Super Health Webinar -how to turn your health ‘switch’ on

Hello friend,

Do you want more energy?

Fed up of horrible skin?

Confused about what a healthy meal really is?

Struggling with your weight?

Wishing you had a personal physician to decode it all?

My new (free) Health Webinar is what you need!!!

In this free training session I will be teaching you:

  • Two ticking bombs to avoid in your health journey
  • Why these health bombs can stop you in your track
  • How they are the enemies of your children and family
  • How eating the wrong food makes you hungrier (and fatter!)
  • And so much more!

My simple, powerful and easy-to-implement tips will completely RESET your health.

The health webinar will be LIVE on Tuesday 4th October 8pm.

Register here for free now

The session will last approximately 35 minutes..

Click here to register for this live session now

I am going to help you ensure that you end 2016 on the perfect note health-wise.

PLUS at the end of the session you’ll also receive my FREE eBook ‘Three things that are killing our children’. If you are a parent or have a niece or nephew, you NEED to read this!

Having been a doctor for nearly 20 years, I am deeply saddened that a lot of illnesses are the result of ignorance and I am on a mission to CHANGE that.

My passion is health and this webinar is packaged to help you through the maze of conflicting information out there and help you on the road to great health.

Let’s do this!

Dr Adaeze

PS. once again, this is a LIVE session (webinar) and it will be on Tuesday 4th October at

  • 8pm GMT

Click here to register

 

Top Ten Women health issues

imageWe’ve come a long way since 1995–and it is time to celebrate women and their achievements. But it is also time to take stock of how women’s rights are fulfilled in the world –especially the right to health. Twenty years after countries signed pledges in the 1995 Beijing Declaration and Platform of Action, women still face many health problems and we must re-commit to addressing them.

Here are ten of the main issues regarding women’s health that keep me awake at night:

Cancer: Two of the most common cancers affecting women are breast and cervical cancers. Detecting both these cancers early is key to keeping women alive and healthy. The latest global figures show that around half a million women die from cervical cancer and half a million from breast cancer each year. The vast majority of these deaths occur in low and middle income countries where screening, prevention and treatment are almost non-existent, and where vaccination against human papilloma virus needs to take hold.

Reproductive health: Sexual and reproductive health problems are responsible for one third of health issues for women between the ages of 15 and 44 years. Unsafe sex is a major risk factor – particularly among women and girls in developing countries. This is why it is so important to get services to the 222 million women who aren’t getting the contraception services they need.

Maternal health: Many women are now benefitting from massive improvements in care during pregnancy and childbirth introduced in the last century. But those benefits do not extend everywhere and in 2013, almost 300 000 women died from complications in pregnancy and childbirth. Most of these deaths could have been prevented, had access to family planning and to some quite basic services been in place.

HIV: Three decades into the AIDS epidemic, it is young women who bear the brunt of new HIV infections. Too many young women still struggle to protect themselves against sexual transmission of HIV and to get the treatment they require. This also leaves them particularly vulnerable to tuberculosis – one of the leading causes of death in low-income countries of women 20–59 years.

Sexually transmitted infections: I’ve already mentioned the importance of protecting against HIV and human papillomavirus (HPV) infection (the world’s most common STI). But it is also vital to do a better job of preventing and treating diseases like gonorrhoea, chlamydia and syphilis. Untreated syphilis is responsible for more than 200,000 stillbirths and early foetal deaths every year, and for the deaths of over 90 000 newborns.

Violence against women: Women can be subject to a range of different forms of violence, but physical and sexual violence – either by a partner or someone else – is particularly invidious. Today, one in three women under 50 has experienced physical and/or sexual violence by a partner, or non-partner sexual violence – violence which affects their physical and mental health in the short and long-term. It’s important for health workers to be alert to violence so they can help prevent it, as well as provide support to people who experience it.

Mental health: Evidence suggests that women are more prone than men to experience anxiety, depression, and somatic complaints – physical symptoms that cannot be explained medically. Depression is the most common mental health problem for women and suicide a leading cause of death for women under 60. Helping sensitise women to mental health issues, and giving them the confidence to seek assistance, is vital.

Noncommunicable diseases: In 2012, some 4.7 million women died from noncommunicable diseases before they reached the age of 70 —most of them in low- and middle-income countries. They died as a result of road traffic accidents, harmful use of tobacco, abuse of alcohol, drugs and substances, and obesity — more than 50% of women are overweight in Europe and the Americas. Helping girls and women adopt healthy lifestyles early on is key to a long and healthy life.

Being young: Adolescent girls face a number of sexual and reproductive health challenges: STIs, HIV, and pregnancy. About 13 million adolescent girls (under 20) give birth every year. Complications from those pregnancies and childbirth are a leading cause of death for those young mothers. Many suffer the consequences of unsafe abortion.

Getting older: Having often worked in the home, older women may have fewer pensions and benefits, less access to health care and social services than their male counterparts. Combine the greater risk of poverty with other conditions of old age, like dementia, and older women also have a higher risk of abuse and generally, poor health.

When I lie awake thinking of women and their health globally, I remind myself: the world has made a lot of progress in recent years. We know more, and we are getting better at applying our knowledge. At providing young girls a good start in life.

And there has been an upsurge in high-level political will – evidenced most recently in the United Nations Secretary-General’s Global Strategy for Women’s and Children’s Health. Use of services, especially those for sexual and reproductive health, has increased in some countries. Two important factors that influence women’s health – namely, school enrolment rates for girls and greater political participation of women – have risen in many parts of the world.

But we are not there yet. In 2015, in too many countries, “women’s empowerment” remains a pipedream – little more than a rhetorical flourish added to a politician’s speech. Too many women are still missing out on the opportunity to get educated, support themselves, and obtain the health services they need, when they need them.

That’s why WHO is working so hard to strengthen health systems and ensure that countries have robust financing systems and sufficient numbers of well-trained, motivated health workers. That’s why WHO, with UN and world partners, are coming together at the UN Commission on Status of Women from 9-20 March 2015 in New York. We will look again at pledges made in the 1995 Beijing Declaration and Platform of Action with a view to renewing the global effort to remove the inequalities that put decent health services beyond so many women’s reach.

And that is why WHO and its partners are developing a new global strategy for women’s, children’s and adolescents’ health, and working to enshrine the health of women in the post 2015 United Nations’ Sustainable Development Goals. This means not only setting targets and indicators, but catalysing commitments in terms of policy, financing and action, to ensure that the future will bring health to all women and girls – whoever they are, wherever they live.

Dr Flavia Bustreo, Assistant Director General for Family, Women’s and Children’s Health through the Life-course, World Health Organization,

Register for the Afrocaribbean health event here http://www.eventbrite.co.uk/e/celebration-of-afro-caribbean-health-wellness-registration-16119556026
-99% of attendees felt the Afrocaribbean health event was worthwhile and met their specific needs.

“Understanding Contraception” is Amazon’s Best-seller in three categories!!!

Have you read ”Understanding Contraception”? Hear what others are saying about the new book ”Understanding Contraception: A guide for Black Ladies”

Get informed and have a laugh along the way!

”Understanding Contraception” is Amazon’s Bestseller in three categories!!!

image

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WOW!!

It is such an interesting, easy read and funny book too. I see this book placed in schools and university libraries. It’s such valuable information that people don’t like talking about except when they are in trouble. – Placida Acheruo Brand Visibility, Marketing and Monetization Strategist at Coaching 4 Excellence

Understanding Contraception: A guide for Black ladies fills a major gap in knowledge and should be made widely available to women from all walks of life both in the UK and all over the world. – Naana Otoo-Oyortey MBE Executive Director, FORWARD (Foundation for Women’s Health Research and Development) 

If one was writing the essential and desirable characteristics for a job as “Sexual well-being promoter for Black women”, Dr Ifezulike’s experience would provide the model description. This book will teach you about fertility control and infectio prevention by wrapping sexual and reproductive facts with real-life stories from Dr Adaeze’s caseload. -Dr Susie Logan MB ChB MD (comm.) MRCOG MFSRH Consultant Gynaecologist National University Hospital  Singapore Formerly Consultant in Sexual & Reproductive Medicine NHS Grampian Aberdeen, Scotland, UK

View this awesome review by the amazing Whole Woman Network team.

Buy your copy now. Happy reading!!

understanding contraception

buy nowCLICK HERE TO GET IT ON AMAZON

HIV? Me? No, I am married!

Mma looked at me her eyes filled with tears. She was so overcome with emotion that she could hardly speak. I had to look down as I felt my own tears gathering behind my eyelids. I must remain professional. I must not get drawn in.

“Doctor, are you sure? Are you sure this is my result? Could there be a mistake?”
I swallowed the lump in my throat. I had seen this scenario many times and it never gets easier.

“I am sorry, Mma. This is the second time we’ve done it and it’s still positive.”

“But how could that be?” she burst out. “How could I be HIV positive? I am married! I don’t sleep around.”

She stopped again as the tears gathered, her shoulders shook as she cried, so broken, so devastated by the information I had just given her.

I had tried to be as gentle as I could. I’d given the usual warning shot and let her know that I had no good news for her. But still, no matter how we prepare patients to receive the news, it’s never easy to hear that you have HIV.

I swallowed back the words I was about to speak. Decided to allow her time to cry. After a while, she raised her head.

“Doctor, please tell me, how could I be HIV positive? I was brought up to be well behaved. I met my husband when I was a virgin. I never so much as showed any man my pants before then. And in twenty-four years of marriage, I have never slept with anyone else, apart from my husband. So how could this be?”

“There are several ways of contracting HIV. We would have to look and see how this might have happened. Sleeping with someone infected with HIV is one way of catching it. But there are other ways.”

“Other ways?”

“Well, for instance, if you’ve ever had a blood transfusion that was contaminated with HIV…”

“I’ve never had a blood transfusion.”

“Injected drugs before?”

“No!”

“Okay, so those are out. Another way would be if you were accidentally pricked with a needle that had the virus on it…”

She paused as she gave it some thought.

“No, I haven’t ever had any injections. I had immunisations as a child but that wouldn’t have caused it, I don’t think.”

“Okay,” I replied. “Another way will be if for example…” I paused. It is never easy talking about sensitive issues like infidelity. I cleared my throat and continued: “if for example your partner has slept with someone who has HIV or if he ever received blood contaminated with HIV.”

She looked at me. Her eyes widened as realisation dawned on her. Then she asked in a quiet voice. “Do you think I may have got this from my husband?”

“I have no idea. You know best what may have happened.”

She looked away.

“I never imagined I would be HIV positive. I thought it only happens to people who are careless and have no morals. But not to me – I’ve never done anything wrong…”

She started crying again.

“Perhaps we could meet up in the next few days and talk about what you want to do.”

“Yes.” She shook her head, lost in grief.

Stay tuned as we follow Mma on her journey with HIV.

Do you know that, as current figures stand, an estimated 1 in 32 black women in the United States will be diagnosed with HIV in the course of their lives?

• How are our Black sisters getting HIV?

• What should we be doing to change the statistics?

I don’t want my wife to be sterilized!

“No doctor, I really don’t want to go down the condom route. There is just no way I could rely on condoms again. So please, as he doesn’t want to be sterilised,  just tell me what I need to do to get sterilised. I’m the one who has gone through the abortions and the child bearing. I think I am the one who will have to provide a solution to this since he is not willing,” she ended, gesturing at Baako.

“Eh..I didn’t say I am not willing. I’m just….”

“It’s okay, don’t worry. You can keep your manhood,” said Amina.

“Female sterilisation is getting your tubes tied and that means that when an egg is released from your ovaries, it cannot meet up with a sperm that has traveled up the vagina. If the egg cannot meet the sperm, no pregnancy can result.”

“How do you tie the tubes then?” asked Baako. “With a belt or what? Sorry, just asking,” he laughed when Amina threw him a scathing look.

I noted how relaxed he was now the pressure was off him.

“There are two ways of doing it. We could make tiny cuts on your tummy and, through them, find your tubes with special cameras and then cut and tie them or use clips to occlude them. That way you will only have very tiny scars. They’re barely visible. The other way is by passing special flexible tubes up your womb from your vagina. A tiny spring is inserted into each fallopian tube which then occludes the tubes. Both methods are very effective in preventing pregnancy. I must add that these are permanent methods of contraception.”

“So what if we want to have more children?” Baako asked.

“More children!? What are you saying? I thought we had agreed to stop?”

“Eh…but you never know…we may change our minds…”

“Then this method is not for you,” I replied.

“Doctor – please carry on,” said Amina.

“As I always say: ultimately the decision is yours and we are just here to help. Hopefully you can both decide on a method that is mutually acceptable. Sterilisation does carry a small risk of failure. If that happens and a woman falls pregnant, then it’s likely to be an ectopic pregnancy. That’s a pregnancy in the tubes rather than in the womb.”

“You hear that!” exclaimed Baako.

“It’s a very small risk. I must add that there are many women who have had ectopic pregnancies who have never been sterilised. One last thing – sterilisation can be reversed but it’s not always successful.”

“Doctor, I’ve thought about it and that’s what I’d like to do. What do I have to do next?”

positive steps

“No!’ said Baako. “I don’t want you to get sterilised.”
“What!” Amina was annoyed.

“Yes doctor, what do you call a woman who is sterilised? A man?”

“What worries you about your wife going forward with this procedure?” I asked gently.

“It’s just so permanent eh! And also won’t it affect…”

“Affect what?” Amina asked.

“I don’t know… please let’s go back to condoms. Doctor, you were going to tell us about condoms. Just tell us about that. Forget all these permanent methods. I don’t want to hear about them.”

Amina sighed.

“Okay, then, let’s talk about condoms.”

Baako and Amina had already decided that their family was complete, which was why he wanted Amina to have an abortion. What do you think about Baako’s attitude? Why does he oppose his wife’s sterilisation?

WHO figures for female sterilisation are as below:
Uganda 2.4%
Togo 0.3%
Nigeria 0.2%
Angola 0.1%
Dominican Republic 47%
South Korean 24%

Just like male sterilisation, the concept of female sterilisation is yet to be established in Black communities.

Should we be promoting it??

Consider that the maternal mortality rate (i.e the number of women who die at childbirth) is 840 out of every 100,000 live births in Nigeria
and 790 in Zimbabwe compared to 12 in U.K.

The issue of unplanned pregnancies must be tackled.

As usual, your thoughts are welcomed. Feel free to comment below. If you found this useful, please share with your network by clicking the relevant button below.

Thanks to those who have sent in comments 😀 We absolutely love to hear from you!

Sterilisation? That’s castration, right??

Last week we found out that Amina and her husband decided to go for an abortion. The last post can be read here https://adaezeifezulike.wordpress.com/2013/10/06/its-my-wifes-fault/

In the UK, the organisation that regulates doctors (called the General Medical Council or GMC for short) recognises that some doctors may have a conscientious objection to some procedures, such as abortion. The GMC’s guidance is clear: whatever a doctor’s beliefs may be, the doctor MUST signpost patients to where they can get the help they require. So even if the doctor has conscientious objections, they have to send you to someone who will help you. This must be done without delay and in a non-judgemental manner.
So I directed Amina to colleagues who ensured that she got what she wanted.

She was back with her husband, Baako, to see me the following week. This time, she was determined that the issue of contraception must be sorted.

“I’m never ever going to have another abortion. I think two is enough!”

positive steps

“Okay. So what do you want to use?”

“Well…” She shuffled her feet as she thought it over.

“I’m not going to be sterilised,” her husband cut in, “so forget that.”

Amina looked at him angrily. “What’s the matter with you? What are you afraid of? We’ve got the number of children we want, why don’t you get sterilised?”

“Why should I be the one to be sterilised?” He shot back.

I decided it was time to make a suggestion. “Perhaps you can tell me what you are worried about and we can talk about it.”

“Look doctor, this is what makes a man a man! I cannot go and be castrated like a dog or a bull: I am a man!”

“Okay,” I said, trying not to smile. I saw Amina roll her eyes in exasperation.

“Any other concerns?”

“Besides, it’s just these Oyibo people that introduced all these things. How would a man open his mouth and tell his kinsmen that he is sterilised? How would that sound, doctor? How would that sound?”

“I see. Anything else?”
“Are these not enough reasons, doctor? And besides…”
“Yes, go on…”

“Yes!” Amina chipped in. “Tell the doctor, tell her!”
“What if…”
“He is afraid that the children and I may die.”

“I don’t mean it like that! Shut up woman! But doctor, you know what I mean… supposing something happens to my wife and children, what will happen to me then, eh? Does it mean I will not then have the capacity to impregnate a woman again?”

“I hear all your concerns and will take them one by one. Let’s start with the first one.’
“You said that this is what makes a man, a man… Well, I think there is more to a man than being able to impregnate a woman. I guess you are worried about your erection and being able to make love to your wife. I want to reassure you that sterilisation does not affect that ability at all. When you are sterilised, your tubes are tied but the penis is not affected and you should still have a strong erection and achieve penetration with your wife. Do you understand?”

“Are you sure, doctor? You know you people say one thing and then do another thing.”

“I assure you that your normal erection and sexual drive is not affected when you are sterilised. In fact some women enjoy sex more because they are not worrying about getting pregnant.”
“Okay, if you say so.”

“Your other concern was about what people will say. Yes, it’s still a foreign concept and not one that everyone understands or agrees with. So it might be best to keep it to yourself. You don’t have to tell anybody what goes on in your bedroom. It’s not their business, is it?”
“No.”

“Besides, something foreign doesn’t have to be evil. Remember that Mary Slessor came and stopped the killing of twins in black communities. It was a foreign concept among our people who felt that twins were evil. But we know now that she was right. So sterilisation is foreign to our culture but that does not mean it is wrong.”

“Okay. What of my third concern?”
“Well, you wondered what may happen if your wife and children should die.”

“What if you die, eh? Why must it be the children and I who die?” Amina interjected.

“Well, I understand your concern,” I answered Baako, “and again, this fear is rooted in our culture. In the past, we had many children because many of them died from diseases and poor living conditions. We had twelve, sixteen and even twenty children and in the end perhaps five survived. But now, things have improved. So if you follow that same mentality and have ten children, you may find that ten of them survive. So one shouldn’t have many children out of fear that some of them might not survive. It doesn’t work like that anymore. Does that answer your question?”

“Yes, okay. I will think about it but I still prefer condoms…”

“Eh… but condoms failed us,” said Amina.

“Whose fault is that?”

“Perhaps we should talk about condoms just to balance things up and see why they failed?” I asked.

My discussion with them concerning condoms and how to use them correctly and consistently will follow soon. Please stay tuned and dont forget to tell your friends (and foes!) about the blog 😉

Remember to send in your comments in the comment section just below this post. Our contraception poll will be closing soon. If you haven’t participated, you can still do so here https://adaezeifezulike.wordpress.com/2013/10/01/lets-know-what-you-think/

So what are your own thoughts about sterilization? Have you or your husband been sterilized? How did it go? Do you regret your decision? Or is it the best thing that has happened to you? What will it take for you to be sterilized?

Please tell us….we are desperate to know 😀

It’s my wife’s fault!

So Amina came back to see me as planned. If you are new to the blog, please read the previous articles here https://adaezeifezulike.wordpress.com/2013/09/25/contraception-to-ignore-it-or-tackle-it-that-is-the-question-2/ and also https://adaezeifezulike.wordpress.com/2013/09/30/youre-pregnant-congratulations-or-not/.

This time, I was pleased to see that she’d brought her husband with her. Studies show that if men are involved in making decisions about contraception, the women are more likely to continue with the method jointly chosen and are more tolerant of side effects. So ladies, take your husband along with you to the family planning clinic if you can.

After they both sat down and we finished with the pleasantries, the husband said: “I came so I can see this doctor who is suggesting adoption to my wife.” He was angry. “How could you even suggest such a thing?”

I gave Amina my best what-have-you-been-telling-your-husband look. I was taken aback.

“How would she carry the pregnancy? Everybody will see her pregnant and then what will we say to people when there is no baby in the end?”

‘I won’t let anyone know I am pregnant…’ Amina ventured timidly.

‘Indeed, when you start spitting all over the place, how won’t people know? And when the tummy starts showing, what would you say is inside there? Food?’

I stifled my laughter.

“We were just discussing possible options to abortion,” I explained. “I do the same with any woman who presents for an abortion; but of course the ultimate decision lies with you and we are here to help whatever your decision. I just try to make sure you’ve thought things through.’

I could see him visibly relax as I explained.

“Abortion is not like having your tooth taken out, you know.”

“Okay, I see,” he said, his voice quieter.

“All this wouldn’t have happened if she’d been more careful,” he continued gesturing at Amina.

“Me?!” Amina recoiled at the accusation. I could see tears forming.

“How do you mean?” I asked.

“’Doctor please tell her she needs to ensure she doesn’t keep getting pregnant. Even little girls of 16 years know how to not get pregnant.”

“What do you think you could do to help the situation?”

“Me?”’ He was thrown by my question. “But this is her responsibility. She is the one getting pregnant.”

“Have you ever considered getting sterilised?”

“What?! First you talked of adoption, now you are saying sterilisation! Surely you don’t understand our ways even though you are one of us. A man doesn’t get sterilised.”

“Okay, I look forward to discussing that at another time with you but, for now, let’s hear what you’ve decided to do about this pregnancy.”

“Abortion of course.”

I looked at Amina to get her consent. “Yes doctor, we will go for an abortion,” she said quietly.

“Okay.”

“So what do we do next?” She asked.

I shall be discussing what happens on the next blog so be sure to click the follow button so you don’t miss out.

What do you think about male sterilization?

Consider these statistics from the World Health Organisation (WHO) 2013 on contraceptive use. The percentages using male sterilisation for different countries are as below:

Canada 22%

UK         17%

Namibia 0.8%

South Africa 0.7%

Uganda  0.1%

Zambia 0.1%

It’s obvious that the concept of male sterilisation hasn’t taken root among black communities.

Should we be promoting male sterilisation? What do you think is the reason why black men do not go for sterilisation even when they are sure their families are complete?

Don’t forget to participate in the poll on contraception here https://adaezeifezulike.wordpress.com/2013/10/01/lets-know-what-you-think/. I value your input immensely. You are the reason for the Blog! Thank you for reading.

Feel free to leave a comment in the comment section. Till next post, stay strong!

Dr Adaeze.

You’re pregnant! Congratulations! (Or not?)

A warm welcome to today’s post! I trust you have had a great time since the last blog and that you are already inspired to take positive measures towards better sexual well being.

positive steps

Why not let other black sisters know what new steps you’ve taken. Drop a comment in the box below and you can also let me know if there are any burning sexual health issues you would like to discuss.

One of the commonest things ladies ask me about is contraception. Once I have been introduced to a woman and she learns that I am a doctor, the very next chance she has, she pulls me aside and say ‘Oh doctor, I have been meaning to see someone about this, please what contraception should I be using?’

People want answers to medical issues that they face daily and that is a good thing. The more informed we are, the more equipped we are to make positive choices.

This blog looks at sexual health issues. Make sure you click the ‘follow’ button so you don’t miss out on any posts.

So – do you remember Amina?-(If you haven’t met Amina, please read my earlier blog at https://adaezeifezulike.wordpress.com/2013/09/25/contraception-to-ignore-it-or-tackle-it-that-is-the-question-2/).

She found herself with an unplanned pregnancy and had come to the family planning clinic to request an abortion. This happens only too frequently.

We had established that Amina used condoms sometimes and nothing at other times. We will be focusing on condom use in a later post… so watch out!

“So how would you want to proceed from here?” I asked, gently.

“What else can I do, doctor? Abortion is my only option! We couldn’t possibly afford a fourth child,” her eyes brimmed over with tears again.

“How would you feel if I mentioned some option?”

“Like what, doctor?”                                                                                                                  “What are your thoughts about adoption?”

“What! Have the child and then give it away? God forbid!” She exclaimed. “Our culture does not support adoption…You should know that, doctor,” she ended reproachfully.

“Well, more and more black families are choosing to adopt children, especially those who can’t have their own kids,” I replied with a smile.

“I really don’t know about that. I don’t think I could go down that route, doctor. Any more options?” She asked hopefully.

“What about keeping the pregnancy?”

She shook her head slowly and gave a loud sigh. “We can’t afford another child, really. But I will discuss adoption with my husband and see what he thinks.”

“Ultimately the decision is yours and we are here to help. It’s only fair I highlight other options to you and you can let me know what you decide to do. Shall I see you back in two days or a week’s time?”

She booked an appointment for a week’s time.

When faced with an unplanned pregnancy, what do you do? Many black communities see adoption as something foreign and that means that option is not even considered in many cases. Should we encourage more adoption? What are your views?

What other options are there to abortion?
abortionWhat would you put in the fourth small circle on the left? Remember: the whole point of this blog is to prevent you from getting to the point where you face an unplanned pregnancy in the first place. Effective use of contraception will help this.

Amina came back to see me a week later. I am sure you would want to know what she decided to do so please stay tuned.

Until next time, have a great week!

Dr Adaeze.