20 September 2014

Our Ebola Story: How a foreign doctor saved our lives – Survivors






Like the Biblical passage, “from the valley of the shadow of death,” came out five out of the nine victims that recovered fully from the deadly Ebola Virus Disease, EVD, that has continued to ravage some countries in the West Africa sub region.

Following, several days of severe battle with the deadly Ebola Virus Disease, at Isolation centre in Yaba, the five survivors on Thursday evening met with Governor Babatunde Fashola of Lagos State as well as some members of the state’s Executive Council led by Commmissioner for Health, Dr Jide dris, Special Adviser to the Governor on Public Health, Dr. Yewande Adeshina to recount their narrow escape from the jaw of Ebola death.

Ebola Survivors: Gov. Babatunde Fashola of Lagos(4th left) with survivors of the Ebola Virus Disease, EVD, during a visit to the Governor in Lagos, yesterday. From Right: Dr. Adaora Igonoh, Dennis Akagha, Fashola, Dr. Ibeawuchi Morris, Dr. Fadipe Akinniyi and Dr. Enemuo Kelechi
The atmosphere was serene as newsmen and government functionaries at about 5 pm on Thursday, started walking into the conference room of Governor’s Office, Alausa, Ikeja, Lagos, venue of the unveiling of five survivors.

Although, there are nine survivors altogether, four declined to honour the invitation by the state government for the public presentation. Governor Fashola had earlier promised during a media chat to present the survivors in public to share the experiences.
The survivors include; Dennis Akagha, fiance of late Justina, Nurse at First Consultant Hospital, Dr Fadipe Akinniyi, Dr. Ibeawurhi Morris, Dr. Adaowa Igowoh and Kelechi Enemuo, wife of late Dr Iyke Samuel Enemuo, who died of Ebola disease in Port Harcourt.

Three of the survivors, who are staff of First Consultants Medical Centre, Obalende, Lagos Island, contracted the disease from the first index case, late Patrick Sawyer, an American Liberian who brought imported the disease into Nigeria on July 20th, 2014 when he arrived from Liberia.
Before the survivors walked into the venue, journalists and few government officials were scared of  physical contact with the survivors. They would have their interview from a distance, one said.
One of the commissioners, (name-withheld) avoided passing through the side where the survivors were seated.

In an emotion laden speech before the anxious crowd at Governor’s office, Lagos House, Alausa, Ikeja, Dr. Igowoh, a young and articulate lady, who should be in her early 30s, was the first to take the bold step forward to recount her ordeal, which she described as traumatic.

Dr, Igowoh, clad in flowery top and a jean trousier narrated thus:











Adaora Igowoh

“Today is a glorious day; it’s a day of Joy. I want to say that we are here today because of God. We survived. We are privileged to see this day, to be here with everybody, its an honour. Thank you so much Governor Fashola.  We can’t thank you enough for everything. We, at First Consultants Medical Centre, took a risk.  We risked our lives because we wanted to ensure the safety of Lagosians, Nigerians and humanity because we are a global village. From a small village it can spread to the world and we knew the implications, but we said we would risk our lives and we would not let the index case leave the hospital.

“We remember the people that we lost, the wonderful people who risked their lives. We would never forget them, we can’t. Our lives have been changed, every one of us who went through this ordeal, we know that we are better for it. Everything happens for a reason and we must find out the purpose and the reason why we went through this.

“We want to say thank you very much to the Lagos State Government, and the Ministry of Health as well as the Federal Ministry of Health. The Centre for Disease Control. I was a full witness to the efforts to contain the virus. In fact there was a time I asked for Chicken and Chips, I was at the Isolation Centre, and it was brought, I was surprised. I asked because I wanted to see if they would honour my request and they brought Chicken and Chips to me, I was amazed.


Dr. Akinniyi, also should be in his 30s briefly narrated:











Fadipe Akinniyi

“I am most happy to be here today because as matter of fact, when everyone was running helter-skelter, I told myself I only opened the door and by the virtue of that, nothing should happen to me. I never knew I was deceiving myself until the day I recorded my temperature and there was a kind of spike. And I asked myself what is going on?

“I used anti malaria drugs but nothing changed, rather it was getting worse.  Eventually, I went to a private hospital to treat myself because I did not want to admit it was Ebola. I felt they would be able to proffer solutions to all my problems but it wasn’t to be so. Rather, it was becoming terrible and I started stooling and vomiting. I summoned the courage and called the doctors at the monitoring units that my temperature has been persistently high.

“They told me not to worry that they would come pick me up. In another four hours, they came with ambulances and before I knew it, I found myself at Yaba Isolation centre. It all happened like a dream because I have read a lot about Ebola even while in school. We had a lot of things on haemorrhagic virus. How it wreck direct havoc on human beings, bleeding and all that. You continue to bleed until you are dead.

“I was very devastated but I kept the faith. I remember Dr Adesina telling me when we got there that I would leave this place. That no matter what happens, I would leave this place. She said as it is, people survive the virus, that I should not mind that I would survive the disease.
“So, I kept my faith and with the help of God. I am very grateful to Dr. David who was the initial doctor who attended to us before our doctors who were on strike finally emerged. Dr David really tried. He really tried. He committed himself totally to us and if I should have a time to meet him again, I think I will tell him he is a very brave man, leaving his comfort zone to come and treat us here in Nigeria. Knowing that with these people, after a couple of time, you could actually contract the disease. It is not easy.

“I thank God because with time, things got better. The vomiting stopped, the fever subsided and eventually, I was declared Ebola negative. I was very happy to reunite with my family and everything changed back to normal”

Dennis (Lost his two moth old pregnant fiancee, Justina, who was a nurse at the First Consultant Hospital)
Dennis, intermittently, was laughing because he could not still believe he actually lost his dear one to Ebola and he also survived it. Dennis narrated thus:  I really want to appreciate and commend everything you (Lagos state government) have done. My case was different, I wasn’t among the doctors.
My fiancee, Justina Echelonu Obioma happened to be one of the nurses that cared for the index case. She had contact with the index case. When she came back home, she told me. We didn’t know what was happening because she was having symptoms. She was two months pregnant. She was feeling feverish. In fact that was her first day on the job, it was her first day and her first patient was Patrick Sawyer. She just resumed that day, I encouraged her to go to work, but she was reluctant because of her situation, I had to convince her to go and tell them in the Hospital about her condition so that they can give her more time.
That was just the first day. When she came back, the following day she went to work again, then the next two days, she was off. We were just at home when the case was announced,  the case of Sawyer and she told me that she cared for him at the Hospital and I asked her if she was sure about what she said.












Dennis Akagha

I asked her what kind of contact she had with him and she said she used protective gloves. Hearing that, I felt rest assured. In fact she came to the house and was thanking God that she used gloves. She was just praying and then the fever persisted and didn’t go down, but because of the assurance that she gave me, I felt maybe, the fever was pregnancy induced, but it didn’t stop. Fever in the morning and night and the highest temperature she got was 41.

“She called her gynaecologist because she was being conscious of what she could take. On the 14th day after her contact she went down, she started bleeding and vomiting and I think if we had taken her out of the house earlier, maybe she could have made it. Even when I went to the house, she threw up, she requested for pap, I made it for her, she threw up on me, there, I understood what I was up against, but I felt well, I was already 100 percent exposed, so I continued to clean her up and made sure she was okay.

“There was no way I could run away from her. I had to get a taxi for her and made sure the taxi man didn’t have any contact with her. Sometime the Taxi man will attempt to help her into the car, I refused because I did not want any further contact with her. The response at the Infectious Disease Hospital was okay, at that point I was so careful. I was believing for her, I trusted God for her, at a point, I think she gave up on herself, but at the point when I was taking care of her, my own symptoms started coming up. I just felt I could not afford to come down with illness, because there would be nobody to take care of her or myself.

“Even when I went to the hospital to see her, I would return home with fever, my temperature rose from 35. 2 to 37.2, I was shocked. I was so dehydrated, I called my step mum who is a nurse, and she encouraged me to continue to take enough water, so I started taking lots of water until when she gave up. Two days after she died, the Lagos State Ministry of Health began to monitor me, called me regularly, to trace my contacts and to know my temperature and state of health.

“When the thing went out of hand, they said they would come and pick me, I agreed, but the next day, it became normal. They came back again to pick me, but I told them I was fine, I was confident of myself, I had faith in myself and knew that Ebola was not a death sentence. I finally found myself as a suspected case and after being a suspected case for a while, I was praying continuously and I guess my prayer worked for me.
My being alive today,  even though I lost someone, God knows why and has a reason for everything. I just want to bless God. Dr. David  did a lot of work on Justina. At a point, Justina believed she would be fine, before she gave up she gave me confidence that she would pull through, but she had also told a friend she was going to die. At that point she gave up on herself.

Morris Ibeawuchi, in his 30s narrated thus:
“I was the person that received Patrick Sawyer the day he was rushed to First Consultant Medical Centre.  It was like a joke. I did not know what came upon me that day. Unlike me, I was so reluctant to attend to him. But I was compelled by my colleagues to attend to him. When I got there, I was just talking to him. It was very unlike me. Being a doctor, you must examine your patient. After due examination, I asked him some questions. But Patrick Sawyer lied to me, even the ECOWAS Protocol Officer, who saw me there, kept quiet.
I asked him why he was in First Consultant. He lied to me that he was in a conference and felt so weak. As a result, people now rushed him to First Consultant not knowing that he collapsed at the airport. On that very day, the ECOWAS Protocol Officer was there and did not say anything. After sometime, I took his blood sample and sent it to the lab. I also informed Dr. Adadevoh (now of blessed memory).











Morris Ibeawuchi,
I informed her. She told me to get back to her as soon as the result was out. When the result came out, everything was normal. But that night, the lever function test was not available. I told Dr. Adadevoh about Malaria  result, and she was so confused and shivering because the man came in with a temperature of 39.7.

She said I should just admit him. We treated him. We commenced with the malaria treatment. The next morning, Dr. Adadevoh came around and we all went there. At that time, the liver function test was already out and the result was so terrible. That made us to be so concerned. After we went around, Dr. Adadevoh went for her daily clinic. It was at that point that one of the ECOWAS officers now came in and brought us information that Patrick Sawyer collapsed at the airport.

“After that, she asked whether I got the information. That was how the whole thing started. From there, we instituted barrier nursing technique. She tried as much as possible to get through to the Lagos State Ministry of Health. Again, I was asked to take Sawyer’s sample. Since I had already had contact, I was the person that always took his samples. Before I went there, It took me hours. But I summoned courage to do my duties. So, I went there.

“When Sawyer was trying to explain, I asked him to hold his peace and should not tell me anything. After that, I took samples and dropped them at the blood unit. The next day, Dr. Adadevoh was so busy. She was just going from one place to the other, working hand in hand with the Lagos State Ministry of Health. She called me later in the evening and told me to be careful.

“She said she just got a call that the result of the test showed the feature of Ebola Virus Disease. She warned me to be careful and that Sawyer should be treated as the case of Ebola, not even the suspected case of Ebola. We placed him under surveillance. But Sawyer died. On the 12th day, it was very terrible. My temperature is always 36. But that same fateful day, I checked my temperature and it was 37.7. I felt the whole world was against me. I was down with fever and became so weak. I lost my appetite.

“At that moment, I needed some people to talk to. I left my house, and in that house, I have my brother, his wife and the two kids. When I developed the symptoms, I was so bothered about my family members. I had to put a call to Lagos State Ministry of Health. The ministry asked to make contact with my family and so on. At that time, I was still thinking it was malaria.

“I took anti-malaria drugs and nothing changed. The rate at which my temperature rose was scaring. At the first check, my temperature was 37.7. It rose to 38. The highest I measured was 41. The health ministry came and decontaminated the whole house. When I was at the Isolation centre, the Lagos Ministry of Health attended to me. I was stooling and vomiting. I even became weaker. There was a night I thought my existence on this earth had ended.

“I was stooling and vomiting. At that point, Dr. David was the only doctor attending to us. He tried a lot to secure life. He had to re-hydrate me. After that, they left me to my fate. That was around 9:00 p.m. How I made it that night was miraculous to me. I know the hand of God was upon my life. Dr. David came the next morning. As he was leaving the night before, I was gasping and found it difficult to breathe. At the time Dr. David came, I was already down.













Enemuo Kelechi

“He was dumbfounded. After about few minutes, he told me that my condition was so bad that he did not know that I was going to make it. He thought he would meet my lifeless body at the isolation centre. But I am alive today to the glory of God. After some days, he took my samples for investigation. It was positive. He took another sample, and it was positive. He took third sample, it was negative. At that point again, the fever that had subsided began. I said God: is it Ebola again? He then told me that it might be malaria.
“He placed me on anti-malaria drugs. After sometime, the whole thing subsided. That is how I survived the virus. I thank God for being alive today

Enemuo
Enemuo,  was so shy and apparently too weak to speak and simply said: “ I want to say thank you to everyone and to say to my husband’ rest in peace.”
Her husband was late Dr Iyk Enemou who died after treating an Ebola patient in a hotel in Port Hacourt. Koye, the patient survived it.

Fashola
However, Fashola, who called for one minute silence for those who lost their lives to EVD, commended the courage of the survivors by coming out to the public to share their experiences, damning possible stigmatization.

He stated: “We sympathize with you for the trauma that you went though. Perhaps it was avoidable. But I am sure that hard lessons have been learnt. Beyond that, I must congratulate you the survivals of the EDV. I felicitate with you and members of your family and friends. But most importantly, I thank you so much for coming forward because you showed so much courage. And you have helped us to take the next step forward. And you have helped us to put an end to the spread of the EVD.

“I am sure that from today, people, specially, those that are victims wherever they maybe, will be encouraged to come forward, and seek help. And that people who stigmatize can change their approach. Sick people need help, care, love and affection.  “And it is the dedication at which we do our works that decide if we survive or not. Dr. David should be an example for all of us about how to care for ourselves. He must be the kind of doctor you all must like to emulate.”

Source: Vanguard

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