Our goal: Improving the access to and quality of orthopedic care offered by Christian mission programs in developing countries.

A major step in achieving our goal is establishing a full service department of orthopedic surgery at PCEA Hospital Chogoria in Kenya. This initiative started at the beginning of the year. Here is the first progress report form Catherine Munene the CEO of the hospital. Here is how we are advancing orthopedic care.

28/8/2017

ORTHOPAEDIC REPORT

1. The orthopedic fund – We have been strict with the criteria.

2. C-arm has helped us to do mainly ankle surgeries as we await arrival of orthopedic table to be able fix femurs.

3. SIGN NAILS – This year alone we have done 69 cases to date.

4.  Dr Chege the orthopedic surgeon has been very helpful to us. He has helped us to do many surgeries including knee joint replacement. He has really helped us to clear the many orthopedic cases that have increased recently due to strikes by nurses in government hospitals.

NO. NAME PT. NO AGE (YRS) WARD DIAGNOSIS DOA DOD DAYS IN WARD AMOUNT BY NEEDY FUND IN KSH. TOTAL AMOUNT PAID IN 
1 RAHAB KAGENDO OPD OSTEOMYELITIS 32,424 35,624
2 PATRICK MUCHERI 24 MALE SURGICAL FRACTURE FEMUR 1/7/17 50,000 STILL IN THE WARD.

1. NAME: RAHAB KAGENDO

DIAGNOSIS: OSTEOMYELITIS

A patient who came to the hospital with swollen right hand finger . The hand was very painful and can’t do any with the hand because of pain. She had attended many health institutions with no much help. The x-ray reveal chronic osteomyelitis. She needed to go to theatre but had no money. On 10/7/17 she opted to go home and look for money but a week later she came back with no fund.

She is a housewife and the husband do casual jobs to feed the family. They have 5 children all school going. They have a small shamba where they grow few crops for use at home.

After she came back without money then we used the funds to pay for his treatment.

Above: X-ray of the lady who underwent sequestrectomy.

2. NAME: PATRICK MUCHERI

AGE: 24 YEARS

DOA: 1/7/17

DIAGNOSIS: COMPOUND FRACTURE FEMUR

A patient who was brought to the hospital by good Samaritan after he was knocked down by a vehicle. He was going home after his day work as a shamba boy. When he was brought in he was semi conscious and the wound bleeding profusely. At the casualty he was given first and bleeding was arrested. He was to be taken to theatre immediately but it was not possible because he didn’t have money for the procedure. He also doesn’t have hospital insurance cover. Despite him having no money he was taken to theatre for wound toileting and fixing the pin for skeletal traction.

He lives with the grandmother who is elderly. He has never met his father and the mother was married when he was only 2 years old. He has been the bread winner for the grandmother. They have a small hut where they live which is on a public land. So the grandmother also don’t have a piece of land.

The mother came to visit him in the hospital and was advised to look for fund so that he can be taken to theatre for the operation. Since admission they have not paid anything and has been on skeletal traction awaiting relatives to pay for the procedure. It was not until 1/8/17 when he was taken to theatre though he had not paid money for the operation.

b) Femoral nailing of Patrick Muchera who is very desperate.

Above: Patrick on skeletal traction  and below Patrick after the operation.

Compiled by  Leonard Gitonga

Thanks to you we are changing orthopedic care in the Mount Kenya region of Kenya. Please help is to continue our work at:

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