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She went in for breast enlargement, doctors pricked her intestines

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On June 5 last year, June Wanza Mulupi walked into Surgeoderm Healthcare Limited, a private clinic in Nairobi, to have her breasts enlarged and firmed up.

She was 35 years old and a mother of three, considerably healthy, and looking forward to leaving the clinic within hours.

But that was not to be as, a few hours later, and despite assurances by the surgeons that she would be fine, she developed complications that killed her two days later, leaving behind a distraught husband and their three children.

What happened?

Eight months after Ms Mulupi’s shocking death, investigators have pointed accusing fingers at the three doctors who operated on her, as well as the management of Surgeoderm Healthcare Limited.

The Kenya Medical Practitioners and Dentists Board (KMPDB) found that Dr Martin Ajujo, who led the botched procedure, was still a trainee and was not licensed to conduct surgery without the supervision of a practising plastic surgeon.

A shareholder in the clinic, Dr Ajujo was supposed to work under the supervision of another shareholder, Prof Stanley Ominde Khainga, who is also the head of the plastic and reconstructive surgery department at the University of Nairobi.

Investigations into the matter also revealed that, although already graduated, the anaesthetist, Dr Evans Charana, did not have a private practice or locum license from KMPDB. He also had no professional indemnity insurance as required by law.

At the time of the botched operation, Dr Ajujo was a plastic surgery and reconstructive registrar at Kenyatta National Hospital.

This means he was receiving training under a supervisor on his journey to becoming a plastic surgeon. He was also a Nairobi County employee seconded to Mama Lucy Kibaki Hospital, but was on study leave.

The crux of the investigation revolved around how, despite not being allowed to conduct any surgery unsupervised, Dr Ajujo went ahead and listed himself as the operating surgeon on Ms Mulupi’s admission papers at Surgeoderm.

READ ALSO:   Doctor in botched breast surgery now facing assault claim

Owing to the low number of plastic surgery patients at Kenyatta National Hospital, Prof Khainga had allowed Dr Ajujo to train in other facilities under his supervision, and that might explain how he ended up at Surgeoderm.

Dr Ajujo confessed to the KMPDB team that he took the notes in Ms Mulupi’s file, and that there were no notes by

Prof Khainga. Any error in Ms Mulupi’s patient file was his, not Prof Khainga’s, he added.

To make matters worse, the KMPDB’s preliminary investigations shows that the clinic had operated without a licence for some months before Ms Mulupi walked in for the second of a three-part surgery.

KMPDB had granted Surgeoderm a licence on April 5 last year, yet Ms Mulupi’s first procedure had been conducted two weeks earlier, on March 24, by Prof Khainga.

Investigators thus believe several illegal surgeries were performed at Surgeoderm since Ms Mulupi was not the only patient to have a breast augmentation procedure at the facility before April.

On June 5, when Ms Mulupi walked in for her appointment, Prof Khainga was running late and Dr Ojijo proceeded to perform a quarter of the procedure before his supervisor arrived.

He had already harvested fat from Ms Mulupi’s abdomen through liposuction and was preparing to inject it into her breasts when Prof Khainga arrived.

A day after the surgery, on the morning of June 6, Mr Mulupi walked into Surgeoderm to take his wife home, but found her asleep. He returned at noon and found his wife complaining of excruciating pain. She said she was feeling cold and he covered her with an extra blanket, then tried to feed her.

He was told he would take his wife home later that evening, but late in the afternoon he received a call from the clinic and was told that his wife was not eating.

He rushed to the clinic and, to his shock, found that his wife was unable to sit up or walk without assistance. Her skin had started to turn pale but the clinic’s staff told him that she would be fine if she ate.

READ ALSO:   Doctor in botched breast surgery now facing assault claim

He ordered for chicken from a nearby restaurant but, as he tried to feed her, a medic at the facility told him that her condition had worsened and she needed to be referred to another hospital urgently. The family settled on Nairobi Hospital, according to Dr Ajujo’s testimony.

Prof Khainga, however, contradicted this while addressing the investigating committee. He said he was attending to other patients at Nairobi Hospital when he received a call from Dr Ajujo, who explained the complications Ms Mulupi had developed. Prof Khainga then told Dr Ajujo to transfer her to Nairobi Hospital. KMPDB faults him for not disclosing to the other doctors that he had conducted the first augmentation surgery. At Nairobi Hospital, records show that Ms Mulupi was seen by Dr Ajujo at the accident and emergency section at 11.45pm on June 6. He admitted her at the high dependency unit but she died on June 7 after an hour-long attempt to resuscitate her failed.

The KMPDB’s Preliminary Inquiry Committee presided over a hearing after Mr Joseph Mulupi, the deceased’s husband, filed a complaint against Dr Khainga and Surgeoderm Healthcare Limited.

The inquiry found out that, at some point between 7.40pm and 11.15pm, Ms Mulupi’s gut was nicked and waste flowed out, causing a blood infection commonly known as sepsis. This led to her death two days later.

However, an autopsy report by Dr Daniel Zuriel, who was hired by Prof Khainga, showed that Ms Mulupi had chocked on her own blood.

KMPDB did not believe the findings, and now says Dr Zuriel’s report might have been intended to derail investigations into the botched surgery.

It had “glaring inconsistencies in comparison to two other reports” — prepared by chief government pathologist Dr Johansen Oduor and Dr Joseph Ndung’u, who represented Nairobi Hospital — says the board.

READ ALSO:   Doctor in botched breast surgery now facing assault claim

Both Dr Oduor and Dr Ndung’u reported that Ms Mulupi had died of sepsis.

As a result of these findings, KMPDB will now constitute a tribunal to do a full inquiry into Prof Khainga, Dr Ajujo, Dr Charana and Surgeoderm.

“By virtue of the fact that Prof Khainga agreed to perform the procedure, and actually performed the first part, there existed a duty of care owed to the patient,” the KMPDB ruling reads in part. “The committee further finds that the said duty was breached as Prof Khainga allowed an unqualified person to carry out a procedure on his patient.”

Prof Khainga, Dr Charana and Dr Ajujo sued to stop KMPDB from probing them, claiming patient records showed that she had arrived at Nairobi Hospital while stable.

But Mr Mulupi disagreed. “After the ambulance arrived at Nairobi Hospital it had to be cleaned because my wife was leaking bodily liquids. She was then rushed to casualty and then taken to a resuscitation room,” Mr Mulupi told the KMPDB committee.

Prof Khainga had objected to the preliminary inquiry, arguing that one of the members — Dr Elly Nyaim Opot — was on the opposing side of a case that he had filed in court as an official of the plastic surgeons’ lobby.

Prof Khainga claimed he would not get a fair hearing owing to tension between him and Dr Opot. He also claimed that Nairobi Hospital’s Dr Reuben Okioma had injured Ms Mulupi’s neck, leading to her death.

But Mr Mulupi said Dr Okioma was only trying to rectify the complications originating at Surgeoderm, and that Prof Khainga had attempted to settle the matter “amicably” by sending an emissary to strike a deal at the deceased’s funeral.

Source: Daily Nation

 

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TV presenter Ben Kitili celebrates his baby son’s arrival

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KTN Political Affairs Editor Ben Kitili and his wife Amina Mude on Monday welcomed their second child.

Ben and Amina have a daughter together and are clearly excited about the arrival of their son as Ben took to Instagram to share the news with the world.

Ben shared an adorable picture of baby Roman Hami, who has been named after his grandfather and great great grandfather, Kitili wa Muthengi.

WEDDING

“Another rock for my sling. Roman Hami Kitili. Named Kitili after his grandfather and great, great grandfather, Kitili wa Muthengi, a legend who had 33 wives. Baby and mother @amina_mude are well. We thank God,” he wrote.

The couple tied the knot last year at the Attorney General’s office and later held an invites only reception dinner at a Nairobi hotel attended by friends and family on November 16, 2018.

They union received mixed reaction from the online community given that Kitili is a Christian and Amina is a Muslim.

MARRIAGE

In responding to the critics Kitili pointed out that when it comes to marriage God supersedes religion.

“In marriage, God is more important than religion. To those who are not so welcoming, we forgive you… you have a constitutional right to your opinion… however, should any of you cross the line against the law – as I said, I ‘ll protect my family with my all,” he said at the time.

READ ALSO:   Doctor in botched breast surgery now facing assault claim

Source:nairobinews

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80 per cent of Kenyans support Handshake-Poll

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Eighty per cent of Kenyans support the March 2018 Handshake between President Uhuru Kenyatta and ODM leader Raila Odinga, the latest study by Ipsos Synovate has revealed.

According to the study, Rift Valley (76 per cent), Central (76 per cent), and Western (75 per cent) regions registered relatively –but still high support for the reconciliation as the remaining five other regions gave resounding backing.

The study reveals that those who support the newfound friendship between Mr Odinga and Mr Kenyatta cite peace and tranquility as their main reason.

The study reveals 86 per cent of the respondents support of the handshake because, they believe, it has brought about peace and unity and eased political tensions in the country.

It further states: “On the other hand, the negators of the handshake claim that it has brought about political confusion (36 per cent) while 24 per cent hold that it has further weakened the opposition.After suffering successive defeats in Ugenya and Embakasi South, two-thirds of the total respondents said that ODM Party is on its death bed, the research says.

Sixty-six per cent of the respondents felt that internal wrangles would kill Jubilee.According to Ipsos, it fully funded the research which was conducted on April 15 and 18, 2019, where respondents were sampled across the country.According to the study, the Coastal region leads with the highest number of people who have never heard about the Handshake or events surrounding it at 25 per cent.

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It is followed by Western and Eastern at 16 per cent and 15 per cent respectively. In total, 12 per cent of respondents have never had about the newfound relationship between Kenyatta and Odinga.

Also in the study, 13 per cent of the respondents say the ODM Party lost the by-elections because of the poor choice of leaders.A significant amount of the respondents (36 per cent) say they have not seen the benefit of the handshake to the country.At the same time, Northeastern (7 per cent) and Nyanza (6 per cent) lead in terms of those who feel that the handshake has brought development.

Uhuru’s outburst

On Sunday, President Uhuru verbally attacked Tanga Tanga brigade allied to his deputy William Ruto warning them not to interfere with his efforts towards unifying the country.
Pro-DP Ruto Members of Parliament under the Tanga Tanga have expressed their displeasure with Uhuru’s closeness with his rival-turned-friend Raila Odinga. The MPs have always accused Mr Odinga of trying to wreck the Jubilee Party, and they have insisted that they are fully behind Ruto’s candidature in 2022.

Source:Standard.co.ke

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Bid to replace Chiloba hits a snag, yet again

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The recruitment of new a CEO for the Independent Electoral and Boundaries Commission (IEBC) has hit a snag yet again after the human resource firm picked by the commission to help in the exercise rejected the offer.

The ongoing process is the second attempt at hiring the commission secretary after the first failed when IEBC took too long to act upon the applications.

The process was stopped by the Employment and Labour Relations Court on May 20 after the IEBC was found to have flouted the law in the requirements for applicants.

Alpex Consulting Africa Limited (ACAL) surprised the commission when it communicated its rejection of the award last Friday, the day it was supposed to sign the contract.

The firm cited, among other reasons, the fact that it was not involved in the advertisement for the position, that the applications were handled by the management, which is conflicted, given that acting CEO Marjan Hussein is also eyeing the position. It even suggested that IEBC’s image problems arising from past elections were ‘a turn-off’.

The rejection is one of the many setbacks the search of new commission has suffered. Of the 11 firms the IEBC had pre-qualified, only four submitted their bids. The other seven, including PwC Kenya and Deloitte, did not respond.

READ ALSO:   Doctor in botched breast surgery now facing assault claim

Daily Nation

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