flightz:
aren't u a doctor no more?

Lagusta:
My submission....

1) I am a medical doctor, so I have every right to comment here

2) Dr kevwe (or whatever his name was) was very likely a house officer, the most junior doctor in the cadre. I'm sure he was a freebie, fresh out of .medical school. But sad to say, he is a very stupid person and his license needs re-evaluation. Because when someone is vomiting and complaining of pains, didn't he know that the next thing is to resuscitate and give fluids, then call the surgeon on call for a quick ex-lap to relieve the obstruction??

3) the next senior doctor on call (likely Dr balogun) is very lazy, and can never make it if he continues this way. Your junior doctor called you for an emergency, and you were there giving silly instructions "call this, call that" even with the Lagos traffic, one hour would still save a life....

4) the anaesthetist did his job, he was just informed late, by the two stupid docs balogun and kevwe....

5) that hospital needs a overhaul, a panel must be set-up to investigate the matter, and prices have to be paid, at least to set an example to other lazy and negligent docs....

In conclusion, being a doctor is no child's play, the health sector in Nigeria is in shambles, but Mrs chazB has to move on, her husband is gone, nothing can bring him back....

Thank you

angiography:
Oh...he must have died of End Stage Kidney Failure.
And a failed transplant.
I wouldn't nail the doctor or hospital tho....this kinda conditions have no respite.

RIP

Toksytoks:
Chaz B was a post renal transplant patient, he has had two major medical issues after the transplant which necessitated a laparotomy . Before we kill the hospital and the doctors, few people need to understand prognosis of renal transplant.

In America where best medical care is obtainable, 5 year survival chance is about 80% if post transplant treatment is carried out in the same center. He had his transplant in India, he had to fly back for another surgery few weeks after the transplant in India. Post renal Care in Nigeria was not too good, i am sure he did not get the necessary post renal support he needed.

one thing a renal transplant patient needs to be wary of are symptoms and signs of rejection. Chaz B's body had rejected the kidney and he had signs that were clear. so what was his post transplant treatment and follow up like? Nephrologists, General surgeon , cardiologists , Dietitian ( very important ) , Internal physician asides immunosuppressants.

He probably had uremia as a result of poor kidney function, Intestinal obstruction as a result of Lymphocele , complications of the renal transplant itself and laparotomy he had few weeks after his transplant.

FLUID THERAPY - in a patient with evidence of renal shut down not the best option.
ANALGESICS - no way

NG TUBE INSERTION ? - maybe to empty the content of the stomach , but the reason for the abdominal distention was most like fluid retention as a result of chronic renal failure.

UREMIA - only urgent dialysis could have saved him , but was he stable enough for the procedure? UREA shuts down the heart and brain in minutes.

Respiratory distress - Pulmonary edema, aspiration. This sums up a bad case, which St. Nicholas wasn't prepared for. Are the consultants full time employees of St Nicholas or part time. What is the working hours stated in the employment offer. Most doctors work 3 jobs to keep body and soul together, so dishing out instructions via the phone is part of the modus operandi.


only few hospitals can afford to keep 4 consultants on physical call every night, i doubt if there is anyone in Lagos. The healthcare system is messed up, poor training , poor remuneration , poor financing , poor and obsolete equipment. Government will not finance training , banks will not finance equipment purchase. Banks will rather finance oil and gas, shopping malls and telecoms projects.

Is Dr. Kevwe at fault? No. He transferred the case to his superiors who were supposed to take over.

we are quick to descend on doctors every time without critical analysis. so many Nigerian doctors have been 'bashed' away to other countries. Australia is recruiting them daily paying them up to 4600 dollars weekly, UK wants them , US and UAE. You down here call them block head.

Chaz B's case was bad, what he needed was a multi disciplinary team in a word class facility to save him. This is at today is not available in Nigeria.

Lagusta:
My submission....

1) I am a medical doctor, so I have every right to comment here

2) Dr kevwe (or whatever his name was) was very likely a house officer, the most junior doctor in the cadre. I'm sure he was a freebie, fresh out of .medical school. But sad to say, he is a very stupid person and his license needs re-evaluation. Because when someone is vomiting and complaining of pains, didn't he know that the next thing is to resuscitate and give fluids, then call the surgeon on call for a quick ex-lap to relieve the obstruction??

3) the next senior doctor on call (likely Dr balogun) is very lazy, and can never make it if he continues this way. Your junior doctor called you for an emergency, and you were there giving silly instructions "call this, call that" even with the Lagos traffic, one hour would still save a life....

4) the anaesthetist did his job, he was just informed late, by the two stupid docs balogun and kevwe....

5) that hospital needs a overhaul, a panel must be set-up to investigate the matter, and prices have to be paid, at least to set an example to other lazy and negligent docs....

In conclusion, being a doctor is no child's play, the health sector in Nigeria is in shambles, but Mrs chazB has to move on, her husband is gone, nothing can bring him back....

Thank you

flightz:
you are yet to start schl, so STFU on ur e-diagnosis! And better learn well when u eventually start schooling.

missyadorable:
Women and everlasting emotional attachment to men

Almost one year after,she is still hurting

If na she die,the man for don forget her since and remarry.No time

Abeg madam,move on.nothing will bring your husband back to life!
HE IS GONE forever!

3coins:
sorry for your loss... That sounds like LUTH sha

Toksytoks:
Have you ever practiced medicine in Nigeria? you dont sound like a doctor and it is very uncouth, ill mannered and irresponsible of you to call your colleague 'st**pid'. what do you know in healthcare practice? who gives fluids indiscriminately to someone with renal shut down? you want to overload the heart and lungs? you are trying to fool the people here that you know 'stuff' but you are absolutely pathetic. " quickly resuscitate and give fluids" to a renal patient whose GFR you dont know.

where in the world would you do a "quick ex lap" a stressful surgery on a patient with such comorbidities - renal shutdown, uremia , possible pulmonary edema , hypertension, circulatory overload and all. what anaesthetic route are you gonna employ? Chaz B IN THAT STATE CANNOT SURVIVE THE RIGORS OF SURGERY.

I trained in Ilorin my brother, i have practiced in the city, in the village, in the dirt, with torch lights , with latterns, i know my stuff, i have passed exams that oyibos fail, because we dey this shit country wey things no dey work dont ever assume one is empty. Dont come here ranting you sound EMPTY UP THERE.

if you are a doctor, better tear your certificate, give fluids to person wey get renal shut down..you be silly quack. if you quote me again i will expose your silliness to the world. If you come back to this thread , I will personally engage you and prove that you are a quack.

maoolakanm:
WHEN YOU PUT TOO MUCH HOPE ON MERE MORTALS.NO PLACE WHERE SHE MENTIONED AND I SAY A WORD OF PRAYER. HMMMMN PRAYER STILL WORKS

Swissheart:
....just as i expected.......you think you know what you saying?....if you are sophisticated as u claim.......get your services down to those who appreciate it.sophisticated medic of the year!

cescky:


lool

point of correction, its too deep for you.

try reading it last thing at night, your subconcious will reveal the wealth of information i just dished out

DollyParton1:


Nope, You are too shallow and hooked on Religion like an addict.
Plus u write like a primary school kid.

bigtt76:
Was I?

lexybabe:
Sooo sad!!! Dr Kevwe that I know in st. Nicholas is actually a paediatrician. I fought with him a lot when my he was always pricking my new born baby in a bid to get her blood sample (she was very tiny with multiple needle marks on her fragile hands and legs). Poor guy was sitting in and taking the heat the so called consultants should take. why should a case file be locked in an office? and how can a paediatric handle such a matter? St. Nicholas has the habit of sending their trainee doctors to handle cases they shouldn't. I use them, so I know. I also complain a lot but, how better are the other hospitals?

lollymi:
It is high time that all these private hospitals are looked into & taught a lesson. They charge so much & yet they employ doctors that don't know anything. Imagine u going to a doctor for treatment & he'll be looking the case up in his book. I've been a victim in their hands, first it was my mum @ lasuth, they gave her overdose without checking her body weight, it reacted adversely and she died from d complication. Secondly, it was when I was pregnant, dey said i had blood infection& was given a drug. I took it in d morning bt threw it up d way it was @ night. I went back & insisted on seeing d consultant who said i shld discontinue drug cos it Wld affect my pregnancy. Also said there was no infection I've made up my mind that b4 I take any drugs prescribed by a doctor, he must explain its usefulness to me.

flightz:
u claimed so .. Well, this is nairaland.. Anythin goes

Toksytoks:
Have you ever practiced medicine in Nigeria? you dont sound like a doctor and it is very uncouth, ill mannered and irresponsible of you to call your colleague 'st**pid'. what do you know in healthcare practice? who gives fluids indiscriminately to someone with renal shut down? you want to overload the heart and lungs? you are trying to fool the people here that you know 'stuff' but you are absolutely pathetic. " quickly resuscitate and give fluids" to a renal patient whose GFR you dont know.

where in the world would you do a "quick ex lap" a stressful surgery on a patient with such comorbidities - renal shutdown, uremia , possible pulmonary edema , hypertension and all. what anaesthetic route are you gonna employ? Chaz B IN THAT STATE CANNOT SURVIVE THE RIGORS OF SURGERY.

I trained in Ilorin my brother, i have practiced in the city, in the village in the dirt, with touch lights , with latterns, i know my stuff, i have passed exams that oyibos fail, because we dey this shit country wey things no dey work dont ever assume one is empty. Dont come here ranting you sound EMPTY UP THERE.

if you are a doctor, better tear your certificate, give fluids to person wey get renal shut down..you be silly quack. if you quote me again i will expose your silliness to the world.

RedCapChief:
A few things

1.) All that we have heard is the account of the wife of ChazB. An emotion as powerful as grief will distort any attempt to hear the correct details. It is a painful loss and there will be an urge to rationalize. We have not seen the report from the officials of Saint Nicholas.

2.) From what I've read, ChazB was a post-renal transplant patient who recently had surgery for a hernia. His immune system would have been suppressed to allow the kidney to function. This imunosuppresion doesn't mean that the kidney will thrive, it just reduces chances of failure.

3.)The only place Dr. Kevwe erred was by discharging a post-transplant patient after a few hours. Knowing how precarity of transplant patients. He should have admitted ChazB for specialist review the following day. If a transplant patient has as much as a slight cough, you admit him for a full work-up.

4.)St. Nicholas should have had a specialist on ground. No excuses.

5.) Contrary to what many people think, there are a lot of good Nigerian doctors. Unfortunately, they are constrained by the system. Medical training in Nigeria is one of the cheapest in the world and yet we still churn out good doctors who smash the USMLE and PLAB

6.) I don't understand the fascination of Nigerians with elderly doctors. If Mrs. ChazB had run into one Baba, maybe she would not have published this. The marker of any good doctor should be competence.

7.) Medicine is apprenticeship. Ben Carson did not fall from the sky. He was also an intern once, making mistakes. Many people argue and shout that they don't want to see 'baby doctors'. I ask, who is the son of a goat that the baby doctor will attend to? A doctor is a doctor. The only reason to doubt a doctor should be a clear lack of competence, not because he is fresh-faced.



This is one area I often feel a duty to share my knowledge.
Any doctor worth his salt will tell you that it is naturally very difficult to obtain blood samples from newborn babies. These babies still have very friable and delicate veins and get a tap is many times a matter of luck; it does not matter if it is a consultant or a medical student. The squirming and wailing of the babies doesn't help the matter.
So please don't fight with your doctor and give him heat, you will only put him under more tension to perform

@toksytoks @lagusta

Lagusta:
@toksytoks

Now, I want you to point out where exactly in that write-ups that the patient had renal shut-down, uraemia and all those complications you were mentioning like a 400l medical student....

He was a post-kidney transplant patient, and so what?? So because of that you would restrict fluids abi

In fact, I don't even have time for this....

Toksytoks:
What year did u graduate from Ilorin? There are signs of rejection in a post renal transplant patient. If you don't know them, go back to your books or go back and re enrol for internship.

Vomiting, abdominal distension, abdominal pain , respiratory distress..what else do you need. You suggested a quick ex lap in such patient, please do me a favour and gerrout of here.