After a very hard week in the ICU that still isn’t done, a hike down the escarpment is good for the soul.
Again we are back at Kijabe Hospital. And although the kids and Allison get to continue their break, I am back in the hospital. This week I am serving as the consultant in the ICU. There are some very challenging patients, but they are so interesting. And when they get better, you really feel like God is with you because sometimes it seems like a miracle. And as always the biggest responsibility is to teach the residents and interns on the skills it takes to be effective in their care for patient’s when they leave their training.
Last week was a vacation week for our family. The kids were out of school, and so I took a break from the hospital. We hired at taxi to the train station, boarded the SGR Express for a 5 hour trip to Mombasa, and then hopped another taxi to the small village of Kilifi. In Kilifi we took a 16 hour beginners sailing course. It was mostly fun and sometimes frustrating, but we all learned to sail in just a week. (More practice will be required by all of us.) On our second day of classes we were placed in small boats by ourselves as we manned the tiller and the mainsheet solo, hopping from side to side to maintain the balance of the boat. Every one of us capsized at some point which was part of the fun. After four days, we hopped on the train and began the 11 hour trip back to Kijabe, sunburned and accomplished.
Two of the doctors from Kijabe Hospital are mentioned in this long article about antibiotic resistance in Kenya. It is a real problem, and it is one that we are fighting against in our hospital under the leadership of Dr. George. I get to work with some amazing people.
A passionate man with wide, expressive eyes, Dr. Otieno, 36, is a driving force behind the hospital’s newly established antimicrobial stewardship program. But he expressed frustration over the lack of progress, describing overworked nurses reluctant to embrace complex hygiene protocols and the hospital’s own pharmacy, which he said continued to overprescribe antibiotics.