Second Week

The clinical work continues to be steady with lots of opportunities to teach work up and management of urologic problems. Case in point was a consult this week from the medical service of a patient with several medical conditions including renal failure and a renal US that showed enlarged cystic kidneys as well as hydroureteronephrosis. The patient denied voiding symptoms. We went ahead and checked a PVR to find out he was in urinary retention with over 2 liters in his bladder Once his medical issues are maximized we will see if we can work him in for a TURP. It was a good opportunity to teach Mesh the unreliability of voiding symptoms to rule out urinary retention and we also went over APCKD. Clinic has also been busy including a boy with severe hypospadias and partial penoscrotal transpositon who we will send up to Kijabe next week to see our colleague Ron Sutherland who will be there for 2 weeks. Operative highlights this last week include a buccal mucosal graft urethroplasty and a nephroureterectomy. Dr White hosted the mid week bible study at his home which was well attended by visiting staff and the African docs in training. It was a nice time of worship and studying the first chapter of Galatians. Frances and I had a nice break this weekend with a trip to the safari club for R&R. Now we are back for another week and Dr Okorie is set to begin clinical work too. As always thanks for your prayers and encouragement