Posted in Relevant, Thumbs Up

Its all Dental: The Formula is working


Sam fan Thomas the Cameronian marooner musically speaking belted some wonderful tunes. In one of his Makossa style songs he praises one with a wonderful smile. In my own Luhya opinion, a beautiful smile has to preview a wonderful set of teeth. The lips unveil them just a bit to invite a welcome, invoke appreciation or a courteous beckon even a fitting acknowledgement. Samba Mapangala of the Loketo fame was more direct in his “vunja mifupa kama meno bado iko” song. In his overture he intends that life has to be enjoyed. To him this can be done when one has strong set of teeth and appetite. This then follows that teeth are important for our existence as we have to chew food and life at the same time. I know poetically speaking having teeth could also mean being strong, brave and bullish. I dare add that when one has a strong set of teeth their confidence could be more than average.

My dental check up visits over the years have been few and far apart. Doctor Ojwang’s stern face and loud commanding voice could not allow many to enjoy a visit to his clinic in Dandora phase three. The pale look of his patients in those cold white wooden benches did not offer any encouragement either. The screams of grown men sent chilling shudders in one’s spine. You see in late eighties, health technology in our country was basic. Anaesthesia was not as potent and you could hear Dr. Ojwang commanding his patients “kaa ngumu nani!” this would then follow with “fungua mdomo vizuri! Susan shika hiyo mikono yake sawa sawa” this would be followed by loud helpless screams. I tell you many patients ran out and others instantly realized their toothaches could wait. To make matters worse the nurse would give you salty water to gaggle then add some to the affected area before padding it with cotton wool for you to bite hard for thirty minutes. The instruction would be given in a firm voice. You can imagine the sour faces in the waiting area that met you when you visited. You could not dare leave until they affirmed that the bleeding had stopped.

From this experience I willingly obliged whenever a loose tooth needed to be pulled out at home. I even became my own dentist to avoid my mum’s firm grip and her swift pulling out technique. She had this family health and hygiene book that had illustrations and was an easy read. She would religiously read it just like her bible. She would then become a doctor and nurse upon our return from school. She would check our noses, tongue, hands, skin, teeth and even our scalp with magnifying precision. When she would find fight bruises, we would be disciplined for them then the hot water massage would ensue.

The pain of a toothache reverberates through the entire body starting with the head thus cannot be ignored. Many people try home remedies and self-medicate as they fancy not a visit to the dentist. The agony of such visits is not only excruciating physically but does drain the pocket too. Unlike days gone, many dentist clinics are now parlors. You will be offered strong pain killers, choose your read from well stacked magazines, journals and the like. There is an offer of water, tea, coffee, cake even a mint for fresh breath. Many a procedure will require an x-ray of your teeth, strong anaesthesia and delicate expensive treatment. The dentist chairs are not hard and plain but cushy and comfy. They offer light blocking goggles, mouth braces and a soothing mouth wash not salty water after.

I like today’s dentist clinics they leave no trauma in children. Paediatric dentists have become creative and offer smiley faces, balloons and toys to kids and thus make it easy for them to consult on them. Whereas the extras come at a cost and make the visits longer than should be but they are worth it in the long run.

This is year has brought so many changes to our lives that the normal dental checkup was not a priority. Until I felt a pain that home remedies could not cure. Overtime I have come to know chewing mint leaves relieves pain, cinnamon powder alleviates tooth decay and we may have all tried the charcoal with bicarbonate whitening trick. This particular tooth discomfort was not responding to my regiment of home remedies. It was stubborn not so painful but it was there. I did not want to go to a dentist clinic and take literally the whole day so I started making inquiries. With the corona pandemic it would be foolish to want to hang around a health facility for long. I wanted a place that would take the shortest time possible.

My inquiries led me to Taiba Dental Unit. The person who referred them to me mentioned how this facility has lean processes that lead to an efficient turn-around. I made my way to their clinic next to  Parkroad Mosque around about 8 am last Friday the 7th of August 2020. The four flight of stairs led me to their second floor abode. I was welcomed with an airy waiting bay and an impressive short queue. I quickly registered with the nurse at the reception. She gave me a card and advised to wait for my call. In under ten minutes I was called, my vitals were taken as per policy and Dr. Mahbubur diagnosed me from my explanation as he checked the pain area. I was ushered back to the waiting bay and told that the nurse would guide me. Within five minutes the nurse called and told me to pay for the expected service and no sooner had I paid than my name was called by another nurse. She did take me to the last cubicle of the dual row of four. As I sat on the cushy and comfy dentist chair similar to the one I sat on when they were checking me out, Dr. Dan introduced himself and explained what he was going to do. He explained that I had an attrition on the fourth upper tooth on my right jaw. Seems I have been going hard against the grain instead of the circular motion required. Pardon me as I ascribe to the “muosho mmoja na sugua kabisa” clean adherents.

He commended me on the clean teeth as he advised on using the right technique to brush. He noted that the attrition from my tooth was as a result of hard brushing sequence. The filling he performed took less than five minutes. He then quickly bid me goodbye and I had to leave even though I would have loved to engage him a little more. Taiba Dental Clinic have perfected the art of lean processes and thus achieved efficiency. I have never had a shorter more affordable dental checkup and treatment before. I counted slightly over twenty people that had been served in the short time that I was in the clinic. All within forty minutes – I was on my way back home, treated and affordably so!

Kudos to Dr. Mahbubur Khan and his entire team for making dental health care swift and within reach of the community they serve. Enjoy life and chew every good acceptable right thing but first work on having strong teeth. Start today to care for your teeth and general oral health.


Picture courtesy of

Posted in Challenges, Need Intervention, Technology

Memory Refresh: Solving Nairobi Traffic

Good Morning Your Excellency Governor Mike Mbuvi Sonko,

We are grateful that you have lifted the ban. I am sure your intentions for signing the bill into law was informed by the need to make Nairobi a great, clean and traffic fluid city. I hope you remember the days of Kenya Bus Services. In your deliberations with other stakeholders, you could consider those long routes that used to cut across our city. You can also consider having a time based traffic management policy for the routes.

KBS 34

Here is what I mean. We had no 52 – that would start from Dandora and go all the way to Ngong, We had no 42a&b that would start in Dandora into town via Juja Road then proceed to Ayany. There were many other like no 17b that would start from Kasarani bia Kayole and terminate in Karen etc. remember our Governor that they all had a time schedule with a bus leaving every 5 to 10mins. And the stage stops were also controlled between 2 to 5mins.

If this were to be implemented to cut across Kiambu, Kajiado, Machakos and other neighbouring counties your Excellency – we will create more opportunities for traffic marshals to enforce time schedules – equip each sub-county terminus as we have done for the bus station in town (all terminus areas will have more business opportunities as spurred by human traffic) We will also create inspector jobs within the saccos which can be in shifts and covering every three to five stages to check tickets, seat beats,bus cleanliness, passenger manifest etc. Since the routes will be longer drivers and conductors will have shifts thus the need to have more of them.

Related image

This can be piloted with bus coaches that can carry more than 30 passengers to be effective and can slowly be accelerated into the BRT strategy so that higher passenger capacity buses are deployed to ply the routes. You will have helped traders and children who criss cross the city for trade and education. This will enhance traffic efficiency, spur an almost 24hour bus transit business thus boost the economy, will be easy to enforce safety for passengers and all citizens. I trust this among other considerations will help ease traffic within the city. #keeptrusting

Regards, Lunani Joseph

Lunani Joseph

Acknowledgement: KBS#34 Picture is from Webpage and the NEoplan 122 Seater Bus is from webpage.

Posted in Challenges, Need Intervention

No folly without a dolly

Historical studies almost prove that there is nothing new to this world. Yes, there is advancement in many areas around the human race but our actions more often than not follow patterns of yester years. Archaelogical studies confirm written history on religion, arts and science. I therefore hold as true what the writer of Ecclesiastes states that everything under the earth has been there before. Probably differing in form or spirit but bound together in many similarities.

This stamped authority to our forefathers warnings, admonitions, philosophy and proverbs. We need hind sight and insights from the past to chart better our course in the present and the future. Each one of us requires a compass and what better way than a North to refer to. Our north in socio-political, medical, technology, the arts and whatever else should always remain true.

It is possible many of us go on with our daily lives not knowing what our true north is. In the literal form this could be our principles, value system and reference virtues. Just like the geographical north, we require unchanging, tested and proven foundations to back our reference virtues.

Our clamour to understand the past then is justified and explains the millions spent in research of history in all our unique subjects. There has never been a time so crucial in the history of Kenya as a country as now. We need more understanding in how this country was founded. The intrigues behind the scenes pre-colonial, colonial and post colonial times. A critical look at how we lived as communities, how we governed ourselves before the “visitors” came and how we changed. For the “visitors” to have found virgin land then in a paradox found indigenous workers to staff and operationalise development in their knowledge is a good joke.

Far from the antics of the “visitors” to disorient and re-programme communities that were assumed primitive and savage living; Kenya is now a country bound by marked borders, disputed islands, one governance structure and a constitution assimilated at independence, amended over time and reviewed in the recent past. The drama in between this metamorphosis is still scarcely documented and we have side stories that we all enjoy to hear. Some laden with so much exaggeration, half truths and fictional effects that can rival Oscar awarded pieces.

Documented or not these stories are being told and sadly shape many minds into mediocrity, nepotism, tribalism and birth corruption seeds. “Wale walituibia; sisi tumenyanyaswa; kila mtu anajitetea ; mtu wetu ndio tunataka;” among other pseudo community phrases are free radio words in our present society. We may fault the government but its folly is a tapestry of our communal thoughts and actions. We  feed its engines with “our people” who in turn have ” their people”, who form inner circles for “their bidding” then we collectively expect to be “in benefit”. When names are thrown in the thresh-floor of appointing ears, we fall over ourselves in prediction spins and even the dramatic rumour milling to fervent prayer including professional lobbying.

We now have a “handshake” brokered peace among two debatable  kingpins of two factions of the country. Surprisingly none of them has complete authority over the said factions. This is evidenced in the JKIA runaway drama. It is good fodder for media houses and political banter but shamefully it is the undoing of Kenya. Behind the scenes we have disconnected and disenfranchised handlers of the dolly and thus the folly.

May peace prevail, may rights be honoured, may our governance be in harmony, may our peoples behave and may we see Kenya rise. God bless Kenya!


Posted in Challenges, Need Intervention, Thumbs Up

Westgate Tragedy:Our Salute

We have all definitely been affected in one way or another.

We take this opportunity to salute the loved ones we have lost in our midst. We also want to thank you for your goodwill, support of any kind, blood donation as well as monetary contributions towards the tragedy. We acknowledge God’s favor that none of our staff was hurt and many hostages came alive thank to the efforts of Kenya’s Disciplined Forces and brave civilians.

We as Insynque Solutions Limited extend our humble comfort to your organization, staff, clients , family, relatives, acquaintances and friends that were lost or injured in the tragedy. May our God Lord through Christ come through for you in everyway.

Warm Regards,

Joseph Lunani

Managing Director|INSYNQUE SOLUTIONS LIMITED| Kims Court Suite 4, Theta Lane, Off Lenana Road|

P. O. Box 100763 – 00101, Nairobi| Tel:+254-20-2318281|

Posted in Challenges, Need Intervention, Thumbs Up

Arrest Cancer in time-visit your Doc regularly


On Sunday, 5th February, 2012 afternoon at about 4.00 p.m, I was resting with my family at home. I started feeling some discomfort around my stomach and a general body malaise. I also felt weak and so dehydrated. After a while, I decided to call a doctor friend who accepted my request and came home so I could share with him my experience. Fortunately, after a short examination, he established that I was very sick and there was urgent need to see a doctor on the same day i.e. 5th February 2012.

What warranted the doctor friend to recommend that I need to visit a doctor, was informed by the oral observation that:

(a) the swelling across my stomach was abnormal;

(b) the level of dehydration

(c) pale eyes; and

(d) the general body malaise.

These were purely drawn from oral observation and a few interrogations. Observations further showed general lack of appetite, in the lower parts of the lungs, stomach and swollen lymph nodes along both sides of the neck. These were of major concerns to the friend doctor.

On the basis of these, we did indeed visit Nairobi Hospital and after doing the normal procedure, I was admitted. Indeed the lead doctor observed no variations between the friend doctor and what he found. Consequently, three distinct lines of action were identified for execution the same evening.

First, I was put on IV drip immediately and eventually consumed 15 bottles to regain my water level and kidney functions to manage the high dehydration. The second action was to mobilise a team of doctors to support the process to run special lines of tests relevant to their areas as identified by the lead doctor. This was key due to support needed in these circumstances. Third action was to run a series of diagnostics tests on 6th February, 2012.

Therefore, I dedicated 24 hours for this essential service which covered a chest X-ray, lower abdomen scan; Biopsy of the neck gland; the endoscopy; bone marrow test and others including a series of blood tests.

These three actions were executed simultaneously on the 6th, 7th and 8th February, 2012. In the evening of 8th February 2012, and indeed in a total of 24 hours of going through the tests, all tests were done/completed except the biopsy and bone marrow. With most diagnostic tests ready on the 8th February 2012, the doctors concluded that action required to be taken.

Perhaps when public doctors go on strike and demand for better services, they have a point to make. A look at our public hospitals and we should appreciate that much has been done, but the ongoing tension in the public sector, points to the fact that we must sort out the sector. They need laboratory technicians with tools of work, nurses with facilities to perform: this may have not been achieved with some degree of efficiency but with commitment and dedication to the Bill of Rights in the Constitution, these are commitments we have made and should assure the public that we are duty bound to address them with resource limitations.

Back to the diagnostic story, it emerged that they captured similar tests on the allergy and more. On 8th February, treatment started after counseling and necessary consultations concluded between the family and the doctors. The result of the tests revealed that I had “Hodgkin Limforma” an early stage of cancer.

At this stage, expecting to hear more results on “allergy”, and hearing this, I gave Dr. Nyikal a straight look into his eyes without a question – but inside, I was like, “you brought me here to be told that I have cancer?” Quickly, he understood the unstated question but the deep look and his reply was “David, It is manageable”. Indeed he clarified that given all forms of cancer, I will comfortably choose “Hogkin Limforma” because it is manageable and it can be treated. Then I got a sigh of relief. I also learnt that there are several stages of cancer, and we can live with any stage but each must be timely identified, diagnosed and managed.

This is why Kenya needs cancer facilities like yesterday. I challenge our Parliament, the Treasury and Revenue Allocation Committee to view this as a priority for every county if possible or a group of counties clustered together. Between 5th February and 5th March, 2012 the Doctor did not only succeed to run a set of critical diagnostics, but they also did a set of four chemotherapy successfully and the most challenging was the fact that I had to go through chemotherapy treatment when I had not known before and secondly to accept the word “cancer” in my life.
In life, there are several stages of cancer, there are many patients at different stages and can have lived with the disease for many years.

But what is the moral of this story? First many of us do not accept our disease condition, so we live in denial and do not seek medical attention in good time. At times, the access to medical services may simply not be available especially the public Medicare. But even when we do, the diagnostics may not be in time leading to inaccurate or suboptimal results with suboptimal treatment.

This does not help the patient, and the disease may advance, become complex and lead to early death. Many cases of cancer, diabetes etc fall in this category many of which we are victims. Alternatively, the diagnostics may just be narrow and is not broadened enough to capture other potential ailments that need to be captured in the diagnostics – here treatment becomes impossible.

Finally diagnostics can be accurate, broad, including oral and laboratory, the right team and materials and equipment, and hence possibility of accuracy is high thus timely, leading to the accurate treatment and prolongation of life.
When I became ill and got hospitalized in Nairobi Hospital between 5th February and 5th March 2012, little did I know that this would be my experience. I truly learnt that when in doubt of your disease, counseling helps. In the case of the latter, I have learnt that diseases can be identified, diagnosed and treated.

I was also able to meet more than 10 patients of “Hodgkin Limforma” and other forms of advanced cancer who came to give me support in various forms. These people were a major source of inspiration and energy in addition to the doctors. In this context, I thank Prof. Peter Nyong’o, Prof. Ntiba, Mrs. Mary Onyango and Jerry Okungu, at least the few that permitted me to share their own experiences. These people are going about their business as usual but most important they advocate on awareness on cancer. They need all the support and that is why I add my voice to the process.

I advise that it is critical to seek medical attention at the earliest opportunity. Avoid fear to overcome the challenge and move on. Above all, have faith, determination and believe that fear is not meant to stop you from moving on but to enable reorganise your strategies.

I highly congratulate the following team at Nairobi Hospital; Dr. Elly Ogutu; Dr. James Nyikal; Surgeon Baraza; All the Angels (Nurses) and the overall staff.

I wish in a special way to thank the following for their inspirational support and encouragement during the process:
i. Dr. James Nyikal;
ii. Dr. Kioko – Kidney Specialist;
iii. Dr. Elly Ogutu;
iv. Prof. Habinya;
v. Dr. Gikonyo;
vi. Dr./Surgeon/pathologist Baraza;
vii. Dr. Minus (Anesthetist);
viii. Dr. Suni, and;
ix. Bone Marrow Specialist

The 15 Nurses under their Matron and the continuous improvement teams also deserve special mention.
Finally, it was amazing to be always woken up at 4.00 p.m. by laboratory technicians drawing blood for tests to monitor how I was doing medically and clinically.

In addition, I give special thanks to my colleagues for the moral support, wise counseling, spiritual support and material assistance. Finally, was the powerful spiritual network driven by network of faithful friends that unleashed a new life of hope in me. If you have gone through an experience in life, like the biblical Job (Ayub), and you have nothing to share with others, then you learnt nothing. I learnt something special and I have chosen to share it.

(Mr Nalo is the Permanent Secretary in the Ministry of East African Community)

Posted in Challenges, Need Intervention, Technology

Be the best Example

How peaceful one can be allowing cars to join or cross in front of them, following this gentleman was frustrating since we were late but learnt alot. A big up to all the guys who give way when you indicate, allow you to go in first and are at peace driving while well mannered at the same time.
The excuse of being late then driving badly has to stop!

I have seen how embarrassed guys get when they are caught on the wrong by the police or even stupid bumper/scratch accidents. Many ladies are drive well. Though there is a cropping number of them that try to outdo the many who drive badly. Smooth driving saves all of us the pain of being stuck in traffic for long. We flow with ease and save ourselves the trouble of police fines or temptation of bribing the cops who then sin with us. That infuriates God you know.

The most worrying thing is when school buses are driven badly or parents doing it with their kids on board. They run the risk of getting into nasty accidents but more worrying is that our children get to pick the bad habits. In the next few years they will be masters of the driving badly school!

I resolve to be more kind to other motorists & road users!I resolve to be courteous on the road, be early for meetings, joyful & at peace while in traffic. God is watching, people are witnessing and we know good rewards follow those who pursue to be good in the Lord. Whether in the day or night!