|Miss.Understood @Opiyow||26 Nov|
|If you can scream you already know 60% Karate.|
Last year we already posted about creating a bootable USB stick. In the last post we used WinImage to create the bootable USB stick to boot ESXi. Some time ago I found a tool which makes it much easier to create a bootable ESXi USB Stick. I am going to use UNetbootin to create bootable USB stick. You can download it here.
2. Select Diskimage and browse to the ESXi iso installer
3. Select your USB Drive and press oke
4. Click YES
5. Now you’re ready to start the ESXi installation.
Thank you for taking your time to read this…..
6 months post internship and I still suffer from insomnia. Mine is not a unique case, but one of every Kenyan doctor that has been in the system. I look back at the highlights of my long one year to remind me of how doctors and in general Kenyans must be so angry to do something about the situation.
I can’t quite decide if it is the night I performed 2 caesarian sections with the anesthetist shining the light from his Nokia phone because the generator did not function and the operation had started, or if it is the nights that I had to beg the anesthetist to come to work for life saving operations that brings back the nostalgia. Maybe it is the worse reality of recent events of doctors performing deliveries with no gloves, of young doctors dying of renal failure because they cannot afford dialysis or renal replacement therapy.
I wish to step back from the emotional laments, to look at a typical day for a doctor. The day begins in the morning, way before 7 am to prepare for the rounds, and continues to 5 pm. In general, there are on average 3 interns in properly staffed centers and occasionally 2 interns manning a ward. This means that you get to go on call on every alternate day. On a day you are on call, the day simply does not end. On a good day you may get some minutes to have some food and get back to clear the day’s work before night time. Beyond 5 pm, one is designated to attend to all patients through the night, with a higher burden in the surgical rotations that may require you to go to theatre though the night. The unfortunate thing is that for most of the night it is difficult to get the help of specialists in the few facilities that have them, but it is worse in areas where you cannot access the specialists. On the next morning there is no break, and you continue to work the day till 5pm in the evening to complete a 36 hour shift.
Kenyan, did you know when I can get 2 hours of sleep at night I sleep on a bench in the tea room or laundry?
I applaud the medical profession in utilizing social media in communicating our plight especially on the use of twitter and facebook as a tool of advocacy. The social media has been the tool for the Kenyan public too to lash back at the medical profession, notably one from Alice
Such comments do not offend me but make me angrier. For instance, does the Kenyan public know about the several instances this year when nights were raped this year in 2 district hospitals during night duty by some ‘patients’? Does the general Kenyan public know of the humble initiatives to try and offer free service to marginalized areas organized as health camps? I remember my first visit to Turkana as part of a health camp, and a lady with a chronic ulcer had to walk for 2 days so that she could make it to see the doctors. There are several young children with rheumatic heart disease that we took back with use to get more specialized care.
Due to the exposure to the TB cases in the wards, the medics carry a higher incidence of latent Tuberculosis, with several doctors on anti-Tuberculosis drugs. For a profession with no health cover, most of the doctors have at one point taken ARVs as part of post exposure prophylaxis and lack even a basic Hepatitis B immunization.
Did you know the last time you sent relief food I had to line up for some. All shops in my area of work are closed down and my money is worthless here.
Kenyan, the truth is there is no good working environment for medical practitioners. The system fails to provide basic equipment and even minimum staffing needs.
On a different view, we doctors are angry at you, the Kenyan patient. You must remember that we are not God or magicians or miracle workers. When you as a patient makes several visits from one local traditional healer to another and bring your poisoned child and lie about it, I will not work a miracle. I have no access to ICU services and I have not toxicology support to work up what the poison is. When all people in your village go blind and you continue to drink illegal alcohol, if you continue to consume the same brew you will go blind by the time you arrive in the hospital. I appreciate second opinions, but when you keep paying money to a quark that treats you for a “weak heart” and you stop your antihypertensive medications, you will get a stroke, and there is nothing I can do about that. Moreover, if you are pregnant, but decide to stay at home with no antenatal care because the last pregnancy was fine, remember hypertension is a leading killer and if you come with eclampsia you have a high likelihood of dying. Kenyan, when was the last time you had a pap smear or visited a wellness clinic?
Point is, it is time for change. We are not perfect, we are not asking for unreasonable terms. We are human, humbled to be in a nobel profession but with family and other responsibilities. We are asking for equal rights, an overtime that you the general Kenyan get in your work, some protection regarding the higher risk of the work and environment in which we work in.
We are asking you to be responsible for your health, and help us work better. Moreover we are asking for some piece of mind, and better health for us so that we can continue to serve you better.
We are sorry for the time you got less than optimal treatment in the system. I am sorry for the time I had to send you out to look for the IV cannulas for your dehydrated child to get any fluids. You may not believe this but there were none in the hospital. For the days you were frustrated because your anemic child did not get transfused, I called all hospitals and the blood bank. I obtained blood bags to allow several children to share one pint of blood because that’s all I could get. Kenyan, when was the last time you donated blood? Kenyan, I know you preferred that I rub your back through labour which I could not. I had 20 other patients in labour at that time. I know you were in pain; there are no pain medications for use in labour in our hospitals. I couldn’t rub your back, but I ran you to theatre when you had a prolapsed cord, or came in with a ruptured uterus, and saved your life.
Kenyan, please invest in your health. You do not allow my children to attend school with no unpaid fees. At the bank, I do not get free service. Yes, I use the ‘matatu’ and pay the hiked fares during the rainy season. In fact, at your place of work you clearly put up a notice saying “For credit, come tomorrow !”. I am simply extending the same courtesy to you. My services are not for free. Have you paid up for the NHIF insurance or any form of insurance? Do you even save for health costs? Why do you make your lack of planning my emergency? The last time you came to deliver, you did not bring any clothes for the baby. This year you did not bring baby clothes again! Please respect my work area as I respect your own.
The frustrated Kenyan doctor…
The Media Owners (Technically, most of them are media managers) and CCK are about to fight like two ladies at Kenyatta Market.
Their fight is centered on a communiqué that the CCK sent demanding that all operating broadcast houses should re-apply for their licenses by November 15. Thing is, when you re-apply FOR all the licenses you currently hold (even the un-used ones) you might LOSE! No one knows the criteria CCK is going to use to issue the new licenses.
In Kenya, most of the broadcast licenses were issued through corruption. That’s the reason politicians have their fat fingers in so many media houses. Look at RMS, the chap holds 9 radio stations. Those are hundreds of licenses since all the station are national. Not forgetting, there is a limit to the number of outlets you can own.
This is the reason radio in this country is losing its relevance. Instead of a media house concentrating on ONE brand, they’re fragmenting all over and as they try and fragment, they need new license and since politicians hold all the lucrative ones, they get into bed together. Like in the case of Homeboyz Radio, a former PS owns that frequency (The chap has shareholding (via proxy) in at least 6 radio stations) if the CCK decided to go through the paperwork, Homeboyz would lose its frequency, so would SK and half his stations. Radio Africa has three frequencies that belong to a very connected politician.
For Capital, they got lucky and dumped Mark Too (Bet you didn’t know that) Mark owned the 98.4 frequency and Linda just piggy backed on his power and influence to delay Kiss Fm’s launch. Patrick had to join hands with the Kitonny’s (who also had baba Moi’s ear) to get their license approved.
If the CCK is serious this time, they should cancel licenses of all stations that flout broadcast rules (Classic, good morning) and all the stations that are just dead air.
Many are using social sites and blogs, but usage has slowed in 2011
The University of Massachusetts Dartmouth Center for Marketing Research released its latest study on social media adoption by Fortune 500 companies in October 2011. This year, the study found that 61% of Fortune 500 companies had an active Twitter account, with at least one new post in the past 30 days.
Looking at previous reports from the Center for Marketing Research, this percentage is up from 35% in 2009 but about the same as 2010, which was 60%. Additionally, there hasn’t been much change when it comes to public-facing corporate blogs, with 23% of Fortune 500 companies using a blog in both 2010 and 2011.
This apparent slowing down of social media adoption is interesting, as many of the Fortune 500 companies, such as Coca-Cola, Starbucks and Levi’s, are well-known for their social outreach. However, this may be the saturation point for social media among the largest US companies. By now, if a large company with a big budget wants to be active in social, it probably already is. And those that are not may be larger holding companies or B2B brands that do not have public-facing social media as part of their communications plan.
This plateauing is also interesting when comparing the Fortune 500 to the Inc. 500, which is a list of the fastest-growing private companies in the US. Social buzz and outreach can contribute a lot to a company’s growth, so it wouldn’t be surprising to see a socially savvy company show up on the Inc. 500.
In fact, the latest Center for Marketing Research study on Inc. 500 companies, looking at 2010, found that 86% of Inc. 500 companies think social media is very or somewhat important to their business and marketing strategy. Their focus on social is something Fortune 500 companies can learn from and, possibly, grow.