Medical errors in hospitals kill more Nigerians every year than AIDS, malaria, breast cancer and auto accidents combined.
But Arlindo Defreitas, a Portuguese national living in Lagos, never thought his wife would be one of those statistics. After all, he attended almost 5 years of medical school back in Portugal.
But when his wife took a turn for the worse during a cesarean section at the Medical Art Center (MART) in Lagos, he went from being confident to helpless and lost husband, afraid of questioning the care she was getting, for fear it would become worse.
Arlindo, who now has to care for his son alone after his wife died following the cesarean section says his wife was killed by doctors at the Mobolaji Bank Anthony Way, Onigbongbo, Lagos, based hospital.
“When I entered the theater all her organs was scattered around, I couldn’t look , it was like the work of a butcher.” I told the doctor my wife is not a cow, he said.
Arlindo said his wife, Amaka, 24, showed no signs of distress in the weeks following up to the c-section.
According to him, after 4 years trying to conceive, his wife finally got pregnant and was a pre-natal care patient at the MART Hospital.
“Last week Friday at 41 weeks of pregnancy, doctors at the hospital told us that no baby water was seen and as a result a cesarean section operation must be done as soon as possible.” The procedure was done and the baby was delivered by 8.30 am on Saturday, and we were very happy- for a short time, he said.
“I was very happy even though the baby almost died as I was told by the doctors that the baby was almost ‘strangled’ by the umbilical cord, the head was red and one arm was white, the skin was very wrinkled.” “My wife was moved out of the theater and transferred to a private room to recuperate”‘ At some point she was in excruciating pain, and the doctors kept giving her doses upon doses of pain killers”.
“I was uncomfortable and I told them that from my experience as a medical student years ago I think my wife hemorrhaged. At that point Arlindo watched as her condition steadily worsened, until doctors asked him to leave the room. He claimed that after his persistence the doctors ran a test and said that his wife lost a lot of blood during the cesarean section.
“I was asked to leave and wait for a call before coming back, so I went home”.
In the words of Michael Klimek, a friend of Arlindo and a fellow European from Germany, ” after she delivered the baby, the doctor told her that she have to drink 5 bottles of water.” I was shocked, everybody knows how dangerous it is for a woman that just underwent C-Section to drink water”. ” After drinking the water, the bleeding started and it won´t stop. They gave her 2 bags of blood-transfusion, but it was not helpful.”
“Hours later the doctors said they have to cut her open again to find out what was going on with her, Klimek said in shock. At that point the husband said he was told that she has low blood a 12.7% packed cell volume (PCV)”.
” I said why can’t you use ultrasonic Tools and scans to see what’s going on, instead of cutting her open again and allowing her lose more blood which is already a problem”.
“By the time I got to the hospital, they already cut her open for the second surgery, they opened her thorax from under the breast down – and finally, they found nothing after 4 hours of operation.”
“I was an emotional wreck by this point.” I never gave consent for the second surgery, nobody in my wife’s family did, Arlindo told Per Second News. “Until this moment cause of death is still unknown”.
“I don´t understand this doctors and hospitals. This “Photoshop certificate Doctor” killed our best friend and for this he must be imprisoned for life and the MART Hospital shut down for ever. And none of this doctor or nurses must practice in this profession again, said an angry Klimek, friend of the husband.
” I am from Germany and when this things happen in Germany or Europe, the government conduct an investigation, I hope, this will be the same here, he asked.
“Now I can understand, why your president went to medical check up outside of Nigeria, he concluded.
The husband of the deceased claim that one Dr Moses butchered his wife to death, “yes Moses killed my wife”. ” After they noticed their mistake they refuse to tell me details, I called them continuously and they won’t pick my phone”.
Per Second News reached out to the hospital and the chief medical director, Prof Oladapo Ashiru, said the Mart medicare gave the deceased high quality care with experienced professionals.
“The lady Amaka, was young, she said she was 24 but she looked 21”. “
He said all those that attended to her from the Obstetrician to the Anesthesiologist and Nurses are well experienced professionals. Ashiru said he has well over 40 years experience.
He revealed that he was not part of the team that worked on Amaka and directed us to the consultant who spoke to Per Second News about what transpired.
Dr Makewu said with the help of fertility doctors from the MART Center, Amaka Defeitas, conceived using IVF, after which we had a meeting with the couple detailing a 13 week management plan that includes C-section at birth.
“Mr Defreitas rejected the C-section saying he wanted his wife to have it the natural way, despite several medical advice from us”.
“At 37 weeks there was no sign of labor and they were still insisting on natural means”. I didn’t see them or hear from them again until I called them at 39 weeks and she said she travelled and was not around”. “They finally came when the pregnancy was at 41 weeks, after a scan no baby water was seen at that point I told them categorically that a C-Section must be done immediately.”
“We did the procedure and the baby arrived Saturday morning, except for the umbilical cord that was around the baby’s neck, everything was fine, both mother and baby were fine and we even moved her out of the theater to the normal room for her to recuperate.”
“Hours after the first surgery she started complaining of tummy ache and severe pain, despite the pain killers being administered on her, she also complained of abdominal pain.
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“She was pale and we ran a test and found out that her blood level was 12.7 percent low, at that point we did the second surgery to find out what was the cause of pain”. Dr Makewu put the blame at the doorsteps of the Defeitas, saying the operation should have been done weeks before the 41 week period.
Asked about cause of death, he said autopsy is currently being carried out. But Mr Defeitas insists that it was an error on the part of the doctors to cut his wife open for the second time within a 24 hour period.
Justifying his claim, Defreitas, said he did not give his consent for the second surgery because he expected the hospital to do a comprehensive CT-Scan of the Pelvic & Abdomen to get the right diagnosis, rather the doctors did a normal blood test which will never tell you if a patient has a blood clot or something more fatal.
“I insisted in scan but before I arrived at the hospital they already cut her open and allowing her to lose more blood leading to her death”.
A doctor close to the family said ” Possibly she bled a lot at first surgery, maybe the womb did not contract well also”. “She could also have had a DIC (Disseminated Intravascular Coagulation) an acquired bleeding disorder from too much blood loss, which makes it impossible for the body to stop further blood loss”.
Defreitas, a retired professional with Lufthansa, German airline opened up in a lengthy discussion with Per Second News about living with the heartbreaking loss of his wife, Amaka, an Imo state indigene.
The family are still in shock and traumatised over the mysterious death of Amaka Defeitas, wit the husband demanding that an independent postmortem be done on the remains of his wife.
“We travelled all over the world together and looking forward to spending our lives in Nigeria, its so sad, I don’t know what to do next”.
Speaking with Per Second News Dr Tiffany Jones, a US based obstetrician, said the case of the late Amaka Defreitas, is both pathetic and curious, wondering the rationale for making her go under the knife within 24 hours after the C-Section. She said the most common reason women die during C-sections is bleeding. Bleeding can be fast and severe and by the time any medical protocol can be instituted, sometimes it’s just too late.
“That is why I believe the second surgery was not necessary”.
“Other C-section complications include bladder injury, infection, bowel injuries and blood clots, which can sometimes result in pulmonary embolisms. A pulmonary embolism is a potentially fatal blockage of the main artery of the lung by a substance that has traveled from somewhere else in the body.”
Our thoughts and prayers go out to Amaka’s husband, family and son during this difficult time.
The Hospital Has Responded and Revealed the True Facts:
The hospital has reacted to the viral reports, and have revealed the true facts. Read Below the mail we received:
The True Facts about the Treatment and Management of Chiamaka De Freitas at MART Medicare
It is with heavy hearts that the management of the MART Group empathize with the husband, family and friends of Chiamaka De Freitas over this unfortunate and tragic loss of their daughter, mother and wife approximately 48 hours after a C-Section surgery. In 4 years of existence this is the first ever mortality case experienced by the MART Medicare.
As a maternity unit with zero tolerance for maternal morbidity, mortality and perinatal mortality, we put in place that all our patient’s care are consultant led. Two consultants Ob/Gyn are always in attendance for surgeries, including consultant anesthetist, pediatrician and world class perioperative nurses for any surgery.
Chiamaka was so precious to us that her history dates back to when she was trying to conceive 3 years ago and successfully underwent IVF at Medical Art Center, she conceived and continued her antenatal care with us.
When Chiamaka didn’t show up for her regular antenatal classes at 37 weeks in the hospital, the consultants were concerned. They contacted her at week 39, at this time she told them that she was out of town and will attend when she gets back. When she presented herself at 41 weeks, the doctors had to carry out another assessment.
After further evaluations it was discovered that there was a very low volume of amniotic fluid left for baby’s survival.
It is at this point they informed her husband that the baby will have to be delivered by caesarean section, but he was hell bent on his wife having a normal vaginal delivery. He insisted on his wife having induction of labour despite the above facts. Mr. De Freitas was counseled and persuaded to see reasons why a C-section was a necessity instead of vaginal delivery which would have been very RISKY if not IMPOSSIBLE.
He finally yielded and allowed the Medicare surgeons operate on her after signing a written consent which explicitly stated that other additional procedures may be necessary and he was present at the surgery.
During the operation it was discovered that the umbilical cord was tightly wrapped round the baby boy’s neck TWICE. This is usually an ominous sign. But for the expert skill displayed by the medical team the baby could have been ‘still born’.
The delivery was a success even though the baby came out wrinkled, pale and one arm white from short of blood supply and stress in the womb.
It is standard practice at MART Medicare that before any patient goes in for surgery, they will NOT have anything to eat or drink (Nil per oral) 12 hours prior to the surgery. This means the patient fasts for 12hours before and 12hours after any surgery.
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Thereafter, patients can have sips of water bit by bit with close observation after bowel movement has been observed. 18 hours post-surgery, the patient walked from the recovery room to her private room in high spirit and communicating well with her husband and other family members.
It must be noted that Mr. De Frietas requested to be left alone with his wife to “enjoy the moment of joy” for a period of time. It struck some of the medical staff as weird that Mr. De Freitas was offering his young wife “Jack Daniels and Coca” during this traumatic period as he kept insisting that the medical team leave her private room.
During a routine patient checkup, the husband was found massaging her abdomen which is contraindicated for a patient that just had surgery. Approximately 36hrs after the baby was born, one of our doctors found the patient to be pale and in some measure of pain. The consultants managed the pain duly.
Routine blood tests were done and results confirmed that her blood levels were low. With the consent of her husband, Chiamaka was immediately transfused with blood (2 pints initially, and a further 2 pints of blood and 2 pints of fresh frozen plasma made available as soon as it was required).
Based on her clinical state, our experienced consultants thought it prudent to go back in to explore the possibility of any internal bleeding, so they performed a sub umbilical midline incision for a proper exploration.
No active bleeding was found neither in the abdomen nor in the pelvis and the uterus was well contracted, although, a concealed haematoma was found behind the bladder.
When surgeons encounter this type of blood clot, the global medical standard operating procedure is to adopt a conservative management approach by not touching the blood clot and treat the patient with blood transfusion ONLY. Mr. De Freitas at this time seemed more concerned about the scars that will form on his wife than in the life saving work the consultants were doing.
She came out of the second surgery very alert and was conversing with her husband and he offered her his support and comfort.
Over 8 hours after the exploratory surgery and 48hrs after she delivered her bouncing baby boy, Chiamaka passed on despite all our best efforts. The loss of this 24-year-old wife, mother and daughter is painful to us at Mart Medicare. Observing due diligence, it was suggested to Mr. De Freitas that he could carry out the autopsy at a hospital of his choice and he chose a government hospital in Lagos. The autopsy also confirmed our original findings at the second surgery of ‘concealed heamatoma’ behind the bladder.
Mart Medicare is a Gold Standard medical organization, this means that we don’t just meet the “benchmark” we surpass it. All our medical staff have been extensively trained both home and abroad. Mart Medicare is the one of the few hospital where you will always have 2 consultant surgeons in attendance during any given procedure.
MART Medicare has successfully birthed quite a number of 26 weeks old premature babies of 800gms and with our highly skilled expertise and modern equipment. We have delivered sets of quintuplet, quadruplet, triplet, twin and singletons. All this, with glowing praise and no single mishap.
Again our heartfelt condolences to Mr. De Freitas and her family.
Source: YabaLeft, HWN Africa.
: 2017-03-29 19:03:35 | : 411