Tuesday, November 28, 2017

Maasai Health Systems newsletter. This tells more about our medical work.



 MAASAI HEALTH SYSTEMS
16714  91st Ave. E.
Puyallup, WA 98375
a tax exempt 501 (c)(3) charity
NEWSLETTER  # 52  December  2017


“I sincerely thank and pray that you may never run shortage of food ever in your life.” This is taken from a thank you message from a Maasai friend.  This friend has had experience with food shortages like going to bed with no dinner for anybody in the family and then the next morning sharing a breakfast of black tea – no sugar, no cream, just brown water. The kids go to school and the parents work with hunger like that. While things are not as desperate here as in war-torn places like Yemen or South Sudan, there is a gritty Tanzanian reality in that Maasai prayer.  Only somebody who has gone to bed hungry would think of a blessing like “you may never run shortage of food ever.” 

Most Tanzanians live on the edge. Lack of resources including lack of food is a very real threat.  It is estimated that as many as 40% of Tanzanians face “food insecurity,” the technical word for going to bed without eating dinner. I regularly have patients with severe illnesses in the hospital who come in from the bush country and are so emaciated that we have to use the child blood pressure cuff to measure their blood pressure. That is how skinny their arms are.  The pediatrics department has a malnutrition clinic to treat children who are in danger of dying from starvation. Yes, sometimes they do die. After fluid and electrolyte resuscitation, those children are sent home with a special high calorie supplement to help them get back up to normal weight. The staff in the malnutrition clinic go home with a knot in their stomach, knowing that their malnourished child patient is going home with special food to a home with other children who are also hungry.

Lack of resources affects all aspects of life.  The hospital I work in doesn’t have the ability to do cultures.  They would like to do cultures, but can’t afford the technology and supplies. Basic lab tests like kidney function or blood counts are often not available since the lab can be out of the necessary chemicals to do the test.

The radiology department uses machines that are usually donated outdated machines from American and European hospitals.  The ultrasound machines have lost the doppler function so are not as useful as they could be.  The “new” x-ray machine is a donated digital machine that actually produces pretty nice images.  You can only see the image on the computer monitor in the x-ray department, but they are clear images. The problem with this new system is that the electrical grid often fails so the hospital has to function with electricity from their diesel generator. The “new” x-ray machine requires more electricity than what the old generator can produce.  The system will still make the old x-ray film images like in the "old days" when the hospital is using the generator backup, but the image quality is just not there.

 Below are x-ray films (not the digital system) done last week.  This elderly woman hasn’t walked in 5 years because of leg pain.  You can see the fracture of the tibia (shin bone) in the left film.  The right film shows the white outline of the femur (thigh bone) with abnormal calcium formation outside of the normal bone.  The ball-and-socket hip joint in the top left corner is just a mess.  A digital image can be manipulated to try to clarify things like that.



 Maasai Health Systems is raising money this year to get a more powerful generator for the hospital so the x-ray quality won't suffer when the power grid goes down. As always, our administrative costs are low - just the cost of the newsletters. Typically, 98% to 99% of donations go to our project since all MHS "staff" are volunteers. We need to collect an additional $10,000 for this year in order to get the $30,000 generator. Hopefully the cost will not have inflated too much since a year ago when the hospital got the estimate and we started fund raising.

I thank you in advance for your support.

Don Rowberg 
president 
Maasai Health Systems.