"እኔ ግን የምለው 100ml, 150ml, 200 ml blood bag ለምንድን ነው FMoH ሊያቀርብልን ያልቻለው? አስባችሁታል ከ1 unit ደም (350 ml) ላይ 100ml ለህፃናት ተጠቅመን 250ml Discard ሲደረግ? 😒" - ዶ/ር ብዙአየሁ : ጠቅላላ ሀኪም

@HakimEthio

"የዶ/ር ጫላን መልካም ተምሳሌትነት ለቤተሰቡ እናሳያቸው"
አማርኛ | Afan Oromo | English
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ዶ/ር ጫላ ኤዶሳ ባለብዙ ራዕይ ወጣት ሀኪም ነበር። ባሳለፍነዉ ሰኞ (ሰኔ 28, 2013 ዓ.ም) ቀኑን በስራ ላይ ካሳለፈ በኃላ ሊመሻሽ አከባቢ በመኖሪያ ቤቱ ህይወቱ አልፎ ተገኝቷል። ዶ/ር ጫላ የቀዶ ጥገና ስፔሻሊቲ ትህምርቱን ለመጨረስ ጥቂት ወራት የቀሩት ሲሆን እንዲሁም ትዳር ለመመስረት ለሰርጉ ጥቂት ቀናት ሲቀሩት ነበር ይህ አሳዘኝ ነገር የተከሰተው።
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አባቱ በሞት ካለፈበት ግዜ አንስቶ÷ የቤተሰብ ኃላፊነትን የተቀበለ ሲሆን: እናቱን ሲንከባከብና ወንድም እህቶቹን ስያስተምር ነበር። ዶ/ር ጫላ የቤተሰቡ ምሶሶ ነበር።
አስከሬኑ ወደ አምቦ ቤተሰቦቹ ቤት በተወሰደበት ወቅት የዶ/ር ጫላ እናት እንዲህ ብለው መልክታቸውን አስተላልፈው ነበር " ልጆቼ! ዛሬ አይኔን ነው ያጣሁት። ልጄ [ዶ/ር ጫላ] ሁሉ ነገራችን ነበር። ጧሪ ቀባሪዬን ነው ያጣሁት። በዚህ ከባድ ሁኔታ ዉስጥ አትተዉኝ! አትርሱኝ! " ብለውን ነበር።
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የታመመውን በማከም: የተቸገረን በመርዳት የሚታወቀውን ዶ/ር ጫላ ቤተሰቡን በመርዳት ውለታዉን እንመልስ።
የሱን ቤተሰብ በዚህ ከባድ ግዜ በመርዳት አጋርነታችንን እንግለጽ። የጫሊን መልካም ተምሳሌትነት ለቤተሰቡ እናሳያቸው።
የኢትዮጵያ ንግድ ባንክ የሂሳብ ቁጥር: Commercial Bank (CBE): 1000418330086
Dr. Derese Disasa, Dr. Bekin Ayalew, Dr. Melese Kifle
አዋሽ ባንክ:
01320217906901
Dr. Derese Disasa, Dr. Bekin Ayalew, Dr. Melese Kifle
...
Dr. Caalaa Eddoosaa nama muldhata guddaa biyyaaf, hawaasaafi maatii isaatiif qabu ture. Wiixata darbe (gaafa guyyaa 28/10/2013 ALI) erga hojii idilee isaa hojjachaa oole booda, galgala san umrii woggaa 31tti lubbuun darbee argame. Dr. Caalaan barnoota 'Medicine' - doktareetii fayyaa erga woggaa torbaaf baratee xumure booda, ispeeshilistummaa baqaqsanii yaaluu (General Surgery) woggota afur baratamu xumuruuf ji'oota muraasa qofatu isaa hafee ture. Guyyoota muraasa boodas cidha godhachuuf guyyaa qabatee otoo eegaa jiru tasa lubbuun darbe.
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Dr. Caalaan erga abbaan isaanii lubbuun darban booda, maatii isaanii (haadhaafii obboleeyyan) kan uffisu, nyaachisuufi barsiisu isa ture. Maatii saniif utubaa guddaa ture. Maatiin kun ilma jaalatan ykn obboleessa isaanii qofa osoo hin ta'in gaachana rakkinna irraa isaan ittisu dhaban.
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Yeroo reeffi isaa Asallaadhaa Amboo maatii bira geeffame san, haati/harmeen Dr. Caalaa akkas jedhan " Ijoollee tiyya [hardha] ana ijatu na jaame; na awwaalaa; na hin gatinaa" jedhanii dhaamsa qaban dubbatanii turan.
Egaa maatii gadda hamaa keessa jiru kana rakkoo gama diinagdeetiin isaanitti dhufaa jiru kana irraa hanbisuuf waan humni keenya danda'e hunda gochuun dirqama lammumma keenya haa baanu.
Lakk. Herregaa Baanki Daladala Itiyoophiyaa (CBE): 1000418330086
Dr. Derese Disasa, Dr. Bekin Ayalew, Dr. Melese Kifle
Baankii Awash:
01320217906901
Dr. Derese Disasa, Dr. Bekin Ayalew, Dr. Melese Kifle
...
Dr. Chala Edosa was a young visionary doctor. He was found dead on the evening of 28th of June, 2013 EC. Dr. Chala was left with few months to accomplish his surgery residency training, and he was about to marry in few weeks period.
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After the death of his father, the responsibility to support the family fell on his hand. Dr. Chala was breadwinner and chiefprovider of his family. He was the pillar of his family (mother and siblings). He was the one who provide necessities of life for his mother and siblings.
When the body of the late Dr. Chala arrived at his family home, the mother said, "My childen, today I lost my sights. He [Dr. Chala] was everything for our family. Don't left me [forget] in this condition." As her son had relentlessly been helping the sick and those who need his services, now is our turn to help back this family who are suffering bereavement and are about to face finincial difficulties in foreseable future.
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Let's show our support by giving what we can:
Here are the joint accounts opened by Dr. Derese Disasa, Dr. Bekin Ayalew, Dr. Melese Kifle to support the family
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Commercial Bank (CBE): 1000418330086
Dr. Derese Disasa, Dr. Bekin Ayalew, Dr. Melese Kifle
Awash Bank:
01320217906901
Dr. Derese Disasa, Dr. Bekin Ayalew, Dr. Melese Kifle

@HakimEthio

"The not well seen field of dentistry"
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Dentistry is a yet emerging feild in our country, probably there are no more than 6 schools which deliver the course including those of the privates and the public ones, and no more than 500 hundred dental doctors for the country as a whole to adress the oral health demand, on top of this our country is not having even one specialist on many, if not any of the dentistry specializations, there are around 14 specialities and the country is enrolling only 4 programs from all this, the rest others are'nt started yet,that means there is no a single specialist on each of the many. To improve the quality of care, there needs to be an increase on the building up of training centers on all specialities and reach up on the track of the current best quality modalities of dental care, however.
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The condition here in our department is, for one to join residency there has to be a service rendered in a public hospital for at least 2 years and get a hospitals sponsorship and serve back again, and the places for a dentist in most hospitals is not more than 2 per a hospital, considering this I went to one of the public hospitals as I chose to advance my career and give a service more than I can do now, by pursuing for speciality training. the hospital which I was working was more than 700 kms away from the Capital, we were only 2 dentists for the hospital and the zone, which is a referral center for 200 km radius area.
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As the mode of transportation in the locality, is a Motor bike, and more than 90% of them are ridden by unlicensed drivers, the prevalence of road traffic accident was pretty high and we were encountering so many maxillofacial trauma cases which require an open surgery so what we had to do was to refer those cases to hospitals which have oral and maxillofacial surgeons, unfortunately due to lack of adequate Oral and Maxillofacial surgeons in the country the nearest place we could ever send our patients was to a hospital which is around 350 Kms away from the hospital I worked in, and as the route was a bumpy and not well made road, it takes for the patients a 10 hour drive to reach there.
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Saying this let me tell you what happened to me and my freinds who were serving in those hospitals, there was an exam in one of the countrys most renowned University for postgrad studies on maxillofacial surgery, almost all of those doctors who were serving in the public hospitals scored good, however they were denied of their sponsorship for their studies, which is you have no guarantee whether if you're fulfilling the expectations like serving in public hospital as a dental doctor and the likes to get enrolled to Postgrad studies, so I would like to ask for the responsible bodies, how do you look if there are ways of starting a matching program on post grad studies like that of a medicine or other ways of opening opportunities of speciality trainings on dentistry.
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Dr. Abenezer Tadele, Dental Doctor

@HakimEthio

New radiotherapy possibilities at Tikur Anbessa Hospital Department of Oncology

Benign Tumors are among few other non malignant conditions which can be effectively treated with radiation

Ionizing radiation when delivered to target a tumor inevitably exposes normal tissues which result in unwanted side effects

One of the disabling side effect of head and neck radiotherapy is Xerostomia (Dry mouth) due to reduction in saliva production as a result of damage to salivary glands .

Advances in radiotherapy delivery using Intensity modulated Radiotherapy (IMRT) has made a significant improvement in reducing the rate and severity of Xerostomia in head and neck cancer patients receiving radiation.

This is achieved by avoiding a salivary gland damaging doses of radiation going to the parotid
and submandibular glands while making sure the tumor gets the right amount of dose

The pictures show a patient’s planning CT scan images with left side huge carotid body tumor.

While adequately treating the tumor, the contralateral (Right parotid gland) is effectively shielded from a damaging dose of radiation. Also noted is a significant portion of the ipsilateral (Left parotid gland) spared of the radiation.

N.B. the green shade on the axial CT image shows the dose capable of damaging salivary glands. No green shade on the right parotid gland means the gland is spared and will maintain its saliva production

@HakimEthio

Can we build a better Doctor?
[Part III]

In hospitals seasoned doctors and nurses are accustomed to working with a certain amount of ongoing chaos. But new medical students, used to the orderly scheduling of academic life, are overwhelmed. They are easy to spot on the wards, not just because of their short newly tailored coats but because of the befogged expressions on their faces as clinical medicine swirls around them. They stand awkwardly on the edges of the ward or corridor as people, stretchers, emergencies, hospital lingo, and rapidly changing clinical priorities zing past them at bewildering speed.

To add to their discomfort, the students are astute enough to know that they don’t actually have any real purpose in the wards, no definitive job description like the doctors, nurses, pharmacists, lab techs, respiratory therapist, x-ray technicians, security guards, secretaries, housekeepers and electricians. Medical students are there to learn. The inherently self- centered nature of their existence in a setting that is not specifically designed for their education creates an intensely uncomfortable state of being.

Most medical students desperately want to help out on wards- to ease some of their guilt , to “pay back” the interns and residents who are teaching them, to do some good for the patients in need they see all around. But it is hard to know where to start when your skills are minimal and everything is moving at breakneck speed with paradoxically anarchic efficiency. Indeed, the help that med students earnestly offer slows things down, a point that is painfully obvious to all parties involved.

Although med students eventually acclimatize somewhat to the clinical tumult, most retain that awkward sense of feeling useless, unneeded. This difficulty in finding purpose, in finding justified place in the beehive, can cause many students to unconsciously curtail their desire for engagement and hence their empathy.

To be cont’d…

Dr. Tigistu Adamu, CMO, Public Health Physician

@HakimEthio

‘Hidden curriculum’ of medical school
[Can we build a better Doctor? Part IV]

A second and perhaps even more significant factor in loss of empathy is what has been termed the ‘hidden curriculum’ of medical school. The formal curriculum- what is taught in lecture halls, what is in the school’s mission statement, what is intoned by the deans and consultants and seniors who usher the students into the sacred world of medicine - can be defeated easily by the hidden or informal curriculum that the students are submerged in once they enter the clinical fray.

The students’ true teachers are no longer the august, gray/ haired professors who practiced medicine in “the days of the giants” but hurried interns and residents in grubby white coat stained with the badge of medicine in the trenches. These younger doctors are the immediate interface with clinical medicine for students. The students trail their interns and residents every waking minute and absorb from them how medicine is done-how it is spoken, thought, written, performed, attired , and equipped.

Residents and interns are the grunts of the medical profession tasked, simply, with getting everything done. The practical side of the clinical responsibility is on them (even if the clinical and legal responsibility rests with the consultants.) with their list on hand, their coat pocket doubling as supply cabinets, they are the embodiment of the pragmatic. While many still retain their interest in the theories and mechanisms of disease, the overriding modus operandi is utilitarian, because unlike the electricians, housekeepers, the orderlies even the nurses and senior doctors , their job description has no bounds.

If an x-ray needs to be done and transport is not available, it is the intern who wheels the patient to radiology. If a form needs to get to administrations office immediately because a discharge is riding on it, there is the intern galloping down the stairs, papers in hand. Although they aren’t enamored of the clerical, administrative, transportation, and non- medical miscellany that falls into their laps, they would rather do it themselves than suffer the time delays inherent in waiting for regular channels to creak forward.

This whatever-it-takes-to-get-it-done attitude breeds an efficiency that often dispenses with niceties. This is not to say that every intern or resident is hopelessly callous and jaded. To the contrary, there is usually a deeply felt sense of responsibility that good interns/residents model for their students. But primacy of pragmatism laced with gallows humor and ever- present physical exhaustion submerge the idealistic medical students in a decidedly unromantic view of medicine. The philosophical musings of Osler, Hippocrates, the deans and the old school seniors have little traction here.

To be cont’d
Dr. Tigistu Adamu, CMO, Public Health Physician

@HakimEthio