Dr.Jimale Specialist Hospital

Dr.Jimale Specialist Hospital Dr. Jimale Specialized Hospital for Surgery and Family Medicine is a specialty and teaching hospital-it takes care of general surgery

…When such people rise up, unite, and live in harmony, beyond false ego and selfish desires; experiencing peace and the ...
10/08/2026

…When such people rise up, unite, and live in harmony, beyond false ego and selfish desires; experiencing peace and the awareness of being connected to make their lives and their country safe, lawful sovereign, healthy, happy, and prosperous… MJ

First of all:“There are in fact two things, science and opinion; the former begets knowledge, the latter ignorance.”-Hip...
08/08/2026

First of all:

“There are in fact two things, science and opinion; the former begets knowledge, the latter ignorance.”
-Hippocrates of Kos (c.460-370 B.C.)

“In medicine, and certainly in surgery, one must be as perfect as possible. There is no margin for error..."
- Michael E. DeBakey, M.D., world-renowned Lebanese-American surgeon (September 7, 1908 – July 11, 2008), Houston Methodist Hospital, Houston, TX, USA.

"First impressions are the most important."
- William Hazlitt, British author

"...Say (O Muhammad): 'Are those who have knowledge and understanding equal to those who do not?' Only those who possess intelligence strengthen (their faith)."
- Surah Az-Zummar, verse 9 (39:9, Quran)...

Certainly, success in Head and Neck cancer surgery always depends on extensive surgical experience, excellent perioperative preparation, well-defined surgical techniques designed to achieve optimal and standardized results in oncological interventions, and a more aggressive surgical approach-in general, and especially for the elderly and high-risk patients… In particular, at our Jimale Specialized Hospital for Surgery and Family Medicine in Mogadishu, Somalia.

Lastly, a special thanks to the many teachers who have taught, encouraged, and inspired us to continue with our enthusiasm and passion for our teaching mission…” MJ

H/O The darkness of a hellish and senseless civil war in Somalia.Here is a summary of a successful surgical case: a youn...
30/07/2026

H/O The darkness of a hellish and senseless civil war in Somalia.

Here is a summary of a successful surgical case: a young man with a serious gunshot wound to the right chest, saved in 1992 by an acclaimed, dedicated, diligent, and tireless Somali surgical team I led at Keysaney Field Hospital in Mogadishu, Somalia...

At that crucial moment, a major foreign surgical team, representing the International Committee of the Red Cross (ICRC), was present at Keysaney Field Hospital, assisting us in treating the war wounded...
..Recently, a 48-year-old Somali male patient presented to our Jimale Specialized Hospital for Surgery and Family Medicine for a post-operative follow-up visit following emergency chest surgery at Keysaney Field Hospital in Mogadishu, Somalia. The patient had sustained a very serious gunshot wound to the right chest in 1992 in Mogadishu, Somalia.

He was in severe hemorrhagic shock (major blood loss). An emergency chest tube inserted into the right chest had drained over a liter and a half of blood from the right thoracic cavity. After correcting the hemorrhagic shock, I decided to open the right chest wall through a right posterolateral incision.

After opening the chest and aspirating the residual blood from the thoracic cavity, I found that a single high-velocity bullet had severed only the middle lobe of the right lung, shredding it into tissue. After controlling the hemorrhage, I removed the damaged right middle lobe of the right lung. Within a week, the patient was discharged from the hospital in good health.

Finally, after learning of my return to Mogadishu not long ago, the patient scheduled a follow-up appointment at our clinic. All routine tests (including a chest x-ray) ordered were normal... And the patient appeared strong and healthy... 30 years after a life-saving chest surgery for a gunshot wound, with no sequelae. MJ

Masterful surgery on such a major organ, the thyroid gland, represents an exceptional challenge for the most skilled sur...
27/07/2026

Masterful surgery on such a major organ, the thyroid gland, represents an exceptional challenge for the most skilled surgeons. Professor Emil Theoder Kocker developed a seminal work on thyroid surgical techniques. In 1909, Professor Kocker won the Nobel Prize in Physiology or Medicine for his work on the thyroid, both for his investigations into its surgical anatomy, physiology, pathology and surgical techniques of the thyroid gland surgery…

My award is only to keep my record of to provide a safe, effective and proper surgical treatment of challenges of the thyroid gland, whether it’s a benign or cancerous disease of the thyroid gland… MJ

I refused Metformin for three years. Here's what happened to my blood sugar.I've been a nurse for 26 years. I've held th...
29/06/2026

I refused Metformin for three years. Here's what happened to my blood sugar.

I've been a nurse for 26 years. I've held the hands of diabetic patients whose kidneys were failing.

I've watched their A1C climb year after year while their doctors added medication after medication.

I've charted the progression—the severe fatigue, the brain fog, the lab values getting worse—and I've said the same thing every other nurse says: "Your doctor knows best."

Then my own blood sugar started climbing. And I realized I'd been lying to my patients.

I need to tell you about my mother first. Because until you understand what I watched happen to her, nothing else I say will make sense.

My mother was diagnosed with Type 2 diabetes at 56. Her doctor started her on Metformin immediately. 500 milligrams twice a day.

She was a good patient. The best kind. Took her medication every single day. Cut out sugar. Walked every morning. Did everything she was told.

Her A1C came down from 8.1 to 6.9. Her doctor smiled at the chart. "Looking good, Gloria. Whatever you're doing, keep it up."

Keep it up.

For nine years, she kept it up. Nine years of Metformin. Nine years of "good numbers." Nine years of her doctor looking at a chart and calling it a success.

Then her ankles started swelling.

At first she blamed the heat. Then her shoes. Then standing too long at church.

By the time they ran the bloodwork, her kidney function was at 28 percent.

Stage 4 chronic kidney disease. On a woman whose blood sugar had been "managed" for nearly a decade.

I sat in the nephrologist's office with her. He pulled up her labs.

"Mrs. Watts, your kidneys have been declining for some time. The damage is consistent with long-term diabetic nephropathy."

My mother looked at me. Then back at him.

"But my sugars have been good. My doctor said I was doing well."

He paused.

"Your A1C has been in an acceptable range, yes. But blood sugar control doesn't always prevent microvascular complications. The damage can progress even when the numbers look favorable."

Even when the numbers look favorable.

Nine years of medication. Nine years of perfect compliance.

And the organ damage happened anyway. While everyone watched the number and called it protection.

My mother started dialysis seven months later.

The first time I drove her, I thought I was ready. I'm a nurse. I've seen dialysis units. I've charted patients in renal failure. I understood the procedure clinically.

I wasn't ready.

The clinic smelled like rubbing alcohol and something underneath it—something metallic and warm that I've never been able to name.

The chairs were beige vinyl recliners arranged in rows, and every one of them had a person in it with tubes running out of their arm.

The machines hummed. Not loud. A low, constant drone, like the building itself was breathing.

They put my mother in chair seven. A tech found the fistula in her left arm—the surgically created access point they'd implanted two weeks earlier, still bruised purple and yellow around the edges. She winced when the needle went in. Turned her head toward me.

Her eyes.

That's what I wasn't ready for. Not the tubes. Not the machine. Her eyes.

Looking at me the way she looked at me when I was six years old and scared of thunderstorms.

Except now she was the one who was scared. And I was supposed to be the one who understood what was happening.

The nurse daughter. The one who could explain it. Fix it.

I couldn't fix it.

Three times a week. Four hours each session. I drove her every Tuesday, Thursday, and Saturday.

Watched the blood leave her body through one tube and come back through another. Watched her shrink.

Not just thinner—smaller. Like the machine was taking something they couldn't put back.

She stopped wearing jewelry because her fingers were too swollen in the mornings and too thin by evening.

She stopped cooking because she couldn't stand long enough.

She stopped going to church because she was too exhausted on Sundays after Saturday's session.

She wasn't living anymore. She was being maintained.

She died at 68. Fourteen months after starting dialysis. I was holding her hand. The same hand I used to hold walking to school.

Four years ago, at my annual physical, my own bloodwork came back flagged.

Fasting glucose: 162. A1C: 7.4.

My doctor looked at me with that familiar expression—the one I'd seen doctors give my patients a thousand times.

"Diane, we need to start you on Metformin. 500 milligrams, twice daily. We'll recheck in 90 days."

She reached for her prescription pad.

I watched her hand move across the paper and all I could see was my mother's swollen ankles. The dialysis chair. The machine humming three times a week.

"I'd like some time to try managing it on my own."

She looked at me the way doctors look at nurses who forget their place.

"Diane, your A1C is 7.4. That's not borderline. That's diabetic range. Every month you delay treatment increases your risk of complications."

Complications. The word landed in my chest like a stone.

I took the prescription. Folded it. Put it in my scrub pocket.

Never filled it.

For three years, I tried everything else.

Cinnamon supplements. Four months. My fasting glucose dropped 8 points. Then stopped. Then climbed back up.

Berberine. Six months. The stomach cramps were almost as bad as what my Metformin patients described.

My numbers came down slightly—A1C went from 7.4 to 7.1—then stalled. I was spending $45 a month on stomach pain and a number that barely moved.

Apple cider vinegar shots every morning before my shift. Three months. The only thing that changed was the acid reflux that kept me up at night.

Strict keto. I did it for five months. Lost 14 pounds.

Felt terrible—the brain fog was so heavy I felt like I was moving through mud. My fasting glucose came down to 138, but my energy was so low I could barely finish a 12-hour shift.

And the second I added a piece of fruit back into my diet, my numbers spiked right back up. Like my body had been waiting.

I cut out every carb, every grain, every comfort food I'd ever loved. And my blood sugar still wouldn't stabilize.

My doctor checked my labs at my next annual. Looked at the results. Looked at me.

"Your A1C is 7.2. It's been three years, Diane. We need to start Metformin. The risks of delaying are serious."

I almost gave in. I went home that night and found the prescription in my bedside drawer—the original one, from three years ago. Still folded.

I smoothed it out on the kitchen table and stared at it. Metformin 500mg. Twice daily. My name in her handwriting.

I almost called the pharmacy.

Then about two months ago, something happened.

One of my regular patients came in for her quarterly check. Sweet woman, 63, Type 2 for over a decade.

I'd watched her struggle for years—the crashes after meals so bad she'd have to sit in her car in the parking lot for twenty minutes before she could drive.

The mental fog. The exhaustion that made her look ten years older. A1C bouncing between 7.5 and 8.2 no matter what her doctor tried.

But that day she looked different. Energized. Sharp. Like someone had turned a dimmer switch back up on her entire personality.

I asked how she was managing.

She said something I didn't expect.

"My blood sugar's actually been stable. Like, really stable. I found something—my daughter-in-law sent it to me. It's a natural antioxidant. From algae. The red one."

I almost dismissed it. I've heard every miracle supplement story there is.

But she showed me her glucometer log. Two months of readings. Her fasting numbers were consistently between 105 and 118. For a woman who hadn't been under 140 in years.

That same night, I checked my own blood sugar before bed. 178. I'd eaten a normal dinner—grilled chicken, vegetables, brown rice. Nothing excessive.

I sat at my kitchen table and thought about my mother. The dialysis chair. Her swollen hands. The machine humming.

I opened my laptop and started researching astaxanthin and insulin resistance.

What I found in a study published in the Journal of Diabetes Research made everything click. And it made me furious.

Here's what they taught us in nursing school about Type 2 diabetes: your cells stop responding to insulin, glucose builds up in the blood, Metformin blocks your liver from making more glucose. Simple.

Here's what they didn't teach us:

Your cells don't just randomly stop responding to insulin. Think about it like a door with a broken lock.

If the lock works properly, insulin opens the door and glucose enters the cell to be used for energy. Normal blood sugar. If the lock is jammed, insulin can't open the door. Glucose stays in your bloodstream. High blood sugar.

And what jams those cellular "locks"? Oxidative stress. Free radicals attacking the insulin receptors and the signaling machinery inside the cell, corroding the lock until it stops turning.

And here's the thing—oxidative stress builds with age, with a modern diet, with inflammation, with every year of being alive in a stressed, processed world. The more it builds, the more the locks corrode. The cells stop absorbing glucose. Sugar builds up in your bloodstream.

And here's where the vicious cycle starts—and why Metformin makes you feel like a zombie.

Metformin doesn't fix the jammed lock. It does nothing to clear the oxidative damage. It just forces your liver to produce less glucose and blocks your intestines from absorbing it. It literally tells your body to work less efficiently at creating cellular energy.

It's like having a jammed door, and instead of fixing the lock, you just decide to stop using the door entirely.

The blood sugar reading on the chart goes down. But the underlying problem gets worse.

Your entire body starts running on fumes. Less energy to your brain. Less fuel for your muscles.

That's why patients on Metformin are constantly exhausted, mentally foggy, and emotionally flat. They are chemically blocking their cellular energy production.

That's what happened to my mother. Nine years of "managed" blood sugar. Her A1C looked acceptable. But her cells were starving, the oxidative damage was never addressed, and the underlying dysfunction was destroying her kidney tissue the entire time. Nobody addressed it. Nobody even looked.

Then I found the clinical trials.

Researchers tested a natural solution: Astaxanthin, the deep red antioxidant from microalgae, which gets inside the cell and neutralizes the oxidative stress jamming the insulin receptors.

They tested it on adults with insulin resistance. No medication. Just astaxanthin.

After weeks of supplementation, fasting glucose dropped, insulin sensitivity improved measurably, and the oxidative-stress markers driving the resistance fell.

And because they weren't blocking their body's energy production—because they were actually clearing the oxidation so the locks could turn and the cells could absorb fuel naturally—patients reported significantly better energy levels. Mental clarity returned. The afternoon crashes resolved.

It actually addressed the problem instead of masking it.

But here was the catch: most astaxanthin supplements are garbage.

They're synthetic—made from petrochemicals in a lab instead of grown from the natural algae the research uses—dosed way too low (maybe 2 to 4mg when the clinical work used 12mg), and drowned in seed oils that fight the antioxidant they're supposed to deliver.

I found one company that did it right. Natural astaxanthin from Haematococcus pluvialis microalgae. Single ingredient. Dosed at 12mg per serving to match the clinical research. Suspended in organic coconut oil for absorption. Third-party lab verified. No fillers. No sugars.

I ordered a bottle of Rovina Sunglow that night.

I didn't tell my doctor. Didn't tell anyone at work. Just started taking it once a day.

The first thing I noticed was the afternoons.

By day five, the 2 PM crash wasn't happening. That heavy, drowning fatigue that used to hit me mid-shift—where I'd be charting and realize I'd read the same line four times—it was lifting. My head was clearer. Not stimulant-clear. Just... functioning. Like the fog had been so constant I'd forgotten what normal felt like.

By week two, my fasting glucose was 134. Down from 162. I checked it twice because I didn't trust the number.

By week three, something happened that wasn't on a monitor.

I was charting at the nurses' station around 3 PM. A coworker asked me a question about a patient's medication interaction. And I answered it. Without looking it up. Without hesitating. Without that horrible pause where I can feel the information stuck somewhere behind my eyes but can't pull it forward.

I just answered. Like a nurse with 26 years of experience is supposed to.

I sat there for a minute after she walked away. Staring at the chart. Not because I was confused. Because I was clear. And I'd forgotten what clear felt like. My cells were finally getting energy again.

That night I ate the same dinner—chicken, vegetables, rice—and tested two hours later. 128. Not 178. Not even close.

I sat on the edge of my bed staring at the monitor. And for the first time in four years, I didn't think about dialysis.

At eight weeks, I ran a full panel through the hospital lab.

A1C: 6.1.

Down from 7.2. In eight weeks. No Metformin. No prescriptions.

I printed the results. Walked into my doctor's office on my day off.

She opened the file on her laptop. Looked at the screen.

Scrolled down.

Looked at me. Back at the screen.

Scrolled again—comparing the history. Four years of numbers. The 7.4 at diagnosis. The 7.2 that wouldn't budge no matter what I tried. And now 6.1.

She closed the laptop halfway. Took off her glasses. Set them on the desk.

"You still haven't filled the Metformin."

"No."

"Your A1C is 6.1."

"Yes."

A long pause. She picked up her glasses. Put them back on. Opened the laptop again like she needed to verify what she'd just read.

"Whatever you're doing—I want to see these hold for another 90 days. But Diane... these are excellent. This is better than what I typically see at 90 days on Metformin."

She didn't ask me to stop. She didn't write a prescription.

I walked to the parking lot. Got in my car. Closed the door.

Opened the glove box. The original Metformin prescription was in there—I'd moved it from my bedside drawer weeks ago. Still folded. Still in her handwriting. I held it for a long time.

Then I put it back. Not because I might need it. Because I never want to forget how close I came.

And I thought about my mother.

What if someone had told her about this nine years ago? Before the swelling. Before chair seven. Before her kidneys failed while her doctor smiled at a number on a chart.

She'd be 72. She'd be alive.

I'm not writing this to sell you anything. I'm a nurse. I don't sell supplements.

I'm writing this because I watched my mother die from complications of a disease that was supposedly "managed." And I almost followed the same path.

If your blood sugar is climbing and your doctor is reaching for the prescription pad—I hear you. I was in that chair.

If you or your husband are already on Metformin and the exhaustion, the brain fog, the digestive pain, and the loss of intimacy are destroying your quality of life—I hear you. That is what happens when you chemically block cellular energy production.

If you've tried cinnamon, berberine, keto, apple cider vinegar, and nothing moves the needle—I hear you. Because none of those cleared the oxidation jamming the locks on your cells.

Rovina Sunglow. 12mg of natural, algae-grown astaxanthin in organic coconut oil. It clears the oxidative stress jamming your insulin receptors so your cells become sensitive again. It works with your body's energy production instead of shutting it down.

https://tryrovina.com/products/rovina-sunglow-astaxanthin-12mg

P.S. — I told three nurses on my floor. Showed them my labs. Explained the oxidative-stress mechanism. Within a month, four of them ordered it. One of them—Janet, 54, pre-diabetic, A1C of 6.7, doctor pushing Metformin—ran her bloodwork after six weeks. A1C dropped to 5.9. Her doctor didn't write the prescription.

P.P.S. — You'll feel it working within the first week or two. Not the blood sugar numbers—those take weeks to show on bloodwork. But the energy. The afternoon crashes disappearing. The brain fog lifting. That's your cells finally receiving the fuel they've been starved of. If you've taken cheap drugstore astaxanthin before and felt nothing, that's because it was synthetic and underdosed. This is different.

P.P.P.S. — Rovina has a 90-day money-back guarantee. If your numbers don't improve, full refund. No questions asked. In 26 years of nursing, I've never seen a pharmaceutical company offer to give your money back if their drug turns you into an exhausted zombie.

P.P.P.P.S. — Right now, they're running a special with major discounts on multi-bottle packages, and they sell out regularly. If you've got bloodwork coming up in the next 30 to 60 days and you want to give your body a real shot at addressing the root cause before that draw, check availability now. Every day your cells remain insulin-resistant is another day closer to complications your doctor won't warn you about until it's too late. I waited three years. My mother waited nine. Don't burn your timeline.

Learn more

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… The changing face of the 21st-century healthcare system and medical education in Somalia… We would like here to acknow...
04/04/2026

… The changing face of the 21st-century healthcare system and medical education in Somalia… We would like here to acknowledge and celebrate the achievements of completing the first 100 Surgical Cases at Mogadishu University Health Cluster Hospital, in Mogadishu, Somalia. We also thank the Mogadishu University, Faculty of Medicine and Surgery, Mogadishu University Health Cluster management, and Mogadishu Health Cluster staff, who worked closely together and provided essential health services to ensure the completion of the first 100 surgeries…MJ

Pulmonary embolism, also called pulmonary thromboembolism (TEP) or pulmonary parenchima infarction, occurs when a blood ...
28/01/2026

Pulmonary embolism, also called pulmonary thromboembolism (TEP) or pulmonary parenchima infarction, occurs when a blood clot discharges from the lower limbs, is carried by the blood and ends up clogging one of the arteries of the lung. "It's usually silent and comes from a venous thrombosis. Long-term surgeries may experience a decrease in blood flow in veins (estasis), making blood clotting easier. For this reason, it is recommended that the patient walk as short as possible after surgery, especially if it is long-duration. Half of lung embolishments have a potential risk of death and are one of the leading causes of sudden death along with myocardial heart attack. There are various methods of prevention of Deep Venous Thrombosis (TVP), ranging from physical measures, such as wearing elastic socks, to chemicals, to administering antithrombotic medications. Seek a Vascular Surgeon and inform yourself about preventive measures and postoperative care to avoid STD and Pulmonary Embolism," warns SBACV President Dr. Roberto Sacilotto. surgery surgery care of your health care of youvascular health infarction

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