[b]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 manliness 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 4 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[/b]

OAM4J:

Right now, I think Nigerians are the looser. He is in a state where he can no longer take decision for himself or for the nation. He can not write and send a leave letter or letter of resignature. The people around him will not tell us the truth, rather they want people to keep praying for a miracle. FEC will also do nothing, because voting for his removal might also be a political-suicide for them. Same with the Nat. Assembly. Nigeria is at the mercy of selfish and unpatriotic people in Government.

The truth is except a miracle happens and he recovers or He dies, the status quo might remain till 2011.

puskin:

Nigeria is now at a crossroad.

proudly9ja:

I think I agree with you. The president is at a stage he can't take decisions himself and unfortunately, those around him (Turai, and all the psychophant Governors and ministers) will only take selfish decisions.

If there's anyone who needs prayers, I think its us, Nigerians. Please take time to pray for Nigeria.

TheSeeker:

Na today? We all know the man is one leg into life and the other leg into the underworld. Why don't we just accept the fact that this man is a walking corpse (no insult intended)? We don't have to start hating on someone who was bold enough to give us a rough sketch of this man's dilapidated health status. People hate to hear the truth, and in this case the truth in fact is, Yaradua is almost dead and only a miracle will bring him back to life; but I will not be part of those who will pray for that miracle neither will I be part of those who will pray for his death. God, thy will be done.

debosky:

Please try to be intelligent - how has she given you a rough sketch of anything? She is claiming to know the exact medical state of a man based on what exactly?

What evidence has she brought forth apart from making wild claims that cannot be substantiated?

If she is a medical doctor worth her salt, let her print her name - hiding behind an anonymous tag is cowardly, after all she claims to be in the USA.

mikeansy:

Dobosky, the President has been challenged to address the country through video confrencing if he is alive. I think at this point it is only fair to asume the man is already dead until he rises to this challenge. I agree with those who say Nigeria needs more prayers than Yar'adua. We should feel more sorry for ourselves that we lack the political will to act in this situation and this has shown how unpatriotic and selfish the political class is in this country led by the very Gowon who says the only thing that guarnatees the stability of this country is to stand section 144/145 of the constitution on its head and allow a dead man continue to run this country.

Senator Ike Ekweremadu once said the President can stay away on a sick leave for 12months, I hope he also confirms that the President can run the country from his grave.

debosky:

Wow - simply because he didn't 'rise to the challenge' he must be dead? Your brilliance is amazing? Just a question though. . .did you personally deliver this challenge to Yardie in Jeddah?

Enough of the garbage talk by people hoping to make a name for themselves by running down Yar'adua and the medical treatment he's received.

Just to shut all of you prophets of doom up, I shall begin my own prayer and fasting session for the quick return of Yardie to Aso Rock.

debosky:

Who is this person and why should 'her' account be taken seriously?

Sahara's reputation as a rumour peddling machine might be confirmed if Yardie returns hale and hearty.

Her sense of self-importance is disgusting - speaking authoritatively on a patient she hasn't had access to? Medical Doctor my foot.

debosky:

I am not supporting Yar'adua, but I am against a self important analysis by someone without all the facts.

Yardie was gone for a number of days earlier in the year, was he dead then as well? Like a journalist says, everytime Yardie travels abroad he dies.

I'm calling for reason when carrying out analysis and looking at the credibility of a so called medical professional trying to force her own opinion or biases on everyone else as scientific opinion/analysis.