Caesar Bitta

[Ksm Specialists Hosp @KisumuSH]

As we enter 2026, we are grateful for God’s guidance, the trust of our patients, and the dedication of our staff. Thank you for choosing Kisumu Specialists Hospital as we continue to deliver quality, specialized care. #Newyear2026 #KisumuSpecialistsHospital #InclusiveHealthcare

[Peter Girnus 🦅 @gothburz]

The company hired me to lead their "Agile Transformation."
I don't know what Agile means.
Nobody does.
That's why it works.

I make $425,000 a year.
To move sticky notes.
From left to right.
On a board.
The board is digital now.
The sticky notes cost $80,000 in Jira licenses.
Progress.

Day one, I said "we need to break down silos."
Everyone nodded.
Silos are bad.
I don't know why.
But destroying them is a career.
My career.

I introduced "squads."
Squads are teams.
But disrupted.
We disrupted the teams into teams.
Different names.
Same people.
Same problems.
But Agile problems now.
Agile problems are strategic.

A senior engineer asked what we're actually changing.
I said, "The mindset."
He asked what that means.
I said, "It's a journey."
He asked where we're going.
I said, "Toward agility."
He asked what agility means.
I pointed at the sticky notes.
They were moving left to right.
That's velocity.
We have velocity now.

The VP of Engineering said two-week sprints don't fit their work.
I said, "That's waterfall thinking."
Waterfall is bad.
Like silos.
I don't know what waterfall is.
But I know it's bad.
She stopped talking.
Waterfall accusations end conversations.

We had a retrospective.
In the retro, we discussed what went wrong.
Everything went wrong.
We put it on sticky notes.
Then we moved the sticky notes.
Into a column called "Parking Lot."
The Parking Lot is where problems go to die.
It's full.
We don't look at it.
That's agile.

Velocity is up 40%.
I defined velocity.
I also defined the points.
I also defined the stories.
We're crushing it.
At the things I made up.
To measure.
Ourselves.

The CEO asked for ROI.
I showed a chart.
The chart went up.
Charts should go up.
This one did.
I didn't label the Y-axis.
Nobody asked.
Leadership is confidence.

We do standups now.
Every day.
We stand.
For 45 minutes.
Standing is agile.
Sitting is waterfall.
My legs hurt.
But we're transforming.

The transformation is now "Phase 3."
Phase 1 was assessment.
Phase 2 was implementation.
Phase 3 is "continuous improvement."
Continuous means forever.
Forever means job security.
I'm very secure.

My contract was extended.
Three more years.
For "cultural impact."
The culture is confused.
But impacted.

Agile transformation isn't about being agile.
It's about transforming.
Continuously.
Toward more transformation.
The destination is the journey.
The journey is billable.

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen

[Surgical Society Kenya @KenyaSurgical]

"It is my utmost pleasure to extend a warm welcome to each of you as we gather for the 25th Annual General Meeting and tge 24th Annual Scientific Conference of our esteemed society under the theme "Advancing Surgical Excellence Through Training."
Message from Dr.Juliet Ituku.

[Surgical Society Kenya @KenyaSurgical]

Excited to kick off Day 1 of The Surgical Society of Kenya Annual Scientific Conference with an incredible lineup of speakers!
Get ready to learn and grow with us.
Registration stil ongoing: https://t.co/66MCDtFlS6
#SSK2024

[Caesar Bitta @cbittas]

@kahome_steve Very, very true

[Caesar Bitta @cbittas]

@stats_feed Swahili has 82 million speakers

[Caesar Bitta @cbittas]

@KisumuSH Pharmacy. Excellent service

[Julians Amboko @AmbokoJH]

Telkom Kenya, Helios Investment Partners exit & the now controversial Kes 6.091 billion payment

Here's a 🧵on the chronology of events.

To make sense of this story, we dial back to 1998 & set the scene for why we are where we are today

[Caesar Bitta @cbittas]

@KisumuSH Great Team.

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen

[Ksm Specialists Hosp @KisumuSH]

Proper information can help you decide the kind of #Contraceptive to you use.

At Kisumu Specialists Hospital, we provide our patients with information suitable to help them understand their bodies and which contraceptive is appropriate for them.
#WorldContraceptionDay #KSHCares

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen

[Caesar Bitta @cbittas]

@muthoni_njakwe Amen