November 17th – 23rd, 2018  

SCH Physicians: Dr. Nyamogo (OB-GYN), Dr. Alwar (Paediatrics), Dr. Ligeyo (Orthopaedic

Surgery), Dr. Taha Yusufali (Surgery)

Family and Emergency Medicine Residents: Dr. Charles Ochola, Dr. Richard Luate

Pre-Intern: Dr. Emmily Koiti

Intern: None

Visiting Resident: None

Senior Research Coordinator: Joseph Owuor

Assistant Program Coordinator: None

Fellow: Dr. Sevgi Sipahi (Ob/Gyn), Dr. Ayesha Venkateswaran

Nursing Consultant: None

Visiting Consultant: None

HOSPITAL NEWS

The week kicked off in the fields with a match between SCH football club and Mindhine football  club and the scores were 3:4 respectively. Whereas, the Ladies held a march between the Juniors and the Seniors whose scores were 0:4 respectively.  This week, SCH outreach team was invited to join other service providers for a joint Outreach activity for 2 days at Ambira Sub County Hospital.The partners included MOH Siaya County,

Rotary Club of Nairobi, Beyond Zero, Ugunja Health Pillars, Ambira Sub county Hospital, Lions Eye Hospital, Sasa Harambee, Jaipur Foot, Matibabu, PATH, Amref, CHS, Kenyatta National Hospital, KEMSA, DAWA, Regal Pharmaceutical Limited, Galaxy Pharmacy, Medisel, Harleys Limited, Laboratory and Allied Limited, Cosmos and Jhpiego.

On Monday 19th SCH hosted 29 facility in charges from Gem Sub County for a sensitization meeting of Empower Health Hypertension in Pregnancy Maisha Mapya project. Also in attendance were the Dr. Felix Tindi and Ms. Zilper Imbuye the Sub County Reproductive Health Coordinator

On Tuesday and Wednesday of this week, Debora Rogo, SCH’s General Manager, who epresented the hospital in Siaya County’s Scientific Conference Planning Committee, attended a 2-day review meeting to assess how the conference went, participate in the drafting of the final report to the County’s Governor, and set the stage for policy making from the fruit born during the conference.

The Team Bid farewell to Dr. Sevgi Sipahi from MGH and wished her well in her future endeavours.

RESEARCH UPDATE

The ESM-Ketamine research team is continuing to work on several studies / manuscripts surrounding the ESM-Ketamine work. Four manuscripts reporting on ESM-Ketamine use for gynecologic operative procedures, for procedural sedation (at Siaya County Hospital), for operative orthopedic procedures and for supporting reproductive health procedures (with a focus on areas of humanitarian crisis) have been submitted for peer review. The manuscript on patient satisfaction is currently in progress. A qualitative study of Ketamine surgeons has been developed, local collaborators are being involved, and the IRB submission process has been initiated.

New research proposals are continue to develop. These include the impact of Ketamine on facilities and communities, evaluation of Ketamine use across Kenya by Residents, a descriptive paper on procedural sedation, and an ethical piece on pain control for emergency and essential surgeries in the developing world, and a cost effectiveness model of Ketamine anesthesia.

Dr. Orero and Dr. Nyamogo continue to serve as Team Leader and Assistant Team Leader, respectively.

EDUCATION

Teaching Rounds

Teaching rounds included:

â?? Continuous bladder irrigation as part of post-operative care status post prostatectomy

â?? Fluid resuscitation in upper GI bleeding

â?? Shoulder joint exam, provocative tests for impingement versus rotator cuff tear

â?? Anticoagulation, antipyretics and corticosteroids in management of ischaemic stroke

â?? Aspiration pneumonia versus pneumonitis

â?? Management of COPD versus asthma

â?? Postpartum pulmonary embolism status post Caesarean section

Residency and Internship Program Update

We continue to receive a high request of inquiries from medical officer interns applying to our internship programme and will update the team once the Kenya Medical Practitioners and Dentists Board (KMPDB) and the Ministry of Health (MOH) confirm placement of additional interns. A recent medical school graduate from South Sudan, Dr. Emmily Koiti, has joined SCH as a pre-intern and we expect addition interns and pre-interns to arrive in the coming weeks.

Hospital Education,

 The Nurses CME was led by Dr Sevgi, where the topic of discussion was Postpartum Hemorrhage. 

The clinicians have continued to have their every morning CME where, Mr. Gabriel has taken lead in Chronic Obstructive Pulmonary Disease (COPD) and Ms. Everline has taught on Hypertensive urgency and emergency.