This is defined as pregnancy intention above the age of 35 by some protocols and above age 40 by other criterias . Still , the consensus is that pregnancy above the age of 35 is considered to bear risks and this becomes pronounced with more advanced ages .As women become more empowered and busy with […]

Enter patient *Miriam . She is in her 50s, carries some gloom and worry on her face . She has  usual menopause symptoms and is managing them well ; but you see , her friend got diagnosed with stage IVB Ovarian Cancer . She didn’t have any symptoms beyond menopause symptoms ; some bloating here and

Rael * 23 year old final year university student walks into my clinic . She is anticipating her final exams and soon thereafter start plans for a wedding with her fiancé Daniel*. They have been very careful with their safe days and using protection but last evening , they had an unprotected moment and she

 There has been an organ (mainly kidney) donation scandal being addressed in the nation that has gotten many talking . This reminds me of another ‘organ’ or ‘product of an organ’ that we don’t discuss enough ; the subject of sperm or ovum(egg) donation .  I have had the chance and opportunity to work/learn in a

Jasmine* walks in , tears and confusion is evident from the look in her eyes . I take a quick history, she is in her early 20s , had a caesarean delivery 8 months ago and now is surprised that she has not seen her menses for 1 month and wants me to investigate for a

Alexis , 42 year old approached me one fine clinic . She had recurrent fibroids (Atleast 6 in number) and badly wanted a third baby; her first two had also been born through C/S after a rigorous fibroid-removing surgery . The biological clock was ticking fast . She wanted to know her options . If

Common summarized scenario at clinic (most present like this almost identically ) ; Patient A- a young late teens-early 20s storms in and looks at me not knowing where to start. ‘I have itchy , smelly velvety things growing on my privates and my mum shouldn’t know about this ; figure out what to write

 Just before Christmas, a daughter to a patient I had treated in 2022 looked for me . She came carrying a huge banana(that my family enjoyed thoroughly over Xmas week) . She wondered if I could remember her mother’s history because she needed some reports and pre-authorization forms for a follow-up MRI written. I had

OF MIRACLES IN MY PRACTICE IN 2024 Early December 2024, a patient walks to my clinic as a referral from a former colleague . Let’s call her Juliet . She is light skinned but I quickly I notice that she is quite pale and has a belly bump. I kick off my essential history taking

 FINANCIAL INEQUALITIES AND FRUSTRATIONS IN KENYA HEALTH SECTOR  I have worked mostly in the public health systems and financial woes amongst clients are real. A little bit of exposure in the private has magnified this gap for me and breaks my heart a lot . When I was an intern , one of my seniors