Pifa:


Sinachay has already listed the deficiencies in the OR, but I'll reiterate.
__________________________________________________________

[size=20pt]I’ve purposely refrained from criticizing the architecture, which in itself is another subject altogether.[/size]





So, for now, I will stay with the operating room.

Operating Rooms generally should be windowless rooms where outside noise can be kept to a minimum. I certainly hope that they keep those windows closed at all times.

ORs, during operations, generate what is known is a sterile field around the operating table. The sterile field is a curtain of filtered air controlled by High Efficiency Particle Air filters (or HEPA filters to techies among you). Hospital-grade HEPAs can remove particles as small as .3 microns¹ or will allow so many of the said sized particles to pass through for every large volume of air. Techies sometimes refer to this as part per million or PPM. This OR fails falls short in that regard. All I see is a wall-mounted AC unit that will re-circulate airborne pathogens through its vents back into the OR.

If you’ve ever witnessed an operation (I’ve seen about 3 in my lifetime and that’s not counting the births of my children), you are asked to scrub and gown up (you wear the same type of smocks and booties doctors and nurses wear) before entering the operating room. Once you’re there, you must stay behind the sterile field and keep quiet. I do not see what creates the sterile field in the OR shown. I can only assume that C-sections are not performed in this hospital or they do C-sections without a sterile field.

Solutions I would propose:

1) block off all the windows. They will prove a distraction when the doctor is operating during rain storms and high winds. You don't really want lightning to distract the surgeon when he or she is operating on a patient, do you?
2) fix the sterile field issue by installing a roof ceiling-mounted HEPA system.
3) to accomplish 2), the ceiling may have to be raised. The ceiling of the OR seems a little too low to me. You can see that by looking at the relationship between the windows and the ceiling.

So, there you have it. I just gave you three basic fixes for the OR which really shouldn't take a genius to figure out.
 


Eko Ile,

The next time I criticize any of Fashola's projects, please ask me for what would be my solution. I will welcome that challenge.
 
 

¹ As a perspective for those who are not of technical bent, the diameter of human hair is about 40-90 microns, depending on race, health and age. So a 0.3 micron particle is very, very small.
   

Over to Gbawe. . .
Sane medical professionals have entered the thread.
Please, we need toilets. . . .TOILETS!!!!

Ileke-IdI:

No need to sound ignorant, but are Nigerian doctors and nurses well-learned to operate those technologies? It's one thing to have them, it's another thing to operate them correctly.

Just asking.

What technology? Operating room equipments?

ziga:

Well, i can tell you are trying to be reasonable here.

But truthfully, we should be looking at the big picture and not pettiness.

The minor changes/ modifications that you suggested can be added on as time goes by and should by no means be a reason to sh.it all over the project like people have been trying to do.

Matter of fact. . .  Even the "best projects" in the world will have deficiencies pointed out by critics.

However, a true critic will still look at the big picture to be able to pass judgement and not judge based on a few petty issues!!!!

I can only assume that you know nothing about ceiling-mounted HEPA filters nor having to raise a ceiling such as the one in the OR. They are no trivial matter.

This is no minor building deficiency; this is an outright bad design. Any architect who cannot figure out that you need a sterile field in a modern OR should have his or her license to practice taken away.

Any architect who cannot figure out human scale relativity in architectural design should not be practicing architecture. Architects scale a room's ceiling to the function of the building and the capacity of occupants for which it is designed. The OR's ceiling is too low. The architect should have known that. Why are you people trying to defend a bad design?

Just for me to determine if I want to continue this conversation with you, could I ask you what your education is?

[img]http://www.drexelmed.edu/obgyn/Labor_and_Delivery_Tour_files/slide0005_image010.jpg[/img]

See how fully equipped?
See all the supplies?

CLOSED WINDOWS!
Not Fashola's open windows!
Compared to this 'gas-chamber'-looking space called an OR!

www.nairaland.com/attachments/586259_2_jpg156005c5baf40ff51a327f1c34f2975b


WHERE IS FASHOLA'S CRASH CART? AKA RESUSCITATION CART?

Araysay:



Over to Gbawe. . .
Sane medical professionals have entered the thread.
Please, we need toilets. . . .TOILETS!!!!

lol medical professional

He spewed nothing but rubbish. What's so professional about his light and window nonsense.

1. The picture up there is from one of the best University teaching hospitals in the world and that's where they train their doctors real life and light is shining through the window as seen in the picture. The equipments in both rooms looks almost the same. So what's so professional about that worthless piece of info?

2. He yelled about scrubbing down when we all know it's standard everywhere, even the lady in the Lagos maternity picture had on protective gears.

Talk about shallow minds,

Araysay:

[img]http://www.drexelmed.edu/obgyn/Labor_and_Delivery_Tour_files/slide0005_image010.jpg[/img]

See how fully equipped?
See all the supplies?

CLOSED WINDOWS!
Not Fashola's open windows!
Compared to this 'gas-chamber'-looking space called an OR!

www.nairaland.com/attachments/586259_2_jpg156005c5baf40ff51a327f1c34f2975b

Before I even attend to your post, please highlight the supplies you are talking about and tell us how this affects effective baby delivery?

Abeg you guys should hush with your trivialities abeg!!!

Talking about HEPA filters, windows, lights . . .

If dem make big hospital una go dey shout waste, white elephant project etc.

There is no pleasing Nigerians, and that is why we no dey progress. We can't even agree on any issue.

Eko Ile:


Before I even attend to your post, please highlight the supplies you are talking about.

Eko Ile:


Before I even attend to your post, please highlight the supplies you are talking about and tell us how this affects effective baby delivery?

1. No crash cart.
2. No gloves.
3. No sheets
4. No biohazard RED bags!

WHERE ARE THE CR MONITORS TO MONITOR THESE PATINTS VITAL SIGNS? DO YOU SEE ANY BLOOD PRESSURE EQUIPMENT IN THAT FASHOLA'S HOSPITAL?
WHERE ARE THE FETAL MONITORS?
WHERE ARE YOUR TELEPHONES MOUNTED ON THE WALLS INSIDE THE OR TO CALL FOR BACK UP HELP. . .OR YOU WANNO USE YOUR GSM INSIDE AN OR?

Eko Ile:


lol medical professional

He spewed nothing but rubbish. What's so professional about his light and window nonsense.

1. The picture up there is from one of the best University teaching hospitals in the world and that's where they train their doctors real life and light is shining through the window as seen in the picture. The equipments in both rooms looks almost the same. So what's so professional about that worthless piece of info?

2. He yelled about scrubbing down when we all know it's standard everywhere, even the lady in the Lagos maternity picture had on protective gears.

Talk about shallow minds,

Lol. Which kain medical professional.

I'm sure he just googled something something just to find something to criticize.

BTW. i have no problem with criticism. Only thing is, critics are expected to be knowledgeable about what they criticize.

Not these ITK critics wey just dey bring up irrelevancies.

Araysay:

1. No crash cart.
2. No gloves.
3. No sheets
4. No biohazard RED bags!

You arrived at the fact that they don't have crash cart because you've been to this center or asked them to show you gloves and and bio hazard bags and they refused? Or you are just mad because you didn't see the nurses and Fashola himself waving gloves in the picture?


You are even more pointless and shallow than I thought.

Araysay:

1. No crash cart.
2. No gloves.
3. No sheets
4. No biohazard RED bags!

WHERE ARE THE CR MONITORS TO MONITOR THESE PATINTS VITAL SIGNS? DO YOU SEE ANY BLOOD PRESSURE EQUIPMENT IN THAT FASHOLA'S HOSPITAL?
WHERE ARE THE FETAL MONITORS?

Wetin this guy dey talk sef

I don't even know where to start with you.

So na gloves and bioharzard bag u dey find for inside picture.

Fetal monitor ke would you recognize one if you saw it in the picture. What sort of people we get for Nairaland sef

It is always the same "THEY DON'T LIKE US" . . . "THEY HATE US" . . . . "THEY ARE JEALOUS" . . . . "THEY ARE UNGRATEFUL" . . . . Essentially US vs THEM . .  Put these very same attack dogs on a non-lagos/non-ACN related thread and you get something more near rational from them as argument but as soon as you put them back on a Lagos/ACN thread, you immediately get the attacks and irrational spills back.

 About 5 years later, na still the same excuses and rational offered. Oga ooo!!!

Eko Ile:


You arrived at the fact that they don't have crash cart because you've been to this center or asked them to show you gloves and and bio hazard bags and they refused? Or you are just mad because you didn't see the nurses and Fashola himself waving gloves in the picture?


You are even more pointless and shallow than I thought.

Fashola showed us the picture. . . and I am sure the picture is an exaggeration of what the reality is. It is even worse than the picture he supplied.
I ask again. . . WHERE ARE THE TOILETS AND THE LABORATORIES?
PLEASE GO AND ASK FASHOLA FOR THE REAL PICTURE. . . STOP FEELING SLIGHTED.
This affects ALL Nigerians not just Lagosians.
No need to feel unnecessarily superior!

Eko Ile:

Btw, this is Drexel University College of Medicine in Philadelphia

An operating room with windows and light flowing inside the operating room.
[img]http://www.drexelmed.edu/obgyn/Labor_and_Delivery_Tour_files/slide0005_image010.jpg[/img]


http://www.drexelmed.edu/obgyn/Labor_and_Delivery_Tour_files/frame.htm


Where is all the stuff you listed?


Obviously looking at both pictures, they both have the same basic tools needed to deliver babies.

Eko Ile,

This is very typical of you. You picked up a photograph that seems to have an outside window, but you didn't or couldn't figure out that it is an inside window where other medical personnel could observe an operation. I’ve been to Cedars Sinai in Beverly Hills, CA to observe a hip replacement operation. One of the ORs I saw had windows just as the one shown. I even saw what I assumed to be medical students outside the OR conversing about the session going on inside.

Look. I don’t like to get into name calling with people. But I must say that you’re tasking my restraint.


ps: I wouldn't call the picture you posted as the best-equipped ORs I've seen and I've seen many ORs in my life. I've even seen ORs at Northwestern University's 's Medical School in Chicago.

 
_____________________________
I think I've had enough of this thread.

wow!! i see why women are still dying during childbirth in nigeria. you asked the usefulness of supplies in a delivery room?  

Eko Ile:


Before I even attend to your post, please highlight the supplies you are talking about and tell us how this affects effective baby delivery?

don't tell me they don't use glove too  

maybe daddy Fashola hospital was built that way cuz of hurricane, tornado, storm, flood, harmattan, erosion.

oh well, better days will come.

[flash=800,800]
https://www.youtube.com/watch?v=Sgn_kfujwSk[/flash]

ziga:


Wetin this guy dey talk sef

I don't even know where to start with you.

So na gloves and bioharzard bag u dey find for inside picture.

Fetal monitor ke would you recognize one if you saw it in the picture. What sort of people we get for Nairaland sef

The level of absurdity is mind bugling. This is a sad refection of their own shortcomings, it's hard to see any good in other people and what they do when you are too sad and negative to see any in yourself.

These are the same regular trolls, post classroom for kids, roads, hospitals, bridge  pictures and they'll find the silliest nonsense to hate, but the same trolls are runs around other threads blaming the government for lack of the same thing they are bad mouthing.


It's called trolling. Many of them are double ID cowards anyways,

[flash=800,800]
https://www.youtube.com/watch?v=AEiCbYiC1Ck&feature=related[/flash]

Husband is present. . .abi na baby daddy!
Good support system. . .with lots of room for family and friends of the PATIENT'S CHOICE!!!
See as the woman finnnnnnnnnnne even in the most painful circumstance of impending childbirth?
If na Nigeria. . .the woman go look like a MADDENED HELL'S ANGEL OF DEATH!
The nurses go dey pinch am to keep quiet with HEAVY HEAVY INSULTS!
Witches!

Araysay:

As I watched that thing, tears flowed oo! That hospital there is still being sold to the public as a specialist hospital, with over 13000 deliveries every year ooo. See that nonsense?? She might as well have had the baby in her living room.

Kobojunkie:

As I watched that thing, tears flowed oo! That hospital there is still being sold to the public as a specialist hospital, with over 13000 deliveries every year ooo. See that nonsense?? She might as well have had the baby in her living room.

Terrible. . .awon Fashola will NEVER tell you how many people died while selling his fame and fortune hunting stories to fools who care to buy them!

[flash=800,800]
https://www.youtube.com/watch?v=LcfBtNDt-WA&feature=related[/flash]

See?
THIS IS A HOSPITAL. . .LOOKING LIKE A PRIVATE HOME.
Both mother and father present. . . IN A PRIVATE ROOM!
WEY FASHOLA OWN FOR AJEGUNLE?
After embezzling money, you will be telling the world Nigeria is a 'poor country'!
Is the US a wealthy country? How much does the US owe? ZILLLIONS!
But healthcare for it's citizen will NEVER BE COMPROMISED!!!

[flash=800,800]
https://www.youtube.com/watch?v=YSYK3KUSFOs&feature=related[/flash]

You can even give birth at home. . .all you need is CONSTANT ELECTRICITY AND RUNNING WATER.
You can buy the best doctor and ALL your supplies and medical staff!
Another alternative for families ALL OVER THE WORLD.
Fashola is NOT doing women any special favors. . . !

Emergency vehicle on stand by to the nearest hospital. . .LESS THAN ONE MINUTE AWAY. . .in case of complications like prolapsed cord or breech presentation!

Araysay:

[flash=800,800]
https://www.youtube.com/watch?v=LcfBtNDt-WA&feature=related[/flash]

See?
Both mother and father present. . . IN A PRIVATE ROOM!
WEY FASHOLA OWN FOR AJEGUNLE?

If you are suggesting that the resources spent o the Ajegunle hospital should have been used instead to build a hospital where "mother and father present" for the common man in any Nigerian city as currently is. . .

Then, i don't think you deserve to be sitting with a computer on the internet!

ziga:

If you are suggesting that the resources spent o the Ajegunle hospital should have been used instead to build a hospital where "mother and father present" for the common man in any Nigerian city as currently is. . .

Then, i don't think you deserve to be sitting with a computer on the internet!

Just trying to show you what normal human beings do with their stolen wealth honey.
They provide alternatives for their beloved citizens. . .instead of acting like local 'MESSIAHS', while duping the reetared citizens who so love to take a shyte in the Lagos Lagoon AND STILL EAT THE FISH FROM THAT SAME LAGOS LAGOON!

How can YOUR brains grow enough to realize you are been duped?

Ode!

Did you miss it?
Don't be jealous huh?
Just crawl into a hole and bury YOURSELF alive out of shame for your Nigeria.
You don't need help abi?

Araysay:

Just trying to show you what normal human beings do with their stolen wealth honey.
Did you miss it?
Don't be jealous huh?
Just crawl into a hole and bury YOURSELF alive out of shame for your Nigeria.
You don't need help abi?

ziga:

If you are suggesting that the resources spent o the Ajegunle hospital should have been used instead to build a hospital where "mother and father present" for the common man in any Nigerian city as currently is. . .

Then, i don't think you deserve to be sitting with a computer on the internet!

Trolls don't make sense, they have no soul.


Just ignore that troll, this is what they best. They are nothing but needless distractions.

Best defence?
Shameless things!
Fashola builds you a ramshackle of an edifice in the semblance of a glorified repossessed council flat in the ghettos of London, and you are jubilating.
Just goes to show the level of standards of living you are accustomed to. . .even where most of you choose to roam from one Okporoko shop to another as your only means of socializaton. Plus or minus borrow-borrow make me fine all for your dusk-to-dawn all-weekend owambes with the most eye-blinding color-riotous medley of aso ebis known to mankind and the animal kingdom at large.

May I remind you in your most sober moments that you have been duped of the most the money allocated for THE MOST IMPORTANT ASPECTS OF ANY HEALTHCARE FACILITY. It has been embezzled by your Fashola of a 'messiah'.

Did he show you toilets, labs, standby generator, adequate plumbing. . .fire prevention and safety standards policies.

All you see are pictures and you are shouting EKO N'ILE OBAJERE ALL OVER NL.

I never even knew such a local like yourself existed on NL. . . I thought I had seen it all.

Moo moo!

Eko Ile:

Ikorodu Maternal Child Health Centre








[size=20pt]IS THIS AN ABORTION ROOM OR A DENTAL OFFICE?[/size]

What an insult!

We do not have enough money to buy most of the things you guys are asking for, abi, are you guys not the ones also asking for good roads and refusing to pay toll on Lekki road? You guys need to see the high networth private hospital my sister in law delivered, shishi they do not have, it is just to charge money, compared to them, Fashola's hospitals are heaven on earth.

hercules07:

We do not have enough money to buy most of the things you guys are asking for, abi, are you guys not the ones also asking for good roads and refusing to pay toll on Lekki road? You guys need to see the high networth private hospital my sister in law delivered, shishi they do not have, it is just to charge money, compared to them, Fashola's hospitals are heaven on earth.

Don't bother yourself, trolls don't reason and they are not here to reason. What they are doing is what they intend to do and no amount of back and forth convo can change that. Trolls have no soul. They want attention and they feed on the same attention. Ignore them.

You don't have money?
How much did your Adenuga use to marry a husband for his daughter BellaNiaja?
How much did Ibori hide in London?
How much did Abacha die without spending?
How much did OBJ hide in Ethiopia?
HOW MUCH DO YOU PAY YOUR HOUSE REPS AND SENATORS ALL OVER NIGERIA?
HOW MUCH DO YOU PAY DOCTORS AND NURSES IN NIGERIA?

Please, off to work.
Reetards!
By the time this Fashola of a being finishes with you ehn. . .you will understand that there are clever thieves and there are foolish thieves!

Enjoy your miserable 'innovations'!