning as well as other forms of formal education having received training in Obstetrics, Public Health, the health system as well as health safety training. I have, therefore, worked in various areas within the healthcare system. For example, in clinical work, one needs to be thoroughly prepared for their work in the clinic,” she said.

Speaking on women empowerment, Dr. Okutoyi believes that no gender should be given preferential treatment over the other rather they should be rewarded according to what they deserve without any prejudice.

“People should be given chances according to merit and by what they deserve and not by waving the boy child or girl child card. In as much as it is important to uplift the girl child, it is equally very important to empower the boy child as well.”

On leadership style, Dr. Okutoyi likes to draw her philosophy from the Holy Bible. Her leadership style, she said, has been greatly influenced a lot by Jesus Christ.

“I like to draw examples of leadership from the way Jesus worked. He had 12 disciples who all worked seamlessly under him and he respected all of them! If you do not respect those you lead, you cannot claim to have influence over them. Without influence, then there is no leadership,” she said.

Part two to follow. >>>

PHOTO | Thellesi Co Director Health Care Quality Dr. Lydia Okutoyi

“ Striking the correct balance in self-care and social life is key if women are to continue winning,”

Decision-making should be data-driven Making smarter decisions to fuel organizational growth

By Wilson Mwaniki

In the modern world, data is the second most valuable asset after Gold [fact].

Most organizations in Kenya and across the world are in pursuit of digital transformation, data literacy or even just ‘good old-fashioned’ datacentricity.

This makes it clear that data is an asset that must be valued, managed, governed, protected and ultimately, appropriately leveraged for better decision-making, competitive advantage and service optimization.

Intuition can be a helpful way of making decisions, although it would be a mistake to base all decisions around a mere gut feeling. Intuition can lead you to a particular path but it’s through data that you verify, understand, and quantify. Many have imbued the concept of “intuition”. In science, Albert Einstein is quoted saying, “The intuitive mind is a sacred gift,” and in business, Steve Jobs is quoted as saying, “Have the courage to follow your heart and intuition; they somehow already know what you

want to become.”

Highly data-driven organizations are three times more likely to report significant improvements in decisionmaking compared to those who rely less on data.

Best practices

The Government of Kenya has identified data as one of three key drivers of its transformational and development agenda. In conjunction with its Information Technology (IT) modernization and workforce development initiatives, the Government is looking to align the technology, processes, and policies needed to leverage data as a strategic asset to support evidencebased policy and decision-making. The linchpin of this vision is the ability to provide all stakeholders with timely access to the right data, and to ensure that the data is accurate and understandable. This holds true whether those stakeholders are working in the same organization, across agency lines, or even in different sectors.

Therefore, data must be treated as

a strategic, enterprise asset.

Towards Data-Driven DecisionMaking (DDDM)

1. Know your end game-If you don’t know your destination, how can you get there? That should be the first step in any DDDM scenario: ask yourself what are you trying to solve. Identify and understand your goals thoroughly. You need to do this before you begin collecting data so that you know what data to collect and not to collect. To get the most out of your data, companies should define their objectives before beginning their analysis. As Sun Tzu said in The Art of War, “Victorious warriors win first and then go to war, while defeated warriors go to war first and then seek to win.” Set a strategy to avoid falling into traps through Key Performance Indicators (KPIs) as measures of success or failure.

2. Coordinate among teams-Your DDDM project will involve at

PHOTO | STOCK Graphic representation on being on crossroads and making tough decesions

least two stakeholders: the business unit looking for insight and the people who will run the computing. However, there may be others with a vested interest. Other departments or C-level executives might want to know the results as well. Adding new people might mean changes in the data collected. A new stakeholder could mean a new data variable added to the mix.

3. Democratize the process-We all have unconscious biases and we all have blind spots. We might even be guilty of seeing the data we wish was there instead of what’s really there. Therefore, make this a team effort and bring multiple eyes to the project. They will have their own biases, sure, but hopefully, they won’t be the same as yours. By eliminating bias, you open yourself up to discovering more opportunities.

4. Clean and organize your dataAccording to Gartner, data scientists spend 79% of their time collecting, cleaning, and organizing data and only 20% actually performing analysis. Not surprisingly, this is the least favorite part of the job for data scientists but it must be done. The term ‘data cleaning’ is the process of preparing raw data for analysis by removing or correcting incorrect, incomplete, or irrelevant data. In data warehousing, this is known as ‘schema on write,’ where you apply such filters before you store it. The process involves creating a data dictionary, a table that defines each of your variables and translates them into what they mean to you in the context of this particular database. Once you have a dictionary it is available for reuse on other projects.

5. Find the data needed to solve these questions- Look at the data you have already gathered and try to focus on your ideal data, that which will help you answer the questions you are asking. Once you determine the data needed, check if you already have this data or if you need to set up a way to collect it or acquire it externally.

6. Perform Basic Statistical analysis- If you are new to analytics and DDDM, it really isn’t a good idea to involve a multipetabyte database for your first project. Start small and learn. You are testing your models to see if they are providing the answers you need. Testing different models such as linear regressions, decision trees, random forest modeling, and others can help you determine which method is best suited to your data set.

From there, you can come up with three types of reports:

• Descriptive: Just the facts.

• Inferential: The facts, plus an interpretation to provide context.

• Predictive: An inference based upon results.

7. Draw conclusions-The last step in data-driven decision-making is coming to a conclusion or conclusions based on the findings. The conclusions you draw from your analysis will be the basis on which your organization will make an informed business decision and plot strategy moving forward. The final step of DDDM is always the human element.

8. Present the data in a meaningful way- Digging through data is what computers do but humans want something more than rows and columns of numbers or their eyes glaze over. With the help of a great data visualization application, you can present the data in a meaningful way to people less technologically skilled. Apps like Databox, Zoho Analytics, Tableau, In- fogram, Chart Blocks, Data wrapper, and many more provide an easy-to-use Graphical User Interface (GUI) environment to tell your data story.

9. Revisit, review, revise, and reevaluate- Once you have your models and data dictionaries in place, you can’t rest on your laurels. Do not be afraid to step back and rethink your decisions, review your models revise them, and ask how can I do this better? Optimization is always possible and nothing is bug-free. Keep revising your work and make it better.

The Hospital has embraced the use of data in decision-making. This data comes from different service points within the Hospital and is analyzed and reported to enhance the use of the data and information. Further, the Hospital is in the process of roll-out of the ERP and the E-Hospital which will come a long way in assisting in data capture, sharing and storage.

“ Highly data-driven organizations are three times more likely to report significant improvements in decisionmaking compared to those who rely less on data.

Taking care of our mental state-Better together

By Shiphrah Njeri

‘Toxic’ is the new slang that is now commonly used by both Millennials and Generation Z (Gen-Z). Who are these you may ask? Millennials are the people born from 1981-1996 and Gen-Z are born from 1997-2012.

When one is dissatisfied with a behavior of a person, they may be rude to them or leave them feeling worse off after interaction. Maybe it is a manipulative family member or a co-worker who can’t stop complaining about every little thing. It is common to refer to these people as being toxic. However, it is important to keep in mind that this term isn’t grounded in psychology and doesn’t have a simple definition.

Key signs of toxicity:

• Self-absorption or selfcenteredness

• Manipulation and other emotional abuse such as gaslighting

• Dishonesty and deceit

• Difficulty offering compassion to others

• Tendency to create drama or conflict

Below are some of the tips on how to respond to toxicity.

Avoid playing into their reality

Some people have a tendency to see themselves as the victim in every situation. If they mess up, they might shift the blame to someone else or tell a story that paints them in a more positive light.

You might feel tempted to nod and smile in order to prevent an angry outburst. This might feel like the safest option, but it can also encourage them to see you as a supporter.

Try respectful disagreement instead. You might say, “I had a different take on the situation,” and describe what really happened. Stick to the facts, without making accusations.

Don’t get drawn in

The person might constantly complain about others, always have

a new story about unfair treatment, or even accuse you of wronging them or not caring about their needs.

Resist the urge to jump on the complaining train with them or defend yourself against accusations. Instead, respond with a simple, “I’m sorry you feel that way,” and leave it at that.

Pay attention to how they make you feel

Sometimes simply becoming more aware of how someone’s toxic behavior affects you can help you better navigate interactions with them.

Most people occasionally say rude or hurtful things they don’t mean. No one feels their best all the time, and being in a bad mood can make you lash out. This isn’t necessarily toxic.

Then do they apologize or seem to notice how what they say or do affects you?

Personal struggles don’t excuse abuse, and you don’t have to accept it, either.

Talk to them about their behavior

Someone who manipulates others, or creates dramatic situations might not realize how their behavior affects you or anyone else. An open conversation may help them realize this behavior is unacceptable.

Here are some examples of this in action:

• “I feel uncomfortable when I hear unkind things about our co-workers. I won’t participate in those conversations.”

• “I value trust in friendship, so I can’t continue this friendship if you lie to me again.

Put yourself first

You might value your relationship with this person but don’t offer support at the risk of your own wellbeing. A good relationship involves give and take.

Say no and walk away

Have a hard time turning people down? Guess what you aren’t alone. Sticking to a refusal can also be

tough, especially when someone tries to guilt-trip you into changing your mind. The more you practice saying “no” to things you aren’t comfortable with, the easier it becomes.

Remember, you aren’t at fault

It’s tough to face attacks from someone who behaves in a toxic manner. They might get personal, try to twist your words or accuse you of wanting to hurt them. If you have to spend time with someone who exhibits toxic behavior, remind yourself their actions aren’t your fault or your responsibility. It’s important they know what you’re not willing to tolerate.

Limit your time together

If you’re dealing with someone who picks fights with you or repeatedly pushes your boundaries, consider scaling back the amount of time you spend with them.

Don’t get personal

Toxic behavior can involve gossiping, over-sharing personal details, or using personal information to provoke reactions.

If you know someone who does these things, keep your conversations light and insignificant. Shut down attempts at prying or oversharing with, “Actually, I prefer not to talk about my relationship at work.”

Additional contribution from Patrick Sueskind

Decades of excellence in repairing ‘broken hearts’

By Philip Etyang

The importance of the heart as part of your body cannot be overstated.

The organ is part of the body’s circulatory system and is made up of the atria, ventricles, valves, and various arteries and veins. The main function of your heart is to keep blood that is full of oxygen circulating throughout your body.

Since the heart is crucial to the survival of every living being, it is paramount to keep it healthy through maintaining a wellbalanced diet, maintaining proper weight, managing stress and exercising. It is also necessary to avoid doing things that can damage it such as smoking tobacco, drinking alcohol and eating a diet full of cholesterol.

However, when all these methods and ways of ensuring the heart remains healthy fail, the Cardiology Department (formerly known as the Heart Unit) steps in to ensure that our hearts are working at optimum

levels.

Thirty-six years ago, the firstever corrective heart operation took place at Kenyatta National Hospital’s (KNH) Heart Unit.

Records indicate that a pericardiectomy was performed in April 1987. The procedure involves cutting off a fibrous sac called the pericardium which houses the heart.

The operation is done when the pericardium gets inflamed making it stiff and thick, preventing the heart from moving freely when it beats. The procedure is categorized under closed-heart surgery as it does not involve opening the heart which means stopping the pumping function of the heart temporarily.

In December of the same year, another closed heart operation was done. This time, it involved the opening of the stenotic mitral valve in a procedure known as closed mitral valvuloplasty.

A valvuloplasty is a procedure done to repair a heart valve that has a narrowed opening. The

heart has four valves — the aortic, mitral, tricuspid and pulmonary valves which open and close to let blood flow. In the case of stenosis (narrowed heart valve), the valve flaps (leaflets) may thicken or stiffen, fusing together. Valve stenosis reduces blood flow through the valve.

Within the same month, another closed heart operation was done at the Hospital, this time involving the ligation of a Patent Ductus Arteriosus (PDA).

PDA is a medical condition in which the ductus arteriosus fails to close after birth allowing a portion of oxygenated blood from the left side of the heart to flow back to the lungs through the aorta.

In 1971, the Hospital started conducting much more complex heart operations. The first major heart procedure that year involved the creation of an artificial channel (Blalock Tausing Shant) to supply blood to the lungs. The Blalock–Thomas–Taussig shunt (commonly called the Blalock–Taussig shunt)

PHOTO | LINNETTE LEYI xyxyyxyx

is a surgical procedure used to increase blood flow to the lungs as a result of certain forms of congenital heart disease.

The second complex operation saw the banding of pulmonary arteries to reduce the amount of blood flow to the lungs.

The Cardiothoracic Unit within the Surgical Division was established in 1973. However, major changes, occurred in 1975 when

the governments of Japan and Holland, in collaboration with the Kenya government, made a major investment in the health sector.

Together, they financed the installation of the cardiac catheterization laboratory, enabled the supply and commissioning of a heart-lung machine, facilitation of the installation of various monitors in the ICU and theatre as well as supply of various consumables.

Following the heavy investment in the Heart Unit by the three governments, the first Atrial Septal Defect (ASD) closure took place on the 8 May, 1975. An ASD is a hole in the heart.

1979 heralded the first open-heart operation by an indigenous Kenyan surgeon. All previous operations had been done by foreigners either working at the Hospital or visiting teams.

The following are notable firsts of open-heart surgery at KNH:

1973- ASD closure under hypothermia.

1975- ASD closure under Cardiopulmonary bypass.

1976-Mitral valve replacement.

1976- Aortic valve replacement.

1978- Tetralogy of Fallot (TOF) total correction.

1978- Double valve replacement.

1979- First open-heart operation by Kenyan surgeon.

Between April 1983 and November 1985, there were no heart operations or procedures taking place at the Hospital. This was as a result of the total breakdown of some of the critical equipment in the Unit. However, the Kenyan government provided Kshs.306 million for the rehabilitation and purchase of new equipment for the unit whose operations had grinded to a halt. Below is a summary of the open-heart

cases done between 1998 to 2000:1998 - 51 cases were operated, 25 were pediatric, consisting mainly of correction for congenital heart diseases namely;

- Atrial Septal Defect.

- Ventricular Septal Defect.

- Tetralogy of Fallot.

- 26 adults, mainly, acquired diseases related to valves 1999- 42 cases were operated. 25 cases were adults valve replacements.

17 cases were pediatrics congenital heart diseases as above.

2000- 39 cases were operated. 22 cases were adults again valvular replacements.

17 cases were pediatric congenital.

The intern’s experience

By Elizabeth Wambui

Name: Purity J. Chepsergon

Education: Mount Kenya University-Banking and Finance

Department: Finance department

Roles:

• Filling track forms

• Committing LPOs and LSOs in their respective accounts

• Reversal of commitments

• Clocking in and out patients

• Printing invoices for patients

Experience at KNH

It has been an amazing experience as an attaché at KNH, since I

blended in well with everyone and the staff within the finance department are always willing to help out and they have made my internship easy and interesting. I really appreciate them.

What you love about KNH

The services they provide to their customers, the staff are really passionate and they really do a lot of team work to ensure their customers are satisfied with the healthcare services.

Parting shot

I would really urge KNH and staff to continue with the great teamwork and team spirit.

Boost as KPCC receives additional nurses

By Edel Mwende

As the world celebrated International Nurses Week (6th12th May), Kenyatta National Hospital Prime Care Centre (KPCC) appreciated the reaffirmation of the Kenyatta National Hospital (KNH) Management towards their commitment to ensuring that the Private Wing continues to provide quality and competitive healthcare services.

KPCC employed 19 additional Nurses to contribute towards the provision of prime healthcare services to patients. The team comprises of nurses from the general hospital and new joiners. The nurses have been deployed to various KPCC wards including the Critical Care Unit (CCU).

In order to ensure they settle in well, the newly deployed nursing team was inducted in various areas including the KPCC Culture, Organizational Structure, Operations, Performance Management, Quality Assurance, Customer Service and Communication among others.

“KPCC is a Strategic Business Unit of the Hospital, hence it is the responsibility of each and every one of us to understand the impact of our day-to-day tasks and be guided by the mission of the Prime Care Centre in order to make a positive difference and contribute towards the achievement of the Strategic Objectives,” said Ms. Doris Kimbui, Manager, Nursing & Clinical Services, KPCC.

“The Hospital is in the process of improving its culture, hence your knowledge of the institution and operations is key to ensuring that you feel part of the team and makes it easier to collaborate and produce great results with your team members. Performance management promotes a culture of accountability and helps us achieve the objectives of the organization,” added Ms. Roseline Okello, Nursing Manager, KPCC.

In order to provide great customer service, good communication skills are vital. “As you interact with the clients and patients that you provide nursing services to, let us embrace empathy and effective communication by ensuring the e use

the right words at the right time and combine that with positive non-verbal cues. Use your emotional intelligence to anticipate and address customer needs in order to ensure that they are satisfied with the service you provide,” noted Ms. Edel Mwende, Manager, Marketing & Communication.

“Quality service provision is guided by various standards that include Quality Management Systems, Infection Prevention and Control and the 5s Kaizen among others. Integrating the requirements in

each standard ensures that KPCC alleviates any barriers to providing quality healthcare services to its clients, said Ms. Annastacia Mbatha, Nurse Manager, Ward 9A.

We are delighted to receive CCUtrained nurses who will boost our capacity for critical care and general nurses that will assist us achieve clinical excellence.

Karibuni KPCC!

PHOTO | PETTERSON NJOGU

Ms. Annastacia Mbatha, Nurse Manager, Ward 9A explains the Quality Management Systems, Infection Prevention and Control and the 5s Kaizen during the new nurses’ induction

PHOTO | PETTERSON NJOGU

Ms. Edel Mwende, Manager, Marketing & Communication sensitizes the new KPCC nurses on effective communication & customer service skills

Uwanjani:

Mjue mwanasoka wa KNHFC- Fabian Odhiambo

Na Luke Kung’u

Mshambuliaji wa KNHFC Bw. Fabian Odhiambo ni mchezaji mahiri kwenye ulimwengu wa soka na amewahi kuchezea timu kadhaa nchini kabla ya kujiunga na KNHFC. Bw. Fabian ni mchezaji wa tajriba gani? Ungana nasi ndio uelewe mengi kumhusu huyu mshambuliaji matata

Karibu Bw. Fabian.

Kwa kifupi tuelezee wewe ni nani, kifamilia na hata kikazi

Kwa majina naitwa Fabian Odhiambo, kijana mwenye wa miaka ishirini na saba. Nilizaliwa katika kaunti ya Kisumu na mtoto wa tano kwa familia yetu.

Mbona upende ushambuliaji kuliko nafasi nyingine?

Napenda sana ushambuliaji kwa sababu ya tajriba na kasi yangu uwanjani ambayo hunisaidia kufunga magoli na kusaidia timu.

Ulianzia wapi kupenda soka kuliko michezo mingine?

Nilianza soka nikiwa shule ya msingi na pia kujiunga na Mysa -kikundi ambacho kinasaidia vijana wadogo kujua talanta yao.

Umewahi chezea timu ngapi na ikiwezekana unaweza twambia ni magoli mangapi umewahi funga kiujumla na kwa timu ya KNHFC. Pia utueleze ulijiunga na timu ya KNHFC lini?

Nimechezea Gul FC ambayo ni timu ya nyumbani, Tassia Marine, Kasmat FC, Coppers Fc, Chemelil Youth FC, Kangemi Patriots FC na KNH FC yenye nachezea kwa sasa. Nimefungia timu ya KNH FC magoli mengi sana. Huwa nafunga magoli mengi kwa “freekick”. Nilijiunga na timu ya KNH FC mwaka wa elfu mbili na kumi na nane.

Ni nini linalofanya uwe mchezaji tajika hivyo?

Natajika sana uwanjani kutokana na juhudi zangu na mikuki zangu za ‘freekick’ hatari, ambayo husaidia timu kushinda.

Hii timu ya KNHFC unaweza sema utenda kazi wake ni wa hali gani? Kuna changamoto zozote zinakukumba ama kwa timu kiujumla.

Hii ni timu ambayo ina talanta kubwa sana na vijana hawa hujituma kadri ya uwezo wao kushinda mechi zao wakisaidiana na kocha. Hata hivyo kuna changamoto nyingi, kama ukosefu wa vifaa vya kufanyia mazoezi, mipira na jezi.

Kwa yule ambaye angependa kujiunga na ulimwengu wa soka ni nini cha muhimu ungemhimiza awe nacho na ni matarajio yepi atapata baada ya kujiunga.

Soka ni mchezo wa kipekee ila tu lazima mchezaji aweke bidii katika mazoezi kama anataka kuenda mbali na talanta yake.

Mcheza kwao hutuzwa, umewahi kutuzwa na kama umewahi tuelezee ulituzwa nini na ukipenda timu ulizokuwa ukichezea.

Nimetuzwa kama mchezaji bora mara kadhaa nikichezea Kangemi Patriots FC, Gul FC, Chemelil Youth FC na KNH FC.

Soka inalipa ama ni kujitolea tu, waweza sema ni kitega uchumi ama kwako soka ni nini?

Ndio, soka inalipa na inalipa vizuri sana, bidii na juhudi za mchezaji huwapeleka mbali basi iwapo atafanikiwa na kucheza nje ya Kenya ni hivyo atachovya asali.

Unatarajia kuchezea timu gani nchini na kimataifa na ni kwa nini?

Kimataifa ningependa kuchezea timu ya Orlando Pirates FC na Chelsea FC.

La Ziada?

Nashukuru sana wasimamizi wa KNH kwa kunipatia nafasi ya kuchezea timu ya KNHFC.

Ningewaomba washirikiane na kocha mkuu Bwana George Makambi kuimairisha soka. Kuna talanta kubwa sana kwa vijana wetu.

Shukran Bw. Fabian na twakutakia kila la heri uwanjani.

PICHA: HISANI

Bw. Fabian Ochieng, mshambuliaji hodari wa timu ya KNHFC uwanjani.

KNH Nurses join national festivities to mark International Nurses and Midwives Week 2023

By Linnette Leyi

Kenyatta National Hospital (KNH) joined nurses nationally in celebrating International Nurses Day (IND) in a pompous ceremony that also marked the climax of International Nurses and Midwives Week.

The event was held on 12th May, 2023 at Green Park Terminus and started with a processional walk from KNH to Afya House where the Ministry of Health is housed, and finally to the venue.

International Nurses Day is celebrated annually on the anniversary of Florence Nightingale’s birth, the founder of modern nursing. This year’s theme, “A Voice to Lead: Our Nurses. Our Future” focused on the global challenges aggravated by the shortage of nurses.

Unions present including the Nursing Council of Kenya (NCK), Kenya National Union of Nurses (KNUN), Midwife Association of

PHOTO | LINNETTE LEYI Former PS MOH, Dr. Josephine Mburu addressing the audience at Green Park Terminus

PHOTO | STEVE ARWA KNH CEO Dr. Evanson Kamuri, EBS flagging off the walk to mark International Nurses Day

She also urged them to pen their complaints in a memorandum to be forwarded to the Council of Governors for them to be addressed in parliament. “The Ministry will work with ministries of Labour and Foreign Affairs to source for employment of Kenyan nurses outside the country,” said the PS.

“We are losing specialized nurses to the international space. The issue is currently being solved by hiring temporary contract staff. However, we are lobbying for funds to hire more nurses to relieve the strain as the recruitment process requires funding,”

Earlier on during the week on 10th May, the NNAK-KNH Chapter hosted nurses and midwives from the hospital to celebrate the week.

The Chief Guest Ms. Martha Munyala, representing the Director Human Resources, addressed the issue of brain drain, which is the main cause of the acute shortage of nurses in crucial service points. She thanked the nurses for their good service to patients even during such moments of strain.

“We are losing specialized nurses to the international space. The issue is currently being solved by hiring temporary contract staff. However, we are lobbying for funds to hire more nurses to relieve the strain as the recruitment process requires funding,” she said.

Nurses present were further urged to participate in the formulation of the “Nursing and Midwifery policy”

which is being done through the office of the Director Nursing Services, as it will help to shape the practice.

PHOTO | LINNETTE LEYI

Ms Martha Munyala shairing her remarks during internal celebrations at NNAK-KNH chapter

PHOTO | LINNETTE LEYI

Principal secretary MOH. Dr Josephine Mburu awarding a nurse for her exemplary service professionalism displayed since the onset of the COVID-19 pandemic.

PHOTO | STEVE ARWA KNH Nurses during the walk

Hospital unites to mark 18th Annual Prayer Day

By: Christine Kanana & Shiphrah Njeri

“Prayer is not asking. Prayer is putting oneself in the hands of God, at His disposition, and listening to His voice in the depth of our hearts.”Mother

Teresa

On 17th May, 2023, Kenyatta National Hospital (KNH) Chaplaincy Unit held the 18th Prayer Day themed “seek peace and pursue it.”

The congregants who were members of staff and relatives of patients gathered to pray for the sick, management, staff and government. The atmosphere was filled with sequence of prayers from various chaplains that reverberated through the air creating ethereal ambiance.

God promises us in His Word that He hears every word that we forward to Him by prayer. He is waiting, ready, and willing to listen to our worries, concerns, and needs. Whether we are seeking forgiveness, strength, or healing, communicate with God and receive strength and power

In her speech during the prayer day, Director Nursing Services Ms. Raheli Mukhwana who was representing the management applauded the efforts made by the health care professionals and the Chaplaincy Unit.

“You work unremittingly with compassion to our patients; prayer transcends religious boundaries embracing diversity of beliefs and spiritual practices within our patients,” she concluded. Rev.Fr.AdokoSemido Mahaussi, led the congregation in an inspiring seek the gift of peace.”Peace spiritual enemy.” Said Rev.Fr.

The two-hour prayer broadcasted live on KNH’s Fr.John Kariba,

Chaplaincy gave his benediction at the end of the celebration where he took the opportunity to appreciate all who were in attendance and the oganizing committee for a successful day.

PHOTO | MAUREEN MWIKALI

Rev. Fr. Dr. Adoko Semido Mahaussi giving a sermon during KNH 18th prayer day

PHOTO | MAU REEN MWIKALI Rev. Fr. Dr. Adoko Semido Mahaussi giving a sermon during KNH 18th prayer day

PHOTO | MAUREEN MWIKALI

Ag.Director Nursing Services-Raheli Mukhwana giving a speech during KNH prayer day

PHOTO | MAUREEN MWIKALI

The congregates during praise and WORSHIP-KNH annual 18th prayer day.

Our story in pictures

It was pomp, color and joy when Mr. Stephen Mwangi exchanged marriage vows with his wife Ms. Mary Wanjai, in a ceremony presided over by HoU Chaplaincy Father John Kariba at the KNH Catholic Chapel on 4th April 2024. Mr. Mwangi is a patient at the Renal Unit undergoing specialized renal dialysis care sessions

Ms.

Mbae, a Psychologist and GBV Team Lead

Project addressing the JPHIENGO team during a question and answering session after the team had visited the Gender Based Violence service providing centres at KNH

PHOTO | STEVE ARWA

The Supply chain Management KNH Department held a Pre-bid Conference going as per the Hospital Performance Contract, the Public Procurement and Asset Disposal Act 2015 and its Regulations 2020. The event took place at KNH Administration lawn on 12th May, 2023.

PHOTO | STEVE ARWA

Doreen

– KNH CONNECT

PHOTO | STEVE ARWA

PHOTO | STEVE ARWA

University of Nairobi Vice Chancellor Professor Stephen G. Kiama on a courtesy call to the Kenyatta National Hospital (KNH) - University of Nairobi (UoN) Ethics, Research Committee Strategic workshop at CME Centre KNH Training and Research Centre on 18th May, 2023.

KNH feted again at Energy Management Awards

By Dave Opiyo

Kenyatta National Hospital (KNH) has once again been feted for its exceptional achievement and progress in energy conservation efforts.

The Hospital emerged as the firstrunner-up in the Service Industry Category during the 19th Energy Management Awards ceremony held at Safari Park Hotel on May 12, 2023.

This is the fourth time in a row the Hospital is being feted at the annual awards for its efficient energy use in its operations.

The awards are organized by the Kenya Association of Manufacturers, in partnership with the Ministry of Energy and the Petroleum Regulatory Commission.

Chief Executive Officer Dr. Evanson Kamuri congratulated the awardees for the good work done.

In the Energy Management Awards, KNH was feted for spearheading several initiatives to save energy at the institution.

According to Eng Richard Binga, the Director, Facilities, and Services, some of the initiatives included the replacement of fluorescent tube lights with energy-efficient LED light fittings, which had saved the institutions millions of shillings that could have been paid as power bills.

“The Hospital has more than 40,000 lighting points. We have so far replaced about 30,000

light tubes with energy-efficient LED lights resulting in an annual saving of 424,200 Kwh electrical energy thus reducing the annual electricity bill by Kshs 7.9 million,” said Eng Binga.

Other initiatives, he said, include the installation of water heating systems for Kenyatta Prime Care Center, the new Renal Extension as well as the Infectious Diseases Isolation Unit buildings.

Others, he said, include the replacement of air compressors with standard electric motors for laundry and TSSU/CSSD with the current technology (Variable Speed Drive) energy-

efficient electric motors.

The Hospital, Eng Binga added further installed lifts with energyefficient motor drives at the Surgical Daycare, Renal extension Buildings and dump waiters.

“We also installed energy-efficient laundry equipment. The Hospital recently installed a 60kg washer machine that is not only energy efficient but has also assisted in increasing turnaround in the times for washing the linens.

On thermal energy, the Hospital uses boilers to generate steam which is a critical utility for cooking in the main kitchen, washing, and drying of patient linen at the laundry, and sterilization of theatre linen and surgical tools at the TSSU & CSSD unit.

“The boiler uses heavy fuel HFO

PHOTO | COURTESY Ag. Director Nursing Services Ms. Raheli Mukhwana receiving the prestigious award on behalf of KNH

On the left is the screen displaying KNH as the runners up in the Best Energy Management Service Sector Award

to generate steam. The average fuel consumption using the old boilers was amounting to a figure of 1,496,500 litres of fuel annually. The Hospital replaced the old boiler burners with modern boiler burners that are fitted with an automatic operation control system for running the boiler this has resulted in an average reduction in the daily fuel consumption by the steam boiler of 1100 litres,” added Eng. Alfrique Owuor, HOD Engineering Services.

He added: “ This thus results in an annual usage of 876,000 litres of fuel annually. We are however faced with challenges with the fluctuations of the American Dollar worldwide hence our savings as a monetary value has reduced due to this but our savings in relation to the volume of fuel consumed remains constant.”

The Department also developed an energy management policy for the institution. The policy was submitted and approved by Energy &Petroleum Regulatory Authority in compliance with the Energy Management Act of 2019.

Eng. Owuor further pointed out that the hospital had further carried out an investment-grade energy audit for the entire institution.

“The report was submitted and approved by April in compliance with the Energy Management Actt of 2019. The division has strived to implement the findings from the Energy Audit. They include the appointment of an Energy Management Committee to spearhead Energy Management activities in the Hospital as well as the allocation of resources for

the implementation of the energy management initiatives identified in the energy audit report.” These initiatives were submitted to the Kenya Association of Manufacturers for consideration for awards in three categories. They include

• Electricity Savings Award (Medium)

• Fuel Savings Award (Medium)

• Best Energy Management Service Sector.

“The Hospital emerged 1st runners up in one category namely Best Energy Management Service Sector. We, however, look forward to bagging more awards in the next year’s event as we have a continuous development policy to better our best,” said Eng Owuor.

Understanding HR: The Backbone of Success

By Hezron Okioma

There’s one question that keeps popping up in many of my conversations with colleagues from other divisions within the Hospital. Just what do we do at HR? How important is it? Do we need it? And why do almost all organizations have a Human Resource Department”

My answer to them is very simple - Human Resource is the backbone of any successful organization. This article will therefore explain, in detail,

why I believe so.

Initially, Human Resource Management (HRM) was referred to as Personnel Management. Its scope was limited and had an inverted approach.

It treated employees as tools and its work was routine. Its communication with employees was indirect. The resolution of labour disputes was done in an adversarial manner. Management actions were procedural, characterized by slow decision-making with a focus on

gathering employee applications and interviewing and a touch of training and innovation was unheard of.

Today, HRM focuses on effectively utilizing employees to ultimately achieve the organization’s goals. Employees, here, are treated as assets. Their functions are strategically assigned and performed. Placement is carefully made. Technology and change are taken seriously at all times. The management role is geared toward bringing about

PHOTO | COURTESY

A group photo of KNH management and staff led by Eng. Richard Binga, Director Facilities & Services and Ms. Raheli Mukhwana - Director Nursing Services during the recently concluded 19th Energy Management Award

transformation. They are eager to learn and develop and to add to whatever they already know thus making training intentional.

Labour disputes are treated on a personal level and communication or sharing of information is done directly to the affected employee. Disputes are amicably resolved between employer and employee or between employees or between employer and the employee’s

representative commonly known as the Union.

Actions taken by management are done on a need basis. These include recruitment, training, transfers, appraisals, reward, and recognition. Decisions are made fast by employing data processed through applications like Integrated Human Resource Management Systems (IHRMS), In HRM, employees are treated with a lot of value.

Human Resource Management recognizes line managers in every other department within their organization. They train them on both HR and Organization policies and they are directly involved in developing these policies. They are also supported in the implementation of these policies. They are essentially part of the human resource team.

Some of the few companies which have embraced the position of HRM include Google; ranked as the best company to work for in the world. It invests in happier employees. Cadbury; on the

Positive mentions from KNH socials

By Luke Kung’u

Simon Maingi: Very good work. Keep it up KNH.

Musembi Musembi: Kudos KNH, we are very grateful, may you never lack.

Willy Baha: A humbling experience indeed. God bless Mercy Servants of the poor, God bless KNH, Amen.

Shamim Wambui: Nice job, my nephew was sorted by you.

Patrick Irungu Kimnazia: Ward 4D I salute 3 times.

Susan Slim: My all-time hospital. Congratulations team.

Madina Guys Adan: You have done us proud, keep up the good work pediatric surgeons.

Willie Kisanya: Even though we lost our father, I would like to thank KNH doctors and nurses, especially nurse Millie in Ward 5B, for the good work they did for him. The battle was tough but your responsiveness was outstanding, may God bless you.

Dennis Maasai: Best referral, pride of Kenya.

Diana Muga: God heals but in KNH there are good doctors. God bless you more.

other hand, leads in people management.

The Cadbury culture combines positivity and work-life balance. Nissan; another company, leads in transparent salary scales and full autonomy for leaders to recruit and build their teams.

It is however important to note that Kenyatta National Hospital Management has taken a positive trajectory by embracing Human Resource Management under the leadership of CHRP(k) Madam Winnie Mwangi and the team she has put in place.

Under her leadership, KNH is putting in place an Integrated Human Resource Management System (IHRMS), which will enable the management to make more informed and strategic decisions for the Organization. Her team is also driving the Culture Change exercise. Applause to the Top KNH management.

Hezron Okioma is a Certified Human Resource Professional (CHRP). He works at the Human Resource Division’s Training & Talent Department

Jhpiego learning exchange visit to the KNH Gender Based Violence Recovery Center

By Doreen Mbae & Steven Arwa

Kenyatta National Hospital (KNH) partners and works with like-minded institutions to come up with ideas on improving quality of healthcare services as well as leading advances in the medical field.

The Mental Health Department at KNH, recently hosted Jhpiego, an international non-governmental organization and an affiliate of John Hopkins Program for International Education in Gynecology and Obstetrics.

The Jhpiego group experienced how KNH manages its Gender Based Violence Recovery Centre (GBVRC) and exchanged ideas on gender equity and inclusive healthcare services.

The visit was on 19th April, 2023, comprising of 25 people in which 19 countries were represented; Madagascar, USA, Mozambique, Indonesia, Zambia, Lesotho, Tanzania, Lesotho, South Sudan, Guatemala, Malawi, India, Mali, Nigeria, Ethiopia, Burkina Faso, Cote d’ivorie, Togo, Gaborone and Kenya.

The learning exchange started with some history of GBVRC and services since its inception by the chairman of Sexual and Gender Based Violence (SGBV) committee and Head of Department Mental Health Dr. Ian Kanyanya.

His remarks entailed the successes and challenges of the center to date. “Former First Lady, Margaret Kenyatta opened the center on 8th December, 2015 as the world was marking 16 days of activism against Gender Based Violence targeting victims of SGBV across the country.

“In September, 2019 the SGBV services were made free of charge at the facility. The partner by name COEHM – Project of the University of Nairobi coordinated by Dr. Jared Mecha, supported us greatly in the transition process. The scheme is entirely owned by the Hospital; hence it is sustainable unlike previous years,” said Mr. Kanyanya.

Some of the striking positive

aspects that the Jhpiego team identified were; the integration of SGBV services with various service delivery points within the facility, well-trained personnel and Continuous Medical Education and capacity building offered to service providers.

The team visited the Accident & Emergency Department which is one of the major entry points at the Hospital and they were taken through the different processes of how patients are received, SGBV survivors identified, fast-tracked, and provided with the post-violence care package.

Ms. Doreen Mbae, a Psychologist and GBV Team Lead – KNH CONNECT Project while on tour with her

colleagues took the Jhpiego team through the various services provided at different service points.

She also acknowledged the success of the SGBV services at KNH were due to the amazing teamwork noted from GBV providers and their willingness to work tirelessly and selflessly to ensure that quality healthcare services are provided to patients and survivors of SGBV.

The Jhpiego team commended the great work being done by the KNH GBV team. As a level 6 referral hospital, KNH is at the forefront of setting the right example when it comes to tackling challenges that comes with SGBV.

PHOTO | STEVE ARWA

Susan Ruturi, A nurse, Psychologist and an expertise on GBV Comprehensive management addressing the JHPEIGO team during their visit to Accident and Emergency (A&E) gender based violence centre

PHOTO | STEVE ARWA

The Chairman of Sexual and Gender Based Violence (SGBV) committee and Head of Mental Health Department, Dr. Ian Kanyanya addressing the JHPEIGO team during their visit to the department.

Comic Zone

By Edel Q. Mwende

The emptying test

In a Mental Hospital a journalist asked the Doctor - “How do you determine whether to admit a Patient or not?

Dr: Well, we first fill a bathtub & give a teaspoon, a glass & a bucket to the patient & ask them to empty the bathtub!

Journalist - Oh, obviously a normal person would use the bucket because its bigger!.

Dr - No, a normal person would pull the drain plug!

Now will you please proceed to bed No. 39.

The tough question

One day, Einstein has to speak at an important science conference. On the way there, he tells his driver that looks a bit like him:

- “I’m sick of all these conferences. I always say the same things over and over!”

The driver agrees:

- “You’re right. As your driver, I attended all of them, and even though I don’t know anything about science, I could give the conference in your place.”

- “That’s a great idea!” says Einstein. “Let’s switch places then!”

So they switch clothes and as soon as they arrive, the driver dressed as Einstein goes on stage and starts giving the usual speech, while the real Einstein, dressed as the car driver, attends it.

But in the crowd, there is one scientist who wants to impress everyone and thinks of a very difficult question to ask Einstein, hoping he won’t be able to respond.

So this guy stands up and interrupts the conference by posing his very difficult question.

The whole room goes silent, holding their breath, waiting for the response. There is a long palpable pause…

Then the driver looks at him, dead in the eye, and says: “Sir, your question is so easy that I’m going to let my driver reply to it for me.”

I went to a new family doctor today

I went to a new family doctor today. The waiting room was spacious, new renovation, nice and beautiful nurses. And it had a sign:

“We respect our patients’ privacy; we will not call you by name.”

Quite good eh, I thought.

Completed the registration, I sat down in the waiting area, reading the latest car magazine. A moment later, the nurse speaks with the mic:

“The man age 32, with hemorrhoids, please proceed to examination room number 3.”

About Language...

A linguistics professor was lecturing his class the other day. “In English,” he said, “a double negative forms a positive. However, in some languages, such as Russian, a double negative remains a negative. But there isn’t a single language, not one, in which a double positive can express a negative.”

A voice from the back of the room said, “Yeah, right.”

Inspirational Quotes

1. “Champions keep playing until they get it right.”Billie Jean King

2. ““Life is not easy for any of us. But what of that? We must have perseverance and above all confidence in ourselves. We must believe that we are gifted for something and that this thing must be attained.”Marie Curie.

3. “We are what we repeatedly do. Excellence, then, is not an act but a habit.” -Aristotle

4. “Your present circumstances don’t determine where you can go; they merely determine where you start.” - Nido Qubein

VISION A world class

OUR

5. “Just say yes. Just say there’s nothing holding you back.” -Zoe Sugg

6. “My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style.” - Maya Angelou

7. “Do you give as much energy to your dreams as you do to your fears?” –Unknown

8. “A leader is a dealer in hope.” -Napoleon Bonaparte

9. Arise, awake, stop not until your goal is achieved. -Swami Vivekananda