Window on Kisiizi

Window on Kisiizi

Monday 29 April 2013

Cinderella...

Ewan and Ian discuss building options
Kisiizi has a ministry to care for some groups who are often the "Cinderella" forgotten patients... these include patients with Mental Health problems [Kisiizi is, we think, the only non-governmental hospital in Uganda offering in-patient psychiatric services] and adults and children with Disability who attend our Rehabilitation Unit.

 We were delighted to have a recent return visit from Ewan and Mo Wilkinson.  Ewan is a Professor of international health / public health in Chester whilst Mo is a Consultant Psychiatrist. We were able to discuss a range of issues including the plans for the new Mental Health Unit buildings. We also enjoyed meeting up with Sarah and Kieran, doctors at Bwindi Community Hospital a couple of hours from here
Theonest
Ewan & Mo,Sarah and Kieran from Bwindi & us











With the generous support of some of our recent Australian Medical Students, we hope that Theonest will be going for training as a Psychiatric Clinical Officer to give support to Sister Nancy.

 

Part of the work of "Rehab" is the community outreach.  Hannington has worked with Kisiizi for decades... he used to translate for us when we first worked in Kisiizi back in 1987!

Groups meet up in the community for therapy sessions.

In the middle photo Hannington is accompanied by Alozius, our Occupational Therapist.





We are grateful to all our Staff in Rehab for the work they do with individuals and groups.  We are looking forward to a further visit from our physiotherapy colleagues from Dublin in the not too distant future.













A day in the life...

without looking for publicity we seem to have featured in a number of newsletters recently...

I was asked to write about a day in life here in Kisiizi and it has been published by RCPCH in their newsletter.  Prior to this we had a similar piece in the International Child Health newsletter and a report about Kisiizi in the World Health Organisation African Partnerships for Patient Safety [APPS] newsletter. Earlier in the year Kisiizi was on the front page of the WHO website.

I have also just contributed to an article for Archives of Diseases of Childhood in its final draft.

We do hope that this publicity will encourage more support for Kisiizi and help us recruit the right senior staff we need to develop our work more.


Royal College of Paediatrics & Child Health Spring 2013 Newsletter


International Child Health Group Winter 2013 Newsletter

WHO website African Partnerships for Patient Safety Kisiizi feature

Extract from APPS Newsletter Article spring 2013:








Saturday 20 April 2013

A breath of fresh air...


Our most common reason for admission on Children's ward is with pneumonia.  Most cases are young children in the first 3 years of life and they present with rapid breathing, cough and fever.

However, unlike a couple of decades ago when we first worked here, we now see some  patients with asthmatic symptoms.  It used to be only a few adults who had such problems.  Above is a child admitted in respiratory distress and having a nebuliser of salbutamol, a bronchodilator.  He also has an IV infusion of an old-fashioned but very useful medicine called aminophylline.


Here he is a couple of days later much improved and learning how to use a home-made spacer for his inhaler treatment.

Sunday 14 April 2013

What's on at the Theatre?

Our new operating theatres were opened in 2012 and a wide range of surgery takes place.  This includes periodic camps with visiting specialists.  We recently hosted Dr. Keith Waddell with a team from Ruharo Eye Centre in Mbarara who worked with our Ophthalmology Assistant Benon and operated on around 35 patients in 3 days, many having their sight restored after cataracts.  We had Keith for a meal and it brought back many memories as we found his name in our visitors book from 25 years earlier when he had come on a similar "Eye Safari".
Dr. Deo


Dr. Deo from Mbarara came with a team linked to North Kigezi Diocese to run an Orthopaedic Camp. 


Many children benefited from surgery and our Paediatric Ward was even fuller than usual with the post-operative cases.  As they improved they moved up to the Rehabilitation Unit where many are still staying in the dormitories as they are supported to mobilise with physiotherapy. 


Our Orthopaedic Officer Bedard, Phyiotherapist Night and Occupational Therapist Alozius have had a busy Easter!

post-op child with small bottles covering the ends of pins


Other specialists include colleagues from Royal Berkshire Hospital working with Dr. Gabriel on Urological cases.  These visits are a great help to Kisiizi and are allowing us to develop our in-house expertise to the extent that Dr. Gabriel received a referral from Mulago Hospital, the main government teaching hospital in Kampala about 7-8 hours drive away!



Of course one key aspect of successful surgery is good Anaesthesia.  We are grateful to Gershom, Medius and Andrew, our Anaesthetic clinical officers who have provided our 24 hour service.  We have just said goodbye to a recently retired Consultant Anaesthetist, Dr. Angela Cooper, who came as a volunteer with Church Mission Society for six months to help us.  She has provided valuable input into various areas including Pain Relief and given us helpful advice on High Dependency Care as well as her support in the Anaesthetics team.  She has kindly agreed to help us acquire some much-needed equipment for general anaesthesia as our current equipment is decades old and, though it has served us remarkably well, is showing its age!  We do not have, nor do we intend to acquire, piped gases as would be used in western hospitals so traditional Boyles' Anaesthetics Machines are not practical here and we use more basic but effective draw-over equipment.
Dr. Anglea cutting her Goodbye and Thank-you cake
Dr. Angela is hoping we can obtain two portable Glostavent DPAO1machines which cost 2,750 pounds sterling each.  If anyone is able to help towards this cost we would be most  grateful - please contact Ian on khmedsup@gmail.com.

Dr. Robert
Looking ahead we will welcome Dr. Robert back in a couple of months when he will have completed his 3 year training as a specialist General Surgeon.  He has been generously sponsored by our friends at St. Paul's Church in Dublin who also provided the funds for the new operating theatres and previously for the two storey ward block housing Maternity and Paediatrics so we are extremely grateful for their invaluable support.

Michael & Melissa Webb kindly hosted us during our visit to St. Paul's Church in Dublin in January 2013 and have worked tirelessly to support Kisiizi

We are in the process of renovating our very old building that houses our Surgery Ward.  It was actually the centre of the original flax factory which was taken over as Kisiizi Hospital in 1958.  We are grateful for supporters in St. Mark's Church and Putnoe Heights Methodist Church in Bedford who have contributed towards this cost.  We are hopeful that this will allow us to renovate the first ward area [what used to be the old maternity ward in the past] with proper terrazo floors that we will be able to clean properly rather than the current very poor cracked concrete floors that are impossible to clean adequately.  Any support towards the much-needed renovation of the second ward area will be very gratefully received.  Thank you.

So all these strands are coming together as we aim to further improve the quality of our surgical services.  Following the successful seminars we ran recently for World Health Organisation, Kisiizi has been asked to participate in a further 4 year WHO programme on Safe Surgery.  We are waiting to hear if we have been formally approved for this by Uganda Ministry of Health but hope that Dr. Gabriel may be able to attend a meeting in Geneva next month to launch the programme which is being run by WHO in co-operation with John Hopkins university in USA.

Overview



For those of you in the UK or Ireland, do try and come to

FRIENDS OF KISIIZI DAY

SATURDAY 5TH OCTOBER 2013

 10am - 5pm

at Greyfriars Church, Reading [very close to Reading Station].

Booking not required. Bring a packed lunch.

We hope that it will be possible for Dr. Gabriel Okumu, Consultant Surgeon and Deputy Medical Superintendent, to attend

Challenging IT!

 When we first worked in Kisiizi in 1987 there was absolutely no communication available with the outside world other than walking or, if the mud roads allowed it, driving some hours, then queuing in a post office to try and make a phone call... now we have IT... and it can be amazing, for example I can sit here in my office in Kisiizi, download this article and people all over the globe can be reading it in the next hour... [welcome by the way to those in Russia, Romania, Ukraine and China who are reading the blog apparently according to the statistics...] 

but we do face challenges, not least the erratic internet connection.  The most common excuse from the company providing our connection is that the cable carrying the link has been cut by roadworks on the main road to Kampala...  This can be a real problem as increasingly important messages come via email such as information about meetings that we should send representatives to, so may cause issues if we fail to receive them.

Then sometimes the hardware can have its limitations - we thought you might enjoy the following email we sent to friends last year from a challenging laptop:

========

greetings.... not easy to compose message as laptop missing 3 letters!
you can guess by a process o  elimination t e problem ones!

Still, really grate ul 4 t e recovery disc you sent, muc
appreciated!  Glad to recover some documents so merci beaucoup 4
sorting it!

Dis is one ov de most ridiculous emails I ave ever sent!  but ope you
can decip er it!!!

love +++

Ian and you kno....!

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Students in Kisiizi Hospital School of Nursing using IT