Tag: medical

  • Goitre-infected community where  victims reject medical help

    Goitre-infected community where victims reject medical help

    Blame plight on witches, wizards

    They cut a pitiable sight for the observer, but they are less disturbed about their plight. And like a camel saddled with a big burden, hundreds of residents of Ajara community in Badagry live with protruding lumps around their necks with measured despondency. And while a camel might know the source of its burden and certain that the burden would be lifted after some time, it is not so for Badagry’s army of goitre victims. They cannot place the source of the epidemic and are in the dark about how the yoke could be taken off their necks. Goiter, it was learnt, has been ravaging the serene community for years.

    Only recently, the Lagos State Government flagged off a surgical operation programme to address the scourge in the area which according 2006 . It was gathered that some of the victims who made themselves available for the exercise had their goitres removed through the intervention and their health have since been restored to normal. Investigation, however, revealed that a good number of the victims are not convinced that the solution to the problem lies in medical treatment. While they have been taking part in the various tests prescribed by the medical personnel, they have deliberately avoided the surgery that would see the lump removed.

    Some of the victims who spoke with The Nation strongly believe that their problem is spiritual. They remain rigid about their belief that their conditions resulted from attacks by their enemies. For all they care, the solution to the problem not medical but spiritual.

    One of the victims who share in this belief is 60-year-old Maria Godonu. Recalling the genesis of her problem, she said: “I started noticing it about 20 years ago. I went to the hospital the very moment I noticed it but they couldn’t carry out an operation on me because I was pregnant. I didn’t go back after giving birth. I have been going from one place to another in search of remedy to the problem.

    “I went to the primary health centre after it was announced that Governor Babatunde Fashola had flagged off a health programme to help the victims. The medical team has been calling to inform us about their plans for us.

    “They have taken us to the Lagos Island General Hospital on two occasions to undergo medical tests. I did about three tests between April and May but I don’t really know what the results were. All I know is that the results are with them in the hospital.

    “Apart from the tests we did in Lagos, we have also done some here in Ajara. They brought some medical personnel to examine us.”

     

    Spiritualising the problem

    After all the efforts she has put into the exercise, one would expect Godonu to jump at any offer of surgical operation to have the lump removed, but this is not the case. She cited spiritual reasons for staying away from surgical operations on two occasions.

    She said: “I would have gone for surgical operations long before now, but a prophecy from my pastor made me to jettison the idea. When I was contemplating going for the operation, I went to church one day and in the course of praying, a prophecy came that there was someone in the congregation who wanted to go for surgical operation. I was warned against doing so because it would lead to death. That was why I could not go for the operation.

    “After some time, I had a rethink and made up my mind to go for surgery. I took the decision because I realized that no matter how much one tries to run away from death, it remains an inevitable end.

    “At this point, my mind was made up once again to go for an operation. A few days to the time that I was supposed to go for the operation, my husband attended a church service and a prophecy came to him that I shouldn’t contemplate operation at all. They told him that the operations would be successful but it would lead to my death.

    “The prophecy further dampened my morale to go for the operation because it confirmed the first prophecy. If the prophecies had come from the same church or persons, I probably would have dismissed it as a conspiracy. I bought into it because it came from two different places and persons. One must be careful and never try to pay deaf ears to such warnings.”

    Asked if she could change her mind and go for a surgical operation, she said: “I don’t think I have the courage for an operation anymore. If God is speaking to you, you must be attentive because you don’t know who is after you. May God protect us from those that are after our lives but pretending to be friends.”

    Another victim, who identified herself simply as Sauda, says she dreads an operation because there is more to the problem than medical treatment can solve. “I have heard of the government programme but I don’t think I can be part of it,” she said with a tone of finality.

    “I am not convinced that the solution lies in medical treatment. I know somebody who went for a surgical operation to remove his, but as I am talking to you, the goitre is back on his neck. It has even grown bigger than it was before the operation.”

    Bose, a beneficiary of the state government’s health programme, said she was initially reluctant when she was asked to go for an operation.

    She said: “I was scared of going for an operation at the initial stage because I never thought that medical help could take care of the problem. Like several other victims, I had the belief that the affliction was not natural. I also lived with the feeling that some forces of darkness were behind the affliction in the entire area. Our fears were heightened by the rate at which the problem has been spreading in our area.”

    “Actually, if you look around, you will discover that this is the only area where the case is widespread. I have not really seen any area where the problem is endemic as it is in this area. In fact, we have had people that always campaign against going for operations to correct the anomaly because they feared that victims would die in the process.”

     

    Common challenges

    The victims say the problem gives them sharp pains which cause them sleeplessness nights.

    “I have been having sleepless nights because of it. The pains wake me up many times in the night. I have developed a sort of phobia for night. I have been a trader all my life but my children stopped me from engaging in business activities because of this,” Godonu said.

    Sauda also explained that the pains caused by the problem sometimes weaken her to the point that she would not be able to go about her normal business.

    She said: “There is no how this kind of heavy load would not make one to have pains. At times, the pains would be so severe that I would be incapable of doing anything. It can be more worrisome when it happens at night, because I would writhe in pains all night and have my eyes wide open all through the night.”

    A 70-year-old victim, Pa Jonas Penuola, also spoke about the pains caused by the problem.

    He said: “It used to give me a lot of pains in the past, but I hardly feel it in recent times. At the initial stage, I went to the hospital for treatment but it did not change the situation.

    “I started noticing the growth about 10 years ago. It started very small, and as time went on, it started increasing in size till it got to the stage it is right now. I am prepared to go for an operation whenever they ask us to come. I have no fears whatsoever about going for an operation.

     

    Stigma and exploitation

    Madam Godonu recalled that she had been fleeced of her hard earned money by fraudsters masquerading as traditional healers.

    She said: “I have spent so much money trying to find a solution to this problem. There was a time that somebody came and assured me that he would cure it. He made a concoction of bitter leaf and asked me to be rubbing it on the affected part. I was full of joy when he gave me the assurance that the goitre would disappear after using the concoction.

    “I followed all the instructions he gave me and used it religiously. Unfortunately, the concoction made the situation worse. Instead of curing me, it started giving me sore. I quickly discontinued its usage before it could worsen my situation.

    “Shortly after that experience, I went back to a nearby general hospital and was given some medications that made the goitre to reduce in size. If not for that medication, it would have become far bigger than you are seeing now.”

    She also spoke about the stigma and embarrassment she has gone through with the problem.

    “I have suffered series of embarrassments because of my condition. There was one woman who publicly abused me because of it. She told me to go and remove the heavy load on my neck simply because we had a minor misunderstanding. There has been countless number of similar insults on me over the years.

    “Besides, whenever I attend social functions, the guests would leave everything they are doing and fix their eyes on my neck. It is very embarrassing but there is nothing I can do about this, because it wasn’t an affliction I brought upon myself.”

    Pa Jonas also spoke about his ugly encounter with traditional healers, saying{“I have also tried several native medicines without any improvement. I have spent so much money patronising herbal medicines. I stopped doing this after I discovered that they were only ripping me off. There is no human being that would be happy to have this kind of burden on his neck. It easily disfigures the victim. I have lost my handsome look since I developed the problem.”

     

    Community leaders react

    A community leader who simply identified himself as Alhaji Raji noted that many people in the community were unwilling to go for operation because they believe the affliction is the handiwork of witches and that any attempt to operate it would lead to death.

    “The efforts of the government to have good number of the victims operated has suffered a setback because some of these people strongly believe that the problem is supernatural and can never be cured medically,” he said.

    “Even though some of the victims in this community have successfully undergone operation, numerous others have remained skeptical about going for it. They easily cite the examples of their colleagues who died shortly after they were operated upon in the hospital. They are never interested in knowing the cause of such person’s death. All they go about believing is that it was the surgical operation they had that killed them.

    “Another reason some of them give for shunning operations is the fact that some people who were successfully operated upon earlier experienced a fresh growth on their neck after some time. In fact, some of the victims have fled the community out of fear.

    “There is a particular woman who would never want to have anything to do with you the moment she knows that you are out to discuss the problem with her. She deliberately avoids medical personnel any time they come around.”

    Another community leader, who gave his name as Osawe Babatunde supports those who believe that the problem is spiritual.

    He said: “I would never blame anybody who refuses to go for operation. The problem cannot be ordinary and I don’t think that surgical operation is the answer to it. I cannot even advise my enemy to go for an operation because it will have dire consequences.

    “From every indication, the problem appears to have some invisible hands behind it. When you observe such development, you don’t just rush into applying medical treatment. It is pertinent that you do some consultations with the elders that are grounded in traditional healing methods in the community and do the needful.

    “If you ask me, I think there is an urgent need to appease the gods in the area so that the challenge can be taken care of. Medical efforts would only be a short term thing,” he added.

    In his remarks, the Chief Medical Director of Global Hospital, Alimosho, Lagos, Dr. Johnson Babatunde, dismissed the insinuations that goitre is the handiwork of witchcraft. He urged victims to be courageous enough to embrace the intervention of the Lagos State Government by going for surgery to remove their goitre.

    Babatunde said: “It is sad that people can still be holding on to unsubstantiated thoughts about goitre being the machination of witches and wizards. For the avoidance of doubt, goitre is the swelling of the neck resulting from the enlargement of the thyroid gland, and it can be caused by multiple factors, one of which is iodine deficiency.

    “It can be associated with over-function of the thyroid gland, excessive thyroid hormones, under-function of the gland or inadequate levels of thyroid hormones. When a goitre becomes very large, it can sometimes cause symptoms because it presses on adjacent structures such as the oesophagus and the trachea. Symptoms related to a large goitre include difficulty with swallowing, shortness of breath, wheezing (sound that results from turbulent air flow in and out of the trachea) and hoarseness.

    “And just as goitre cannot be linked to one particular disease, there is also no one specific treatment for it. The treatment depends upon the cause of the enlargement. Treatments for goitre can include medications, surgery, treatment with radioactive iodine, and simple observation. I want to therefore admonish those living with goitre to seek adequate medical solution or remedy to their problems.”

    A nutritionist, Mrs. Nkechi Okafor, said: “Goitre may occur in people who live in areas where the soil and water do not have enough iodine. As a result of this, people in these areas might also not get enough iodine in their diet.

    “The use of iodised salt in many food products in the advanced countries today prevents a lack of iodine in the diet and this is the reason why the World Health Organisation (WHO) has recommended minimal intake of iodised salt to prevent further spread of the disease in Nigeria. Therefore, it is necessary for people to ensure use of iodised salt in their diet or cooking.

    “In many cases of simple goitre, the cause is unknown. Other than lack of iodine, certain foods such as soy beans, peanuts and vegetables in the broccoli family have also been linked to goitre. To this end, consumption of these foods should either be reduced or discontinued.”

  • Niger Delta varsity hosts medical conference

    The Niger Delta University Teaching Hospital (NDUTH) has hosted the eastern zonal conference of the Christian Medical and Dental Association Students (CMDAS). The three-day event with the theme: Latter rain, took place at the Living Faith Church, Yenagoa, Bayelsa State. It was attended by medical students from all teaching hospitals in eastern part of the country.

    Welcoming the participants, President of the NDUTH chapter, David Adika, said it was high time medical students returned to the founding values of the profession, advising them to remain focused.

    National Mission Secretary of the association, Emmanuel Ajayi, who spoke on: Character of the kingdom, said medical students should come to terms with  the present realities of the profession, saying they should exemplify Jesus Christ in their dealings.

    Highlights of the conference were academic seminars, report of mission activities by the various schools, case studies and choir ministration by the host school. The conference ended with prayers for Nigeria, the medical profession and the teaching hospitals in the eastern zone.

    Jerry Okoro from the University of Nigeria Teaching Hospital said the programme was enriching.  “I really enjoyed the academic segment and case studies session. I am going to put to practice what I have learned.”

  • Confession of a medical doctor-‘I sometimes  consult Ifa to  solve complex  medical problems’

    Confession of a medical doctor-‘I sometimes consult Ifa to solve complex medical problems’

    Oba Adedayo Olusina Adekoya ( Erinsiba 1), Legusen of Legusenland, the traditional ruler of Ode Ule, Ogun State is a doctor, a thoroughbred herbalist and head of African traditional religion worldwide-Isese Agbaye. He told GBENGA ADERANTI that he sometimes resorts to divination to seek solution to the problems of his patients.

    What is your group all about?

    Isese is the religion of our ancestors, the umbrella body of All African religions, beliefs, practices, norms and folklores. The African religion is Isese Agbaye, it is the origin of all other religious practices.

    You said government has not been fair on issue of religion, what is this talk all about?

    First of all we want fairness; it is not fair to ignore some people.  Secondly, equity, whatever the data anybody bandies around we know we constitute the majority is this country. So when you concentrate attention on a section of the religion in the country and this attention is unfairly given, we feel cheated and we want fairness.

    The moral issues that are troubling the country are based on religious teachings.  You would not find any an Isese person after swearing with what he or she believes in telling lies. This is because you know that whatever you said will be counted against you. So, if an Isese  person swears in the name of Sango,  the god of thunder or in the name of Ogun the god of iron,  or in the name of Amadiora and went ahead to do the wrong thing,  that person will surely get punished. If we inject our indigenous religious beliefs into our national life, corruption will end in Nigeria.

    In order words, to reorganise our national life and make progress, we need to inject Isese into our system. Our foundation is Isese, we should build on it.

    But  Isese is Yoruba word, why Yoruba when there are other African languages?

    That is the problem we are having in Africa today. We’re all speaking the same language but we seem not to recognise this.  We’re speaking Huse language.  Go and write Igbo language in Yoruba alphabet, you will understand it pure and simple.  In Igbo language, when you say nti (ear in Igbo language) that is eti (ear in Yoruba language), when you say imi (nose) in Igbo language)  that is Imun (nose in Yoruba language), onu (mouth in Igbo language) that is enu (mouth in Yoruba language), tell me, what is the difference? So the first set of words or vibrations that we believe first came in sssh. Sssh  is nobody’s language, it is language for everybody, around the world.

    Do you know the meaning of Yoruba?  Yoruba is actually an Arabic word, ‘Yar bawa’ that is the daughter of bawa, that was what the Fulanis were calling the people who were preventing them from colonising what we now call South West of Nigeria.

    I’m not a Yoruba man as a matter of fact.  I’m an Ode man. You find ugbo in Ilaje, you find ugbo in Ijebu, that is where they call Ijebu Ugbo not Ijebu Igbo as the place is popularly referred to. You find ugbo in Akwa Ibom, you find ugbo in Ibo land, we are the same people.  In other words, go to any indigenous shrine in the world, you’re going to meet something that is very common, that is a stone, meteorite that came from the sky. You are also going to find a container; Are we not the same people?  We are speaking the variance of the same language, that is Huse language.  That religion does not belong to Yoruba alone; it belongs to all of us.  You find people in Kalabari in Nigeria, the same people you find in Kalahari Desert in Southern Africa, speaking the same language, the same tradition, the same culture, are we still different people?  People have migrated and they are speaking variance of the same language, based on environment they have migrated to a long time ago, that does not mean they are different people.  We’re all the same people.

    People would want to ask why would some people come together to review ‘dead practices’ like isese?

    They are living practices. If 70 per cent of Nigerians are practising something, then, it is not dead. When you say something is dead, it means nobody is practising it. Look at the source of the two latter religions, that is the Christianity and Islamic religions they all derived from the sacrifice Abraham made and was documented in the Bible. Now Judaism derived from that.  It was in Deuteronomy they said when Abraham went into the bush or forest and he finished that sacrifice, instead of using his son as advised, he used a ram but there was a stone on which he slaughtered that ram that stone is a meteorite which is what Yoruba people call edan ara.

    Islam and Christianity thrive on faith and you see the manifestation in miracles and other forms of super natural things.  Do you have this in Isese?

    Isese is all encompassing. I was describing to someone how priests and priestesses manifest when they are taken-over by the spirit, they predict, tell you things. If some people went ahead to package the presentation in such a way that suits their needs in a particular system, I think you will not say the thing did not derive from somewhere. That you modified it does not mean it did not come from a place.  Although that place that it was coming from may not be able to claim direct authority. They are all modifications of Isese and I can assure you that as an Isese person, healings happen, miracles happen.

    Many Nigerian believe in Isese, yet they have failed to openly identify with it, what could have been the reason?

    It is not that people don’t want to associate themselves; it is because the mode of organisation is very different from the western mode of organisation.

    In the western mode of organisation, you would want to show off, Isese is very humble, Isese is not glamorous.

    You went abroad when you were young that means you’re from an aristocratic background?

    Sincerely speaking and with all sense of humility, yes.

    Could you tell us about your family?

    I could trace my generation to 35 generations and the most recent is Kalejaiye Adeokun, he was mentioned in Rev Johnson’s book, ‘The History of the Yoruba People’. He was my great grandfather. He was a warrior, a trader, he was stupendously rich.

    Was your father a traditional ruler?

    His father was but he was not.  My father was supposed to be the Alaye Ode but he refused, he now told his uncle to assume the throne.

    You said you brought back your ancestors’ crown 222 years after it was taken to Ile Ife, how did you do this?

    By accident, by divine design that was going on that I was a tool.

    How did your crown come back?

    It was while I was working for Isese people that Sese Eefun crown that was taken to Ife in 1792 was returned.  The crown was taken for sanctification because 140 people died which was too much blood. They were supposed to do the sanctification for a maximum of 21 days and return the crown but I don’t know why they didn’t bring it back and since that time, Ode Ule had its crown at Obatala shrine in Ile Ife. But somehow, something started pushing me that I should go there, that is the only way I can explain it.

    The Sese Efun crown that went to Ife, was the one I brought back as Oba Amero in 2005. Between 1792 and 2005, the thing was there. I didn’t know, I was just doing my own.

    As the Chairman Council of Arts and Culture (in Ogun State), the Isese people wrote to me that they wanted to be using June 12 Cultural Centre (in Abeokuta) for their meetings.  I said if we call the place a cultural centre the people should have a space to do their meeting without charging them money.  That was how the marriage between me and them started.

    From there, we started the Nigeria Holy Land Project, whereby we now declared Nigeria Holy Land of Isese. People now started coming on a pilgrimage here from abroad and we go to them on cultural exchange. We go abroad to teach them about our values and things like that and they too come here for their spiritual uplifting.  We have been doing that. It was while we were going on pilgrimage we went to Ife, we declared Ife the Holy City so we used the platform of Professor Wande Abimbola’s Orisa World Congress in 2011 as first pilgrimage.  We were able to inject that principle into the pilgrimage to Nigeria, the holy land of Isese, Ile-Ife the holy city and some other shrines in Yorubaland where people should visit.  We initially had the Isese headquarters in Brazil but we now had to move it to Nigeria because there is no sense in us saying we’re going on pilgrimage to Brazil for something that started here, so we came to the source. That was how everything fell into place and I became Oba Isese Agbaye, as well as Oba Amero Obatala. It was during one of the visits that the idea of returning Sese Efun crown struck my mind, the rest is history.

    What was growing up like?

    Right from the time I was a child I was told by my mother that whenever they wanted to wake me up in the morning ‘I would say don’t wake me up, the king is sleeping.  Don’t you know that nobody wakes an Oba up when he is sleeping?’ that was when I was 18 months old. It was the same time I took 18 kernels of ikin ifa which I gave my uncle to keep for me.

    I remember that as a child people were always coming around me, they would eat, we would play.  It reached a stage and my mother said to me: ‘Look oga, you know we are teachers, we’re salary earners’. She said she was not chasing my friends away’ but I should please limit the number of people who were coming to our house.  A that time I was already entering secondary school.  I went to HSC but I had to retake my Advance level GCE because I was determined to read Medicine. We had no physics, chemistry and biology teachers and those were the subjects I was doing. I had to go to The Polytechnic Ibadan to retake my A level papers and from there I gained admission to the University of Ife to read Medicine. I was among the first set of medical practice managers.

    After working I started Lose Clinic, I later went to Germany. I worked in the best hospitals in the Western Europe.  By the time I came back, I stayed at Ode Remo, back then the whole place was in a shambles, I felt concerned because by virtue of my training at Ife, you’re supposed to be an instrument of social change. So in the whole of this area right now, there is no place that does not have its own health centre or comprehensive health centre because I engineered a lot of things.

    Some traditional rulers feel they are superior to their colleagues, this is causing serious wrangling, what can you say about this?

    Ifa will tell you nobody is superior to anybody but if you are now feeling superior, you are inferior. I know where my own crown came from we don’t have to argue about that. All I know is that things change, we are at the confab now, who knows what will come out of that? If somebody had said 50 years ago that Legushen crown would come back they would say forget about that, but things change. Look at the former Soviet Union, could anybody have said in 1960 that it would break up? No. That is why Isese says you should not think you are either superior or inferior to anybody; just be yourself and relate with your creator and do everything good to make the world a better place.

    Why are you jettisoning medicine?

    I’m not jettisoning medicine, I still practice. The thing is that first of all, if I was in the government practice, I would have retired by now, secondly, in the private practice, what I was doing in this area was just ‘sacrificial philanthropy’, sacrificing my time, my everything. I was supposed to start my practice in Lagos, but I just said there was no hospital in Ode, the nearest was 40 kilometres away, the General Hospital at Shagamu. I just said I had to go for it and I went for it. I came here and started it and by the time I spent 10 years here, I had seen more than 250,000 patients. I now found out that pushing myself to do all that thing was not enough that I had to make sure we create the infrastructure people would come in to use and with Isese people supporting me, I was able to do all these.

    Does that mean as a traditional ruler you still attend to patients?

    Yes, i still do it.

    You are a traditionalist and a western medical practitioner, how do you cope?

    I do both traditional and western medicine. We call it in medicine integrated medicine that is what World Health Organisation calls it. I practise both.

    How effective is the traditional medicine?

    Very effective.

    You said it is possible to do caesarean operation using traditional method; could you explain this?

    Yes I mentioned it that instead of doing a caesarean for a woman that has abnormal presentation. If you soak a ring in the necessary herbs and (make the) necessary preparation, just overnight, it is already working and you point it to the pregnancy that is the application.

    We (western) educated people call it is miracle, it is not miracle, it is normal. Because we don’t understand the process does not mean it is miraculous. People don’t understand how these things work and we are not ready to investigate all those things and we want to keep telling ourselves that until we are sure of how it works we are not going to accept it, it is wrong.

    Have you had any cause to consult ifa to solve medical problem?

    That is what we call integrated medicine, we consult regularly and it has been very effective and efficient because most of the things we use chemical for may actually not be that the chemistry was wrong, it could be a spiritual thing. What we call spiritual is what we cannot understand, but these are physical forces that we cannot yet perceive, so because we cannot perceive them we say they are spiritual. Somebody just discovered gravity because that was the first time they discovered that there must be some forces drawing those things down, he says; ’I have discovered it,’ does it mean such things have not been existing before? It is just that we have not reached the level of identifying those things. When there is going to be earthquake, animals that have senses would have picked the vibration and would have left.  The last tsunami, it was the sick animals that were caught, all of them (healthy ones) had left the area. Some villagers around the area where tsunami had always been happening know the signs, they went underground. That we have not been able to develop censors to a particular thing does not make it spiritual, it is still physical.

  • Why every family needs to have a medical doctor

    When a  light complexioned  fat  woman  of fifty years comes to him, and has  the same complaints, the same type of treatment should be  alright.   To the extent that this individual  knows, no further investigations are necessary .  Another care giver who  owns a chemist shop may be called to see  the  54 year old man  that he has been treating for hypertension who had suddenly develop paralysis of  the lower part of his body from the waist down to the feet.  Whereas the most  convincing explanation may be that his hypertension had caused stroke, a Medical Doctor if called to see this elderly patient may think of something other than Hypertension , which if ignored will kill the man ,and not the high blood pressure.

    The point being made here  is that it is difficult to ask a Medical Doctor to  turn himself unto a nurse by attending to  any patient he  did not see at the correct time. It explains why  many patients  that have gone out for major surgical operations outside are going through difficult times getting  Medical specialists  here to accept them as their patients and  render  follow up. Once that initial bond is misplaced, no one can guarantee the best .  As a colleague placed it at a workshop recently, it is like  managing to  fly  an  aircraft  with  engine  trouble from London to  Lagos  and asking  another Pilot  to  fly the same  aircraft from Lagos  to Abuja  .

    In   a correct  family, Mum  and Dad have   their health needs . The  kids depending on age and sex also have their  health  and nutritional requirements .  While it is the duty of every man to ensure he has a healthy family, good family health is a shared responsibility. What is common is that where the man is a Medical person, this responsibility is not shared.  The same  attitude is observed if the woman is a member of the medical profession; and when too much is expected from one party , serious disharmony may very quickly  emerge.   One way out of this is to have  sustainable arrangement with a Medical Doctor  , where the partner with medical  training informs and  guides decisions .

    As obtains in many families where  the level of education is average and above,  there are books on the shelf with  information  enough to handle  common ailments. There is also access to internet where information on health problems can be sourced very quickly, but rather  than  provide simple explanations, there is often so much stuff that people get really confused. The tendency to  make mistakes and  take wrong decision  is real when you  place information gathered on Internet above what you can get from Your Medical Doctor. A common problem here is referring or giving the wrong advice to people based on personal experience and information gathered from the internet

    For families with level of education low, or below average, ignorance becomes something else; every one  seems to know all there is about medical problems and can  treat many ailments.  People here  also  go to multi care providers and  advise people   ,sometimes inappropriately , where to go for medical  laboratory investigations  and treatment  based on  their experience , but mostly  from  assumptions

    There is a book ; ‘Where there is no Doctor’ which attempts to  assist patients help themselves over common but minor ailments. Written before the emergence of new tropical diseases, the book has been found helpful compared with the millions of similar materials available to white folks overseas, and particularly among patent medicine dealers to provide some degree of direction.  At the same time, it emphasizes the fact that situations exist in many parts of Africa and other parts of the World where there are no Medical Doctors  to treat the ill . People in these areas know  next to nothing about incubation periods , similarities and differences between fevers due to typhoid, malaria, hepatitis and Hiv  infection.  They also are not likely to know how a small , hard  painless swelling in the breast can  grow and become cancer or the difference between  fibroid and pregnancy.  It is in such communities that  young men  carrying the bladder worm ;  Schistosoma haematobium   as a result of which they pass blood in urine are  wrongly believed to belong to the class of men who menstruate.

    The point is that  Health according to the world health organization is a state of physical, social and mental well being and not the absence of infirmity or disease. Any wise man or woman will from that definition understand that even where you have access to and do know a lot about health and disease , you still need  a Medical Doctor to  inform  you ,direct  what decisions you make so you can act early

    Following are some examples;

    Breaking down syndromes into  component  diseases as compounds are broken into elements such that  differences between the fever caused by  Malaria and that due to Typhoid  can become familiar

    So that it becomes clear  why   passing stools that appear like  watery Egusi soup, fever that appears not to come down before going up, constipation alternating with frequent loose stools, abdominal pains ,  weakness   with or without vomiting and complete loss of interest in  activities of any nature ,all  events occurring in a child or  young adult may all point to one disease entity but are handled differently by Medical Doctors.

    In recent  times, some people walking into Medical laboratories to ask for HIV tests without regards for the recommended ways of seeing  a Doctor or medical counselor have had to face very serious consequences. Once a   positive result is given  to a Wife, Husband or Partner, it matters little if it turns out  from another Laboratory that the first test was wrong.

    A similarly   ugly  situation is seen  when  a  woman with  uterine fibroid and that decides  not to see a Gynecologist , is placed on folic acid and diets that help tumors grow well , and the all knowing care giver encourages her to  keep the so called pregnancy for years.

    To be continued next week

     

    Ancillary   Health  Issues:

    About  Prolonged  Standing.

    Commercial  Banks in Nigeria are killing the  Vertebral column(back bone ) of ordinary customers.  Bank customers are forced to  stand in long queues for hours  , while  staff  sit comfortably  in their  ergonomically designed   body  friendly  chairs  Students in  higher institutions  are  seen forming  single or double lines , suffering  ,trying to pay fees . Why ? There are health consequences ;prolonged standing   can cause degenerative conditions of the back  bone leading to lumbago, lumbo sacral arthritis(low back pain) and sciatica( pain can be in the buttock, leg and feet).  These conditions  may be silent  and once developed, there is no  permanent cure . They can only be treated.  Some one should please do something.

  • Medical doctor decries child sex abuse

    A consultant at the Lagos University Teaching Hospital, (LUTH) Dr Chidinma Ajayi, has decried child sex abuse, saying children are more vulnerable to abuse in the society.

    She said it has become a social norm, which is underreported as the affected ones are not ready to expose the culprit as a result of social stigma.

    Dr Ajayi, spoke at the African Child Day celebration organised by the National Council of Child Right Advocates of Nigeria,(NACCRAN) Lagos State.

    The event held at the media centre, National Stadium, Surulere, Lagos was themed: ‘Sexual abuse and the community’.

    Child sexual abuse, Ajayi said, could either have a long or short term effect on the child as they psychologically live a traumatised life.

    She added that victims are most times violated by someone close to them. She, therefore, advised pupils to be more self conscious and report any abnormal actions from people, who disguise themselves as neighbours, elders, relations or family friends.

    She admonished parents to desist from all forms of child abuse and teach their children sex education.

    State coordinator, NACCRAN, Mrs Olaitan Oshodi, said the society’s greatest asset is the children, which without, is doomed for destruction

    “A child-friendly quality, free and compulsory education should be given to every African child. Education to the child should not be treated as a privilege that the society grants, but a duty that the society fulfils towards all her children,” she said.

  • Medical ART Centre’s feat in assisted reproduction

    Medical ART Centre’s feat in assisted reproduction

    A private hospital, Medical ART Centre, Maryland Lagos on Friday, May 23, recorded a tremendous medical achievement when it carried out the conception and delivery of a set of quadruplet.

    The Medical ART Centre is headed by Prof. Oladapo Ashiru who experimented on the technique of in-vitro fertilisation (IVF) in 1983 and Embryo transfer in 1984 (human) in West Africa, otherwise called ‘test tube baby’, at Lagos University Teaching Hospital (LUTH), Idi Araba. He performed this feat together with Prof. Osato Giwa-Osagie.

    The quadruplets, comprising three females and one male, were delivered at 9:00am. They are currently being taken care of at the Neonatal Unit of MART Maternity Suite. They are receiving specialised attention through the use of ventilators, respirator and individual incubator, light phototherapy sets and monitors.

    The Group Medical Director (GMD), Medical ART Centre, Prof. Oladapo Ashiru expressed his happiness over the achievement, even as he said he has been able to prove that with the right facility in Nigeria, medical tourism could be reduced.

    He said: “In most centres worldwide, it is not an easy process to maintain and support the lives of premature babies. The story of this quadruplets started last year when the mother, a 30-year-old lady walked into the Obstetric Unit of the MART Medicare for treatment. The husband was invited as well. The couple’s treatment started in August 2013 with series of investigations and management. Diagnoses of primary infertility due to Polycystic Ovarian Syndrome (PCO) and male factor issues were carried out.

    “The couple thought IVF was the only option in assisted reproduction, but the above were addressed with specific medications and the Fallopian Tube Sperm Perfusion (FTSP) also known as artificial insemination which is a method of assisted conception was done in October 2013. She came back after two weeks for test and was confirmed positive by the Beta HCG (bHCG) pregnancy test.”

    Prof. Ashiru said the initial post-positive scan test was done to determine the position of the implantation.

    “One week later, another scan was done to confirm gestation and it revealed twin gestation. The seventh week scan showed triplet gestation and by eight week, the quadruplet gestation was confirmed. She was managed at MART Medical Art Centre high risk/multiple pregnancy care unit and was transferred to MART Medicare from the 10th week for continued routine monitoring.

    The Obstetricians at Mart Medicare, Dr. Lateef Akinola; Dr Moses Olusanjo and Dr. Oluwaseun Makewu did a Cervical Cerclage on her, after which she was closely monitored.”

    At week 20, she was re-admitted for close monitoring and plan of delivery. At week 33, she had elective Caesarean Section by a team of specialists led by Dr Akinola and Dr Olusanjo and team which included two anesthetists, two obstetricians, four neonatologists and theater nurses.

    The Consultant Gynaecologist/Obstetrician, Dr Akinola said: “This is a great feat for us as we have achieved the one stop plan for our patients to be taken from infertility management to delivery in the same facility, reducing the stress on patient and medical tourism outside the country.

    “The quadruplets are doing well. Even the one weighing 9kg is the most active. Naturally, the uterus is for one baby but you can have two. When you get three or four or more, then it will have great impact on the babies.

    “The reason is that the maximum weight for a normal single baby in the womb is 3.2kg, but when you have two or three, the weight increases. When you add all the weights of the three or four babies together, you get above 6kg and that is a lot of weight.

    “It depends on how fertilisation occurs. If it is one egg that divided into two, then the babies will share placenta. If it is an egg that fertilised separately, the placenta will fuse. The placenta is the connection between mother and the babies; it supplies food from mother to babies.

    “In multiple pregnancy; the baby closest to the placenta gets the most food and that will lead to weight differentials. The baby that is far from the placenta gets the left over, which is the case in this baby that is weighing 9kg. We call it Intero-placenta insufficiency.

    On why the medical team went ahead to deliver a 9kg baby, Dr Akinola said: “We have to be extremely careful with this kind of babies because if you don’t deliver them on time, you can lose them rapidly. So, you have to make a balance between delivering them prematurely and the effects of leaving them in the womb. You don’t want to deliver them too early because it is not too good for the babies nor leave them in the womb too long to avoid losing them. A balance must be struck. Also you have to bear the mother in mind; weight of 6kg is not a joke.”

    Prof. Ashiru said: “MART is happy to collaborate with and complement government’s effort in the reduction of maternal mortality and morbidity in the country. This was the pledge I made when the Mart Medicare was formally opened by the Minister of Health Prof. Onyebuchi Chukwu in September, 2013.

    “With this, we have proven that medical tourism can become a thing of history if facilities like this exist in the country. When a patient goes outside the country on medical tourism, he or she goes at least with a relation. Paying for food and accommodation is not rosy there.

    “The convenience is not guaranteed. But here in the country, there is quality of service as the centres are manned by highly skilled professionals, coupled with state-of-the-art equipment. Paying in our currency also makes the services much more available. So, I am fulfilled.”

    Already, the wife of the Lagos State Governor, Mrs. Emmanuella Fashola has paid a visit to the quadruplets.

    During the visit, Mrs. Fashola inspected the state-of-the-art labour ward, theatre, wards and highly equipped neonatal unit with capacity to handle premature babies with ventilators, respirator, incubators and monitors. She also visited the Mart Life Detox Clinic, where pre –fertility detoxification and stress reduction are carried out on couples planning for assisted conception.

    She expressed her satisfaction with the world-class facilities of the MART Group.

     

  • Naval medical mission makes Otuoke people happy

    Dame Patience Jonathan Square in Otuoke, President Goodluck Jonathan’s hometown, was a beehive Tuesday last week. Many residents trooped to the square to partake in a medical rhapsody organised by the Central Naval Command of the Nigerian Navy.

    It was a case of who heard should tell another. In a twinkle the entire town was saturated with the information that the medical team of the Navy was on ground. Teenagers, pregnant women, women, men and elders including children soon rushed and occupied the seats at the square.

    The free medical exercise was organised as part of the Navy Week to mark the 58th anniversary of the Nigerian Navy. Experts in dental care, eye care, reproductive health, pharmacy, laboratory, and sexual health were not in short supply.

    Different medical stands immediately sprung up. Beneficiaries started by consulting a doctor who received their medical complaints. They went for medical tests. They tested for HIV/AIDS, blood sugar, High Blood Pressure (HBP), malaria and hepatitis. Others were asked to do dental and optical examinations.

    After the results were produced by the laboratory technicians, the doctors prescribed drugs and the beneficiaries headed for the dispensary. There were a range of drugs to cover treatments within the scope of the exercise. Persons whose ailments were beyond the scope, were given referrals to hospitals that could handle their cases.

    But before the medical tests and treatments commenced, experts in various fields were invited by the Navy to offer free health lectures to the residents. Many health practitioners gave talks on a wide range of health related issues such as reproductive health, substance abuse, visual impairment, among others.

    In her lecture, state Coordinator, Family Planning, Dr. Mary Ogholi, spoke on reproductive health with emphasis on barrier method. She hammered on the need for people to abstain from unsafe sex. Her lecture dwelled on the significance of condom in healthy living.

    She debunked some sentiments that had discouraged some persons from using condom. For instance, she dispelled the belief by some persons that condom usage does not guarantee maximum pleasure in sex.

    She insisted that there is only a slight difference in enjoyment when people engage in sex without condom. But she maintained that the difference is compensated with peace of mind and good health.

    According to her apart from preventing the users from contracting Sexually Transmitted Diseases (STDs) and Sexually Transmitted Infections (STIs), condoms are also very useful in preventing unwanted pregnancies and for family planning.

    She clarified the beliefs in some quarters that condoms could go into the womb and constitute a risk for women. She said it was false to say that the woman’s vagina does not have end.

    Ogholi said: “Woman’s vagina has an end. The myth that condom can go into the womb is not correct. If you do not want an unwanted pregnancy or contract viral and bacteria infections, your sure bet is to use the condoms.

    “However, one condom is meant for one round of sex only. Using the condoms give you rest of  mind. Also, some people say it is not enjoyable to use the condom. I also dispute this assertion. The difference between condom and without condom use is very insignificant.”

    She also warned those who drink the spermatozoa to desist from it, saying it was erroneous to believe that one could get nutrients from it.

    Also, Ephraim Sobito, a medical practitioner with the Joint Military Task Force (JTF) in the Niger Delta, counselled Nigerians against substance abuse.

    He said abuse of substances such as gin, drugs, antibiotics, narcotics and others posed health risks, stressing that many had been sent to their early graves because of such abuses.

    Sobito said another far-reaching implications of substance abuse were depression, wrong association, and the risks of engaging in unprotected sex and thereby contracting terminal diseases.

    On her part, Dr. Obiageli Azubuike, lectured the residents on the causes of visual impairment. She advised against too much intake of sugar, saying it could lead to diabetes, which would in turn result in visual impairment, stroke and other attendant diseases.

    She also recommended the use of sunglasses especially when the sun is too harsh, saying that excessive sun ray could damage the eyes.

    She further recommended regular eyes check, noting that it was a panacea for detecting quickly if one was suffering from eye defects.

    A resident, Chief David Ibeh, commended the Navy for the programme, advising other institutions to emulate the Navy.

    “I am very happy. It is a good thing that has happened to my people. We thank the Navy for choosing our place to be one of their engagements. We have a lot of drugs, doctors here. They are testing everything, “ Ibeh said.

    The Navy health experts worked alongside health officials from the state’s Ministry of Health and practitioners from health based non-governmental organisations during the exercise.

    Shedding light on the Navy outreach programme, Chairman, Organising Committee and representative of the Flag Officer Commanding, CNC, Navy Capt. Salihu Jibril, said the health programme was part of the activities to celebrate the Navy’s 58th anniversary.

    He said it was customary for the security outfit to perform some civic responsibilities during the Navy Week.

    He stressed that this year’s celebration was targeted at health because of itsix portable to the people.

    Jibril said: “This health rhapsody is organised wherever we are domained that requires help. The idea is to go round and give the community or area we have chosen some health awareness, testing and drugs.

    “As you can see, before we started administering tests and treatment, we had given them lectures on safe sex, STIs, STDs, family planning, hypertension and a whole lot of other ailments. From that point, they will be better educated on lifestyles and how to live a healthy life.”

    He urged the residents to embrace the health programme and see it as an opportunity to get themselves tested and treated free of charge.

    He said persons with challenges above the scope of the programme would be referred to the appropriate health facilities.

  • From the Villa: Ending Nigerians’ medical tourism abroad

    From the Villa: Ending Nigerians’ medical tourism abroad

    Every year, Nigeria continues to lose huge sums of money when her citizens travel abroad for medical attention.

    While the actions of some of these Nigerians can be justified because of lack of standard equipment or personnel for the particular medical service needed by the individual, others simply prefer the services abroad as they do not want to risk their lives in the course of being handled by local medics.

    In 2012, the Nigeria Medical Association (NMA) said Nigeria lost $500 million on annual medical tourism by Nigerians abroad.

    The NMA President, Dr. Osahon Enabulele had maintained that over 5,000 Nigerians travel out every month to India, Egypt and Ghana to treat ailments that could mostly be handled in Nigeria.

    “Indeed, it has been shown that India earns over $260 million from medical tourism from Nigeria alone,” he said.

    He specifically challenged Nigerian political office holders to go beyond lip-service in order to change the story in Nigeria.

    Challenging politicians in 2012, he said: “Indeed, the NMA is convinced that if President Goodluck Ebele Jonathan, Vice-President Namadi Sambo, the Senate President, Senator David Mark, and the Speaker of the House of Representatives, Hon. Aminu Tambuwal, members of the Federal Executive Council, Governors, Deputy Governors, and other political office holders, make it a point of duty to stand on the same queue with ordinary Nigerians to seek medical care and conduct health checks in public hospitals in Nigeria, the confidence of ordinary Nigerians and foreigners in Nigeria’s healthcare system will be re-ignited and bolstered.”

    But almost two years after the call, nothing seems to have changed in Nigeria’s healthcare system.

    Speaking at the Presidential Summit on Universal Health Coverage (UHC) at the Banquet Hall of the State House, Abuja Monday last week, President Goodluck Jonathan, through the Vice-President Namadi Sambo, further lamented the capital flight arising from medical tourism of Nigerians abroad.

    He said: “We still have the largest number of people in Africa and the developed world travelling out of the country to seek healthcare services. The scale of capital flight lost to medical tourism is enormous, not justifiable and needs to be speedily addressed for the survival and development of our local health practitioners and industry.

    “Government is not unaware of the numerous challenges limiting the attainment of Universal Health Coverage (UHC) in our country and the importance of political commitment in surmounting these challenges.

    “The World Bank’s case study of 11 countries that have made significant progress in UHC, affirmed that political leadership and commitment is the key driving force for achieving UHC.”

    Speaking at the summit, the Ondo State Governor, Olusegun Mimiko, citing the successes being recorded in his state, urged government to go beyond lip-service and show the necessary political will needed to attain universal health coverage in the country.

    According to him, due to political will, his state is recording success in a programme called ‘Abiye’ for safe motherhood, which is done in partnership with the World Bank.

    He said: “The programme essentially is about tracing every pregnant woman from conception to delivery, using very simple modern methods. We also trace them to the communities through primary healthcare provider. We have been doing all of this and completely eliminating financial barriers through budgetary allocation, through pooling of funds from partners.

    “Strengthening the core system is also very important because no matter how much you put into the system, if the health system is not strengthened and accountable, you may not get the output you desire.

    “In two years of ‘Abiye’, we were able to increase percentage of attendance by more than 80 per cent. By now, it must be over 1,000 per cent. We were able to reduce the unit cost of care. The cost of taking care of a pregnant woman has been reduced to N4, 000, including caesarean delivery. That means if I give you N40, 000, I’m expecting 10 live babies. It is cost-based analysis; you can measure your outcome.

    “That means that if you eliminate financial barriers, if you engender confidence in the core system, what you spend to take care of each patient goes down. The cost you incur in complications gets reduced.

    “It will also interest you, Mr. President, that in four years, facility-based figures, with clear empirical evidence, we were able to reduce maternal mortality rate by more than 70 per cent. What that means is that with political will, with the necessary backings and technology, we can achieve universal health coverage. “It is not all about money; it is about effective and efficient management of resources that we have. What we need is political will, effective and efficient modernisation of our health system.”

  • Medical mission breathes life into Osun rural community

    Medical mission breathes life into Osun rural community

    Imesi-Ile in Obokun Local Government Area of Osun State recently came alive when some medical experts from the United States visited the sleepy and an agrarian community to attend to some of its ailing residents.

    Hundreds of people, even far beyond the community’s borders, besieged the town’s almost disused health facility, which is under the management of the Obafemi Awolowo University Teaching Hospital, Ile-Ife.

    It was a very rare opportunity for the residents of the community, who are suffering from various life-threatening diseases and ailments to come forward for cure – all for free.

    Dr. Remi Saseun, an indigene who lives in the United States, led 24 medical personnel, including doctors, theatre nurses, surgeons, laboratory scientists and pharmacists, for the exercise.

    According to Saseun, the medical personnel were in the country under the aegis of the Association of Medical Physicians in America (AMPA). He said the immediate past medical intervention of the association was in Ibadan, the Oyo State capital.

    Saseun, who disclosed that more than N8 million was expended on medication for the five-day free mission, said two resident doctors and a matron in the health facility joined them to treat the people.

    He said they spent extra thousands of naira in procuring anti-malaria drugs from Nigeria because in the United States people don’t have malaria and, therefore, no drugs for such disease in that country. Within three days of the programme, 921 patients were treated. There were 46 surgeries.

    On top of the list of ailments treated were eye problems, such as cataract, diabetes, high blood pressure and hypertension as well as arthritis.

    The officials of the hospitals declined comment because they said they were not authorised to speak but few of the patients expressed joy for the mission which they said had restored their hope and helped them overcome some of their health challenges.

    For instance,  Kehinde Adesiyan, an indigene of the town, lamented that there was no functional government hospital in the community to treat ailments, saying they most times travel as far as Osogbo, Ilesa and Ile-Ife before the residents could receive medical attention for their ailments.

    A refrigerator technician in the community, Peter Aluko; a petty trader, Madam Eunice Esan and a retired civil servant, Pa Adebowale Ajiboye, said they had tremendously benefitted from the medical mission.

    The Secretary of the Imesi-Ile Progressive Association, Pa Jacob Babajide Awowale said, that the people would always be grateful to God and those behind the initiative, particularly, Dr. Remi Saseun.

    However, he joined Dr. Saseun to appeal to governments, both at the state and local government levels, to come to the aid of the people in the rural areas and ensure that they have access to medical care like those in the urban communities.

    “What will  make a big difference in the lives of the people in the rural areas is very small and if various authorities can help these people, their quality of lives would improve and it would make them contribute significantly to national development,” Saseun advised.

     

  • Medical students hold conference

    No fewer than 1,200 medical students from more than 25 teaching hospitals in the country converged on the Old Auditorium of the Redeemed Christian Church of God (RCCG) on Lagos-Ibadan Expressway last week for the 20th national Conference of the Christian Medical and Dental Association Students (CMDAS).

    The theme of the five-day event, which was hosted by the Lagos University Teaching Hospital (LUTH) in collaboration with the Lagos State University Teaching Hospital (LASUTH), was: The ancient paths.

    In his opening address, President of the association, Korede Awani, said the theme of the conference was timely, adding that many medical students do not know the will of God for their careers.

    “We are to rebuild the ancient ruins and original paths of God for our lives, academics, professions and society. It should be a life-long task for everyone,” he said.

    Speaking on Rebuilding the ancient ruins in the medical profession, Dr Ola Seirde from LASUTH taught participants the history and challenges facing medical practice in Nigeria.

    “What we do in Nigerian hospitals is merely a rescue mission. To overcome the hurdles, we would need an effective community healthcare system. If we can reach out to rural dwellers and educate them on basic practices such as personal hygiene, the bulk of patients visiting our hospitals will reduce because there would be a drop in infection,” he said.

    Dr Simon Ajisegiri from the Federal Ministry of Health, Abuja, who spoke on Reflecting the glory of God in your academics, urged the students to be hardworking and assist their weaklings, adding: “The medical career requires diligent people. Never allow yourself to be lazy and never compete with others. You only have to compete with yourself and set realistic standards for your self-improvement.”

    Other issues discussed at the conference included: “Balancing life as a medical student,” “Strike in the health sector: the christian doctor’s response,” amongst others.

    Highlights of the event included quiz contest, debate, launching of Touch magazine and research presentations on the effects of social media on students.

    The event also witnessed the election of new leaders to pilot the affairs of the association. Owolanke Oluwagbenga from the Ahmadu Bello University, (ABUTH) emerged president.

    President of the doctors’ arm of the association, Prof Oluwatosin Odunayo, charged the students to exhange ideas and embrace networking for professional success.

    Speaking to CAMPUSLIFE, Amaza Ishaku, 200-Level Medicine, University of Maiduguri Teaching Hospital (UMTH) described the conference as timely, adding: “I will begin to rebuild ancient ruins in my life and academics to become a proficient medical doctor when I graduate.” He commended the organisers of the programme.