Wednesday, January 28, 2009

A Few Loose Ends

Wanted to take a minute and post what will likely be the last update for this trip.  I'm flying out tomorrow evening and will likely be packing most of the afternoon.

The next two photos are immediately after I adopted the piece of thorn that I'm bringing home from Baringo two weekends ago. As you can see I had several highly-trained medical professionals working on me, so I was definitely in good hands.  The second picture shows just how many bystanders a wounded white man can attract.  Keep in mind, this is on an island in the middle of a lake with no electricity or running water. Pretty impressive huh?

I surely hope that no one is offended by this next photo, it's definitely the current winner for my favorite matatu of all time.  I love it because it's completely nonsensical for everyone here, and they must have just liked the words.  For those that don't know - matatus are the primary mode of transport between towns and even within town for most kenyans.  They are small Nissans that are piloted by loosely organized hooligans regulated to 14 persons, but will frequently hit at least 18.  The reason for the increased passengers is that every one over 14 is pure profit for the driver.  Nearly all of the matatus are decorated, in addition to the required yellow stripe.  Common themes include - "Jesus is Lord", "Gunners" (for Arsenal, the favorite soccer team of nearly all of Kenya), or various American or Tanzanian hip-hop stars. There isn't all that much Engrish here, but I think that this would make the Japanese proud.

Well, there's always more to do with the radiology department in Kenya, so I'll summarize what I think our accomplishments have been: We have a system that captures nearly 200 chest x-rays/month that will provide the basis for at least one validation study.  The image capture has been working smoothly for about two years.  This whole trip has focused on reporting, and to that end I've built a form that can be used to "dictate" a normal exam with just one click.  Abnormal exams take between 3-4 clicks and have an optional free-text field.  The report form also has easy links that open comparisons with a touch of a button.  Everything is compiled automatically by the system into a .pdf report that is printed by the secretary in teh department. The system also sports dynamically updating "worklists" or queues that allow folks to quickly identify the exams that need to be read, or printed.  I've done all of the cheerleading that I can, and now the success of the project is in the hands of my Kenyan counterparts.  
With that, I'll sign off and see you all back in the states soon!!  E-Kohli will likely live on (I have to keep up with Heather), but will take a backseat to some much-needed PS3 gaming and planning for the next adventure - Baltimore, MD in March.  Stay Tuned!!

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