@IhabFathiSulima Unilateral gynecomastia which occurs in young teenage boys around 14 years of age and are rare . Usually associated with lower testosterone levels in the body than average range with relatively high levels of estrogen in their bodies
Pale dorm after lights out it was always a verbal exchange about what your town has and others don't while trying to catch some sleep na mwengine akaambiwa hatoki kisumu kwao ni awasi nyuma ya soko kumbe dorm yote inaskiza banter 😂😂 form 2's wakafanya makosa wakacheka
People easily forgot that it is the Supreme Court President that swore Kindiki into office. There is no way any judge can challenge that. CJ Koome must have assessed the whole thing. Gachagua shouldn't waste time with appealing, they'll now deny him the 50m pack. Ni mbaya majama!
Na kumbe kijana ya Rigathi alikua Na akili mbaya. No 17 KCSE ya 2010. Massive respect. I respect intellectual people mbaya Sana.
Kama si tribalism, Gachagua angekua a good leader.
But for now, aende akue chief.
Trick that will work half of the time, may still fail terribly 😂
Never go directly to clerkship, just initiate a very informal discussion, later inquire about their family and social history, if you are able to get to that point you will likely get far
Worst way to begin unless ni third year" I am a student and would like to ask you some questions"
I've been trying to tell people for years.
- Kenya was the "safe" place in Africa for the rich children of the world to come and work and play.. back during colonial days.
- Once colonialism was over.. that didn't change, if anything it increased. More so with the continued portrayal of Kenya via Hollywood movies and series.
- When people think of "traveling to Africa" they first think of Kenya, not Tanzania or South Africa. Again.. thanks to Hollywood.
- Kenya has always been aligned with the centers of Money in the world, i.e. New York and London.
- Kenya is still the "real Africa" unlike South Africa, with more of the practical problems the rest of the continent faces.. while also having enough of the amenities that South Africa offers.
- It's always been stable, with a stable business environment, with strong judicial oversight of business structures.
All of these things make it the go to spot in Africa for any Ivy League grad with a bright idea.
It's also a badge of honor on any Western CV to have done time in Kenya. South Africa and other places.. less so.
Physicians are not burned out because medicine is hard.
Medicine has always been hard. That is not new.
We are burned out because the things making it harder have nothing to do with medicine.
Fix the system. Keep the physicians.
I've always said that Mulot boys, sharp boys, and vijana wa uwanja are part of our national assets. We need to tap into this talent. The government should create an enabling environment for them to operate. They can earn the country crazy amounts of foreign exchange.
Today I met a nursing student crying in the ward, & I took time to listen to her. Other students were busy with bed making, bed baths, wound dressing and ward routines.
She later told me it was her first hospital rotation, & she never expected nursing to demand that much physically and emotionally. She had even called her parents saying she wanted to discontinue the course.
I left that ward with many questions and no answers. Sometimes people only see the uniform, not the weight behind it.
I asked my junior resident on rounds today: Why do we treat a UTI in a woman with 3 days of pills and send her home, but a UTI in a man is automatically classified as a complicated infection?
He mumbled something vague about anatomy.
Oyaaa kama hamtaki tukuje mahali mko ama tukae na nyinyi over weekends mseme tu bana. Sasa hizi ni games/activities gani?😭😭😭
Si basi tucheze kenya @ 50?
📹 courtesy
People fear HIV, but herpes is the most underrated villain in the STI universe. That condom you're trusting? Herpes doesn't care whether you're wearing one or not. Real Demon I swear
This girl calls herself sharp. She gets money from three boyfriends, and all of them are in Australia. She drinks expensive wine with her girlies and wears expensive clothes, yet she has not done anything back home, just misusing free funds. Boys in Australia are so desperate, walahi.
My rural home constituency nawahurumia sana. Everyone is using available lands to plant coffee. Some years to come we shall have limited farms for maize, beans and even for vegetable gardens juu zote wamepanda kahawa.