After the succesful launch of our Healthcare Program and ongoing jigger eradication campaign, we are now beginning to give shape to a long term and more structured intervention. One way we intend to do this is to start offering placements and residentials for individuals in healthcare. We have been having regular meetings with people like Dr. Stan who have dedicated their lives to health treatment for those who simply can’t afford it. Over the next few months, we intend to give this shape and understand where we can have maximum impact so if anyone with a background in health is interested and wants to come to Kenya for two months, please do let us know… In the meantime, I thought it would be a good idea to share a copy of Dr. Stan’s newsletter (for more information on Dr. Stan’s orthopedic work, click HERE) who will hopefully be the Camps Medical Supervisor when we launch the residential program…. A routine Monday with outpatient clinics in Msambweni and Kwale and teaching ward rounds (currently 15 orthopaedic inpatients) in Msambweni. There were surprisingly many patients in Kwale and most of the cases were interesting. The anaesthetist is still on leave so I scheduled operations for next week there. In Msambweni the Hb machine is still out of reagents and patients have to buy their own plaster and drugs. On Tuesday in Port Reitz, 1 patient had a low Hb and her operation had to be postponed, but I still did 4 operations (on 2 patients) in Port Reitz. 1 was a 6 year old boy with severe bow legs and the other a 50 year old lady with trigger thumbs bilateral. The clinic at the Rehab Centre wasn‰Ûªt too busy, but I still booked 2 surgeries for next week. I also heard today that last year, I had performed the most surgeries of all surgeons working with the Rehab Centre and I even got a warm handshake and a hongera (congrats) from Lucy, the head physiotherapist. In the afternoon I met the medical director of Bomu Hospital which is a ‰ÛÏis a ‰Û÷not for profit‰Ûª registered and recognized non-governmental healthcare organization‰Û. They were very interested in a cooperation with me and will come back to me a.s.a.p. On Wednesday I expected 2 operations at Msambweni and was positively surprised when I found a list of 4 surgeries. Although there are currently massive problems at the hospital again (the PDMS is informed) the first 3 operations went very well and smoothly, despite there not being any drugs available for spinal anaesthesia. I fixed a distal condylar femur fracture in a 30 year old man, removed a cartilaginous exostosis in a 16 year old boy and reduced an old PIP joint dislocation in a 15 year old girl. The guy with the Monteggia fracture unfortunately hadn‰Ûªt paid his theatre fees, so that his operation had to be postponed. (Sorry, I couldn‰Ûªt resist throwing in some medical terms again. Be careful when you open the links, some contain graphic intra-operative pictures). I also had 2 highlights of the week, as 1 of the theatre nurses told me ‰ÛÏyou have done so much for this hospital, we don‰Ûªt want to see you leave‰Û when I complained about the current situation. The other highlight came when another theatre nurse told me that he would be on leave in the week when I‰Ûªll go to Malindi and he would like to come with me to ‰ÛÏcontinue learning‰Û. On Thursday I visited the dispensaries of Rafiki Kenya, the Kinondo Kwetu community clinic and the dispensary of Muhaka. They are all located on the Lunga Lunga road between Ukunda and my main hospital in Msambweni. My plan is to integrate those small health facilities in my program and to support them through 4asmile and the Camps International Foundation. I also found out that the Kinondo Kwetu Clinic is already cooperating with Bomu Hospital. In the afternoon I had a committee meeting with the SCRA (South Coast Residents Association) to inform them about the progress of my project and to solicit even more support for 4asmile. On Friday I had scheduled 3 surgeries at Msambweni and got there early to get to theatre before the gynaecologist. Unfortunately the Medical Officer was in full swing already with an emergency caesarean and was expecting a second one. I then managed to squeeze in 1 operation on a 1.5 year old boy with a congenital tibia pseudarthrosis, whom I had implanted a plate previously. Unfortunately the wound got infected and I had to remove the plate after only 5 weeks. After that operation, the third emergency caesarean arrived and the gyno announced that he would do his cases after his meeting, so my surgery day was done. Later I visited the Diani Centre for Children with Cerebral Palsy which I only discovered recently through a recommendation by Dipesh from Camps International. It is a brilliant private initiative by Elias Kimaru and his wife. They have a child with CP themselves and have started this initiative. They have hired 2 occupational therapists who now work with over 25 kids every afternoon. They have joined www.4asmile.net and it‰Ûªs definitely a cause worth supporting. After that I went to the Diani Children‰Ûªs Village as they asked me to examine 1 of their problem babies. I found that he also has a mild form of CP and told them to go to the above Centre. Operations: 8 Patients seen: 46 Persons trained: 21 The kids at the Rehab Center are waiting for their group physiotherapy session. The boys in the foreground all have clubfeet in various stages of treatment. If you look at the boy on the extreme right, you see that his left foot is still untreated. __________________________________________________________________________________ Dr. Stan Kinsch is a Consultant Orthopaedic Surgeon and a PhD holder from Albert Ludwigs University in Freiburg Germany. He runs a Mobile Orthopaedic Services (MOS)in several hospitals in Mombasa including District Hospital of Msambweni, District Hospital of Kwale and Port Reiz District Hospital. He has the following skills & specialties: Pediatric Orthopaedic Surgery, Trainer of Trainers in Ponsetti method, Surgical Treatment of Hydrocephalus including shunting and ETV’s and Corrective Surgery of burn scar contractures. His other qualifications include Chiropractics and Sports Medicine. He is licensed with the Medical Practitioners and Dentist Board of Kenya. Dr. Stan is also a fellow member of College of Surgeons of East, Central and Southern Africa (COSECSA)