The PERISCOPE Global: Friday May 18,2018
Reporting Health

FMC Yola Separates Conjoined Twins
Another Breakthrough

It was at a press conference held Friday at the Board of the Centre. This piece, will therefore, begin with the MC’s Intro as follows:
Protocol:
Permit me to observe that our gathering today is a mix of paradox and metaphor.
Paradox in the sense that FMC Yola is setting a new record with yet another breakthrough in the face of JOHESU industrial action, nationwide.
Metaphor in the sense that the success of the breakthrough was the outcome of a collective undertaking associated with teamwork.
Scholars are agreed that in writing, a first timer will not know not until he really gets into it, how much of a collective undertaking a book really is and so the experience applies to a project, a community service as a social responsibility.
Clinical practice in general and particularly, surgical operation, is certainly not an exception.
Media, is a stakeholder in a project, in making the basis for the why we are gathered here; to complete a book, even if for a reference as a social responsibility.
If permitted, I would give the title of the book to read “Another Milestone.” Someone could make FMC Yola, as a case study. However, the rare experience makes it global for a reference.
What is the project? What is the book or rather what the milestone is?
Prof. Auwal Muhammad Abubakar the medical Director FMC Yola is a Professor of Paediatric surgery who led a surgical team into one of the surgical theatres of the Centre for a surgery, which a layman could better understand as separation of twin babies that are joined together. The exercise exemplifies social responsibility.
At this juncture permit me to invite the chairman of the occasion for a remark, introducing the surgical team for the explanation of the successful experience of what makes another milestone in FMC Yola for a global record.
The first rather similar milestone was in 2014 when Aisha the four legged baby had a successful operation in the Centre with Prof. Auwal was the lead surgeon.
The MC is the Head of Information and Media Relation with the Centre.
Dr. Joel Yohannah Consultant Gynaecologist the Head of Clinical Services of the Centre acting as the chairman of the occasion, introduced the surgical team led by Prof. Auwal Muhammad Abubakar for the press briefing.

Reports from the Surgical team being presented by the team leader:
Four months old set of Female omphalopagus twins named Fatimah and Maryam said to be delivered by Cesarean section in Maiduguri on November, 25, 2017, with a combined birth weight of 4.5kg, shared a single umbilical cord and were joined from the mid thorax to the mid-abdomen.
The conjoined twins were taken to Federal Medical Centre, Yola Adamawa State on March 25, 2018, to be separated where they have been on admission since then.
Team of professionals were deployed for the surgery; surgeons, anaesthetics, Radiologists, Laboratory Scientists, preoperative nurses, cleaners, ICT and the media; preparations for the separation of the conjoined twins have also been going on in earnest since their arrival.
Fatimah and Maryam now having a combined weight of 11kg, were eventually successfully separated on Monday, May 14, 2018, following a four hour surgical operation. They were transferred to the Intensive Care Unit of the health facility for post-operative management.
Having been certified fit with the resumption of normal feeding, Fatimah and Maryam were transferred to the Ward on the second day after the surgery.

Prof. Auwal Muhammad Abubakar the Medical Dirwctor FMC Yola a Professor of Paediatric Surgery was the leader of the surgical team. He attributed the success of the exercise to the spirit of teamwork and adequate planning in an interview immediately after the surgery.
“You are aware that the team is a combination of different professionals; surgeons, anaesthetics, radiologists, Laboratory scientists, the people managing the theatre, the cleaners, the media, information and communication talking about your people, you know. We’ve had several meetings and drills. We made sure that the facilities to be used were set and the medical consumables necessary for the surgery, were on ground. You see that everything worked according to plan. We successfully separated the conjoined twins,” Auwal said.
Even though, the cost of surgery for the separation of conjoined twins would run into millions of naira, when asked about who shouldered the financial responsibility for the surgery, Prof. Auwal said that the surgery was carried out free of charge as a corporate social responsibility on the side of FMC Yola.
“The Federal Medical Centre, Yola actually took the financial responsibility, considering the fact that the parents would not have been able to afford to put the bills and the bills are also so much that we didn’t want to burden the paupers fund, as such.
“During the investigations, the Federal Neuropsychiatric Hospital in Maiduguri did the CT scan free of charge. The Adamawa- German Medical Centre, Yola also assisted. Another CT scan was also done free there. And everything for them has been free since they were transferred to this hospital”, Prof. Auwal said.
Prof. Auwal was asked how long would the separated twins stay in the health facility before they could be certified fit for discharge?
“Well, this is difficult to say, you know. It all depends on the postoperative outcome. If they do very well, two weeks or less than two weeks will be enough for them to go home. We’re hoping that by two days time they should be able to start oral feeding, this is going by the present assessment. Although, it is difficult to say for sure until the time comes, however, within two to three weeks they should be able okay,” Prof. Auwal said.
Hospital Paupers Fund, established by the hospital to raise money for the funding of indigent patients, decided to shoulder the financial responsibility.
Prof. Fola Faponle a Professor of Anaesthesia, was the leader of anaesthetic team, after having put the babies to sleep before the surgery could get to be carried out; the team has the responsibility for observing the patients strictly with a view to stabilising them after the operation, talking about the intensive care. She said already the babies were awake and they were stable.
Prof. Faponle confirmed that positive postoperative management was expected, in the sense that the surgery was successful and that there was no complication relating to heart “we ensure that their drugs and everything necessary to ensure high level of care are readily available; we’ll take care of their needs, their blood should in case they will need infusion, take care of the bowel and give them required anaesthesia and drugs”, she said.
Dr. Raji Bello Consultant Anaesthesia is the head of anaesthesia department with FMC Yola. “Like Prof. Faponla has said, everything went well preoperatively, we don’t also expect much challenge during the postoperative period. It is going to be a routine exercise; the babies will be given intensive postoperative support that patients need when they are recovering. Other than that, we don’t anticipate much problem,” Dr. Raji Said
However, the PERISCOPE Global Investigate would reveal that some of the investigations for the conjoined twins like the CT scan were carried out outside the hospital, because FMC Yola has not got the facility.
When asked during the press conference, Prof. Auwal said that it was amazing, the rapid recovery; the babies starting taking oral feeding two days after the surgery. There was every possibility of having them discharged from the health facility within two weeks.
Muhammad Ramat 30 and Kellu Adam 27 were the parents of the baby Fatimah and baby Maryam. Married in 2015, the conjoined twins were there first and only issue. They were highly appreciative of the corporate social responsibility they enjoyed rendered to them by the management of FMC Yola.
“We had the faith that the surgery to separate our conjoined babies would be a successful one especially, when we were counselled by Prof. Auwal Muhammad Abubakar and Dr. Wabada Samuel to be strong, hopeful and confident. The contributions of Professor Fola Faponle in strengthening our faith is also worthy of mention.
“It was not only the surgery that was carried free of charge, everything was free; our feeding, accommodation, medicine and general post operative management were all free. We thank the management of FMC Yola for their professionalism and philanthropy.
“We are also soliciting on behalf of FMC Yola, for the government to provide hospital with the needed hi-tech medical facilities like the MRI and the CT scan to be able to improve upon their efficiency and effectiveness. Individuals could also make generous contribution.
“We’re also soliciting for assistance from the government and individuals for the sake of our twin babies to have a meaningful future,” the parent said.

The following are the names of members of a surgical team that carried out the successful separation of conjoined twins in FMC Yola:

Surgeons:
Prof. Auwal Muhammad Abubakar- the lead surgeon/ team leader
Dr. Dr. Wabada Samuel- Consultant Paediatric Surgery
Dr. Oyinloye Adewale O- Consultant Paediatric Surgery
Dr. Onyebanji Lateef- Snr. Registrar
Dr. Cletus Cyril- Medical Officer
Dr. Abdulazeez Abubakar- Medical Officer
Dr. Musa Muhammad Dodo- House Officer
Dr. Ibrahim Shehu- House Officer

Anaesthetics:
Prof. Fola Faponle- Prof. Anaesthesia
Dr. Raji Bello- Consultant Anaesthesia
Dr. Sambo Yusuf- Consultant Anaesthesia
Dr. Jauro P. Degri- Consultant Anaesthesia
Dr. Ahmed Nuhu- Consultant Anaesthesia
Dr. Abdurrahman Mohammed- Resident Anaesthesia
Dr. Aminu Ahmed- Resident Anaesthesia
Dr. Murray B. Resident Anaesthesia
Dr. Abdurrahman Kawuyo- Resident Anaesthesia
Dr. Dula Hyeladi Mshelia- Resident Anaesthesia
Alh. Idris Kachalla- Chief Nursing Anaesthetic

Radiology:
Dr. Yunusa Dahiru Mohammed- Consultant Radiology

Laboratory:
Haruna
Preoperative Nurse
Alh. Jauro Jada- Assit. Chief Principal Nurse
Mr. Michael Manasseh Assit. Chief Principal Nurse
Mr. Babangida Njidda Assit. Chief Principal Nurse
Idris Mohammed Muye- Preop Nurse
Buka Kasim Wakilbe- Preop Nurse
Attendants:
Cecilia Augustine
Ruth Yohannah
Hamidu Garba- Oxygene Man

Information and Communication
Adamu Muhammad Dodo- Head of Information and Media Relations

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Useless johesu

Op said despite Johesu strike, so I was expecting to see how the doctors alone could have achieved this feat, only for me to still see the list filled with Johesu members.
This goes to show that no medical professional can function effectively without the others.
A house that is divided among itself cannot stand.

Science did what Allah and zesus cant do

Thegamingorca:
Useless johesu

Nobody is useless whether dead or alive.
Everything God created is useful in one way or the other.

njideoby:

Nobody is useless whether dead or alive.
Everything God created is useful in one way or the other.

Greedy humans

Why always FMC Yola
Similar surgery was done there in 2014 too
They deserve a pat on their bac this time around
My visit to FMC jalingo that started out before them is a complete contrast,story of one centre that's progressing and another that's retrogressing.

Johesu vs Medical Doctors

Radiology: Dr. Yunusa Dahiru Mohammed- Consultant Radiology Laboratory: Haruna Preoperative Nurse Alh. Jauro Jada- Assit. Chief Principal Nurse Mr. Michael Manasseh Assit. Chief Principal Nurse Mr. BabangidaNjidda Assit. Chief Principal Nurse Idris Mohammed Muye- Preop Nurse Buka Kasim Wakilbe- Preop Nurse Attendants: Cecilia Augustine Ruth Yohannah Hamidu Garba- Oxygene Man

last I checked,the above are Johesu

utytill:
Radiology:
Dr. Yunusa Dahiru Mohammed- Consultant Radiology
Laboratory:
Haruna
Preoperative Nurse
Alh. Jauro Jada- Assit. Chief Principal Nurse
Mr. Michael Manasseh Assit. Chief Principal Nurse
Mr. BabangidaNjidda Assit. Chief Principal Nurse
Idris Mohammed Muye- Preop Nurse
Buka Kasim Wakilbe- Preop Nurse
Attendants:
Cecilia Augustine
Ruth Yohannah
Hamidu Garba- Oxygene Man


last I checked,the above are Johesu

They are NMA members sir. Can't you see. Nurse this and Nurse that.Laboratory Haruna. The ICU nurses are not even included here or maybe the surgeon is planning to discharge them same day. . Yeye dey smell .