Happy to graduate 🎓 today with a Master of Medicine in Internal Medicine
@Makerere
Greatly indebted to my teachers & Mentors
@MakCHS_SOM
.
Gratitude to My Mum Akot Margaret Langoya, Dad
@m_ndyamureeba
My wife
@AyotChristine
for the encouragements. I present this Milestone to you.
Manage to stabilize one of my critical patient today after securing ICU. We shall not loose anyone tonight from Admission Level 1, Because the rest are stable & recovering. I am blessed to work with these two brilliant nurses Okwir & Wise
#MulagoHospital
#trends
#COVID19
My patients are stable (20 in number) & Level-4 is closed. Meaning we have Admission level 1, 2, HDU & ICU to take care off. Generally the situation is well under control. We require a long term strategic plan
#vaccination
to control this pandemic
#MulagoHospital
#MaskUp
🧽🧼
Personally speaking, I won't supervise any intern posted because he can afford upkeep & paying for his/her internship.
I wouldn't have been in a position to afford due to my family's background. The past should inform the future. It's rather you reduce the amount than no pay
Kind request to help my patient Namisango Dorothy diagnosed with kidney disease currently on hemodialysis but the Landlord has chased her away. She is on ward
@kirudduNRH
"Even the smallest gift to charity can make a huge impact" Donate to her Mobile No: 0751601671 or 0774039796
There some few beds becoming available. Our discharges will soon be more than admissions and this means the numbers will be manageable 📉📉
#COVID19
#MulagoHospital
#AdmissionDesk
Dr. Cyprian Opira took the Life Time Achievement Ward,
Dr. Gladys Atto
@AttoGladys
Doctor of the Year.
Dr. Oriba Runner Up Doctor of the Year.
@lacor_hospital
Thank you Uganda, Thank you Ministry of Health
@MinofHealthUG
#HIHA2023
.
Another successful case of Peritoneal Dialysis in our ICU for this 5yrs old with Acute Tubular Necrosis (AKI) 2° to Severe Malaria. We made the Dialysate Locally
@lacor_hospital
.
Peritoneal dialysis removes waste products from your blood when your Kidneys are not functioning.
😒Doctor please cure my ulcers I am tired
Background
She has been Rx with over the counter omeprazole for 5yrs following a non endoscopic diagnosis of "Gastritis"
➡️What is your diagnosis & what clinical sign is demonstrated on abdominal examination
📸What do you see on CT-Scan
“Medicine is learned by the bedside & not in the classroom.
Let not your conceptions of disease come from the words heard in the lecture room or read from the book. See and then reason and compare and control. But see first.” Sir William Osler
@lacor_hospital
#MedTwitter
#MedEd
Beautiful & treasured son
In 2018, when I was a Medical officer
@lacor_hospital
, in the Dept of Obs & Gyn, we recieved a mother who was referred from 80km. She died on arrival but when brought to maternity we could hear the faint and sluggish few baby's Heart beat dub....dud...
No body ever died of peripheral edema, it took a while for it to accumulate, and it takes a while for it to dissappear. Do not try to make it go away too fast.
Thank you
@Makerere
. Thank you my dear Teachers & mentors
@MakerereCHS
. To my department
@MakCHS_SOM
, I am grateful and indebted to your methods of refinery and careful steam distillation
12th case of Peritoneal Dialysis at
@lacor_hospital
#ICU
but 1st of its kind for this postpartum mother with Preclampsia & Kidney failure, a dangerous pregnancy complication xterised by high blood pressure. Her Kidney function geating Normal.
#Lacor
Hospital, Restoring Hope.
This evening, we received a 14-year/M Sudanese referral from Kiryandongo & managed for malaria. Brought unconscious, T=40.0⁰C, Neck stiffness, severe dehydration, RR of 48bpm, Cloudy CSF, pending analysis
Dx: Bacterial Meningitis with severe metabolic acidosis.
@lacor_hospital
🏥The Work Medical Interns do is immense. I am so proud of the team under my Supervision. Diligence, Hardwork & compassion.
🫡I was thrilled today that Dr. Philomena Anzo donated her blood to save the life of a patient in ICU with Hb of 2g/dl.
Whatever you do prioritize Interns.
Happy to graduate 🎓 today with a Master of Medicine in Internal Medicine
@Makerere
Greatly indebted to my teachers & Mentors
@MakCHS_SOM
.
Gratitude to My Mum Akot Margaret Langoya, Dad
@m_ndyamureeba
My wife
@AyotChristine
for the encouragements. I present this Milestone to you.
St. Mary's Hospital Lacor, Department of Medicine
@lacor_hospital
, Interns Medical Professional orientation. Induction meeting is important in maintaining the chains of Quality improvements
Successfully did 6 day sessions of peritoneal Dialysis in our ICU
@lacor_hospital
for this patient with Acute Kidney Injury (ATN) Complicated by Uremic Encephalopathy, profound electrolyte imbalance & Bleeding diastesis 2° Malaria.
#Nephrology
#MedEd
#MedTwitter
#CriticalCare
The feeling/euphoria after successfully discharging 2 more patients on Peritoneal Dialysis following Acute Kidney failure
@lacor_hospital
#ICU
✍️"The acquisition of wealth is no longer the driving force of our lives. We work to better ourselves & the rest of humanity."
#Picard
Set a reminder for my upcoming Space! This Friday, 26th, 7-8pm
📚Online CME
🇺🇬Host Dr. Oriba
Panelist
1-Dr. Kalyesubula Robert, MBChB, MMED, FISN, PhD
2-Dr. Grace Kansiime, MBChB, MMED, Nephrologist & Head of Internal Medicine Dept.
@MbararaUST
Link:
Medical OPD
Patient:
➡️Doctor! I easily get tired & my nails have changed. What is my problem?
Background
➡️Alcohol intake for 20yrs, recently admitted to surgery, had Exploratory laparotomy for Salmonella ileal peforation, ICU stay 20 days
➡️Differential & Mgt
🥰 Blissful afternoon ⏲️ with these beautiful angels at Baby Watoto Gulu. ⛪️Jesus said, "If you want to enter the Kingdom of God, humble yourself like these little ones."
@watoto
@watotochurch
@WatotoAustralia
Thank you Dear Interns from Dept of Medicine
@lacor_hospital
for the exceptional internship with us. Your work experience & skills truly shone through, your excellent care & attention to detail made a significant impact on our patients as your talent & capabilities are evident.
Know your specialist:
✅️Meet:
Prof. Pauline Byakika–Kibwika, MBChB, MSc, MMED, FRCPE, PhD📚
📝Head of Department Internal Medicine
@MakCHS_SOM
@MakerereCHS
"Thank you for being a good teacher who inspires hope, ignites the imagination, and instils a love of learning."
Visited my former School. Kitgum Primary School.
This particular classroom was my Primary 7 class A in 2004.
I told my beautiful daughter that "Having skills is better than grades"
I reassured her I am not interested in her getting 4 in 4 but rather acquiring knowledge & wisdom
Help Dr. Anthony, get urgent Kidney Transplant. He's been on dialysis for advanced Kidney disease due to diabetes.
🤲1 John 3:17
But if anyone has the world's goods and sees his brother in need, yet closes his heart against him, how does God's love abide in him?
#SaveDrAnthony
Malaria Parasites must never be underestimate
18yr/M, with Acute Tubular Necrosis, AKI 2⁰ Severe Malaria
Presented with Anuria & ⬇️LOC, now on Peritoneal Dialysis in our ICU
@lacor_hospital
with already some improvement. Note the Uremic frost with Creat 26mg/dl, Urea 670mg/dl
Happy 31st Birthday to me. To my beautiful family who makes this life worthy to live.
To my friends, my teachers and my mentors, I wish I could pocket you all, but nevertheless my heart is big like the world, you will all fit in.
Thank you Jesus
#DrOribaLDan
#HappyBirthday
On successfully Defending my Desertation.
“There are no secrets to success. It is the result of preparation, hard work, learning from failure.”
Thank you Prof. Kaddu
@MarkKaddumark
, Teachers in Dept of Med
@MakCHS_SOM
Colleagues
@InternalmedMak
, My Mentors & Supervisors
Another great evening to save this young boy 9yr/M referral from Sudan with severe malaria with ATN/AKI stage 3, cerebral Malaria. Hyperkalemia & Anuria, uremic encephalopathy. ⬆️Crea 16.7mg/dl, ⬆️Urea 298mg/dl & on peritoneal dialysis & already stabilizing
#KidneyHealthForAll
I am a very happy that tomorrow we shall install one dialysis machine in Lacor Hospital. Baby steps but in the right direction to improve care for patients with Kidney Disease. We shall continue with our Peritoneal Dialysis & also do hemodialysis
@valerie_luyckx
@Rasha_Darwish_
This is an emergency call to all 🏃♂️🇺🇬 Ugandans. Let's donate blood today, esp. those in Gulu. I've just donated to my little patient, 14 years old, in heart failure due to anemia/low blood. We are having shortages of blood, & it's only throu generous donations that we get blood
Painful consultation
I reviewed a 42yr female traveled long distance to come investigate the cause of her heart problem, extreme feeling of fear & palpitations
Exams was normal
Past History. Single mother of 4 struggling the aftermath of a painful separation with no supportN
"The world is the way it is because the right people refused to speak."
#DeployMedicalInterns
, pay them & put some priorities to health. If there is no money, why did you raise the allowances in the first place & later fail or struggle to pay.
@MinofHealthUG
@KagutaMuseveni
My daughter Adelaide told me this morning they have a cold & requested not to go to school only to come running to carry their 2days old brother baby after the request was granted. Children are wise indeed.
These are the most important pictures in my Gallery taken during the most difficult times of my life during Postgrad & which would later change the course of my life.
⁉️I was in a state of ambivalence & life was useless until I came back home & found the true meaning of life.
Watoto babies home 🏡 took him up for care.
@watotochurch
@watoto
. We bonded very well during all these times and now he is 6 years old. A wonderful 1st born, a beautiful Son, a priceless gift with an incredible story.
I now have 2 sons & 2 daughters, but I still a father to many
Another moment of Euphoria, discharged this boy with Acute Kidney Injury, Initial crea=21mg, Urea=578mg, following 8 sessions of Peritoneal Dialysis (PD) in our ICU, ⬇️Crea=2.1mg, Urea=131mg.
St. Mary's Hospital Lacor
@lacor_hospital
continues to give hope to those who have none
Misleading article. I lost 2 patient to bee sting Envenomation (hymenoptera) Envenomation in ICU. Very bad kidney failure with Rhabdomyolysis and refractory electrolytes.
Please take this post down. I get worried when I see a swarm of bee sting on the head brought to hospital
Did you know that Bee Venom 🐝 from a bee sting is good for your health!?
Benefits of bee venom;
▪️Stabilising HIV and diabetes
▪️Enhancing manpower
▪️Boosting immunity
#HarvestMoneyExpo
#VisionUpdates
Happy Birthday to me.🇺🇬🎶🥳🙏😍
🙂Remember the Lord says to us!, "Ask and it will be given to you; seek and you will find; knock and the door will be opened to you. (Luke 11:9)."
🥳I am a testimony of his Living WORD"
It has been nice working with you at St. Mary's Hospital Lacor, Gulu
#COVID19
treatment Unit. Dr. Zia & SNO, In charge
@JanetAdongo13
@StLacor
. Bravo to all the staff ⚕️ members of the Unit.
The patient numbers are down by more than half & we pray the trend keeps that way.
Dx
🏥Rare Case of Congestive Heart failure with Constrictive Pericarditis 2⁰ African Trypanosomiasis [Trypanosoma brucei]
😞40yrs/M referred with Fever in & CHF for further Management.
Examination
Temp 39⁰C, Bp 112/58, PR 118bpm
CBC- Pancytopenia, Hb 8g/l
Look at these guys 😟
Beautiful morning to celebrate the fruits of labour, 😁we are now happy off the mechanical ventilation, de-escalated care to Gen. Internal Medicine ward, for continuous Rx resolution
Disclaimer: 📸 Assent from the mother & father who are extremely happy with
@lacor_hospital
This evening, we received a 14-year/M Sudanese referral from Kiryandongo & managed for malaria. Brought unconscious, T=40.0⁰C, Neck stiffness, severe dehydration, RR of 48bpm, Cloudy CSF, pending analysis
Dx: Bacterial Meningitis with severe metabolic acidosis.
@lacor_hospital
From my Case Archives
🧔♂️25yrs/M came with a 4day h/o fever & assoc GBW and joint pain. Prior to admission reported painful darkening of the hands & feet.
🧪He is HIV & Hep B Negative & Hepatitis C positive
What's your diagnosis, investigations & Management
#MedTwitter
#MedEd
My Little Prince Baby Jason Abraham Oriba, today tempted me with his
"Stay at Home Club" tricks 😃😃😃
😅Enjoying every moment of 2023 blessings 🥰😃 God is awesome, really awesome 👌 👏
On being a Daddy. "Evening routine involves cooing my Princesses
#HedwigJonela
&
#AdelaideJasmin
to sleep."
Anatomically speaking, they enjoy the Pectoralis major so much.
Beautiful Memories of one month of life, Sept 1991, With My Dad the Late Langoya Abraham Nicholas, ever Smiling & my lovely Mum Akot Margaret Langoya in Kitgum District, Northern Uganda. 📚🙏➡️🤗😍
📚 Published paper: 📝We expound on: background, epidemiology, risk factors, diagnosis, & Mgt. of kidney diseases in Africa.
➡️NB: Most people are not aware that they have kidney disease until it is advanced.
@rkalyes1
@AndreaLConroy
@BatteAnthony
🌐Link:
Diagnosis?
#dermtwitter
#dermpath
#MedED
#MedTwitter
Adult, HIV neg, TPHA neg, presented with 2wks initially blister like lessons generalised, which later ruptured in multiple septic wounds involving scrotum & pus discharge from Urethra
Pus Swabs pending analysis
Today we had a wonderful discussion & consultation on a Neurology case with
@DrOtileUg
. Then we discussed career plans & network post internship
@kirudduNRH
. I told him we need his brilliant brain & enthusiasm
@StLacor
St. Mary's Hospital Lacor, Gulu
Sunday Happiness & Game
😁Adelaide: Daddy, my tooth got broken.
😃Dad: Go hide it and check after 3days, it will turn into money.
🥰Results: Check the joy after 3days
😂😂😂😂🥰🥰🥰🥰
🤗Wonderful day full of blessings & energy with my lovely patient, Dad, & friend, Rtd. Bishop Mark Baker Ochola
@lacor_hospital
. I am happy to see you fully recovered and well at 91 years.
🙏May God continue blessings you to continue with HIS Redemption & Salvation for the World
From my case archive
➡️56yrs/f HIV +, managed for gastritis for 6yr. Presented with worsening epigastric pain & abd & leg swelling.
🏥What physical sign do you see?
🧪How will you investigate and manage her?
🏥What public health intervention will you recommend
#MedTwitter
#MedED
🏥6th day in ICU
@lacor_hospital
& ready for discharge today. Urea 79mg/dl, ➡️Creat is now 1.3md/dl down from 16.7mg following 10 sessions of peritoneal dialysis. 👍Anuria resolved, & the Polyuric phase was managed as Prof. Kalyesubula
@rkalyes1
anticipated
#KidneyHealthForAll
Another great evening to save this young boy 9yr/M referral from Sudan with severe malaria with ATN/AKI stage 3, cerebral Malaria. Hyperkalemia & Anuria, uremic encephalopathy. ⬆️Crea 16.7mg/dl, ⬆️Urea 298mg/dl & on peritoneal dialysis & already stabilizing
#KidneyHealthForAll
CME:
Topic Organophosphate poisoning by Dept of Internal Medicine, St. Mary's Hospital Lacor, Gulu. Thank you all for attending and giving your input.
@lacor_hospital
Consult
🏥28yr/M came with dyspnea, DIB , hemoptysis. No fever, Sp02 63% on room air & 93% on Oxygen by NRM 15L/min. Bp 109/67mmHg, PR 115bpm
Background
👉Deals in Metal & Plastic Scrabs for past 6yrs. Managed with similar presentation 1yr ago.
Diagnosis & Investigation
On Parenting:
Yesterday was a super adventure, my little girl Jonela wanted to restart breast-feeding because of adjustment of anew born the brother in the family. So I took her & gave her nunyu. Reasured her Mum has to feed her brother & Daddy can always take care of her.
Yesterday we had a wonderful session on Peritoneal Dialysis with students from Gulu University Medical school
@lacor_hospital
ICU together with Dr. Lucia Emergency Med Resident from Italy. We prepared dialysate for a 25yr/M with Acute Kidney Injury 2° Sickle cell Disease
#MedEd
Happy to be here learning from the Experts from
@ISNkidneycare
, Scientific writing Course in Cairo at the InterContinental City Stars Hotel.
#ThisIsISN
.
Internal Medicine 24hrs, Morning report Meeting
@lacor_hospital
. We are committed to providing quality, affordable & sustainable care to Ugandans in Withness for the Church's values for all.
This morning 🌄 with my Daughter Adelaide
😏"Daddy what is wrong with Mummy?" She asked
😟I replied, Mummy has cough.
She immediately responded, "even you Daddy!,"
➡️She added, "but you are the doctor, doctors aren't supposed to be sick."
Beautiful submissions indeed.
Evening Case Discussion
👨61yrs/M, non smoker, HIV-neg. Came with chief complaint of
"Doctor I can't breath."
Background
💊Rx for TB 3yrs ago. No HTN/DM
Progressive Dyspnea, cough & limb swelling. On/off fever 1wk
🏥What is your Rad Dx, Mgt & Investigation
#MedTwitter
#MedEd
Today I came back to my birth home & read a beautiful message from the man who lived a marvelous life & taught me his principles.
Dad had a vision on his final day 17yr before he passed on in 2020 & wrote this. In his final hr, he said Glory to God 3times in faint ending voice