Bowel ultrasound 101 🧐
Bowel ultrasound is one of the most powerful diagnostic tools in point of care imaging and gastroenterology.
Whether evaluating suspected appendicitis, inflammatory bowel disease, or diverticulitis. #IUS#IBD#ultrasound 🧵⬇️
Gaucho has been saying how Linda Mwanainchi hawana agenda. So jana Ruto amempea microphone aseme agenda yake kwa vijana wa Migori.
This is what he said
Ruto: Niko na buana Gaucho, wewe Gaucho panda hapo.
Gaucho: Eeeeeh Jo Migori ODM.
Crowd: 👀👀👀 (cricket sound)
Gaucho: Nataka nione bendera ya Baba juu ya nini, nataka nione ODM, ODM ODM.
Gaucho: Okay buana president hapa ndiyo kwetu na mimi nashukuru wewe kwa Sababu iko vijana wanaendesha piki piki hapa, iko vijana wanauza kahawa, iko mama yao walikuwa wanauza busaa lakini kwa ofisi yako baba alikwambia uniandike kama Daktari mama Lucy, hili vijana wanatoka hapa Migori wakuwe na imani. Leo Mimi ni Daktari ama sio Daktari?
Crowd: 👀👀👀 (cricket sound)
Gaucho: Mimi ni Daktari ama si Daktari?
Crowd:👀👀👀(cricket sound)
Gaucho: Mimi nataka niambie watu wa Migori, akuna mahali watu vichwa ngumu kuliko hapa, ni kweli si kweli?
Crowd: 👀👀 (cricket sound)
Gaucho: Na ndio maana nlitoa Raila Odinga Odinga nikatoka nayo wapi?
Crowd: 👀👀(cricket sound)
Gaucho: Ni kweli si kweli?
Crowd: 👀👀(cricket sound)
Gaucho: Mimi nasema hivi Mr. President hapa shida ambayo tuko nayo sio eti wewe peke yako hata viongozi ambayo wamechaguliwa ni jukumu yao waandike vijana wetu. Ni kweli si kweli?
Crowd: 👀👀(cricket sound)
Gaucho: Ni kweli si kweli?
Crowd: 👀👀 (cricket sound)
Gaucho: Wangapi wanasema Ruto tutam ✌️ tutam✌️tutam✌️. Ahsanteni sana na Mungu hawabariki.
Crowd: 👀👀👀
Intussusception in a 7month old.
Transverse Sonogram of the LLQ revealed a concentric mass with outer hypoechoic and inner hyperechoic areas. Pseudokidney sign was seen on long axis scan. Colour doppler marked hyperemia within the intussusception, indicating inflammatory process.
If you are planning to build a house in your rural village,
Do the following:
• Open a bank account. Call it "Project Development Account 2026."
• Write a plan. Use the Triple Constraint Theory in Project Management: BUDGET, TIME and SCOPE.
• Save 50% equivalent of your rent in the account, monthly for 15 months, eg, if your rent is 10,000, then, save 5,000 in that account every month.
• If you can't raise 50% equivalent of your rent to save, then you are living beyond your means. Look for a cheaper house.
• Get an architect and a draughtsman to design a house.
• Do research, consult, read about building and construction online. Travel beyond your comfort.
• Get a Quantity Surveyor to do feasibility and the cost of the project.
• At month 15, draw a budget and begin buying material for construction, eg Sand, Ballast, Stones and timber. Stick to the budget.
• At month 18, start building.
• Get a professional mason licensed by the National Construction Authority. Be present. Supervision by phone calls is disastrous.
• Be hands-on. Learn to do the masonry work alongside the mason. Mix the ballast. Lay the bricks. Be part of the team.
• Create a rapport and good relationship with a hardware. Let this hardware be the only place you will buy construction material.
• Don't live in government houses. Don't buy the so called "affordable houses."
Build your house, to your preference and taste.
Therefore, if you are intending to build, and you start planning today, then you should be building your house in 2026 March.
It is not far.
Start today.
Be patient.
Start.
#BetterTogether
Today I took oath of office to serve the People of Kenya as Cabinet Secretary for the Ministry of Water, Sanitation and Irrigation.
I swore to serve deligently and honorably, and to uphold the Constitution of Kenya in delivering my mandate.
I thank God for the opportunity to serve my fellow countrymen.