Let me keep it simple

Thursday 7 January 2016

HALF A DAY AT KNH


The common assumption is that "Nintendo" (任天堂) means "leave luck to heaven" or even "to leave one's fortune in the hands of fate" in Japanese. However, I am not interested in the otherwise insinuation as it does not aptly give substantive meat to the intent of this post as otherwise stated, this assumption just serves right.


There was this day I was interested in finding out the origin of EA Sports. The makers of games my younger brother adores so much that he would rather play games than take his studies seriously as a forth former. He does not have his own PC, but as a matter of priority, he has installed FIFA and a bunch of other EA Sports games on any PC he has settled on. As such, he rarely studies, which am sure is a talent (studying) on its own because he has been polar to perusal from time immemorial. And do you know something, I have never bothered to coerce him to do it because it’s not his thing.


As someone who is now independent, I have no impetus as to what he does with his life. Talking to him is like ‘kupigia mbuzi guitar’. But like yours truly, I hated reading while at home (school work). However, when it came to novels and newspapers. Trust you me, I would read like a carousel becoming a recluse henceforth. Rarely do I catch up with pals because I find it as an intrusion (Whatsapp serves that purpose). Because I love my space. Sitting sometimes long hours behind the computer building on my wealth of knowledge when I am motivated though either reading blog posts or sharing on LinkedIn on important business news and to be specific, increasing my financial gen now that I know my area of expertise falls under finance and as a student who wants to share, I am obliged to do so on the professional network site.


Anyway.


Life is not a game to experiment with human beings. In games, I only love playing Chess because of the words. The makers of the one I am currently playing are EA Sports. And apparently Trip Hawkins, the founder of Electronic Arts, Inc. once worked at Apple Computer. I have a fad for anything associated with Apple. As a potential analyst, the supernormal profits are it made are beyond the scope of my financial ken in explaining. Still, the adrenaline in yours truly has not tapered off for loving the hardware and software company. In finance, it can be said to be having both high and low operating leverage. High on its software and low on its highly marketable gadgets.


When you are accustomed to seeing things run smoothly without rigmaroles, you need to exercise patience when they take an about turn. There are times when you hear stories that sound fictitious and there are times when you experience the stories. On this occasion, I was on the receiving end. Luckily, I was not alone. Together with my uncles Fred, Isaac, Jack and Lameck, my sister Mercy and Cousins Ken and George and aunt Jacinta, not forgetting my grandpa, one Stanislaus we took my uncle Barrack to Kenyatta Hospital for admission.


Hitherto, we had thought it would probably last only a few hours before the process would result in admission. Like one person had suggested during a meeting on the ease of getting admission to Kenyatta which was speculated as lengthy but corroborative evidence from the person rebuffed off the speculated claims. Uncle Barry was physically weak and emaciated, medical reports I was not prior to but having heard from reliable sources indicated he was in need of specialized attention which could only be procured in a Referral Hospital with specialist doctors who could handle his condition which was deteriorating as he could not munch. And the most convenient and affordable Hospital in this case which was apt in terms of facilities was none other than Kenyatta National Hospital. Having been in a private hospital initially, and the fact that the bills were accruing while his condition was not improving, it was prudent to take him to a hospital where he could be given specialized treatment and the problem in his stomach which was in the wee stages addressed.


Settling on KNH was a family decision as the odds had been looked at and given that there were financial obligations that needed to be taken care of, a mini harambee was done and alas, everything was ready. It was decided that a Red Cross ambulance would be used to facilitate quicker admission into the facility and because using an ambulance is the most convenient way of transferring a patient to a hospital. There paramedics are medically equipped to handle most of the emergencies and situations cannot get out of hand.


One major plus with the Red Cross ambulance as opposed to the other ambulances is that the facilities inside it make it look like a mini hospital. The ambulance carries fully advanced life support equipment, emergency drugs, and ambulance crews are highly experienced qualified staff other than it taking one to hospital without delay. If you look inside other ambulances, you would be apathetic as to why spend so much when the much you get is only the transport bit. They look ill equipped which is a feature in most of the ambulances from below par hospitals which can also be hired as hearses and in some instances used to transport charcoal.


I must admit I have got a past negative experience at this hospital. The last time I was in KNH, I collapsed due to the stagnant smell of disinfectants and though I was never admitted, I became wary of the environment which even though somber, is quite nauseous. Since I was not in the hospital upon arrival of the ambulance, I only got faint details that the crew from Red Cross were very helpful but due to restrictions, there was only a certain extent they could help.


The emergency and accident wing in KNH was under construction. Funded by Old mutual which has acquired a majority stake in UAP and another substantial amount of equity in Faulu (Micro Finance Institution) as the banner on the continuing project indicated.  This is an indication of the corporate social responsibility the firm was engaging in. Perhaps that spurred the desire in yours truly to apply for consideration in the firm even though they have that reply that is usually void because it is just that, an application. The area under construction was cordoned off by some new iron sheets and that did eat up space reducing the area under which patients and those who brought them could stay.


I must confess KNH has the worst form of admission of patients. Forget about those PR gimmicks during periods of national disasters when the hospital is under both national and international media coverage and you rarely see patients languishing outside because they have to protect the image. The attitude of some stuff is frigid and this can result a  in fraught experience if you love order or places that are highly organized.


Upon arrival at the Emergency wing, you will be find patients on gurneys (medical bed with casters wheels) that are motionless. The casualty section is chilling. There you will see what in the real world is only seen in brief episodes of medical series. At that point, you need to thank you Maker for having sane health because the conditions under which some patients were, you have to have the nerves not to wretch and the willpower to surmount tormenting situations.


The worst thing is that KNH is insensitive to the plight of patients not yet admitted. They stay on stretchers for long outside especially if the person has to undergo a series of medical tests that are paid for but in reasonable amounts but still can be costly if not well prepared with finances to necessitate the required processes. What astounded me was that any movement that took place while in the hospital was the prerogative of those who brought the patient. While the same role is assigned to hospital staff in Private hospitals, in KNH, once you get there, the medical staff are not responsible for the casualty. No movement can take place if you don’t a person to attend to you. Then again you are sure not to be admitted in the facilities unless an Angel in human flesh takes up the role. So if your loved one is in a critical condition, and you are man solo, you will have one of those moments you will never forget at the hands of a callous medical staff.  


One of the major cons of handling a patient if not trained is that you never know where the patient is hurt. Instead of aiding in mitigation, you may escalate the fragile state if the person has broken limbs. The airway may also be compromised as a result of the patient not being in an accurate position if you don’t know the accurate position. When the airway is compromised, in most cases that signifies a portent outcome for the loved ones of the patient. I saw a certain young lass whose sister was charged with moving her hit a wall accidentally and the way the young lass squirmed was an indication that such handling should be left to those qualified individuals. But this is Kenya, you minimize costs through building high end airport terminals because folks using planes matter a lot to the nation.


If you take a patient to KNH, you must be ready for the hassle. The rigmaroles involve taking the patient for stool testing in a public toilet that is not up to standard in terms of cleanliness if such test is necessary. In fact, there should have been a separate facility for patients that is given precedence in terms of proper sanitation in regard to the health of a patient. If you are alone and the patient is bedridden, mark you, you will have one of the most daunting tasks since the toilet is in a place that the cots cannot access without compromising the position of the patient. Help is necessary if alone.


One of the major folly of the medical staff am tempted to call stuff is that they never guide on the next step to take if you never ask. Again moving from one step to the next is a process. Before you are told which other medical test the patient is required to undergo, it takes almost an hour or two to go for another. Inside the tent which is meant for both casualty and their loved ones, the sizzling hotness makes one want to go outside just to take a breather from the heat and traumatic images of casualties that are not ceasing. There are those from accidents and their clothes are blood stained you get used to seeing once you have stayed for more than five hours trying to find admission of your patient.


Of course, beam chairs you sit on cannot fail to have those guys who have gone through major frustrations you think of your current predicament as petty. There are people who spend two to three days before their patient gets admission to the hospital. There was one man I had a chat with whose daughter was on her second day there. He was trying to get her admitted. She was having a fever and was also anorexic because of the debilitating effects of the medical condition she was suffering from. She was supposed to undergo through an x-ray which is a one minute procedure because the process has been computerized. Along the hallways of KNH, you ideally feel the frustration of those who were bringing their loved ones. It was eminent in their faces and voice.


There was this kid who was being given initial treatment while inside a makeshift casualty wings made of iron sheets with doors covered with curtains. He was crying hysterically because of the pain he was undergoing. It was a primal sound, one we're programmed not to ignore. Then I heard one of the women seated on the chairs saying in jeng,


Udi go liet to itimone nyathino top dressing. Akya gimomiyo oywak kamano.” (Those makeshift structures are sizzling hot and the child is undergoing top dressing- instead of wet to dry dressing-. I don’t know why he is crying hysterically?)


The idiocy of the lady and her listeners was quite eminent. Or is it the lack of proper diction? Ideally top dressing should be done to maize or crops in the field. But in Swahiliu they say, ‘Asiyekujua hakuthamini’ (He/she who doesn't know you, doesn't value you). Just though that applies for her context.


Uncle Barry arrived at KNH some minutes before 1100 hrs. We went for lunch at 1600hrs because it was necessary and in turns as we took to taking care of him as well as satiating our grumbling paunches to be able to withstand this chaotic admission process. After gobbling some light lunch of soda and muffins, we went to feel the breeze in an open arena where multitudes of people were waiting. They were waiting to see their admitted loved ones and queues had formed at the entrance of the hospital. We sat next to the parking lot and there was this vehicle with music resounding with this music of, ‘Nani kama wewe bwana.’ Such kinds of songs remind you that we are living on borrowed life, so you sit and ponder in as much as they sound dirgic (sic).


Respect for silence is what is called for in such situations. Sometimes people stop talking to deal with their emotional response to what is or has been sung. At such times you use that silence to reflect yourself. Those are the times when you end up reconnecting with you spiritual side because you have seen what tells you that indeed you need to appreciate your healthy life. It’s like while sitting in looking at patients, you go to hell and come back. You need to eschew things like call girls, drunken driving and living a reckless life. Because whoever said we only have one life maybe lied. We have another of being on the brinks of kicking the bucket. Such times you count your blessings and they are realistic. Ailing is scary.


Before Uncle Barry was assigned his room, we had to take him for to the pharmacy for prescription of the drugs he was to be given. There again we had to wait as he was to be injected with the medicine since he could not swallow anything. As those in charge of his movement, we sat idly on the seam chairs. There were guys who told us they had arrived in the morning to bring their patient to the hospital. He was also not in a stable condition. I saw him wretch and looked aside. After receiving his jab, he left because that is all they had being waiting for the entire day. We also saw the son of a certain lady who had initially told us that he was having a stroke and paralyzed. But he was not in a coma or paralized, he could not walk but I could see the boy smiling with his brother though he had both legs plastered.


But the most fascinating were a bunch of guys who brought a certain boda boda rider who had fallen and injured himself together with the passenger. That night, so many of them were admitted as one boda boda rider confessed that because of the greed for more money they had taken to riding under the influence. The father of this boda boda driver was quite hilarious though.


Huyu anaskia baridi sana. Naona kama anatetemeka” he said in his heavy Kiuk accent. “Wacha nimtole him maji juu hii ndio sababu anatetemeka” and with that, he curtailed the flow of the drip from reach his son. Poor boy.  


The nurses who were supposed to attend to Barry before admission were quite unmoved and sluggish. We could see them engage in trivial banter as they locked themselves inside the room they we to attend to patients. Those moments you wish you could video them but since video taking or taking snaps are not allowed inside the hospital you rescind on the decision. This is because a matron inside had seen you taking selfies when the going had gotten so laborious you eased off by taking photos and warned against the same.


Eventually, Uncle Barry was admitted at around 2300hrs. That was half a day. It was on eve of 2016. While most people were either in churches praying for having seen another year or in entertainment spots binging or dancing to the latest songs to usher in another year, others were fighting for their lives, with their loved ones in tow, burdened. Like my sister experienced a situation where an elderly lady succumbed while waiting to be attended to and to the by hospital crew, it was like a normalcy to them. She was covered and the body taken to the morgue. She never saw 2016.


After admission of Uncle Barry, we went outside and crammed Isaac’s Fielder as the process of dropping guys started. On arrival in town, feeling hungry and weary, we went to a fast food and took the common chicken and chips. That night, New Year found us in a mathree as we heard people screaming and saw fireworks while on the way to the house.


Hasta La Vista, Baby.


[Picture Source: Google Images]
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