This post should be required reading for every physician in this country. A physician finds a document on a chair in his hospital executive’s waiting room and reads through it, then realizes it is a manifesto on how to dis-empower physicians and put hospital administrators in control of patient care. The document’s title: How to Discourage A Doctor While the physician implies that he transcribed the information from memory, the formatting breaks and text errors in the document make it appear as if the document was scanned and then the text pasted.
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The breadth and spread of Nairobi’s healthcare facilities can be daunting to locals, leave alone visitors coming from other counties or even foreigners. Facilities range from expensively equipped and well-resourced private hospitals, to somewhat wanting public facilities.
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The health of mothers has long been acknowledged to be a cornerstone of public health and attention to unacceptably high level of maternal mortality has been a feature of global health and development discussions since the 1980s. However, although a few countries have made remarkable progress in recent years, the reality has not generally followed the rhetoric.
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“A policeman’s lot is not a happy one.” Gilbert and Sullivan’s well-known conclusion from the Pirates of Penzance clearly applies to physicians as well – globally The reasons are well known. Government, Private hospitals and insurance company edicts on how to treat patients, declining reimbursements, ever increasing costs to run a practice, endless paperwork requirements, constant time pressures and a hostile legal environment all combine to make the modern day physician’s lot a truly unhappy one of operatic proportions. The impact of declining government-run health care has dis-empowered physicians, leaving them disillusioned.
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Nairobi is rife with entertainment spots and night life. One only needs some excuse to party, and there are lots of places catering for all sorts of budgets. Few stop to think about potential health effects of hard partying.Binge drinking is the extreme, and is defined as taking lots of alcoholic drinks in a very short period of time, or with the aim to get drunk. There is no such thing as completely safe drinking, but research has defined relatively safe alcoholic levels beyond which untoward health effects increase exponentially.
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