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you be correct nwaba. bro if they govt can tidy up these areas you mentioned plus eke akpara area, then aba don be.. ascendo: |
na visa level them wan take SCAM you. just follow the ride and flow as ee dey go, you go talk say i tell you. I have already see the scam in this, very easy to spot. The body of the letter is wack, then ask the oga shell which program or recruitment campaign does this fall under? we have a host of recruitment windows shell uses. |
This question is ruffing my head here comes op's
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Auto-appendectomy in the Antarctic: case report The Russian surgeon Leonid Rogozov’s self operation, undertaken without any other medical professional around, was a testament to determination and the will to life “A job like any other, a life like any other” "—Leonid Rogozov" The ship Ob, with the sixth Soviet Antarctic expedition on board, sailed from Leningrad on 5 November 1960. After 36 days at sea she decanted part of the expedition onto the ice shelf on the Princess Astrid Coast. Their task was to build a new Antarctic polar base inland at Schirmacher Oasis and overwinter there. After nine weeks, on 18 February 1961, the new base, called Novolazarevskaya, was opened. They finished just in time. The polar winter was already descending, bringing months of darkness, snowstorms, and extreme frosts. The sea had frozen over. The ship had sailed and would not be back for a year. Contact with the outside world was no longer possible. Through the long winter the 12 residents of Novolazarevskaya would have only themselves to rely on. One of the expedition’s members was the 27 year old Leningrad surgeon Leonid Ivanovich Rogozov. He had interrupted a promising scholarly career and left on the expedition shortly before he was due to defend his dissertation on new methods of operating on cancer of the oesophagus. In the Antarctic he was first and foremost the team’s doctor, although he also served as the meteorologist and the driver of their terrain vehicle. 29 April 1961 After several weeks Rogozov fell ill. He noticed symptoms of weakness, malaise, nausea, and, later, pain in the upper part of his abdomen, which shifted to the right lower quadrant. His body temperature rose to 37.5°C.1 2 Rogozov wrote in his diary: “It seems that I have appendicitis. I am keeping quiet about it, even smiling. Why frighten my friends? Who could be of help? A polar explorer’s only encounter with medicine is likely to have been in a dentist’s chair.” As a surgeon Rogozov had no difficulty diagnosing acute appendicitis. In this situation, however, it was a cruel trick of fate. He knew that if he was to survive he had to undergo an operation. But he was in the frontier conditions of a newly founded Antarctic colony on the brink of the polar night. Transportation was impossible. Flying was out of the question, because of the snowstorms. And there was one further problem: he was the only physician on the base. 30 April All the available conservative treatment was applied (antibiotics, local cooling), but the patient’s general condition was getting worse: his body temperature rose, vomiting became more frequent.1 2 “I did not sleep at all last night. It hurts like the devil! A snowstorm whipping through my soul, wailing like a hundred jackals. Still no obvious symptoms that perforation is imminent, but an oppressive feeling of foreboding hangs over me . . . This is it . . . I have to think through the only possible way out: to operate on myself . . . It’s almost impossible . . . but I can’t just fold my arms and give up. “18.30. I’ve never felt so awful in my entire life. The building is shaking like a small toy in the storm. The guys have found out. They keep coming by to calm me down. And I’m upset with myself—I’ve spoiled everyone’s holiday. Tomorrow is May Day. And now everyone’s running around, preparing the autoclave. We have to sterilise the bedding, because we’re going to operate. “20.30. I’m getting worse. I’ve told the guys. Now they’ll start taking everything we don’t need out of the room.” Preparation for the operation Following Rogozov’s instructions, the team members assembled an improvised operating theatre. They moved everything out of Rogozov’s room, leaving only his bed, two tables, and a table lamp. The aerologists Fedor Kabot and Robert Pyzhov flooded the room thoroughly with ultraviolet lighting and sterilised the bed linen and instruments. As well as Rogozov, the meteorologist Alexandr Artemev, the mechanic Zinovy Teplinsky, and the station director, Vladislav Gerbovich, were selected to undergo a sterile wash. Rogozov explained how the operation would proceed and assigned them tasks: Artemev would hand him instruments; Teplinsky would hold the mirror and adjust the lighting with the table lamp; Gerbovich was there in reserve, in case nausea overcame either of the assistants. In the event that Rogozov lost consciousness, he instructed his team how to inject him with drugs using the syringes he had prepared and how to provide artificial ventilation. Then he gave Artemev and Teplinsky a surgical wash himself, disinfected their hands, and put on their rubber gloves for them. When the preparations were complete Rogozov scrubbed and positioned himself. He chose a semi-reclining position, with his right hip slightly elevated and the lower half of the body elevated at an angle of 30°. Then he disinfected and dressed the operating area. He anticipated needing to use his sense of touch to guide him and thus decided to work without gloves. The operation[size=12pt][/size] The operation began at 2 am local time. Rogozov first infiltrated the layers of abdominal wall with 20 ml of 0.5% procaine, using several injections. After 15 minutes he made a 10-12 cm incision. The visibility in the depth of the wound was not ideal; sometimes he had to raise his head to obtain a better view or to use the mirror, but for the most part he worked by feel. After 30-40 minutes Rogozov started to take short breaks because of general weakness and vertigo. Finally he removed the severely affected appendix. He applied antibiotics in the peritoneal cavity and closed the wound. The operation itself lasted an hour and 45 minutes.1 2 Partway through, Gerbovich called in Yuri Vereshchagin to take photographs of the operation. BMJ 2009; 339:b4965 doi: 10.1136/bmj.b4965 (Published 15 December 2009) Cite this as: BMJ 2009; 339:b4965 Feature Christmas 2009 Auto-appendectomy in the Antarctic: case report Vladislav Rogozov, consultant anaesthetist12, Neil Bermel, professor of Russian and Slavonic studies3 + Author Affiliations 1Department of Anaesthetics, Sheffield Teaching Hospitals, Sheffield S10 2JF 2Department of Anaesthesiology and Resuscitation, Cardiac Centre, Institute of Clinical and Experimental Medicine, Prague, 140 21, Czech Republic 3Department of Russian and Slavonic Studies, University of Sheffield, Sheffield S37RA Correspondence to: V Rogozov v.rogozov@sheffield.ac.uk The Russian surgeon Leonid Rogozov’s self operation, undertaken without any other medical professional around, was a testament to determination and the will to life “A job like any other, a life like any other” "—Leonid Rogozov" The ship Ob, with the sixth Soviet Antarctic expedition on board, sailed from Leningrad on 5 November 1960. After 36 days at sea she decanted part of the expedition onto the ice shelf on the Princess Astrid Coast. Their task was to build a new Antarctic polar base inland at Schirmacher Oasis and overwinter there. After nine weeks, on 18 February 1961, the new base, called Novolazarevskaya, was opened. They finished just in time. The polar winter was already descending, bringing months of darkness, snowstorms, and extreme frosts. The sea had frozen over. The ship had sailed and would not be back for a year. Contact with the outside world was no longer possible. Through the long winter the 12 residents of Novolazarevskaya would have only themselves to rely on. One of the expedition’s members was the 27 year old Leningrad surgeon Leonid Ivanovich Rogozov. He had interrupted a promising scholarly career and left on the expedition shortly before he was due to defend his dissertation on new methods of operating on cancer of the oesophagus. In the Antarctic he was first and foremost the team’s doctor, although he also served as the meteorologist and the driver of their terrain vehicle. 29 April 1961 After several weeks Rogozov fell ill. He noticed symptoms of weakness, malaise, nausea, and, later, pain in the upper part of his abdomen, which shifted to the right lower quadrant. His body temperature rose to 37.5°C.1 2 Rogozov wrote in his diary: “It seems that I have appendicitis. I am keeping quiet about it, even smiling. Why frighten my friends? Who could be of help? A polar explorer’s only encounter with medicine is likely to have been in a dentist’s chair.” As a surgeon Rogozov had no difficulty diagnosing acute appendicitis. In this situation, however, it was a cruel trick of fate. He knew that if he was to survive he had to undergo an operation. But he was in the frontier conditions of a newly founded Antarctic colony on the brink of the polar night. Transportation was impossible. Flying was out of the question, because of the snowstorms. And there was one further problem: he was the only physician on the base. 30 April All the available conservative treatment was applied (antibiotics, local cooling), but the patient’s general condition was getting worse: his body temperature rose, vomiting became more frequent.1 2 “I did not sleep at all last night. It hurts like the devil! A snowstorm whipping through my soul, wailing like a hundred jackals. Still no obvious symptoms that perforation is imminent, but an oppressive feeling of foreboding hangs over me . . . This is it . . . I have to think through the only possible way out: to operate on myself . . . It’s almost impossible . . . but I can’t just fold my arms and give up. “18.30. I’ve never felt so awful in my entire life. The building is shaking like a small toy in the storm. The guys have found out. They keep coming by to calm me down. And I’m upset with myself—I’ve spoiled everyone’s holiday. Tomorrow is May Day. And now everyone’s running around, preparing the autoclave. We have to sterilise the bedding, because we’re going to operate. “20.30. I’m getting worse. I’ve told the guys. Now they’ll start taking everything we don’t need out of the room.” Preparation for the operation Following Rogozov’s instructions, the team members assembled an improvised operating theatre. They moved everything out of Rogozov’s room, leaving only his bed, two tables, and a table lamp. The aerologists Fedor Kabot and Robert Pyzhov flooded the room thoroughly with ultraviolet lighting and sterilised the bed linen and instruments. As well as Rogozov, the meteorologist Alexandr Artemev, the mechanic Zinovy Teplinsky, and the station director, Vladislav Gerbovich, were selected to undergo a sterile wash. Rogozov explained how the operation would proceed and assigned them tasks: Artemev would hand him instruments; Teplinsky would hold the mirror and adjust the lighting with the table lamp; Gerbovich was there in reserve, in case nausea overcame either of the assistants. In the event that Rogozov lost consciousness, he instructed his team how to inject him with drugs using the syringes he had prepared and how to provide artificial ventilation. Then he gave Artemev and Teplinsky a surgical wash himself, disinfected their hands, and put on their rubber gloves for them. When the preparations were complete Rogozov scrubbed and positioned himself. He chose a semi-reclining position, with his right hip slightly elevated and the lower half of the body elevated at an angle of 30°. Then he disinfected and dressed the operating area. He anticipated needing to use his sense of touch to guide him and thus decided to work without gloves. The operation The operation began at 2 am local time. Rogozov first infiltrated the layers of abdominal wall with 20 ml of 0.5% procaine, using several injections. After 15 minutes he made a 10-12 cm incision. The visibility in the depth of the wound was not ideal; sometimes he had to raise his head to obtain a better view or to use the mirror, but for the most part he worked by feel. After 30-40 minutes Rogozov started to take short breaks because of general weakness and vertigo. Finally he removed the severely affected appendix. He applied antibiotics in the peritoneal cavity and closed the wound. The operation itself lasted an hour and 45 minutes.1 2 Partway through, Gerbovich called in Yuri Vereshchagin to take photographs of the operation. Gerbovich wrote in his diary that night3: “When Rogozov had made the incision and was manipulating his own innards as he removed the appendix, his intestine gurgled, which was highly unpleasant for us; it made one want to turn away, flee, not look—but I kept my head and stayed. Artemev and Teplinsky also held their places, although it later turned out they had both gone quite dizzy and were close to fainting . . . Rogozov himself was calm and focused on his work, but sweat was running down his face and he frequently asked Teplinsky to wipe his forehead . . . The operation ended at 4 am local time. By the end, Rogozov was very pale and obviously tired, but he finished everything off.” After the operation Afterwards Rogozov showed his assistants how to wash and put away the instruments and other materials. Once everything was complete, he took sleeping tablets and lay down for a rest. The next day his temperature was 38.1°C; he described his condition as “moderately poor” but overall he felt better. He continued taking antibiotics. After four days his excretory function came back to normal and signs of localised peritonitis disappeared. After five days his temperature was normal; after a week he removed the stitches.1 2 Within two weeks he was able to return to his normal duties and to his diary. 8 May 1961 “I didn’t permit myself to think about anything other than the task at hand. It was necessary to steel myself, steel myself firmly and grit my teeth. In the event that I lost consciousness, I’d given Sasha Artemev a syringe and shown him how to give me an injection. I chose a position half sitting. I explained to Zinovy Teplinsky how to hold the mirror. My poor assistants! At the last minute I looked over at them: they stood there in their surgical whites, whiter than white themselves. I was scared too. But when I picked up the needle with the novocaine and gave myself the first injection, somehow I automatically switched into operating mode, and from that point on I didn’t notice anything else. “I worked without gloves. It was hard to see. The mirror helps, but it also hinders—after all, it’s showing things backwards. I work mainly by touch. The bleeding is quite heavy, but I take my time—I try to work surely. Opening the peritoneum, I injured the blind gut and had to sew it up. Suddenly it flashed through my mind: there are more injuries here and I didn’t notice them . . . I grow weaker and weaker, my head starts to spin. Every 4-5 minutes I rest for 20-25 seconds. Finally, here it is, the cursed appendage! With horror I notice the dark stain at its base. That means just a day longer and it would have burst and . . . “At the worst moment of removing the appendix I flagged: my heart seized up and noticeably slowed; my hands felt like rubber. Well, I thought, it’s going to end badly. And all that was left was removing the appendix . . . “And then I realised that, basically, I was already saved.” Leaving Antarctica More than a year later the Novolazarevskaya team left Antarctica, and on 29 May 1962 their ship docked at Leningrad harbour. The next day Rogozov returned to his work at the clinic. Shortly thereafter he successfully defended his dissertation. He worked and taught in the Department of General Surgery of the First Leningrad Medical Institute. He never returned to the Antarctic and died in St Petersburg, as Leningrad had by then become, on 21 September 2000. The boundary of the humanly possible There are some references to auto-appendectomies in the literature. The earliest one was possibly that performed by Dr Kane in 1921 (although the operation was completed by his assistants).4 5 We know that Rogozov had not heard about it before he performed his operation. Rogozov’s self operation was probably the first such successful act undertaken in the wilderness, out of hospital settings, with no possibility of outside help, and without any other medical professional around. It remains an example of determination and the human will for life. In later years Rogozov himself rejected all glorification of his deed. When thoughts like these were put to him, he usually answered with a smile and the words: “A job like any other, a life like any other.”6
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SO I TOOK THIS WISDOM TOOTH OF A THING TO QUORA, here are the responses from voyagers and people who work with the australia expedition department first response: "many years ago I was denied by the Australian Antarctic Expedition because I still had my appendix. I was outraged at their stupidity. Until about 6 months later when my appendix burst. I don't know whether it is still like this but occasionally I am asked to examine prospective Antarctic workers teeth to try and predict future problems". second response: Realistically, it would be very wise to have both done before going to work there. If either caused you great trouble while you're there, you'd be useless until you were returned to a place where they could reasonably be addressed... and in the case of the appendix, you may very well die if it bursts before you can be transported to a hospital. Transporting you would be at great cost, and may - depending upon the weather - may also cost other lives. third response: "False. I was cleared by the US Antarctic Program despite having wisdom teeth and an appendix. However, to get clearance, I did have to undergo a root canal for a tooth that had been marginal but otherwise fine with watchful waiting. The USAP medical/dental clearance program strives to identify conditions whose likelihood of becoming emergent during an Antarctic stay exceeds a certain threshold. Perhaps, in their experience, a normal appendix and stable wisdom teeth don't exceed that threshold." The last respponse (throws more light): "The British (British Antarctic Survey (BAS)) were the ones noted for this (this influenced the other Commonwealth Programs (well, the Kiwis at Scott Base (the guys in the yellow polar suits) can drive 2 miles over to the US base for their MD services for free)). 1) Their budget was not able to afford full time physicians in their bases. 2) No countries' budget can afford a full time dentist down there and dental problems which are considered avoidable in the first place and hence minor. The US budget can afford 3 physicians for each of the 3 permanent bases, and MDs are in great demand for these positions and especially after a famous book when the over-winter Pole MD contracted breast cancer. The MDs are taught the basics of dental extractions but not much more. The MDs can't do more than basic meatball surgery. Hence other specialties such as (most notably) OB/GYNs are handled off continent as well. There have been a few hand waving exceptions among staff. I've been asked to write one recommendation for an MD applying for one of the MD slots (after he finished his other NSF obligations). I'm chosen frozen from another country's Antarctic Program. We have our own national interests down there. Check with your own country's Antarctic Program requirements. " gungab: |
when the husband is a contrator! |
the french and spanish certified engineers in my company who has the laurels of ivy schools under their cap and yet cannot flawlessly communicate in english, are illliterates i guess. by your own standard and reasoning. I just dont know why this part of the world see the ability to speak english as a yardstick to measure once's intellectual exposure and capability. Yet, in your i-too-sabi-speak english attitude, your own indigenuous dialect is rolling to oblivion and extinction. Yet in your over-sabi mode, little kids in the western world who can barely communicate in the so called english parlance are breaking through in technology and science. They grace the highest honorable podium with their INTERPRETER to receive prestigious global awards, but you are here bragging how good you are in speaking one foreign language that is not urs. Just one! many people speak up to 5 different languages, is it because the briton imposed his on you by telling you how trashy urs is? travel to USA, and see whites studying ur language. ur very own language which u are ashamed off. Please being a graduate does not translate to not being culpable of verbal incongruity in your communication with english... thesicilian: |
[size=18pt]Bishop achuo mbaka na CKC!!![/size] |
maasoap:please i need a link to where NERC made this statement. I need to pull some greety folks out now..... |
[size=18pt]Chelsea dominate Man City youth[/size] |
There is no definite time frame for judgement to take place. Four days on the physical is not same in the spiritual realm. Your ordinary sleep would tell you. you sleep for 12hours but all that happens in your dream of 12hrs seems just like 30mins happenings. There is port of call between heaven and hell. There is no place like purgatory. Please did bible say laz was sojourning somewhere? coolluk: |
There is no definite time frame for judgement to take place. Four days on the physical is not same in the spiritual realm. Your ordinary sleep would tell you. you sleep for 12hours but all that happens in your dream of 12hrs seems just like 30mins happenings. There is no transit point between heaven and hell. There is no place like purgatory. Empredboy: |
you nailed it..... elderken: |
heading to aba soon to replenish my wardrobe a little. Aba is were i buy clothes, even bespoke ones and it would take me eternity to find another person wearing same thing. I get a lot of admirations for my attire. People wanna know were it was made and who made it. when i say my aba designer, u hear "come on, be serious naa". Me na aba brought up oo, so i know what that city has got. One day my boss bought Pams for 14k at one boutique in ph, i told him this same pams would go for much less in a boutique i know in A-line and powerline. He rhapsodized how the footwear was italian made. I told him in no disrespectful way, sir this pams is made in bakassi, Aba. He said the quality was just way beyond what can be made in Nigeria. He never knew the ingenuity of those guys in aba... I strolled into aba and searched for it in those boutiques i know well in my years in ariaria. I got fit for 3k. Took the receipt (something i never do). Wore it on a friday to office, my boss wan faint. He knows too well that back then i cannot cough out 14k on pams (glorified slippers). He saw the receipt, to even butress my point, i told him you can even speak to the seller on phone since his contact was on the receipt. I think the aba craftmen should just stick to their name and fly it. They are as good as that...people who export their shoes to europe, i wonder why the complex. |
and looters will present greeting cards to the toothless bulldog at asorock divinehand2003: |
wow!! how was your phone interview with your affiliate manager from maxbounty? tips on your phone interview bro!! i will have mine tomorrow.. adeniyia33: |
far from what you think dear!! The irony that draws out this impuslive reaction from you is still the essence of the ART. She did it!! she just achieved one of the aims of her project.....Art is spirit science, you need some deep soul searching to appreciate and comprehend some arts. If you don't have an artistic soul, you will be lost and bored in an art exhibition trust me.. bestestgirl: |
Whenever the democrats are in power and prepping up for the presidential election to retain their incumbent, there is always a global oil industry meltdown heralding such an election year. |
but he is telling u the raw truth; just that u aint hearing what u wanna hear..that dude is gonna pay u back more in a very rough coin. Sit and watch as he unveils his plans this year. do u know what it does to men by leaving them for others due to their financial incapacitation? There is no love lost between u two. He cannot even disclose his financial plans and status to u even after marriage. YOU CAN GO TO BANK WITH THIS MY STATEMENT... petkruz: |
[size=18pt]RUBBISHH... GET PRODUCTIVE OP..[/size] solotutu: |
joy accept my pm, i want to discuss some thing with u... |
.... forkadict: |
Thanks so much for your rejoinder. I wish you all the best in the interview. Please come back to us on how it all went down. I personally am with you in the spirit on this. And many more thanks on the remuneration info. Na dat one totori my belle pass. Anxiously waiting for Nov 30th, 5:58 pm. OR SOONER![/quote] |
Ff |
You have a cute and mature way of handling trolls and muds thrown at you. Dear... There are lots of things happening in this life.. Try to see things from other peoples' eyes at-times.. The bolded part of your statement is really not necessary.. You said that Multinationals are laying off and cutting pay.?? Ok.. So, wetin concern that one too with this present matter.?? This quick to conclude attitude of yours makes you say things that are really awkward. Beleive me, I just don't even know how to reply you, because you didn't even conclude rightly on my situation. Things you are saying here are sounding like you intended quoting someone else. Well, all I have to tell you right now is: "PRAISE THE LORD..!! ALLELLUYAHH"..[/quote] |
O boy Saudi aramaco no follow for oil and gas company again abeg. Those guys suppose dey float football club.[Aquote author=airsaylongcon post=39717463] It's like you haven't been "toasted" by Saudi Aramco #bloodMoney[/quote] |
When you have mouths to feed, your managerial knack and frugality would be second to none. May you never come into this industry on the wrong rung of the ladder. Are you screeming 120k is small? My hommie takes 30k per month. He flies to about three offshore fields per week plus office work days. The same chopper will carry the 30k earner and the 2.5mill per month dude under same bad weather and equal risk. Dont say different job function till you are into the system. When some of you out there screem for oil and gas industry job I laugh. Some will say, any how the job be just give me so far say na oil industry. Lol....may you not come in from the wrong cardinal route. If you have been praying for oil and gas job, please begin hence forth to be specific on the type of job you want from God. Dont pray amiss. The route to luxury is permanent staff, chikena! Else you may be fluctuating up and down the wage rates like a raft floating on a denser sima. I have been on a job with salary of 650k, now on 120k, now heading to a place where I will have a positive graph of experience versus remuneration. Oluwa I thank you. Going to give NLNG my bestest. My booth is red in color and I will hang it at finima, bonny till Saudi aramaco comes calling with that their colombian offer. DivineU: |
Coming with 10 years industry experience. quote author=tk4rd post=39219085] Guy, I never inquired on the renumeration. I no go lie to you.. But this amount you wrote here, how sure are you please. Is your sauce a confirmed sauce.? This one na heart attack jarre. ... Congrats to you too.[/quote] |
I know how you feel. I have already rehearsed my final exit from my present company for NLNG next month. I am coming in as an experienced hire. I have edited my resignation letter (notice to an end to my slavery). I keep thinking how these fellows in my dept will receive the news of my exit. From 120k salary to 1.5million naira per month salary. Aaaaaaah! My operations manager once begged me to confide in him whenever I get a better job. He knew I was good on my job but the black dragons in the helm of affairs have declared we cannot emancipate ourselves from mental slavery. Aaaaaaah! It will be a shocker for my employer cause am coaching 8 new recruits. Am just the experienced guy left. I will help my coy have smooth transition with no hitch but I must move ahead. Forkadit, see you in a matter of weeks. forkadict: |
Is it still available? |


