Kazrem:
Now I am sad and bitter than ever.
I came this evening only to meet the leg worse than before.
I am pained.
The wound is getting close to the knee
Pray Monday comes early
Now I am crying profusely.
I feel restrained to share her pix again.

Salaam Alaikum Waramotulah Wabarakatul Brother! Allah is your fortress hope now. Be steadfast in dua

Kazrem:
Now I am sad and bitter than ever.
I came this evening only to meet the leg worse than before.
I am pained.
The wound is getting close to the knee
Pray Monday comes early
Now I am crying profusely.
I feel restrained to share her pix again.

اللَّهُ اللَّهُ رَبِّي لَا أُشْرِكُ بِهِ شَيْئَاً

( "Allah is my Lord, I do not ascribe anything unto Him".
)

Kazrem:
Now I am sad and bitter than ever. I came this evening only to meet the leg worse than before. I am pained. The wound is getting close to the knee Pray Monday comes early Now I am crying profusely. I feel restrained to share her pix again.

oh my God... pls. take heart.

The Good Lord Will Perfect Her Healing

TheArchangel:
SPIRITUAL
P
AN obvious festering ulcer in a known diabetic patient walahi

Then why can't the doctors diagonize what's wrong with all the tests

Kazrem:
Now I am sad and bitter than ever.
I came this evening only to meet the leg worse than before.
I am pained.
The wound is getting close to the knee
Pray Monday comes early
Now I am crying profusely.
I feel restrained to share her pix again.

It's spiritual ooooo

Although I don't have the answers to her healing but everything am seeing here smell spiritual attack.. Now it's spreading.. As if the drugs given are not working.. Op have seen this type before. Better buckle your belt and seek for a strong spiritualist that will deliver your mum or a strong pastor or strong Alfa.. Before she gives up, God forbid. That's my advice oooo

Eeyah, the Lord is your strength. Amen

Kazrem:
Now I am sad and bitter than ever.
I came this evening only to meet the leg worse than before.
I am pained.
The wound is getting close to the knee
Pray Monday comes early
Now I am crying profusely.
I feel restrained to share her pix again.

You need to act more urgently, if not the further the wound goes, the further they will eventually have to amputate. The problem is that her health might be too poor, this is why they are delaying it. This happened to an uncle of mine and his kids had to move him to a private hospital where they quickly amputated his leg and saved his life. Pray for your mum, this situation doesn't look good, can't you move her to a better hospital? Even the bed she is laying on looks so bad.

Try and build her blood level by giving her meals made with fresh vegetables and ask the doctors if it's safe for her to take blood tonic

Kazrem:
Now I am sad and bitter than ever.
I came this evening only to meet the leg worse than before.
I am pained.
The wound is getting close to the knee
Pray Monday comes early
Now I am crying profusely.
I feel restrained to share her pix again.

What exactly are they saying, what and what are they doing to prevent further spreading

Spiritual ke? Hian! Monday should come quickly Jare

Amelian:




Then why can't the doctors diagonize what's wrong with all the tests

They have a diagnosis but Kazeem can't see it as families are not allowed to handle patients/ relatives folder. Let him ask them their working diagnosis and differential diagnosis.
From the referral note, Mama is hypertensive with a blood pressure of about 180/110, it is such a huge risk for surgery coupled with her diabetic state. No sane doctor will tempt it. It has to be reduced and controlled before making an attempt.

I wish mama quick recovery. Amen.

TheArchangel:
They have a diagnosis but Kazeem can't see it as families are of allowed to handle patients/ relatives folder. Let him ask them their working diagnosis and differential diagnosis.
From the referral note, Mama is hypertensive with a blood pressure of about 180/110, it is such a huge risk for surgery coupled with the her diabetic state. No sane doctor will tempt it. It has to be reduced and controlled before making an attempt.

I wish mama quick recovery. Amen.

She's hypertensive as well?!
Oh dear.

5minsmadness:


She's hypertensive as well?!
Oh dear.

What a country we live in! This is so sad. Her condition keeps deterioration by the day and the doctors are just acting at snail speed. This is so unfair. Someone's life is at stake here.

Mimzyy:


What a country we live in! This is so sad. Her condition keeps deterioration by the day and the doctors are just acting at snail speed. This is so unfair. Someone's life is at stake here.

This is not snail's speed ooo. She may not survive it if she is sent to the theatre with the aforementioned deviant clinical parameters. They have to be stabilised.
Patient! Patient!!

Kazeem, you may have to ask for orthopaedic referral to Igbobi, at least to be on a safer side.

TheArchangel:
This is not snail's speed ooo. She may not survive it if she is sent to the theatre with the aforementioned deviant clinical parameters. They have to be stabilised.
Patient! Patient!!

Kazeem, you may have to ask for orthopaedic referral to Igbobi, at least to be on a safer side.

At least, they should let her relatives know what is wrong exactly and what needs to be done to salvage what is left of the situation.

Mimzyy:


At least, they should let her relatives know what is wrong exactly and what needs to be done to salvage what is left of the situation.

Yes, that.
Very annoying.

TheArchangel:
This is not snail's speed ooo. She may not survive it if she is sent to the theatre with the aforementioned deviant clinical parameters. They have to be stabilised.
Patient! Patient!!

Kaz.eem, you may have to ask for orthopaedic referral to Igbobi, at least to be on a safer side.

Can't they do anything to stabilize her? Give her medications? Maybe insulin with D5 running.

I understand she can't have the surgery because of HTN and hyperglycemia... I don't know if there is more reasons? Maybe you could explain?

I am curious to learn as a nursing student. So your suggestions are highly appreciated. Maybe it will also make the OP understand more.

snapscore:


Can't they do anything to stabilize her? Give her medications? Maybe insulin with D5 running.

I understand she can't have the surgery because of HTN and hyperglycemia... I don't know if there is more reasons? Maybe you could explain?

I am curious to learn as a nursing student. So your suggestions are highly appreciated. Maybe it will also make the OP understand more.

They can, which I sincerely believe is what they are doing. Giving her medications and diet control is part of the stabilization process.
From the Kazeem's writeup, it shows she has peripheral neuropathy on the affected limb.
As you may know, Peripheral neuropathy particularly affects sensation. It is a common complication for nearly half of people who have lived with type 1 or type 2 diabetes for more than 25 years. The most serious consequences of neuropathy occur in the legs and feet and pose a risk for ulcers and, in unusually severe cases, amputation. Diabetes is responsible for more than half of all lower limb amputations performed in the world. Most amputations start with foot ulcers.
Foot ulcers usually develop from infections, such as those resulting from blood vessel injury. Foot infections often develop from injuries, which can dramatically increase the risk for amputation. Even minor infections can develop into severe complications. Numbness from nerve damage, which is common in diabetes, compounds the danger since the patient may not be aware of injuries.

Then, here comes the complications
Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketonic Syndrome (HHNS) has to be ruled out.
Hypertension has to be treated to avoid renal damage.
Her Foot ulcer may require antibiotics, wound care debridement, hydro gels, hyperbaric oxygen chamber and total- contact casting but the sad news is, the last two may not be available in Nigeria.
The major factor here is her age....Anesthesia personnel will be hesistant, wary and cautious in administering an anaesthetic agent to an elderly woman with all this associated comorbidities

Mimzyy:


What a country we live in! This is so sad. Her condition keeps deterioration by the day and the doctors are just acting at snail speed. This is so unfair. Someone's life is at stake here.

Its not that easy dear.
Hypertension is the first issue. If she is taken to the theatre she might suffer a stroke or the increased blood pressure might make her bleed out. She's also at risk of a cardiovascular accident(heart attack). So they need to sort that out.

If her glucose levels are not under control she might go into hypoglycemic shock or Diabetic Ketoacidosis/hyperosmolar non-ketotic coma( big words for very high sugar levels that induces coma) and not wake up. That on it's own is a sword of damocles.

Then there's the ever present threat of overwhelming sepsis from the necrotic/gangrenous/dead foot.

And then there's her age to consider. She's and elderly/geriatric patient and they dont do too well under anaesthesia/surgery if all parameters are not optimal.

The only issues i am having with the doctors is that they dont seem to be explaining what's happening to the op. Also i dont see the need for the other X-ray of the foot unless the first one wasnt clear. Unless it was a chest xray?

It may not be a spiritual attack but she definitely needs prayers.

P. S in my opinion that foot should go off now to give her a fighting chance. My colleagues may disagree.

TheArchangel:
They can, which I sincerely believe is what they are doing. Giving her medications and diet control is part of the stabilization process.
From the Kazeem's writeup, it shows she has peripheral neuropathy on the affected limb.
As you may know, Peripheral neuropathy particularly affects sensation. It is a common complication for nearly half of people who have lived with type 1 or type 2 diabetes for more than 25 years. The most serious consequences of neuropathy occur in the legs and feet and pose a risk for ulcers and, in unusually severe cases, amputation. Diabetes is responsible for more than half of all lower limb amputations performed in the world. Most amputations start with foot ulcers.
Foot ulcers usually develop from infections, such as those resulting from blood vessel injury. Foot infections often develop from injuries, which can dramatically increase the risk for amputation. Even minor infections can develop into severe complications. Numbness from nerve damage, which is common in diabetes, compounds the danger since the patient may not be aware of injuries.

Then, here comes the complications
Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketonic Syndrome (HHNS) has to be ruled out.
Hypertension has to be treated to avoid renal damage.
Her Foot ulcer may require antibiotics, wound care debridement, hydro gels, hyperbaric oxygen chamber and total- contact casting but the sad news is, the last two may not be available in Nigeria.
The major factor here is her age....Anesthesia personnel will be hesistant, wary and cautious in administering an anaesthetic agent to an elderly woman with all this associated comorbidities

Thanks a lot!! Appreciate!!!

I never really considered the age factor.

snapscore:


Thanks a lot!! Appreciate!!!

I never really considered the age factor.

You are welcome.

This is so complicated.

5minsmadness:


Its not that easy dear.
Hypertension is the first issue. If she is taken to the theatre she might suffer a stroke or the increased blood pressure might make her bleed out. She's also at risk of a cardiovascular accident(heart attack). So they need to sort that out.

If her glucose levels are not under control she might go into hypoglycemic shock or Diabetic Ketoacidosis/hyperosmolar non-ketotic coma( big words for very high sugar levels that induces coma) and not wake up. That on it's own is a sword of damocles.

Then there's the ever present threat of overwhelming sepsis from the necrotic/gangrenous/dead foot.

And then there's her age to consider. She's and elderly/geriatric patient and they dont do too well under anaesthesia/surgery if all parameters are not optimal.

The only issues i am having with the doctors is that they dont seem to be explaining what's happening to the op. Also i dont see the need for the other X-ray of the foot unless the first one wasnt clear. Unless it was a chest xray?

It may not be a spiritual attack but she definitely needs prayers.

P. S in my opinion that foot should go off now to give her a fighting chance. My colleagues may disagree.

5minsmadness:


Its not that easy dear.
Hypertension is the first issue. If she is taken to the theatre she might suffer a stroke or the increased blood pressure might make her bleed out. She's also at risk of a cardiovascular accident(heart attack). So they need to sort that out.

If her glucose levels are not under control she might go into hypoglycemic shock or Diabetic Ketoacidosis/hyperosmolar non-ketotic coma( big words for very high sugar levels that induces coma) and not wake up. That on it's own is a sword of damocles.

Then there's the ever present threat of overwhelming sepsis from the necrotic/gangrenous/dead foot.

And then there's her age to consider. She's and elderly/geriatric patient and they dont do too well under anaesthesia/surgery if all parameters are not optimal.

The only issues i am having with the doctors is that they dont seem to be explaining what's happening to the op. Also i dont see the need for the other X-ray of the foot unless the first one wasnt clear. Unless it was a chest xray?

It may not be a spiritual attack but she definitely needs prayers.

P. S in my opinion that foot should go off now to give her a fighting chance. My colleagues may disagree.

The complications are so enormous and no anesthetist and sane Orthopaedic surgeon will like to touch the surgery with a ten foot pole until most of the major ones are stabilised. No wonder they keep on with the investigations. Keeping the medical teams on their toes to rule out all the odds.

She needs prayers.
It is well

TheArchangel:
They have a diagnosis but Kazeem can't see it as families are not allowed to handle patients/ relatives folder. Let him ask them their working diagnosis and differential diagnosis.
From the referral note, Mama is hypertensive with a blood pressure of about 180/110, it is such a huge risk for surgery coupled with her diabetic state. No sane doctor will tempt it. It has to be reduced and controlled before making an attempt.

I wish mama quick recovery. Amen.

Wow


I wish her quick recovery too ooo.. Amen and amen..

TheArchangel:
The complications are so enormous and no anesthetist and sane Orthopaedic surgeon will like to touch the surgery with a ten foot pole until most of the major ones are stabilised. No wonder they keep on with the investigations. Keeping the medical teams on their toes to rule out all the odds.

She needs prayers.
It is well

Chai! Please let's pray for her

aflyingbird:


I'm a broke student , i no get money . I myself am looking for money

Why did you bother spewing such nonsense then if you are broke?

Mimzyy:


At least, they should let her relatives know what is wrong exactly and what needs to be done to salvage what is left of the situation.

Exactly my point o. But you know we are in Nigeria na.
Lets just continue praying for strength for her and her Children. Because its not easy on them as well. I can imagine what they are going through.

TheArchangel:
They can, which I sincerely believe is what they are doing. Giving her medications and diet control is part of the stabilization process.
From the Kazeem's writeup, it shows she has peripheral neuropathy on the affected limb.
As you may know, Peripheral neuropathy particularly affects sensation. It is a common complication for nearly half of people who have lived with type 1 or type 2 diabetes for more than 25 years. The most serious consequences of neuropathy occur in the legs and feet and pose a risk for ulcers and, in unusually severe cases, amputation. Diabetes is responsible for more than half of all lower limb amputations performed in the world. Most amputations start with foot ulcers.
Foot ulcers usually develop from infections, such as those resulting from blood vessel injury. Foot infections often develop from injuries, which can dramatically increase the risk for amputation. Even minor infections can develop into severe complications. Numbness from nerve damage, which is common in diabetes, compounds the danger since the patient may not be aware of injuries.

Then, here comes the complications
Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketonic Syndrome (HHNS) has to be ruled out.
Hypertension has to be treated to avoid renal damage.
Her Foot ulcer may require antibiotics, wound care debridement, hydro gels, hyperbaric oxygen chamber and total- contact casting but the sad news is, the last two may not be available in Nigeria.
The major factor here is her age....Anesthesia personnel will be hesistant, wary and cautious in administering an anaesthetic agent to an elderly woman with all this associated comorbidities

All these medical jargons no be here o.
But i think the family had the right to know what is going on. They should educate them on the reasons for the delay. But no they are just doing investigations. Its wrong

TheArchangel:
SPIRITUAL

AN obvious festering ulcer in a known diabetic patient walahi

I tire
Everything na spiritual

ayolight:

Exactly my point o. But you know we are in Nigeria na.
Lets just continue praying for strength for her and her Children. Because its not easy on them as well. I can imagine what they are going through.

Sighs. It is well.

Funjosh:



What exactly are they saying, what and what are they doing to prevent further spreading

They said we should wait till 19th Monday to do xray to know where to start the amputation. What they are giving her now is more palliative so that it won't degenerate further. Below are some of the medicine they are giving her. They give her that mesoprin twice a day.

This one that she had used is countless. They are also giving her insulin, morning and evening.

5minsmadness:

What's her sugar level? Pls check and get back to me.

Sorry, I couldn't on time. The one they sis this morning was 172. This after is 190. I have not asked for evening figure. The nurse said the morning figure is the real one.