Kili so far

All is going well. Had a really good day today. Trekked up to 4637 metres. Now back down at 3976 metres. Feeling good at the moment. Two more days to go till I reach base camp. Afraid that the phone signal is not as good as I'd hoped.

Thank you to everyone who has sponsored me. I can assure you that the money is going toward a good (and much needed cause). Lets hope I can reach the top.

All ready for the off...at least I hope so.

I will be leaving to start climbing Kilimanjaro tomorrow. I have had a great time here at the hospital and I am sad to be saying goodbye. The weather forecast is looking good for Kili - only a little rain forecast tomorrow and light winds for the next few days. I am hoping that I should be able to give everyone daily updates as I go up the mountain - apparently there is very good phone signal up there - but we will see. I must get off to go and finish packing.

Hospital update

So I am coming close to the end of my time here at KCMC. Things have been really good here and it has been a great experience. It has however highlighted the problems that are faced daily in medicine in not only Tanzania but Africa as a whole. This has further reinforced my desire to raise money for the Friends of KCMC charity by climbing Kilimanjaro.

• For the last year, KCMC has been without a functional CT scanner - their 17-year-old one has broken (I presume beyond repair) and costs $1.5 million for a new one. Patients have to go to Arusha to have a scan - if they can afford it - the cost being $200.
• When I arrived, the lab had been unable to carry out electrolyte levels for 4 months. This situation has not improved since, but rather got worse. We are still without electrolytes and now no longer are able to do liver function tests and some other basic blood work. This changes on a daily basis depending on whether the machines pass the control tests for that day.
• The ECG has been out of order for the last few days. This has been a vital piece of equipment, particularly in the absence of electrolyte tests as the ECG can pick up changes in the heart as a result of imbalances in sodium and (more importantly) potassium levels.
• For the last 6 weeks, there has been a 19-year-old on the ward with Hodgkin's lymphoma - a disease of the lymph glands which, if treated optimally, has a survival rate of between 80-90%. Sadly, for the last 5 out of 6 weeks, he and his family were unable to afford the cost for the complete regimen of chemotherapy for him. He deteriorated and at one point a week ago, we thought he was going to die. Thankfully, he improved with some steroids in a last-ditch attempt to give him some time. Thankfully, over the last week, his family have raised enough money to get him to the Ocean Road cancer centre in Dar es Salaam. This is a government run institution and, once there, his treatment will be free. Although he is still very sick, he might still pull through. Whether I will every find out this outcome I do not know.

It is a sad reality that these problems are ones that we simply do not see back at home. This short list is far from exhaustive of the challenges and short-comings I have encountered thus far. We are more fortunate with the NHS than we might first think.

If anyone has not yet sponsored me for my Kilimanjaro climb, and would like to, then can I refer you to:

http://www.justgiving.com/James-Nathan

Asante sana  (Thank you very much)

Safari

Some photos from safari. The stories are too long for me to write now and do any justice so they will have to wait till I return. But for now, enjoy...

I promise there is a leopard in the tree.

Ngorongoro Crater

Lake Chala

After saying goodbye to Lucy and Laura early on Saturday morning, the rest of us headed off to Lake Chala for a short camping trip. We left Moshi and took a dalla-dalla and taxi before arriving in somewhat unusual weather - by that I mean it was cloudy. Lake Chala is a crater lake situated on the Tanzanian-Kenyan border. On the Saturday afternoon we went for a brief walk out through the scrubland before coming back, having dinner, then getting a good night's sleep in our tents. 

We woke up early on the Sunday morning to set out on our hike around the lake. It was cloudy and slightly chilly but the sun soon started break through the clouds and coupled with constantly having to duck and dive below thorn bushes meant that we all quickly warmed up.

A few hours later we were informed that we had crossed the border into Kenyan. We then reached an old abandoned lodge which we had first seen directly across the lake from our campsite. This presented us with a problem - a locked gate at either end of the lodge. To gain access through the lodge, we would 'officially' have to enter Kenya - basically a 1000 Tanzanian shilling 'back-hander' to the gate keeper. An hour or so later, we re-entered Tanzania and found our way back to the campsite. 

All-in-all, a great weekend had by all but sad to see Lucy and Laura go. Off on safari tomorrow till Monday. More updates to follow on my return.

Lake Chala from the campsite

Looking out towards Kenya from the crater rim

Kilimanjaro seen from Lake Chala - left: Uhuru peak, right: Mawenzi peak

The border between Tanzania and Kenya can be seen as a line running through the scrubland

After a steep climb down, we reached the water's edge

Stormy weather

Its been a mixed week weather-wise in Moshi. On Tuesday afternoon we were engulfed by a massive sandstorm which whilst being rather spectacular, was a pain - literally. This was followed up on Wednesday evening by a huge thunderstorm. We had all been invited for dinner at Alfred's house - one of the local taxi drivers who is very friendly to all the doctors, students and other ex-pats in Moshi. We were treated to the best food we have had thus far in Tanzania - all enjoyed in pitch darkness with frequent flashes of lightning and rumbles of thunder.