Hakim

ሰዉ እንዴት አይኑ እያየ በመድሀኒት እጥረት ይሰቃያል... በራሱ እጅ መድሀኒቱን እያጠፋ?

ወንድማችን ዶ/ር አንዷለም ዳኜን የገደለ ምን ያህል በሀገር በወገን ላይ በራሱ በ ቤተሰብ እንዲሁም፣ በአጠቃላይ ለመሞት በበሽታ እየተሰቃየ ያለን ህዝብ ለማዳን የቀረበ መድሀኒትን በእሳት እንደማቃጠል ከዛም አልፎ ተርፎ የወደፊቱን ትዉልድንም ጭምር ማምከን ማጥፋት እንደሆነ የትኛዉም ሰዉ የሆነ ሁሉ መንግስትም ፣ይሁን ተቃዋሚ የትኛዉም፥ ለሰዉ ልጅ የሚያስብ ድርጅትም ይሁን ግለሰብ ሊያወግዘዉ የሚገባ አስፀያፊ እና አስነዋሪ ድርጊት መሆኑን እንደ አንድ ኢትዮጵያዊ ዜጋ በፅኑ አወግዛለሁ።

አሸናፊ ገረም: ኤሌክትሪካል መሀንዲስ

@HakimEthio

Killing the Healer

Dr. Andualem was not just a doctor. He was a guardian of life, a man who had dedicated his days and nights to saving others. He had stood over hospital beds, comforting the sick.

He had wiped the sweat from his brow in overcrowded emergency rooms, stitching wounds, stopping bleeding, and bringing people back from the edge of death. And yet, it was death that found him. Not from illness, not from an accident—but from the hands of those who see no value in life, not even in those who give theirs to protect it.

How do we explain a country where doctors—those who heal, those who serve—become targets? How do we justify a society that allows its brightest, its most selfless, to be silenced? If a doctor, whose only weapon is compassion, can be slaughtered in cold blood, then what does that say about us? About the world we live in?

Dr. Andualem was not killed by a single bullet, nor by the hands that pulled the trigger alone. He was killed by indifference. He was killed by a system that has made life cheap, that has turned those who save lives into victims. He was killed because we have allowed this culture of violence to grow, to fester, to swallow even those who have no enemies, only patients.

His death is not just a tragedy—it is an indictment. It is proof that something is deeply broken. That those who hold power see no urgency in protecting the very people who keep us alive. It is a sign of a sickness far greater than any disease he ever treated: the sickness of a society that has lost its way.

How many more will we lose? How many more brilliant minds, how many more compassionate souls, how many more selfless healers will be taken before we understand the weight of this loss? Before we recognize that when we kill a doctor, we do not just take one life—we steal hope from thousands.

We must not look away. We must not forget his name. Dr. Andualem was a man who chose to save lives, and for that, his own was taken. If that does not fill you with sorrow, with grief, with righteous anger, then what will? If we do not demand to know why, if we do not ask who will be next, then we are all complicit.

A nation that kills its healers is a nation in decline. A society that does not protect its doctors is one that has lost its soul. And if we let this continue, we must ask ourselves—who will be left to save us?

Dr. Eyuel Mulisa

@HakimEthio

Cirracha Qabduu Hadhooftuu | Cholelithiasis

Qabduun hadhooftuu (gall bladder), kiisha boca peerii qabu yoo ta’u, naannoo seentimeetira 7 hanga 10 kan safaru fi dhangala’oo hadhooftuu dandeettii giddu galeessaan 30ml hanga 50 ml of keessatti kuufachuu danda'u dha.

Yeroo danqame (duct obstruction) immoo hanga 300 ml of keessaa qabaachuu danda’a.Qabduun hadhooftuu kun uummamaan tiruu gajjallaa (inferior surface of the liver) itti argamti.

Tiruun ga’eessa idilee nyaata giddugaleessaa nyaatu tokko guyyaatti hadhangala’oo hadhooftuu 500ml hanga 1000 mL oomisha. Kunimmoo ujummoowwan hadhooftuu garagaraatiin baatamee gara qabduu hadhooftuu kanatti dhaqa. Kunimmoo wayita nyaataa fuudhamee gara marrimmaanii (duodenum) geeffama jechuudha.

Faayidaalee qabduu hadhooftuu
• Dhangala’oo hadhooftuu kuusuu (storage): yeroo soomaa (fasting period) dhangala’oon kun asitti kuufama, yeroo nyaata fatty ammoo suuta suutaan akka seera uummamaatti gad lakkifama.

• Concentrate gochuu: kunimmoo dandeettiin nyaata bulleessu hadhooftuu haalaan akka dabalu taassisa.

• Hadhooftuu (bile) kuuse san yeroo nyaataa gad haala uummamni heyyamuun gad lakkisuu.

Rakkoolee qabduu hadhooftuu (problems of Gall bladder) heddduu dha.

Isaan keessaa muraasni:
• Cirracha hadhooftuu (cholelithiasis)
• Kaansarii
• Foon hin barbaachifne (polyp) irratti uummamuu fi KKF dha.

Cirracha qabduu hadhooftuu (cholelithiasis)

 Maaltu fida?

Dhangala’oon hadhooftuu kun bishaan hedduu fi keemikaalota garararaa kan akka (cholestrol, bile salt, bilirubin, electrolytes) irraa uummama. Keemikaalota kunneen keessaa tasa tokko ol- ka’ee kaan yoo gad- bu’e (imbalance) rakkoo cirrachaa kana fiduu danda’a jechuudha.

 Wantoota itti nama saaxilan (risk factors)

[ ] Ulfaatina qaamaa haala malee dabaluu (obesity)
[ ] Carraan dubartoonni ittiin qabamuu uummamaan kan dhiiraa irra ni caala (being female sex)
[ ] Akkuma umriin dabalu carraan qabamuu ni dabala
[ ] Firoottan jalqabaa kan kana qaban yoo jiraatan carraan qabamuu ni dabala.
[ ] Surgery garaachaa fi naannoo sanaa
[ ] Nyaata coomaa hedduminaan fayyadamu
[ ] Dhukkuba sukkaaraa fi kkf

 Mallattoolee dhukkubichaa
Namoota hedduu keessatti mallattoo dhukkubaa hin qabaatu, yoo qabaate garuu mallattoowwan armaan gadii agarsiisuu ni mala.

[ ] Dhukkuba garaa mirgaa gara oli qomaa. Dhukkubni kun gara dugda duubaa fi mormaattillee tarkaanfachuu ni danda'a
[ ] Darbee darbee ijji bifa keelloo qabaachuu ni danda’a

 Yaalli isaa maali?
Hordoffii irraa hanga gargaarsa baqaqsanii yaaluu barbaachuu ni male

Case scenario at Jeldu primary Hospital

Dhukkubsattuun kun dubartii waggaa 44 yoo taatu naannoo ji’a 6 oliif dhukkuba garaa gara mirgaa isa olii (right upper quadrant abdominal pain) dhaan darbee darbee dhukkubsachaa turte. Dhukkubni kun gara gidduu dugdaa fi irree harka mirgaatti ol eejjata ture.

Yaalaaf gara hoospitaala Jeldu (Jeldu primary Hospital) dhuftee. Qorannoon barbaachisoon erga godhameefii booda akka opereshin taatu muteeffame.

Opereshin taassifameefiin cirrachi hadhooftuu baay’inaan 252 ta’an keessaa baafamanii jiru (suuraan gadiitti mul’atu cirracha qabduu hadhooftuu ishee keessaa bahe dha.

Ogeessota yaala kana irratti hirmaatan (operating team)
Dr. Eyob Yazachew (Surgeon)
Dr. Ruth Hailu (Assistant)
Debeltu (Anesthetist)
Bontu (Anesthetist)
Mengistu Deresse (Scrub nurse
Berhanu Tilahun (Runner)
Alemu Gemechu (Runner)

Dhukkubsattuu harra guyya sadaffaa isheerra yoo taatu, haala gaarii irratti argamti.

@HakimEthio

አደጋ የደረሰበትን ህፃን መከታተል የሚያስፈልጉ ነገሮቸ

አያድርገውና ልጆች ላይ በተለያየ አጋጣሚ ማለትም ሲጫወቱም ሆነ በለተለት እንቅስቃሴያቸው ላይ የመውደቅ የግጭት ወይም የቃጠሎ አደጋ ከደረሰባቸው እና ተያይዞ እነዚህን ነገሮች በልጆቻቹ ላይ ካስተዋላቹ በጊዜ ወደ ጤና ተቋም በመሄድ የልጅዎን ሀኪም ማማከር ያስፈልጎታል።

👉 ከአደጋው ጋር በተያያዘ ራስን መሳት ካለ ወይም አደጋው ሲከሰት ልጁ ካላለቀሰ
👉 ከአደጋው በኋላ በተደጋጋሚ የሚያስመልሰው ከሆነ

👉 ከአደጋው በኋላ የራስ መሳት እና ተያይዞ የአጠቃላይ ሰውነት መንዘፍዘፍ ካለ

👉 ከአደጋው በኋላ ግራ የመጋባት ስሜት ፣ ለመናገር መቸገር እና ያለወትሮው እንቅልፍ መተኛት የሚያበዛ ከሆነ

👉 የተጎዳው ክፍል የሚደማ ከሆነ እና በንፁ ጨርቅ ለ10 ደቂቃ ተይዞም መድማቱን ማቆም ካልተቻለ

👉 የተጎዳው እጁ ወይም እግሩ ማበጥ እና ከጤናማ ቅርፁ ውጪ መጣመም ካለው እንዲሁም ለማንቀሳቀስ ካልቻለ

👉 የተጎዳው የሰውነት ክፍሉ ቁስል ከቆዳው ያለፈ ጥልቀት ካለው

👉 የትንፋሽ መቆራረጥ ወይም የትንፋሽ ማጠር ካለው
👉 የአንገት ህመም ካለ እና አንገት ለማንቀሳቀስ ከተቸገረ
👉 ሀይለኛ የሆድ ህመም ካለው
👉 የቃጠሎ አደጋ ከሆነ ደግሞ

✔️ እድሜው ከ1 አመት በታች ከሆነ እና ማንኛውም ቃጠሎ ከተከሰተ
✔️ የተቃጠለው አካባቢ ውሀ መቋጠር ካለው
✔️ የኬሚካል ወይም የኤሌትሪክ ቃጠሎ ከሆነ
✔️ የፊት፣ የእጅ ፣የእግር ፣የብልት እና የመገጣጠሚያ አካባቢ ቃጠሎ
✔️ ቃጠሎው ሲለካ ከልጁ የእጅ መዳፍ መጠን በላይ የሆነ
✔️ በእሳት ቃጠሎ ጭስ የመታፈን ከነበረው እና
✔️ የአሳት ቃጠሎ ቁስሉ በ2 ሳምንት ውስጥ ካልዳነ

በጊዜ ወደ ጤና ተቋም በመሄድ ልጅዎን ማስመርመር እና ተገቢውን ህክምና እንዲያገኝ ማድረግ ያስፈልጋል።

ማጣቀሻ - Pediatrics ATLS guideline

ዶ/ር ዮናታን ከተማ: በቅዱስ ጳውሎስ ስፒሻይዝድ ሆስፒታል የህፃናት ቀዶ ህክምና ሬዚደንት ሐኪም

ለበለጠ መረጃ YouTube - https://youtube.com/@kedmialetenawo?si=dkMsvvTm5D7S4kmb መጎብኘት ይችላሉ።

ሰላምና ጤና በያላችሁበት ይሁን።

@HakimEthio

A historic milestone in Ethiopian neurosurgery has been achieved!

St. Paul’s Hospital Millennium Medical College Department of Neurosurgery proudly celebrates the first-ever graduates of Ethiopia’s spine surgery fellowship program; Dr. Abrham Tadelle and Dr. Biniam G/Egziabher.

This moment marks a transformative leap in the country’s capacity to provide specialized spine care, addressing the growing burden of spinal disorders with homegrown expertise.

At the heart of this achievement is the visionary mentorship of Dr. Fassil Mesfin, a distinguished spine surgeon from the University of Texas, whose dedication and pioneering spirit made this program a reality.

By guiding the first cohort of fellows through rigorous training, he has laid the groundwork for a sustainable future where complex spinal conditions can be managed locally with world-class expertise.

This graduation is more than a personal success for Dr. Abrham and Dr. Biniam; it is a national achievement. As they embark on their journey as the country’s first spine surgery fellowship-trained specialists, they carry the hopes of many and the responsibility to train those who follow.

Congratulations to the graduates, their mentor, and everyone who contributed to this groundbreaking moment in Ethiopian neurosurgery and Spine Surgery.

@HakimEthio

Pharmacy: A Key Player in Global Health Challenges

Pharmacy is not just about dispensing medicines—it is a crucial pillar of healthcare that ensures safe, effective, and responsible drug use. As health challenges evolve, pharmacists play a central role in tackling major threats like antimicrobial resistance (AMR), medication safety, and chronic disease management.

🦠 The Growing Threat of Antimicrobial Resistance (AMR)

Antibiotics have saved millions of lives, but their misuse and overuse are accelerating antimicrobial resistance (AMR)—a silent pandemic that could make common infections untreatable. According to the WHO, drug-resistant infections could cause 10 million deaths per year by 2050 if urgent action is not taken

💊 How can we combat AMR?

✔️ Avoid self-medication and unnecessary antibiotic use
✔️ Complete prescribed antibiotic courses
✔️ Strengthen antibiotic stewardship programs in hospitals and clinics
✔️ Encourage research into alternative therapies, including medicinal plants

💊 Medication Safety: Reducing Errors & Counterfeit Drugs

Each year, medication errors and counterfeit drugs lead to thousands of preventable deaths. The WHO estimates that 1 in 10 medical products in low- and middle-income countries is substandard or falsified, endangering millions

✔️ Strengthen drug regulations to eliminate counterfeit medicines

✔️ Improve prescription accuracy and patient counseling

✔️ Enhance pharmacovigilance—monitoring and reporting adverse drug reactions

❤️ Managing Chronic Diseases: The Pharmacist’s Role

With rising cases of diabetes, hypertension, and cardiovascular diseases, pharmacists are at the forefront of improving medication adherence and optimizing therapy. Research shows that pharmacist-led interventions significantly improve blood pressure and diabetes control

✔️ Educate patients on proper medication use and lifestyle changes

✔️ Collaborate with doctors to fine-tune drug regimens

✔️ Advocate for affordable access to essential medicines

A Call to Action

Addressing these challenges requires collaboration among healthcare professionals, policymakers, and the public. Together, we can ensure safe and effective medication use for all!!!

Nahom Samuel: Bpharm, MSc in Pharmacology
Lecturer at Haramaya University

@HakimEthio

TASH Interns Exit exam preparation: last day picture in the library

@HakimErhio

Addressing the Impact of U.S. Health Aid Cuts on Ethiopia’s Healthcare System and Strategic Solution

The recent withdrawal of U.S. health aid, particularly from CDC and USAID, has severely impacted Ethiopia’s ability to combat infectious diseases like HIV/AIDS, TB, malaria, and vaccine-preventable illnesses. These cuts have disrupted diagnostics, treatment programs, and public health interventions, increasing the country’s vulnerability to disease outbreaks.

Additionally, the indefinite suspension of aid budgets has affected healthcare employment and essential services across multiple sectors.

To address these challenges, Ethiopia must diversify its funding sources by engaging multilateral organizations such as the World Bank, WHO, and the Global Fund while strengthening bilateral partnerships with the EU, UK, China, and Gulf nations. Expanding public-private partnerships (PPPs), increasing government investment, and promoting community-based health financing (CBHF) can enhance sustainability.

Training and retaining healthcare professionals, boosting local pharmaceutical production, and leveraging digital health solutions are crucial for long-term self-sufficiency.

Optimizing resource allocation by prioritizing high-impact programs, enforcing transparency, and using data-driven decision-making can improve efficiency. Strengthening regional collaboration through the African Union and mobilizing diaspora support can bridge financial gaps. Additionally, Ethiopia must cut excessive spending on non-essential projects, such as unnecessary hospital renovations and vehicle allocations for managers, while improving financial oversight to prevent corruption and waste.

Prioritizing preventive healthcare, expanding community health insurance, and implementing cost-effective interventions will maximize impact. Investing in disease surveillance, laboratory infrastructure, and cross-border health security can improve outbreak preparedness. A resilient healthcare system requires strong leadership, strict financial management, and strategic partnerships to ensure continued progress despite external funding challenges.

By Jafer Aliyi (BSc, MPH)

@HakimEthio

Empowering Patients for Better Chronic Disease Management in Ethiopia

As a healthcare professional, it is crucial to emphasize the growing burden of complications due to chronic diseases like Diabetes Mellitus and Hypertension in our healthcare system. Managing this disease involves more than just medications.

Therefore, comprehensive patient education and support are essential to help individuals manage their conditions effectively, improve their quality of life, and alleviate the strain on our healthcare system. Here are some key elements to consider:

1. Disease Awareness

Educating patients about their chronic diseases empowers them with knowledge. Understanding the nature of their condition, its progression, and potential complications can motivate patients to adhere to their treatment plans and make informed decisions about their health. To support this, develop educational programs and materials that are easily accessible to patients, such as community outreach programs, radio broadcasts, and culturally relevant educational pamphlets.

2. Medication Adherence

Taking medications as prescribed is crucial in managing chronic diseases. Adherence to medication helps in keeping the condition under control and prevents the onset of complications. Patients need to understand the timing, dosage, and purpose of their medications to ensure they are taken correctly. To support this, healthcare providers should offer personalized medication plans and reminders to patients.

3. Lifestyle Modifications

A healthy lifestyle is important in managing chronic diseases. This includes maintaining a balanced diet, engaging in regular physical activity, and managing stress effectively. Lifestyle changes can significantly improve patients' health and reduce disease-related symptoms. To support this, provide patients with personalized lifestyle modification plans and access to nutritionists and fitness experts.

4. Self-Monitoring

Teaching patients to monitor their conditions at home, such as checking blood sugar levels or blood pressure, allows them to take proactive steps in managing their health. Self-monitoring provides real-time feedback and helps in early detection of any irregularities that require medical attention.

5. Regular Follow-ups

Regular medical check-ups are essential in managing chronic diseases. Follow-ups ensure continuous monitoring of the patient's condition, allow for adjustments in the treatment plan, and provide an opportunity for healthcare professionals to address any concerns or issues. Implement a follow-up schedule and encourage patients to attend their appointments regularly.

6. Technology and Tools

Leveraging modern technology, such as mobile health apps and telemedicine, can facilitate ongoing education and support for patients.

References

1. Bahari, G., & Kerari, A. (2024). Evaluating the effectiveness of a self-management program on patients living with chronic diseases. Risk Management and Healthcare Policy, 487-496.

2. Stepanian N, Larsen MH, Mendelsohn JB, Mariussen KL, Heggdal K. Empowerment interventions designed for persons living with chronic disease - a systematic review and meta-analysis of the components and efficacy of format on patient-reported outcomes. BMC Health Serv Res. 2023 Aug 25;23(1):911. doi: 10.1186/s12913-023-09895-6. PMID: 37626346; PMCID: PMC10463815.

3. Vainauskienė V, Vaitkienė R. Enablers of Patient Knowledge Empowerment for Self-Management of Chronic Disease: An Integrative Review. Int J Environ Res Public Health. 2021 Feb 24;18(5):2247. doi: 10.3390/ijerph18052247. PMID: 33668329; PMCID: PMC7956493.

4. Haleem A, Javaid M, Singh RP, Suman R. Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sens Int. 2021;2:100117. doi: 10.1016/j.sintl.2021.100117. Epub 2021 Jul 24. PMID: 34806053; PMCID: PMC8590973.

Nesredin Ahmed: Nurse

@HakimEthio