All posts by wealthinhealthcare

Melvin works with hard working Doctors, Dentists and Pharmacists who are overwhelmed and stressed by slow business growth and lost income opportunities. He provides advisory, hand holding and business support to start-ups, growing and expanding practices as well as succession and exit strategies for end game, career professionals. He is currently working with a Dental Surgeon who is revising her business plan. She is now constantly reviewing her front, back and clinical management to work more efficiently, effectively and profitably.

White or Silver filling, which will it be?

Dental fillings will be the treatment of choice in dental cavities for quite a while, until disruptive technologies replace them.Choices have to be properly made.Patients too have to choose between materials,dentists and clinics.That is why they need to be better informed in this information age.Thanks Dr Sakina for standing in the information gap.

Dental Tips & Tricks

One of the toughest decisions to make at the dental office is when you’re given a choice between a silver and white filling. The daunting ambience, little facts and a few minutes given to make the decision does not help! As the clock ticks, most people decide to go with the dentist’s decision since s/he knows best. In this article, I’d like to break it down to you, so next time you visit a dentist you’re equipped with enough knowledge to ask the right questions and choose what’s best for you.

As dentists and patients, some of the things we consider while providing and receiving dental restorations respectively are: aesthetics, durability, cost and safety. While both silver (Amalgam) and White (Resin Based Composite) materials have evolved over time in their own modes, each has its unique advantages and disadvantages.

Once upon a time gold crowned teeth and glistening smiles were…

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What is an Authentic Kenyan  outfit to campaign in and for during these elections.

It is that time of year when the political class is on the campaign trail in colorful ensembles. Each shirt or blouse is better than the other and has elements of the Kenyan flag on the collar or sleeve or shoulder or front and back of it. Dresses and skirts are made of similar National flag inspired materials. Each of us is subtly being influenced to be patriotic, to remember that what unites us is bigger than what divides us despite the vitriol that emerges fast and furious from many a candidate these days.

The concept of a National fabric is not new. Margaret Adongo Gould has been a strong advocate of a National dress and a National fabric to underline our cultural heritage. She is willing to nurture young fashion designers towards this end.Will you join her in this effort to buy Kenyan and build Kenya which is bigger than each of the 47 counties that define our land mass?

Wherever you fit in the fashion design space, if you are moved by the concept of a National dress contact Margaret on Email: nyodesh@yahoo.com; Tel:0713658144.We can make Kenya a great fashion conscious nation with our own national dress and fabric.

What is an Authentic Kenyan  outfit to campaign in and for during these elections.

It is that time of year when the political class is on the campaign trail in colorful ensembles. Each shirt or blouse is better than the other and has elements of the Kenyan flag on the collar or sleeve or shoulder or front and back of it. Dresses and skirts are made of similar National flag inspired materials. Each of us is subtly being influenced to be patriotic, to remember that what unites us is bigger than what divides us despite the vitriol that emerges fast and furious from many a candidate these days.

The concept of a National fabric is not new. Margaret Adongo Gould has been a strong advocate of a National dress and a National fabric to underline our cultural heritage. She is willing to nurture young fashion designers towards this end.Will you join her in this effort to buy Kenyan and build Kenya which is bigger than each of the 47 counties that define our land mass?

Wherever you fit in the fashion design space, if you are moved by the concept of a National dress contact Margaret on Email: nyodesh@yahoo.com; Tel:0713658144.We can make Kenya a great fashion conscious nation with our own national dress and fabric. Continue reading What is an Authentic Kenyan  outfit to campaign in and for during these elections.

Goal setting by a goal scorer

The Headmaster, Teachers, PTA Chairman, Ladies and Gentlemen

Your PTA Chairman must have had his reasons for inviting me here today. I had my reasons for accepting. You can’t argue with him, can you? Like most of you, I love a challenge. I made coming here, my goal. I wrote down my goal and began to plan my trip. I thought long and hard, what I would say and how I could influence you all, positively. Last week, the goal posts changed – Idd ul Fitr, yesterday, was declared a public holiday. I didn’t cancel my goal, I merely postponed it.  You decide whether I am successful, in scoring my goal, at the end of my talk.

Success is goals and everything else  is commentary. Your life only begins to become a great life when you clearly identify what it is that you  want, make a plan to achieve it and then work on that plan every single day. Most great teams have great coaches who understand the power of goal setting.

Playing football and rugby, both of which I have done at School, Club and National level have taught me many lessons in goal setting and scoring, some of which, I would like to share with you.

  1. Decide exactly what you want in every key area of your life. Right now you may not be able to make all these decisions yourself. Trust me, you do not have enough experience, Ask your parents and teachers to help you decide about your career path, your future income, family and networth when you eventually retire. Much like playing football. You could be a Victor Wanyama but you need coaches and mentors. I know, I still have mine.

 

  1. Write your goals down …..Make them clear, specific, detailed and measurable. Only 3 % of adults have written goals and 97% of adults work for the 3% with written goals.

 

3.Set a deadline – Your subconscious mind uses deadlines as “forcing systems” to drive you, consciously and  unconsciously toward achieving your goal on schedule. If your goal is big enough, set sub-deadlines. If you are in Form 1 and want to be in the School football team by Form 4 set a deadline for achieving the milestones or mini- goals that will take you there. If you don’t achieve your goal by your set deadline set a new one, There are no unreasonable goals, only unreasonable deadlines.

 

  1. Identify the obstacles that you will have to overcome to achieve your goal. 80% of the reasons that are holding you back from achieving your goals are inside yourself. They are the lack of a skill, a quality or a body of knowledge. Only 20% of the reasons you are not achieving your goal are on the outside. Always start with yourself.

 

  1. Identify the knowledge, information and skills you will need to achieve your goal. Especially, identify the skills that you will have to develop to be in the top 10% of your field be it football or life. What one skill, if you developed and did it consistently, in an excellent fashion, would help you the most to achieve your most important goal? Whatever the skill, write it down, make a plan and work on it every single day.

Now I want to tell you a story. In all schools football teams don’t like doing work-outs because they are boring and repetitive exercises. Learn to be content when doing these because they are preparing you for greater glory on and off the pitch. You have heard he story about three people called Anybody, Somebody and Nobody. There was a job which Somebody should have done because anybody could do it  but n the end nobody did it—–the  job was undone and the goal was delayed. Which one of the 3 are you? ….Most of us end up as nobodies because we refused to move from Anybodies to Somebodies. Set your goals now and work your plan. Back to goal setting…..

  1. Identify the people whose help and cooperation you will require to achieve your goal. To achieve big goals you will have to have the help and support of lots of people. These will be people from all stations in life. One key person at a certain time and place in your life will make all the difference. The most successful people are those who build and maintain the largest networks of other people whom they can help and who can help them in return.

 

  1. Make a list of everything you will have to do to achieve your goal. List every single step that you can think of that you will have to follow to ultimately achieve your goal. As you think of new items, add them to your list until your list is complete. “A journey of a thousand miles begins with a single step.” You can build the biggest wall in the world one brick at a time.

 

  1. Organize your list into a plan. You organize this list by arranging the steps that you have identified by sequence and priority.

Sequence – what do you have to do before you do something else, and in what order?

Priority – what is more important and what is less important? The 80/20 Rule says that 80% of your results will come from 20% of your activities. The 20/80 Rule says that the first 20% of time that you spend planning your goal and organizing your plan will be worth 80%  of the time and effort required to achieve the goal. Planning is very important.

 

  1. Make a plan. Organize your list into a series of steps from the beginning all the way through to the completion of your goal. When you have a Goal and a Plan, you increase the likelihood of achieving your goals by 10 times, by 1000%!

■ Plan each day, week and month in advance.

■ Plan each month at the beginning of the month.

■ Plan each week the weekend before

. ■ Plan each day the evening before.

 

  1. Develop the habit of self-discipline. Once you have decided on your most important task, resolve to concentrate single-mindedly on that one task until it is 100% complete. Your ability to select your most important task and then to work on it single-mindedly, without diversion or distraction, will double and triple the quality and quantity of your output and your productivity. This means that when you start with the task, you avoid all distractions and stay with that task until it is done. Once you have developed the habit of completing your tasks, you will earn two and three and even five times as much as other people.

 

We are moving into a political season and many candidates will want to use you, if you do not have a plan. Make a plan and if it doesn’t include them stay well away from them. School boys are burning schools simply because they are not allowed to watch football matches. If watching every match late in the night is not in my plan then I do not have to watch them. I can watch a recording of the match later. I want the best for you. Some of you will be excellent sportsmen – many will not. You can all be successful.  I have learned over the years from schools, Universities, playing fields,  dental clinics and in managing people that success comes to those who set goals, write them down, make a plan and then a list and do everything on that list. Success comes in those who have faith, hope and love in and for others. You are your neighbours keeper. Be a go-giver not a go-getter. May you achieve all your goals and still remain humble for the greater glory of God and your country, Kenya.

Indian healthcare in Kenya takes a new route

Investors from Kenya have partnered with a Hospital in Bengaluru, India and will put up a hospital in Kenya. The fruit of a visit by our President to India, last year. The investors remain faceless but include prominent Doctors. Why do I get the feeling that these Doctors have a minority interest in the proposed hospital? Because I know the highly conservative investment patterns of Kenyan Doctors.

The role of the Indian partner will probably be clinical, administrative and financial management while the Kenyan partners will provide political goodwill and liaison with local regulatory and other busy-body agencies.

My experience with Indian managed healthcare, transplanted in Kenya, may provide some insight into how this hospital will work. They will encourage their own Doctors to man the hospital ….The Medical Practitioners and Dentists Board will fight this so they will recruit Kenyan MO’s and specialists. They will  encourage adverse selection, poly-pharmacy, overzealous orders for imaging and laboratory investigations, all for a commission.

Regulators, third party payment schemes, insurance companies will be enticed to partner with the hospital. Nobody is sacred – get their buy in and let them do the dirty work of silencing whistle blowers.

Hey we are in election mode, when might is right. When peaceful protests are infiltrated by trained goons out to loot, steal and kill. Wedges are being driven between us. Mistrust between us will grow as we reach the end of 2017.Throw a few subaltern Indians into the mix and nobody will be the wiser.

I am very worried about my healthcare and yours and I am of Indian origin. I could be wrong but we await the visit of PM Narendra Modi and will watch and see who will be smiling all the way to the bank.

Game of Numbers -How Insurance Works

Insurance 101

Adede Advocates

calculator-385506__180Say you are the proud owner of a car – a Probox – which costs Kshs.1 Million. If you were to be involved in a traffic accident and the car is written off, you would have to raise Kshs.1 Million to replace it. But say there are 10,000 such Proboxes in the country whose total value is Kshs.10 Billion. Of these, an average of 1000 Proboxes have been involved in accidents annually for the past five years. The resultant losses have been Kshs.1 Billion per annum. If this cost of Kshs.1 Billion was to be shared equally by the owners of the 10,000 cars, each would bear a cost of Kshs.100,000/=.

Insurance works on this simple logic. Instead of each person having to face the demon of his or her loss alone, s/he contributes to a pool on the understanding that if misfortune does strike, the pool will be at…

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