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The most important degree in medicine is MBCHB

Prof Kayima on diabetes nephropathy at #AFRANAFPNA2019

At NESOT 2019 discussing viral-associated nephropathy. This meeting is growing in content and ambience. Keep it up.

Glad to have contributed to this publication! Hard work of a group of friends living in different environments to help the development of evidence-based medicine in developing countries!

In poor resource settings a Butterfly IQ can be a very hardy diagnostic and interventional tool.i have quickly learnt how to use it especially for vascular access ⁦Moturi Morara⁩ ⁦kenya Renal Association⁩ ⁦T Chokwe⁩

Congratulations Dr. Ouma Oluga, OGW on your #uongraduation from University of Nairobi School of Medicine. Completion of Internal Medicine degree amidst all the ups & downs of the trade union space is indeed the mark of greatness. The sky is the limit KMPDU

Assessment of volume status is crucial in dialysis and is often inaccurate especially in Pts new with a prosthesis.Bioimpedance or IVC diameter assessments can be better than clinical for more accuracy ⁦Butterfly Network⁩ ⁦Dr Albert J Ruturi⁩ ⁦Moturi Morara⁩⁦

An AVGraft is an option for long term vascular access in hemodialysis.it can be used 2 -3 weeks after creation but unlike an AV fistula is more likely to get an infection or a clot.its better than a catheter ⁦Dr Albert J Ruturi⁩⁦Moturi Morara⁩ ⁦Dr Andrew Suleh MD⁩

A dilated IVC with a Right atrial and ventricular diastolic collapse and if the effusion is severe a swinging heart are ominous signs and a tamponade is on the way.such fluids unless due to trauma collect slowly

An enlarged heart with a globular shape can be seen on an chest X-ray and should provide the initial suspicion.

PD, HD and KT are used sequentially, mutually inclusive, as deemed appropriate. NHIF Kenya should fund all of them. I see brighter days ahead in the care of kidney disease patients in our country John Ngigi,OGW Dr Andrew Suleh MD

A wake up call.

The Kenya Renal in Liason with other renal associations will release a guideline on renal support for patients and HCWs.it will be enjoined with others yet to be availed. Meanwhile let’s keep to the advice so far given .Int Society of Nephrology Bazenga 😎 Kenyatta National Hospital

Renal Patients Society of Kenya Ahmed Sokwala kenya Renal Association Seth Oumah Mcligeyo Nancy Wangombe1 Moturi Morara Dr. Kabinga Kamuri E. N Dr Andrew Suleh MD 🙏🏿we keep going because of you.The enormity of the challenge to keep you well makes us tread through turbulent waters but blessings will always be showered to all of us when we succeed.We need your prayers.

Eastern African #COVID19 total cases 25/04/2020 1 Djibouti 1,008 2 Kenya 343 3 Somalia 328 4 Tanzania 299 5 Rwanda 176 6 Sudan 174 7 Ethiopia 122 8 Uganda 75 9 Eritrea 39 10 Burundi 11 11 South Sudan 5 Djibouti is a bully

Seems like COVID is not going anywhere any time soon.Now we have a COVID-22 after we have strategized on the 19 strain.