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Notes from a white girl journalist in Kenya

Posted by Administrator on February 4, 2012

By On February 3, 2012

Out on Pirate Patrol in Lamu, Kenya. Photo by the author.

Out on Pirate Patrol in Lamu, Kenya. Photo by the author.

Embedded in Kenya, Paige Aarhus talks women’s lib and girl power on the African continent.

THERE ARE A TON OF US around, though I don’t know many personally. I’m based in Nairobi but I’m not an A-lister — like, I don’t work for a wire or a big-name Western news network — and while I’ve seen a handful of ladies at foreign correspondents’ night outs, I don’t hang out with them a lot (they intimidate me).

So I can’t speak on behalf of any foreign female journalists except myself. Nonetheless, I will likely offend both genders and all of my colleagues in writing this. Sweet.

Kenya is still a very much male-dominated country — not in the archetypal “no voting or driving” sense of the word, but women’s lib is just much less of a thing here, especially outside of wealthy and/or expat neighbourhoods. Like, it’s still widely accepted that a woman’s place is in the kitchen, and I am frequently ridiculed by Kenyan men for smoking, drinking, and being unable to cook for myself.

Then there’s the “potentially dangerous job” aspect of the situation. Add on being a noticeable foreigner, which makes you a walking ATM to lowlifes here, and my “easily victimized” triumvirate is complete!

I read the horror stories of female journalists abroad who were sexually harassed, assaulted, raped, and kidnapped — thinking of Lara Logan here — and I shudder. No one wants to be the girl who gets raped, or as one super-sensitive male colleague reflected, “damaged goods.” It’s evil and offensive and fuck that guy, but he definitely hit a nerve there. No one wants to get damaged like that. We don’t even want to talk about it.

Female foreign correspondents know that these risks are very real, in addition to the risk of getting murdered or hurt just for being a journalist without any gender-based influences. I have to seek out sketchy individuals in order to write a lot of my stories. There are always questions of: How far do I want to push it? Which risk is worth taking?

I’ve spent a lot of time in slums and shifty neighbourhoods, interviewed hustlers, victims, thieves, and killers, and travelled solo into regions and countries that people strongly advised me not to. I have taken what could be perceived as risks, and was scared shitless every time I did it.

The author doing a Maori war dance upon reaching Mt. Nyamuragira.

The author doing a Maori war dance upon reaching Mt. Nyamuragira.

Just recently I spent weeks working on a story about organized crime and how gangsters played a role in Kenya’s 2007-08 post-election violence. After the first couple times out, I had to meet low-level, broke-ass gangsters alone on their home turf in Mwiki, a neighborhood miles outside of the city, which was as fucking nerve-wracking as you might imagine.

But so far, nothing horrible has happened — which I think is due more to luck, fearfulness, and oftentimes (sorry) protective male fixers/colleagues keeping an eye on me. I wish I could say it’s totally possible to do this job without any male help or support, or share some one-size-fits-all formula on how to make it work, but that’s not my reality. For me, getting the job done means a careful balance of operating within existing gender constraints, and ignoring said constraints when necessary.

Oh, ladies aren’t supposed to sit alone in sketchy downtown bars? (Well, unless you’re a hooker.) Fine, but I’m waiting on a contact who I must ply with booze. I need to be in a public place in case he is a scumbag. And no way am I taking a cab all the way to the suburbs to do it. Ignore the glares and keep moving.

I’m waiting on a contact who I must ply with booze…And no way am I taking a cab all the way to the suburbs to do it. Ignore the glares and keep moving.

Any lady in Africa knows that they will face some level of harassment when they’re out and about. Mitigate the risks if you can: I tend to dress like a hobo and wear sunglasses. But when your job involves talking/flattering/seducing (kidding!) sources into giving you what you need to know, this harassment becomes much more of a thing.

I’m sure I could get the information and interviews I need even if I was all stern and severe about dudes who hit on me — but sometimes the best way to keep the conversation alive is to be nice, bat your eyelashes, get the info, then flee the scene or lie your ass off before you’re expected to make good on the small talk. Is that horrible? It seems horrible just written out like that.

Example: In October I found myself on Lamu, an island just south of Somalia where three European tourists had just been kidnapped by pirates. I turned on the ol’ “charm” for the police force and was invited on an overnight pirate patrol as a result — score! Photo ops! Experiential journalism! But then I had to spend the night sleeping on a beach next to six bored male police officers who were my only protection against potential pirate kidnappers.

They couldn’t believe I was actually out there with them. The jokes and clever comments began around 2 a.m.  At one point the corporal in charge busted out the whole “I’ve never been kissed by a white lady, can you please give me one kiss?” line, which forced me to invent an elaborate story about my fiancée, who was waiting for me back home and who would murder me if he ever found out I cheated on him. The corporal understood. “I would kill my fiancée too,” he told me. Grrrreat.

On the lookout for pirates near Lamu, Kenya.

On the lookout for pirates near Lamu, Kenya.

So fear not. Guys might hit on you, but they will almost always back off after a polite (or eventually bitchy) rejection. On top of that, most still have that whole “defend the woman” mentality going on. This means my fixer, many of my sources, and my colleagues — locals and foreigners — are more likely to be protective of me.

I was out with an American colleague at a police canteen one night. We were the only two foreigners there, I was the only white girl there, and it got to the point where one bar-hopper was showing far too much gumption in trying to get me to go home with him. My colleague, who I’d known for about six hours, pulled an Incredible Hulk on the dude (perhaps due more to drunkenness than anything), scared the shit out of everyone, and we eventually escaped unscathed.

I stood by, secretly grateful, then did the “Terrified and Bewilidered Girl says please stop fighting!” thing to prevent anyone from getting stabbed in the face with a bottle. It’s not a very Grrl Power way to operate, but when some creep will not go away, or I’m too tired to carry my own backpack, or just cold and in need of a jacket, it somehow brings out the gentleman in my male companions. It’s hard to say that all gender norms are evil; some of them come in handy, and I really enjoy capitalizing on those that do.

I am definitely not saying everything has gone smoothly here. I pretty much only hang out with dudes, and I’m not a “one of the guys” girl — except that now I am.

There is a perception that female foreign correspondents are all total bad-asses who live and work exactly like the boys, no-nonsense. I wish, but man, at least half of my life is completely embroiled in female “nonsense.” I wear makeup, travel heavy due to needing lotion and conditioner at all times, worry that my rugged khakis make me look like a porkchop, cry when a story doesn’t work out, and feel absolutely sick to my stomach when I see how filthy old men treat young, jaded prostitutes around here.

I have to swallow my ladyrage a lot when I’m drinking with male journalists. I’ve been harassed and robbed, missed out on stories, and led down many a wrong road because I’m a girl (or an idiot, perhaps.) Sometimes, I like to blame my setbacks on sexism about as much as I like playing the race card: “It’s because I’m white, isn’t it?”

But you know what? — even if it is true, it’s irrelevant. At the end of the day, what matters is whether you got the story written, not what a pain in the ass it was getting there.

I could get into the shittiness of 20-hour bus rides when you have the world’s worst PMS, or the agonies of attempting a long-distance relationship when you are constantly travelling, boozing, and doing stupid things, or the tendency a lot of us ladies have to say fuck this hot, dangerous, crazy country, I am going home and getting married — but that’s old hat. The job is that much harder when you’re a girl, but waaay more interesting than a kid and a mortgage, so the tradeoff is worth it.

But I am definitely flying back home for the summer on the off chance I will run into my ex. Empowerment!

Source: http://matadornetwork.com/notebook/notes-from-a-white-girl-journalist-in-kenya/

Posted in Features, Kenya | 2 Comments »

A surrogate mother speaks: I rented out my womb for Sh650,000

Posted by Administrator on February 3, 2012

Photo/FILE Kenyan women are renting out their wombs to carry other people’s pregnancies, with some being paid as much as Sh1 million. The trend, that has in the past been seen as a solution in developed countries for infertile women seeking to have their own children, is increasingly gaining acceptance in Kenya.

Photo/FILE Kenyan women are renting out their wombs to carry other people’s pregnancies, with some being paid as much as Sh1 million. The trend, that has in the past been seen as a solution in developed countries for infertile women seeking to have their own children, is increasingly gaining acceptance in Kenya.

Sometime in 2010, a young woman received an invitation to meet a couple she had earlier encountered at a Christian convention in Nairobi.

The well-to-do couple lived in Mombasa but had arranged the meeting at one of Nairobi’s posh hotels, betraying nothing of the extraordinary proposal that awaited the 35-year-old Vivian (not her real name).

Would she agree to carry a pregnancy on their behalf since the wife did not have a uterus of her own?

“It took me eight months to think about it,” recalls Vivian, who cannot disclose her identity or that of the couple under the terms of a contract she eventually signed.

“I asked God to help me make the right decision. It was the toughest in my life.”

Made up her mind

When she finally made up her mind to do it at a fee of at least Sh650,000, the mother of three effectively joined a growing list of young Kenyan women who are renting out their wombs to carry other people’s pregnancies, with some being paid as much as Sh1 million.

The trend, that has in the past been seen as a solution in developed countries for infertile women seeking to have their own children, is increasingly gaining acceptance in Kenya.

Women are usually unable to have a baby because they might have medical complications that make pregnancy impossible.

Those who carry the pregnancy, whether for a fee or for free, are known as surrogate hosts and the owner of the baby as the commissioning couple or genetic parents.

In the past three years, 20 couples have commissioned other women to carry their pregnancy for them at Nairobi IVF Centre, one of the clinics offering this service.

Statistics from the clinic show that close to 30 babies have been born by surrogate hosts during that period.

Last year alone, seven couples sought the services of surrogate hosts, signalling a growing acceptance of the practice.

In a country where surrogacy is treated with a lot of secrecy and reservations, this is quite a high number.

It is also instructive that these statistics are from just one clinic, which also happens to be among the most successful in East and Central Africa, having delivered 700 test tube babies by the end of last year.

The clinic enjoys a success rate of 48 per cent, far above the 2011 global average of 36 per cent, according to the European Society of Human Reproductive and Embryology.

“It is amazing and encouraging to see couples who had been condemned to childlessness agreeing to have someone else carry and give birth to their child, something that was unheard of in the past,” says the director of Nairobi IVF Centre, Dr Joshua Noreh.

And it was not an easy decision for surrogate host Vivian either. Her family and partner completely rejected the idea at first. However, after months of discussion, her partner eventually agreed.

She and the couple then made arrangements to rent a house for her and how her daily needs would be met for the nine months she would be pregnant.

An agreement was also drawn up stipulating the fee and that she would hand over the baby to the couple in the delivery room.

The fee would be paid in four instalments — when she started the procedure, after the first and second trimesters, and the final payment being made after delivery and handover of the baby.

With all the details settled, the couple and Vivian went to the doctor. “We just told the doctor we were friends and did not disclose further details,” says Vivian.

The in vitro fertilisation (IVF) procedure was done and the embryo transferred into Vivian’s womb.

When she was four months pregnant and the signs were becoming visible, she left home, telling family and friends that she had found a job in Sudan.

For seven months, her family assumed she was in the neighbouring country.

“This was the most difficult time of my life especially being away from my children. But I had to do it because I really needed the money,” she says.

Vivian recalls how the couple monitored her on a daily basis. “They were so concerned that they would call me twice a day to find out how I was doing,” she says with a broad smile.

One week to delivery, she was admitted to hospital. “Immediately I delivered, the baby was given to its parents. I did not even see her (the baby).”

They in turn paid her the final instalment. Two months later, she went back to her family, having “spent 11 months in Sudan”.

Up to date her family has no idea what happened. She says this will remain a secret because society is yet to accept surrogacy.

“They see it as a very strange thing,” she says. Says Dr Noreh: “Some couples will be open about it, while others are very secretive. For us, our job is to ensure the couple achieves its goal of getting a baby using accepted medical intervention.”

Every month, Dr Noreh’s clinic, which pioneered IVF in the country, gets at least five inquiries about surrogacy, with some women inquiring how they can be hosts at a fee.

Surrogacy is an arrangement in which a woman carries and delivers a child for another couple or person — genetic parent(s).

The procedure is undertaken to help women who cannot have their own children, either due to lack of a uterus, or medical complications. Cancer of the uterus or other illnesses may result in its removal.

The procedure involves the retrieval of eggs from the woman who is unable to carry the baby and fertilising them in a laboratory using the husband’s or partner’s sperm.

The resulting embryo is then transferred into the surrogate host’s womb to conceive and carry the pregnancy to term.

Once the child is delivered, the surrogate host hands it over to the commissioning couple guided by terms of a contract signed between the two parties.

The increasing interest in surrogacy in Kenya has been triggered by the number of women with a dysfunctional uterus, no uterus at all, or have serious medical complications.

At the Nairobi IVF, close to 30 women who consulted the clinic in the last three years did not have a uterus or had a dysfunctional one.

“While these women qualify to use surrogate hosts to have their own babies, many cannot afford the procedure,” says Dr Olegs Tucs, a clinical embryologist.

According to Dr Noreh, the least amount a surrogate host has been paid in the cases he has dealt with is Sh600,000, but in some cases the figure can be as high as Sh1 million.

“We play no role in such negotiations. Ours is to offer treatment once the parties agree on the fee. But we first advise our patients to get relatives or friends who may agree to do it for free,” says Dr Noreh.

He adds that they have handled surrogate cases where the host, who is either a sister or friend to the commissioning parents, has agreed to carry the pregnancy cost-free.

Besides the fee, the commissioning couple also meets the rent and subsistence costs of the surrogate host.

Judith Ogeto, who was a surrogate host two years ago, says the commissioning parents used to give her Sh40,000 every month for rent and subsistence.

They also paid her Sh650,000 for carrying the pregnancy to full term. The commissioning couple also pays Sh300,000 IVF fees and meets the hospital costs where the surrogate host will deliver the baby.

In total, commissioning parents require a minimum of Sh1.5 million to manage a surrogacy arrangement.

In addition to finances, there are other obstacles the commissioning couples have to overcome. For increased chances of success, the surrogate host has to have had children before.

At Nairobi IVF Centre, married women and single mothers are the main surrogate hosts.

Problems, however, sometimes arise where the woman is married. Her husband has to be involved from the onset.

“He is informed that the wife is going to carry a baby that is not theirs and the strict conditions he has to abide by before and during that pregnancy,” says Dr Noreh.

Some of the conditions include giving up the baby immediately it is born, avoiding sex for the first two months from the time the surrogate host gets the embryo, and not engaging in anything that may endanger the life and health of the baby.

The surrogate host or her husband is not allowed to make any future claims on the baby, thus the requirement to hand over the baby immediately to avoid bonding.

To ensure the surrogate host and the husband abide by these conditions, a contract is prepared and signed by the surrogate host and husband and the commissioning parents.

While the cost of the surrogacy arrangement is high, the number of couples who need the service, but cannot afford it, is rising.

At the Nairobi IVF Centre, nine women who were seen in the past one year did not have a uterus. One of them was born without it.

The latter case happens due to a chromosomal abnormality where a woman inherits only one of the X chromosomes instead of two.

“The other missing X is in most cases manifested in the lack of a uterus or other abnormalities,” says Dr Tucs.

For other women, a dysfunctional uterus caused by fibroids which are difficult to treat or other diseases, makes it difficult for them to carry a pregnancy.

But there are also cases where women with a normal uterus may have to rely on surrogacy to have children.

A woman with a heart disease or other medical condition which might be complicated by the pregnancy leading to death also qualifies for surrogacy.

But Dr Noreh warns that surrogacy is not a procedure of convenience especially for those women who might opt for it because they fear carrying a pregnancy.

Although there have been questions that the surrogate host may influence the behaviour and character of the child, Dr Noreh says this is not true.

“There is nothing transferable to the foetus from the surrogate host. Only nutrition and oxygen is what the host conveys to the baby. The rest is the genetic material of the commission parents,” he says.

AWC Feature

Source: http://www.nation.co.ke/News/A+surrogate+mother+speaks+I+rented+out+my+womb+for+Sh650000+/-/1056/1319640/-/13vph5oz/-/index.html

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He gave me the virus, I revenged on womanisers, but that was then

Posted by Administrator on February 2, 2012

Photo/JARED NYATAYA/NATION When Evelyn Nyambura Simaloi was infected with HIV by her lover, the world around her collapsed, until she realised hope and audacity were part and parcel of the struggle against the virus.

Photo/JARED NYATAYA/NATION When Evelyn Nyambura Simaloi was infected with HIV by her lover, the world around her collapsed, until she realised hope and audacity were part and parcel of the struggle against the virus.

Because in our country, and on our continent, HIV has pervaded the most intimate moments in peoples’ relationships, it has burrowed itself deep into the very soul of our most unmentionable of taboos — sex.

It has held us hostage through our own silence and our burning shame. And most strangely, in a country and a continent divided by many things, it has united us, in the deaths of our parents, our brothers and sisters, our friends.

Even our enemies. But amid the pain that HIV/Aids has caused, are threads of hope — that one day there will be a generation that doesn’t know how to describe HIV, because they don’t have to experience it.

This is a story of that hope and the audacity of those, infected and affected, who have remained unbowed by the enormity of the task of finding a cure for HIV/Aids.

In the middle of the ever growing grey rows of apartment blocks in Mwiki, east of the city centre of Nairobi, Evelyn Nyambura Simaloi, and her seven-year-old son Emmanuel are preparing to go on a journey, one that they hope will change both their lives.

Simaloi, especially, has hoped that this day will come for almost all of her adult life.

“It was about two years after I had finished high school; my step-mum had kicked me out for stealing a plate of chips.

“So I met a guy who became my boyfriend and took me in. One day, I was looking for a job and they required that I take a HIV test.

“Around the same time, my boyfriend fell very sick and was admitted at Kenyatta National Hospital Ward 7D. I’ll never forget that ward. Then he later told me that he knew he was HIV-positive. I was really shocked,” she recalls.

The news of her status was a blow she just wasn’t prepared to take. To this day, she still has a photo of the man who infected her with the virus.

At just 21 years of age, Simaloi felt the cruel irony of contracting a disease she thought would kill her just as she was about to begin life as an adult.

This, to her, was yet another dark twist in the tough life she had already endured. When Simaloi was an infant, her father, then, an airforce pilot, and her mother, separated.

Esther Wanjiku, Simaloi’s paternal auntie says: “Me and Simaloi had a special bond. I felt very sad, especially for her, although I didn’t fully understand why they were separating.”

Simaloi found herself in the homes of step-parents whom, she says, saw her as a burden — as a baggage from past relationships.

After they discovered her status, her family was the last place she was going to look for support. Desperate, bitter, and in denial, Simaloi told herself that she wouldn’t die alone.

“I used to have multiple sexual partners,” she told the radio station QFM. It became more than promiscuity for Simaloi.

She turned to commercial sex work to support herself, and try to soothe the bitterness that she felt for having contracted HIV.

For three years, Simaloi partied, drank, and had sex with many men. “I used to look for womanisers — men who like women. I was young and attractive.

“When men would see me on the dance floor, they would come running. I would always propose a condom, but some would refuse and I would say ‘fine, have it.’” But all that changed one night in 2002.

“I was coming from a chang’aa den at like 3 am. A man who had wanted me followed me, and raped me. I conceived,” she says.

Simaloi decided to turn her life around after discovering that her rape ordeal had left her pregnant. She became a Christian, stopped drinking, and reconnected with some members of her family.

Nine months later, Emmanuel was born; spinning her rape ordeal into what she says is the biggest blessing she has ever received.

But even Emmanuel, or Manu as she likes to call him, wouldn’t escape her past. “My son is a blessing. He has the virus, and that is one thing I regret. I gave him the disease through breast-feeding.

“He gets really sick two or three times a year and I panic, but whenever we celebrate his birthday, I thank God because I never thought we would go this far,” says Simaloi.

Manu had a positive impact on her as she eventually came to terms with her status. More than that, in her work as a freelance journalist and a peer educator, she found her purpose.

She would tell people that HIV is a virus like any other and encourage HIV-positive people to get on anti-retroviral treatment as soon as possible.

But in telling people this, Simaloi was secretly fighting her own battle with the disease — that of getting onto ARVS herself.

“For me personally, I don’t want to get onto ARVS. Yes they prolong life but I don’t want them,” she says. In truth, Simaloi didn’t know that HIV was eating away at her.

Says Dr Nicholas Muraguri of Nascop: “The period between the time one gets infected and the time the disease manifests itself can be between 8 and 15 to 20 years.

“There are three stages of HIV; in the first phase, after two months of infection you develop flu, or you have flu like symptoms.

“The next phase is asymptomatic HIV where you don’t have any symptoms. Then there is stage three where opportunistic diseases begin to develop and stage four when you develop full blown Aids.”

A month before we first met her, Simaloi was admitted in hospital for one month with a severe case of cryptococal meningitis.

Her son Emmanuel took pictures of her while she was ill. She was advised to start anti-retroviral treatment immediately, before she slipped into stage four of HIV — full blown Aids. But Simaloi resisted.

“I eat well, I’m OK even after getting ill,” she says. Simaloi admits that she didn’t want to get onto anti-retroviral treatment, because, apart from the side effects she had seen, it is a life-long treatment, and not an absolute guarantee of recovery from illness, especially for people like her who have already progressed into stage three of HIV.

ARVS are recommended once HIV-positive people’s CD4 count, that is, the number of white blood cells in the body, goes below 500.

When Simaloi was discharged from hospital after recovering from meningitis, her CD4 count was just 107.

Her attempts to boost the count with vitamin pills were working in fits and starts, but she nursed the hope of finding one set of medication that would leave her healthy for life, without committing to taking it every day.

Then one day, she heard about medication that promised that. And more. The medicine was made by a man in Molo, in the southern Rift Valley region of Kenya.

And it wasn’t just medication for HIV/Aids management, its maker said that it had the potential to cure her of HIV.

So on November 11, 2010, Simaloi, still weak and shaken from her last battle against HIV, set out with her son.

Ironically unshaken by the looming consequences of her decision — she walked with the support of a crutch, the lingering effect of the meningitis, which at times causes partial paralysis — but she was also leaning on her faith.

Faith in a man she had never met, medicine she knew little about, and faith in time, which she knew she may have little of.

For most of the drive to Molo, Simaloi sat in silence, reading a brochure that told her about the herbal medicine she was on her way to take.

It was a big decision; and having lived with HIV for 11 years, she knew that there were many herbalists who had claimed to have the answer to HIV — many of which she has tried before. This time around though, she was confident.

“I don’t know why, but this one is different,” she says. In pursuit of her story, we all arrive in Molo town, a small outpost of the large breadbasket that is the Rift Valley.

A beautiful landscape from which, like in many other places in Kenya, the cries of people who have lost loved ones to HIV, have echoed.

But there too have been whispers of a man trying to turn this tide of tears back. A son of the soil with a remedy that people say has worked wonders for the health of many who were staring death in the face.

Sixty-year-old-David Mwangi is that man. And as he comes out to meet Simaloi and Manu, he looks like a man who, if all the rumours about him were to go by, cloaked this mystique well under his unassuming appearance.

But once inside, his faith, and his convictions are very clear. After Simaloi tells David how she and Manu contracted HIV, David begins what he calls a counselling session, heavy laden with biblical references.

“I believe anybody has the capacity for everything. Nebuchadnezzar was used to destroy the Middle East. To believe you must cleanse yourself of all of these other beliefs,” he says.

“You have to believe that this works.” A lot of what David tells Simaloi on this day is about her own belief that his medicine can work.

Because he doesn’t profess to have any specialised knowledge as a doctor or as a traditional healer, we ask David on a different occasion how he came about this medicine.

The one area he says he does have experience in, belief, and faith, gives us the answer. “There is something inside called a guiding spirit,” he says.

David then goes on to explain to Simaloi what his medicine is. “What we are going to do is that we are going to kill the virus. One thing is that you will start to feel changes in 10 days.

“In 15 days’ time people will start to notice. My medicine will do its work. You will have to attend to other things like eating right.”

But having heard advise like this before, an attentive Simaloi has some questions. “Are you saying that this will kill the virus completely?” she asks whereupon David explains:

“When you see people who have lived for six years without using ARVS coming back to help, what do you say? We are coming from old wineskins to new wineskins.” He explains.

After what has been 30 minutes of a back and forth between David and Simaloi, he goes to get his medicine.

His medicine, which he calls poochmed, is extracted mostly from plants and natural products but he won’t tell us what it’s made of.

Simaloi though seems happy with the discussion. “I’m still very positive. Usually I walk into a place but today I have got no nagging feeling about this,” she says.

Minutes later, poochmed, David’s medicine is brought out. Simaloi and Manu have their first taste. David insists on their taking more water than usual to help the medicine in its effectiveness.

This first dose will last Simaloi and Manu two weeks, after which they will need to come back and get a second dose.

David also wants them to return so that he can monitor their progress, and chat with Simaloi, who he feels still has misgivings about the medicine; especially whether it will or won’t cure her of HIV.

A week later Simaloi and Manu are on their way to their regular clinic near their home and Simaloi says she’s feeling a big change in her since she began taking poochmed.

Manu, however, reacted to the medication badly and had diarhorrea for three days. “Now I have to take half dose”.

At the clinic, Simaloi decided to take a HIV test. Even though she knew her status, she thought it was a good opportunity to get the message out there that knowing your status is half the battle won.

She was also feeling very optimistic about poochmed. “I am positive, definitely positive,” she says.

In most hospitals that run HIV clinics, once a person tests positive for HIV, the next step is to get their CD4 count taken. Because she’s been feeling better, Simaloi decides to check her count.

“It’s not good,” she says. The doctors here shepherd her to the drugs counter to ensure that she takes her dose of ARVS.

But as we go back to her home, Simaloi begins to regain her confidence in poochmed. “I have seen drastic changes,” she says.

The effects of her bout of meningitis seem to have worn off, but this is where most doctors claim that herbal medicine can be at best confusing, and at worst, disastrous for someone’s health.

Prof Omu Anzala is the director of the Kenya Aids Vaccine Initiative. He’s been at the forefront of the search for a Kenyan developed aids vaccine.

“With proper science we diagnose and give treatment for HIV as well as for opportunistic diseases. With herbs you don’t know what is being treated,” says the professor.

“I don’t think that there is any herbal concoction that has proved efficacious against the disease,” says Dr Muraguri.

Even David himself knows that his chances at being taken seriously as a researcher that may have stumbled onto what could be the biggest medical triumph of this generation are slim.

“The biggest drawback with Africans is that if something does not come from the West we consider it primitive, backward. It has to come from over there so we can take it,” he protests.

————————
In our company, Simaloi and Manu are back in Molo to see David for their second dose of poochmed. Mother and son claim that their health has vastly improved.

The molluscum — the black pimples on her face, seem to have faded since the last time we saw her, and so outwardly at least, something seems to be happening.

But Simaloi still has questions about the efficacy of David’s drug. “I’ve always feared to ask this: Will I turn negative, what am I expecting?” she asks.

There seems to be confusion about whether David’s medicine cures or manages HIV, so I jump in to ask what exactly David believes the medicine does. He obliges.

“There has been no medicine that can isolate the virus within the CD4 and kill it,” he says. When we ask him if that is what the medicine does he replies in the affirmative.

“After the medicine does its work, you will test negative but if you go for another test you will test positive.

For instance there is a lawyer; a lady who says she tests negative but when she goes for, I don’t know what, virology, she tests positive,” says David.

David also claims to have given his medicine to nearly one hundred people like the lawyer he has just described. We ask to contact them, but he is hesitant.

He claims that none of his former patients ever wants to be associated with the disease — or with him after they’ve been healed.

It takes us months to convince him to let us interview one of his “patients”. On our third visit to Molo, he introduces us to a friend and a neighbour of his whom he says took poochmed. He is the 30-year-old John Hamisi Hanga.

John Hamisi looks frail, the effects of what he says was his brush with death, after contracting tuberculosis late in 2010.

Tuberculosis is one of the more common and deadly opportunistic diseases that affect HIV positive people who have progressed to stage three of the virus.

Hanga though, claims that he’s doing much better than he was in January 2011, when he was given anti-retrovirals after his diagnosis.

“The drugs reacted badly on me so I took them back to the doctor who said I had no alternative but to use them. But then I happened to meet this man David.”

Source: http://www.nation.co.ke/Features/DN2/-/957860/1318584/-/awrpek/-/index.html

Posted in Features | 7 Comments »

Why do women stay with abusive men?

Posted by Administrator on January 31, 2012

By ljrc1961-Hub
Before I begin this hub, I want to let it be known that I have been in verbally and mentally abusive relationships, but not the kind of relationship where I have been used as a punching bag.  However, I have friends that remain in these types of relationships and have met women throughout my life that have been the targets of their boyfriends or spouses and I have always wondered why they chose to stay?  In speaking with some of them recently and looking at my own decisions to stay with men that were abusive in one form or another, I am hoping that this hub will somehow encourage you, if you are a woman in this type of situation, to look at your life and begin to put yourself first.

It begins, I believe, with the modeling that we witness as we grow up.  It, being the preconceived thought pattern young girls allow to penetrate their identity, of what type of man they find attractive.  This is not something that is easily avoided.  If a young girl lives day in and day out with a father or male figure that is authoritative, demanding and unfair to the women in his life, then that young woman may seek out men with similar personalities in their mates as they reach sexual maturity.  Boys that witness their fathers or male figures verbally or physically lashing out against the women in their proximity may begin to feel that the mode of communication or allowed format of “being” with a woman constitutes an abusive type of demeanor from them.  Not to say that drugs and alcohol in some people cannot play a part in personality changes, but for the most part, we seek out people that provide a comfort level to us.  Unfortunately, the comforting feeling may stem from abusive attention.

People, women in general, don’t enter into relationships hoping to be degraded, yelled at or physically abused.  Many times, the symptoms are present from the beginning.  It may present itself in the form of constant insults or the continuous questioning of their decisions from their partner.  A way to demean them or question their abilities. Then, it may slowly progress to pushing or shoving.  Lastly, and most seriously, hitting or punching, choking and kicking.

I knew quite a few battered women as a teen.  I was afraid of their husbands.  These men would walk into the room and snap their fingers and the woman would jump up, no life in her eyes and shoo me out the door.  I would walk down their  stairs and hear slaps and cries and often, I could hear furniture being toppled over.  I never told anyone.  I was afraid to.  The next day, I would visit my neighbor and see her sporting a new black eye and listen to her excuses as to why her boyfriend or husband got mad the night before.  I begged these women to leave these men.  They stated they couldn’t.  Eventually, they moved away, to another neighborhood where the neighbors hadn’t yet begun to alert the police about the screams of terror coming from their home.  The most shocking of endings during that time in my life was the loss of a 17 year old babysitter in the neighborhood.  She was always fighting with her boyfriend and coming to work with bruises around her neck and arms and bloody lips.  I told my parents about her and I’m sure out of fear, they told me to mind my own business.  One weekend, she told me she was going out of town to meet her boyfriend and she was going to tell him that she had had enough.  They found her body in a ditch the following Monday.  I ran outside and cried after my mom had broken the news.  I felt responsible for her death.  I knew she was going to meet this monster but I didn’t know who he was or what his name was.  I felt helpless and petrified that I one day would meet up with someone like that myself.

In college, I had a friend that would get into fist fights with her boyfriend.  Then, afterward, they would make passionate love.  I couldn’t understand that kind of foreplay.  They eventually ended it with each other; thank God, after they put each other in the hospital.  She threw a full sized antique mirror down the stairs on top of him, breaking his leg.  He grabbed her by the arm and twisted so hard that he popped her shoulder out of socket and broke her arm.  I still wonder today if both of them married abusers.

As an adult, I have made friends with people from all walks of life.  Some of them are being abused as I write at this moment.  These women are smart, educated women.  They are athletic and work to support the family.  They wear clothing to hide their body marks.  Or, they tell their “war” stories of how they staved off the most recent attack as if they are bragging.  Some of these women are hollow shells, with sunken eyes and smile less faces.  They go through their daily routines of raising their children, catering to their husbands and pretending that others have it worse than they do so they shouldn’t complain.

The fact is, NO ONE should be subjected to constant or intermittent battering.  Yes, we all yell, argue and possibly get into heated arguments with our loved ones.  The difference is simple.  Beyond a hurt feeling and some tears, no one truly gets hurt to the point where they are immobilized in their life.  Constant mental abuse knocks the self esteem right out of you.  Fear keeps a person from speaking out.  Fear of more abuse keeps them quiet.  Relationships should not have this as the building block or the foundation.  Home should be a place where one feels safe.  If you don’t feel safe in your own home, or have never known the feeling of safety, then please call your local abuse hot line.

I have suported local abuse shelters for women and their children for years but giving clothing, toiletries, toys and food.  I cannot imagine how difficult it is for these families to leave all that they have and begin a new life; in hiding for some.  I left a mentally abusive relationship but I had the financial means to begin again.  I realize that many women fear what will happen to their children or anticipate more abuse if they attempt to leave.

The children however are forming images of what they believe a relationship should look like.  If your relationship is abusive, then that will be the comfort zone for your child unless they are lucky, as I was, to have other influences in their lives that can help steer them toward good choices in life.  I saw a lot of abuse.  I saw many adults throughout my life tell me that my business was to stay out of other’s.  I have been told by my friends that they can’t imagine giving what they have up to begin again.  I hope that someday, they can realize that they don’t have anything if all they hang on to is the dream that he won’t come home and beat her that night.  Abuse is death.  Even if you feel like you are alive…you are allowing someone to slowly kill you from the inside out.  It is a slow and painful death.  For the abused, the children and difficult for those who love you to watch you remain in a situation that could mean the end of your life one day.

My wish for you, if you are in this type of situation is that you will empower yourself with faith in humanity and the kindnesses of your friends and family.  Seek out people that can help you realize your potential.  Read books.  Scour the Internet.  Erase your history if you fear that your abuser will discover your resolve to change yourself.  You have as much right to be happy as any of us.  He will not change.  He will always give you excuses.  Put your children and their future first if you cannot imagine yourself as being important enough at this moment.  Do something.  Pray to God.  Make a friend.  Think of a time in your life when you felt confident in yourself and slowly work yourself toward that moment again.  Build up your bravery and know that it is NOT your fault.  Live without fear.  LIVE.

Posted in Features | 1 Comment »

Why (and How) Sex is Important to Men

Posted by Administrator on January 30, 2012

By Everyday Miracles Hub

I have a surprise for you, gentlemen: Your wife probably doesn’t know how important sex is to you.

Now sure, she knows that it’s important. She knows that you (very likely) want more of it than she does. She knows that you sometimes take an attitude when she is less than forthcoming. She also knows that she can use sex as a weapon, denying what she feels is a physical desire of yours.

But she probably doesn’t know that it is an emotional need.

Most of my marriage articles here on hubpages are for men. Why? Because I run a forum for women about the subject of marriage. I prefer not to cross-post content and Google likes it that way, too. That’s my story and I’m sticking to it!

In this case, however, I understand that this topic is so crucial to men that I wanted to give this article the most exposure possible. Guys, women just don’t understand!

Now I know, I know… Women are so mysterious. There are so many things about us that you just don’t “get” that it might be shocking to you that women don’t understand you much better than you understand them! But it is very, very true that each gender sees the world very differently, and if we’re going to be able to truly communicate, we’re going to need to “get on the same page.”

It isn’t Physical, Ladies!

Sure, men like sex. Most men I know love sex, even. It is a physical pleasure that is incomparable, really. But the physical element of sex is a desire, not a need to be met. Men can live their entire lives without the physical pleasure of sex.

What is more important to your husband or significant other is the emotional need that sex meets.

I understand you, ladies! You don’t necessarily think that men are emotional creatures! They don’t (usually) cry like we do, and they don’t talk it out. They don’t discuss their emotions and they don’t bawl into a tub of ice cream like us. But that doesn’t mean that they are not equally emotional creatures.

Like women, men want affection from their mate. Affection is equally important to members of both genders. But your husband or significant other might not be a cuddler. If he doesn’t seem interested in snuggling up on the sofa to watch tearjerker films with you, it is because his need for affection simply isn’t met in the same way that yours is: His need for affection is met through… You guessed it! Sex.

 

What He Hears when You Say You Have a Headache

“I have a headache” has become a common joke. Women are exhausted at the end of a day of taking care of household chores and children and don’t feel that they can fit sex into their night. They might be angry with something that their significant other did during the day (or week, or month) and feel that denying him sex is appropriate revenge for his insensitivity to their needs. Or they might genuinely have a headache.

But when you tell your husband that you don’t want to have sex… Or if you make up an excuse not to have sex with him, he hears your rejection, and he might become resentful. He hears you say that you don’t want him, that he isn’t good enough, not big enough, not fit enough.

Men are insecure creatures.

It’s not a Weapon, Girls!

Sex is a genuine, emotional need for your husband or significant other. Please, please do not use this gift as a way to manipulate him or to punish him for some perceived flaw. The key is to forgive him and to give him the respect that he needs as a man. Claiming to have a headache or to be too exhausted to meet his needs is humiliating to him and makes him feel like less of a man. It undermines his self-esteem and can make him feel incredibly unappreciated. Appreciation is very important to a man!

Your husband probably feels that sex is invigorating and energizing. After a long day at work, he probably wants to relax with you: and this is his way of relaxing.

I know, I know. The modern woman is asking herself (and me) “what does it do for me?” I get you, and I get your point. We tend to be a very self-motivated society. Let’s address that issue!

What does “Giving in” Get Me, the Woman?

First things first, you shouldn’t be thinking about sex as “giving in” to his desires. When you married your husband, you promised to love him until death. We are meant to sacrifice for our spouse and for our children. Sometimes sex might be a sacrifice. Some nights you might just feel too tired to engage in sexual activity. And it’s okay to say no. Once in a very great while.

But meeting your husband’s emotional need for sex can reap great rewards for you, as well! When you give of yourself to your man, you open a part of him that you might not have seen previously. You help him to feel refreshed and appreciated. You make him feel desired and desirable. You fulfill him in a way that we as women cannot begin to imagine.

Things start to happen. He becomes more apt to ask you how your day has been, or to offer to cook dinner. He becomes more inclined to romance you a bit more (in your way, rather than his, which is unsurprisingly probably sexual). You might stop having to ask four or five times for him to take out the trash (he might do it on the first request now!).

Great things happen when you begin to meet your husband’s needs. Bearing in mind that your husband has an emotional need for sex, this area of your relationship should not be neglected!

Posted in Features | 13 Comments »

Nagging: Meet the Marriage Killer

Posted by Administrator on January 26, 2012

Ken Mac Dougall bit into the sandwich his wife had packed him for lunch and noticed something odd—a Post-it note tucked between the ham and the cheese. He pulled it out of his mouth, smoothed the crinkles and read what his wife had written: “Be in aisle 10 of Home Depot tonight at 6 p.m.”

Mr. Mac Dougall was renovating the couple’s Oak Ridge, N.J., kitchen, and his wife had been urging him to pick out the floor tiles. He felt he had plenty of time to do this task. She felt unheard.

“I thought the note was an ingenious and hysterical way to get his attention,” says his wife, Janet Pfeiffer (whose occupation, interestingly enough, is a motivational speaker), recalling the incident which occurred several years ago. Her husband, a technician at a company that modifies vehicles for handicapped drivers, didn’t really see it that way. “I don’t need a reminder in the middle of my sandwich,” he says.

Nagging—the interaction in which one person repeatedly makes a request, the other person repeatedly ignores it and both become increasingly annoyed—is an issue every couple will grapple with at some point. While the word itself can provoke chuckles and eye-rolling, the dynamic can potentially be as dangerous to a marriage as adultery or bad finances. Experts say it is exactly the type of toxic communication that can eventually sink a relationship.

Why do we nag? “We have a perception that we won’t get what we want from the other person, so we feel we need to keep asking in order to get it,” says Scott Wetzler, a psychologist and vice chairman of the Department of Psychiatry and Behavioral Sciences at Montefiore Medical Center in New York. It is a vicious circle: The naggee tires of the badgering and starts to withhold, which makes the nagger nag more.

Personality contributes to the dynamic, Dr. Wetzler says. An extremely organized, obsessive or anxious person may not be able to refrain from giving reminders, especially if the partner is laid back and often does things at the last minute. Other people are naturally resistant—some might say lazy—and could bring out the nagger in anyone.

It is possible for husbands to nag, and wives to resent them for nagging. But women are more likely to nag, experts say, largely because they are conditioned to feel more responsible for managing home and family life. And they tend to be more sensitive to early signs of problems in a relationship. When women ask for something and don’t get a response, they are quicker to realize something is wrong. The problem is that by asking repeatedly, they make things worse.

Men are to blame, too, because they don’t always give a clear answer. Sure, a husband might tune his wife out because he is annoyed; nagging can make him feel like a little boy being scolded by his mother. But many times he doesn’t respond because he doesn’t know the answer yet, or he knows the answer will disappoint her.

Nagging can become a prime contributor to divorce when couples start fighting about the nagging rather than talking about the issue at the root of the nagging, says Howard Markman, professor of psychology at the University of Denver and co-director of the Center for Marital and Family Studies. For 30 years, Dr. Markman has researched conflict and communication in relationships and offered relationship counseling and marriage seminars. He says that while all couples deal with nagging at some point, those who learn to reduce this type of negative communication will substantially increase their odds of staying together and keeping love alive. Couples who don’t learn often fall out of love and split up.

Research that Dr. Markman published in 2010 in the Journal of Family Psychology indicates that couples who became unhappy five years into their marriage had a roughly 20% increase in negative communication patterns consistent with nagging, and a 12% decrease in positive communication. “Nagging is an enemy of love, if allowed to persist,” Dr. Markman says.

The good news: Couples can learn to stop nagging. Early in their marriage, Ms. Pfeiffer, now 62, repeatedly reminded her husband about household tasks and became more demanding when he ignored her. “If I was asking him to take care of something that mattered to me and he was blowing me off, that made me feel like I didn’t matter,” she says.

Mr. Mac Dougall, 58, says the nagging made his muscles tense, he would become silent and his eyes would glaze over in a “thousand-yard stare.” “Her requests conveyed some sort of urgency that I didn’t think was needed,” he says. “If I said I was going to get to it, I would definitely get to it.”

Ms. Pfeiffer decided to soften her approach. She asked herself, “How can I speak in a way that is not threatening or offensive to him?” She began writing requests on Post-it notes, adding little smiley faces or hearts. Mr. Mac Dougall says he was initially peeved about the sandwich note but did show up at Home Depot that evening smiling.

Ms. Pfeiffer sometimes writes notes to him from the appliances that need to be fixed. “I really need your help,” a recent plea began. “I am really backed up and in a lot of discomfort.” It was signed “your faithful bathtub drain.” “As long as I am not putting pressure on him, he seems to respond better,” Ms. Pfeiffer says. Mr. Mac Dougall agrees. “The notes distract me from the face-to-face interaction,” he says. “There’s no annoying tone of voice or body posture. It’s all out of the equation.”

The first step in curbing the nagging cycle, experts say, is to admit that you are stuck in a bad pattern. You are fighting about fighting. You need to work to understand what makes the other person tick. Rather than lazy and unloving, is your husband overworked and tired? Is your wife really suggesting she doesn’t trust you? Or is she just trying to keep track of too many chores?

Noreen Egurbide, 44, of Westlake Village, Calif., says she used to give her husband frequent reminders to take out the garbage, get the car serviced or pick up the kids from school. “I thought I was helping him,” she says. Jose Egurbide, 47, often waited a while before doing what she asked. The couple would argue. Sometimes Ms. Egurbide would just do it herself.

A few years ago, they got insight into their nagging problem after taking a problem-solving assessment test, the Kolbe Assessment. Ms. Egurbide, a business coach, learned she is a strategic planner who gathers facts and organizes in advance. Her husband, an attorney, learned that he is resistant to being boxed into a plan. Now, Ms. Egurbide says, “I don’t take it personally when he doesn’t respond.” “There is a sense of recognition about what’s happening,” Mr. Egurbide says. “It’s easier to accommodate each other.”

Death by a Thousand Reminders

Is nagging a problem in your relationship? Here are some tips for both partners to help curb it.

Calm down—both of you. Recognize the pattern you are in and talk about how to address it as a team. You will both need to change your behavior, and ground rules can help.

Look at it from the other person’s perspective. ‘Honey, when you ignore me I feel that you don’t love me.’ ‘I feel that you don’t appreciate what I am already doing when you nag me.’

If you are the nagger, realize you are asking for something. Use an ‘I’ not a ‘you’ statement. Say ‘I would really like you to pay the Visa bill on time,’ instead of ‘You never pay the bill on time.’

Explain why your request is important to you. ‘I worry about our finances when you pay the bill late. We can’t afford to pay late fees.’

Manage your expectations. Make sure you are asking for something that is realistic and appropriate. Does the light bulb need to be changed immediately?

Set a timeframe. Ask when your partner can expect to finish the task. (‘Can you change the car oil this weekend?’) Let him tell you when it works best for him to do it.

If you are the naggee, give a clear response to your partner’s request. Tell her honestly if you can do what she asks and when. Then follow through. Do what you say you will do.

Consider alternative solutions. Maybe it’s worth it to hire a handyman, rather than harm your relationship with arguing.

Source: http://online.wsj.com/article/SB10001424052970203806504577180811554468728.html?mod=googlenews_wsj

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When you marry a boring man…..

Posted by Administrator on January 19, 2012

Most women love fun and crave for family romance but average men perform poorly in these.

A good number of men are completely clueless on how spice up the marriage. An average man is responsible enough to provide for his family and offer security but creating family fun is a weakness to many.

If you are lucky you will get one who understands the basics. That of buying you chocolate, occasional flowers and a once in a long while dinner outing.

He might be good in providing for the family and is faithful to you but the missing small things can easily lead to lack of fulfillment in marriage.

While these major things are the building pillars of any marriage the small things spice it up. Family fun and romance adds flavor to the relationship.

Remain Positive:

The automatic reaction of an average woman when she discovers her man is ‘boring’ is to rant about it and let all her friends know she married a mshamba. The tendency is to give up on ever sharing fun and family romance with him and choosing to enjoy life with the children and friends.

The danger here is that you miss out on the fulfilling opportunity of sharing and enjoying life as a couple. Extremes of this solo fun have also resulted to infidelity.

Since you already in it your best bet is to make the best out of it; to resolve to make it work. The first place to start is to appreciate his strengths, those things that attracted you to him. This appreciation helps you acknowledge there is nothing wrong with your man only that there are things he does better.

Your next step is to resist the temptation of gossip. Broadcasting it to your girl friends never helps the situation. It has a way of taking your eyes from appreciating the good things he has and consumes the remaining confidence you have in him. Never allow your husband to be the Chama gossip or the girls out hot topic. This safeguards the respect of your man and ensures you remain focused to work on it.

Having protected your man from outsiders and appreciating his strength your next step is to create the family fun you would want to have in your marriage.

Speak your mind

One of the biggest mistakes women make is imagining that their husbands will figure out their needs. Even when it seems so obvious what works for you most men fail terribly to figure it out. You might be mourning that he does not care about you yet he is confused on what to do to make you happy. Speak it in black and white or other times proverbially but ensure you communicate.

If he is buying a lot of dresses yet you love trousers let him know. Don’t allow him to keep buying red roses whereas you want yellow ones. He might not meet your needs as fast as you would like but at least he knows.

It wound help to understand his view of good family time and romance. Get into his world and get what works for him. However ‘danda’ he looks you will be surprised that he has something. Working together with him and through sober talking you will be able to create your own fashion of fun and family romance.

The key here is to ensure that you don’t get obsessed with your fashion of fun and attempt to drag him into it because you will fail terribly.

Don’t Copy:

It is good to appreciate that all relationships are unique and therefore what works in one might not necessarily work in another. Your call is to avoid duplicating what your friend is doing but to go the extra mile and create a world of fun that fits the two of you.

Fulfilling marriage is about meeting your partner’s needs and meeting them in the best way he/she would feel appreciated. Family fun needs a creative and dedicated heart. It calls us to resist the temptation of blame game and take on the cloth of responsibility.

It doesn’t have to be all extraordinary expensive things but small yet special things could do the trick. Think about candle lit dinner, a dinner out, a family weekend holiday or a Sunday afternoon family outing.

Whereas naturally the man should initiate these when you know he has a weakness take up the lead and ensure that your family is complete. Instead of ranting about it appreciate his other strengths and make it your business to spice up the union.

Source: http://kagiriwaithera.wordpress.com/2011/07/18/when-you-marry-a-boring-man/

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I was blind, but now I see

Posted by Administrator on January 17, 2012

PHOTO/EMMA NZIOKA Final check up for Jennifer Gateru before surgery with Dr Khan.

PHOTO/EMMA NZIOKA Final check up for Jennifer Gateru before surgery with Dr Khan.

On November 29, the Daily Nation published the saddening plight of Kenyatta University law student Jennifer Gateru, who suffered from severe keratoconus and risked total loss of her eyesight if she did not undergo a cornea transplant.

“Jeniffer is suffering from bilateral severe keratoconus with central cornea opacity. Her vision is very suppressed for both eyes.

“She is advised to pursue corneal transplant under general anaesthesia that costs Sh350,000 per eye,” a medical report by Dr Mumtaz Hirani, an eye specialist at the Aga Khan Hospital, indicated at the time.

In a bid to save her, fellow students had started an initiative dubbed Amina Drive to raise funds for the operation.

By the time the Nation published the story, the initiative had fundraised over Sh400,000. But students were about to break for December holidays, leaving Jennifer with little hope of raising the remaining Sh300,000.

That article, less than 700 words, attracted hundreds of emails from individuals and corporates willing to help.

Among those was Lions Sightfirst Eye Hospital, which offered to get Jennifer the cornea she desperately needed free of charge.

The hospital’s CEO and Chief Ophthalmologist, Dr Fayaz Khan, a lively chap with greying hair who has done over 40,000 eye operations, invited us to witness him lead a team of eight to replace Jennifer’s cornea on November 14.

This is how it happened.

6:00 am A nurse wakes up Jennifer from her hospital room to start preparing for the surgery.

By 6.30 am, her blood pressure and weight is already checked before nurses shave her eyelids.

“My eyes feel naked. Why now?” she laments about the loss of her hair. She does not take breakfast.

8:30 am A nurse carries out a routine check on Jennifer to verify whether she is ready for surgery.

She is asked to stand straight to establish whether she is shaking out of fear, but she says she all geared up for the big day.

Her sister and a friend, Raphael, are on hand to encourage her.

8.52 am Jennifer undergoes another pre-surgery routine to establish whether the cornea is clear.

Eye specialist Dr David Kibingo explains that in this stage macular oedema, which affects eyes, can be detected.

Generally, oedema is the medical term for fluid retention in the body.

9:10 am Final check up before surgery with Dr Khan, who explains that the rest of the eye is fine, and that only the cornea has problems.

Using a model of an eye, Dr Khan explains that instead of Jennifer’s cornea being gently curved, it is rough and broken from the inside.

That means she has an inherent weakness in the front of her eyes, but surgery will only remove about 80 per cent of the problem. They have to replace the cornea.

Because chances of rejection are high, only one cornea will be transplanted today and the other one after six months.

9:40 am Jennifer goes back to her room to wait for surgery, scheduled at noon.

In the meantime, we visit the Kanubhai Babla Lions Eye Bank, where donor corneas are stored.

This is the only eye bank in the country, and Dr Khan is among the few who have pledged to donate their corneas at death.

No black Kenyan has ever donated a cornea to the facility, we learn, but a few members of the Asian community have heeded the call.

Thus most of the corneas here are shipped in from the US, the UK and India.

Because of a severe shortage of these replacements in the country, the hospital prefers to operate on only one eye for the old. But even then, priority is given to young children.

The facility receives six to 10 corneas monthly, a very poor record of local harvesting.

12.00 pm There are three corneas ready for the transplant, but doctors decide to use one shipped from Yale Avenue, Seattle, Washington because it has a high cell count compared to the others harvested locally.

That cornea arrived in Kenya on November 13 and cost $1,200 (about Sh100,000) to ship.

It looks lifeless although it keeps moving from side to side within the small bottle that is its enclosure.

Were this cornea from a local donor, the operation would cost between Sh30,000 and Sh40,000.

Doctors start the procedure by measuring and cutting the donor’s cornea to size. The same measurement is then used on the patient.

13.08 pm Jennifer heads to theatre. The last one hour has been a bit difficult for her and she has visited the washrooms a number of times “so as to take the fear out”.

She has a reason: Some of these operations backfire while others end tragically.

A cornea transplant patient had his replacement pop out of the eye recently during a scuffle in a matatu.

13:18 pm Nurses disinfect the eyes before applying anaesthesia.

13:38 pm The operation starts. We are four journalists from the Nation Media Group, but the doctor says only two of us will be allowed inside the theatre.

Jennifer cannot feel anything in her right eye. Dr Khan loves to do his work with some music playing in the background.

Today he is listening to Taarab.

The donor cornea is placed in a preservation bottle.

Doctors at the hospital say they cannot reveal who donated it, but the preservation bottle, marked ‘Sightlife: Helping the World to See’, has all the details we need.

These are the records on the bottle:

Time of death: 12/7/2011

Preservation: 12/8/2011

Expiration Date: 12/21/2011

The cornea was shipped from Yale Avenue, Seattle, Washington, and records indicate the donor was “non-reactive for HBsAg, HIV Ab, HBcab, HIV- 1 NAT, HCV NAT, HIV -1/HIV-2, and Syphilis”.

(Cancer patients can donate their corneas, but those suffering from syphilis, HIV, Hepatitis and TB are discouraged from donating).

Dr Khan places the donated cornea in a plastic tube and measures its diameter, which is necessary to evaluate what size of Jennifer’s cornea to cut.

He says only about 80 per cent of Jennifer’s cornea will be cut out and replaced.

Dr Khan prepares Jennifer’s eye before he begins the procedure of cutting out the affected cornea.

Our eyes well with tears as he goes about his business, but the doctor seems imperturbable.

The doctor uses a tool called a triphine to cut out the cornea. The tool has trims which are used according to the severity of a condition.

Dr Khan uses the high measure of 7.70mm because, he judges, Jennifer’s condition requires a higher trim.

Jennifer’s cornea is cut out leaving the eye spreads out. The ‘naked’ eye without a cornea has a whitish and blackish colour.

The doctor fixes the donor cornea in Jennifer’s eye.

There are artificial corneas, but these are used only in very extreme cases — like when both eyes are almost completely blind.

When the new cornea is perfectly in place, stitching begins.

The stitch being used is a 10-0 nylon. It’s so thin that it requires a microscope with a magnification of 10x/228 to view as one stitches.

Dr Khan will stitch Jennifer’s new cornea to the eye 16 times. The stitching takes about 35 to 45 minutes.

Performing an eye operation is easy, Dr Khan says, but stitching is the most difficult and important thing.

“The rest anyone can do,” he says. “If a stitch does not look perfect, you remove it and do it again. If it’s too tight, it’s not good and will result in astigmatism, an eye condition that occurs when your cornea, which should be spherical, is actually oval-shaped.”

The condition causes blurred vision, difficulty in focusing, eye strain and headaches. If too loose, it will start leaking and result in a bacterial infection.

Tension management is key. A good cornea transplant is that which leaves the patient with nice, smooth and evenly spaced stitches.

Soon the operation is over and Jennifer is injected with an antibiotic combined with steroids to help in the healing process.

The steroid is used because it suppresses immunity and inflammation.

For the next six months, she will take medicine daily. After that, doctors will do another cornea transplant for her other eye.

It will take one and a half years before Dr Khan removes the stitches from her eyes.

Jennifer was able to distinguish colours a few days after the operation and could see light, although not very clearly.

Last Monday, she said she could see a person 10 metres away clearly. She has reported back at Kenyatta University, and hopes to go for the next transplant mid this year.

Source: http://www.nation.co.ke/Features/DN2/I+was+blind+but+now+I+see+/-/957860/1309006/-/15h5qc5z/-/index.html

Posted in Features, Kenya | 2 Comments »

The King is Dead: The news that hit the Queen while in Kenya

Posted by Administrator on January 8, 2012

The first day of the Queen’s reign dawned a trifle oddly

The first day of the Queen’s reign dawned a trifle oddly

THE  first day of the Queen’s reign dawned quietly enough, if a trifle oddly, as it found her 30ft up a tree. The then Princess Elizabeth was at Treetops, the famous hotel in Kenya where guests stay in cabins carved out of wild fig trees overlooking the water holes where the big game come to drink.

It was a stopover on the long-haul journey to Australia and New Zealand for a royal tour that her father, King George VI, was not well enough to undertake.

Along with her husband Philip, Duke of Edinburgh, Princess Elizabeth had been relaxing for a few days at the nearby Sagana Royal Lodge, a wedding gift from the Kenyan people, before travelling the 17 miles to Treetops to see the wildlife.

Dressed in slacks and an apricot-coloured blouse she was soon busy with her cine-camera and before sunset had filmed baboons in the branches, elephants and the clash of horns between two rival water buck.

She had slept in the cabin and was up at dawn to film rhino. By then she had become Queen, although she did not know it until the day was more than half gone.

As the Queen left Treetops, Britain was three hours behind. At Sandringham, the royal country home in Norfolk where the King had been staying since before Christmas, it was 7.30am and valet James McDonald began preparing the King’s morning bath.

The job finished, McDonald went through to the bedroom with the King’s morning tea.

Having had drastic surgery for lung cancer the previous September, the King seemed to be recovering. He had made the brief return trip to see his daughter fly off from London and only the day before had been out shooting on royal estate land near the village of Flitcham with his friend and neighbour, Lord Fermoy.

Wearing battery-heated boots and gloves, he was out in the wintry sunshine from half-past nine until dusk, bagging nine hares and a wood pigeon. “He was at the top of his form,” Lord Fermoy would report the next day. “He ate a hearty lunch, talking and laughing the whole time.”

The King himself called it: “The best day’s shooting I’ve had in a long time.” and told Fermoy: “We’ll go out again on Thursday.”

Back at Sandringham, the King rested for a while in his ground-floor bedroom before going to the nursery to spend time with his grandchildren Charles, three, and Anne, a toddler of 18 months. He had dinner with his wife and younger daughter, Princess Margaret, listened to the BBC 9 o’clock news on the wireless and strolled for a short time on the terrace before going to bed.

He was alive and awake at around midnight when a police constable patrolling the grounds heard him either opening or closing his bedroom window.

 

USUALLY the small sounds his valet made drawing the bath were sufficient to rouse the King but not this morning. McDonald went back into the bathroom and made more splashing sounds with the water but the King still did not stir. Alarmed, he sought help and together with royal page Maurice Watts, they went back to the King’s bedroom. When their joint efforts failed to wake him, they knew something was terribly wrong.

A telephone call summoned doctor James Ansell from his home at Wolferton, three miles away. The King, he confirmed, had died in his sleep.

In Kenya with only a single telephone line linking Royal Lodge to the outside world, the Queen knew nothing of this, nor would she know for several more hours yet and then only by word of mouth.

At 1.45pm Kenyan time, with storm clouds brewing over Nyeri, a small township a few miles from Sagana, the telephone rang in one of the two booths in the Outspan Hotel. Granville Roberts, a journalist covering the royal visit for the East African Standard, answered, to find his own office calling. He felt “a strange tingling in my scalp” as he was told: “A flash has just come in from Reuters. It reads: The King is Dead.”

“Hold on a moment,” Roberts said. Calling to the receptionist, he said: “Fetch Colonel Charteris, please. He’s in the dining room. Tell him to hurry.”

Lieutenant Colonel, the Honourable Martin Charteris, was private secretary to the young woman he still thought of as Princess Elizabeth. Roberts spoke again into the telephone. “Are you sure the message is correct?”

“Quite sure,” was the reply. “There’s more. The King died in his sleep. Message ends.”

Charteris appeared and Roberts beckoned him into the booth, closing the door before delivering the news. Charteris, according to Roberts, “seemed to sag visibly and murmured, ‘My poor dear lady.’ ”

The call to Royal Lodge was made initially by Roberts and was answered by Commander Michael Parker, Philip’s wartime friend and now his private secretary. “Good God,” was his response. Charteris took the phone and Parker told him they must have official confirmation before breaking it to the Queen.

Switching on the wireless was all it took. Parker finally received confirmation from the BBC, which had interrupted its scheduled programme for the solemn voice of John Snagge to make the official announcement of the King’s death at 11.15am, British time.

With no longer any cause for doubt, he hurried to where the Duke of Edinburgh was taking an after-lunch nap, roused him and broke the news.

So it was afternoon in Kenya when Philip told his wife of her father’s death and the realisation dawned on her that she was now Queen. She went into her bedroom and closed the door behind her. It was nearly an hour before she was seen again.

When she emerged her face was pale and it was clear she had been crying. However, her sorrow had to give way to royal duty as Queen of the United Kingdom and several other nations around the world, head of the Commonwealth, Supreme Governor of the Church of England and much else besides.

All this had descended on her totally unexpectedly and years earlier than she had anticipated. It was an awesome burden for a woman of 25.

Huge though the responsibility was, it was a role to which she had been trained from the age of 10. Her father had been so unprepared for the role, that he once declared: “I have never even seen a state paper.” As a result, he resolved that his daughter should be better prepared.

The Queen sat at her desk to compose messages of condolence to be cabled to her mother and grandmother.

Incoming calls clogged the single telephone line and when London finally called, one of the questions asked was in what name she would reign. “My own, of course,” said the Queen. “What else?”

Parker had the task of arranging the flight back to London. Luckily the Argonaut, in which the party had flown to Kenya, was on stand-by at Entebbe, waiting to take back any surplus luggage. A call to East Africa Airlines saw a Dakota airborne to Nanyuki, the nearest airfield to Royal Lodge, to take the royal party to the aircraft.

Even amid all this activity, the new Queen still found time for the smaller courtesies of royalty. She sent for the District Commissioner and presented him with a pair of cufflinks bearing her personal cypher.

The packing was done in an hour, although in the rush one or two things were overlooked. Philip’s field glasses were later found in a drawer of the bureau.

Just before 6pm, Kenyan time, they were ready to leave. Daylight was fading and another storm brewing as they reached Nanyuki to board the Dakota.

The storm broke as they landed at Entebbe, so violent that the Argonaut couldn’t take off. If was nearly midnight before the weather eased sufficiently for them to become airborne on the 4,000 mile flight back to London.

 

ON BOARD, there was a problem. The Queen’s mourning outfit, without which members of the Royal Family never travel, had gone on ahead of her and was in the luggage already aboard the liner Gothic. She was flying home in a light summer frock, ideal for Kenya but hardly suitable for her arrival in London.

The problem was solved by landing at a staging post in North Africa. From there a wireless message was sent to London and a second mourning outfit was hastily packed and taken to London Airport.

Arriving in London the Argonaut landed briefly, well away from the dignitaries waiting to greet her. The mourning outfit was smuggled aboard and the Queen made a quick change as the pilot taxied.

The line-up waiting to welcome her was headed by her uncle, the Duke of Gloucester, Philip’s uncle, Earl Mountbatten, and prime minister Winston Churchill, tears streaming unashamedly down his cheeks.

“This is a very tragic homecoming,” said the Queen. Tragic indeed but also the start of a reign that may yet turn out to be the longest in British history.

 

Adapted in part from Elizabeth, Queen & Mother by Graham and Heather Fisher, published 1964.

Source: http://www.express.co.uk/posts/view/294207/The-King-is-dead-long-live-the-Queen

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The help is away without official leave

Posted by Administrator on January 7, 2012

Photo/FILE House-helps take a lot of flak from their bosses, some of who are straight from hell.

Photo/FILE House-helps take a lot of flak from their bosses, some of who are straight from hell.

My bank is a rubbish bank. I could leave, but I look at the other options and none inspires me to make the jump.

And that’s the thing with banks – they are like women. You could leave, but for what?

You leave one hoping to find peace and happiness with the other, only to find that the new one goes to bed with a pair of scissors under her pillow and, worse, sleep walks.

That’s a woman you don’t want to go to bed angry. Anyway, back to the reason why I am so upset with my bank: Mobile banking.

Or rather, my bank’s refusal to let me enjoy the convenience and simplicity of said mobile banking. I filled the forms ages ago.

They promised they would call me with codes and things when it was good and ready. A year later, I am still waiting.

Instead, they get these pesky guys to call me about the new, exciting products that they are offering their clients – except that these exciting products are not exciting at all because they are loans.

So anyway, I decide to pay these ‘exciting’ guys a visit and ask them whose feet I have to wash to get mobile banking.

So there I am, sitting in the customer care section, waiting for my turn. In front of me is a middle-aged lady fiddling with her phone.

Another lady spots her and walks over to say hello. It is evident from the production that ensues that they haven’t seen each other in a while.

They do the whole confusing thirty-peck thing on the cheeks. Then follow the niceties about children, hair, dress and shoes. Nobody asks about Baba Nani.

Then one of the ladies mentions, frustration palpable in her voice, that she has to run back home because her house-help hasn’t yet come back from shagz after the December holidays.

The discussion then turns into a long discourse about maids and their cheek.

It seems this is the season for house-helps to do a number on their employers. And the house-helps seem to know not only where to squeeze, but when to squeeze.

And their excuses are insulting to the intelligence. There are those who get mugged and have their phones stolen on the day of travel. Or some who said they were on their way back… two days ago.

There are those whose mothers suddenly fall ill, or whose hair wasn’t finished on time at the salon because the hairdresser went into early labour.

Or some who haven’t decided whether all those hours spent explaining why sugar and other essentials don’t last a month is worth it.

Or my favourite – the ones who find out that they are pregnant while in the village.

That said, their employers aren’t any better, calling in sick at their place of work when they are actually inspecting their chicken farm in Kitengela.

It’s the capitalist drama; when you are not screwing someone over you are the one being screwed. But house-helps take a lot of flak from their bosses, some of who are straight from hell.

They have to deal with the brats that have become our children – kids who have never heard of the word ‘respect’.

They wake up early, sleep late, and earn meagre wages which they have to split between ailing relatives, children who need school fees and a new weave so that they can look just like the boss.

So when mothers call and ask, “Kwani ulisema unakuja lini, Betty? Usipokuja leo uje na uchukue vitu zako, mimi sina wakati wa kubembeleza mtu,” they roll their eyes and go back to sifting the rice.

House helps wield silent powers in the house, not because they understand the children more than their mothers, or know the domestic politics of the house, but because they can grind everything to a halt if they decide to.

Source: http://www.nation.co.ke/Features/saturday/The+help+is+away+without+official+leave+/-/1216/1301008/-/e3lbjf/-/index.html

Posted in Features | 1 Comment »

 
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