"ጉዳዩ: የአምቡላንስ መኪና ዕገዳ ይመለከታል"

@HakimEthio

ጎንደሬው የጃማይካ ሰው: ዶ/ር በርናንድ አንደርሰን
By: Asrat Atsedeweyn

ዶ/ር በርናንድ አንደርሰን መስከረም 11 ቀን 1937ዓ.ም ጀማይካ ዉስጥ ነዉ የተወለደው፡፡ በአሜሪካ ታዋቂ የቀዶ ጥገና ኃኪም የነበረ ሲሆን ለበርካታ ዓመታት ከሠራበት ዋሽንግተን ዲሲ እስከ ሕልፈተ ሕይወቱ የሠራባት ጎንደር የሚታወቀው ሕሙማንን በመከባከብና በማከም፣ ቋንቋቸዉን ተናግሮ ችግራቸውን በመረዳትና በማገዝ፣ የመክፈል አቅም የሌላቸዉ ሕሙማንን በራሱ ወጪ ሕክምና በመስጠቱ ነው።

ከሰዉ ዘር መፍለቂያዋ፣ ከጥቁር ሕዝብ መኩሪያ ሀገር፤ እነ ማርክስ ጋርቬ “ወደ ራሳችን እንመለስ” ወዳሉባት ጥንታዊት ምድር ኢትዮጵያ ሄዶ የማገልገል ሕልም ነበረው ዶር በርናንድ የኑሮ አጣማጁ ሲስተር እማዋይሽ ምክንያት ሆና የተደላደለውን የምድረ አሜሪካ ኑሮ ትቶ በጎንደር ዩኒቨርሲቲ ሕክምና ጤና ሳይንስ ኮሌጅ የቀዶጥገና ትምህርት ክፍልን በ1997 ዓም በመቀላቀል ሕልሙን እውን አደረገ፡፡

ዶ/ር በርናንድ በኮሌጁና በሆስፒታሉ በነበረዉ ቆይታ የቀዶ ሕክምና ድኅረ ምረቃ ፕሮግራም በማስጀመርና በማስተማር፤ በዩኒቨርሲቲ ሆስፒታሉ በማከም እንዲሁም እጅግ የካበተ ዕዉቀቱን፣ ክህሎቱንና ልምዱን ለተማሪዎቹና ለሙያ አጋሮቹ በማካፈል በርካቶች በሞያዉ የተካኑ እንዲሆኑ በማድረግ በተቋማችን የማይረሳ አሻራ አስቀምጧል። በተለይም የጉበት ካንሰር፣ የጣፊያ ካንሰር፣ የልብና የደም ሥር እና  ተዛማጅ በሸታዎች ቀዶ ጥገናዎች በማከናወን ሕሙማኑ ፈዉስ እንዲያገኙ ከማድረጉ በተጨማሪ ሌሎቹ ልምድ እንዲቀስሙ በማድረግ ሙያዉ በአገራችን የበለጠ እንዲጎለብት ተኪ የለሽ ተግባር አከናውኗል።

ዶር በርናርድን የጎንደር ሰው የሚያውቀው የተጎዳ ሰው ሲያይ ከመኪናው ወርዶ ችግሩን ሲጋራ፤ ወደ ሕክምና ያልመጣ ሰው መንገድ ላይ ሲያገኝ አባብሎ አምጥቶ ሲያክም፣ ድጋፍ የሚሻ ሰው ሲያይ በመኪናው ጭኖ ወቤቱ ሲያደርስ ነው፡፡

በከተማዋ በቂ የሕክምና ተቋማት እንደሌለ የተረዳው ዶር በርናንድ በጎንደር አዘዞ ባለአንድ መቶ መኝታ ያለው ዘመናዊ የቀዶ ሆስፒታልና በጎርጎራ የሕሙማን ማገገሚያ ሎጂ እያስገነባ እያለ ግንባታው ሳይጠናቀቅ ታመመ፡፡

በአሜሪካን ሀገር ሕክምና ላይ እያለ እንደማይተርፍ የተረዳው ዶር በርናንድ "ወጭዉ የማይበዛብሽ፣ አንቺንም የማያደክምሽ ከሆነ ኢትዮጵያ፣ ጎንደር፣ ደብረ ፀሐይ ቁስቋም ማርያም ብቀበር እወድ ነበር" ብሎ ባለቤቱን እንደነገራት ታኅሣሥ 23 ቀን 2007 ዓ.ም ዐረፈ፡፡ ባለቤቱ ሲሰተር እማዋይሽም ቃሉን ጠበቀችለት።

ድፍን የጎንደርና አካባቢው ሕዝብም ታይቶ በማይታወቅ ሁኔታ ወጥቶ አልቅሶ ሸኘው፡፡ እኔም በአጋጣሚ በቀብሩ ላይ የነበርኩ ሲሆን በዕለቱም፦

"የማን ዘመድ ሞተ አትበለኝ ሀገሬ፣
ጎንደር ሰው ሞቷታል እናላቅሳት ዛሬ።" ተብሎ በሙሾ አውራጆች የተለቀሰለት የአገር ባለውለታ ነበረ።

በኅልፈተ ሕይወቱ ሐዘናቸው ከገለጹ በርካታ ሰዎች መካከል "ጎንደሬው የጃማይካ ሰው" ብሎ ሙኀዘ ጥበባት ዳንኤል ክብረት ባመረ ጽሑፉ ሐዘኑን መግለጹ ይታወሳል።

የጎንደር ዩኒቨርሲቲም የዚህን የአገር ባለውለታ ሕልፈት ተከትሎ ከሕክምና ዶክትሬት ትምህርት ምሩቃን መካከል በሙያቸውና በሥነ ምግባራቸው ለተመሰከረላቸው አንድ ወንድና አንድ ሴት እጩ ምሩቃንን እየለየ "ዶር በርናንድ አንድርሸን ሽልማት - Dr Bernard Anderson Award" የሚል ሽልማት በየዓመቱ ይሰጣል።

የጎንደር ዩኒቨርሲቲ 70ኛ እና የማስተማሪያ ሆስፒታሉ 100ኛ ዓመት ምሥረታ አከባበር ባለውለታዎቹን ሲዘክር እኒህን የአገር ባለውለታ በግንባር ቀደምትነት አስታውሷል። የዩኒቨርስቲው ሴኔት ሐምሌ 24 ቀን 2017ዓ.ም ባደረገው ስብሰባ ዶር በርናርድ ሥራው እንዲታወስና እሱን መሰል ሕዝብ አገልጋይ ባለሙያዎች እንዲወጡበት በማሰብ ለአስር ዓመት ገደማ የሠራበትና ያስተማረበት የቀዶ ሕክምና ማዕከል "ዶር በርናርድ አንድርሰን ቀዶ ጥገና ማዕከል" በሚል በስሙ እንዲሰየም የወሰነው።
፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥
ብዙ ሠርተናል፤ ብዙ ይቀረናል!
ነሐሴ 9 ቀን 2017ዓ.ም

Dr Bernard Anderson was born on September 21, 1944, in Jamaica. He was a renowned American surgeon who, for many years, worked both in Washington, D.C., and in Gondar until the end of his life. He became well known in Gondar for serving and caring for patients, speaking their language, understanding their challenges, assisting them, and even covering the medical costs of those who could not afford treatment.

Coming from the origin of mankind, from the homeland of Black pride, and inspired by Marcus Garvey’s call “Let us return to ourselves,” Dr. Bernard dreamed of serving in the ancient land of Ethiopia. With the support of his wife, Sr. Emawayesh, he left his comfortable American life and, in 2005, joined the Department of Surgery at the College of Medicine and Health Sciences of the University of Gondar, thus fulfilling his dream of living and serving in Ethiopia.

During his time at the College and its hospital, Dr. Bernard left an enduring legacy. He launched the surgical specialty program, taught and mentored countless students, treated patients at the University Hospital, and generously shared his immense knowledge, skills, and experience with colleagues. He was especially known for performing complex surgeries on liver cancer, thyroid cancer, cardiovascular diseases, and related conditions, saving lives while also transferring valuable skills and knowledge that helped advance the medical profession in Ethiopia.

People of Gondar remember him as the doctor who would stop his car to help someone in distress, bring back patients who had discontinued treatment, or transport those in need of support directly to their homes.

Recognizing the lack of adequate health facilities in the city, Dr. Bernard began constructing a modern 100-bed surgical hospital in Gondar, as well as a recovery lodge for patients in Gorgora. Sadly, before completing this noble project, he fell ill.

When he realized he would not recover in the U.S., he told his wife: “If it is not too much for you, and if it would not burden you, I would love to be buried in Ethiopia, in Gondar, at Debre Tsehay Qusquam Mariam.” He passed away on December 31, 2014, and his wife Sr. Emawayesh honored his wish.

The people of Gondar and its surroundings, deeply grieving his loss, mourned him as one of their own. I was present at his funeral that day, where local poets recited:

“Do not ask whose relative has died;
A son of Gondar has died; let us all mourn today.”

Among the many who expressed their sorrow was Muhaze - Tibebat Daniel Kibret, who in his writings called him “The Jamaican son of Gondar.”

Following his passing, the University of Gondar established the Dr. Bernard Anderson Award, given annually to one outstanding male and one outstanding female graduating medical student, recognized for both professional excellence and moral integrity.

Furthermore, as part of the University’s 70th anniversary and the Hospital’s 100th anniversary commemorations, Dr. Bernard Anderson was honored as one of its foremost heroes. On July 31, 2025, the University Senate decided to name the Surgical Center where he worked and taught for nearly a decade the “Dr. Bernard Anderson Surgical Center” in his memory.
፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥፥
We have accomplished much, yet much remains!
August 16, 2025

@HakimEthio

Best of luck to C2 students of Yirgalem hospital medical college who will start their qualification exam tomorrow

@HakimEthio

A case of large oropharyngeal glial heterotopia causing airway obstruction in a newborn: A case report and brief review of literature

Birhanu Kassie Reta; Andom Geremew Tesfay; Mizan Tsegaye Abebe; Nebiat Zerabiruk Embaye; Gebreyohans Tesfay Kidanu; Hidaya Yahya Mohammed

https://doi.org/10.1016/j.ijscr.2025.111809

To send your papers use @HakimAds

@HakimEthio

𝐀 𝐜𝐚𝐬𝐞 𝐨𝐟 𝐝𝐞𝐥𝐚𝐲𝐞𝐝 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 :𝐓𝐡𝐞 𝐩𝐥𝐢𝐠𝐡𝐭 𝐨𝐟 𝐲𝐨𝐮𝐧𝐠 𝐠𝐢𝐫𝐥; 𝐃𝐚𝐫𝐨 𝐥𝐚𝐛𝐮, 𝐰𝐞𝐬𝐭-𝐡𝐚𝐫𝐚𝐫𝐠𝐡𝐞, Oromia region, Ethiopia

• Two years diagnosis missed, stories we see in rural practice — patient ends up going through repeated, unnecessary, and invasive procedures.

𝐈𝐧𝐢𝐭𝐢𝐚𝐥 𝐬𝐲𝐦𝐩𝐭𝐨𝐦𝐬 𝐚𝐧𝐝 𝐝𝐢𝐚𝐠𝐧𝐨𝐝𝐢𝐬 𝐚𝐭𝐭𝐞𝐦𝐩𝐬:

• A 12-year-old girl lived with massive abdominal swelling for 2 years.

• She had history of progressive, painless abdominal distension, accompanied by intermittent vomiting of ingested food and indigestion.

• She had no history of changes in bowel habits, hematemesis, melena, or urinary symptoms.

• She visited several medical  clinics and Hospitals, undergoing multiple ultrasound scans — all reported as “ascites.”

• She was misdiagnosed with liver disease, placed on Lasix and spironolactone, and had multiple time  fluid drainage procedures.

• Her family spent everything they had, both as inpatients and outpatients, but the swelling always came back over past 2 years.

• The child’s abdominal swelling had become so massive that she was unable to walk upright for the past 4 months, confined to a wheelchair.

• 𝐒he was labeled as having “refractory ascites.”

𝐋𝐚𝐬𝐭𝐥𝐲: 𝐀𝐫𝐫𝐢𝐯𝐚𝐥 𝐭𝐨 𝐃𝐚𝐫𝐨𝐥𝐚𝐛𝐮 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥

• When she finally reached our hospital, examination revealed ascites and 2L fluid aspiration was done and lasix escalated to 80 mg iv, no response, still no change!

• Lastly , they checked to drain more fluid and aspiration showed Turbed fluid mixed with pus (infected).

• Ultrasound revealed not ascites but a giant infected mesenteric cyst.

𝐃𝐞𝐬𝐜𝐢𝐬𝐢𝐨𝐧 𝐟𝐨𝐫 𝐬𝐮𝐫𝐠𝐞𝐫𝐲:

• The diagnosed with huge intrabdominal cyst!
• Surgical side consulted and operation decided considerin infected intraabdominal cyst!

• We decided to operate (despite severe malnutrition and IDA) & laparotomy performed.

𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐟𝐢𝐧𝐝𝐢𝐧𝐠

• A huge unilocular mesenteric cyst occupied almost the entire abdominal cavity severly adhered to Abdominal wall (difficult to mobilize and remove without rupture b/c of infection due to previous multiple aspiration)

• Aspiration of fluid performed (About 13 liters) which is turbid fluid with debris, consistent with an infected cyst.

• The cyst wall was thickened and inflamed but had no contact with jejunal vessels. No involvement of adjacent bowel loops or other intra-abdominal organs. No ascites or peritoneal deposits observed.

• Careful dissection of cyst wall from surrounding mesentery carried out. Complete excision of the mesenteric cyst achieved without injury to adjacent bowel or mesenteric vessels.

• Patient tolerated procedure well; extubated and transferred to recovery in stable condition. Tissue and fluid sent for Histopathologic evaluation!

𝐓𝐞𝐚𝐜𝐡𝐢𝐧𝐠 𝐩𝐞𝐚𝐫𝐥𝐬:
• Size: This is among the largest pediatric mesenteric cysts reported; most literature cases are <5 liters.

𝐃𝐞𝐥𝐚𝐲𝐞𝐝 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐢s:
Why This Happened (misdiagnosis trap)

• Clinical Similarity
-Both ascites and a giant mesenteric cyst present as progressive, diffuse abdominal distension.

-Fluctuation and fluid thrill can be misleading; exam alone may not distinguish free fluid vs. encysted fluid

• High Burden of Chronic Liver Disease in Our Area, In our setting, CLD is very common (viral hepatitis, schistosomiasis)

-So, when a child presents with progressive abdominal distension, the first thought is usually ascites from liver disease.

• Mesenteric cysts are rare (≈1 per 100,000 hospital admissions), so in low-resource , a “distended abdomen” in a child often gets lumped into ascites — especially if ultrasound is suboptimal or not done by radiologist
• Patient was initially labeled as “liver disease with ascites.”
-Subsequent clinicians  accepted that diagnosis instead of re-evaluating carefully (“diagnostic momentum”).

• The family spent their little resources on repeated taps, drugs (furosemide, spironolactone), and hospital visits.

-This financial strain made it harder to pursue better diagnostic workup or referral.

𝐊𝐞𝐲 𝐭𝐚𝐤𝐞𝐚𝐰𝐚𝐲𝐬 𝐟𝐨𝐫 𝐡𝐞𝐚𝐥𝐭𝐡 𝐜𝐚𝐫𝐞 𝐩𝐫𝐢𝐟𝐞𝐝𝐬𝐢𝐨𝐧𝐚𝐥𝐬:

• ✅ Always confirm diagnosis before repeated fluid taps
• ✅ If “ascites” comes back quickly, think of other causes — mesenteric cyst, ovarian cyst, tumors
• ✅ Early imaging and referral can save lives and prevent years of suffering

NB: Images shared with guardian written consent, cropped to protect patient identity

[Intraop images not posted due to their graphic nature]

𝐎𝐑 𝐭𝐞𝐚𝐦𝐬:
𝐃𝐫 𝐳𝐮𝐛𝐞𝐫 𝐁 (𝐬𝐮𝐫𝐠𝐞𝐨𝐧)
𝐈𝐠𝐚𝐳𝐮 w. (𝐀𝐧𝐞𝐬𝐭𝐡𝐞𝐭𝐢𝐬𝐭)
𝐒𝐫.𝐁𝐞𝐳𝐚 (𝐒𝐜𝐫𝐮𝐛)
𝐉𝐞𝐦𝐚𝐥 (𝐫𝐮𝐧𝐧𝐞𝐫)

𝐒𝐩𝐞𝐜𝐢𝐚𝐥 𝐭𝐡𝐚𝐧𝐤𝐬 to 𝐃𝐫 𝐲𝐮𝐬𝐮𝐟 𝐤𝐞𝐝𝐢𝐫, 𝐌𝐃, 𝐑𝐚𝐝𝐢𝐨𝐥𝐨𝐠𝐢𝐬𝐭

𝐎𝐇𝐁, 𝐃𝐚𝐫𝐨 𝐥𝐚𝐛𝐮 𝐩𝐫𝐢𝐦𝐚𝐫𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥
𝐖𝐞𝐬𝐭 𝐇𝐚𝐫𝐚𝐫𝐠𝐡𝐞, 𝐌𝐞𝐜𝐡𝐚𝐫𝐚-𝐌𝐢𝐜𝐡𝐚𝐭𝐚!

@HakimEthio

ረከቦት ለስኳር እና ለደም ብዛት ታካሚዎች የሚጠቅሙ የጤና ድጋፍ እና መረጃ የሚሰጥ ማህበር ነው፡፡ እነዚህን አዳዲስ እና ወቅቱን የጠበቁ መረጃዎች ለማግኘት፣ ከተለያዩ ታካሚዎች ልምድ ለመማር እና የእርሶንም ልምድ ለማካፈል ይህንን የtelegram ቻናል ይቀላቀሉ፡ https://www.tgoop.com/Rekebot_Health