This patient was operated on by Mr. Oluoch Olunya in 2012 and had a complex and lengthy surgery, ANDREF supported him at that time and the operation took 8 hours. His symptoms are recurring and his prognosis is serious. More tests were paid for by ANDREF and now there are some decisions that need to be made and a second opinion with other surgeons that need to be sought. This will be followed by Mr. Oluoch Olunya.