Yusuf Mahat @yusuf_mahatt
Rotarian. Semper gratus United Kingdom Joined May 2022-
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One of the biggest tax evaders in Kenya are private practice consultant doctors . They make millions but very few/none pay proportionate taxes. Many only deal in Cash transactions including in dollars especially from visiting patients from neighbouring countries. Daktari alipe…
The founder & “ex-CEO” of Ladnan is the boss of SHA… and little Ladnan magically gets paid more than even national referral hospitals. What a wild, totally random coincidence. Kenya really runs on miracles. 😂 letu jijo tu
Liver clinics in areas with large Somali community in the NHS have khat clinics seeing patients with khat induced liver injury (KILI). Just putting it out there; Jaba can cause liver cirrhosis. Interesting case report 👇🏾 ncbi.nlm.nih.gov/books/NBK54870…
New badge alert. Finally a degree from the University of Chrome; and my patients are liking it. Great icebreaker.
Rare dry, calm morning in Edinburgh
Doctors strike in Kiambu enters day 80. Meanwhile, local political leadership is in an “empowering” spree. Letu jicho tu.
FYI: In the ED, a systolic BP >220 mmHg or even higher can look alarming — but if there’s no end-organ damage, it’s hypertensive urgency, not an emergency. Only hypertensive emergencies need IV meds (e.g. labetalol). Urgencies are best managed as outpatient.
Most counties have more specialist doctors than medical officers. One department could have more consultants than there are MOs in the whole county! That’s a very unstable pyramid. MOs need to employed continuously!
Last August, a special group of young doctors began their internships after enduring delays, setbacks, and intense lobbying. Now, many are finishing—but with no jobs in sight. The Ministry has no structured post-internship pathway, risking deskilling and loss of vital talent.…
Doctors charging patients privately and operating on them in public hospitals—then pocketing payments—is not just unethical, it’s criminal. Surgical doctors in Garissa are notorious for this. Many families are silently suffering. An urgent audit of surgeries at PGH Garissa is…
Involving partners is courteous—but men have no right to refuse/delay consent for emergency C-sections or medically indicated sterilisation. Delays cost lives. In my years of practice in Kenya, this was a persistent challenge . And it continues to be, from chat with my…
Posted about the rot in Eastleigh hospitals just 4 days ago. It runs deeper than many think. Several top figures from the north hold major stakes in Isli’s private healthcare sector — including the chap in Afya House. It’s a ruthless, profit-driven system, preying on innocent…
Posted about the rot in Eastleigh hospitals just 4 days ago. It runs deeper than many think. Several top figures from the north hold major stakes in Isli’s private healthcare sector — including the chap in Afya House. It’s a ruthless, profit-driven system, preying on innocent… https://t.co/G8NhoPRuVg
Mad respect to health professionals on the frontlines when even the world’s strongest armies were in lockdown. I caught multiple strains of COVID — still do occasionally — but never stopped showing up. I get my annual vaccine and urge everyone at risk to do the same. That time…
Clinical Officers in Kenya now have a potential pathway into the NHS as Physician Associates, though the certification/assessment process remains unclear. With ongoing NHS underfunding and even GMC-licensed doctors struggling to find jobs, the outlook for PAs may be just as…
Sometimes getting patients accepted by specialties after stabilizing them in the ED can be frustrating—and risky. When things get stuck, I find the CUSS tool quite helpful: generic example 👇🏾 C – I’m Concerned with the patient U – I’m Uncomfortable with your plan S – This isn’t…
Eastleigh is flooded with substandard, profit-driven ‘hospitals’ lacking proper personnel and equipment. They’ve built an exclusive network, exploiting NHIF (now SHA) through fraudulent approvals and making millions. The Health Minister must act—start with Eastleigh, from dental…
Praying for my lad TL elder. He has been active in the good fight, amplifying and advocating for release of abducted patriots. It’s our time to amplify #FreeMwambiliMwagodi
The push by health CS threatening healthcare workers if patients share bed is dangerous. Start by building hospitals, not headlines. Mama Lucy serves over 2M people with just 66 maternity beds. Fix that before flexing on microphones.
Note to colleagues: D-dimer is quite nonspecific—always pair with Doppler, even if DVT is likely (Wells >2). If D-dimer is positive but scan is negative, stop therapeutic anticoagulation and repeat scan in 6–8 days. (NICE)
Forcing interns or residents to arrive early for pre-rounds before the consultant’s ward round is a toxic culture, often encouraged by senior doctors. Coming in early or staying late to impress shouldn’t be the norm. Workplace toxicity threatens both patient safety and care…
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