Saturday, 20 November 2021

DOES SIZE REALLY MATTER?

 This has been a subject of debate over the years and as usual in things concerning sexuality, there as been more emphasis on the male than the female therefore I beg to look at the female perspective. 

 Within the reproductive organs of a female stands the replica of the penis called the clitoris.
☝️
You can now order your clitorial designed pillow


 Made from the same tissue of the penis, almost the same length of the average penis (about 5.1 inches sometimes up to 8 inches) and even more sensitive than the penis (I guess what a man can do, a woman can do better). 

 If the clitoris is of the same make as the penis and there are debates on how the size of the penis matter in sexual satiety, does the size of the clitoris matter in a woman's sexual satisfaction as pertaining ability to achieve orgasm? The size of the clitoris does not really matter, but the size of the clitoral hood does matter.

  The clitoral hood affects attainment of orgasm because it's affects the amount of sensation that can get to your clitoris. This is why many women easily reach orgasm why masturbating than when with a partner. 

 Clitoral hood is the fold of skin that surrounds and protect the glans clitoris (it is the female equivalent of the male foreskin).

 The clitoral hood protects the sensitive glans clitoris from irritation and excessive sensation (maybe from underwear). 

 It retracts when the clitoris is aroused (just like the male foreskin) although level of retraction differs. The thicker your clitoral hood, the more pressure needed to reach orgasm. 

 Sometimes, the clitoral hood might adhere and not retract at all thereby blocking the clitoris from being stimulated which results in sexual frustration. 

 Dear Queens, your sexual satisfaction is not only the responsibility of your partner, it's pertinent to know and understand yourself so you can guide your partners right for mutual satisfaction.

Thursday, 4 November 2021

MY MOST CHALLENGING SHIFT

Nurses play one of the most vital   roles in delivery of care within the healthcare industry ,caring for people when they are at most vulnerable and offering support are some of  the fundamental tenants of  of nursing.

Night shift are horrible, but I prefer it to Day duty because I love to have my days to myself.


I was on my Second in a row and I was tired- the sort of tired where your eyes feel hot and sunken and blinking takes three to four seconds, and you never knew a reflex could be so tortuous.

Also read : Disunity In Nursing... The Way To Go

On that day , I took over ten patients, six were critical, I mean four of them on non rebreathable mask and two in NIV Helmet Ventilation but oxygen saturation was less than 60% on oxygen 15L/minutes and 45L/min respectively at that moment. I knew am in for a sleepless night.

I was monitoring vital signs every quarter hourly and also answering & calling Covering Nursing Office about state of patients and need for more oxygen cylinders, Oxygen buzzler and Alarm were the only Music tune I could here after every few hours. 

Funnily enough there was also a bird that was producing a similar tone to that if Oxygen Alarm, so I had to go and check the percentage of oxygen available in the cylinders. 😂😂

My attention was drawn to one of the patient at around 1am, On getting to the him, he was already gasping, SPO2 has dropped to less down 50%....then 30%. We immediately informed the Physician , all emergency medication including CPR despite not recommended in Covid set up prove abortive. I lost my patients 😭😭

Also read: Beautiful Brainy Girl

As if that was not enough, my attention was drawn to another patient that was panting for air. I couldn't save this other patient too
I lost 2 of my patients on that dreadful night😭I was so confused and helpless.
I didn't start writing report until around 7am when I am supposed to be handing over the shift. I was tired and exhausted. And I ended up closing that shift at 1Oam.
____________________________
That day I learnt that, no matter all we do to save a patient life. What will be will surely be and that God has the final say, He alone can give and take life...

Then I look at one of the bereaved son and this quote by Arthur Golden  flash my mind-

"Grief is a most peculiar thing; we're so helpless in the face of it. It's like a window that will simply open of its own accord. The room grow cold but we can do nothing but shiver. But it open a little less each time, and a little less; and one day we wonder what has become if it"

Also read: Bullying and harassment in nursing
_______________________________
What really helped me that night was  staying positive through out the shift and this helped a lot in achieving greater job satisfaction even though I end up losing patients , I know I have try my best.


#TheCovidNurse #TheNurse

Wednesday, 27 October 2021

HIV + And Immune Boosters

Boosting the immune system is not that easy. None of the so-called ‘immune boosters’ that you see advertised in our country have been proven to help people with HIV…the only thing they boost, is the bank accounts of the people who sell them.

Your immune system is highly complex. It consists of thousands of different cells and enzymes that interact in many complicated ways. Along with the brain, the immune system is possibly the most complicated system that exists. This is one of the reasons why it is extremely difficult to find a way to boost it. The best natural and God-given way to boost your immune system is to wash your hand evertime you eat anything, avoid eating spoilt food, having unprotected sex, avoid breathing droplets that someone has coughed out, and I dare say; avoid kissing anyhow. Germs can enter your body according to the kind microbes they are and through means I stated above. Once a germ is inside your body, your immune system goes to to war against it. You need cells known as phagocytes to attack these germs and destroy them using a number of bodily chemical weapons….and no amount of ‘immune boosters’ can do this job. It is your natural immune system and it alone that can figure out these germs and protect you against them by producing antibodies to fight them. One kind of cell involved in making all this work is a T lymphocyte (T-cell). Some of these T cells have a receptor called a CD4. CD4 cells in your body are produced naturally by your immune system…not the ‘immune boosters’.


When your CD4 is low…all you need is an ARV regimen coupled with protected sex, washing of your hands before eating, avoiding eating spoilt food and kissing…in that way you immune system can be assisted in naturally producing more CD4s to fight germs in your body and thus stay healthy…not the ‘immune boosters’…There is no scientific evidence that ‘immune boosters’ boost the immune system.

Tuesday, 26 October 2021

Determined To Give More.

I lost my mum about 15 yrs ago.
I was in form 1, in certain precious Mixed Day School, Nyambare Mixed Secondary School

I blamed God and asked why He took her.

I promised to build her a house and buy her a beautiful car when I got a job 🚗😍

She left before I could do these.

God took Majuma and saved her more years of headaches, agony and suffering.


When I was done crying, I took time to think and ruminate about everything she has been to us and done for us.
Majuma & Her son (Otieno)

Also read : Grace


She lived a life of IMPACT.
She wanted His son to be doctor (off course Nyar Pedha didn't know the difference between a doctor and A Nurse) and tried a few times to make sure Baba Majuma (am talking of the son of Majuma 😂😂 I named my daughter after my Beautiful Mum)


God got her to work and serve the community as a casual, preparing for people Shambas (Orak) to make sure ni nyithinde ochiemo To odhi eskul.


She served them all faithfully and didn't entertain nonsense. (Majuma ne kwinya). Her relationship with all people earned her respect.


She impacted lives for Jesus and preached the gospel of peace 

Immediately after her death there was alot of dramas that happened (This a long story for my next write up)

I had given up with life, I knew I won't go to school. The prayers she used to do helped us. Nafoyo loved God and staunch Injili Takatifu Church Member, I guess she could  now be a layleader when she was still alive.

Upon her death I discovered how much she truly impacted her generation.

Now I asked myself, Oduor Otieno how will you fit into these shoes?

Majuma junior

She left great footprints in the sand of time...unforgettable impact was made.


As a registered nurse, I am now more determined than ever, to touch lives and use my knowledge and influence to:

Majuma junior & Her mum


✈️Nurse patients back to health, educating them at the bedside and taking this education to the social media too.
I know many people are sick but will rather stay at home and scroll over posts on social media than surrender to the healthcare system.


✈️Get people reconciled back to God or help them find Him.


✈️Mentor and coach more nurses and show them how to live a more amazing and extraordinary life.


✈️Coach and educate more pregnant women ...giving without holding back.


Dear Professional,
Dear Honourable Nurse,
Dear business person(s),
Dear Social media user

It's not about the length of your life or the number of years you stayed around on surface earth.


It's about the level of impact you have made and how many lives you have positively transformed.

Make a firm decision today to give all your energy into working to make someone's live better.

Today i decided to have 1 minute of silent from 5.00am remembering and giving respect to Josephine Majuma.

It's Normal, I Do It Ones Year.

And yes!
The Nurse is Okay and better


Saturday, 23 October 2021

Importance Of Starting Early Antenatal Clinic in Relation To Prevention of Mother To Child Transmission

……… I had just finished with the first patient of the day: A man and his wife who had just started on ARVs. I gave them a 2 week course and asked them to come after the two weeks.. The next patient was a beautiful bubbly 8 year old girl brought in by her uncle. She was all smiles and extended her hand to greet me .

 I went on to fill her prescription as I was chatting with her on how she takes her medication. I was actually impressed because she not only knew the number of pills to take but also the exact time to take the medication. Apart from the normal ARVs and Septrin  she was to be put on Isoniazid preventive therapy(Used to prevent TB) .. I remember packing her a bag full of drugs to last her 1 month. All this while she looked at me.. Quite keenly then out of nowhere she asked ‘daktari sasa nikimaliza hizi dawa zote si nitakuwa nimepona na sitarudi kuzikunywa tena?’. I froze for a second… Multiple questions crisscrossed my mind.. ‘she does not know her disease? How do I tell this sweet baby that she will take these drugs for as long as she lives?How do I look into those hope filled beautiful eyes and tell her the truth? Will she even understand? My eyes filled up with tears and before they could drop, I mumbled to my colleague’ Aloli kuja umalizie hapa siskii vizuri ‘… I ran out and cried my heart out in the washroom.. When I regained my composure and went back, Nyaramba (Not her real name) had already left. Her innocent face has since not left my mind..

Today, I want to talk to you… Yes, you who may be HIV positive or negative. You who refuses to go to the HIV tests to know your status. The pregnant lady who refuses to go for antenatal and ends up getting a baby who is HIV positive. I want to talk to the spouses, girlfriends or lovers who refuse to get tested.. Who spread the virus knowingly or unknowingly. Do you sometimes sit and think of the consequences of your actions? Do you know how hard it is to explain to a child that they inherited HIV from their parents?

Get Started Today. Let’s all prevent Mother To Child  Infections. The early The Better. 

DISUNITY IN NURSING…… THE WAY OUT….

Since the time Nursing as a profession came into existence, has there been any problems arising from it…..?
If there was, what led to it…. And has Anyone drafted any solution so Far?

If the answer is No, then Why is Nursing in Kenya different from Nursing in other countries?

A beautiful profession from its origin, why should it crumble in front of the people needing its help….?

A profession that embraces all Races from different regions, different ethnicities…. Different religions…..



A profession with simple goal and target!!!…. Why should it babies die of Misunderstanding???……

As an Hindu, christian,muslim, budhist, atheist… And others, should our priority be about our religion,wants,desires, targets or about the calling of Nursing which is to save life…..?

We laugh and hug in public and plot against each other when we retire to our ethno-religious enclaves,”

Once in a while, this mistrust finds grotesque expression among our people as we witness bloodbaths premeditated by ethno-religious contempt for each other.

Should this be the reason for coming to Nursing? This beautiful profession?

development is low in almost all parts and Tributaries of Nursing and there appears to be nothing to be proud of in almost all spheres aside cases of personal achievements of resilient colleagues.

Basic essential needs were lacking, while Issues that other professions had long taken care of were still hard for Nursing especially in Kenya ……

Also read: The Nurse

Nursing still ranks poor in many development indices while the menace of corruption is threatening to choke the profession to death due to the excessive Mismanagement and uncare attitude towards our available resources by some handlers of our affairs,

Clearly, our challenges of professionhood are linked to the inadequacies of some of our leaders at all levels. Yet, another compelling argument explaining our developmental backwardness is failure by Members to take ownership of their profession….
Also read : Nurses Investment

Because The director of Nursing service said it, I don’t care, I must follow it…… While doing this, other members have another say. No one wants to listen, and no one wants to take advice from each Parties.

Right from student days, Nurses have internal issues amongst themselves and when solutions are brought to the table, you will all notice that, it is not always to make peace but to claim seniority or claim the right of Being in the profession before the accused.

You met me in this profession and as such I am better off than you,
You can’t teach me what I know……

When did you finish from Nursing School.
Even if what the colleagues is saying is right……..

Looking through all this you will gladly agree with me that *One of the major problems bringing disunity amongst Nurses is Bad Leadership*

While other countries are afflicted by natural disasters, Kenya’s own disaster is leadership failure, noting that the metaphor might be exaggerated, yet it is certainly not too far from the truth.

We have burned out decades of self-rule moving in circles from one problem to the other, often caused by poor leadership challenges,
We have sold ourselves so cheaply to other professions just because of misunderstanding and self interest

We have sold our prides to professions that should accord us with respect, humility and prestige….

All because of Disunity, we have neglected our main Purpose for being a Nurse!
We became slaves to those who suppose to worship Us behind our backs

It is Saddening,Disheartning and Exasperating …. That Nursing is weeping and there is absolutely no one with an handkerchief to wipe its tears ….

It is more painful that those who have the will and power to take it Far, refuse to listen to Listen to Its plea of repair

This leadership inadequacy has contributed in compounding a number of our problems, from widening the parochial divisions among the Members to active participation in plundering our patrimony. 

Leadership was key to whatever social change and civilization desired, while advocating a top-bottom approach to solving different problems.
It is only when a soil is good that it roots becomes firm, Its leaves become healthy through photosynthesis and Its fruits Beautiful and consumable

It is the leader that charts and navigates the way for the flock to follow and it is the leader’s action, inaction and body language that dictate the tunes for the dance steps of any profession…..

if a leader eschews corruption, it will be difficult for those below him to indulge in such practice; and if the leader is deep neck in it, it becomes a free-for-all.”

Therefore a solution from this end is that all leaders chosen must be sensible and full of wisdom to act rightly and judiciously

The leaders of this profession at every level and sectors renaissance must therefore be strong, tough, and inclusive in his or her own capacity

Another answer to the problem is to invest heavily in social justice; political justice; and in the promotion of a regime of freedom as broadly as possible.
Nurses must be free to make opinions and suggestions.
Both young and old Must be welcomed to the table to tender what they have

Also our leaders should celebrate shared experiences, connections and togetherness, which far outweigh the differences among the people, while resisting the influences of hate mongers who might be politicians or religious leaders.

This approach should include investment in law and order to ensure that there is zero tolerance for violence and hate speech.

Nursing have its own ethics.
But how many times have our leaders visited it and act on it?

On the other side, fairness and justice should not be only notional abstracts, it should be seen to be on display through every action of the state and our individual leaders…

The strengthening of schools and colleges of nursing with the university scheme as a way to building more bridges across nationalities and sustaining existing ones.
The demography in our universities and this colleges should also as much as possible reflect our ethno-cultural diversities,

 I am sad to note how our school, colleges and universities are becoming increasingly provincial in terms of students and teachers’ population, thereby ending up producing narrow-minded graduates.

It is therefore right to say that what the profession needs is honest and modern leadership that would be a rallying point for its members, one that can tame the consuming tides of corruption and evolve creative solutions to our myriad of problems.

It is my belief that firm and sincere leadership is the precursor for industrious and patriotic followership
Only by them can unity be pronounced and practiced…


This will enhance national development and bring an end to current mutual mistrust that is shaking the foundation of our profession

And to Note that
Before Unity would be achieved fully
These leaders have roles and steps to take

1. The orientation must change that Nurses are not slaves.
When has the leaders at council level visited schools, colleges, and universities to have a one on one talk with the Nursing students?

2. Leaders in Nursing should not be after making money for the organization but see to a high standard of duty discharge of its members and how they would progress

3. The Spirit of Sentiments should be flushed out of the profession
Or else Disunity will continue to thrive like a virus

4. There must be a salary structure that all health settings will hook up unto for all Nurses. Everyone should be entitled to a good and attractive salary

5. It’s should be mandated that all Nurses continue to upgrade, while full support is giving to them at all levels…..

Managing Nursing diversity in the context of justice and fairness is a pathway to progress. If we address these existential and leadership challenges, we are more than half-way into addressing all our problems……

Here I want to put a stop to the topic.
Hence, I hope a message is passed acrossed to us and I also hope that we are ready to bring a change to Nursing my calling and your Calling

Thank you for your time and be blessed

HEALTH BENEFITS OF PUMPKIN LEAVES

 [Telfaira occidentalis] - Susa, Malenge

Nutritional Content Of Pumpkin Leaves:

Potassium, Calcium, Folic acid, Iron, Vitamin E, Vitamin B6, Magnesium, Phosphorus, Thiamine, Niacin, Dietary fibres, Vitamin A, Vitamin C, Riboflavin, Copper, Manganese and Proteins

Also readWhat's Pre-Labour

1. Premenstrual Syndrome 
Many women suffer from premenstrual syndrome (PMS), which is manifest in mood swings, depression and irritability. Manganese, found in pumpkin leaf can be useful to reduce these monthly situations. Women who suffer from severe PMS symptoms are advised to consume manganese supplements as well as manganese rich foods. Pumpkin leaf is a good source for manganese.

2. Cures any testicular damage and also increase the spermatogenesis
This helps in increasing fertility and is a good news for people suffering from infertility!

3. Improves Eye Health
Vitamin A present in pumpkin leaves helps in preventing degeneration of some of the parts of the eye, which otherwise would degrade with age. 

3. Lowers Cholesterol
As there is a huge amount of fibre in these leaves, it reduces the absorption of bile acid and cholesterol, from the small intestines, thereby resulting in low levels of cholesterol and healthy heart!

4. Anti-Ageing
Makes you looking younger for longer!: Pumpkin leaf’s copper content is a powerful antioxidant used by the body to defend cell membranes from free radicals. Free radicals attack many organ systems causing premature aging of the skin (wrinkles, age spots), susceptibility to numerous types of cancer, macular degeneration, and kidney malfunctions. Having sufficient copper in your daily diet can keep you younger for longer.

5. Diabetes
Pumpkin leaves are known to have the hypoglycaemic effect which helps in reducing sugar levels in the blood, thus keeping diabetes under control!

6. Skin Benefits
Being a rich source of Vitamin C, which helps in healing wounds and forming scar tissues. It also helps in keeping bones and skin healthy.

7. Fights Against Cancer
Studies show that there is a direct relation between the intake of fibre and risk of cancer. This is because the foods containing the high amount of fibre are also rich in vitamins and minerals, all of which are required for preventing cancer. So, it is recommended that have these leaves through soups daily.

8. Keeps Your Bones Strong
It is very rich in calcium and phosphorus, therefore, it is recommended for children and mothers specially. It helps to keep the bones strong and healthy. Also, it helps in keeping away the deficiency of calcium, helping in the proper growth of teeth and bones.

9. Boosts Immune System
As it helps in increasing haemoglobin in blood and keeping your bones strong, they increase your immunity . This decreases the risk of getting affected by diseases, thereby keeping you healthy.

10. Protein Supplement
Keeping in mind the amount of protein it contains, it can be used for fulfilling your daily requirements of protein. This will keep you strong and healthy.

11. Helps In Digestion
As it has high fibre content, it helps you in improving your digestion and easy passage of faeces. As there is a large amount of fibre, the stools are large and soft, making the muscles contract and pass the faeces without any additional pressure. As your stomach is clean, your body will be detoxified as well.
So include pumpkin leaf in your regular diet to prevent constipation.

12. Prevents Infections
As it possesses anti-bacterial properties, consumption of these leaves on a regular basis will keep you away from bacterial infections that are very irritating to have.

13. Helps In Lactating
As it is a rich source of calcium, it is a popular choice for lactating mothers. It maintains the calcium levels to normal, helping in lactating properly.

14. Treats Anemia
These leaves are a rich source of iron, which helps in increasing oxygen content in blood and lungs, thereby increasing the haemoglobin in the blood. It is also rich in folate, which is very essential for the production of red blood cells. As red blood cells and haemoglobin increases, the disorder named anaemia vanishes.

15. Convulsion
It is very effective in preventing convulsions. 

How Are Pumpkin Leaves To Be Eaten?

Some people use it in soups, while some eat it raw as salads. Here are some simple recipes, so that you can make it tastier!

Recipe 1
Ingredients
1. Fresh pumpkin leaves
2. Olive oil
3. Salt
4. Garlic

Procedure
1. In a hot pan, put few drops of olive oil. Now, put pumpkin leaves and some salt in the pan and fry it for 5 minutes.
2. Keep moving the vegetables while frying. At the time of putting the cooked leaves into the dish, add some garlic to it for taste.
3. Serve hot to enjoy its taste!

Recipe 2
Ingredients
1. Fresh pumpkin leaves
2. Water-120 ml
3. Peanut powder- 1 cup
4. Chopped tomato-2 cups
5. Chopped onion-1 cup
6. Palm oil

Procedure
1. Clean the leaves and chop them. Put water, fresh leaves, tomato and onion in a saucepan and cover the pan till the leaves are wilted.
2. When it gets reduced to half, add peanut powder and 2 tablespoons of palm oil to the pan. Keep it on the simmer for 10 minutes.

#NurseOtieno #TheNurse