Saturday, 28 October 2017

LEO'S BLOG: THE WEEPING BREAST IN AGONY OF INFERTILITY

LEO'S BLOG: THE WEEPING BREAST IN AGONY OF INFERTILITY: The sight of her breasts could stimulate the involuntary movement of the head and make you change your direction to go her way. Conspicuous ...

THE WEEPING BREAST IN AGONY OF INFERTILITY

TThe sight of her breasts could stimulate the involuntary movement of the head and make you change your direction to go her way. Conspicuous enough to defy the bounding effect of the best quality bra. It would pop out voluntarily causing her owner episodes of focal embarrassment, countless adjustments and unwarranted stop-to-woo by men with provoked and uncontrollable libido. The sight of her nipples would further provoke you and make you pledge your will to to have a taste of them. You can't but say hello to Ifeoma without your eyes focused on her chest as though you were expecting the response from them. She had three lovers before she eventually settled down with Benjamin. Ben would spend fifteen minutes fondling with the breast prior to intercourse. Would you blame him?
Ifeoma was concerned about her looks so she skips meals and endulges in strainous exercises to keep shape. These made her develop Chronic Peptic Ulcer Disease and and was placed on Cimetidine. Her life had gradually turned into a nightmare especially now that she had been married for three years and yet to conceive. Her husband is tired of fondling with the breasts since all attempts amounted to unproductivity, in fact the breasts have become objects of ridicule for her, more so now that she is having an uncontrollable spontaneous breastmilk discharge.


Her asset has now become a trauma  source. She is traumatised psychologically and presents to the clinic for help.

HYPERPROLACTINEMIA

Prolactin is a hormone produced by the brain (Anterior Pituitary gland) and reaches its target organs especially the breast through blood. It's normal concentration in the blood is about 8ng/ml. When it occurs in higher concentrations, it's termed hyperprolactinemia and can be caused by normal activities such as Pregnancy, Stress (psychological), Exercise, Nipple stimulation, Sleep and Estrogen (as found in contraceptive pills). Drugs like Cimetidine, Methlydooa, Phenothiazines and Tricyclic antidepressants may result to it.
Polycystic Ovarian Cyst and Tumor of the Anterior Pituitary gland are pathological conditions that can result in hyperprolactinemia.

Functions 
  • Synthesis - steroids and lactation (breastmilk formation) 
  • Development - breast and fetal lung
  • Metabolic - carbohydrates, Calcium, vitamin D and subcutaneous fat
  • Regulatory - inhibits the hypothalamus 

It's role in infertility 


It inhibits the hypothalamus from producing hormones ( Gonadotropin Releasing hormone) through which it instructs the pituitary gland to inturn release hormones that will cause egg development in the ovary and subsequently ovulation. Therefore with this link broken due to hyperprolactinemia , the eggs (ova) will not develop and ovulation as well as menstruation may not occur. Please visit your physician for care when your breasts weep in agony of infertility.
Thank you for reading.


Wednesday, 25 October 2017

LEO'S BLOG: MONEY CAN RAISE THE DEAD

LEO'S BLOG: MONEY CAN RAISE THE DEAD: After laying down the foundation beginning with the concealer to make less apparent the blemishes on her round face, she coated her spind...

MONEY CAN RAISE THE DEAD


After laying down the foundation beginning with the concealer to make less apparent the blemishes on her round face, she coated her spindle shaped brown lips with a maroon red sleek lipstick and stood half way up, taking a closer look at the mirror, smiled in admiration to her artistic masterpiece, took some steps backwards as though she was practicing ballet, just to get a wider view of her shape. She placed her hands about her tiny waist and shook her buttocks aimlessly to give her the erroneous impression of natural resourcefulness.
She took her car key and walked majestically like the queen of England without a guard, swinging her waist like a tadpole from side to side. The gate was unmanned so she spent her little strength rolling it back and forth while she missed her husband who had been away for a business trip or perhaps....? Having completed this hell of a task, she sat in the car for few minutes trying to catch her breath with her chest rising and falling like the waves of the cardiac monitor. She took a second look at the inner car mirror, pulled out a dazzling handkerchief from her Gucci handbag and gently doused her face while whispering to herself, Jaaane! You are too lazy. She started the Highlander Jeep and drove off to a friend's house for a birthday party.
About three hundred metres from her house a little boy ran into the road from the roadside and reflexely she applied the brakes abruptly, dashed out of the car in response to adrenaline surge to probably beat the demon out of the boy but her mission was aborted when two men with the looks of The Undertaker and John Cena creeped out of the side bush, pushed her away with little effort and made away with the car.
She picked up her wig which fell off her head, jumped up and down and raised an alarm with her tiny voice but was helpless. She reported the incidence to the Nigerian police force in Onitsha Anambra, who assured her of their assistance.
One week later, some arrests were said to have been made with recovery of the vehicle. Jane never set her eyes on the recovered car rather she was shown a picture of the car, damaged beyond repair. She was allegedly offered #1. 3 million naira by the culprit through the officers of the Nigerian police which she refused initially. Some how the money eventually found its way into the cold hands of Jane. She also alleged that three hundred thousand was collected from her as logistics for the recovery, also that the culprits were freed after paying the sum of seven hundred thousand naira.
About one year now in the busy city of Aba, Nigeria, a young man visited the office of the Motor Licencing Agency to renew the papers of a Highlinder Jeep bearing the name, Mr. Okechukwu and included in the documents was a change of ownership with the original owner as Mrs. Jane Namdi. When the vehicle number was keyed into the computer, all details including phone number of Jane appeared. She was contacted immediately and she gave this story but before the agent could drop her call, the young man disappeared. The matter was reported to the police this time in Aba. The Agent and some family members of the young man are in police custody, the police division in Anambra has been notified also and the police men who handle the issue are also under custody but the young man who came to renew the vehicle licence is still at large.
Thank you for reading!

Saturday, 21 October 2017

LEO'S BLOG: MOTHER BLAMES EKAITTE FOR KILLING SON WITH SEX

LEO'S BLOG: MOTHER BLAMES EKAITTE FOR KILLING SON WITH SEX: There are three basic S weet things in life, all controlled by the same gland, the adrenal gland and begin with the letter S ; S ex, S alt...

MOTHER BLAMES EKAITTE FOR KILLING SON WITH SEX


There are three basic Sweet things in life, all controlled by the same gland, the adrenal gland and begin with the letter S; Sex, Salt and Sugar. Jeffrey loves life and always live it to the fullest and his wife was a perfect compliment, always ready for funfair. In fact this was the principal reason why he married her but Agatha, Jeffrey's mother wasn't in the least comfortable with her daughter-in-law. She perceived her as wild wind that blows no one any good but her husband never bath an eyelid over his mother's idea about his yuppie wife. He was well to do and so never hesitated to spoil his fun loving wife the more. One could scarcely find them in their home especially on weekends. Their cravings for fun informed their choice of contraception for five years after marriage. His life was work to fun. He considered himself strong enough and had no reason to attend the clinic for medical check ups, Ekaitte, his wife did say that two weeks before his demise, he had complained on two occasions of a nagging headache which he swept under the carpet with analgesic.

On this faithful day, he came back from a trip into the waiting arms of his dear wife. It was as though he had been away for centuries. They primed themselves with alcoholic aphrodisiac and off they went into ecstasy, moving from one planet to another as they rocked each other back and forth with responsorial psalms . On the third round of the clash of Titans when he was close to being glorified, he suddenly began to have a double vision followed by a thunder clap in his head which made him misread the lines in the responsorial psalm and from the usual, "yeah baby" he screamed "baby, my head". He clasped his head with his hands in an attempt to prevent it from exploding, he freezed and slumped.

The fun had become a nightmare and Eka, as called by her mother-in-law, felt like she has been given a cup of vinegar to drink. She held her husband, shook him hard, while calling on him "honey! Honey!! Honeybee!!! But he had passed out. He was rushed to the hospital where he was confirmed dead. Agatha accused Ekaite of being responsible for Jeffrey's death but I think otherwise.


SUBARACHNOID HEMORRHAGE

Is a condition when artery (ies) bleed spontaneously into the subarachnoid space( space between the coverings of the brain). The bleeding may arise from an abnormal artery with a balloon (aneurysmal hemorrhage).Factors that can predisposed one to have such condition includes smoking, hypertension, alcohol abuse. Others include connective tissue disorder, polycystic kidney disease and  first degree relative.

It's associated with photophobia (aversion to light), loss of concentration, vomiting, neck stiffness and focal neurological signs like hemiparesis (paralysis of half of the body). It can be triggered by physical exertion, straining and sexual excitement. Jeffrey's death could have been prevented by life style modification and regular medical check up. Anyone who is forty years and above should make it a point of duty to attend regular medical check up.

Thank you for reading.




Monday, 16 October 2017

LEO'S BLOG: STONE IN THE BREAST

LEO'S BLOG: STONE IN THE BREAST: Rhoda was wheeled into the Accident and Emergency section of the hospital. She suddenly could no longer walk with associated history of se...

STONE IN THE BREAST

Rhoda was wheeled into the Accident and Emergency section of the hospital. She suddenly could no longer walk with associated history of severe headache and back pain. She was 33 years old and a mother of four children. Her husband, Mr. Damian, came in the company of his younger brother probably for moral or financial support. Anxiety was written on their faces while confusion dangled over their chests like the necklace of Rick Ross. A young lady with unkept hairdo, a haphazard buttoned shirt and occasionally scratching her hair as though their were termites in it kept calling on Rhoda with such gracious words to sooth her pain and give her hope.
It all started four months ago when Rhoda noticed that her three months old baby would refuse to suckle her right breast when put to it. When she squeezed the same breast, bloody discharges mixed with breastmilk were apparent but she kept this from her husband and sister-in - law for about a month despite feeling a lump in the same breast. Pain which afflicted the breast alongside appreciable growth of the lump broke her silence. Her sister-in-law was of the opinion that the breastmilk from the affected breast had gone sour but for the lump, she suggested a herbal concoction that would dissolve it and possibly remedy the sourness of the breast. Yours faithfully, Mr. Damian, bought the idea, dashed out like one with fecal incontinence with watery diarrhea and procured the drugs which his wife took for two months. Of course if it was effective they wouldn't present to the hospital.
Back in the hospital, I enquired, was she sick before now? Mr. Damian reluctantly responded, my wife has a stone in her breast. The word 'stone' pricked me like the acupuncture needles and my heavy and weary eyes opened as though there was lightening in the room. What do you mean by that? I enquired . Then he doused my curiosity when he added that 'it was a spiritual attack', then why are you here? You should take her to the church, I rebuffed,to bruise his ignorance but he broke down in tears and said, 'Please help us sir'.
When I examined her breast, both appeared like an orange peal, the nipples had retracted and both breasts were harder than Olumo rock. Her health deteriorated so fast, she lost consciousness two days later and never woke up.

IMPORTANCE OF SELF BREAST EXAMINATION AND EARLY PRESENTATION TO THE HOSPITAL

Rhoda had malignant cancer of both breasts which actually started from the right but her delay gave room for it to spread to the left breast, bones and brain. This explains her pain, paralysis and eventual loss of consciousness. Her liver was also enlarged and tender suggestive of possible spread to it.
The lump may be a benign (harmless) or a malignant (can cause death) as in the case of Rhoda. Please note that benign condition may transform into malignant if not attended to.
Thank  you for reading.

Friday, 13 October 2017

LEO'S BLOG: FIVE YEARS OF PREGNANCY - DEMYSTIFIED

LEO'S BLOG: FIVE YEARS OF PREGNANCY - DEMYSTIFIED: Depression and frustration have become her companions. She is tired of carrying her perceived pregnancy for five years. Her life has been...

FIVE YEARS OF PREGNANCY - DEMYSTIFIED


Depression and frustration have become her companions. She is tired of carrying her perceived pregnancy for five years. Her life has been decorated with bitterness and agony of childlessness, worsened by her mother-in-law who made her appreciate hell in her matrimonial home. She thought it was over when she missed her menstrual period for three consecutive months but here visit to the clinic robbed her of her joy although momentarily. The pregnancy test result came out negative and the doctor tried in futility to explain this to her. Angry and disappointed, she tore the result and even accused the doctor of conniving with her mother-in-law to make her life more miserable.
She was convinced that she was pregnant based on the signs and symptoms she noticed ; her abdomen was growing, her breast became engorged, she was nauseating with occasional episodes of vomiting and she could feel the baby moving within her. Encouraged by this, she visited another clinic and as usual left angrily with the words 'The God whom I serve will surprise you all'. She visited the market and bought clothings in preparation for her delivery.
Its now one year and she is still "Pregnant". She visited her prayer team and those who claimed that they could  see beyond accused her mother-in-law of being responsible for her predicament. They further informed her that the child she was bearing is a "Destiny Child" and that God hid him away from the world for a purpose. Adaugo was gingered, she bought every ideology they sold to her including paying a chunk sum of money for special prayers.
Its now five years and Adaugo is still pregnant. She is tired of all forms of Abracadabra and she is back to the clinic.

PSEUDOCYESIS

This is a psychological disorder in which a Non-pregnant woman thinks she is pregnant with signs and symptoms suggestive of pregnancy as seen in the case of Adaugo. It may occur in ages of 7-79 years. Alongside blindness, paralysis, diplopia (double vision), amnesia (loss of memory), psychogenic nonepileptic seizure, dysphagia..... it is a conversion process in which psychic conflict is transformed into physical effect.
The perceived fetal movement is intestinal movement, the loss of menstruation is mostly due to problems of the hypothalamus (could also be ovarian failure) and engorgement of the breast occurs secondary to hyperprolactinemia which may be due to drugs eg Cimetidine, methyldopa, phenothiazine. Other causes may include Pituitary Adenoma( Tumor of the pituitary gland) or prologed nipple stimulation.
Thank you for reading.

Tuesday, 10 October 2017

ANGRY FATHER'S BLOW SENDS ONLY CHILD TO EARLY GRAVE

The discolouration of her face wasn't the product of a make up artist neither the scarification marks on her body that of tribal marks . The different shapes and healing stages of the scars gives a clue to possible objects of battery and duration. Yet she remained faithful and persevering in her marriage, hoping that one day, the man that once loved and swept her off her feet by his gestures would one day come back to his senses and love her once again but the soluble ego in alcohol encapsulated her wishes/prayers. 
One would think that the birth of Agnes into the family would re-write the script or better still re-assign the character given to Mr. Dimgba which he played so well as to make him a new OSCAR Award nominee.
The third day of August will always come with a scapel to open the wounds in the heart of Mrs. Eunice, a wound deeper than those due to her husband's assault and for which no therapy could stop its recurrent breakdown. This night is darker than all nights with a bag full of regrets, a night of horror, when the angel of death moved over the land but couldn't see the blood of the lamb on Dimgba's door post. He came in drunk as usual, demanding for his supper to be brought but his wife ignored him as no money was made available to her and she was almost running out of her little savings from petty trading. This night she had no appetite to stomach any trouble so she retired to one corner of the room like one dejected with her eleven months old Agnes who she carried in her arms. Yet he would not let the toothless bull dog be. Her silence provoked him into doing what he knows to do best with his wife. Irritated and frustrated by his actions, Mrs. Eunice pushed her husband away but his furious recoil with the intention to punch her face landed on his daughter's head. The trauma was so severe that Agnes began to fit. She was rushed to the hospital by her mother alone with the help of her neighbour, a transporter. Agnes was resuscitated but couldn't be admitted for financial reason but as they were making their way back to the house that night under the rain, their tricycle slipped into the gutter while trying to avoid a pot-hole and Agnes sustained another trauma to the head from the bar of the tricycle, fitted the second time and lost consciousness. She was confirmed dead on arrival to the hospital the second time. The news of her death severed the blood supply to her mother's brain and she slumped. WHO ACTUALLY KILLED MISS AGNES? Was it the Father, mother, government, or cyclist?
Thank you for reading.

Friday, 6 October 2017

LEO'S BLOG: THE DEMON CALLED CEASEREAN SECTION-1

LEO'S BLOG: THE DEMON CALLED CEASEREAN SECTION-1: To say she is beautiful is an understatement, fair, tall with all the natural endowment that could distract a man from his focus but like ...

THE DEMON CALLED CEASEREAN SECTION-1

To say she is beautiful is an understatement, fair, tall with all the natural endowment that could distract a man from his focus but like everyone she had two notable weaknesses or would I rather say one. Mrs. Ikenga was in her mid-thirties, having been married for about ten (10) years without an issue. She had fasted like Gandhi, prayed like Hannah and visited other places in search of a miracle.
Fate eventually smiled on her at 35years. When she broke the news to her husband, it was like announcing to Buhari that he won the election. Highly elated and in the spirit of celebration he gave the wife a key to a brand new Infinity jeep two days later.

At the later end of her regular antenatal visits, the gynecologist after examination recommended "Ceaserean Delivery" (CS) on the ground that her pelvis was contracted in addition to an ultrasound scan result indicating an abnormal lie (transverse lie) but she quickly rebuked the physician, rejecting the suggestion over her life while tapping her fingers and swinging her hands over her head . She also accused him of attempting to extort her by opting for CS. Dr Cyril didn't see her again . Mrs. Ikenga went to her pastor who told her that there is nothing God cannot do, quoting the scripture, assuring her that she would deliver like the "Hebrew Women". A prayer and fasting program was scheduled but mid way to this, labour started while in the church, she was taken to a maternity centre. After two days of labour, she was rushed to the Teaching hospital, covered in a pool of her blood and unconscious, having ruptured her uterus(womb) . She was quickly wheeled into the theatre and the ultimate price to save her life was to remove her womb so as to stop the bleeding . Of course her long expected child did not make it,she was just lucky to be alive but still had the CS she rejected initially .

Thank you for reading.


Thursday, 5 October 2017

LEO'S BLOG: DANGERS OF EARLY PREGNANCY - AN 18YR OLD IMPREGNAT...

LEO'S BLOG: DANGERS OF EARLY PREGNANCY - AN 18YR OLD IMPREGNAT...: , Ekanem was Madam Njideka's househelp for about seven (7) years. Her hope of at least obtaining a Secondary School Certificate was fir...

DANGERS OF EARLY PREGNANCY - AN 18YR OLD IMPREGNATED BY A 17YR OLD

, Ekanem was Madam Njideka's househelp for about seven (7) years. Her hope of at least obtaining a Secondary School Certificate was first sacrificed on the alter of poverty as her madam could no longer sponsor her education just when she was a year away from graduation, SS2 ( Senior Secondary, Class 2). She was now a full time businesswoman, assisting her madam in buying and selling of food stuff in one of the popular markets in Aba, Nigeria.
It was at this market that she met with Daniel, a 17 yr old SS3 student who coincidentally lives in the same street about two hundred metres apart.. Juvenile delinquency wrapped them up in an unholy romance. Daniel was eager to assist his insensitive parents with sales at their shop adjacent to Ekanem's kiosk and would volunteer to stay on and pack up the goods while his parents left for the house, a role he had hitherto refused with utter bitterness and complaints mixed with murmuring as though he was enslaved.
The two love birds would go home together, divert into an uncompleted building along their part and explore the rainforest. This happened for about three months with neither of the families finding out. In the fourth month of their sex escapade, Ekanem became unwell with symptoms of loss of menstruation, tiredness, nausea and vomiting, salivating and lower abdominal pain. When the laboratory result was handed over to Mrs Njideka, her eyes were dilated with surprise and fury with attempt to disfigure Ekanem's face, pounding her with her oversized Christian mother's arms while making enquiry about who was responsible. The slapping that gave her a glimpse of stars made the truth run out of her mouth like hurricane Maria and the thought that it was a teenager made her crazy. She formed a fist, trapped Ekanem's head between her massive thighs while drumming out the devil on her back. It took a basket of plea to rescue Ekanem from the lion's den.
Mr and Mrs Osondu, Daniel's parents, accepted responsibility for the pregnancy and relocated their son to Lagos for safety after threats to his life. She was registered for Antenatal care. Just when all seemed to be well, the DREADED DANGER OF EARLY PREGNANCY ; PREECLAMPSIA AND ECLAMPSIA (Hypertensive disease in pregnancy with convulsions) came at the 9th month. She had four episodes of convulsion with Severe hypertension, was brought to the hospital and eventually delivered of a baby boy through Ceaserean Section (C/S). Ekanem and the baby are doing well but although yesterday she was reported to have collapsed when she visited the rest room and was resuscitated. It was due to poor nutrition.
Apart from PREECLAMPSIA, ECLAMPSIA, INCREASE RISK OF CEASEREAN SECTION AND MATERNAL MALNUTRITION, INTRAUTERINE GROWTH RESTRICTION, PSYCHOSOCIAL PROBLEM, POSTPARTUM HEMORRHAGE AND MATERNAL/FETAL DEMISE amongst others are the DANGERS OF EARLY CONCEPTION (ADOLESCENT).
Thank you for reading, please feel free to drop your comments in the box.

Tuesday, 3 October 2017

LEO'S BLOG: PASTOR, ASSISTANT AND MEMBERS PLACED BEHIND BARS O...

LEO'S BLOG: PASTOR, ASSISTANT AND MEMBERS PLACED BEHIND BARS O...: It was midnight but the peace and serenity that characterize this hour was for Mr Akpantu, a 63yr old petty trader/labourer, stolen by Pa...

PASTOR, ASSISTANT AND MEMBERS PLACED BEHIND BARS OVER ILLEGAL DETENTION OF NEIGHBOUR


It was midnight but the peace and serenity that characterize this hour was for Mr Akpantu, a 63yr old petty trader/labourer, stolen by Pastor Elijah and members of his congregation who had convened for a vigil within the neighbourhood. He tried hard to ignore the theatre of spiritual warfare, the weeping and echoes of fire which the church relied heavily on as a weapon to destroy their passived enemies. Suddenly, his threshold for tolerance had been bruised and like an agitated python danced his way to the church to end the perceived ugly trend which had become almost a daily affair.
He banged at the gate in a proportion equal to the noise and despite the cracking pain he felt he was more intense with vigor but all to no avail. Infuriated by his failure to catch the attention of members of the church who as at this time were engrossed in their 'kabashing', he decided to take a more drastic measure. Looking around, he found pieces of rocks littered like the twelve tribes of Israel. His first throw did the magic. At this the pastor seeing him mobilised the praying members who went after Mr. Akpantu, apprehended him, bundled him into the church and had him bound in ropes while they conducted deliverance on him.
The following morning he was rushed to the hospital where he spent two weeks. This opened another chapter to the story. His relatives reported the incidence to the Nigerian Police, prompting the arrest and detention of the pastor, his wife and some members of his church who were present that night for the vigil.

Beware of "Ndi Ekpere" a.k.a Intercessors; they almost broke my patient's marriage

It was Saturday, the rain which had blown her whistle and conjured and compelled all on foot to an aerobic exercise had stopped to usher in ...