January 13, 2018

After surviving Ebola, Adaora Okoli fights infectious diseases  

After surviving Ebola, Adaora Okoli fights infectious diseases  

Ebola survivor, Dr Adaora Okoli…infected while treating one of the first Nigerian cases of the deadly virus, which killed more than 11,000 people.

By Sola Ogundipe

Dr. Adaora Okoli was once all but dead, and now she is considered a ‘hero in the field’ by Bill Gates, who gave her the distinction last Thursday for not only being one of the few survivors of the Ebola virus, but for dedicating her life to fighting it.

When she recovered from Ebola in 2014, and was able at last to leave the isolation ward in Lagos, Nigeria, Okoli felt reborn with a purpose, says the MailOnLine.

Ebola survivor, Dr Adaora Okoli…infected while treating one of the first Nigerian cases of the deadly virus, which killed more than 11,000 people.

Okoli was infected while treating one of the first Nigerian cases of the deadly virus, which killed more than 11,000 people.

She made headlines when her story emerged in 2014 and Gates said of her on his blog: “Her courage and her optimism are inspiring.”

When she graduates in May, Okoli, now 31, plans to continue her research in infectious diseases and eventually return to Nigeria to educate her fellow doctors on how to more effectively treat and understand diseases as public health issue.

The stress that Okoli underwent the week of July 20 2014 would be enough to make anyone feel ill.

That’s just what she thought her sore throat and body aches were, at first: stress.

Her week had been a whirlwind. A diplomat from Liberia, where the Ebola outbreak had begun six months earlier, came into Okoli’s hospital, First Consultants Medical Centre, with symptoms that made her colleagues think he might have malaria.

Okoli was on call, and came to the diplomat’s room when he asked for a doctor. He had had to make several trips to the bathroom with diarrhea, so she asked a nurse, who was eight weeks pregnant, to help him to the bathroom and temporarily remove the IV.

When the nurse tried to replace the IV, the patient “got very upset and yanked the IV from his hand. The nurse had blood splashing all over her and the sheets.”

She was immediately concerned, and became more so when the man’s lab results revealed liver abnormalities.

“That’s one of the organs that Ebola attacks, and I told the nurses I suspected he might be a case of Ebola,” and she instructed the nurse to be particularly careful to wash her hands and wear gloves.

“We didn’t have personal protective equipment that was adequate, we just had what we had, and had to do our best and use that.”

It took three days for the World Health Organization to confirm that the diplomat had Ebola three days later, he diplomat was dead, and the hospital was shut down. Okoli started to feel sick with a sore throat, but assumed it was stress and treated herself with antibiotics. ”I isolated myself, and kept them at arm’s length,” and called the newly-established local health line to send someone to test her for the disease. Two days later, she got a strange call back.

“He was stumbling, and he said “we’re sorry, there was a mix up, we have to take you to the hospital to take a sample.”

She wasn’t taken to First Consultants, but five hours away to another hospital, and when the ambulance doors opened again, everything had changed.

“I’m sorry, your test was positive, you have Ebola,” a health official told her.

“I called my mother, told her to lock my bedroom door from the outside, and that she shouldn’t worry, I don’t know how, but I’m going to survive.” She was sealed into an isolation ward with five other female patients.

At 28 years old, she found herself sitting in the isolation ward, in the bed next to the pregnant nurse who had had the diplomat’s blood spattered all over her.

“But I said I know this is not the end for me.” She remembered opening the Bible at random three years prior, when her eyes fell on a verse: Jeremiah 29:11.

‘“For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future.

“I talked to God, ‘this is what you told me,’ so when I was sitting in the isolation ward in August 2014, I had to remind God of what He said, that He is not a liar and He has plans for me.” So she fought….

Okoli used her clinical skills and treated herself as her own patient. She researched Ebola obsessively until she found a deadly symptom she could treat: dehydration.

She carefully monitored her own body-changes in her urine color and the consistency of her nearly constant diarrhea— treating herself with high doses of water. Finally, she began to get her appetite back, and not just for anything, but for bananas.

“The problem with persistent diarrhea is that you lose a lot of potassium and risk going to cardiac failure, which can lead to death,” she explains.

By the nurse’s bed next to Okoli’s, “I saw that her fiance had brought her all these bananas and she wasn’t eating them, but I had this urge to eat all the bananas.

“I don’t know if it was divine or coincidence, but I happened to have bananas when I need them most,’ she says.

Okoli got stronger, and started helping tend to and counsel the other disheartened patients on the ward. Fourteen days later, her blood was ebola-free and leaving the isolation ward bordered on religious, ritualistic experience.

“I was given a pair of scissors

and cut the red tape that was separating the isolation ward from the rest of the world.” When she cut that tape, “I felt like I’d been reborn, and something had died in that ward when I was there.

“The new me was someone that had decided not to be rebuked, to be a doctor, to help people. Doctors need to know how to handle Ebola. It should arise not just out of someone who knows infectious disease but a public health concern. She has since excelled in her studies there, given birth to a daughter, Valerie, now two, and will graduate in May.

Her plan is to spend a year conducting research on the pattern of epidemics, not just Ebola, before returning to Nigeria to help treat and educate others, even in the face of the threat of contracting another life-threatening disease.

“I have fear, but… If I had died in that isolation ward, I wouldn’t even have the opportunity to talk about or consider infectious disease, so I make the most of whatever time I have, to affect path for others.

“Everyone has a story…something that resonates with them, and whatever you have in your hand…use that to possibly make change that affects more people positively.”