Kijabe

4/6/08 – arrived in Kijabe. It is beautifully situated on the side of a hill overlooking the Rift Valley. I have a great view looking outside my front window. Have already received report for one of the teams (Blue) for Steve Letschford who is a Med/Peds doc . He is going to intensify his study of Swahili while I am here.
My service today consists of the following patients:
1. G.K. a 71 yo female with brain mets (unknown primary) who is basically recieving palliative care only.
2. H.G. a 80 yo male with NYHA class IV heart failure, diabetes, renal insufficiency.
3. A.A. a 38 yo male with HIV, hypernatremia, delerium.
4. F.G. a 70 yo female with probable cholangiocarcinoma and malaria.
5. K.S. a 45 yo male with HIV, hyponatremia, TB.The hospital here has 250 beds, current census is about 230.