The Novel Coronavirus Disease 2019 (COVID-19) Pandemic impacted the educational environment of Internal Medicine residency programs tremendously, shifting the focus from continued medical education to being the first line of defense while taking care of patients with COVID-19. Our article discusses an approach to reestablish medical education in the midst of a pandemic.

Urinary calculi are the third most common affliction of the urinary tract only exceeded by urinary tract infections and pathologies of the prostate gland. Urinary tract calculi contribute to a major concern encountered in the practice of urology, it affects about 10-12% of the population with a variable incidence with respect to sex, age, occupation, geographical area, climate, dietary fluid intake, social class and race. Urethral calculus is always found on the site of prostatic urethra, bulbar and fossa navicularis. Primary urethral calculi are usually associated with urethral strictures, posterior urethral valve and a diverticulum. Urethral calculi represent 1-2% of all calculi in the urinary tract. This is a case of a 32-year-old farmer and fisherman who had a retrograde urethrocystography (RUCG) that showed an obstructive prostatic calculus, bladder wall calcification and thickening with contrast refluxing into the seminal vesicles bilaterally.

They are an answer to transforming communities from poverty to prosperity. However, caution should be observed because it is not every community based programme that will have the potential to transform a community positively. It depends on the approaches selected and used to empower the communities. Having worked with various communities in diverse cultures ranging from Malawi, Kenya and Tanzania among others, what has been observed is that communities respond to different initiatives differently but the principle remains the same and therefore is a common factor. The bottom line behind community based programmes is to create what is called "community resilience". In this write up this means that communities are empowered to depend on themselves and live within their means economically, socially, culturally, spiritually as well as psychologically with minimal or no external support at all (Quirk, R, 2001). Borrowing a leaf from an international economic order as coined by the Alma Ata Declaration of 1978 where it said that "the rich and developed nations have the mandate to support the poor and developing nations" should not be taken for granted. Should the support from rich and developed nations to the underdeveloped ones continue to make no positive impact on the nation in question then it becomes pathological, hence unacceptable. As such, the support needs not to continue but rather be revisited or another alternative should be sorted out.