She looked beautiful and graciously endowed. My doctor had earlier evacuated her womb two days before I arrived the facility on account of retain products of conception. She had presented with severe abdominal pain, fever and fast breathing that preliminary investigations revealed incomplete miscarriage. She gave a false history of having had a spontaneous miscarriage at 16weeks, 3 days prior presentation. Upon arrival, I requested for the abdominal girth to be measured serially and all vitals taken more frequently. I noticed an increase in all these parameters and suspected she may have had a perforation. On phone earlier, I had requested an Xray which didn't show anything remarkable. She had to be commenced on oxygen as she was in distress, catheter was passed and the following day I knew we had to find a way to refer her. I called the mother into my office and explained the situation, she was obviously shaken and I thought she was a tad more worried than usual. While I was making calls to JUTH and making the arrangements, the elder sister strolled in and asked to speak with me in private. I granted the requested. It was then that she told me that the patient had told her in confidence that she had gone to a quack for a D and C where the guy used a sharp object and passed it through her vagina. It was the following day that she started having all these symptoms and they got worse. The mother knew about this and was the one who had asked her to abort the pregnancy because she didn't like the young man who impregnated her despite the chap's willingness to keep the child and marry the mother. The father was kept in the dark. In fact when he found out, the mother still denied her role in the whole saga. The patient, however, confessed to the father that the mother had asked her to abort the pregnancy and even provided the quack who carried out the job.
She had come down with sepsis and a suspected perforation. Well, we referred them to JUTH but to our utmost surprise, they had gone to another village, invited someone, maybe a doctor from God-knows-where, to perform an exlap on her. Unfortunately, 24hrs later, this beautiful, well-endowed, 24-year-old, 100level student pass on. I heard the news and just shook my head. Some things you hear and see are just amazing... Nothing gets to me any more. My mind is programmed not to be surprised by anything done by a human being any more. We are still in the business of ensuring every one needing health care, gets a good one devoid of any sentiment. The rural doctor initiative, everyone deserves good health.
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