THIS BOY HAS A DREAM
You can help him realise it
By TOYIN OSAWE
Wednesday, June 13, 2007
• Olajide Abdulrazaq Agboke
• PHOTO: Sun News Publishing

Twenty-year-old Olajide Abdul Razaq is a bright young man. He is a student of Kings College, Lagos and now in SS1. He sees himself as a future journalist or a lawyer. He knows where he is going, though he cannot see.

However, Jide’s physical challenge is now being compounded with an End Stage Renal Disease (ESRD) diagnosed in March 2007. To stay alive, the young man has to endure dialysis twice weekly, which costs between N60, 000 and N80,000.

For a permanent relief, his doctor says he would need a kidney transplant, which will cost N7.5 million and an additional N2 million for drugs after the transplant.
Speaking with Daily Sun, his distraught father, Mr. Suraju Agboke, narrated how it all started.

"I went to visit him in school a few months back when I noticed that his face and feet were swollen. I asked him what the problem was and he told me he had malaria and had been to the school clinic."
But suspecting that all was not well with his son, he took him to a private hospital where he was referred to the Lagos University Teaching Hospital(LUTH). It was there that he was diagnosed as having kidney failure.

The specialist at the tertiary health institution, Dr. M.O Mabayoje, diagnosed Jide’s condition as secondary hypertension and End-Stage Renal Disease.
"He was referred to LUTH in March 2007 because of swollen feet and the face. Our investigations show that both his kidneys are irreversibly damaged and he has ESRD secondary to a suspected Chronic Glomerulonephritis. He is now on twice-weekly sessions of heamodialysis to keep him alive pending his getting a kidney transplant.

"Kidney transplant is the definitive treatment for End-Stage Kidney Disease and the cost of the transplant is N7.5milion. He will also require the sum of N 2 million to purchase drugs that he will be taking after the transplant."
The challenge before Jide’s father, an out of job accountant, is getting the funds for his son’s transplant, as he does not want his child to die with the promise (prospect) he holds.
"Jide wasn’t born blind, the problem started at the age of four when he complained to his Quaranic school teacher that his eyes were paining him. We took him to hospital, where he was diagnosed as having Glaucoma. He was operated upon at the University Teaching Hospital, Ilorin to correct the problem. However, he lost his sight eventually and we lost hope on educating him till a family friend told us about Pacelli School for the Blind."

A proud father of a brilliant son tells of how his son has always been outstanding academically despite the loss of his sight. He also showed this reporter, his son’s result at the last Junior Secondary School Examination, in which he had four Distinctions, five Credits, and two Passes (in Mathematics and Bussiness Studies which always posed a challenge to blind students).

"Jide is a very brilliant boy, he is always taking between first and third position in his class. When he finished at Pacelli, he took common entrance examination into Kings College and Loyola Jesuit. He passed the exams for the two schools but we decided he should go to KC because of his condition, and proximity since we reside in Lagos.

"We need help from Nigerians, corporate bodies and individuals for a kidney transplant. I’ve been out of job for years now, there is no way the family can come up with that amount. I worked with Savannah Bank till it was liquidated and at John Holt, where, due to streamlining, I also lost my job as an accountant. Since this problem started, close family members and friends have been supporting us. My wife is a trader, now she can longer do that, because of the financial burden we have had to bear."
Emaciated and obviously in pains, Jide also tells of his agony.

"When this problem started in school, I just noticed that I was getting weak and couldn’t do things by myself. Usually, we the visually impaired students move about unaided in school but I noticed that I couldn’t do that anymore as I was losing track of the usual routes that we take. And my friends were

complaining.

I was also coughing very much then, so I went to the clinic where they gave me malaria tablets. I didn’t know what the problem was really till my dad came to visit and we went to the hospital."
Jide says the dialysis he goes through is also very painful, but he is grateful to the medical doctor who came to his rescue recently to alleviate the pain.
"The dialysis is very painful, they do it through the femur bone. They fix the injection and the guard wire through that place and at times I get injured when the doctor is not careful. I was injured a few weeks ago and my leg became swollen, I had to do physiotherapy to walk well again.
"But I’m grateful to doctor, Dr. Shonibare of Vantage Hospital, Victoria Island who heard of my case and offered to give me a device which will make the dialysis less painful. The device called Fistula was introduced into my hand through a surgery, it takes about six weeks to heal and become operational. The surgery usually costs about N75, 000 but he did it for me free. I’m hoping that the device will alleviate my pain for the dialysis, when I start using it. But the best and permanent solution to my problem will be a kidney transplant."
Corroborating his story, Jide’s father said his son usually dreads the procedure.
"Because the dialysis is a painful procedure, he is usually scared and his blood pressure will rise anytime he wants to have one. At times, his PCV will be low and he will need to take blood before he can have the procedure.
But we are very grateful to Dr. Shonibare who gave him the Fistula and collected nothing from us, we learnt the surgery usually costs N75, 000."
Besides the physical torment Jide is now going through, he is out of school and has missed about three months of classes. He says he misses school and his friends too.
"I miss my friends at school and I miss school, but I go to read at one of the libraries for the visually impaired when I’m bored from sitting at home."
On a good day, Jide loves his books, his radio and as an ardent BBC listener, he often tackles his dad on current issues. But as he now shuttles from home to the dialysis machine, which only gives him temporary reprieve, life is far from being desirable. But we can all make a difference and put Jide’s dreams and aspirations in perspective again by lending a helping hand.
Mr. Suraju Agboke, Jide’s dad can be reached on 08023015834. Monetary help can also be paid into account number 2311040000322 Abdulrazaq Babajide Agboke.
Jide’s disease
End-stage kidney disease, is a complete or near complete failure of the kidneys to function to excrete wastes, concentrate urine, and regulate electrolytes. It is also called End-stage renal disease (ESRD).
The disease occurs when the kidneys are no longer able to function at a level that is necessary for day-to-day life. It usually occurs as chronic renal failure and worsens to the point where kidney function is less than 10% of normal.
At this point, the kidney’s function is so low that without dialysis or kidney transplant, complications are multiple and severe, and death will occur from accumulation of fluids and waste products in the body.
ESRD almost always follows chronic kidney failure, which may exist for 10-20 years or more before progressing to become ESRD.
Symptoms include unintentional weight loss, nausea or vomiting, general ill feeling, fatigue, headache, frequent hiccups and generalised itching.
Urine output becomes greatly decreased or no urine output at all, there’s easy bruising or bleeding and blood may be seen in the vomit or stools.
There’s decreased alertness, drowsiness, somnolence, lethargy, confusion, delirium and coma. Other symptoms include muscle twitching or cramps, seizures, increased skin pigmentation (Skin may appear yellow or brown), nail abnormalities, decreased sensation in the hands, feet, or other areas.

Treatment
Dialysis or kidney transplantation are the only treatments for ESRD. The physical condition of the person and other factors determine which of these is used. Other treatments of chronic kidney failure may continue but are unlikely to work without dialysis or transplantation. Current therapy includes aggressive treatment of high blood pressure with an ACE inhibitor or an angiotensin receptor blocker.
Associated diseases that cause or result from chronic renal failure must be controlled. Hypertension (high blood pressure), congestive heart failure, urinary tract infections, kidney stones, obstructions of the urinary tract, glomerulonephritis, and other disorders should be treated.
Blood transfusions and medications such as iron and erythropoietin may be needed to control anemia. Fluids may be restricted to an amount nearly equal to the volume of urine produced.
Dietary restrictions may slow the build-up of wastes in the bloodstream and control associated symptoms such as nausea and vomiting. Restrictions include a low-protein diet, with high carbohydrate levels to make up for the lost calories. Salt, potassium, phosphorus, and other electrolytes may be restricted.
ESRD is fatal unless treated with dialysis or transplantation. Both of these treatments can have serious risks and consequences. The outcome varies and is unique to each individual.


 

 

 

 

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