Posted by 9jabook.com on January 10, 2010 at 7:00pm
This post has been allegedly written by a US based Medical practitioner and originally posted online on various blogs around the 15th of December 2009 .Google the first line in bold to see. Quite an interesting read .
I just woke up to read this idiotic piece dished out to Nigerians.
First, let me say, that beyond all reasonable doubt that if the diagnosis
and the muddled up information dished out by the demons in PDP are true,
then Mr. Yar'dua is not coming back to Nigeria, at least NOT on his feet.
Please do not get me wrong, do not mistake my take as being cold hearted
or see me as a woman without African compassion in her. In fact I feel all
these because I was once in the shoes of Mrs Yar'dua. Not that my own man
had his kind of influence or money, but I loved him with all my heart all
the same.
OK, look at this, the man is not able to speak or he is inaudible if he
does. No mam/sir, the man cannot speak at all. The man is on a ventilator,
he is intubated to secure the airway because someone did not have the
presence of mind to intubate him, secure his airway, hyperventilate him en
route to Saudi Arabia, so he SUFFERED ANOXIC NEURO DAMAGE. It takes only
3mins and at best 5 mins for any one to suffer irreversible brain damage
without oxygen. So, his fool of a doctor putting him on oxygen via nasal
cannula will only give the man nose bleed without making much difference.
. Doctors flown in from Germany and America will not make a difference.
The man had a cascade of chemical activities when his heart failed or
should I say when he suffered vascular collapse in Abuja. These chemical
reactions will open the gates for toxic reactions hence his systemic
collapse. It takes only a couple of minutes, 8 mins precisely or may be a
little longer in some strange people for the chemical to bring down the
whole system. In that case, he will be in a vegetative state .
What is happening now is that they have put him on life support, he can
neither talk or blink, he is in what we call CATATONIC STATE, with only the
severely compromised brain ticking away. In that case , his algorithm will
be very erratic on the monitor.. They can give him all the epi. in the
world and it will not make a difference.
I am almost sure the man is on life support. I want to assume he also has a
trach. They will do that to access his lungs to see if miracle can happen as
soon as he arrived in the hospital because his airway would have been
compromised by the time he got to the hospital. Where we cannot get a line
into a patient, we go for O/S, and that is we go through the the trachea to
get the lungs filled with oxygen. Sometime, the man will be artificially
kept alive as long as his heart is still registering on the monitor, no
matter how poor his algorithm may be. In that case, he will be dead and
alive at the same time. However, we do keep them on to see if they will make
a miraculous come back. There are some things, indeed a lot of things
medicine cannot explain. One of which is the phenomenon of the COME BACK
KIDS. as we call them. We keep them on as long as per family request until
the register a PEA on the monitor and then they go away forever. Those
moments are so surreal. So, what is Madam President is doing now is hoping
that the man will make a miraculous come back. I am surprised Gov saraki is
part of this caper because he is before anything else a medical professional
who from all indications does not know what is on in our world anymore.
The man will speak to the nation? common guys, this guy ain't speaking to no
one but his creator. He cannot speak because he has tubes in his throat or
though his nasal septum. Actually he has more than that. let me tell you
guys what he has:
1. FOLEY CATH: That is a tube going through his penis to his bladder
to drain urine into a urine bag for measurement. The essence of it is to see
his urine osmolality and to measure the kidney function. We want to see at
least 30 ml of urine per hour. In his case, it is not likely because the
reports say his kidneys are gone. Poor guy. besides, we do not want him to
void on himself so that we do not have issues of skin break down from the
ammonia in the urine.
2. RECTAL TUBE: that is the one that will collect all the feces if at all.
That is to maintain hygiene. We also want to see the color, size, viscosity
of the feces. It tells a lot. That is besides the fact that he is in ICU or
IMU, nurses on those wards are not known to tolerate an incontinent
patient. Besides, you do not want to accidentally dislodge a tube because
all the alarms will go off at the same time. I once rotated to IMCU and the
noise from the monitors almost drove me to drink. I do not drink at all.
3. TRACHEOSTOMY: That is meant to be part of his breathing tubes which
will be connected to a ventilator. because the lungs are crappy now, am sure
his secretions will be suctioned for him so that he does not drown in his
own fluids.
4. G or J TUBe: That is to maintain nutrition for him and to see his if he
can make a miraculous come back.
5. OROPHARYNGEAL TUBES: connected to the ventilator. helps him to breathe.
6. NASO GASTRIC TUBE: Not likely because the oro is already in, but may be
they were not able to get in the oro tube and since he did not have a facial
or cranial wound, he may be a candidate for the naso tube. If his his oral
airway had been compromised before he got to Saudi Arabia. The dumb doctor
did not intubate him, his airway would have become occluded and so we go
through the nasal septum.
7. CENTRAL LINE: that is to medicate him, draw labs which will be done
round the clock at least B. I.D to see his chemistry. I hope they gave him
the triple lumen so that if he cannot tolerate a g-tube, he will be getting
parentral nutrition. His eyes may be wide open which is kind of creepy or it
may be shut. If it is my facility, we will close the eyes so that there is
no corneal damage. If the eyes are left open, his people will ignorantly
think he is looking at them and some times families think they see the man
blinking. yeah right..The rise and fall of the chest may look even tot he
uninitiated, they may think his respiration is even and unlabored, but it is
the ventilator working. The man may no longer be taking spontaneous
respiration. it is the machines breathing for him. The family may think
other wise.
Is there something am missing? please remind me in your reply. The point is
Mrs Yar'dua might be going through the stages of grief which is
understandable. Look, when mine was in the throes of death, I walked in the
icy rain of Washington, DC and I did not feel it. I went into denial.
I almost gambled away my license. I went to Dr Yamamoto, my daughter's
instructor when she rotated to Cardiology. He is the 5th cardiologist in
the USA. I asked him to do a miracle. I wept like a baby because I saw him
slipping into death.
Stages of grief are 4:
1. DENIAL : no it is not happening. He will come back. Lightening will
strike and all of you will be shamed. I feel her pain.
2. ANGER: You feel betrayed by the patient. You blame him for being sick.
You cuss at him and at every one who tells you anything contrary to what you
want to hear.
3. BARGAINING; you attempt to bargain with God and get all the prayer
warriors to pray to God to give you a second chance.
4. ACCEPTANCE: You accept the party is over and allow the man to go. I feel
her pain. She will get there. I went through it. I cussed at mine on some
occasions, I cried and rocked him like a baby in the next minute. I dropped
5. dress sizes. I went into deep sadness. I blamed every body, lashed at him
while he was sick. Tried all the hospitals all over the world. Got through
to a friend practicing in South Africa for a heart transplant and blew all
my savings including my childrens' money hoping for a miracle. he eventually
expired and I almost suffered a melt down. Now, guys, having said that, I
have zero respect to all those fools in Nigeria who have what we call the
FOOT MOUTH DISEASE. Seriously, there is a disease like that, but IT IS FOUND
IN COWS. Those folks in the national assembly are mentally below cows in the
realm of things.
May God help us, and am genuinely praying, but it is not likely the man will
come back. That is however, based on the premise that all what we have read
is true.
ANONYMOUS for good reason
___________________________________________________________________________
*Prof Bolaji Aluko Commentary*
The sentiments of the above compelling communication by a qualified medico
with a personal story to tell to boot can be indepedently verified as
hitting some of the medical marks with respect to this important health
matter of President Yar'Adua.
The President is apparently in no position to sign anything under such
physico-medical distress/duress that would be legally acceptable. It is
left to the National Assembly and/or FEC to act - or to wait on Fate.
One hopes that we are not in a Death Watch.....
Bolaji Aluko
Saddened
Read more…
