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Mr Ibu’s demise: Poorly managed vascular diseases may cause amputation – Orthopaedic surgeons reveal
Vascular diseases, if not detected on time or poorly managed, may lead to limb amputation, orthopaedic surgeons and cardiovascular experts have warned.
They advised those at risk of having the medical condition to always visit the hospital to ascertain their status.
They enjoined those predisposed to Vascular diseases to seek early medical intervention if they suspect any form of peripheral artery disease, which is a major cause of medical amputation, or other serious bacterial infections and blood clots.
Though septic wounds among other factors also predispose to amputation, the physicians maintained that peripheral vascular disease is the major cause of amputation worldwide, and advised early intervention before the situation becomes irreversible.
According to an online medical portal, Mayo Clinic, peripheral artery disease, also known as peripheral vascular disease, is a common condition in which narrowed arteries reduce blood flow to the arms or legs, thereby, causing serious damage to the body.
To diagnose this condition, the professionals said a Doppler ultrasound test would be needed to show the direction and speed of blood moving through the arteries and veins, adding that it can also identify blood clots, narrowed arteries and other problems that affect the heart and blood vessels in the legs, arms and stomach.
Recall that the late presentation of these vascular diseases (blood clots and dead vessels) was reportedly the reason for the amputation and eventual death of the late Nollywood actor, John Okafor, popularly known as Mr Ibu.
Speaking exclusively with PUNCH Healthwise in different interviews, the experts warned that people with diabetes mellitus, serious bacterial infections and injuries, obesity, immunosuppressants and exposure to cigarette smoke are predisposing factors to amputation.
Speaking also, a Consultant Orthopaedic Surgeon at the Abia State University Teaching Hospital, Dr Isaiah Abali, affirmed that poorly managed vascular diseases can lead to medical amputation, and advised people to avoid any condition that may predispose them to loss of limbs, or eventual death.
Dr Isaiah Abali
Dr Isaiah Abali
He explained that Peripheral Artery Disease is a major cause of medical amputation worldwide, describing it as a circulatory condition in which narrowed blood vessels reduce blood flow to the limbs.
According to him, PAD is a sign of fatty deposits and calcium building up in the walls of the arteries medically known as atherosclerosis, revealing that “diabetes, obesity and cigarette smoking among others, are predisposing factors for peripheral vascular disease.”
Abali, who is also the Chairman of the Nigerian Medical Association, Abia State chapter, explained, “This condition occurs when the blood supply to the legs or upper limbs, depending on where it occurs, is cut off. When the blood supply is cut off, it may lead to gangrene and at this stage, the damage is irreversible because that part of the body is already dead and smelly. The only option for the orthopaedists is amputation.”
Gangrene, according to him, means the death of body tissues due to a lack of blood flow or due to a serious bacterial infection, saying that peripheral vascular diseases commonly affect the arms and legs, including the toes and fingers.
He noted that high blood sugar in the body damages the blood vessels, which is the reason gangrene takes place more in diabetic patients.
He added, “When the blood vessel is damaged, it can slow or block blood flow to certain parts of the body and this predisposes the individual to amputation. More so, obesity can push on arteries, slowing blood flow and increasing the risk of infection and poor wound healing.
“When people with these conditions sustain an injury, it may be difficult for the wound to heal and such wounds might become infected by bacteria. This will worsen the situation and wounds may become septic and lead to gangrene.
“Also, patients who go for cancer treatment like chemotherapy may have suppressed immune systems and this allows infections to thrive as the body has compromised immunity against infections. Human immunodeficiency virus can affect the body’s ability to fight off infections too.”
According to him, another condition that predisposes one to amputation is “Peripheral neuropathy, which occurs when the nerves in the body’s extremities, such as the hands, feet and arms, are damaged.
“People with this condition tend to get gangrene more than the others because they don’t know that something has entered their legs until it becomes a problem that leads to gangrene and amputation.”
He listed treatments for gangrene to include antibiotics, oxygen therapy, and surgery to restore blood flow and remove dead tissue, and advised that the earlier the condition is identified and treated, the better the chances for recovery.
Corroborating his views, a Consultant Cardiologist at the Lagos University Teaching Hospital, Idi-Araba, Dr Akinsanya Olusegun-Joseph, said most cardiovascular illnesses do have co-morbidities, saying that somebody with hypertension can also manifest other conditions.
Akinsanya Olusegun-Joseph
Akinsanya Olusegun-Joseph
On what could be indications for amputation, he said, “The blood flow may be reduced due to cholesterol deposits in the rumen of the blood vessels and with this; there may be blockage in the artery, which also reduces blood flow to that part of the body.
“This situation is more in hypertension, diabetes and blood clotting. To manage these conditions in order not to lead to amputation, patients with hypertension, diabetes and high cholesterol which are the major risk factors should control their blood pressure, blood sugar, and cholesterol.
“They should go for Doppler studies and scan to understudy the blood vessel to know the impact of blockage to the blood supply. I, therefore, advise people to know their numbers (blood pressure), check cholesterol, eat healthy food, embrace a healthy lifestyle, embark on fitness exercises and reduce their stress level.”
Meanwhile, a study published in the National Library of Medicine, by Apama Swaminathan and team, titled, ‘Lower extremity amputation in peripheral artery disease: Improving patient outcomes,’ affirmed that poorly managed vascular diseases may lead to amputation.
The authors noted that peripheral artery disease affects over eight million Americans and is associated with an increased risk of mortality, cardiovascular disease, functional limitation, and limb loss.
“In its most severe form, critical limb ischemia, patients are often treated with Lower Extremity Amputation, although the overall incidence of this is declining. In the US, there is significant geographic variation in the performance of major LEA.
“The rate of death after major LEA in the US is approximately 48 per cent at one year and 71 per cent at three years. Despite this significant morbidity and mortality, the use of diagnostic testing in the year prior to LEA is low and varies based on patient, provider, and regional factors.”
By Kayode Sanni-Arewa
The Embassy of China in Nigeria has pushed back against claims that visa delays were responsible for Nigerian athletes’ withdrawal from the upcoming World Athletics Relays in Guangzhou, China.
In response to reports and a public statement by the Athletics Federation of Nigeria (AFN), which cited delays in visa processing as the reason for the country’s withdrawal from the event scheduled for May 10–11, the Chinese Embassy released a detailed clarification asserting that it acted swiftly and professionally to facilitate the process.
According to the Embassy, it received a formal request for visa support from Nigeria’s National Sports Commission on April 24—two weeks before the competition—following a letter dated April 22. The embassy stated that it immediately communicated with the Commission and provided guidance on required documentation.
The visa application materials were submitted to the China Visa Application Centre on May 6, the embassy noted. In response, it activated expedited procedures and completed visa issuance by May 8, just two days later.
“The Embassy of China in Nigeria has always actively supported people-to-people and sports cooperation between the two countries,” the statement read. “We have consistently assisted Nigerian citizens in visa applications in an efficient and professional manner.”
The Embassy also underscored that visa issuance is a matter of national sovereignty and requires applicants to follow standard procedures and timelines. It described the AFN’s statement as “clearly inconsistent with the facts.”
By Gloria Ikibah
Chairman of the Nigeria Union of Journalists (NUJ) in the Federal Capital Territory (FCT), Comrade Grace Ike, has charged newly elected executive members to prioritise journalists’ welfare and uphold values of accountability, integrity, and professionalism.
Speaking after the swearing-in of the new officers on Saturday, Comrade Ike reminded them that service in the union demands unity, transparency, and a firm commitment to ethical journalism.
“This union stands on the pillars of welfare, integrity and professionalism. You have been chosen to serve, not to be served,” she said.
The by-election, held to fill three vacant positions unoccupied since the last NUJ-FCT elections on December 4, 2024, saw 54 accredited members cast their votes in a peaceful atmosphere.
Comrade Sharon Emephia of the Correspondents Chapel emerged as Assistant Secretary with 52 votes, while Comrade Daniel Henry Abimiku from the Information Chapel secured the Financial Secretary position with 52 votes as well, and Comrade Ukoko-Tega of Aso Radio/TV Chapel was elected Internal Auditor, also polling 52 votes. A few ballots were declared invalid in each category.
Chairperson of the election committee and Chairman of the National Association of Women Journalists (NAWOJ), Comrade Bassey Ita Ikpang, announced the results alongside committee members Comrade Tony Akowe and Comrade Nkechi Onyeneke. The winners were administered the oath of office by Barrister Ehidiamen Isibor and issued certificates of return.
Comrade Ike commended the electoral committee for conducting a transparent process and thanked union members for their active participation. She officially dissolved the committee following the successful completion of its assignment.
The current leadership of the NUJ-FCT also includes Vice Chairman Comrade Ndambabo Yahaya, Secretary Comrade Jide Oyekunle, Treasurer Mrs. Sandra Udeike, and Ex-Officio member Comrade Ebriku John Friday.
Catholicism has rarely been more prominent in US politics as the Trump administration openly embraces advisers and officials who proudly say faith has shaped their politics.
But any jubilation on the American Make America Great Again right about the new Pope this week quickly dissipated as key voices from Donald Trump’s Maga movement came to a disappointed conclusion: the first American Pope does not appear to be “America first”.
Little is known about the political leanings of Pope Leo XIV, born Robert Francis Prevost in Chicago.
He has voiced concerns for the poor and immigrants, chosen a name that may reference more liberal church leadership, and he appears to have both supported the liberal-leaning Pope Francis and criticised the US president’s policies on social media.
But the president so far has said only that Leo’s election was a “great honour” for the US. Still, some of Trump’s most prominent supporters were quick to attack Pope Leo, lambasting him as a possible challenge to Trump and on the perception that he will follow Pope Francis in areas like immigration.
“I mean it’s kind of jaw-dropping,” Trump’s former chief strategist Steve Bannon told the BBC on Friday, speaking of Leo’s election.
“It is shocking to me that a guy could be selected to be the Pope that had had the Twitter feed and the statements he’s had against American senior politicians,” said Bannon, a hard-right Trump loyalist, practising Catholic and former altar boy.
And he predicted that there’s “definitely going to be friction” between Leo and Trump.
The Pope’s brother, John Prevost, told The New York Times that he thinks his brother would voice his disagreements with the president.
“I know he’s not happy with what’s going on with immigration,” he said. “I know that for a fact. How far he’ll go with it is only one’s guess, but he won’t just sit back. I don’t think he’ll be the silent one.”
Recent survey data shows that about 20% of Americans identify as Catholic, according to the non-partisan Pew Research Center.
About 53% identify with or lean towards the Republican Party, though there’s plenty of nuance, too: America’s two Catholic presidents, John F Kennedy and Joe Biden, were both Democrats. And nearly two-thirds of US Catholics believe abortion should be legal in all or most circumstances – a departure from the Church’s current stance.
US Catholics also broadly supported Pope Francis: 78% of those surveyed in February viewed him favorably, including a majority of Catholic Republicans.
A number of Catholics In the new Pope’s home city of Chicago, on Thursday, aired disappointment with President Trump and said they hoped Pope Leo XIV would follow the path of his predecessor.
“We hope he’ll continue with Francis’s agenda going forward,” said Rick Stevens, a Catholic deacon from New Jersey who happened to be visiting Chicago when he heard the news.
The US Conference of Catholic Bishops, which leads and coordinates US Catholic activities, celebrated Pope Leo’s election and the message it sends.
“Certainly, we rejoice that a son of this nation has been chosen by the cardinals, but we recognise that he now belongs to all Catholics and to all people of good will,” the conference said in a statement. “His words advocating peace, unity, and missionary activity already indicate a path forward.”
Though Maga supporters represent a small subset of US Catholics, it’s one with outsized access to conservative media and Trump’s ear.
On Bannon’s War Room podcast – known for its hard-right, pro-Trump bent – one guest after another heaped criticism on the new Pope.
“This guy has been massively embraced by the liberals and the progressives,” said Ben Harnwell, a journalist who led Bannon’s efforts to establish what he calls a “gladiator school” for the “Judeo-Christian West” outside of Rome.
“He is one of their own… he has [Pope] Francis’s DNA in him,” Harnwell said.
Jack Posobiec, another Maga commentator dialing in from Rome, was blunt: “This choice of the American cardinal was done as a response, as a message to President Trump.”
The full picture of what led to Pope Leo’s selection on Thursday is still emerging and church decisions don’t map neatly onto US politics. Still, watchers around the world have pored over Pope Leo’s social media profiles in search of clues about his leanings and beliefs.
An X account under his name, with tweets going as far back as 2015, shares links to criticism of Trump’s approach to immigration and hints at other political views, such as stricter gun control.
In February, the account sharply rebuked the US vice-president by posting a link to an opinion piece titled “JD Vance is wrong: Jesus doesn’t ask us to rank our love for others”.
The account also posted a link to a letter from Pope Francis after he clashed with Vance over church doctrine and immigration. Vance – a Catholic convert – had given an interview in defence of the Trump administration’s immigration policies.
Vance has routinely invoked his faith in defense of the administration, particularly immigration policies, which the White House has said put “America first”.
“There is a Christian concept that you love your family and then you love your neighbour, and then you love your community, and then you love your fellow citizens, and then after that, prioritise the rest of the world. A lot of the far left has completely inverted that,” Vance told Fox News.
But US Democrats were not spared either on the account, which has more than a decade of posts. They appear to support Catholic employers who refuse to pay for contraceptives via employee health plans, and following the 2016 US presidential election, one post links to an article accusing Democrat Hillary Clinton of ignoring pro-life Catholic voters.
The BBC asked the Vatican to confirm the account was Leo’s, but did not receive a response.
Vice-President Vance told conservative broadcaster Hugh Hewitt on Friday: “I try not to play the politicisation of the Pope game.
“I’m sure he’s going to say a lot of things that I love. I’m sure he’ll say some things that I disagree with, but I’ll continue to pray for him and the Church despite it all and through it all, and that’ll be the way that I handle it.”
The new Pope’s LGBTQ views are also unclear, but some groups, including the conservative College of Cardinals, believe he may be less supportive than Pope Francis.
Matt Walsh, a commentator with the conservative Daily Wire, wrote: “There are some good signs and bad signs with this new Pope. I want to see what he actually does with his papacy before I pass any kind of judgment.”
But some of the most dedicated Maga supporters already have made up their minds.
Laura Loomer, a far-right influencer who has Trump’s ear, swaying the president on top personnel decisions, called the new Pope “anti-Trump, anti-Maga, pro-open Borders, and a total Marxist like Pope Francis”.
Bannon, who had suggested Leo as a dark horse for the papacy, predicted tensions between the White House and Vatican – and said they could even tear apart American Catholics.
“Remember, President Trump was not shy about taking a shot at Pope Francis,” he said.
“So if this Pope – which he will do – tries to come between President Trump and his implementation of the mass deportation programme, I would stand by.” BBC
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