Stay healthy

To stay healthy what you need to do is very simple. First and foremost you have to be grateful to God that you have free air, second you have to move around instead of sitting, third you need to eat after Thanksgiving. Excersize regularly go to your doctor for regular check up of your blood pressure, blood sugar, particularly your HbA1c, cholesterol etc... Share whenever you get good things in life with your friends and family. Even sharing knowledge makes your memory smarter and and your life easier. Read healthy books that can feed your spirit as innermost wellbeing depends on your desire to live. Thus to stay healthy practice the above advice and live long.

A case of febrile illness

case 1.

a 14-years-old boy was brought to ayu general hospital, suspected of having brucellosis by  local elders, who knew the diseases by its local name 'dukuba aneni', by exclusion of other endemic diseases like, malaria, typhoid, typhus, and acute meningitis. 

the boy, at the out patient department, was evaluated by physical examination and laboratory investigations, which were negative for any form of infectious diseases even brucella titers of  1:640 were negative. his CBC revealed pancytopenia with relative lymphocytosis,  which was consistent with brucellosis in 20% of cases, the weakness in his limbs suggested neurobrucellosis but lumbar puncture was not performed due to lack of cooperation from family members, however, the boy was again investigated for brucellosis with titers of 1:1280, a surprising result was witnessed at our department of a classic prozone phenomenon, according to literature is a manifestation of hyperantigenemia which is common in endemic areas.

the boy was admitted to the medical ward and started on anti brucella multi drug regimen and discharged improved after three days, due to financial constraints, despite medical advice to continue iv medications, the family was sent to senbete health center with the strongest advice not to discontinue his medications.

the lesson we learned was that negative titer could not rule-out brucellosis, at our teachers used to teach us 'when you are in dilemma, think of tuberculoma', now we could add 'when you are in dilemma think of brucella'.

the other thing we learned was that despite astronomic economic growth of our country, Ethiopia, we need help to be self sufficient in combating simple diseases like brucellosis.

frequently encountered medical cases at ayu general hospital

The idea of constructing a general purpose hospital was a long way dream to the owner and medical director, Dr. Ayanaw Admassu, about eleven years ago.

Dr. Ayanaw dedicated his life to the construction of the only private hospital in debre birhan, Ethiopia. The hospital was opened to the public only three months ago, with the latest medical equipments, and senior specialists and a branch of surgical wing that gives FREE cleft lip services in collaboration with AMRF's top flying surgeon Dr. Asrat Mengiste. Three children and one adult have benefited from this free surgical procedure.

The majority of our work at ayu general is at the out patient department, and the most frequent diseases are, typhus, brucellosis, tuberculosis ... but the number of HIV cases are dramatically decreasing.