Hakim

𝐖𝐄 𝐀𝐑𝐄 𝐇𝐈𝐑𝐈𝐍𝐆 | 𝐂𝐔𝐒𝐓𝐎𝐌𝐄𝐑 𝐒𝐄𝐑𝐕𝐈𝐂𝐄 𝐌𝐀𝐍𝐀𝐆𝐄𝐑 𝐄𝐭𝐡𝐢𝐨 𝐓𝐞𝐛𝐢𝐛  𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥 is looking for an experienced 𝐂𝐮𝐬𝐭𝐨𝐦𝐞𝐫 𝐒𝐞𝐫𝐯𝐢𝐜𝐞 𝐌𝐚𝐧𝐚𝐠𝐞𝐫 to lead and strengthen our Customer Service and Patient Experience function. This is a 𝐥𝐞𝐚𝐝𝐞𝐫𝐬𝐡𝐢𝐩 𝐚𝐧𝐝 𝐬𝐲𝐬𝐭𝐞𝐦-𝐝𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭 𝐫𝐨𝐥𝐞, focused on improving the patient journey, strengthening the customer service team, developing service standards and SOPs, improving patient flow and queues, and introducing effective customer service systems and performance monitoring. 𝐐𝐮𝐚𝐥𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬 & 𝐄𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞: • Medical Doctor / GP background preferred • Minimum 𝟐 𝐲𝐞𝐚𝐫𝐬 𝐨𝐟 𝐫𝐞𝐥𝐞𝐯𝐚𝐧𝐭 𝐩𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧𝐚𝐥 𝐞𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 in supervisory role • Experience in hospital operations, customer service, patient experience, healthcare administration, or service-quality improvement • Previous supervisory, team-lead, or management experience preferred 📍 Addis Ababa 💼 Full-Time 𝐀𝐩𝐩𝐥𝐲 𝐨𝐧𝐥𝐢𝐧𝐞: https://careers.ethiotebibhospital.com/job.php?slug=customer-service-manager&lang=en @HakimEthio

Life has a funny way of bringing things full circle Last week, I had the privilege of interviewing applicants for the 2026/27 academic year at the same medical school where I began my own journey. 13 years ago, I remember so vividly sitting on the other side of the table as a young man with big hopes, dreams, and no idea where the journey would take me. Moments like this remind me that sometimes we are living through answered prayers, without even realizing it. #PraiseGod #keepdreaming Dr. Muse Freneh, MD, FCS(ECSA) Pediatric General Surgeon and Laparoscopic Surgeon MCM Comprehensive Specialized Hospital - Korean Hospital @HakimEthio

White coat ceremony of Wallaga University, 2026. @HakimEthio

🚨⏳ ONLY 4 DAYS LEFT FOR LOCAL REGISTRATION! ⏳🚨 The countdown to WACEM 2026 – World Academic Congress of Emergency Medicine is on! 🌍🚑 📢 LOCAL REGISTRATION CLOSES IN JUST 4 DAYS! Join emergency medicine and critical care professionals, researchers, educators, and healthcare leaders for WACEM 2026 in Addis Ababa. 🎟️ SPECIAL REGISTRATION DISCOUNTS ARE AVAILABLE FOR: 1️⃣ Residents 👩‍⚕️👨‍⚕️ 2️⃣ ESEP Members 🤝 📞 To access your discount, please call: 0999 343 536 / 0938 940 635   📚 EARN CEU POINTS! Participants will receive CEU points based on the seminars they attend, providing an additional opportunity to support your professional development. 📅 Pre-Congress: 25–26 October 2026 📅 Main Congress: 27–29 October 2026 📍 Adwa Victory Memorial Museum, Addis Ababa, Ethiopia 🔥 ONLY 4 DAYS LEFT! Don’t miss your chance to CONNECT with experts, LEARN from global leaders, SHARE best practices, and TRANSFORM emergency care. 🌐 Register now: www.wacem2026.org/registration ESEP CALLS FOR PARTNERS TO COLLABORATE!!! @HakimEthio

𝐒𝐮𝐜𝐜𝐞𝐬𝐬𝐟𝐮𝐥 𝐋𝐚𝐩𝐚𝐫𝐨𝐬𝐜𝐨𝐩𝐢𝐜 𝐀𝐝𝐫𝐞𝐧𝐚𝐥𝐞𝐜𝐭𝐨𝐦𝐲 𝐟𝐨𝐫 𝐏𝐫𝐢𝐦𝐚𝐫𝐲 𝐇𝐲𝐩𝐞𝐫𝐚𝐥𝐝𝐨𝐬𝐭𝐞𝐫𝐨𝐧𝐢𝐬𝐦 A 27yrs old patient presented with a 𝐟𝐢𝐯𝐞-𝐦𝐨𝐧𝐭𝐡 𝐡𝐢𝐬𝐭𝐨𝐫𝐲 𝐨𝐟 𝐝𝐢𝐳𝐳𝐢𝐧𝐞𝐬𝐬, 𝐩𝐚𝐥𝐩𝐢𝐭𝐚𝐭𝐢𝐨𝐧𝐬, 𝐟𝐚𝐭𝐢𝐠𝐮𝐞, 𝐢𝐧𝐭𝐞𝐫𝐦𝐢𝐭𝐭𝐞𝐧𝐭 𝐠𝐞𝐧𝐞𝐫𝐚𝐥𝐢𝐳𝐞𝐝 𝐰𝐞𝐚𝐤𝐧𝐞𝐬𝐬, 𝐚𝐧𝐝 𝐡𝐞𝐚𝐝𝐚𝐜𝐡𝐞𝐬, 𝐰𝐢𝐭𝐡 𝐚 𝐫𝐞𝐜𝐞𝐧𝐭 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 𝐨𝐟 𝐡𝐲𝐩𝐞𝐫𝐭𝐞𝐧𝐬𝐢𝐨𝐧. The patient also had persistent hypokalemia refractory to potassium replacement, associated with hypomagnesemia. Given the combination of hypertension and persistent hypokalemia, 𝐬𝐞𝐜𝐨𝐧𝐝𝐚𝐫𝐲 𝐡𝐲𝐩𝐞𝐫𝐭𝐞𝐧𝐬𝐢𝐨𝐧 𝐝𝐮𝐞 𝐭𝐨 𝐩𝐫𝐢𝐦𝐚𝐫𝐲 𝐡𝐲𝐩𝐞𝐫𝐚𝐥𝐝𝐨𝐬𝐭𝐞𝐫𝐨𝐧𝐢𝐬𝐦 was suspected. 𝐀𝐛𝐝𝐨𝐦𝐢𝐧𝐚𝐥 𝐮𝐥𝐭𝐫𝐚𝐬𝐨𝐮𝐧𝐝 identified a 𝐫𝐢𝐠𝐡𝐭 𝐚𝐝𝐫𝐞𝐧𝐚𝐥 𝐧𝐨𝐝𝐮𝐥𝐞, and 𝐚𝐝𝐫𝐞𝐧𝐚𝐥-𝐩𝐫𝐨𝐭𝐨𝐜𝐨𝐥 𝐂𝐓 demonstrated a lipid-rich right adrenal lesion consistent with an 𝐚𝐝𝐫𝐞𝐧𝐚𝐥 𝐚𝐝𝐞𝐧𝐨𝐦𝐚. Biochemical evaluation supported the diagnosis of 𝐩𝐫𝐢𝐦𝐚𝐫𝐲 𝐡𝐲𝐩𝐞𝐫𝐚𝐥𝐝𝐨𝐬𝐭𝐞𝐫𝐨𝐧𝐢𝐬𝐦. Following stabilization and optimization of the patient's electrolyte status, a 𝐥𝐚𝐩𝐚𝐫𝐨𝐬𝐜𝐨𝐩𝐢𝐜 𝐫𝐢𝐠𝐡𝐭 𝐚𝐝𝐫𝐞𝐧𝐚𝐥𝐞𝐜𝐭𝐨𝐦𝐲 was successfully performed without intraoperative complications. 𝐇𝐢𝐬𝐭𝐨𝐩𝐚𝐭𝐡𝐨𝐥𝐨𝐠𝐢𝐜𝐚𝐥 𝐞𝐱𝐚𝐦𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐜𝐨𝐧𝐟𝐢𝐫𝐦𝐞𝐝 𝐚 𝐰𝐞𝐥𝐥-𝐜𝐢𝐫𝐜𝐮𝐦𝐬𝐜𝐫𝐢𝐛𝐞𝐝 𝐚𝐝𝐫𝐞𝐧𝐨𝐜𝐨𝐫𝐭𝐢𝐜𝐚𝐥 𝐚𝐝𝐞𝐧𝐨𝐦𝐚, compatible with the clinical diagnosis of 𝐩𝐫𝐢𝐦𝐚𝐫𝐲 𝐡𝐲𝐩𝐞𝐫𝐚𝐥𝐝𝐨𝐬𝐭𝐞𝐫𝐨𝐧𝐢𝐬𝐦. The patient showed clinical improvement following surgery and was discharged in stable condition with planned follow-up. This case demonstrates 𝐄𝐭𝐡𝐢𝐨 𝐓𝐄𝐁𝐈𝐁 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥's capacity to provide 𝐚𝐝𝐯𝐚𝐧𝐜𝐞𝐝 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐭𝐢𝐜 𝐚𝐧𝐝 𝐬𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐜𝐚𝐫𝐞 for complex endocrine conditions, including comprehensive evaluation of secondary hypertension and the availability of 𝐦𝐢𝐧𝐢𝐦𝐚𝐥𝐥𝐲 𝐢𝐧𝐯𝐚𝐬𝐢𝐯𝐞 𝐥𝐚𝐩𝐚𝐫𝐨𝐬𝐜𝐨𝐩𝐢𝐜 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞𝐬. The integration of specialist evaluation, advanced imaging and biochemical tests with laparoscopic surgery enables patients to receive timely, definitive, and specialized care within a comprehensive hospital setting. 𝐀𝐜𝐤𝐧𝐨𝐰𝐥𝐞𝐝𝐠𝐦𝐞𝐧𝐭 We extend our sincere appreciation to 𝐃𝐫. 𝐊𝐞𝐧𝐳𝐮 𝐁𝐞𝐝𝐫𝐮(𝐋𝐚𝐩𝐚𝐫𝐨𝐬𝐜𝐨𝐩𝐢𝐜 𝐒𝐮𝐫𝐠𝐞𝐨𝐧) and 𝐃𝐫. 𝐊𝐡𝐚𝐥𝐢𝐝 𝐀𝐫𝐞𝐛𝐨 (𝐆𝐞𝐧𝐞𝐫𝐚𝐥 𝐒𝐮𝐫𝐠𝐞𝐨𝐧), together with the 𝐞𝐧𝐭𝐢𝐫𝐞 𝐬𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐭𝐞𝐚𝐦, for their expertise, dedication, and collaborative effort in the successful management of this case. 📞For more information and to schedule an appointment, call +251933745555 or call our toll-free number 9000. 📍Our address is located on the road leading to Kolfe, Masalemiya Sefereselam. 📱Telegram 📱Tiktok 📱Facebook 📱Instagram 📱Youtube 𝐄𝐭𝐡𝐢𝐨-𝐓𝐄𝐁𝐈𝐁 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥 We strive for your health!!

የግል ህክምና በቅዱስ ጴጥሮስ ሆስፒታል በግል ህክምና የሚሰጡ አገልግሎቶች ፦ 🔹የቀዶ ህክምና አገልግሎት በስፔሻሊሰት እና ሰብ-ስፔሻሊሰት ሃኪሞች 🔹የአጥንት ቀዶ ህክምና አገልግሎት 🔹የጭንቅላት እና ህብረ-ሰረሰር ቀዶ ህክምና አገልግሎት 🔹የደም ስር (ቫስኩላር) ቀዶ ህክምና አገልግሎት 🔹የህፃናት ቀዶ ህክምና አገልግሎት 🔹የፕላስቲክ እና ሪኮንስትራክቲቭ ህክምና አገልግሎት 🔹የውስጥ ደዌ ህክምና አገልግሎት 🔹የልብ ህክምና (ካትላብ)አገልግሎት 🔹የማህፀን እና ፅንስ ክትትል ህክምና አገልግሎት 🔹የስነ-ልቦና እና ማማከር ህክምና አገልግሎት 🔹የጥርስ ህክምና አገልግሎት 🔹ከአንገት በላይ ህክምና አገልግሎት 🔹የቆዳ ህክምና አገልግሎት 🔹የፊዚዮቴራፒ ህክምና አገልግሎት 🔹የራጅ (X-ray) ፣ የአልትራሳውንድ ፣ የሲቲ ስካን (CT-scan) ፣ የኤም.አር.አይ (MRI) ፣ የፓቶሎጂ እና የተለያዩ የላብራቶሪ ምርመራዎች አገልግሎት 🔹ስፒች ቴራፒ የግል ህክምና አገልግሎት የሚሰጥባቸው ቀናት ፦ 🔹ከሰኞ እስከ ሐሙስ ➪ ከቀኑ 11፡00 ሰዓት ጀምሮ እስከ ምሽቱ 4:00 ሰዓት ድረስ 🔹ዓርብ ➪ ከቀኑ 10፡00 ሰዓት ጀምሮ እስከ ምሽቱ 4:00 ሰዓት ድረስ 🔹ቅዳሜ ፣ እሁድና የበዓል ቀናት ➪ ከጠዋቱ 2፡00 ሰዓት ጀምሮ እስከ ምሽቱ 4፡00 ሰዓት ድረስ የግል ህክምና የምትፈልጉ ሁሉ በተጠቀሱት ቀናት እንዲሁም ሰዓታት ውስጥ አገልግሎቱን ማግኘት የምትችሉ መሆኑን እንገልፃለን። አድራሻ ፦ አዲስ አበባ - ጉለሌ ክፍለ ከተማ - ወረዳ 1 - ከሽሮሜዳ ወደ እንጦጦ በሚወስደው መንገድ ላይ ያገኙናል። @HakimEthio

Would I Recommend Medicine? Lately, students from my former school and even some of my cousins have been asking me, “What department should I choose?” And honestly, medicine puts me in a weird position. I’m happy with where I am today. I’ve learned a lot, met amazing people and I still value the path I chose. But I also know what it took to get here. Medicine is years of studying, exams, hospital rotations, sleepless nights and sacrifices. Around 7 years here is a serious commitment, and sometimes I wonder whether the lifestyle medicine demands still fits this generation. The funny part? I joined medicine because of passion. What a joke. 😂 I started with around 150 students in 2014 E.C. Less than 100 remain today. I’ve watched friends drop out, fall behind and struggle in ways you can’t always see. So when a bright student asks me, “Should I choose medicine?” I genuinely don’t know what to say. Should I tell them to stay away because I’ve seen the struggle? Or should I encourage them because medicine still needs passionate, capable people? And if the brightest students of today decide the sacrifice isn’t worth it... Who becomes the doctors of tomorrow? Maybe students shouldn’t just ask, “Can I become a doctor?” but “Do I actually want the life that comes with becoming one?” Because sometimes I look back at the kid who chose medicine out of passion, then look at myself questioning whether I should recommend it to someone else... And that’s when I feel like I’m backstabbing medicine from behind. Et tu, Brute? 😂 Kaleab Tilahun Bekele, C2 student at TASH @HakimEthio

በአሁኑ ጊዜ የGLP-1 መድኃኒቶች የስብ መጨመር ሕክምናን እየቀየሩ እና የልብና የደም ሥር በሽታዎችን አደጋ እየቀነሱ ቢሆንም ፣ ስታቲኖች (statins) የኮሌስትሮል መጠንን በመቀነስ እና የልብና የደም ሥር በሽታዎችን በመከላከል ረገድ ወሳኝ ሚናቸውን አልተዉም። ይህ ሁለቱም የመድኃኒት ዓይነቶች እርስ በርስ የሚደጋገፉ እንጂ እርስ በርስ የሚተካከሉ አይደሉም ማለት ነው። የGLP-1 መድኃኒቶች ሚና GLP-1 receptor agonists በዋነኝነት የደም ስኳርን ለመቆጣጠር እና ክብደትን ለመቀነስ ያገለግላሉ። ነገር ግን ከዚህ በተጨማሪ በርካታ ጥናቶች እንደሚያሳዩት የልብና የደም ሥር ችግሮችን የመቀነስ ችሎታ አላቸው። ለምሳሌ፣ በ2023 የተደረገ ጥናት ሴማግሉታይድ ከተመደበው ቡድን ውስጥ የልብ ድካም፣ የልብ ህመም ወይም የደም ሥር መድከም አደጋ በ20% ቀንሷል። እንዲሁም ሌሎች ጥናቶች እንደሚያሳዩት GLP-1 መድኃኒቶች የልብና የደም ሥር በሽታዎችን ዋና ክስተቶች (major adverse cardiovascular events) በከፍተኛ ሁኔታ ይቀንሳሉ። ይህ የልብ ጥቅም ከክብደት መቀነስ ብቻ የመጣ አይደለም። GLP-1 መድኃኒቶች የደም ግፊትን በመቀነስ፣ የእብጠት ምልክቶችን በማሻሻል እና የስብ ልውውጥን (lipid metabolism) በመቀየር ለልብ ጤና አስተዋጽኦ ያደርጋሉ። ሆኖም የእነዚህ መድኃኒቶች የኮሌስትሮል መጠንን የመቀነስ ችሎታ መጠነኛ ነው። የስታቲኖች ሚና ስታቲኖች የኮሌስትሮል መጠንን በመቀነስ እና የልብና የደም ሥር በሽታዎችን በመከላከል ረገድ ለረጅም ጊዜ የተረጋገጠ ውጤታማነት አላቸው። በ2005 የተደረገ ጥናት እንደሚያሳየው ስታቲኖች ዋና የልብ ክስተቶችን በ27% እና የደም ሥር መድከምን በ18% ይቀንሳሉ። እንዲሁም አጠቃላይ የሞት መጠንን በ15% ይቀንሳሉ። በ2026 የተደረገ ጥናት ደግሞ አቶርቫስታቲን የተሰጣቸው ታካሚዎች ከፕላሴቦ ቡድን ጋር ሲነጻጸሩ የልብና የደም ሥር ክስተቶች በከፍተኛ ሁኔታ ቀንሰዋል። ስለዚህ GLP-1 መድኃኒቶች የስብ መጨመር ሕክምናን እያሻሻሉ ቢሆንም፣ ስታቲኖች አሁንም የልብና የደም ሥር በሽታዎችን ለመከላከል ወሳኝ እና የማይተካ ሚና አላቸው። ሁለቱም አብረው ሲሠሩ የበለጠ ጠንካራ የሆነ የልብ ጤና ይጠብቃሉ። ምንጭ: Medscape አብነት ድንቅነህ: ፋርማሲስት @HakimEthio

ወላጆች እባካቹ አትዘናጉ! በእርግጥ 24 ሰአት ሙሉ ልጅን መቆጣጠር ወይም መከተታተል ከባድ ነው ነገርግን በተቻላቹ መጠን ቢያንስ ልጆቻችሁ የሚጫወቱበትን እቃዎች እና አካባቢ ምቹ የሆነ እና ለጉዳት የማያጋልጥ ማድረግ ያስፈልጋል። ይህ የ3 አመት ህፃን ድንገት በሚስማር ሲጫወት እንዴት እንደሆነ በማይታወቅ ሁኔታ ሚስማሩን ውጦት የቀኝ ዋና የሳንባ መተንፈሻ ቱቦ ውስጥ ገብቶ እንደተቀረቀረ የደረት ራጁ ምርመራ ያሳያል። እንደ እድል ሆኖ የሳንባው ክፍል ላይ ፣ የልብ ክፍል እንዲሁም በዙሪያው ያሉ ትላልቅ የደም ስሮች ላይ ምንም ጉዳት ሳይደርስበት በቀላል ማደንዘዣ ሚስማሩ ሊወጣለት ችሏል። ሌላው ከዚሁ ጋር በተያያዘ በጣም ጥንቃቄ የሚያስፈልገው የተለያዩ የኤሌክትሮኒክስ እቃዎች ዲስክ መሳዩ ባትሪ በምንም አይነቱ ሁኔታ ለትናንሽም ሆነ ትላልቅ ህፃናት እንዲጫወቱበት መፍቀድ በፍፁም አይመከርም። ምክንያቱም ይህ በአድ ነገር በድንገት ከተዋጠ ፣ በተቻለ መጠን በ2 ሰአት ውስጥ ወደ ጤና ተቋም ሄደው በተገቢው ጤና ባለሞያው እንዲወጣ ካልተደረገ በሚፈጥረው የኤሌትሪክ ሞገድ እና በሚለቀው ኬሚካል የምግብ መውረጃ ቱቦ ላይ ከፍተኛ ጉዳትን በማድረስ የምግብ መስመር ቱቦ መጥበብን እንዲሁም ከከፋ ግድግዳውን በመብሳት ሕይወትን አደጋ ላይ ለሚጥል የጤና እክል ይዳርጋል። ስለዚህ ወላጆች ልጆቻችሁ ላይ በኋላ ተያይዞ በሚከሰተው የጤና እክል ከመፀፀት አስቀድሞ መጠንቀቅ ያስፈልጋቹሀል። ማጣቀሻ 1. Coran Pediatric Surgery 7th Edition 2. American pediatric surgical Association Guideline ዶ/ር ዮናታን ከተማ በቅዱስ ጳውሎስ ስፔሻላይዝድ ሪፈራል ሆስፒታል የህፃናት ቀዶ ህክምና ሬዚደንት ሀኪም ለበለጠ ማብራሪያ 👇👇👇 መጎብኘት ይችላሉ። YouTube - https://youtube.com/@kedmialetenawo?si=4k6s0RROG_lVCA3u ሰላምና ጤና በያላችሁበት ይሁን! @HakimEthio

Ethiopian-Trained Orthopedic Surgeon Performs Successful Pelvic Reconstruction in the Management of a Rare Case of Complex Gunshot-Induced Pelvic Fracture in Puntland, Somalia Open reduction and internal fixation (ORIF) of multi-fragment displaced iliac wing fractures with extension to the acetabular wall has been widely described in the management of high-energy pelvic trauma. It has also been utilized in patients with pelvic ring disruptions presenting with pain, deformity, or functional impairment. However, only a limited number of cases have been reported in which complex pelvic fractures from gunshot injuries were managed successfully using open reduction and internal fixation in resource-limited settings. At Arafat International Hospital in Puntland, Somalia, we successfully performed open reduction and internal fixation of a multi-fragment displaced right iliac wing fracture with extension to the anterolateral acetabular wall and an extraperitoneal bullet tract injury. This achievement represents a significant milestone in expanding access to advanced orthopedic trauma care and the management of complex pelvic fractures in this resource-limited region. It offers new hope to patients who previously had few or no treatment options. Case Presentation A 32-year-old man presented to our center on August 29, 2026, after sustaining a gunshot injury to the right pelvis. Immediately following the injury, he developed severe right-sided pelvic pain and was unable to bear weight on the affected limb. On arrival, the patient was in severe pain but hemodynamically stable. His vital signs were as follows: pulse rate 92 beats/min, blood pressure 110/70 mmHg, respiratory rate 20 breaths/min, and oxygen saturation 96% on room air. Physical examination revealed a 1×1 cm entry wound at the right upper lateral abdomen and a 4×3 cm exit wound at the right gluteal region, with an extraperitoneal bullet tract. There was marked tenderness over the right iliac crest and anterior acetabular region, with visible swelling and ecchymosis. Neurological examination demonstrated intact motor power in both lower extremities (5/5). Sensory examination was intact except for mild numbness over the anterior thigh. Distal pulses were palpable and equal bilaterally. Anal tone was normal, and the bulbocavernosus reflex was present. Computed tomography (CT) of the abdominopelvic region demonstrated a comminuted right iliac crest fracture extending to the anterior acetabular wall with an intact articular surface. The bullet tract was extraperitoneal with no evidence of visceral injury. There was no evidence of vascular injury on CT angiography. Initial Management During the first 18 days following admission, management focused on conservative wound care and hemodynamic stabilization. The patient received intravenous antibiotics, analgesia, and deep vein thrombosis (DVT) prophylaxis. Serial wound debridement and dressing changes were performed to prevent infection and promote healing. The patient remained hemodynamically stable throughout this period, and his wound showed progressive signs of granulation and healing. Surgical Management On the 18th day after trauma, the surgical team led by Dr. Sahal Ahmed Mohamud, Consultant Orthopedic and Trauma Surgeon at Arafat International Hospital, performed open reduction and internal fixation (ORIF) of the multi-fragment displaced right iliac wing fracture with extension to the anterolateral acetabular wall through an anterior approach. Excellent reduction of the fracture was achieved using a 3.5 mm reconstruction plate, 3.5 mm cortical screws, and cerclage wire. The procedure was performed under fluoroscopic guidance to ensure accurate reduction and hardware placement. The articular surface was confirmed to be intact intraoperatively, and no intra-articular hardware was placed. The procedure lasted 3.5 hours. The patient tolerated the procedure well without intraoperative complications. Discussion In injuries characterized by multi-fragment displaced iliac wing fractures with extension to the acetabular wall, open reduction and internal fixation through an anterior approach is considered the standard of care to restore pelvic ring stability and prevent long-term functional impairment. However, in resource-limited settings, the availability of specialized orthopedic trauma surgeons, fluoroscopic imaging, and appropriate hardware remains a significant challenge. Conservative management of such fractures may lead to malunion, nonunion, chronic pain, and significant functional disability. In this case, the decision to proceed with ORIF was made after careful consideration of the patient's hemodynamic stability, the absence of visceral or vascular injury, and the presence of an intact articular surface. The anterior approach allowed direct visualization of the fracture fragments and facilitated anatomical reduction without the need for a posterior approach, which carries additional morbidity. The use of a 3.5 mm reconstruction plate, cortical screws, and cerclage wire provided robust fixation and allowed for early mobilization. Fluoroscopic guidance ensured accurate reduction and hardware placement, minimizing the risk of intra-articular penetration. This case demonstrates that complex pelvic fracture fixation can be safely performed in carefully selected patients, even within a resource-limited setting, when appropriate surgical expertise and equipment are available. Conclusion This successful case demonstrates that complex pelvic reconstruction using open reduction and internal fixation can be safely performed in carefully selected patients, even within a resource-limited setting. The procedure provided excellent fracture reduction, stable fixation, and early mobilization while avoiding the additional morbidity associated with conservative management or delayed surgery. This landmark achievement marks the beginning of yet another chapter in the advancement of orthopedic trauma care in Puntland, Somalia. Our sincere appreciation goes to the anesthesia team, operating room staff, intensive care team, and all healthcare professionals at Arafat International Hospital, whose dedication, professionalism, and teamwork made this milestone possible. Dr. Sahal Ahmed Mohamud Consultant Orthopedic and Trauma Surgeon at Arafat International Hospital, Puntland, Somalia #PelvicFracture #OrthopedicSurgery #TraumaCare #ArafatInternationalHospital #Puntland #Somalia #MedicalMilestone #OrthopedicTrauma #SurgicalExcellence #HealthcareAdvancement @HakimEthio

“ዶክተር፣ ለረጅም ጊዜ የራስ ምታት አለብኝ። ከጊዜ በኋላ ወደ ካንሰር እንዳይቀየር እፈራለሁ…” ‎❌ የተሳሳተ ግንዛቤ ‎ ‎“ለረጅም ጊዜ የቆየ ራስ ምታት በጊዜ ሂደት ወደ የአንጎል እጢ ወይም ወደ ሌላ ከባድ በሽታ ሊቀየር ይችላል።” ‎✅ እውነታ ‎ ‎ራስ ምታት ሁሉ አንድ ዓይነት አይደለም። እንደ ማይግሬን (Migraine) እና (Tension-type headache) ያሉ የራስ ምታቶች ለረጅም ጊዜ ሊኖሩ እና በየጊዜው ሊደጋገሙ ይችላሉ። ‎ ‎እነዚህ Primary headache ናቸው። ማለትም ራስ ምታቱ ራሱ ችግሩ ነው፤ እንደ የአንጎል እጢ፣ ኢንፌክሽን ወይም የደም መፍሰስ ያለ ሌላ በሽታ የፈጠረው ምልክት አይደለም። ‎ ‎ስለዚህ ለረጅም ጊዜ የራስ ምታት መኖሩ ብቻ ወደ ካንሰር እየተቀየረ ነው ማለት አይደለም። ‎ ‎ለምሳሌ ማይግሬን ያለው ሰው ማይግሬኑ በየጊዜው ስለሚመለስ የአንጎል እጢ እየተፈጠረበት ነው ማለት አይቻልም። የሁለቱ በሽታዎች ምክንያትና ባህሪ የተለያየ ነው። ‎ ‎ነገር ግን ይህ ማለት አዲስ የሚመጣ ወይም ባህሪው የተቀየረ ራስ ምታትን ችላ ማለት አለብን ማለት አይደለም። ‎ ‎⚠️ ለምሳሌ፣ ከዚህ በፊት ካለው የተለየ አዲስ ራስ ምታት ከጀመረ፣ በድንገት እጅግ ከበረታ፣ በቀን በቀን እየባሰ ከመጣ፣ የማየት ወይም የንግግር ችግር፣ የሰውነት መስነፍ፣ ትኩሳት ወይም የማጅራት ህመም ጋር ከተያያዘ ግን ሌላ ምክንያት መኖሩን ማጣራት ያስፈልጋል። ‎ ‎👉 በአጭሩ፦ ‎ራስ ምታት ለረጅም ጊዜ መኖሩ ብቻ ወደ ካንሰር አይቀየርም። ነገር ግን አዲስ ራስ ምታት ከመጣ ወይም የቆየው ራስ ምታት ባህሪውን ከቀየረ ምክንያቱን እንደገና መመርመር ያስፈልጋል። ‎ ‎#MythVsFact #Headache #Migraine #PrimaryHeadache #PatientEducation #Neurology #InternalMedicine References 1. American Headache Society. Red Flags in Headache—What if it isn’t Migraine? � 2. Kurth T, et al. Headache, migraine and risk of brain tumors in women: prospective cohort study. Cephalalgia. 2015. � 3. PubMed 4. American Headache Society. Overview of Migraine Diagnosis. � Dr. Ermias Nigusie Balcha: MD Internist SPHMMC @HakimEthio

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Strengthening Minimally Invasive Surgery at St. Paul’s Hospital Millennium Medical College (SPHMMC) St. Paul’s Hospital Millennium Medical College (SPHMMC), in collaboration with MIS Africa and HOLA Academy, has successfully conducted a collaborative surgical initiative aimed at advancing minimally invasive surgical services and strengthening local surgical capacity. The initiative featured the participation of international expert Dr. Khaleel Abdulkader A.P., Consultant Laparoscopic Surgeon, specializing in proctology, endovenous laser ablation (EVLA), and podiatry. During the collaboration, several advanced minimally invasive surgical procedures were performed, including: 🔹 Laser proctology: Laser hemorrhoidectomy and laser lateral internal sphincterotomy (LIS), representing a first-of-its-kind initiative in Ethiopia. 🔹 Endovenous laser ablation (EVLA): A minimally invasive treatment for varicose veins. 🔹 Laparoscopic hernia repair: Transabdominal preperitoneal (TAPP) repair. Beyond the procedures performed, this initiative represents an important milestone in advancing modern surgical care at SPHMMC. It provides a valuable platform for knowledge exchange, hands-on learning, and professional collaboration, while laying the foundation for continued training, sustainable capacity building, and future international partnerships. Acknowledgment and Appreciation We would like to express our sincere appreciation to: Dr. Efeson Thomas MD, ECSA Founder and CEO of MIS Africa and an expert in colorectal  and Minimal access GK surgery, for his leadership and commitment to advancing minimally invasive surgery. Mr. Biroj Battakkandy, Founder of HOLLA Academy and the HOLLA Group of Companies, for his valuable contribution to this collaboration. Dr. Khaleel Abdulkader A.P., for sharing his expertise and contributing to this important surgical initiative. Dr. Helina Amare and Dr. Biniam Addis, General Surgeons and former MIS trainee, for their participation and contributions to the initiative. We extend our gratitude to all the teams and partners whose dedication and collaboration made this initiative possible. Together, we look forward to building a stronger foundation for minimally invasive surgery in Ethiopia through continued training, innovation, and international collaboration. #SPHMMC #MISAfrica #HOLA Academy #MinimallyInvasiveSurgery  #CapacityBuilding #InternationalCollaboration Prwpared by Dr. Biniam Addis, Assistant  Professor Surgery  SPHMMC. @HakimEthio