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Tenwek Hospital

Nephrology

tenwek-hospital-logo

Tenwek Vitals
361-bed Christian Mission Hospital
Hospital staff: 800+
Inpatients/year: 15,000+
Outpatients/year: 220,000+
Surgeries/year: 6,000
Births/year: approx. 3,000
Hospital-wide HMIS and radiology PACS system

Full-time missionary staff includes physicians in:
General and Orthopedic Surgery
Family Practice
Internal Medicine
Neurosurgery
Pediatrics
Pediatric Surgery
OB/GYN
Ophthalmology
Gastroenterology

These are exciting times for the practice of nephrology at Tenwek. The specialty is undergoing a major transition — from conservative management to the provision of dialysis as a hospital service. Building modifications are underway for a hemodialysis unit adjacent to the main hospital building. Fresinius has a presence in Kenya, and staff is being trained.  The standard of care is evolving, and you can be a part of it.

Kidneys fail in Africa for familiar reasons: hypertension, diabetes, nephrotic syndrome, and obstructive uropathy. Since the mission hospital lacks tertiary pathology services and Nairobi is inaccessible to many of our patients, the majority of stage 3 and 4 patients are managed without biopsy. A knowledge of statistics and discernment of the risk/benefit ratio are what we can offer our patients. Patients on high-dose steroids are followed in clinic. Urologic interventions are currently limited, and provided by general surgery. We see a significant amount of HIV-associated nephropathy, and are able to offer effective treatment for this as well.

Daily Responsibilities of a Visiting Nephrologist

As a nephrologist you are comfortable with the inpatient care of sick adult patients, and this will be the backbone of your service at Tenwek. Tenwek is a teaching hospital, and ward rounds with the Kenyan MO and CO trainees will be a daily opportunity to share your knowledge and multiply the impact of your skill as a clinician. Your interns will take first call and you can expect to provide night coverage as a consultant every third or fourth night during your visit. There is a sizable outpatient clinic in the afternoons, and your consultative skills will find application there as well.

Dialysis

There is already some outpatient dialysis in the community facilities around Tenwek. The Kenyan national health service does not currently fund the program to KDOQI standards of adequacy, but the availability of even limited treatment represents hope for end stage patients. The challenges are many. Most of the long-term hospital staff are generalists, skilled in the medicine of limited resources but unfamiliar with the unique problems of ESRD patients in the context of dialysis. Training and teaching represent a major opportunity. Too many patients have catheters, and surgical or interventional radiology support is needed. And only half of our patients have coverage under the national health service. How will we sort all of this out?  Proverbs 3:5-6. Trust in the Lord with all your heart….

Grow in Faith

In the States, we are taught not to impose our own value system on our patients. Too often this is accomplished through spiritual silence. At Tenwek you will hear the nursing service sing a hymn in the morning, you will pray at the bedside for the outcome of your patients, you will grow in your walk with the Lord.

Learn more about visiting Tenwek

    Medical Specialties
  • Diagnostic Radiology
  • Endoscopy-Gastroenterology
  • General Surgery
  • Nephrology
  • Neurosurgery
  • OB/GYN
  • Oral and Maxillofacial Surgery
  • Orthopedic Surgery
  • Otolaryngology (ENT)
  • Pediatrics
  • Physiotherapy
  • Special Needs Clinic

Nephrology Champion

 

 

 

 

 

B. Paul Quinn, M.D.
red.n.bitty@gmail.com

If you would like to make a financial gift to help in the development of the Nephrology program at Tenwek, please use the button below to open a secure online form.

Donate with Credit Card or Bank Draft

TO SEND A GIFT BY CHECK:
Please make checks payable to Friends of Tenwek Inc. and designate “Renal/Oncology" in the memo line.
Friends of Tenwek Inc.
1132 Greenbridge Drive
Matthews, NC 28105

Donate with PayPal
Join Our Mailing List

Friends of Tenwek Inc.

1132 Greenbridge Drive
Matthews, NC 28105

info@friendsoftenwek.org
(704) 491-4297

Friends of Tenwek is accredited by the Evangelical Council for Financial Accountability.

Tenwek Hospital Mission

tenwek-hospital-logoTenwek Hospital is a Christian community committed to excellence in compassionate healthcare, spiritual ministry, and training for service to the glory of God.

Friends of Tenwek

Friends of Tenwek is an independent 501(c)(3) non-profit charitable organization. We are committed to advancing the mission of Tenwek Hospital by fostering communication among U.S. physicians who have served at Tenwek and by soliciting tax-deductible donations in support of Tenwek’s medical, spiritual, and educational objectives. All gifts are tax deductible up to the limits of the law. Federal Tax ID #: 45-4817136.

Designation of Gifts

Friends of Tenwek Inc. (FOT) sets meaningful and achievable fundraising goals in support of Tenwek Hospital. When the gifts received for a designated project or program exceed the identified need or fall so short that the project cannot be fulfilled, the FOT Board of Directors will use its discretion to redirect the funds to another, similar area of need at Tenwek Hospital.

 

© 2022 Friends of Tenwek
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