Internship snippet: Obs/Gyne

I was just thinking about how I never really managed to put out anything concerning my working experience during my medical internship during the time I was actually doing the internship (timing issues and not wanting to unceremoniously leak any confidential issues). Well, now, the internship is all but over, save for the issue of winding up and getting some signatures. I have to say that transitioning and finishing up for me has always been a bit of a difficulty. Anyway, I was talking to a friend the other day, and she asked me whether I had actually done any Caesarean sections. At the time, I told her that I had probably performed close to 100 as the primary surgeon; well, as per the official count in the OR log, it currently stands at 124 as the primary surgeon (there have been quite a number where I was the assistant, then there were also nights when I was just too tired to log in some entries).

It really has been quite the experience: Kisii Teaching & Referral Hospital, where I served my time is a really busy centre and referral cases come in aplenty. Nowhere does this sentiment ring truer than within the Obstetrics/Gynaeceology (Obs/Gyne) Department. I can remember nights when I’d hear an ambulance pull up to the hospital, say a prayer hoping that they were bringing in a case for the Surgical Department to deal with, and then rush up to the ambulance to confirm for myself. (Of course, I prayed the opposite prayer when I was doing my surgical rotation). :(

I must admit that Obs/Gyne is a hustle to deal with: due to Kenya's fascination with the Millennium Development Goals (MDGs), maternal-child health is a big deal; however, we embraced the ideals and goals, but have not exactly put in a step-by-step program to achieve them. What this did was create an untenable work environment where the onus for maternal death is put on the hospital (particularly the intern), regardless of the pregnant mothers' antenatal care history. On top of that, the work is tedious; I actually lost weight during my Obs/Gyne rotation.

Personally, I love practising surgery, and there’s no better teacher than lots of hands-on work. I still feel as excited stepping into the surgical theater as I did almost 10 years ago when I first volunteered at the Harrisburg Hospital. Performing surgery is art and science melded into one, a beautiful dance where everything enriches the experience: the anaesthetist with his/her real-time command of the patients condition, your assistants both at the operating table and those in circulation, and recovery; even the cleaners keeping the place nice and orderly are a massive help.

Obs/Gyne is not as varied a field as General Surgery, so there were very few procedures you get to perform; king of them all is the Caesarean Section. At this hospital, it's pretty much regarded as an Intern's procedure, unless there is a particularly extreme degree of difficulty inherent to a specific pregnancy. That is quite a lot of pressure to place on an intern; consider that (according to my friend in Australia) post-graduate students in other countries ONLY assist with the C-sections! The quicker you learn to be confident at performing a C/S, the better; my immediate superiors - the medical officers - were none too fond of being woken up in the middle of the night by an intern to come assist with a C-section. Knowing how to handle things at night with a skeleton crew is key.

All risks considered, a C-section is a pretty safe standard procedure; I have only had one mother succumb on the operating table (and that was because she had severe antepartum bleeding). I can't forget the near misses, though: on one occasion, a mother developed hypotension as soon as the spinal anaesthesia was injected and she just flatlined (breathing and heartbeat stopped cold)! Hence, before progressing to anything else, we basically started by resuscitating the patient; once the patients vitals were restored, we performed one of my faster C-sections. There doesn't seem to be anything written in literature sources, but it is a startling experience dealing with someone who has flatlined in the course of being anaesthetized: they pretty much seem out of their mind, overly emotional, unsettled, which in turn makes you question whether some sort of brain damage occurred. Thankfully, daunting as the experience is, the patient is in good condition when we review them the morning after.

I don't see a future for myself in Obs/Gyne, but I am at least thankful for the experience. Many a prayer were silently prayed over my patients as they lay on that table; prayers when I was starting out and the thought of being in-charge of systematically slicing someone open weighed heavily on my nerves; prayers when difficulties were imminent, and especially when complications arose. Thankfully, the Lord was faithful.

One downside to this whole experience is the sheer number of patients that we get to deal with. The intensity of the experience, at least on my part, meant that I formed deep relationships with mothers who I had to reassure and counsel on the best course of action for themselves and their unborn children. This occurred day in and day out; sadly, I can scarcely remember many of those interactions; it's as if they were wiped clean from my mind as soon as they were formed to make space for more equally intense versions of the same experience with other emergency patients. Or perhaps I'm just bad at remembering my own patients beyond a certain space of time. Thankfully, the patients never forget: Kisii is a small town, so its not unusual for me to bump into a lady on the street, for her to hail me as "daktari", and then remind me that it was I who helped her with a difficult delivery. It's things like that which make working in the medical profession a blessing, much more profound than anything money could ever offer.

I don't exactly know whats slated to come in the near future, nor where exactly I'll be headed be it another part of Kenya or Post-grad school - but I'm hopeful God will push me in the right direction (because I plain stink at transitioning).

Have a great week. God Bless.

Memories: A "Buddy" Pass

Well, a picture really is worth a thousand words. The picture above is actually the conclusion to this whole fiasco after it had come full circle. So let's take a trip down memory lane.


This story starts in November 2003, during my days at Messiah College in Central PA. My elder brother, Nguza, who at that point lived at Daytona Beach, Fl., invited me over to spend the Christmas vacation at his place. He had come across a few Delta Airlines 'Buddy passes', and he sent me one of them so that I could use it to get a deal on a ticket. I'm not exactly sure about the specifics of the deal...but I do remember till today that I only ended up paying $88.00 for a Harrisburg (Pennsylvania) - Orlando (Florida) roundtrip.


Best way I could describe the Buddy Pass is to say that you were basically flying on the cheap, but you were flying 'Standby' the whole time; this meant I had to wait at the counter, get listed as a 'potential' for a specific flight, and hope that the flight either hadn't been overbooked or that everyone didn't make their flight. Oh, there was that one extra added stipulation that I had to be formally dressed...so no jeans and comfort on that trip.


The trip to Florida was for the most part uneventful. My boss, Elick Yeadon, got me to the airport safe and sound (though I remember him having to rush me back home when we pulled over to PNC Bank about 1 mile out from Messiah to get some money; serendipitously, it was then that I realized that I' d forgotten my passport). Apart from that, and maybe being passed over 2 times for a potential flight, I got to Orlando in one piece, and had a great vacation in Daytona.


When it was time to get back home, again I had to depart from the airport at Orlando. However, this time it proved to be quite the hustle to find a set of flights that would get me back to Harrisburg; it was peak season for travel, which basically meant I was stuck. Finally, someone manning the counters told me that instead of hustling to use 2 flights to get to Harrisburg, I had the infinitely easier option of taking 1 flight to New Jersey and after that taking 2 buses to get to Downtown Harrisburg.


I don't tend to hear many positive things about New Jersey, but on that day I felt New Jersey was just the Godsend that I'd been looking for. As soon as I set my sights on that NJ trajectory, everything just seemed to flow perfectly; I got the standby flight immediately, and I was headed back home. Soon as I landed in Jersey, I got the information for my buses. Turned out the first bus would get me to Allentown, PA at about 11pm, and I would have to take my bus to Harrisburg later in the morning. I surmised that I could just spend the night at the bus station.


Allentown, PA was like no other town I'd come across until then (at least nowhere in the continental US). It was only 11pm when the bus rolled into town, but everything was shut down! All businesses, even the bars: the town was dead and lifeless! Oh, as for that bus station where I'd planned to stay the night...well, it was literally just a small one-person ticketing stall set up next to a bus stop where the bus could pull over. I was basically stranded!


But then again, 'when it rains, it pours'. To add insult to injury, it had snowed earlier that night and the temperatures were frigid. So I found myself trudging through the snow with my luggage in tow, formally dressed, but not appropriately layered and stuck in a strange new town at the worst possible time. I remember walking those streets and coming across some homeless guy who looked like he was balled up in a sack and sleeping in the street. The guy was snoring so loudly, so you knew he had to be comfortable. At that point, I even considered sleeping underneath someone's porch if it was all I was gonna get.


At my wits end, I just walked up to a payphone and figured I'd call 9-1-1. I remember thinking I'd better give the police officer (dispatcher) the correct impression about my situation; didn't want him to think I was pranking him and find myself unceremoniously locked up in jail. He understood my predicament, and gave me directions to a nearby 'Halfway' house. (maybe he was new to Allentown and didn't know of any other options...or he knew how dead the place was and gave me the best option).


I got to the halfway house after a short walk, and I rang the bell. The Supervisor showed up and let me in; unfortunately, he couldn't let me sleep in one of the rooms because I had shown up too late. The best thing he could do was to let me sleep in the lobby, and attend to me later in the morning. It was a chilly place, and not the most comfortable of places to sleep, but it was better than my other options. In the morning, I got to eat breakfast with some of the residents, and by 8.30 am I was already down at the ticketing office finalizing my bus ticket. Long story short, I got home safe.


Fast forward to the end of J-Term 2004, at which point we were done with our classes, and some mission trips had been set up by the school. My good friend, Collins Mwangi, and I ended up going on one of the trips together. I don't remember if we had a choice concerning the area we were posted to, but suffice it to say we ended up in Allentown


I don't remember majority of what transpired on that Mission trip, but I do remember helping to stock food products for the Soup kitchen store; I also remember that we were hosted by the kindly Mr. Garcia and his family, who took us out for a basketball game at LeHigh University (...still have the entrance ticket stub till today). And, last but not least, we ended up at the Halfway house...Yes! The same Halfway house where I'd holed up that one eventful night.

To capture the event for posterity, on January 31st 2004, I had Collins take a picture of me seated in the very same lobby chair where I slept that night - the very same picture at the start of this post. So there you have it: finally come full circle. Memories indeed!


God Bless!

Just a snapshot

I've neglected to write anything for quite sometime, and that was mainly because of all the stress that I went through during my stint in the Obstetrics/Gynaecology Department, but I've finally moved on to a slightly less hectic department: Internal Med.


Suffice it to say, the experience did nothing to sway me away from considering a specialty in Surgery. (I've only just managed to get over the episode of PTSD induced by the whole experience.


While I have been neglecting the blog, I managed to finally open a Tumblr account - http://wmu1ah.tumblr.com - and started to do something I should have done 2 years ago: putting the 'Compendium' pictures of the 1st Affiliated Hospital online (similar to the one shown on this post). During my last year at Medical school, a group of us invested hours and hours of our time putting together this massive project that would highlight the new 3,300 bed hospital and, in turn, bring much need attention to our medical school.


Personally, that project is all at once one of my greatest accomplishments and greatest failures. At this point, it's easier to ruminate on the failure, because, honestly, these pictures are coming out 2 years too late; I can't even begin to think of all the other compiled work that is sitting on multiple computers, idle, serving no useful purpose. Whatever the long story behind the whole process, I'm glad that I still have Tumblr to show some semblance of what we hoped to achieve.


My most heartfelt thanks go to all members of Compendium who helped with all the major lifting, particularly Hafiz, our trusty photographer, whose great skill shines through in this particular Tumblr.


Now that I have this bit of work off my chest, I can find another hobby to occupy my mind.


God Bless.

The Music of Pat Metheny - Everyday, I Thank You

I had usually skipped this piece whenever I came across it in my playlist. The long drag from Michael Brecker's sax usually implied to me that this would be a depressing piece (...and this one certainly is long, coming in at a full 13.5 minutes).


Thankfully, one day I just let the shuffle button do its thing in my PMG playlists, and I had a chance to listen to the piece in its entirety. It is by all means exquisite; a ballad perfectly crafted. Starting out with the song's chorus framed by an ethereal pipe synth portion, Michael Brecker paints us an eloquent picture, and in a quickening of pace, Mr. Metheny adds yet more pastels to the song. (Love that rubato!)

If memory serves me right, it was Pat who wrote this song, but from listening to it, it's clear that the good relationship he had with his late friend allowed them to concoct pure magic. Mike Brecker is front-and-centre on this tune, but Pat is never far behind - each of them coming in to accentuate different portions of the song. Every bit of this song just works. If the title of the song is anything to go by, they really expressed their gratitude as sincerely as could possibly be done. And in turn, I thank God, everyday, for this music which conveys sentiments that cannot be described adequately through wording.



 Everyday, Father, I thank you.

Rant: The Registrar of Companies

This is the second time I'm having to deal with the Registrar of Companies at Sheria House, and I cannot claim that the experience is any less painful than the last time. In my previous post, I had mentioned that I already knew the necessary steps required to initiate my business. As usual, the lynch pin was the people manning the counters at Sheria House.


This past Monday, armed with a new name for the business - "Aykornia" or "Aykornium" - I wanted to run the prerequisite name search. Would you believe the Registrar has only one desk dedicated to this process (Counter 1 - File Perusal/Name Preservation); to cap it off, at 10.30am the employee-in-charge of the counter just got up and left, leaving a growing number of us in a queue stranded! And these things aren't complete unless they come in a
trifecta: some of the employees from the other counters who glanced at my desired company name told me that my company name HAD to consist of at least 2 words.


 My complaint concerning these 3 issues remain unchanged from my last post, and I'll put them down here again. First, Counter 1 is redundant and can literally be manned by even a trained high school student who would only be required to receive your application and give you a slip allowing you to pay for the transaction. It would even be more effective to actually digitize the procedure to ease the whole process and decongest the registration hall. These two mere measures would free up the people manning the counter to 'possibly' make themselves useful somewhere else.


And I've said it once,and I'll say it again: some sort of guide needs to be published to assist fledgling entrepreneurs concerning the idiosyncratic rules governing setting up businesses. I am tired of having random clerks randomly chipping in with ad hoc rules that complicate an already complex and infuriating process. I would like to think that any worker worth their salt would strive to improve the processes associated with thir work stations, but it is becoming clear that some of these civil revel in the confusion; others just do not care enough to want to change anything.

 The last time I went to Sheria House, a guard at the gate approached me and basically offered to 'expedite' the process if I basically 'greased his fingers'. The corollary is that if his fingers are 'greased', someone else on the inside is also having their fingers 'greased'. The only other option is to have a lawyer bulldoze through this process for you, and that certainly doesn't come cheap.
So for the clerks, the modus operandi is just frustrate! frustrate! frustrate! the common mwananchi.

 I hear people talk about how easy it is to start a business in Rwanda - a maximum 3 days (even for foreigners) to have the legal documentation in their hands. I compare this to Kenya and think that there's nothing really special involved here. Just Discipline and the ability to understand that allowing business to flourish in Kenya is good for the country as a whole. However, if the current civil servants can't understand that, they need to be sent packing instead of positioning themselves as stumbling blocks in everyone else's path.

That's my 2 cents for today. God help us all (especially if we have to go to the Registrar of Companies offices)

My Fascination with Kickstarter

Aurora

 Since discovering it late last year, I must admit that Kickstarter has evolved to become a major part of my daily internet read. I can't lie, their webpage design endears itself to many allowing for many joyous hours of reading pleasure. Far better than that though is the varied number of stories of mastery of a myriad of crafts, and the great amount of work that goes into crafting each product.


I usually spend my time perusing 3 different categories: Design, Comics and Technology; there are a lot more sections to pick from, but I find myself drawn to these ones in particular. There is truth to the saying, "Necessity is the mother of all invention"; as long as there will be a ton of problems to solve, there will always be forward-thinking innovators who can anticipate solutions to those same problems. The big question is whether they can make any money off those solutions.


One project that was particularly elegant in design was the Muse Clock by Nate Borozinski. True, this is merely a wall mounted clock, but the new spin he took on this idea is an artistic marvel.

 Two more favourites arrive in the form of light bulbs (Plumen 002 and Dome Lamp);

Dome Lamp

Plumen 002

However, my ultimate favourite has to be Palm Republik by Peisy. Malaysia, the country she hails from, produces a lot of the world's Oil Palm, which thus results in a lot of biomass waste. Malaysia, in the same vein, is also researching into various ways of utilizing this waste - and their most promising product is Palm Paper. Peisy took this one step further, building a company around novelty designs made from Palm Paper.


 Just like Palm Republik, I too have the idea of moulding the concepts I laid out in "The Hyacinth Economy" into a business (tentatively titled "The Hyacinth Lab"). Those aspirations will have to be postponed because my current medical internship does not leave me with any spare time to pursue the needed research...but at least the dream is still alive and kicking.


The Comics section is a visual joy because the authors usually leave snippets of their works in progress in form of comic pages, illustrations and synopsis accounts. I've had the beginnings of a graphic novel swirling around in my mind for 2 years now, so with a little inspiration I think I could put pen to paper and come up with quite a delightful read. With a finished story, I could start looking for an illustrator of repute.




But as the aspirations wait, at least I'm being inspired a little more everyday. It's been almost 9 years since I wrote my paper on Hyacinth & Phytoremediation; about 1.5 years ago, I finished my paper of "The Hyacinth Economy", and now I can picture it as a potential full-fledged business. Who knows! Sooner, rather than later, I just might throw my hand in along with the rest of the entrepreneurs; but till that day comes, at least I've got Kickstarter.

 God Bless.

Ode to Rain

Living in Kisii, you have to come to terms with the sheer amount of rain that they experience around here. You can't go more than 4 days without having a serious downpour, and lately it rains everyday: intense rain, the kind that keeps you locked indoors, usually lasting more that an hour; oh, and it rains twice!

 I was simply astounded how we never ended up with any floods around here. Sometimes the place is practically bone-dry in the morning; and worst of all, at my old place we always had water shortages (mind-boggling)!

Rain is a Catch-22 kind of thing: you really suffer if it doesn't rain enough, but, then when your prayers are answered and it finally rains, then you have to scamper away and keep from getting drenched; in addition, if your paths are poorly paved, then you have to deal with lots of mud everywhere; and, if drainage in your area is poor, then you have flooding and stagnating pools of water all around. It's the kind of thing to keep people cursing both in-season and out-of-season.

 There's no getting away from the fact that rain is life; and it's not like human comfort is the gold standard for all things beneficial, but I would love for these two seemingly disparate entities (beneficial water & human enjoyment) to come together for once. I remember as a child that there was no stopping me from running in the rain and playing in puddles. Pretty sure the farmers rejoice too, because it means their crops get to flourish. I feel that most people, however, don't fall into these two classes, but there's still a way to reach out to everyone.

 I am no artist, in any sense of the word,...but I do have artistic sentiments aplenty. My current fixation revolves around giving a practical impression of beauty to each rain storm. Rain is already inherently beautiful, if you have the comfort of watching it from a dry sheltered spot. What I'm aiming for is a monument that can be appreciated at anytime, but which would be specially animated by a rainstorm. It could be something as simple as a statue that becomes a functional fountain in times of rain; or maybe something resembling a turbine, whose blades could be spun by the action of moving water, lending movement to another very visible piece.

 One item I found while leafing though "Street Furniture" by Chris van Uffelen was particularly inspiring: it consisted of two installations by an artist - Stacy Levy - who used a portion of sidewalk art/map to highlight the watershed of the locale. Once it rained, the flowing water accentuated the lakes & rivers, turning the map into a great focal point. These two installations are known as "Water Map" & "Ridge and Valley".

Ridge & Valley (Stacy Levy)

So for now, I have an inkling of a vision in my mind. Maybe someday I can pair up with someone who can bring it to fruition (...technically anyone who reads this). In the meantime, just thanking God for the rain, and hoping for a sprinkling of some of that childhood innocence; the kind that kept me enthralled by the beauty of the rain.


God Bless






Addendum: while going through Stacy Levy's site, I found yet another piece - Arroyo - built around this same rain motif. It's one I would really love to explore with local artists.

On Strike!

As a fledgling Medical Officer intern, barely 2 months into my 1-year internship, I knew it would only be a matter of time before a strike came calling along. Actually the seeds of a strike never are too far away around here. I at least expected the strike would involve this unnecessarily hurried push that the counties are making towards devolving healthcare (practically a whole 2 years ahead of schedule). Kenyan institutions (particularly governmental ones) are not renowned for their efficiency; thus the general consensus is that devoid of proper systems, they just want to gobble up the medical funds (more speculation on that at another point in time).

This current juncture finds me dealing with a problem rooted in the old health system. We have an old tradition here, probably retained from colonial times, whereby you don't get paid for the first 3 months of work. After that, you receive the money for those 3 months in a big lump sum. I'm not exactly fond of this system considering that I was plucked from my usual stomping ground and deposited 6 hours drive away in Kisii, a town which I had barely passed through twice before. Even worse was the fact that I was only given a mere week in which to finalize all formalities, pack up my belongings, find a new house, and to be ready to report for duty. My Medical Superintendent basically told me that there was no way he could give me any more time to sort myself out because he had basically put me on payroll from the moment I showed up.

To tell you the truth, I felt the whole introductory portion could've been handled better, but then I was grateful to at least have a job offer. I didn't want to end up like my friends who had to wait a whole year before they were posted in April of this year. I'm glad my family cushioned my transition with all their encouragement and generous funding, which still continues till today.

However, it feels painful for the government to renege on an agreement like this. The current excuse they're using is that they have to weed out any 'Ghost Workers', so they basically have to show up at all internship centres to do a PHYSICAL head count of the interns. I get some of their logic, but it just boggles my mind that this is the same government that was supposedly elected on a "Digital" platform, yet they are just as inefficient as previous regimes. People might think I'm criticizing for critisicm's sake, but for your information I've had to submit piles of paperwork (going as far back as my primary school leaving certificate), all of which had to be filed with both the County and National Governments. It is unreasonable that I thus have to wait for officials from Nairobi - a whole 6 hours away - to complete their week-long or month-long (whichever) trip around this country to come seek me out.

Any other stories coming up about lateness in releasing funds are even harder to stomach considering the amount of funds wasted on vanity-affairs of our politicians or the fiscal irresponsibility displayed by government coffers. It is worrying that this is how one of the most essential services in the country, catering to the vast number of people unable to buy insurance, is run. They owe the people more than that...they owe the medical fraternity more than that. No professionals spend more hours in the service of the public, exposed to death and the deadliest of diseases on a regular basis, and still come out as under-appreciated.

There is great need to reform the public health system, if only for the simple reason that all citizens - rich or poor - could possibly end up as our patients. People forget that should they become incapacitated and have the misfortune to lose their wallets/purses containing their identification papers, premium health cards, etc., their destination is bound to be the public hospitals. That should be a scary notion for anyone to entertain under the current circumstances; you can't expect frustrated overworked workers to deliver the kind of services you would be proud of, so more needs to be done to relieve what is already a massively stressful job.

I'm not proud of the strike at all, but I'll follow up with it to give my fellow clinicians - who've been at this a whopping 4 months! - the numbers they need to make a painfully obvious point. In 5 days, hopefully this strike will be a thing of past, and I can then get back to my Surgical rotation, which I live for. Until then, I get a little "me-time" for myself. God Bless

Ideas: The Chronic Conditions Card

Warm greetings to everyone out there. My current pre-internship at one of Nairobi’s District Hospitals currently occupies a lot of my time (…and let’s not even get into the 3-4 hours I spend in traffic each day), and so it is ideal that I should give you a slice of exactly what it entails.

Now, my previous pre-internship was at Kenya’s main referral hospital – The Kenyatta National Hospital (KNH) – and, suffice it to say, it was an eye-opening experience. Having only been to private hospitals anytime I’ve been ill, Kenyatta Hospital afforded me a chance to see the best the public health sector had to offer, which surprisingly is alright. KNH is usually in the headlines for all the wrong reasons, but it is a creature of wrongful circumstance; given the right kind of resources and backed by adequate political will, KNH could rightfully live up to its reputations as “East & Central Africa’s Largest Referral Hospital”.

True to my nature, while I was at KNH, I complained about the inefficiencies that I came across; however, I usually complain about things that, in my opinion, are rather easy fixes …surely there can’t be anything more frustrating than being pummeled by easily solvable problems. But as my friend Maria would keep on telling me, there is definitely much worse that I could be facing at Kenya’s myriad public hospitals; and after this stint at the District Hospital, I can see that she was totally right.

The public health system is understaffed, overwhelmed and faces shortages of essential drugs, equipment and linen that are required to save lives …or at least just make it more manageable during the convalescence period. One source of inefficiency is the crux of this blog, and it is by nature more of a ‘medical speak’ vs ‘layman’ conundrum. Every day at the hospital, we are faced with patients suffering from diseases like Diabetes, HIV or TB, and in one way or another the situation tends to play out the same. In treating any sort of chronic disease, the clinician needs to determine the history and severity of the disease condition, determine a baseline for the patient’s health parameters since the inception of treatment, and come up with the best drug regimen for the disease at hand.

In the case of HIV/AIDS, the doctor is looking for the date of the patient’s HIV diagnosis, presenting complaint (Skin lesions, TB, Meningitis, etc), CD4 count & Viral Load, and Anti-Retroviral medication (ARVs). To a clinician this is just the nature of the business; however, patients are typically plagued by a bunch of problems, not least of which is confusion/denial about their HIV diagnosis, ignorance of their most recent CD4 counts or viral load values, and forgetfulness concerning their current drug regimen. Again, in this regard, I can’t really blame the patients because a lot of them have a very limited grasp of the medical concepts behind their problem and its relevant medication; it is also a great exercise in wishful thinking to expect them to remember laboratory values for tests that were carried out almost 6 months prior to the juncture at which you encounter them at the hospital. One last problem is that the patients usually migrate to different parts of the country, meaning their condition is handled at various Comprehensive Care Centres (CCCs), and between these centres they usually tag along a tattered small blue card that relays some information concerning their status.

Using only HIV as an example, you can get a semblance of what clinicians have to deal with when treating chronic conditions at the hospital; things like Hepatitis, Diabetes, TB, Cancer, Chronic Lung Disease or Autoimmune conditions. Since the educational levels of patients runs the full gamut from illiterate to well educated, I think some measure should be put in place to simplify this whole process, entrusting the specialized details to the medical professionals so that treatment need not be hindered by any of the patient factors I have previously listed.

The best solution to this, I believe, would be the creation of a Chronic Conditions Card (CC Card). This would be a machine readable card – that uses the patient’s ID Number as a keyword - that would store the patient’s relevant details, Disease vital statistics and current drug regimen information. This would ensure that the details of any patient suffering from a chronic disease would be handled through a digital database and should be available to any clinician when required.

As we strive to gain some control over Chronic diseases – both communicable (Hepatitis, TB, HIV) and non-communicable (Diabetes, Autoimmune conditions, Cancer) – this notion of a CC Card and the associated database would give us a clear-cut method of tallying these disease sufferers, thus giving us an estimate of the kind of resources and financing that need to be put towards alleviating them.

The biggest hindrance to rolling out this card is probably the limited computer availability in most of Kenya’s hospitals. This would be one of those areas where political will could really make a big difference. I daresay that a mere fraction of the money intended to roll out The Primary School Laptops project would be enough to minimally computerize the country’s hospitals towards this end. In the short term, I’m pretty sure someone with basic IT skills could find some way to make a very basic mobile phone app that could interface with a national database, thus relaying the results where needed. It’s all still a basic idea right now, but I’m sure it is very workable and would save lives in the long run (which is the meat-and-potatoes of medical practice, in any case). Hope you have a great day. God Bless

Politicians in Churches

In (Catholic) High School, my Religious Studies teacher once told me the story of a Priest who had been called to the Royals’ Castle so that he might hear the Queen’s confession. When he got there, the Queen was seated, as opposed to the tradition which demanded that the Priest be seated and the Confessee standing. Unashamedly, the Priest reminded her of this fact; however, the Queen insisted that because of her station she was justified in sitting. To end this all the Priest calmly replied,

‘I am the Confessor, and you are the Sinner….so you will stand as tradition dictates!’

It seemed like a harsh teaching back then, but I understand its importance now. The notion of (Catholic) confession may not be something that everyone understands, but the act of submitting to someone whose authority dwarfs yours is a Cultural Universal. This is why the penchant of Kenyan politicians for commandeering all manner of religious services (especially Funerals) and converting them into ad hoc political rallies to discuss the politics of the day is an extremely embarrassing affair.

I remember about 8 years ago that my paternal Grandfather passed away, and so I accompanied my mother as she made arrangements for his burial at the village. At the town centre where we wanted to rent chairs, some fledgling politician insisted that he would ensure the chairs were rented to us at a cheaper price so long as we allowed him to address the funeral congregation. My mother flatly refused and got the chair at full price, no-strings-attached. Would you believe that idiotic politician still had the gumption to show up to address the congregants, dishonoring my Grandfather’s memory. 

 

On the one hand, as the village level, I can understand that funerals bring the community together, therefore they can serve as useful venues for the local administration to discuss issues of public welfare (sanitation, clinics, nutrition, etc.); BUT, it serves no purpose whatsoever to have the occasion turned into a fanfare, discussing issues totally unrelated to the moment at hand. As far as I’m concerned, the deceased person, and the bereaved (particularly closest family and friends) take centre stage.

Unfortunately, this misbehavior is not confined merely to the villages; it is spread far and wide, from villages to cities and from funerals to Sunday church services. As my sister puts it, at her church - which a prominent politician also happens to attend - the church leaders will invite him to the podium to ‘greet’ the congregation. So, in this case, the church is wholly complicit in having the politician appropriate the ceremony for the sake of the perceived prominence he imparts to the church.

Something is terribly wrong here, and the sooner the multitudes realize it, the quicker we can set about remedying the problem. A pastor/priest’s responsibility of guiding the flock is divine and distinctly recognized by society, and should not be encroached upon. In much the same way that a non-doctor cannot superimpose himself on a doctor’s diagnostic work, or a non-Engineer place himself over that Engineer’s professional dictates… or even a non-Mechanic bulldoze the work of a competent professional Mechanic, it is just as wrong to encroach on Pastoral work.

If we continue to let politicians run roughshod over religious ceremonies, we risk turning the Church into that debacle listed in James 2:1-13. When I sit in a congregation and a politician happens to be in attendance, there is no difference between Him/Her and me… end of story… it is BIBLICAL! Any contravention of that fact (clearly stated in the latter parts of the New Testament) is an outright sin.

And so my lesson from the ‘Queen and her Confessor’ has come full circle. The moral is TO KNOW YOUR PLACE, and to stick to what pertains to that station, regardless of who you are in this life.

God Bless.

Peace and Conflict Resolution

A friend from High School visited me a while back, and as we were ‘shooting the breeze’ he told me about his latest career move: going to the US to pursue a major in Peace and Conflict Resolution. This conversation would of course shift to the Kenyan context and how this particular skill is needed to settle the constant tensions and flare-ups that are common in certain areas of Kenya (the volatile North in particular). More so, after the display in diplomacy exhibited by some Northern Leaders during the verbal joust on NTV, it would seem that this is surely the way to go.

On that day, I was something of a ‘wet blanket’ to my friend’s ambitions. I’m not saying that I discouraged is pursuit of this much needed field of study; rather, it was his broad-stroke application of peace and conflict resolution to all that ails the troubled land that I had an issue with.

Let me explain: I’m pretty sure people are in need of healing, justice and reconciliation because clashes stretching a long way back and emotional or physical hurts visited upon them by their neighbours are a vivid reality to these people. However, approaching this from a peace and reconciliation mindset is to simply apply a salve over a festering wound. The background story to many of these regions is that they are grossly underdeveloped, far-flung and neglected. Public services are sorely lacking, and one’s safety is not guaranteed…and let’s not forget their economic isolation. Pair this up with the practice of Nomadic Pastoralism, and communities that have inculcated a tradition of Cattle Rustling (compounded by a proliferation of arms in the area from our insecure Northern neighbours (Somalia) and you come close to approximating the powder keg that this regions really are.

The real problem here is Economic, and also stems from a lack of safety. Economic isolation is reflected in the poor educational standards, retention of traditions that are probably no longer useful as is (Pastoralism), and failure to adapt to new market opportunities. Nomadic pastoralism, particularly cross-border en masse transport of animals is a particularly bad idea ; not only are the massive herds an encouragement for rustling in those lawless parts, but it also technically exposes the herds to diseases/parasites that may be prevalent in other areas, and strains the animals, probably lowering their economic value. In the interest of safety and economic sense, it would be more ideal to keep the animals confined to specific areas and, possibly, find some way of bringing the pastures to the flocks instead of taking the flocks to the pastures. With the environs of Turkana specifically in mind after the discovery of that vast ‘Underground Lake’, I think we could actually be able to rid ourselves of pastoralism, at least in the form we currently know it.

Like it or not, safety is something else those lands also bleed for. I’m sure historical injustices weigh heavy on their mind (as they do for a lot of people across the Country), but I’m also sure people would be willing to forgive these injustices if they were sure that they could be safe and wouldn’t end up reliving them. Safety not only calms the people of the land, but it also ensures would-be investors that any of the money they sink into the land won’t end up being wasted investments. In this day and age, 50 years after Independence, we owe all our citizens a modicum of safety before we even set our sights on loftier ideals.

And certainly, we owe them Infrastructure. If we can’t give them roads, water, electricity, etc. how then will investors be able to move into these lands? And without much needed investments, how will these people be able to embrace the many opportunities posed by education and different avenues of wealth creation…to shift away from animal husbandry and primary production and embrace the kind of tertiary services that will turn Kenya into a middle-income economy?

Hence, for me, the picture is clear; the poverty and isolation that long ravaged these lands is what needs to be relegated to our history in order to ensure long lasting peace and prosperity. Without that as an overarching goal, everything else will be relegated to the realm of mere Lip Service and platitudes. People wouldn’t have enough time for idle talk and fighting if they were actually making money and prospering…so let’s set about getting them into the business of making money.

My 2 cents for the day.

God Bless

Terrorism in Kenya

So, ever since this WestGate incident, talk of terrorism has been rife in Kenya. At some point people were scared to go out congregating in the big malls, which they perceived were perfect targets for the denizens of depraved terrorists lurking about. My take on this whole thing is simple: I can’t really be afraid because anything is a perfect target right now.

Let me explain: as a result of the lax security, downtrodden and unmotivated police force, misplaced priorities and all that corruption that was allowed to fester for so long, I am no safer if I steer clear of busy malls, places of religion, etc. Someone could toss a grenade into a matatu as I’m making my way through the city or plan to bomb any number of innocuous seeming areas. There is just no way in this world to be that prepared if the basic systems and structures in place simply do not work. (“Nyumba Kumi” and all other initiatives included) 

 

But as my sister and I were having this terrorism conversation the other day, the goal posts for what constitutes a terrorist were actually shifted. Conservative estimate (or otherwise), the death toll from 4 days of violence at the WestGate Mall stands at 67 fatalities. Some of the death tolls from the Passenger Service Vehicles (PSVs) that have been making the news lately sometimes claim as many as 50 lives almost in one fell swoop. The undoubted superior killer, the assassin-with-the-most is definitely ROAD CARNAGE.

The biggest contributor to road carnage is the myriad of PSVs which ply our busy roads each and every day, each of them a law unto themselves. Perhaps, it could be that we’ve gotten so used to their bad behavior such that each time they undoubtedly go up in extreme blazes of glory no one invents any precious ‘Hash Tags’ in their memory, and members of the public are not called upon to donate blood. It’s pretty much just business as usual.

Or maybe it’s felt that Public Transport is just something that affects the masses, mostly those too poor and unfortunate to not be able to avoid their own decent means of transport. You should have heard the uproar when our transport minister tried to make it harder for any Tom, Dick & Harry to just get into the task of Public Transport service provision. Potential one-matatu-owners were livid as to how this man (who obviously no longer uses public transport) would attempt to step on their gravy train.

Fact of the matter is that we’re now probably at the point where the mass perennial neglect of public institutions and amenities has begun to affect both the Rich and the Poor. As the roads get busier, and many of our roads remain as narrow as ever, unmarked and poorly maintained, things can only get worse.

For the past 2 weeks, I’ve gone back to driving school to learn how to drive a “Stick-Shift” (manual transmission). Sure enough, it isn’t a piece of cake, but just a few minutes behind the wheel is enough to make you acutely aware of just how many hazards our roads contain. From the absent-minded pedestrian crossing the road willy-nilly, to the poorly maintained cars whose brake-lights don’t work, to the careless drivers ploughing through oblivious as to who has the right-of-way, and finally we have vehicles of all kinds, especially PSVs hogging your lane as they race towards you in a two-way traffic situation. But of all these hazards, the PSVs give me the most jitters; my foot practically hugs the brake pedal whenever these guys are about, ready-for-whatever.

It is not my intention to demean the pain of those people who’ve suffered through the many incidents of terrorism that have been perpetrated (seen or unseen), but perhaps to remind people that the biggest terror threat is closer at hand than we may believe. These vehicles are massive missiles which have turned out on many occasions to be Widow-makers, family killers and have riddled people with severely debilitating injuries. There isn’t enough compensation in this world that can make up for a fractured spine or broken bones or the Post-Traumatic Stress Disorder (PTSD) faced by victims of road carnage as they relive these tragic events in their mind.

And since there is no cure, let’s make with the ardent prevention. It is not anybody’s God-given right to ferry people around en masse; that right has to be EARNED and maintained by not betraying the public who place their TRUST and very lives in your hands. Let’s go ahead and straight brand these careless drivers as the TERRORISTS that they actually are, and perform the very necessary SURGERY that it will take to have them shape up or ship out.

God Bless and have a great day!

Starting a Business in Kenya: The Hyacinth Lab

Life sure has been moving slow over the past few months. Took my Medical Board Exams at the end of September (which was a bust), now I have to wait till the end of April to take the next round of exams. In the meantime, I’m hoping to launch a business which has been something of a hobby/side-project of mine since right around 2006. Yep, this finds me delving into my second love: Environmental Science.

In my opinion, many opportunities abound for turning a profit from these common everyday annoyances that we typically complain about. Think Not? Just last month we were treated to a turf war fought by some thugs over the lucrative business that is ‘the trash debacle of Dandora’. As it is right now, Dandora is a massive environmental hazard, and could really use some government/private intervention to convert it into a useful model for garbage collection/sorting/recycling/energy co-generation…not the current mess that it is. The technology and expertise for this is readily available and Sweden is making quite a killing ‘mining’ their garbage stream.

That might end up being something that I end up looking into. To start with though, I want to deal with the Water Hyacinth menace that plagues our fresh water bodies. The fastest growing fresh water plant poses quite a difficulty in management if your only recourse is trying to manually clear it and poison it; my approach is to make its biomass as valuable as possible (through tapping into the weed’s many uses). With that incentive for harvesting appended to its reputation, I eventually hope to help establish a massive constructed wetland, which could be populated with the weed, and have it harvested at 10 week cycles.

The business – currently known as “The Hyacinth Lab” – aims to be more than just a hyacinth research venture; in addition, I’m hoping to track other environmental issues (i.e. Mesquite, affordable housing materials, etc.) and develop sustainable appropriate technology solutions to these problems. So, there you have the skin-and-bones of a concept that’s developed in the course of writing two papers on Phytoremediation.

What’s scaring me about all this is getting the funding to carry out this venture. Love the science bit…but just don’t know how to come up with the funding. A bunch of promising business incubators have been established lately that offer some hope, but I’d have to have a business for them to offer any help. Some initiatives like “The Uwezo Fund” also appear promising, but they can also only be used to promote a pre-existent business. I no longer have the pleasure of being in College, so I can’t have this covered under collaborative school research, so I have to approach this as a total independent researcher.

Take home point here is that I best get a business started…and start a business is what I’m trying to do. I’m going for a simple sole-proprietorship run out of my home, with the hope that I can collaborate with a lab to get my research done (already solicited the Kenya Industrial Research & Development Institute, KIRDI for just such a purpose). Also working on the Business Plan so that I’d have some semblance of a document that can spark an intelligent conversation with a potential investor.

All business registration in Kenya happens at the Attorney General’s office under the Registrar of Companies. The process I basically have to follow is to

1. Run a name search to ensure that my desired business name isn’t already taken + sh. 100.
2. Fill out a “Statement of Particulars” form detailing my info and submit it + sh. 900.
3. Await a Certificate of Registration once all the stuff has been approved.

Simple enough, it would appear. I figured that the name I chose – The Hyacinth Lab – was pretty unique, so I only had them run a search for that one name (it costs sh. 100 per name submitted). In two days time, they let me know that they had successfully reserved the name for me to pursue further action for a period of one month.

Next up, I filled out the Statement of Particulars, but then I run into a roadblock: the Desk Clerk. In his ‘educated’ opinion, a business that included the word “LAB” MUST have some affiliation with MEDICINE or CHEMICALS; not only that, but according to this rationale, only a Lab Technician could own this type of a company, and thus I was summarily expected to submit my technician certificates.

All this bright recommendations come in the face of the existence of a BUSINESS INCUBATOR in Nairobi known as the NaiLab

Well, there is no arguing with ‘the boss’, so I’m basically stuck right now. I was hoping to pass by their offices on a different day on the off-chance that I might find a different more sensible desk clerk (probably a lady), but I’ve had no such luck. I only have two options here

1. Change the proposed name of my business and run another name search in the hope that it’s not taken.
2. Keep my desired name and just get a lawyer to blast through this process and wanton bureaucracy, and get me what I need.

I think I’ll be going with option 2 so I can just have some peace of mind. Thank you ‘Digital Government’ for making a simple process frightfully frustrating. I can only imagine how much discomfort your arbitrary rules contribute to people who are just trying to start a business, make an honest living and add something to our young economy. You guys really need to improve.

In the spirit of helping the Registrar of Companies catch up with the digital age (something which we are currently being beaten to the punch by RWANDA of all countries), here is a suggestion (or two)

1. Totally digitize the name search process. There is no need to have a bunch of people sweating it out to line up in a stuffy hall to submit a piece of paper. Have the database of registered businesses online and allow people to cross-check their potential business names against that list FOR FREE!
   This would speed up the name search process by eliminating the 2 day wait time.
2. You definitely need to improve your website to make it easy for prospective business people (most of whom are new to the procedures) to find the pre-requisite forms (along with examples of PROPERLY FILLED-OUT FORMS), conventions for naming business and other rules and regulations.
   Think about it this way: A headache saved in having matters elucidated to the public, is a headache saved in having to peruse through incorrectly filled forms and submissions.

Well, once I get this disgust outta my mouth from this last experience, I’m off to find myself a lawyer. Wish me luck!

Have a great day.

Appropriate Technology: What Kenya Really Needs!

I had the opportunity to attend BarCamp 2013, which was jointly held at NaiLab and the iHub sometimes late this past August. From previous internet searches of those two venues, I knew that they mostly dealt with ICT ventures, so I was a bit apprehensive initially about attending because I figured it would mainly centre on geek-speak for computer folk. However, they stated that the theme for the event would be Kenya’s 50 years thus far, and what we could expect from the next 50…so I figured the topics would be more inclusive.

Showed up to the venue, and I was impressed. It had one of those great open-layouts (that lately apparently seem to be the target of disparagers worldwide), and a diverse crowd in attendance – the majority being techies, of course. Admittedly, I did manage to find the one other Biology major in there (apart from me), and a Sociologist, which didn’t leave me feeling totally left out. But the majority of the event was techie-oriented: Apps, Google Glass, Cloud Computing, Developer Languages, Blogging…

Yeah, yeah, I get that all this stuff is important; but I can’t help but feel that Kenya as a whole is missing the boat here. Seems like ever since Mobile money transfers blew up, everybody’s being trying to replicate MPesa’s success. Mpesa really only worked because, like other people noticed, our banking system was pretty crappy to start with and was not widespread enough to accommodate the needs of the common mwananchi. To see everyone running into Apps assumes a few things that just aren’t part of the mix here: 1) Smart Phone penetration can’t possibly be more than 15% out here (mulika-mwizi is the order of the day; 2) How many people do you know around here who actually buy Apps? The willingness - and market for that matter - is pretty overestimated!

That in a nutshell, is what I feel ails this country’s current outlook on things. Sure, everyone wants to have First World aspirations, but it’s hard to tie that to the reality that we currently find ourselves in.

1. We want free maternity and obstetric care for our fledgling mothers, but don’t bother to get rid of polygamy or reduce the markedly high average birth rate (5 kids per family). We don’t even add to the the number of professionals or health facilities, stretched as they already are, that are meant to deal with the sudden influx of new patients
2. We want to give our children laptops to aid with their learning, without appreciating that a lot of children are actually learning in schools that have no walls to speak of (in extreme cases, under trees).
3. We award our Members of Parliament First World salaries in a country with a meager Third World GDP, whilst refusing to effect pay rises for essential staff like Doctors, Nurses, Police, Teachers, Pilots, Firemen, etc.

I can’t think of a time when we needed to focus more on Appropriate Technology than at this current juncture. As I stood there amongst the iHub attendees, I couldn’t help but think that two of Kenya’s biggest problems were a mere kilometers from where we were sited: KIBERA (a slum of high regard with poverty tourism buffs) and the Nairobi River (& Dam), a vastly polluted water catchment, which was initially meant to provide a water solution for Nairobians. Like it or not, issues of pollution and public health are ubiquitous and not things we can escape: sure, I can hide myself from the computer revolution as much as I choose to, but there’s no place I can run to escape the ravages of what someone else inadvertently puts out into our common environment, whether I end up inhaling, drinking or encountering it in some other way. For me, that’s where we need to invest most of our efforts.

And it’s not like there isn’t profit in any of these ventures either. I’m reminded of the example of Sweden, which, being so efficient at recycling its trash and burning up remnants for energy co-generation, has now run out of trash and has to ship some in from a neighbouring country. Germany, a country smaller than my own, which makes use of so much solar energy to offset its other energy sources (wintry weather not withstanding), yet, Kenya, bathed in most of its areas by a scorching sun has barely gotten off the ground with solar energy. This very same Kenya that is contemplating a future with Nuclear Energy when it has barely even exploited its vast Geothermal capabilities.

I was happy to see some attempts at Appropriate Tech in terms of a ‘Seawater Greenhouse’ type project, and Geographical Information Systems (GIS), which should have been bigger in Kenya than it currently is. Last, but not least, as a bit of a last minute entry I intended to give a talk on my ‘Hyacinth Economy’ hypothesis, but time run out on that one. In any case, I feel that in the next few days I’ll be getting the chance to present it to an academic board of sorts so that I might get some form of R&D assistance. I don’t know what’s in store, but I’m really looking forward to it.

Hope all things go well.

God Bless

I'm Back

Well, a lot has happened in the long while that I’ve resisted the urge to update this blog. Got done with my pre-internship at Kenyatta National Hospital (still have to get down there to do some more learning, though), studied a helluva lot for the exam which followed soon after; took the exam, which was an ass-kicking like no other (which could always have gone worse), and now I have to wait 2-4 weeks before I know definitively whether I’ve passed. Woe is me!

Oh, and the weekend before I was to take my exam, this whole Westgate Mall terror incident happened, and in the 8 days that have since passed most people down here in Nairobi are acutely aware of how unsafe things really are. I don’t really know anyone who was ended up being trapped in the mall, but that’s not to say that I can’t empathize with all those who have been personally touched by this latest bit of terrorism. Sad state of affairs indeed!

I’m currently facing a lot of downtime as I await my results..and I’m honestly glad for the opportunity to rest up; however, it’s more like just a rest from the tyranny of things medical, and a chance for me to embark on some side projects. Of utmost importance is the Hyacinth Economy R&D that I’m planning to initiate, phase 1 of which would see me trying to make cardboard and Kraft Paper from the dreaded weed. The notion sounds good in my head and on paper…but practically speaking, I might be a bit out of my league when it comes to the actual hands-on part of ‘paper’ production; which is why I’m trying to get in touch with the folks down at the Kenya Industrial Research & Development Institute (KIRDI) so that they can help me with a bit of the heavy lifting. I just hope they don’t charge me an arm-and-a-leg in the process.

Also hoping to spend some time at the Kenyatta National Hospital so that my brain doesn’t turn to mush in the short break before I get posted to some hospital out here in Kenya. Hoping to get to see more of the hospital this time around, and maybe work on some proposals for some small measures that could be made to help with increasing efficiency around the place.

Anyhow, I hope I can make the most of this time, and keep my procrastination down to a minimum. God help me! 

MAN OF STEEL: Superman for a New Generation

I got to see the ‘Man of Steel’ during the Friday afternoon showing of its Premiere. A previous attempt to attend the special opening last week with my twin bro and his wifey didn’t work out because tickets were sold out way in advance.

Anyway, I braved the bad reviews (truth be told, critics don’t usually favourably review B-movies) to watch this new version of Supes; I definitely did heed the warning about how post-processing washed out the colours in this movie in the 3D version, and decided to watch it in traditional 2D.

[Disclaimer: Two super-hero movies that I actually enjoyed (but got panned by critics) will inevitably end up being part of this conversation: Ang Lee’s HULK and Bryan Singer’s SUPERMAN RETURNS. It was to be expected once we ended up in reboot land] 

The film gets off to a good start with an expansion of the world of Krypton. Like one critic had mentioned, a whole other movie could have been based entirely off the visuals presented in the first 20 minutes. I certainly enjoyed the new take on Jor-El.

After that, we dive into the ‘second movie’, with its quite jarring non-linear narrative. Don’t get me wrong, non-linear narratives can be pulled off well. ‘Batman Begins’ (my best movie in that trilogy) did a great job with a non-linear narrative, but that movie was presented as an Origins story. Why it failed in this case is because we have Zack Synder and Co. trying to give us this new version of Superman without giving us a detailed history (…because that’s what causes Origins stories to drag out so long); hence, in essence, we are supposed to believe that this is a totally new take on Superman, but where the production and script fail to give us any guidance and direction we are supposed to recollect upon Superman-lore and fill in the gaps.

This new take on Superman makes him look particularly weak, and nothing exemplifies this more than the ‘Jonathan Kent incident’. By trying to make Pre-Superman Clark more restrained in the use of his powers, they insert one of the most half-hearted attempts at a noble gesture by Jonathan Kent – death by tornado (the traditional heart-attack wasn’t good enough anymore, huh!). Not only was Daddy dearest the wrong person to be risking his life needlessly in that situation (God Complex!), the object of his sacrifice is no less than the family pooch. Don’t get me wrong, I love when animals survive. Why, I just remember that part in INDEPENDENCE DAY when the alien ship is annihilating a bunch of humans on the highway, and Vivica Fox (with child in tow) finds some form of shelter in a tunnel, and their lovely dog races against all odds to find shelter in the same tunnel. Sure it sucks, but seeing animals (dogs in particular) survive is uplifting. Not so much in this movie; by trying to distance Clark from his SMALLVILLE interpretation or anything else currently out there, we are treated to the weakest most impotent version of Superman ever portrayed onscreen. Before Superman could FLY, before he could even LEAP over those tall buildings, he could at least RUN… and RUN VERY FAST he could! Unless running fast seems like a stupid power to show off in this Pre-Justice League Universe that they’re setting up (which includes a hero, THE FLASH, known for just that), there was no reason for that whole scene; it diminished the movie with all its talk of a Superman Unbound with regards to showcasing his powers. All they succeeded in doing here was flipping our notion of Clark’s two fathers: Jor-El is a true warrior in this one, and Jonathan Kent is the troubled overbearing father who gives Clark one heck of an outsider’s complex.

Next up, Lois Lane! Ben, a good friend of mine, reminded me that this is possibly a less stuck up version of Lois who won’t fawn over Superman while mistreating Clark as was the case in the days of old. But nothing in this whole production convinced me that she was a Pulitzer Prize winner. Bryan Singer and Kate Bosworth’s version of Lois may not have been liked, but now, even 7 years after watching it, I can still remember why she was a Pulitzer Prize winner: ‘The World without Superman/Why the world doesn’t need Superman’ story, which was key to the events of SUPERMAN RETURNS. What do Snyder/Nolan/Goyer put out there that makes me believe that this Lois is a laureate besides what she claims? Nothing at all!

The dearth of characterization with regards to Lois seeps into the supposed Superman-Lois chemistry. Let me clarify that there isn’t actually an ADULT Clark Kent in this movie. We get a view of baby Clark through to Teenage Clark, then we skip on over to the ‘drifter/hobo’ characterization in which he uses falsified identities. The only time we kind of get a glimpse of ADULT Clark is when he is with Martha Kent, his adopted Mum. So, going back to the Superman-Lois story, in this movie, Lois only interacts with Superman. She knows nothing about his earthly background, she only knows of his godhood. Hence, by trying to get rid of the Superman-Lois-Clark love triangle, they’ve actually only left us with the Superman fan girl (groupie) version of Lois. I challenge anyone to show me how she can possibly connect with the angst that Superman feels about the great big No No that he commits in this movie. Heck, I can’t even see why she kissed him (unless we're talking about ‘Groupie’ Lois).

Alright, enough Lois-bashing! Back to Supes! Bryan Singer gets a bum rap for SUPERMAN RETURNS (yeah, yeah! Kryptonite and no super baddies to fight it out with), but he showed us something that Superman is really good at doing: Saving people, and saving them in really spectacular ways (from a plummeting plane, from a sunken ship, from falling glass, from the Daily Planet’s Globe, from an explosive gas leak, from Lex’s expanding Island, from gun-toting thugs, etc.). This time around things couldn’t work out this way because of the scope of the movie and its penchant for destruction, but it is certainly insulting to have Superman save a terminal-velocity Lois for the second time and then indulge in kissy-face as if he just won an Oscar. OK, I get that we can’t return to the silliness of having Supes reverse the earth’s rotation or ‘pound on the walls of reality’ to reverse the carnage, but please, don’t try to give saving hapless Lois a gravitas that it does not deserve…unless you’re trying to tell us that the more realistic-darker version of Superman is a sadist. New Supes can’t even save his Mum properly: notice that when he begins to put a pounding to Zod for threatening his Mum, he’s already miles away, but has left his mother in the clutches of 2-equally-murderous super baddies. Luckily for us, the story played out like bad A.I. from a computer game and all the baddies chased after Supes without frying his Mum for her impudence. 

 

Oh the scope of this movie! It got too big for even them to handle. Bigger doesn’t necessarily mean better. Richard Donner must have known that, and thus wisely chose to split this whole Origin-Zod Saga into two complete movies. Even the idea of ‘adding a super baddy to pound the heck out of’ doesn’t necessarily save your movie. Case in point: Ang Lee’s HULK vs the reboot INCREDIBLE HULK. One scene in particular takes the cake – THE DOGFIGHT. The intensity Ang Lee put into that one scene made it a truly visceral experience. That mere dogfight trumped the big (?) Hulk Vs Abomination showdown in the reboot by a mile. Goes to show that you can often do More with Less. I’m not averse to enjoying a good punch-up onscreen (actually been craving a good one for some time), but this movie left me craving the levity and heroics of SUPERMAN RETURNS.

Last gripe, that’s one heck of a bland super suit? Sure, new Superman, no undies on the outside, Darker Supes for the new generation … Yeah! Yeah! Yeah! Okay, I get the Siegel/Shuster court-ruling kinda put a lock on the old design. (DC, just pay up and help redeem the back-story to this whole Superman creation affair). Back to the movie then – I get that the suit is Kryptonian-ish, but why is it Red and Blue? There is no basis for those colours this time around. This time, because there isn’t an Adult Clark-Superman dichotomy, Superman merely wears the suit because Daddy gave it to him (maybe this was a way to explain why the suit is as durable as Supes is without that projecting a ‘protective aura’ explanation). The whole “Mother sewing up the suit/Baby Blanket as Cape/Concealing Identity” angle works far much better.

Superman for the new generation certainly left me feeling a bit marooned. This is not the Superman I know (felt more like Superman from Earth-Two). Actually, no one could really know this Superman because he just isn’t fleshed out. Heck, some producer could just have likely substituted Will Smith’s HANCOCK character for Supes in this movie and we would have had a great HANCOCK 2: BATTLE OF THE GODS. 

 

I recommend that you go watch this movie for the spectacle it is, then go back and watch SUPERMAN RETURNS and appreciate just how much Bryan Singer got right (…and apologize to him if you were mean to him

God Bless.

Crate Searching!

It’s amazing what we tend to take for granted in our daily lives. I’m currently in the process of cataloguing about 450+ of my Dad’s old LPs. My Dad used to be such an audiophile, and was probably one of those people who waited out at record stores to grab the newest releases (I think that culture is struggling in this day and age…thanks to Itunes & P2P sharing).

My Mum tells me he had always dreamed of opening his own restaurant, and the music was probably meant to set the right ambience. Judging from the eclectic range of musicians – Coltrane, Steely Dan, Franco, George Benson, Santana, etc – I figure the restaurant was probably meant to host different genres of tastes on successive nights.

I probably share that shame dream he had; but if I were to do it, I’d opt for a Jazz club. 

I remember my Dad playing these LPs mostly in the 80s and the early 90s. Maybe it was that LPs went out of vogue (only to gain more prominence in our current day and age). I remember that he loved playing his Lingala records, which I didn’t really fancy much back in the days. I do wish he had played me more of his jazz records though.

A lot of the stuff that musicians have sampled to make great beats (in the past and even today) came from Jazz records (actually, some of my favourite beats are sampled straight from some of the very LPs I have sitting right next to me). It makes me feel kinda silly to be sitting on this treasure-trove and to have neglected it for so long. Anyway, to make up for lost time, apart from merely cataloguing the LPs, I’d love to have a chance to air them out and give them a whirl…but I figure the old stylus on the record player is probably not working properly (wouldn’t wanna scratch these records ‘cause some are practically collectibles).

Things being as they are currently, I guess I’ll just have to stick to cataloguing (something that would have been easier if I had a working internet connection at home, but hey… old school works just as well; I think I get to appreciate the whole experience this way.

I better start making a Christmas list early just to test the waters and see if my Elder Bro wouldn’t mind rustling me up the parts that I need to get the old LP player working again (…and hopefully get them shipped in time). I never understood my Dad’s passion for the music back then, but I guess I’m kind of ‘turning into my Dad’ as I grow older. I’m sure he would have been proud to see that.

Well, less procrastinating, more working. I’ll probably append that ‘eclectic list’ up here once I’m done.

Have a great day and God Bless.

The Innovators

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Really should have typed this up a while ago, but anyway…bygones!

I had two important things to do in Nairobi this past Monday, but since I wasn't getting in early, I figured I’d arrive in the city about noon, which would allow me to spend my time roaming through the Innovation & Enterprise Expo down at the Kenyatta International Conference Centre (KICC), while I waited for people to get back from their lunch break at the Kenyatta National Hospital (KNH).

Didn’t know what to expect with regards to entrance fees… with me not trying to incur any unnecessary expenses (Thank God it was free!). The stands were arranged in two rings for the sake of convenience (one peripheral and the other central. I started out on the periphery and was quickly impressed by the wide array of projects on display. I’m glad there weren’t too many phone apps on display (…which seems to have gained a ridiculous amount of attention since the advent of M-Pesa), and the science was for the needs of the common mwananchi.

First and foremost, I got to meet Michael Otieno, the guy who is making a name for himself producing gift bags, envelopes and other products using water hyacinth. Fresh off his win at the Enablis Business Plan Competition, I actually got to see the quality of the product that is part of the gist around ‘the Hyacinth Economy’. So just like KICK (Kisumu Innovation Centre Kisumu) and the Carnivore Gardens did in 2006, he showed me that we really are sitting on something valuable with all this free hyacinth.

There were also other people there displaying Hyacinth furniture (which I’ve already seen before). What was particularly new about this project was the cushion covers, which were made of tanned fish skin. I’ll admit, the locally tanned product wasn’t too appealing, but the skins that were tanned with help from KIRDI (Kenya Industrial Research & Development Institute) are certainly something I wouldn’t mind having in my home.

Science Congress Groups (which are specifically High School Presentations) also showed much promise. They had displays of

1. Extraction of Lemon Grass essence for use as a tea, insecticide, etc.
2. Producing Potassium Alum from waste soda cans (at a cheaper price than is available in the market)
3. A Natural UV + filter system for treating Grey water.
4. Production of Biofuel from ‘Arbor vitae’

Other notable displays were:

1. the HIV-EQAS Statistical software fronted by Ireri Mugambi; this was a Master’s project which now doubles as a PhD project and aims to give people a more informed choice when it comes to HIV testing and self-testing (which is soon to become a reality in Kenya)
2. Tami Dye, the natural dye produced from the pungent ubiquitous weed Mexican Marigold. The dyed product on hand looked very beautiful and since I love all things ‘camel’ coloured, I’m partial to the colour of dye produced when Potassium Dichromate is used as a fixative agent.
3. Nile Perch Fish Oil, made from waste fish viscera. It was scent free (thank goodness!) and apparently is just as good as the Cod Liver Oil that we currently have to import at a great cost; and it will also probably be a cheaper alternative to other Omega-3-fatty acid supplements currently in the market.
4. Hydroponics: well they are currently only displaying their hydroponically grown barley…but 8-day old Barley sure did look promising. This group of individuals is growing the product without any visible substrate (fairly uncommon), and I’m not sure whether this will work against them, but I wish them all the best. It did look promising.
5. Solar Tracker; it is quite the wonder that Kenya doesn’t utilize more solar power than it currently does, but perhaps that will change some day. At large production levels, this project perfectly goes hand-in-hand with a solar farm, imitating the behavior of a sunflower to maximize exposure of the solar cells to incident light.
6. Briquettes – a group of students from a technical college were on hand to display their briquettes, which apparently burned cleaner and longer than typical charcoal. The briquettes were made from waste material (charcoal scraps, wood shavings, saw dust, leaf matter) and bound with soil and water. I wish they had shown up with actual Calorimetry data comparing the briquettes to ordinary charcoal, because currently most briquettes tend to release less energy when they burn….meaning they might only be worthwhile to mid-income (and above) level citizens who don’t fully rely on charcoal; NOT, the poor masses who really could do with either an equivalent or BETTER alternative to wood fuel
7. Multi-use chair: the set up for this product was really simple, being built of wood and waste metallic water piping. Its default mode was a typical chair, but by simply pulling down on its back rest, it folded over into what could be used as a mini-ladder (2 steps), or a combo desk-seat for a small child…or it could even double up as a shoe-shiner’s work-stage.

It felt good to see stuff that actually addresses the need in this country. I have been ‘stewing’ ever since our current President made that decision about giving Standard One children laptops. I feel like Kenyans are hoping for a ‘magic bullet’ for our problems to arise from some child prodigies making apps that’ll sell for millions. Could it happen…sure! Is it likely to happen….NO!

Our true strength lies in innovation and the enterprising spirit of a people who maintain hope for a better future, both for themselves and this country as a whole. A re-imagining of our priorities and adequate funding for the projects I saw on hand (which are just an iota of the creativity being mustered in this country) will see us emulate our peers in China, India, Singapore and South Korea….in a Kenyan Style of course. Thus, I remain hopeful that the people whose job it is to steer policy and spending will remember which country they actually live in, and do right by their people.

God Bless