Missing intestines: ANPMP says Lagos Assembly panel ‘ignorant of workings of medical profession’, vows to stop ‘attitude of vilifying private medical practice at every opportunity’

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ASSOCIATION OF NIGERIAN PRIVATE MEDICAL PRACTITIONERS (ANPMP), LAGOS STATE CHAPTER

PUBLIC NOTICE

RE:THE CASE OF ALLEGED
MISSING INTESTINES;
SETTING THE RECORDS STRAIGHT

We have followed with keen interest the trending case of the alleged missing intestine. We are concerned by the misconceptions, half-truths and outright falsehoods being peddled in the media.

We, as an association, wish to first and foremost express our deep sympathy to the family of now deceased Adebola Akin- Bright.
We have refrained from commenting on this issue in public for obvious reasons, we are however constrained to state some facts just to set the record straight because it is said that, “repetition makes a fact seem more true, regardless of whether it is or not”.

We have been able to establish some privileged and incontrovertible facts based on available scientific evidence at our disposal some of which we will share here:

1:- The patient was first operated on at Obitoks Hospital 6th of March 2023 on account of ruptured appendix after he was referred from a medical centre where he was managed for typhoid enteritis.

2.) It was discovered on the operation table that there was abscess which will require a different management approach to drain. (The appendix at that time must not be removed because of the abscess). The patient however got better afterwards.

3.) The patient presented again about 3 months later and a diagnosis of obstructed intestine was made which necessitated operating on the abdomen again to relieve the obstruction.

4.) It is of a fact that the parents were invited into the operating room to see and confirm the point of obstruction and the 4 inches of the small intestine to be removed, out of the about 24 feet of the normal small intestine.

5.) It was also established that the patient was referred to the tertiary centre 8 days post-operation at the request of the parents.

6.) It is a fact that the patient was admitted in LASUTH on the 17th of June.

7.) The patient was however eventually operated upon on the 14th of July 2023 (i.e. 28 days after admission in LASUTH). It is therefore strange how the story of the missing/disappearing intestine gained prominence in the media in a patient who was on admission in a public facility (LASUTH) for almost 28 days.
The question to then ask is, how did the patient survive for 28 days without intestine?

8.) In addition to this, it was also established as confirmed by ultrasound scan and X-ray done at LASUTH on the 19th of June (I.e. 3rd day on admission) that there was the presence of normal intestinal movement.

9.) The Panel constituted by the State HOUSE OF ASSEMBLY in an attempt to investigate this matter was done without including a doctor on the panel. This makes the job of this respected panel difficult.

There was clear evidence that members of the panel were genuinely ignorant of some of the workings of the medical profession which became obvious from some of the questions posed during their sitting.

10.) It is important to note that the honourable members of the panel also demonstrated a clear case of witch-hunt and working to a predetermined answer by attempting to reduce the session to a “Yes” and “No” session for our member from the private hospital while the doctor from the government hospital involved in the management of the deceased was given the latitude to give a detailed report.
The bias was taken to a ridiculous level when the same doctor who operated on the patient at the government hospital was asked to assess and determine the response of the doctor who operated on the patient in the private hospital. A case of being a judge in your case you would say!
Of course, the doctor seeing the absurdity of the request cleverly declined.

11.) A similar panel set up earlier by the Ministry of Health (HEFAMAA) that had a surgeon on seat had confirmed that the X-ray films taken while the patient was on admission at LASUTH also showed the presence of the intestines.

12. Information available to us also confirms that a large mass of black tissue was removed at LASUTH and handed to the patient’s mother to take to histopathology laboratory by the team that operated on the patient at LASUTH after they came out of the theatre.

13.) Strangely, the government through their agency, HEFAMAA rushed to seal up the theatre of the private hospital, while the government hospital where the patient was operated on and eventually died was left to continue to operate as if nothing happened.

14. We have to emphasise here that matters of this nature deserve thorough investigation by a well-constituted professional team and the only body empowered by law to investigate such cases is the MDCN (MEDICAL AND DENTAL COUNCIL OF NIGERIA)

15.) The call for the arrest of the private doctor we believe might have been borne out of immediate emotional reaction to the news of the unfortunate death of the deceased. There is no rationale whatsoever to call for the arrest of the doctor for simply doing his job, especially when the government hospital involved and his personnel are left untouched.

Finally, We are monitoring the events closely as they unfold and we are ready to follow this to a logical conclusion to stop this attitude of vilifying the private medical practice at every opportunity.

SIGNED
Dr Makinde Akinlemibola, chairman ANPMP Lagos Branch
Dr Debo Adebiyi, Secretary ANPMP Lagos State branch

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