@tara, questions to ponder....

1. Yes they do call. FYI only. KNH cannot decline a patient whose care can only be provided at KNH. All referrals are received at A&E (Casualty) and then admitted (if a bed is available). In the counties, they often do not call. You'll be woken up at 3am by a referral from Matuu District Hospital (often a pregnant mother from Ekalakala with a ruptured uterus). 2. A&E exists at KNH but cannot offer ICU level care. Usually for patients on short observations e.g. sugar management in known diabetics. In the counties, well equipped A&E do not exist at all.

So KNH has a limited number of beds (did I see 21?) So if there was lets say a plane crash in Nairobi and 250 critically injured people needed to be admitted to ICU, where would they go?

21 beds for the largest referral hospital in the region SMH

The main problem is not the tribalism or the corruption.It is the middle class who just sit and yap as the garment is raping them and not offering any tangible solutions to this country. We have private cars for public transport problems,medical covers for the public hospital problems and private schools for the public education problems.We pay most of the taxes and sit here and do nothing. We have very brilliant minds in this forum why not put those minds in use and involve ourselves in leadership. There is a thread on Wazuans interested in politics but seems only Mawinder will be our next MP. We need to walk the talk and be part of the solution.