When Mrs Rose Musa, 33, left the capital city enroute Kaduna after a successful wedding ceremony, little did she know that what laid ahead was going to change her life forever.
On the Abuja-Kaduna express road, in the valley of just before a place called Bishini, the saloon car they had boarded incredibly had a blow out of the tyre on driver's side and the one on the rear almost simultaneously, with that at the front completely wrenching off it's disc. The car went into its ineluctable fate of somersaulting severally before coming to a halt, only this time, preferring to stand balanced on its roof while its tyres rolled above. Mrs Musa’s neighbour, who sat behind the driver, died at the spot. She, on the other hand, came out alive but not without sustaining several cuts, avulsions and a left shoulder dislocation.
As the only hospital with trained doctors on that axis, she was rushed here by sympathisers. Examination revealed a deep linear laceration on the left side of her forehead extending backwards to the back of her head. A ragged-edged cut about 8cm -10cm exposed the subcutaneous fat on her right outer upper arm, various other cuts scattered especially on this part of the body.
My interest however laid on the avulsion on the back of the hand exposing a severed tendon belonging to the middle finger from a group of muscle known as the “extensor digitorum communis”. All other fingers could be extended save for the middle one which remained flexed. This, here, was a plastic case that should be managed within 48hrs for the best result. Well, we irrigated properly with copious amount of fluid until we could see the structures and identify them clearly, we only had silk suture so we attempted to repair. On this day, we ran short of antibiotics and analgesic but this woman appeared surprisingly calm. We had no choice, but to proceed with attempting to safe her. In the end though, the result of the procedure is as shown in the picture.
Again, the Rural Doctor brings this to you to first understand the particular needs of rural clinics in terms of human capital, materials and humbly elucidate the dichotomy that exists between rural and urban care as regards rendering basic health care, which ideally, should be a universal basic human right.
We want to use this rare medium to appreciate the sponsors of this clinic and their dedication to see it continues running and serving as many as a rural dweller as possible. Thank you Father Thomas and co. Support the work of The Rural Doctor by DONATING to
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