Kenya 2018

My bags are packed, I’m ready to go…

The LSU/SHIP team leaves today! Our team of medical students, residents and faculty will be traveling to the Bungoma area in western Kenya for SHIP’s annual medical mission. I have been eager to be on my way since Christmas.

I plan to post here at least daily. Last year I had difficulty uploading via WordPress, and did most of my reporting on Facebook, so check there as well.

Please pray for safe travel, for our team, and for the wonderful people in Kenya.

LSU/SHIP Kenya 2018

The time to leave for Kenya is rapidly approaching. LSUHSC faculty, residents, and students, through Support for Humanitarianism through Intercontinental Projects (SHIP), will again be traveling to western Kenya to minister to the medically under-served in the area. We will be partnering with ICODEI, a Kenyan organization directed by Bishop Reuben Lubanga.

This year’s team will include four LSU faculty members, Dr. Don Givler, Dr. Amy Givler, Dr. Michael Harper, and myself; four residents from the Pediatrics, Med/Peds, and Rural Family Medicine programs; sixteen (if I counted correctly) medical students from the 3rd and 4th year classes; and a registered nurse. We are supported by a great team at home at LSUHSC, as well.

This will be my fourth visit to the Bungoma, Kenya area. I am excited by this year’s team. Our primary purpose will be medical outreach to the under-served population around Bungoma. The residents and students will have an opportunity to learn about medicine in a different culture, under very different circumstances, and with new challenges.

I also am excited about seeing my Kenyan family in Kabula–Bishop Reuben, his wife Mama Betty, our clinic director Mama Joyce Wasike, and their families. They bless us with their love, hospitality, and wisdom.

I ask for your prayers for our team as we travel and minister.

I will be posting more in the days ahead, and hopefully in Kenya, as well.

On to Kenya

I packed my bags last night, pre-flight
Zero hour five pm…

After all the preparation and anticipation, LSUHSC/SHIP team members are leaving today for Bungoma, Kenya for our Global Health elective and medical mission. Traveling to Kenya with me will be Drs. Don and Amy Givler, of the EA Conway Family Medicine Department; Dr. Sajel Lala (Campout Barbie), pediatric resident; and medical students Franciscka Macieiski, Lurah Welch, Melissa Davis, Robert Zaunbrecher, Diana Badkoobeh, Brittney Mitchell, Michelle Finch, and Naiha Mussarat.

Please be in prayer for our safe travel and health, and for this extension of the healing ministry of Jesus Christ to Kenya.


Prior authorization: a daily frustration

Via Fine Feathers:

One of the daily frustrations of physicians is dealing with “prior authorizations”. When I write a prescription for a medication for my patient, it generally means my patient needs that medication. In an effort to hold down costs, prescription services and Medicaid require prior authorization for some medications; they want justification for using this particular drug rather than one on their “preferred” list. This process may involve a long telephone call, printing out a form and filling it out by hand, or sometimes just submitting it via internet. In private practice, this may take up a couple of hours a day for the busy office nurse. At LSUHSC, the physician must deal with this.

At the link is the text of the full letter from a colleague to Express Scripts: