There is a new cash cow in town. 🚨
If you import a car to Kenya right now, @ntsa_kenya is taking weeks to print physical plates after allocation. Since CFS storage fees are piling up, you're forced to drive from Mombasa with your registration on a piece of paper. (1/4)
I'm a cardiologist. A 42-year-old mother of two came to my office complaining of jaw pain and crushing fatigue. She ran half-marathons. Her EKG was normal. Another doctor had sent her home with anxiety medication.
When I got her into the cath lab, I found severe microvascular disease — plaque choking the tiniest vessels of her heart, the ones standard angiograms routinely miss.
Her heart had been starving in silence while everyone told her she was stressed.
She is alive today. Too many women like her are not.
Heart disease kills more women than every cancer combined. And medicine is still diagnosing it through a male lens.
84% of cardiologists report having patients in the past year whose heart disease was misdiagnosed by another physician. Women with a STEMI heart attack have a 59% greater chance of being misdiagnosed compared to men. Women with an NSTEMI — 41% greater chance.
The reason is structural. For decades, we screened, tested, and treated women using a template built for men.
Men's heart attacks announce themselves — the crushing chest pain, the clutched fist, the Hollywood collapse. Women's hearts whisper. Crushing fatigue that feels like wearing a lead vest. Jaw pain written off as TMJ. Nausea blamed on a stomach bug. An ache between the shoulder blades blamed on a long week. Shortness of breath blamed on being out of shape.
For years, medicine called these "atypical" symptoms. They are not atypical. They are female-typical. Half of humanity is not a variant.
And the biology runs deeper than symptoms.
Women have smaller hearts and narrower coronary arteries. Plaque doesn't only clog the big highway vessels — it hides in the microvasculature, the tiny branches feeding the heart muscle itself. A woman can have a heart attack with a completely "clean" standard angiogram.
SCAD — spontaneous coronary artery dissection — occurs 90% of the time in women. Often young, fit women with zero traditional risk factors. It's the leading cause of heart attack in women under 50, accounting for roughly one quarter of all cases in that age group. Most doctors have never diagnosed one.
And some of the most dangerous cardiac risk factors are hidden in women's medical histories where no one thinks to look:
Preeclampsia or gestational hypertension doubles to quadruples lifetime heart disease and stroke risk. Pregnancy is the body's first cardiac stress test — and these complications are early warning sirens, not closed chapters.
Autoimmune disease — lupus, rheumatoid arthritis, psoriasis — far more common in women, turbocharges inflammation and plaque formation at any age.
Cardiovascular disease in women aged 20-44 is projected to surge nearly 50% by 2050.
The youngest patients in my practice keep getting younger.
What every woman should ask her doctor — and what every doctor should be asking:
"Given my pregnancy history, autoimmune status, and family history — what is my full cardiovascular risk?" If they don't ask about preeclampsia or gestational diabetes, volunteer it.
"Should I have an Lp(a) test and a coronary calcium score?" Standard cholesterol panels miss too much. Lp(a) is genetic, one-time, and most women have never been tested.
"My tests came back normal but my symptoms haven't stopped — what's next?" Normal stress tests and angiograms can miss microvascular disease, spasm, and SCAD. Persistent symptoms warrant coronary CT angiography or cardiac MRI.
And if something feels wrong — say these exact words to your doctor: "I am concerned this could be my heart."
That single sentence changes the workup. Do not soften it. Do not apologize for it.
80% of heart disease is preventable. But the playbook has to be built for female biology.
Two decades ago, I wrote one of the first books warning that heart disease was the number one killer of women and that medicine was diagnosing it through a male lens. It was recognized by First Lady Laura Bush at the White House during the early years of the national conversation about women's heart health.
I'm haunted by how much of that book I could republish today unchanged.
The science has advanced. The awareness has grown. But the gap between what we know and what happens in the exam room is still costing women their lives.
Share this with every woman you love — and every doctor who treats them. READ MORE: https://t.co/4LRugiY8q2
She says she doesn't believe in feminism but she wears pants, votes, goes to school, has her own bank account, and a career.
Girl, you're living the feminist dream whether you like it or not.
My fave Kenyanism word: Rada? Depending on the context it could mean WTF? It could mean “seriously?”. It could mean “what’s up?”. It could mean “the hell’s wrong with you?” And you can understand it by the tone someone uses when saying it, and I find it so beautiful.
KeNHA closed Chiromo Road for months. @KeNHAKenya DG I want you to look at these pictures and explain to Kenyans with a straight face how a road you just repaired has potholes before the paint is even dry.
This is not incompetence.
Incompetence is accidental.
This is deliberate.
You used substandard materials knowing exactly what would happen because the same road will need repair again and the same tender will be issued again and the same people will eat again.
The pothole is not a mistake.
The pothole is your business model. 😐
#CentralFocus
Anyway Matatu Professionals are talking. Where are the other professional bodies?
KEPSA, AAK, EIK, ICPAK, Kenya Chamber of Commerce, Kenya Bankers Association????
Wako wapi?
A Nairobi lady has sued Safaricom PLC after her KSh 2,700, mistakenly sent via M-Pesa, was used to offset the recipient’s Fuliza debt.
Her reversal request was declined. She has now moved to the High Court challenging that policy as unconstitutional.
When I send money to someone, my intention is clear that I am transferring funds to THAT person. I am not entering into a contract with Safaricom to help them recover loans. I am not agreeing to become a guarantor. I am not volunteering to settle another adult’s overdraft.
How then does my money automatically clear someone else’s debt without my consent?
We must be very careful as a country not to normalise silent policies that shift financial burdens to third parties. Digital convenience should not override basic principles of fairness and property rights.
Yes, the recipient may have agreed to Fuliza terms. But I did not.And this is the core issue.
If money is mistakenly sent and reversal is denied because it has already been swallowed by a debt recovery system, then we are creating a dangerous precedent one where corporations quietly prioritise loan recovery over consumer protection.
At the very least, there should be a clear warning before completing a transaction:“The recipient has an outstanding Fuliza balance. Funds may be used to offset debt. Proceed?”
This case is bigger than 2,700 shillings. It is about how far automated financial systems can go without violating basic rights.
Dear @Safaricom_Care:
If someone is on postpaid package and they fail to renew or pay on time, you disconnect your service. They can't use data or make calls. If they don't renew for successive months, you still bill them for the postpaid service they didn't use except receive calls. Why require them to pay for the airtime and data bundles they did not use when YOU had disconnected your service - without availing the same resources to them upon reconnection? Isn't this fraudulent, oppressive and unethical business? Cc @CA_Kenya
@KeNHAKenya I swear if you guys charge Mombasa road users for using the expressway this morning then you guys are evil!!! This is the cabanas stretch from the airport. Mnataka tufanye nini????
They do things like this because they consider white men and women as the standard for their governing rules, that is the very definition of institutional racism.