STAY WELL & SPARKLE – Appendicitis

 

Dr. Sam Christian
Dr. Sam Christian

St. Mary’s Academy first-former Donte Georges proudly showed me his appendix in a small vial of preservative. He had suffered for months with intermittent abdominal pain and migraine headaches. These were so severe that he required evaluation with CT scans and consultation in the United States. Then his right lower quadrant pain suddenly became more intense and sustained while studying for his Grade 6 National Assessment Exams. Since Dr. Fadipe performed an appendectomy last summer, the boy has been fine. If you ever want to see what a real appendix looks like, just ask Donte.

Donte had a smoldering appendix. It was like lingering embers left over from a campfire. The stiff wind blows them into dry bush and next thing you know; it’s not just a forest fire, but also a massive conflagration, a raging inferno.

Know of someone who had an appendix removed – maybe even you? Your story may be different. What are the typical signs and symptoms? While we are at it, let us compare notes with some of the famous appendectomies in history

The vermiform (worm-like) appendix is a small tube-like organ attached to the blunt base of the right colon. Scientists are still not certain what it does. This we do know: we can live just as well without it and can quickly perish as a result of it. Why does it get inflamed? It is as random as a lightening strike. However, it hardly ever occurs in tribes not eating the traditional western diet arising from the industrial revolution.

Acute Appendicitis symptoms and signs

The first symptom is generally a dull pain around the navel area. It then becomes sharp and settles lower down and to the right. Within hours there may loss of appetite, slight fever and abdominal swelling as it becomes difficult to pass gas. Usually patients would have treated themselves with a variety of over-the-counter remedies such as Andrews Liver Salts, Kaopectate, bush tea and whatever. Frankly, none of these have any effect on the relentless course of the disease. By then, any slight jarring such as making a step worsens the pain. Patients complain of ‘feeling every bump in the road’ on the way to the hospital. They use remarkably similar words as if reading from the same script.

The Emergency Room doctor’s job is to rule out other possible causes of right lower quadrant pain. These include right-sided kidney stone, urinary tract infection, pelvis inflammatory disease from sexually transmitted infection extending to the fallopian tubes, ruptured ovarian cyst or ruptured ectopic pregnancy. Clearly, it is somewhat more challenging to diagnose appendicitis in a female.

I had such a case in Ohio. “You’re not going to touch my daughter!” The 36-year man hissed, looking me up and down.

Actually, I had already touched his daughter, in the examination room. The nurse kept calming down the terrified, blonde, 16-year old. That morning she was fine and carefree. By afternoon, this strange man was threatening to cut into her. The right lower part of her belly was so painful; she stifled a scream and grabbed my hand when I gently pressed that area. As a newly minted 34-year-old surgeon, it was no time to mince words.

“Nurse, please document carefully what I telling the gentleman.” I looked him straight in the eye, stuffing my stethoscope in my white coat pocket. “Sir, you understand I am the only surgeon at this hospital today. If you do not consent for an appendectomy on your daughter right away, you may as well just go ahead and take her to another hospital. Toledo is an hour and a half away. Your choice; but your daughter’s appendix is not going to burst here on my account.”

As I turned away toward the nursing station to write my consultation note, a heated argument erupted among family members packed in the patient’s room.

Removal of the appendix is a relatively straightforward procedure that prevents it from rupturing and forming an abscess inside the belly. Instead of being discharged in 2-3 days, patients may require weeks of IV antibiotics in the hospital. Worse yet, if gangrene extends to other organs and sepsis takes hold, start writing the obituary.

History of Appendicitis

The first mention of the appendix is in an anatomical illustration by Italian Leonardo Da Vinci in 1492. The first successful appendectomy was performed in 1736 by a French surgeon, Dr. Claudius Amyand at St. Georges Hospital in London. In the New World, Dr. Abraham Groves, a rural, self-taught surgeon in Ontario, Canada, performed the first appendectomy in 1883. Anyone with information on the history of appendectomy in Dominica may want to share that with our readers and provide it for my research.

Let me wrap up our conversation about appendicitis with a few interesting cases.

General practitioner, Dr. Leonid Rogozov, was the medical officer on the Soviet Antarctic Expedition in 1961 when he diagnosed himself with appendicitis. Unlike the Russian ship currently stuck in the ice, there was no chance of Chinese helicopter rescue in those days. Dr. Rogozov was forced to operate on himself. Only the brave dare look at the gory details.

Amazing escape artist Harry Houdini was a tough guy with six-pack ‘abs of steel.’ He liked to bait strong men into cuffing his belly as hard as they could. In 1926, in Montreal, a McGill University student slammed him unprepared. Not long afterward he died in Detroit from a ruptured appendix. Experts now believe that Houdini, who was not feeling well, already had appendicitis. Because of widespread confidence that he could eventually handle the blow, his doctors may have missed the diagnosis.

Prime Minister Sir Winston Churchill was temporarily derailed by emergency surgery before the 1922 general election. He would later write, “I found myself without an office, without a seat, without a party and without an appendix.”

When King Edward VII developed appendicitis, his surgeon, Dr. Frederick Treves, insisted on immediate surgery. The king dismissed that on the grounds that he was scheduled to attend his coronation on June 26, 1902. Dr. Treves turned deadly serious; “Then, Sire, you will go as a corpse.” Straight talk led to successful surgery. Ahem…coronation was rescheduled to August 9.

Wisdom prevailed with my Ohio patient as well. Two days after her appendectomy, she was all smiles and heading home. Her father hugged me and heaped on apologies. We were all happy campers. Donte would agree. When appendicitis rears its ugly head, that’s no time to be second-guessing your surgeon – or it might be too late.

Dr. Sam Christian is surgeon who runs the Urgent Care on 137 Bath Road. It offers general medical care, office surgery, acupuncture and microdermabrasion. He is radio health commentator, Medical Adviser to the Dominica Cancer Society and author of the faith and fitness nutrition book, ‘Mannafast Miracle.’ Dr. Christian can be reached at 440-9133 or by writing to [email protected].

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45 Comments

  1. Monica norton
    June 23, 2014

    My husband had two/ one worsening Dvts in his left femoral vein (very large ones) in February this year. They ct scanned him to find a enlarged appendix. They did a colonoscopy to try and biopsy… This was NAD. They think he has a mucoceal. They think he is warfarin resistant( does this happen? ) so is taking therapeutic fragmin injections daily. He is waiting for a vena cava filter to be fitted because of PE risk then will be scheduled for a appendisectomy. I’m a nurse and work in his trust of care. I am trying not to worry but it is so difficult. I just want the best treatment for him! It has taken so long to get this far!!

  2. mandela spirit
    January 7, 2014

    Yes Doc.this one hit home,that is one we all can relate to.This one cross all political lines,thoes who doe like to read through your papers or long blogs,did so this time.Keep giving the article we can taste.I hope people spend just a little extra time to read the information you give them for free.
    Also though Mr.Francisco Etienne Dods Telemaque give a little too much infor sometimes,i still feel he needs to be given his respect,he doe mince words to say what he feels and people need to understand that,i like his resistance towards the petty attack dogs.I hope he doe stop,i like reading his blogs.
    You go my man, iam a fan,it hard to get respect from my People if they doe know you and “They Think” you know too much.But I feel you man.

  3. raindrops
    January 7, 2014

    In 1999 at the age of 26 I had my appendix removed at P.m.H it was a good laugh that started the pain it was a lot of unbearable pain and vomiting that lead me straight to the hospital.thank GOD all went well.

  4. DD
    January 7, 2014

    Why is a young man walking around with a surgical specimen..I believe that the appendix should have been sent to Pathology for analysis . The appendix can harbor tumors( benign and malignant ) – concerning is mucocele of the appendix which if spills into the abdomen can cause major long term problems. It is an informative write up. Please do not give patients surgical specimens that should be analyzed in a lab.

  5. Simply the Truth
    January 7, 2014

    Dr. Christian, I thought of Hernia. Could you also post some medical information about it? I expect that it could affect anyone. What causes hernia and how could it be treated.

    • Francisco Telemaque
      January 7, 2014

      So, you want to learn something about Hernia; very interesting. I will give you a brief; perhaps not as well as Sam will, but here is a little of what I know; some people will assume I took it from the Internet, but I suggest they go on the Internet get it and present it verbatim to what I write.

      Hernial: let us agree it is the abnormal protrusion of part of an organ or tissue through the structures normally containing it. In this condition, a weak spot, or other abnormal opening in a body wall permits part of the organ to bulge through.

      A hernia will develop in various parts of the body; most commonly in the region of the abdomen.

      Some layman use the term rupture for hernia; the word rupture is sort of misleading, considering it suggests tearing, when nothing is torn in a hernia; a hernia is either acquired, or congenital.

      Although various supports, and trusses can be tried in an effort to contain the hernia, the best treatment of this condition is surgical repair of the weakness in the muscle wall through which the hernia protrudes: this procedure is called “herniorrhaphy.”

      I sad a brief, so it is not necessary to go beyond here unless you are interested in Bochdalek’s h., congenital posterolateral diaphragmatic hernia, with extrusion of bowel and other abdominal viscera into the thorax; due to failure of closure of the pleuroperitoneal hiatus.

      Note: some of the scientific and medical terms I used will not be found in most dictionaries, one may need a medical dictionary to aid in the definition of some words.

      Francisco Etienne-Dods Telemaque

  6. January 6, 2014

    why did you all at the pmh allow a man go up and down to the pmh for many years then allow him to die and only after he died tell his family that he died from appendix …..appendix is not some thing that people should die from at this age …back ward dominica….

  7. santopie
    January 6, 2014

    and your point is
    what allu labourite like to try to cover our eyes for
    change must come
    what Linton do to allu ?????
    degree is not all……
    any scholarship to any Roseau kid ????

  8. hshshsha
    January 6, 2014

    skerro buy that one encore walls of jerrico……

  9. Morihei Ueshiba
    January 6, 2014

    Dem fellas just jealous of skerrit, but we watching dem, they coming under disguise of helping country, but we watching dem. :mrgreen:

  10. just saying
    January 6, 2014

    Very good And informative article as always doc. You had me litterallly laughing out loud. Looking toward to another piece from you next week end.

  11. Macaquee
    January 6, 2014

    Dr Christian, I can hardly recognize you in that Pic. Still look very handsome anyway!thanks for your valuable info as usual.

  12. Simply the Truth
    January 6, 2014

    Thank you Dr. Christian for your informative article. Hope that all who read it will keep it in mind and act accordingly if and when they feel such a pain in the area you cited.
    You are correct. Appendicitis and ignoring the pain could kill.

    • treeee
      January 6, 2014

      forrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr love of God AMEN!!!

  13. kylie
    January 5, 2014

    Very informative. And funny too: “youre notgoing to touch my daughter”. ” actually, I had already touched his daughter in the examination room”. Lol. That one had me rolling.

    Thanks Dr. Sam. The information is well received and greatly appreciated. I love you sense of humor too.

  14. Neg
    January 5, 2014

    I almost died not by the appendix but by the doc who performed the surgery.

  15. CONSCIOUS
    January 5, 2014

    telemacque is he a doc, he repeats the info given by the real doc. know you place telemacque or macaque

    • Francisco Telemaque
      January 6, 2014

      Hahahahaahahahahahahahahahah!

      Damn fool what you saying?

      FET.

  16. Da.
    January 5, 2014

    Thank you Dr. Christian, Healthy New Year to you. I always time to read your articles.

  17. LEARNED
    January 5, 2014

    Informative. Keep on writing.

  18. Francisco Telemaque
    January 5, 2014

    Earlier I concentrated on the cause and symptoms of appendicitis; at this time I will comment on patient care.

    When appendicitis is suspected because of symptoms exhibited by the patient, a physician should be notified immediately. The patient should lie down and remain as quiet as possible; it is best to give him/her nothing by mouth, and because of the danger of aggravating the condition and possibly causing rupture of the appendix, cathartics and laxatives are contraindicated. Applications of heat are contraindicated for the same reasons.

    After the patient has been seen by the physician and a diagnosis of appendicitis has been established, surgical removal of the appendix: Note; “appendectomy” will probably be performed as soon as possible. During the preoperative phase it may be necessary to hydrate the with intravenous fluid therapy, especially when there has been prolonged nausea and vomiting. Decompression of the intestinal contents by suction via a nasogastric (NG) tube is also necessary in some cases.

    Postoperative care is fairly routine unless the appendix has ruptured; this is a very serious condition that warrants diligent, and aggressive nursing care to overcome the effects of peritonitis with the resultant shifting of body fluids, hypovolemia, and septic shock; the most serious threat to life is the blood volume deficit.

    Antibacterial drugs are administered to combat the infection. Gastric and intestinal decompression is maintained, and most surgeons advocate intraperitoneal draining by means of Penrose drains. This is done in an attempt to prevent the formation of abscesses, and to promote healing. The most common complications of appendectomy, and peritonitis are:

    1. Infection of the surgical wound

    2. Paralytic ileus due to irritation of the small bowel

    3. Abscesses

    4. Obstruction and dhesions.

    Ongoing assessment of the patient includes observing the type ad amount of drainage from the intestinal tract via the NG tube, and from the Penrose drain in the wound; appearance of the surgical incision; dressings applied and the frequency with which they are changed; evidence that bowel function is returning to normal, i.e., presence of bowel sounds, passing of flatus and fecal material; measurement of intake and output; tolerance of food, and liquids once the NG tube is removed and decompression discontinued; and tolerance for physical activity, coughing and deep breathing, positioning, and postoperative exercises.

    Francisco Etienne-Dods Telemaque

    • Anonymous
      January 5, 2014

      Maybe you should write a medical article as well , 3 in total we wont need to go to the dr just read all our questions will be answered

    • Simply the Truth
      January 6, 2014

      Francisco, I must state you are well-informed. Your comment is excellent and eye-opening. How often patients are sent home soon after the operation – any operation and they get a relapse as in cases of other operations; some die, even cancer patients.
      I heard of someone who had a kidney operation and soon after she was discharged, she passed on. These days hospital authorities are too quick to discharge such patients. How much care could they receive at home and soon after the operation? It is better that they are kept in the hospital under the scrutiny of medical professionals for a while. I also have in mind, Canada. This is a real scandal as they decrease vital medical services and cut costs.
      They are too quick to discharge them to make the beds empty and ready for other patients. This is the way it is today and sadly so. Some of them not yet seen by the doctor in emergency or not yet operated on, die in the hallway of emergency.
      Recently I had a similar conversation with someone. I stated, remember those days when patients remained approximately three weeks in the hospital? This included mothers who had babies.
      Thanks for your information. I give compliments where they are due. You deserve this one. :)

    • Dancing Queen
      January 6, 2014

      Eber weerre! francisco you took that straight from the Internet. what you want us to believe now! that you are a doctor? Francisco go and look for work to do!

      • Francisco Telemaque
        January 6, 2014

        Okay, please identify where on the Internet I got my information, better yet go to the source where you believe I got it from and post it on DNO, for all to see!

        Get with it, when we make assumptions, or allegations, we need to be able to back up what we claim. So, now I am challenging you to prove your case. A lot of you are so darn stupid and sick that anytime you read anything intelligent from any body, it must come from the Internet.

        I do not grab information from the Internet, I am schooled, unlike many of you who believe the Internet, and Google can educate you, you want to be like me spend sometime in College, and University,if you have the means to afford it, and the capacity to learn, that is what I did educate myself.

        There is a lot more where that came from, and you cannot do anything about it, everybody is not as shallow as idiots like you.

        Go on the find it verbatim and submit it to DNO; if you are unable to that simply shut your damn idiot stupid mouth!

        Here is an example of a dumb uneducated person “Eber Weerre Francisco”. I am not patios man, I do not understand patios, besides people internationally who read DNO will not know what the crap you talking, yet you are trying to bring me down at your zero level, perhaps if you simply read it and try to understand what you read, and ask questions about what you do not understand, you would not have exposed yourself as the idiot you are. I suggest you print it out and read it over and over until you can recite it as a prayer, by then you will realize you might have the tendency to learn.

        Finally; Do you know me; have you ever meet me; have you ever had a conversation with me, what is my background, if you do not know anything personal about me except reading what I write, don’t think you have done nothing more than simply making yourself look stupid?

        So, you see why there are so many defamation of character, libel, and slander law suits in Dominica, that is one of the reasons so many Dominicans are paying for their mouth in Dominica these days.

        Trouble is people like you do not have a pot to urinate into that anybody can take away, so you are free to keep making allegations without suffering the consequence.

        Francisco Etienne-Dods Telemaque

      • Simply the Truth
        January 7, 2014

        Dancing Queen, stop dancing and stand still for a while.
        Some of you are too negative and cantankerous. You love picking a fight, an argument, love to criticize and demean others. Why not offer a compliment instead? Do you not possess that type of heart?
        For God’s sake, live and let live. Did you not make a New Year resolution to get along with those who comment on this Website? Speak your truth but try to be less negative, if not at all and not annoy others.

  19. WONDERING
    January 4, 2014

    Doc, you looking different! The new year going with you.
    Keep on bringing us this useful information.

  20. NICE
    January 4, 2014

    I had a neighbour, young man about 30. His appendix burst. De fella was healthy. One day he was there. Next thing I hear he die. I still dont understand it.
    I didn’t know in this day and age appendix still killing people. Sad. You article helps anyway. Serious business.

  21. Shameless
    January 4, 2014

    Great stuff Doc!! Happy New Year to you and the family. Just remember Change Must Come soon.

    Assertive, NOT Agressive!

  22. Francisco Telemaque
    January 4, 2014

    Appendicitis: Indeed inflammation of the vermiform appendix which is a serious disease, usually requiring surgery. When performed early the operation is comparatively simple, and safe. When the appendix becomes inflamed and infected, ruptures may occur within a matter of hours; rupture of the appendix leads to Peritonitis, one of the most serious of all diseases, although its danger has been reduced by antibacterial agents.

    Cause: If the tube-like appendix becomes plugged by a hard bit of fecal matter, or by intestinal worms, or becomes inflamed from other causes, normal drainage cannot take place. Because the lymphatic tissue, an infection that produces enlarged lymph nodes elsewhere in the body also can increase the glandular tissue in the appendix, and obstruct its lumen.

    Narrowing of the appendiceal lumen makes the pouchlike organ more susceptible to bacterial infection. Escherichia coli and other types of bacteria multiply, and cause inflammation, and infection that spread to the peritoneal cavity, unless the body’s defenses are able to overcome the infection, or the appendix is removed before it ruptures.

    Note: ‘if the patient does not get medical attention and treatment within ten minutes of the rupture, death may be imminent.’

    Symptoms: The classic symptoms of appendicitis are pain, nausea, vomiting, and low-grade fever in adults; children tend to have higher fevers. The pain typically begins in the umbilical region, and eventually localizes in the right lower quadrant of the abdomen over the site of the appendix. The pain is persistent, and is aggravated by motion, causing the patient to bend over and tense the abdominal muscles (muscle guarding). Rebound pain occurs when the abdomen is deeply palpatated, and the hand is quickly removed from the abdomen.

    The patient also can feel pain in the area of the appendix when either a rectal, or pelvic examination is conducted. Other data that may support a diagnosis of appendicitis are obtained through a blood cell count. An elevated white cell count (leukocytosis) commonly accompanies appendicitis as it does other kinds of inflammation. Mild leukocytosis of 14,000 to 16,000 per mm times exponent 3 common.

    A white cell count higher than 20,000 per mm times exponent 3 suggest a ruptured appendix, and peritonitis. There are diseases that can be mistaken for appendicitis, they are gallbladder attacks, and kidney Kidney infection on the right side. The onset of pneumonia, rheumatic fever, or diabetic ketoacidosis can imitate appendicitis. In women, there is the possibility of a ruptured ectopic pregnancy, a twisted ovarian cyst, or a hemorrhaging ovarian follicle at the middle of the menstrual cycle.

    Francisco Etienne-Dods Telemaque

    • BEB
      January 5, 2014

      Mr. Telemaque! who are u? when it comes to medicine, u are on top of things, when it comes to law u are the same thing, sailing its the same thing. What’s ur qualification? No hard feelings

      • Peace
        January 6, 2014

        GOOGLE has the tendency to make any average person look very smart

      • Francisco Telemaque
        January 6, 2014

        EBE, In whom I am is for me to know, and people like you to try to find out. In any event let me give you just a few names of people if you know them who might recognize me.

        If you run into Dr. Griffin Benjamin asks him if he knows or remember the kid, we grew up next door, his grandmother is my biological aunt; ask guys like Ron Abraham, who once owned Marpin Television if he knows the kid. If you ever run into Dr. Jonathan Prevost, affectionately called Dr J. when he practice in Dominica, he may remember me, as matter of fact we spoke last week, such are the people who knows me.

        Go to Wesley talk to Emlord Timothy, ask him if he ever hear my name.

        I recommend that you ask people such as Corbette, the newly appointed Government Bank manager, ask people like him if he knows me, look for people such as Lois Robinson, if you are anybody of value in Dominica you should know at one of the people I mentioned, I am sure they will tell if I am not all that I say I am, I am more than half of what I say I am.

        Don’t worry about me EBE, look after yourself.

        I was born poor, but I had to find a way to overcome the many obstacles in my way, I quickly remembered my grandmother advised me one day “if you do nothing else in your life you must learn to read and write a letter of your own.” I was about four years old then she gave me that advise based on a horrible experience in our village, where guy who could not read ask his friend to write letter to a woman he loved, his friend wrote the letter for himself he got the girl, the rest is history.

        Nevertheless, I learnt to read and write, and discovered there was more in life than simply reading and writing, and if I was going to overcome the mountains of obstacles in life perhaps education was the key. I left Wesley at age fourteen years old, I attended the long defunct Hill Secondary School, from there I went to Europe, indulge into lots of thing including educating myself, and doing most of the things I said I have done.

        I acquired four scientific degrees in the process, at age 51, I returned to college where I majored in Health Science, you have to do that in America, if you want to become a medical doctor, that is how I got my knowledge in medicine, you low life people can talk about me as much as you wish it does not matter, you can’t fade me.

        Anything I say I lived it: Dominicans have many times dig into my life to see if it is real, some of their findings they had it posted on Fred White Website, how many houses I owned, and what I owned with other people, even my son not born in Dominica they had his and his wife home address in Dominica “ting.”

        Rather than trying to take me down, try to become like me, I am successful, has been for a long time, and will die successful ll, no Dominican alive bursting with jealousy can prevail against me. I am endowed with a blessing!

        Francisco Etienne-Dods Telemque

      • Simply the Truth
        January 7, 2014

        I knew of some Telemaque’s in Dominica. Obviously Francisco is a member of this family. I knew they were either from Marigot or Wesley.
        Francisco is a well-versed person. Learn from him.
        Some of you are too curious. When in doubt about people, give them the benefit of the doubt. Do not question them. It is a respectable, well-mannered thing to do. Always keep in mind, “free to agree or disagree” amicably.

    • Anonymous
      January 6, 2014

      Peace, Mr T is harmless , he enjoys blogging so leave him be .

  23. ...
    January 4, 2014

    I had my appendix removed one week after giving birth to my daughter. This appendicitis did some real strange things to me as a result of occurring right during or after my pregnancy. Being in the US the procedure was quick via laparoscopy and healing time was very quick. This allowed me to go back to taking care of my baby in a few days.

  24. ooppsss
    January 4, 2014

    ok Dr. Sam ..i appreciate your story but who are you ? Where did you hail from ? and are you practicing here in Dominica……please provide more info about your self…. A little intro would go a long way………….Thank you

    • Not a herd follower
      January 4, 2014

      Boy, some people read but simply cannot process what they read if they indeed do what we normally mean by reading

    • anonymous2
      January 5, 2014

      He has an office on Bath Rd.

    • Anonymous
      January 5, 2014

      At the end of the article is a short bio of Dr. Christian

    • Francisco Telemaque
      January 5, 2014

      You seem to be a Johnny come lately!

      Many of us knew of Dr. Sam Christian while he practiced medicine in the United States, and long prior to his return to Dominica.

      Where have you been?

      Hahahahahahahahahahahahahahahahahahahahahah!

      FET.

    • OBSERVER
      January 5, 2014

      Before leaving home, Sam was a well-known activist serving as Secretary General of the National Youth Council and President of the Dominica Mental Health Association. He and his brother Gaibu, an influential published Maryland attorney, are frequently involved in national dialogue, even when away. The following information I’ve gathered from our local media as I’ve been following the brothers closely.

      Dr. Sam attended one of the leading US medical schools, Howard University in Washington DC. He was featured internationally on the Discovery Channel for helping a man change his life and lose a record 1000 pounds. A few years ago, he came down to call for transparency in the sale of passports with his Joshua march around Ministry. He led demonstrations supporting President Obama’s Healthcare for the poor.

      A qualified surgeon, he was arrested for getting people off drugs in defiance of Ohio authorities deliberate delay of his legitimate permit applications. False drugs trafficking charges were completely dropped. An outspoken Dr. Christian returned home to share his talents and work constructively in national development.

      May God continue to bless and prosper his labour of love.

    • Simply the Truth
      January 7, 2014

      Where have you been when Dr. Christian first had an article on this Website? I suggest that you access the archives and you will find the information.

  25. forkit
    January 4, 2014

    DOC. GREAT PIECE AS USUAL

  26. Not a herd follower
    January 4, 2014

    Very interesting article to read. The anecdotes engage the reader in what could be an obfuscating medical discussion. Thanks, Dr. Christian; keep the articles coming and keep them simple for the average untrained reader to understand.

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