Truckpusher:
A layman with some basic medical training from safety courses will stabilize that patient without having to use any consumable.
I hope you find yourselves under such circumstances and be treated the same way.
Oloshi.

Please educate me. How my good Sir?

cosmatika:
Tears run down my cheek as I type this. I went into d medical profession to Save lives, but today I watched a patient die and I could do nothing.
It was around 11am today, 26th Dec 2015, I wz in the emergency room as the only Dr & House officer on call in a state Specialist hospital wen a peugeot wagon followed by a police van drove in. They opened d doors & trunk and started bringing out Accident victims. I did a quick triage & saw dat d 2 in d trunk were in a more critical condition, So d immediate plan was to refer d 2 to FMC wia dey hav better hands and equipment to handle it. So I asked d policeman who d driver is so dat d 2 will be rushed to FMC & he said he died at d Accident scene. I ran outside to buy airtime to start calling other HOs, b4 I could return, dey had dropped d 2 & drove off.
I called other HOs, only 2 showed up, others had travelled. To my greatest suprise, I called a medical officer who is a snr colleague in d proffession, she said I shud nt touch anyone till dey paid. That I shud Infact refer all of dem. I was incapacitated, d patients were in pains, crying, calling on us to help, some already unconscious, but we couldnt help cos we have an order frm above.
Within 5mins, 1 young lady in her early 20s died. Abt 10mins later, another police van came and carried d remaining 7 to FMC.
This evening, some road safety corps came to inquire if any Accident victims were brought to our center. They had retrieved d manifest frm d vehicle and contacted d families of d passengers. Dey came wit d relations of one of d patients, and wen I told dem 1 of dem died, dey asked for d Description of d 1 dat died and I showed dem d pix of d gal dat died, behold she was d 1 dey were looking for and right there was the gal's fiancee. Their traditional wedding was to be in 3days tym
I want to use this medium to call on the govt to make policies dat"ll enable Drs treat patients in such condition. Let's Save the human race

would you have been sacked if you had treated them without pay?

cramjones:


You are such an idiot to assert that! What he is saying is true. An accident victim came, you could not even at least do the following:

-Secure IV access, since they may be loosing blood.

-Take blood for urgent PCV, grouping and cross-matching for any emergency transfusion that the critical ones you triaged may need.

-At least examine the patient as a whole, look out for areas of injury, palpate the abdomen and make sure there is no guarding that could suggest internal organ rupture like the spleen.

-Provide pain relief etc etc.

-Did they not teach you the ABC of rescusitation? You don't know that A starts for

A- Airway
B-Breathing
C- Cardiac function
D - Drugs
E - Examination (Quick)

- How stupiid are you that critical patients would be brought to your center (Accident and Emergency), and the first thing you are saying is for them to be referred? Is your work place a Babalawo center that you have to refer them at just sighting them? Won't you make sure that they are in stable condition first.

-You are stupidly calling on the government - to do what? Are they doctors? Do they know how to rescucitate patients? you foolishly called your lazy asss medical officer...what do you expect... Infact, if I am Seun and moderators, I would ban you from Nairaland!

-You are a house officer for goodness sake, the first on call, you ought to have stabilized the patients before calling anyone.

-You should be ashamed to call yourself a doctor. If anything you and the hospital should be sued and made to repeat your housemanship!

Nonsense!

-CramJones

Instead of insulting him, insult the policy that does not have in place emergency care for accident patients. We keep quoting civilized countries but what has your country put in place for such situations? The only thing he could do from your list , he did it I.e examination. There are hospitals in Nigeria without oxygen cylinders, blood or blood products or drugs for normal patients. Every other thing on your list requires money, who will pay? The hospital should have a plan for such events but obviously they don't. Is it the doctors fault that the hospital is ill equipped for him to save lives. He not only has a conscience that he called other doctors to help at least he knew his limit. I know of government hospitals that will not allow you to enter the hospital ;from the gate you will be referred to another hospital. You could use his story as a rally point to demand efficient health care in our hospitals but it is better to attack the messenger.
Until we call a spade a spade Nigerians will continue to suffer.

cosmatika:
Tears run down my cheek as I type this. I went into d medical profession to Save lives, but today I watched a patient die and I could do nothing.
It was around 11am today, 26th Dec 2015, I wz in the emergency room as the only Dr & House officer on call in a state Specialist hospital wen a peugeot wagon followed by a police van drove in. They opened d doors & trunk and started bringing out Accident victims. I did a quick triage & saw dat d 2 in d trunk were in a more critical condition, So d immediate plan was to refer d 2 to FMC wia dey hav better hands and equipment to handle it. So I asked d policeman who d driver is so dat d 2 will be rushed to FMC & he said he died at d Accident scene. I ran outside to buy airtime to start calling other HOs, b4 I could return, dey had dropped d 2 & drove off.
I called other HOs, only 2 showed up, others had travelled. To my greatest suprise, I called a medical officer who is a snr colleague in d proffession, she said I shud nt touch anyone till dey paid. That I shud Infact refer all of dem. I was incapacitated, d patients were in pains, crying, calling on us to help, some already unconscious, but we couldnt help cos we have an order frm above.
Within 5mins, 1 young lady in her early 20s died. Abt 10mins later, another police van came and carried d remaining 7 to FMC.
This evening, some road safety corps came to inquire if any Accident victims were brought to our center. They had retrieved d manifest frm d vehicle and contacted d families of d passengers. Dey came wit d relations of one of d patients, and wen I told dem 1 of dem died, dey asked for d Description of d 1 dat died and I showed dem d pix of d gal dat died, behold she was d 1 dey were looking for and right there was the gal's fiancee. Their traditional wedding was to be in 3days tym
I want to use this medium to call on the govt to make policies dat"ll enable Drs treat patients in such condition. Let's Save the human race

Hey doc,i feel u..my bae called me sometym ago,all emotional telln me hw a patient(a little baby) was lost...nd how dey all tried...4get all dese pple saying thrash...I'm not a Dr,but being close 2 one has made me understand how powerful the command chain is in a govt hospital.D order 4rm ur superior is almost impossible 2go against even wen a life is being endangered.sometyms,u're torn btwn following a snr reg or consultant's order nd doing wat u knw is best for a patient...That woman is wicked tho...Does emergency need payment first in a govt hospital? who was she even expecting to mak payments dat night nd being an accident victim...Doctors re nice,bt dat lady was heartless.may God have mercy.Keep Doing all u can 2save a life.

matrixme:
I wonder how you think that obeying an higher authority when a whole human life was at stake was a greater priority to you. You had the chance to save that woman's life but you didn't damn the consequence. You should find a better way to deal with your guilt than this, because it is painful to us the readers much more.

Exactly, e dey pain me die.
The op shld be shot in the head.stupid doctor

Rejecting accident victims without treatment is an offence under the National Health Act 2014. Can you kindly send me the name of the hospital and the doctor who gave such order.

The main reason our Government must invest more in the health sector.
I personally don't blame the Doctor that gave orders not to touch anyone, unless payment is made. She would have been directing, from previous experience.
If the Government cannot provide health service at all levels, a new road map on our health sector funding must be worked on.

cosmatika:
Tears run down my cheek as I type this. I went into d medical profession to Save lives, but today I watche human race

some of you wil live a good life,have all the thimgs u want in life and when u think u ve done ur best to go heaven then Satan will stood on ur way and remind you ur silly actions as an accomplice in the murder of someone who is suppose to live because you refuse to do the right things,useless
country,useless leaders,useless citizen I weep for the dead

kindredspirit:
........ " d patients were in pains, crying, calling on us to help, some already unconscious, but we couldnt help cos we have an order frm above.
Within 5mins, 1 young lady in her early 20s died"[b]

Op, you're Dr Hannibal Lecter, I presume?

u get time

emmchi:
I think saving a life is paramount irrespective of the order from above.

Correct, my guy

prisiluv:

Hey doc,i feel u..my bae called me sometym ago,all emotional telln me hw a patient(a little baby) was lost...nd how dey all tried...4get all dese pple saying thrash...I'm not a Dr,but being close 2 one has made me understand how powerful the command chain is in a govt hospital.D order 4rm ur superior is almost impossible 2go against even wen a life is being endangered.sometyms,u're torn btwn following a snr reg or consultant's order nd doing wat u knw is best for a patient...That woman is wicked tho...Does emergency need payment first in a govt hospital? who was she even expecting to mak payments dat night nd being an accident victim...Doctors re nice,bt dat lady was heartless.may God have mercy.Keep Doing all u can 2save a life.

Shut up already

Dio1:
Dirty and Nonsense House Officer.
Just tell us you didn't know how to stabilise the patient instead of seeking a means to justify your ineptitude, hide your head in Shame. You're responsible for the death of that girl.

I seem to agree with your comment.

There really is a policy on ground that emergency cases are treated as such, and at least basic treatments should be started in a public institution.


Op, don't you guys have an emergency tray in your A&E?
Wasn't your pharmacy open?

You failed in your primary responsibility in the care of your patient, and that supposed boss you called on phone will conveniently deny that your conversation ever occured.

In short, you should be given some extension in your A&E posting, in order to learn the basic mgt of trauma patients- A/B/C.

So you just folded your arms and was a spectator like the other market women and passersby who were responsible enough to bring the accident victims to the hospital.

Common IV canula you could not set in place. You could not ask the nurses to apply firm dressings even if you dont know how to secure hemostasis?

Like seriously? Even if those patients already had a poor prognosis and would still have died despite having all the necessary things on ground, you would have known you tried your minimum best, and not just watched them die doing nothing...

Leopantro:


Instead of insulting him, insult the policy that does not have in place emergency care for accident patients. We keep quoting civilized countries but what has your country put in place for such situations? The only thing he could do from your list , he did it I.e examination. There are hospitals in Nigeria without oxygen cylinders, blood or blood products or drugs for normal patients. Every other thing on your list requires money, who will pay? The hospital should have a plan for such events but obviously they don't. Is it the doctors fault that the hospital is ill equipped for him to save lives. He not only has a conscience that he called other doctors to help at least he knew his limit. I know of government hospitals that will not allow you to enter the hospital ;from the gate you will be referred to another hospital. You could use his story as a rally point to demand efficient health care in our hospitals but it is better to attack the messenger.
Until we call a spade a spade Nigerians will continue to suffer.

You are not a doctor, you have never worked in the Nigerian system, so just keep quiet. Even the foolish doctor that started this thread, knows that he is a major factor the patient died, not the hospital or any government policy. His ineptitude, incompetence, and half-baked knowledge killed the patient.

-CramJones

cramjones:

- How stupiid are you that critical patients would be brought to your center (Accident and Emergency), and the first thing you are saying is for them to be referred? Is your work place a Babalawo center that you have to refer them at just sighting them? Won't you make sure that they are in stable condition first.

CramJones

I know this is a serious thread but @bolded just had me rolling on the floor

flamingtiger:
Rejecting accident victims without treatment is an offence under the National Health Act 2014. Can you kindly send me the name of the hospital and the doctor who gave such order.

It is not enough to enact laws and not provide a framework for payments.
What payment plan(s) does the Government have in place to remit payments?

emmchi:
I think saving a life is paramount irrespective of the order from above.

Really U've got a good point but I want you to know that as a medical personnel like myself you must follow all orders and instructions from above. Cos if in the process of treating the patient in the name of pity and being humane, your license will go for it and you know what that means

[s]

Leopantro:


Instead of insulting him, insult the policy that does not have in place emergency care for accident patients. We keep quoting civilized countries but what has your country put in place for such situations? The only thing he could do from your list , he did it I.e examination. There are hospitals in Nigeria without oxygen cylinders, blood or blood products or drugs for normal patients. Every other thing on your list requires money, who will pay? The hospital should have a plan for such events but obviously they don't. Is it the doctors fault that the hospital is ill equipped for him to save lives. He not only has a conscience that he called other doctors to help at least he knew his limit. I know of government hospitals that will not allow you to enter the hospital ;from the gate you will be referred to another hospital. You could use his story as a rally point to demand efficient health care in our hospitals but it is better to attack the messenger.
Until we call a spade a spade Nigerians will continue to suffer.

[/s]

young man what policy are you talking about?

[quote author=kaziblake post=41372391]They are all the same. That was how they watch my father die in my arm without offering any help. General hospital,isolo. Wicked hospital stupid citizen[/quote ]Only you?.My mum died in a General hospital during Childbirth.She was bleeding profusely and drug to stop it wasn't available.She was carried by two persons not even on a stretcher into a private vehicle not even an abulance so she can be rushed to anotber hospital but she died on tbe way.Now this young lady is dead just few days to her day of joy.So sad.

cramjones:


You are such an idiot to assert that! What he is saying is true. An accident victim came, you could not even at least do the following:

-Secure IV access, since they may be loosing blood.

-Take blood for urgent PCV, grouping and cross-matching for any emergency transfusion that the critical ones you triaged may need.

-At least examine the patient as a whole, look out for areas of injury, palpate the abdomen and make sure there is no guarding that could suggest internal organ rupture like the spleen.

-Provide pain relief etc etc.

-Did they not teach you the ABC of rescusitation? You don't know that A starts for

A- Airway
B-Breathing
C- Cardiac function
D - Drugs
E - Examination (Quick)

- How stupiid are you that critical patients would be brought to your center (Accident and Emergency), and the first thing you are saying is for them to be referred? Is your work place a Babalawo center that you have to refer them at just sighting them? Won't you make sure that they are in stable condition first.

-You are stupidly calling on the government - to do what? Are they doctors? Do they know how to rescucitate patients? you foolishly called your lazy asss medical officer...what do you expect... Infact, if I am Seun and moderators, I would ban you from Nairaland!

-You are a house officer for goodness sake, the first on call, you ought to have stabilized the patients before calling anyone.

-You should be ashamed to call yourself a doctor. If anything you and the hospital should be sued and made to repeat your housemanship!

Nonsense!

-CramJones

A Airway

B Breathing

C Circulation

D Disability.

Never had of D for drugs before. But then I did not attend the medical school you went to.

Na wa o. This is really painful. It was easier for the senior doctor to give instructions from wherever she was because she was not on ground to see first hand. If she was there I doubt she would have given that order notwithstanding I don't think it was right to have done nothing. A house officer always finds his/herself is such difficult positions and the sad thing is if litigations comes the senior doctor will find a way to exonerate his/herself and push it back to the HO. In Emergency scenarios esp RTAs money shouldn't even be an issue, if only our health insurance policies were functioning as they ought to. May God help us!

[quote author=Augustbreak post=41373194][/quote]I'm sorry for your mum's death. That the reason why the rich sought for medical help abroad

fellis:


I know this is a serious thread but @bolded just had me rolling on the floor

No - it is true - A patient goes to a HOSPITAL and the FIRSTLINE doctor is looking for how to refer claiming no equipment. Then why is it a hospital? What equipment was he looking for? IV canulas? drip bags? pcv bottles to group and cross-match? This is pathetic....He has not business practicing medicine if he cannot do a simple resucisation! I am so annoyed at this stuupid guy calling himself a doctor. For his incompetence he is not only calling second on calls, he is now calling on government? To resuscitate the patient for you? How stupiid!

-CramJones

kelechiMarie:
honestly many ppl blaming the op would do the same in his shoes. We're only good at ranting online,when it comes to walking the talk many hide under covers.This is the result of a failed system,the op didn't have enough courage to go against it. Even those who have in times past have found themselves alone and their efforts futile #shame

Exactly,most of them will do worse.

Another thing I hate is this talk of "if it were your mother or sister". Call me insensitive all you want but she wasn't the mother nor sister. How many of them have given a stranger what they give their mothers or sisters? How many of them were there when the family was suffering to put him through school? How dare you lot try to equate yourselves to one's mother. There is nothing we won't do for our mothers but I challenge any of you who will willingly help a total stranger at the expense of your job, to step forward...

Analysiscorner:
would you have been sacked if you had treated them without pay?

He was given a direct order by a senior doctor not to treat. In an ideal setting, he will answer a query. From a doctor's standpoint, if he went ahead to treat, he will not be punished.
But Nigeria is not an ideal setting. Doctors have been sacked for disobeying senior doctors. As a junior doctor he must be under supervision, a case can be made from there.

eyinjuege:


I seem to agree with your comment.

There really is a policy on ground that emergency cases are treated as such, and at least basic treatments should be started in a public institution.


Op, don't you guys have an emergency tray in your A&E?
Wasn't your pharmacy open?

You failed in your primary responsibility in the care of your patient, and that supposed boss you called on phone will conveniently deny that your conversation ever occured.

In short, you should be given some extension in your A&E posting, in order to learn the basic mgt of trauma patients- A/B/C.

So you just folded your arms and was a spectator like the other market women and passersby who were responsible enough to bring the accident victims to the hospital.

Common IV canula you could not set in place. You could not ask the nurses to apply firm dressings even if you dont know how to secure hemostasis?

Like seriously? Even if those patients already had a poor prognosis and would still have died despite having all the necessary things on ground, you would have known you tried your minimum best, and not just watched them die doing nothing...

Your write up makes logistically sense, in a system that works.
Its simply a snapshot of how rotten our health sector is and how poorly funded it is!!!!!

Granted the op should have done better(set up a line,rush normal saline etc) but the blame ultimately lies on the Government.. The victims were brought in by policemen who dumped them there,meaning there was no family member to pay for treatment. The lady that died would have been kept alive with blood transfusions at least..But who will pay for the pints of blood?
This is where our govt is at fault..Emergency kits should be provided in all govt hospitals which would be used in cases like this and should be replaced by the patient's relatives before discharge.Ditto for blood. However,with my experience, I can boldly say that 75% of Nigerians will not replace it. If the patient dies,then 100% won't.
In summary,these occurrences will continue to happen until we all wake up and demand that the Govt does the proper thing instead of harassing the op on a faceless forum.

Flashh:
Guy, please don't embarrass us. Make sure you type in full words at some of your write ups.

You are already embarrassed even with very poor handwriting

cosmatika:
Did u read everything at all? I'm a house officer, d lowest in d medical ladder. Can't tek some decisions wtout my snrs. Its a govt hospt & nt my father's

House officer. Right. Even if an auxiliary nurse, and you know what you can do to save a dying man, history will judge you well if you do that. Come to think of it, the consequence of your action can't be higher than receiving a sack letter.

Bjergtrolde:


A Airway

B Breathing

C Circulation

D Disability.

Never had of D for drugs before. But then I did not attend the medical school you went to.

D stands for Disability and Drugs. More for drugs. E.g in cases where the patient is found to have say severe bradycardia of less than 60beats. You would expect this incompetent House officer to give a shot of adrenaline (which is a drug). But no - this house officer is totally useless! He is calling on government to stabilize a patient for him!

-CramJones

Let's not let our emotions override commonsense!!! What the OP wrote is bad, and cannot be called any other.
But let's holistically look at the rot and lack of funding, in our health sector!!!!

cosmatika:
Tears run down my cheek as I type this. I went into d medical profession to Save lives, but today I watched a patient die and I could do nothing.
It was around 11am today, 26th Dec 2015, I wz in the emergency room as the only Dr & House officer on call in a state Specialist hospital wen a peugeot wagon followed by a police van drove in. They opened d doors & trunk and started bringing out Accident victims. I did a quick triage & saw dat d 2 in d trunk were in a more critical condition, So d immediate plan was to refer d 2 to FMC wia dey hav better hands and equipment to handle it. So I asked d policeman who d driver is so dat d 2 will be rushed to FMC & he said he died at d Accident scene. I ran outside to buy airtime to start calling other HOs, b4 I could return, dey had dropped d 2 & drove off.
I called other HOs, only 2 showed up, others had travelled. To my greatest suprise, I called a medical officer who is a snr colleague in d proffession, she said I shud nt touch anyone till dey paid. That I shud Infact refer all of dem. I was incapacitated, d patients were in pains, crying, calling on us to help, some already unconscious, but we couldnt help cos we have an order frm above.
Within 5mins, 1 young lady in her early 20s died. Abt 10mins later, another police van came and carried d remaining 7 to FMC.
This evening, some road safety corps came to inquire if any Accident victims were brought to our center. They had retrieved d manifest frm d vehicle and contacted d families of d passengers. Dey came wit d relations of one of d patients, and wen I told dem 1 of dem died, dey asked for d Description of d 1 dat died and I showed dem d pix of d gal dat died, behold she was d 1 dey were looking for and right there was the gal's fiancee. Their traditional wedding was to be in 3days tym
I want to use this medium to call on the govt to make policies dat"ll enable Drs treat patients in such condition. Let's Save the human race

i have only one question. Do you remember the hippocratic oath you took?

cosmatika:
Tears run down my cheek as I type this. I went into d medical profession to Save lives, but today I watched a patient die and I could do nothing.
It was around 11am today, 26th Dec 2015, I wz in the emergency room as the only Dr & House officer on call in a state Specialist hospital wen a peugeot wagon followed by a police van drove in. They opened d doors & trunk and started bringing out Accident victims. I did a quick triage & saw dat d 2 in d trunk were in a more critical condition, So d immediate plan was to refer d 2 to FMC wia dey hav better hands and equipment to handle it. So I asked d policeman who d driver is so dat d 2 will be rushed to FMC & he said he died at d Accident scene. I ran outside to buy airtime to start calling other HOs, b4 I could return, dey had dropped d 2 & drove off.
I called other HOs, only 2 showed up, others had travelled. To my greatest suprise, I called a medical officer who is a snr colleague in d proffession, she said I shud nt touch anyone till dey paid. That I shud Infact refer all of dem. I was incapacitated, d patients were in pains, crying, calling on us to help, some already unconscious, but we couldnt help cos we have an order frm above.
Within 5mins, 1 young lady in her early 20s died. Abt 10mins later, another police van came and carried d remaining 7 to FMC.
This evening, some road safety corps came to inquire if any Accident victims were brought to our center. They had retrieved d manifest frm d vehicle and contacted d families of d passengers. Dey came wit d relations of one of d patients, and wen I told dem 1 of dem died, dey asked for d Description of d 1 dat died and I showed dem d pix of d gal dat died, behold she was d 1 dey were looking for and right there was the gal's fiancee. Their traditional wedding was to be in 3days tym
I want to use this medium to call on the govt to make policies dat"ll enable Drs treat patients in such condition. Let's Save the human race

Do not stand and talk about useless policy. Do not look for any policy to blame. Learn how to take responsibility for your actions.

How much are we talking about here? A million, 2, 10, 100 that will make you leave people to die?

You left them to die. What if any of them was you child?

You would have done everytning necessary to save them.

Are you happy now?

You may have to deal with this guilt for the rest your life.

Have you watched the film titled 24? Do whatever thing necessary to save a life even if it means going against the president himself.

My LORD JESUS CHRIST had to heal the sick on sabbath days as against the Jewish laws.

Dig it?

Good day!