2 years ago –

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Exactly 2yrs ago, my dear mom passed away.


She remains a woman of influence in my life, and I remain a son in awe. This year, i have had several recollections of her, have imagined her in the midst of everything that is happening in my life now, and I keep wondering what her reaction would be – that is to the news. Her reaction to non-news items is typically predictable – love people, honor family, work hard, and don’t stop!

Today, my mood is sombre, my heart is warm, because as i think about that morning, there is one other thing that i realise is typical of her – pray! We prayed, a simple prayer, as we delivered breakfast on that Sunday Morning. The hospital corridor was eerie, atleast in Uganda’s National Referral Hospital. Chilly, as this morning. She had slept well, only with a minor problem. When we arrived, Auntie Justine had helped her freshen up, and she could sit. She was impressed that we were early, and that we’d cooked.

Before the sun peeked thru, she asked, ”Lets Pray!”

You see prayer we sometimes take for granted, sometimes we say it rushed, other times, its rhetoric, almost always, we recite it. And to an extent, that’s what i did. But i did ask God for healing. For Her. 4hrs later, she breathed her last.

I keep wondering, if she was here what would she do with my circumstances right now? How would she react to the things we have done since she’s been away? Would she be happy with the way we have treated each other? Would she be happy with the new opportunities around us? What would she be up to? How would her own life have changed?

That’s when i remember, what she always did consistently – love people, honor family, work hard and pray! This year, that is what am going to do.

A father gives, a mother gives even more…

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When I was younger, it never quite registered in my head that I had lost my dad. My problems were simpler, a big brother bully, a kid brother envy, I must admit, I was as lost as most middle children.

In high school, it started to hit me – what if my father had been alive. Would I go the same schools? Would we live in the neighborhoods we did? My earlier problems had not gone away – they never do when you are 3, all boys! But now I had fresher problems, girls, among others.

My mother used to share the story, of how she defied her brothers, to raise her children in Kivulu, which for as long as I can remember, retains this slum aura about it. And that was the story of our wanderings. Funny then to find that when we needed to leave BatValley to go visit mum at work in Makerere, and as kids, the only safe place to pass was…Kivulu!

In Makerere she worked hard and long, toiled for as long as I can remember, going from the Main Printery, Medical School to that almost damned Main Library basement called the Bindery. When I look back, she must have worked in and around Makerere since I was in P5, just shy of 2 decades.

My father? Long gone. My memories of him are simple, Bata and Hotel Equatoria. Ofcourse how could I forget my brothers – they are stark ever-present reminders of his presence. When I look at either, I have to wonder, who was closest to him, in demeanor, character, and even in looks. Ok, about looks, neither, I beat them – and that’s hands down. But seriously, my brothers are the most important anything my father ever left. We’ve fought, shouted, deserted, and came right back. We cook, clean and can shop un-aided. We dig, farm and work our hands off. We never give up, certainly not on eachother, we never have and we never will. Yes, Period!

This is mostly because of our mother, my mother! She was unique, inspirational, a hard worker and a talented problem solver. If you think I like white for sakes, ask her, she dared me to prove I was cleaner, while in boarding school. Have never looked back, I never will.

You see for close to 20 years, my mom reared chicken, visited Texas, made paper bags, suffered a broken leg, twice, gained 2 daughters-in-law, collected news papers, lost a father, gained 3 granddaughters, farmed in Masaka, slept in a military cell, raised 3 boys and graduated 2 of them, served in Local Council, picked fish from Kalangala, held down a job, even led a department!

She gave everything she had for the sake of us all, yes, outlaws, sisters, brothers, our cousins, you name it all – her hands were ever wide open. Now, almost 20 months in the grave, she still gives… this week Chris and I received a gift from our mother, made possible by our Father!

…now if you think this was about my mother, and father, its because you don’t know that I have a Father in Heaven!


When life (almost) cost 12000 UGX

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I put this off for a long time, Chris is since well recovered, but i think it needs to go on the record. My apologies if you have read/heard this story before. The exact time frame for this blog was about June of this year

We call it helter skelter – when you shake up a bee hive or throw a snake in a room, or have a patient roll their eyes as they struggle for their last breath. Some are premeditated, but others are purely a result of sheer negligence, bordering on incompetence. This was the scene at Nsambya Hospital’s St. Gonzaga ward – as 25yr old chris mpanga suddenly suffered a bout of piercing pain in his chest.

He is admitted for the 3rd time this year, second time in this ward, no wonder a few of the nurses call him by name. This particular day, might be the last to say his name.

Chris suffered a fracture in his femur, after a boda boda RTA (Road Traffic Accident). 2 months later, he is making progress on the fracture, and has mastered the use of clutches. But this is not why Chris is re-admitted. Chris is just over 100Kg in body weight, and for the whole first month of recovery from the accident he will be at risk of Pulmonary Embolism – a condition where blood clots develop in the blood vessels, and if not treated, could end up flowing into the heart and/or lungs.

As healthy as he looks, his “silent killer” condition could result in sudden death.

Pulmonary Embolism is feared in almost all cases of RTAs where there is a significant amount of bleeding (internal), and/or deep or large open wounds. It’s advisable that victims be placed on Clexane – or any drug that thins blood, just enough to disintegrate any clots. However, Clexane may not be administered without regular follow up – and as such, all patients under this treatment have to undergo a regular (as regular as every half hour, in extreme cases) INR test, which tells medical practitioners whether or not there is too much thinning happening to the blood, otherwise it (blood) would lose the ability to perform its normal functions. Too little Clexane, would not be effective against the clots, and as such a fatal embolism could find its way to the heart and lungs.

For Chris, his 3rd admission is a result of wrongly prescribed Clenaxe medication. Granted, he is over-weight for his height, but he has taken varying dosage of this medication, from as low as 40mg to as high as 120mg. With every admission, there is a sad realization, that he was “under-dosed the last time”.

The nurses attending to Chris are not allowed to have any say, until a doctor does, and sure indeed, the last 3 doctors have given varying conclusions on his state, one even signing for his discharge! Every re-admission has been preceded with sharp pains in the chest cavity, sustained pains with every deep breath, not to mention a Doppler test that confirmed 3 large clots in his left lower limb (had a deep open wound following the accident).

This time however, Chris cant get his INR test – a worth of 12,000 UGX- because he got re-admitted at short notice (death, as a result of PE doesn’t give much notice, does it?). To think that a nurse would idly sit by, with a patient on Clexane, but with no INR test for 3 hours, as she awaits a Doctor on ward rounds to tell her what to do – is, at the very least, disturbing. After making the nurse on duty see the folly in a re-admitted patient failing to get a regular observation test over a prepaid bill that is less than 10% what we paid the last time we got wrongly discharged, I asked her, what information the almighty Doctor would use when he finally arrived, other than the usual.

Ofcourse, we both responded with a cold rhetoric stare.

Whereas surgery for Chris was successful, and whereas subsequent tests were informing, its surprising to note that there was not enough follow up in terms of treatment given and neither was there adequate dosage of any follow up medications he might need.

Of course these symptoms were more visible when Chris was still Bed-ridden, but as he got better, and started to walk on clutches, and get more angles on his lower limb joints, he has gotten better. Its a very painful realization to think that had we not been vigilant on re-admitting him, Chris might not be here with us today. He simply refused to give up, as did so many people in the family, who decided to go against all odds, to make sure Chris would get the right attention whenever he needed it.

I wonder, what that nurse would have said, had Chris succumbed to PE – that she was waiting for the doctor’s instructions? Then what would the doctor say – that had not arrived for duty? What would the hospital say? That the family failed to raise 12000UGX? Really, for a patient re-admitted because he was, admittedly, wrongly discharged twice?

Chris is a dear brother to me, and we are thankful to his surgeon, Dr. Okello, who demonstrably went out of his way to give him a good chance at recovery. Chris is since fully recovered, even dropped his clutches, retains a slight limp in his step.