Joined December 2023
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What happens when you bring #sicklecell care closer to people? They come. Next week I’m visiting #Bulondo Health Centre in #Kanduyi Subcounty, where I serve as Medical Officer of Health. A Level 3 facility that started with 5 patients. Today: 100 . 1/4
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#Sicklecell and poverty don't just coexist. They feed each other. Malnutrition. Cold housing. Chronic stress. Dehydration. Each one, a crisis trigger, and together, a cycle that's almost impossible to break. Read full post👇tinyurl.com/SickleCellAndPov… #SickleCellEquityKE
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Doses get missed because pharmacies run out, refills are unaffordable & #systems fail families. Patients sometimes have to choose between survival, #medication & food. Or they're just exhausted from years of daily pills. Full post: tinyurl.com/MissedDoses #SickleCellEquityKE
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What happens when you bring #sicklecell care closer to people? They come. Next week I’m visiting #Bulondo Health Centre in #Kanduyi Subcounty, where I serve as Medical Officer of Health. A Level 3 facility that started with 5 patients. Today: 100 . 1/4
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But Bulondo has significant gaps: no hemogram machine, no U/E/Cr testing, and limited monitoring capacity. Patients come for clinical care, then travel AGAIN to the nearest lab for tests, then return with results. Multiple trips. Multiple costs. Multiple barriers. 3/4
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This proves Primary Care Networks work - but also shows what happens when we build access without capacity. → May 14th, I’m documenting #sicklecell patient journeys. I’ll share their stories. Want to support this program? DM me. Read dull post: tinyurl.com/SupportBulondo 4/4
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What a child with #sicklecell wants you to know. To friends and their parents: Your kindness matters. But sometimes, the way you try to protect ends up isolating instead. Here’s what children with sickle cell want, even when they don’t know how to say it: 1/4
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They don’t want to be treated like they’re fragile. When you’re too careful, they feel like the sick kid everyone has to be gentle with. They want normal friendship: teasing, inside jokes, competition. Include them in original plans, not watered-down “safe” versions. 3/4
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New term, new teachers. The explanations start all over again. It’s May. Schools are opening. For families managing sickle cell, this means starting from zero. New teachers who don’t know your child. New classmates. New staff to educate on #sicklecell. Every single term. 1/4
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For #boarding students, it’s harder: * Managing medication alone * Limited water access * Night pain in dorms * Mandatory activities that trigger crises Some families choose boarding for quality education. Others avoid it - too risky if a #crisis happens at night. 3/4
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What we need: standardized health handovers when teachers change, school-wide chronic illness policies, trained matrons in boarding schools. Until then, families start over every term. Read full post: tinyurl.com/NewSchoolTerm 4/4
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Last week I wrote about how teachers who don't understand #sicklecell make school impossible. You asked: WHAT's the solution? Here's what works: 1/4
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School #healthofficers trained on #sicklecell - know warning signs, when to call parents vs ambulance, basic pain management Communication systems - parents, teachers, healthcare providers talking regularly, not just in emergencies 3/4
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Right now, success depends on luck: Understanding teacher? Sympathetic headteacher? Parent who can advocate? With #policy, children don't choose between #health and education. They can do BOTH. → Read full post on LinkedIn👇tinyurl.com/SickleCellSchool… 4/4
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Teachers who don't understand #sicklecell can make school impossible for a child. A child misses 2 weeks because of a crisis. Returns. Teacher says: "You've missed too much. You'll repeat the term." No empathy or catch-up plan. Just judgment. This happens too often. 1/4
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What good teachers do: 1/ Ask "What do you need to succeed?" 2/ Create catch-up plans after medical absences 3/ Allow children to sit out PE without shame 4/ Communicate proactively with parents 5/ Educate classmates so accommodations aren't seen as "special treatment" 3/4
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Schools need: Ongoing teacher training, clear policies on makeup exams/modified PE, health officers who understand sickle cell, and communication systems connecting parents/teachers/providers. Education is a right, not a privilege. Full post: tinyurl.com/TeachersAndSickl… 4/4
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