MacChebsy, MD

06/03/2026

Just a few weeks after completing my medical internship, I travelled five hours from West Kiambu to Meru for what I believe was my first job interview.

I walked into a room with a panel of three doctors. Friendly, calm, welcoming.

The chair of the panel stood out. Warm in his tone, gentle in his demeanor, yet incredibly detailed in his questions.

I left the interview relaxed but uncertain.

I did not get the job.

What I did not know then was that the friendly chair of that panel would later become a senior colleague, a friend, and a mentor.

Dr Stanley Aruyaru embodies simplicity in how he interacts with people, yet he is a meticulous surgeon, teacher, and health care leader.

I recently read his new book, Blade Wisdom: A Surgeon’s Guide to Life Beyond the Theatre.

Let me tell you, it is a masterpiece.

Each chapter begins with a story, builds a bridge, and leaves you with a life lesson. And yes, this time the gallbladder gets more attention than the appendix.

Some people once asked whether anything good can come from the gallbladder.

Come and see.

On 21 March from 9 in the morning, Dr Stanley Aruyaru will be launching the book at iHub Lavington.

Show up. Support daktari. 👨🏾‍⚕️📚

15/01/2026

Do not follow the popular advice that tells you to follow your passion. Follow where there is real opportunity and income.
Many young people are misled into choosing courses only because they sound exciting or feel meaningful. Years later they graduate and discover that the job market has no space for them. Passion does not pay school fees. Skills and demand do.
Research in psychology shows that passion often grows after you become competent at something. People tend to enjoy work more when they see progress, mastery, and financial stability. Very few people are passionate at the beginning. Passion is built through success, not dreams.
Career and labor market studies also show that choosing courses with low demand leads to unemployment or long periods of job searching. In contrast, graduates who choose skills that are needed in the economy earn earlier, gain experience faster, and have more options later in life.
This does not mean you must hate your work. It means you should first choose something that allows you to eat, support yourself, and grow. Once you are stable, you can shape your career, specialize, or even turn your interests into profitable paths.
For high school graduates and parents in Kenya, the right question is simple. After graduation, where will this course allow me to earn from.
Choose courses with real job openings. Learn practical and transferable skills while studying. Build income first. Passion will follow.

Remember to follow me, and Buy my Book Secrets And Rituals To Academic Success
Get the book. Link in bio.

For Academic and Career Coaching Bookings inbox me or email at drchebsy.speak@gmail.com.

04/01/2026

Reading Non Academic Books Helps you pass Academic materials.

Reading helps train your brain on focus, concentration, processing, understanding, memory and recall.

All students are advised to employ this Ritual into personal studies.

For more tips on passing and all round Academic Success get a copy of my book Secrets And Rituals To Academic Success, from Nuria Bookstore Link in Bio Or Inbox Me directly.

For Academic Coaching at individual or school level call 0702707551.

03/01/2026

For Students And Parents...

Most students do not fail because they are not intelligent.

They fail because their attention is broken.
Phones. Noise. Pressure. Fear. Endless scrolling.
The brain never settles long enough to learn.

One powerful reset I share in this video is reading non-academic books like novels.

Not for entertainment.

But to retrain focus, imagination, memory, and mental stamina.

When you read a story, your brain learns to stay with one idea for long periods again.

That skill quietly returns to your textbooks.
Your concentration improves.
Your recall sharpens.
Your confidence comes back.

This is how an academic comeback begins.
Not with pressure. With mental retraining.

If you are a student preparing for 2026, or a parent worried about your child’s focus, this message is for you.

📘 For deeper, practical rituals that actually work, get my book
👉 Inbox me
👉 Or order via Nuria Bookstore link in bio

💬 Comment “FOCUS” if this makes sense to you
🔁 Share this with a student or parent who needs hope again

A comeback is possible.
But it starts in the mind.

31/12/2025

DATING DOCTORS FOR BENEFITS

In my few years of working, I discovered something interesting. As a young male doctor in Kenya, I suddenly appeared very attractive to many young women. Sumptuous. Palatable. Visually nutritious.

For a brief moment, I thought I had finally become visible to the feminine world.

Alas.

It was not me. It was my pocket and by extension my title that was doing the heavy lifting.

So I dated, but with intention and strong guardrails.

On dates, I would casually ask a dangerous question.
“So what are your expectations?”

About ninety percent of the ladies never wanted to answer this directly.

Later, I understood why. Clarity is expensive. Clarity sets boundaries. Clarity demands accountability. And as they say, clarity and vibes are like water and oil.

So expectations remain unspoken. Floating. Waiting.

Then chaos erupts later when those unspoken expectations are not met.

Eloi. Eloi.

Some women were however, very clear about their expectations. Some were reasonable. Others required a supplementary budget and divine intervention.

At first, I thought it was only young male doctors catching strays in these streets.

Eloi again.

Then I heard the testimonies of my counterparts, the young female doctors.

Enter stage left. The muscular gym enthusiast with a deep voice. Romantic. Masculine. Calm. Emotionally available. Consistent. Listens actively. Does housework while she is busy at work.

Premium package.

disappear
Fast forward a few months. Four hundred thousand shillings disappear. Sometimes consciously into a certain project that was supposed to multiply tenfold. At other times, it's mysterious, like airtime on a dual-SIM phone.

These stories are not isolated incidents.

may want to approach it slightly differently, treating it
Lesson of the year. Dating while actively working is rarely a pure love affair. You may want to approach it slightly differently, treating it more like an interview than usual.

And a proverb from the Luhya community sums it up perfectly.

"When you visit your in-laws for negotiations, do not eat until you have discussed and resolved what brought you there. If you eat before you talk, you will be saying yes and amen to all their demands".

Happy end of 2025 and welcome to 2026.

These are real stories, by the way😅😅

Follow my Page, road to 1k

NOTE: I train students in science-based based practical, proven Academic Excellence Study tips. 90 Percent improvement. Check My Book Link in Bio. Bookings for 2026 Ongoing.

27/12/2025

You make known to me the path of life;
you will fill me with joy in your presence,
with eternal pleasures at your right hand.

Psalm 16:11

24/12/2025

Rage Against Hospitals?

22/12/2025

Kenya USA Health Data Saga

02/12/2025

What is Deliberate Practise

I remember one moment during my internship that has stayed with me for years.

We were in the ICU late in the evening, and the senior Family Medicine resident was placing an arterial line.

He had already performed several central and arterial lines during his rotation. But what struck me was not the procedure itself - it was the way he approached it.

After a few attempts, he paused, looked at the setup again, and said, “Let me try a more acute angle. It works better with this vessel.”

And just like that - smooth cannulation.

At the time, I didn’t have the language for it. Today, I do: deliberate practice.

It was not luck.
It was not guesswork.
It was insight.

He had performed the procedure enough times, reflected on his approach, understood the “why” behind each movement, and refined his technique. That is what separates routine repetition from true growth.

From boring routine work to Mastery - deliverate practise.

What I have learned about Deliberate Practice

It is a higher level of learning where the mechanical steps are no longer the focus.

You start to see inside the skill - understanding the deeper purpose of each action.

Repetition becomes meaningful, not mindless and boring

And with enough insight, you begin to adapt, teach, and even innovate.

This applies not just to procedures, but to the entire practice of medicine.

How this changed my practice as a doctor?

Over time, I realized that deliberate practice is not limited to inserting lines or intubating patients. It has reshaped how I show up in clinical practice every day:

Listening more deeply to patients

Understanding patterns behind their symptoms

Noticing things I previously overlooked

Improving patient experience by being present, not rushed

I have seen this same quality in some of the best clinicians I have worked with - surgeons, physicians, emergency doctors - the ones whose outcomes seem to consistently stand out.

Their excellence is not magic; it is the product of deliberate reflection, thousands of small adjustments, and a mindset of continuous improvement.

Deliberate Practice is what turns experience into mastery.

Not just in procedures, but in empathy, communication, and clinical judgment.

It is a journey I am still on - and one that keeps transforming the way I care for patients. The way I approach life.

How has Deliberate Practise worked for you?

•••
Get a Copy of This Book At Nuria BookStore and understand other ways of Knowledge Retention and Skills Mastery.

31/10/2025

In urban Kenya and most developed countries, a patient’s diagnosis is private business. In rural Kenya? It’s often a community affair.

During my work in a rural hospital, a patient’s surgery was once funded through a church fundraiser. Many visited the hospital thereafter.

The chairperson demanded full medical updates. Relatives crowded the ward wanting “the truth.” The family elder insisted, “She is our daughter; We must know.” The patient said, “It’s okay, tell them.”

Privacy quickly became a collective decision.

In close-knit rural communities, confidentiality frequently clashes with cultural, faith-based, and familial values.

Bills are paid communally, elders wield authority, and patients may voluntarily surrender privacy to preserve relationships.

Yet, under Kenya’s Data Protection Act (2019) and new regional health data frameworks, medical information is legally private and must be handled with explicit consent. Studies show that while awareness of privacy is growing, implementation in rural Africa still lags behind urban areas.

What can we do then?

Always start with the patient. Ask who they want to be informed. Silence is not automatic consent.

Educate gently. Many families are not defiant - they simply see health as a shared issue.

Balance ethics with empathy. Protect privacy without alienating the very support systems keeping the patient alive.

Document and communicate. Set boundaries early when fundraisers, elders, or pastors are involved.

Cultural humility. Confidentiality is not just about the law - it is about trust, respect, and understanding the rhythm of community life.

To my fellow clinicians - how do you handle this tension between ethics and culture in rural settings?

And to the public, have you ever been part of a situation where a loved one’s diagnosis became “community news”? How did it make you feel?

Confidentiality is not just a medical rule - it is a mirror of how we see dignity, family, and care in our societies.

26/10/2025

09/10/2025

🎓 Trained.
💸 Broke.
🚫 Jobless.

After 7 years in school, thousands in fees, and countless sleepless nights, many Kenyan graduates, especially in healthcare, are facing a brutal reality: no jobs, no income, no support.

This is not just a personal crisis. It is a systemic failure.

🎤 Let’s talk.
🧠 Let’s rethink training vs. opportunity.
👇 Comment with your story or thoughts