Kenya trip May 2025

We are home and adjusted to the 8 hour time zone jet lag.  This was a trip that exemplifies diligent planning combined with flexibility with events on the ground.   Like the Jewish proverb, "We plan and God laughs". Half of the trip was to be in Western Kenyan and the last half on the coast. But the work at the 800 bed hospital on the coast fell apart----too long a story for this post.  Sad for those needing the procedures on the coast but the additional patients in Western Kenya that were able to get their hearts fixed this spring were very grateful.

Below is the new and only cardiac catheterization lab in Western Kenya.  You can see that these heart procedures require a mix of specialized people (anesthesia, radiology techs, catheterization lab nurses, ultrasound imaging specialists, interventional cardiologists, and scrub techs.  The training over the years has resulted in 98% success rate and no cath lab deaths despite the high risk procedures-I think it's a God intervention.

The next picture is a rare one with me at the table.  During the trip, I only had to scrub 3 times to help complete the procedure for 14 patients with the others done from "skin to skin" by the Kenyan team-our goal in each county is to work our way out of a job.

Below is Colleen with a young lady after a successful dilation of the pulmonary valve that regulates blood flow to the lungs.  The patient's symptoms will be resolved in two days and she will have a full life.   

I always have to teach some cardiac anatomy.  For the patient above, as demonstrated below in the fluoroscopy shot we pass a wire from the subclavian vein (under the left clavicle/collarbone), through the right atrium and ventricle and out past the narrowed pulmonary valve, into the right main pulmonary artery.  The patient is mildly asleep during this time and comforted by Colleen calming and praying for her.

Below is the team of amazing Kenyan cardiologists.  ( Drs. Akwanalo, Lagat, and Kyang)  We estimate that they will do 120-150 of these life saving valve procedures per year independently now with the completion of this teaching trip and we have not even taught coronary, pulmonary, and peripheral vascular procedures to them yet.

Eileen Nemec checks the heart ultrasound on a 6 year old with Pulmonary stenosis. The mother is standing by in the green gown.

Below, Colleen and Eileen Nemec (ultrasound cardiac imager) praying with a 32 yo school teacher.  The spiritual and emotional support for patients and families before and after the surgery is fully integrated in our work overseas.  We expect to get procedures of this level here in the US, but our patients in Africa feel that God has "touched" their  hearts and the patients leave with a new commitment of what their creator wants them to do with their lives.

 Our 32 yo school teacher post-Op.   I normally show pictures of the cute kids, like our youngest, a 6 year old.  This man represents influence in many lives.  He is a caring husband, and father to an 8 and 10 year old.  He is a talented science teacher.  Pre-op, he could barely get to school and probably only had another year to teach and a handful of years to live. He has not been able to kick the soccer ball around with his kids for many years.  After his mitral valve dilation he will now have a full career teaching and can finally play sports with his two boys.  Martin is a good man and he also is appropriately grateful to God way more than grateful to us.

Kapsowar Mission Hospital RHD Screening Program

While we were in Eldoret Kenya last May we had the opportunity to host an educational retreat for the screening team from Kapsowar. This team has done amazing work. In the short time that they have been working, they have screened over 9000 children. More importantly, they have several children on the monthly penicillin that will prevent the progression of rheumatic heart disease.

It was a wonderful time of education, relaxation and fellowship.

Eileen Nemec (sonographer, friend and fellow traveler) increasing the skills of the team in Cardiac ECHO

Team motto

Evening out in celebration of a successful event.

They are a highly motivated team. Ready to make a difference in the lives of children, families and their community.

Eldoret and Mombasa Hospitals in Kenya Nov.-Dec. 2024

On this teaching trip we were honored and blessed to have Dr. Ross Goodfellow, Dr Owais Abdul-Kafi, and Dr Micaila Iantorno, all skilled interventional/structural cardiologists with us. The team also included skilled cardiac ultrasound sonographers Eileen Nemec and Nancy Martin. There skill allowing us to follow our wires and catheters passing through the heart with skilled ultrasound is key to a safe procedure,

Tenwek Hospital 2016

First of all, everyone and  especially I (Ron) missed Colleen's organization on site and appreciated her 100 + hours of work to pre-organize this teaching trip at two large hospitals in Kenya (1000 bed and 800 bed public hospitals) for resource limited people.  Above is a pic of Colleen on a prior trip scrubbing in on her first permanent pacemaker because no OR nurses were available.





We have done this route before so I didn't bother the flight crew with questions about why we were deviating over the Red Sea toward Saudi Arabia.  We are dodging Sudan and Somalia (on the flight tracking below)  Both countries have surface to air missiles with capability to 80,000 feet and are less "predictable" than the other over flight counties.

The pictures above and below show the Cardiology team that we are training.  First at the procedural table and second imaging with an ultrasound catheter that goes down the esophagus (showing the wall between the right and left atrium that we need to puncture safely.)

Below is a sample of 5 of the 20 patients, the youngest 12 years old.  Without the procedure they would have only lived 2-10 years but now will have normal lives.  None of the families would have had the financial resources needed.

As Colleen  emphasizes and trains, the post-op care is essential.  Below is the great CCU team that makes sure these young people recover along with 4 from our team.

Our volunteers  each trip of 5-8 cardiologists, nurses, and technicians are vital in passing off the  skill sets to our overseas colleagues..  Below is Eileen Nemec, likely the top pediatric cardiac ultrasound person in Minnesota.  She is comforting and praying for a 17 yo Turkana girl pre-op.  She is from an extremely poor family (2-3 dollars per day and they live in the chronic drought ridden NW. )  The patient was our highest risk (complex pulmonary valve dilation) but had a perfect result. Second pic is her balloon through the valve.

Eileen Nemec sonographer with patient

Both hospitals are so aware what a high risk this procedure is in these very sick hearts that they initiate prayer before the procedure, sometimes in both Arabic and English.  We sometimes think that the highest level coordinating power is Colleen but it is still higher!