Finger-Nail, Surgical Removal . . Blind-Ending Neck Of Womb (Cervix).

July 25th

Woke up in a rush this morning. I was running late and It isn't decent keeping patients waiting at the out-patients clinic.

There was no one waiting as I walked the short corridor to my consulting room.

Soon enough they began to arrive.

A young lady had a bad finger-nail and this had been so for about a year now.

Very soon, I took the lady's hand and wedged a scissor blade deeply into the nail-bed of the affected finger. I was a little suprised that the lady was able to watch calmly as the scissor blade played around, wedged in-between finger-nail and nail-bed. Of course she felt no pain whatsoever, but still I thought her incapable of baring the sight, as would most patients.

A local anaesthetic that I had injected around the base of the finger had deadened it to all pain.

"Thank you" she said when I was finally done, and then left.

July 25th

Dr Akindele and I observed a lady's cervix through a speculum inserted into her vagina for that very purpose. It wasn't a normal picture that we saw.

This cervix had no opening.

Dr Akindele had ensured she came for this examination during her menstruation so as to directly observe through which aperture she had usually flowed.

Our observation was revealing.

She lay in the lithotomy position on one of the delivery couches in the labour room as we peered through the illuminated vaginal speculum. We inspected and then soon found the abnormal aperture in her blind-ending womb. It was at the posterior aspect of the cervix and somewhere at the level of the intenal os. Quite abnormal.

It could have been congenital (from birth). Or it could have been acquired following a 5 months illegal abortion carried out years ago when she was eighteen.

Correcting the problem may not however be too technically difficult, the matter resting squarely on the shoulders of our Gynaecologist to whom she has promptly been referred.

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