pato gich

[Kambua @Kambua]

💇🏽‍♀️🤭🤎

[Mbiti Mwondi Maino,MD @mbiti_mwondi]

This week alone from
Monday we’ve had 6 below knee amputations.4 males and 2 females but they share some common similarities.All of them are diabetic patients,all of them have poor sugar controls and finally all of them came with septic and gangrenous feet which warranted the need for amputation.
This is a new case I just saw today of diabetic toes,lucky for this patient it was still at the hallux which I was able to comfortably amputate before spreading proximally.

There are so many people with diabetes out there who don’t pay much attention to their sugar control both pharmacological and life style modifications.

[pato gich @GichPato]

@tekashi_tanui1 @1Griseldad @_DaviesTweets @_esteeam @_realprince__r @_sharlyyyy @alfredmwitike2 @Bandit__2 @VinnieRots @miondokoo @kucomrade_ R55

[pato gich @GichPato]

🤣🤣

[Erick 🇰🇪 @erick_ondieki]

@Miss_Prresident Mwana msherati, umeamka na mood,

[pato gich @GichPato]

@muli_brian_ @MiritiKe Tobacco

[MelodySinzore1 @MelodySinzore1]

You have all it takes to be all you want to be.

Lovely Friday.

#IpoSiku

[Shaw Wa Eldy @ShawwaEldy]

Andrew Kibe was a good man.
Andrew Kibe was a good man.
Andrew Kibe was a good man.
Andrew Kibe was a good man.
Andrew Kibe was a good man.

A woman ruined Andrew Kibe.

[Kijana ya cuea @StephenMuia254]

@theehoppin

[🪽Mr Lucifer🪽 @HEking_lucifer]

@Miss_Prresident Men also produce clean white thick milk.. so happy milk day meen😏😏😏

[Kylie @KylieHopkinsX]

No @ManUtd fan will pass without a like for Greenwood ❤️

[Shan♥️ @Shann_099]

Unaeza date uyu?😂

[pato gich @GichPato]

Na mbona madem wapendi watu wa jaba?

[Kylie @KylieHopkinsX]

Nataka kutengeneza very active rt group only active tweeps comment handles niwaadd ✍️

[Ann Q-tee @AQtee]

Good morning Manchester United Fans. Mnapeel aje? Si tunapeel poa 😂😂😂 @ShattaTikiTaka @WillisRaburu @RadioCitizenFM

[John Mutongoi @johnmtongoi]

Scenes today morning after your girls wanarudi kwao after sleepover😂😂😂😂😂😂

[Mercy klaine @mercyklaine]

if you can see this drop handle retweet and follow me
🍎🍎🍎😍

[Ducati Dreams 📿. @Ducati_dreams]

@Its_Roddie Man's amesimama tu then bare out of nowhere bana ingekuwa wewe ungedoo

[pato gich @GichPato]

@EsqEmpire @_Mwangi_1 Ina muokalize mkuu

[pato gich @GichPato]

@AmosWil23 @_Mwangi_1 🤣🤣