Onegai:
@phineas if you all are sooo wonderful, why is it that any serious doctor will tell you to go to Mecure (a lab run by Indians and staff with specialists) to do basic ultrasoundd? Why not Lagos Island, Massey, LUTH (where if they're not on strike, it's another kasala). Trauma care you guys are bad at, you're quoting your textbooks for me. Admit it that you are all in need to extensive training, stop defending the inexcusable. Nigerians are so prayerful because they have very little trust in their doctors.
Why not take a hard look at your profession and your colleague and ask "even if we had the equipment, will we stand shoulder to shoulder with our international colleagues?"
I do not rate young doctors in Nigeria very highly, the rot in the Education system affected you guys more than the older generation. You are not the only ones, it is the same issue I see with Engineers, Architects and other professionals. I am part of that group and I know my handicap and I don't blindly defend my colleagues because I am honest, even if I went online and read past my syllabus, I would still be unaware of things my international colleagues are aware of.
A nurse at LUTH said she wasn't aware pregnant women were meant to avoid Vit A (due to excess Retinol), that she has never heard that before. Another said (a while back) that a pregnant woman is not supposed to treat Malaria during pregnancy.


Let us be honest, the system needs an overhaul. I don't have to be a doctor to know this.

That report couldn't have been written by a Doctor

dumodust:


thank you dear... The way nigerians think, so the dog's mouth is now very clean and I now have to rely on indians to tell me that white is white... hogwash for gullible masses

ziga:


We don't have to get too medical here.

The kid was in the hospital before his wound got infected.

The hospital was supposed to prevent or treat his infection.

If this was done, the mother would not have taken home elsewhere.

The mother had concerns about the foul odor from the wound which was not addressed at LASUTH.

This is enough to be mad about.

We don't have the culture results, so we can't really talk about what organism was grown to make the Indian Docs believe it was hospital acquired.

We need to be more accountable for the things we do or don't. And from our leaders down to the common man, this is not part of our culture.

armadeo:


A badly infected wound would always smell. We don't k ow if the infection was hospital acquired or not. There lies the issue.

mekadinho:
NAIJA HOSPITALS:
1. NO PAYMENT, NO TREATMENT.
2. MOST OF OUR NURSES ARE DAMN LAZY AND DISRESPECTFUL. AND THEY CAN GOSSIP EEH...
3. U ATTENDED 2, BASE ON UR INFLUENCE/POPULARITY IN THE SOCIETY.
4. SENIOR DOCTORS HV 3 OR 4 BED ROOMS PRIVATE HOSPITAL SOMEWHERE.
5. NURSES AND DOCTORS WILL NEVER TAKE UR CASE SERIOUS UNTIL U START SHOUTING OR THREATENING TO CALL THE COMMISSIONER/MINISTER FOR HEALTH.
6. DOCTORS OPEN PHARMACEUTICAL STORES NEAR THE HOSPITAL, AND DIRECTS THEIR PATIENTS THERE, INSTEAD OF THE HOSPITAL'S PHARMACY.
7. DOCTOR A'S REPORT WILL ALWAYS CONTRADICTS DOCTORS B'S REPORT.
8. 90% OF OUR HOSPITALS LACK PRIMARY MODERN EQUIPMENTS LIKE ANESTHESIA MACHINE, VITAL SIGNS MONITOR, SURGICAL MICROSCOPE ETC...
NOTE: I AM NOT CONDEMNING, JUST SAYING WE SHOULD IMPROVE.
AM I THE FIRST 2 COMMENT? PLS HW DO I GET MY EGO/GIFTS?

duni04:

Absolutely nothing! And instead of demanding for what we rightly deserve, we keep heaping praises on the same people responsible for our predicament. See LASUTH that Fashola claims to have spent billions on. Ordinary wound infection! And yet Fashola is a hero in Lagos, very pitiful!

SIRTee15:
@op
please lets get some things clear.
-There's no big deal in managing animal bite wound. its all about aggressive wound dressing and subsequent grafting(that's if the wound is deep) after adequate granulation. Any plastic surgeon can do this and do not need any special treatment in india or anywhere else for that matter.
-The child was treated in a world class PRIVATE hospital in india and NOT an indian govt hospital. A world class private hospital here in naija that has a plastic surgeon in its pay roll will equally do a good job.
- I'm sure when the poor boy was admitted in LASUTH, the father had nothing on him except a promisory note from Gov Fashola that the boys medical expenses will be paid by the govt.
Now, anybody who knows how govt works in naija will know that fashola's statement was merely political and will most likely not be honored in any govt establishment.
Rather, the boy's father will be expected to provide for the dressing materials and antibiotics needed to treat his child. Something he failed to do.
if at all he will be reimbursed by the lagos state govt, that will not be immediate due to bureaucratic process that delays such payments.
Neither LASUTH nor the medical staffs will eat promisory notes, but they wont complain. Fashola is their employer, thus they will continue to do whatever they can to help the poor boy. Obviously their effort was too weak to have any effect..
The boy was flown to india with an adequate treasury chest backed by delta state governor. if he had gone to india with promisory notes, he would also have been rejected.
pls, lets be fair in our comments.
thanks.

note, I'm not exonerating our medical staffs, but as far as this case is concerned it has financial constraint written all over it.

I'll come back and reply that girl called onegal (she's just spamming nonsense all over the thread) and also profer solutions on ailing heathcare system.

armadeo:


A badly infected wound would always smell. We don't k ow if the infection was hospital acquired or not. There lies the issue.

ziga:


There are lots of speculations here.

But I think we all agree that the kid got suboptimal care.

Do you think the Nigerian health system failed in this situation to provide adequate care?

ziga:


We don't have to get too medical here.

The kid was in the hospital before his wound got infected.

The hospital was supposed to prevent or treat his infection.

If this was done, the mother would not have taken home elsewhere.

The mother had concerns about the foul odor from the wound which was not addressed at LASUTH.

This is enough to be mad about.

We don't have the culture results, so we can't really talk about what organism was grown to make the Indian Docs believe it was hospital acquired.

We need to be more accountable for the things we do or don't. And from our leaders down to the common man, this is not part of our culture.

SIRTee15:
@op
please lets get some things clear.
-There's no big deal in managing animal bite wound. its all about aggressive wound dressing and subsequent grafting(that's if the wound is deep) after adequate granulation. Any plastic surgeon can do this and do not need any special treatment in india or anywhere else for that matter.
-The child was treated in a world class PRIVATE hospital in india and NOT an indian govt hospital. A world class private hospital here in naija that has a plastic surgeon in its pay roll will equally do a good job.
- I'm sure when the poor boy was admitted in LASUTH, the father had nothing on him except a promisory note from Gov Fashola that the boys medical expenses will be paid by the govt.
Now, anybody who knows how govt works in naija will know that fashola's statement was merely political and will most likely not be honored in any govt establishment.
Rather, the boy's father will be expected to provide for the dressing materials and antibiotics needed to treat his child. Something he failed to do.
if at all he will be reimbursed by the lagos state govt, that will not be immediate due to bureaucratic process that delays such payments.
Neither LASUTH nor the medical staffs will eat promisory notes, but they wont complain. Fashola is their employer, thus they will continue to do whatever they can to help the poor boy. Obviously their effort was too weak to have any effect..
The boy was flown to india with an adequate treasury chest backed by delta state governor. if he had gone to india with promisory notes, he would also have been rejected.
pls, lets be fair in our comments.
thanks.

note, I'm not exonerating our medical staffs, but as far as this case is concerned it has financial constraint written all over it.

I'll come back and reply that girl called onegal (she's just spamming nonsense all over the thread) and also profer solutions on ailing heathcare system.

duni04:

I've actually learnt more from her posts than anyone else's. I don't get the promissory notes part. Are you referring to the consultants that would have handled the plastic surgery or the normal doctors and nurses that should have treated the infection? Are you suggesting that doctors and nurses pay for the drugs and the treatment from their own pockets? Aren't they paid by the government? If their employer, the government, tells them to take a case pro bono, I don't understand why the boys father would have had to pay for the dressing or antibiotics.

dumodust:


Even with the best care, that was a dirty ragged wound and there's a 40-50% chance of infection despite the best care...if it was a surgical wound that became subsequently infected, i will understand but not a dog attack wound, not by one dog but several!which other thing will infect it if the patient stays long in the hospital? Infected dirty wounds can have a foul odour and hospital acquired infections are had to treat because they are resistant to most antibiotics except few which may be costly.
Google dirty wounds and infection rate because I don't understand your point. Infections are a problem worldwide and that's how indians market themselves... the way they talk, you will think they can make the boy scarless.
I dont know about lasuth dressing practices but there are rules... unless soaked, once or twice daily dressing is ok. If someone was now negligent with dressing, na their wahala but indians na winch ... do they have a video canera in nigeria to know where the infection is from?

ttmacoy:
After reading this story, I have one question, what works as it should in Nigeria?

ziga:


If a wound grows MRSA. I know it was hospital acquired. Depending on cultures, you can determine where an infection likely came from. There are lots of organisms that can only be carried by humans.

Nigerian hospitals lack basic facilities. Hand sanitizers, gloves. Even water to wash your hands. Let's not pretend like the infection couldn't have been hospital acquired.

I'm not here to argue medical facts.

Dirty wounds have a high chance of infection. I know that. And that is what we are there to prevent. And that is why the kid must have been admitted. Or else he would be home.

Most wounds can be dressed once a day. But wound dressing will only go so far if the infection was so bad.

And the bottom line is that if lasuth handled this matter the way it should have been handled, there wouldn't be any story.

Its that simple.

Jenams:
“Whom the Gods wants to destroy, they first make mad” .... If you wanted to refute the point of my post, you'd first need to take lessons on ''NIGERIA PEOPLE AND CULTURE'' the report said ""Our correspondent had reported that
Omonigho was riding a bicycle with his
brothers-Bobby and Osemidiamen-when
they were attacked by the two dogs owned
by their landlord"". The name of the brother is also deltan? #hogwash

Jenams:
“Whom the Gods wants to destroy, they first make mad” .... If you wanted to refute the point of my post, you'd first need to take lessons on ''NIGERIA PEOPLE AND CULTURE'' the report said ""Our correspondent had reported that
Omonigho was riding a bicycle with his
brothers-Bobby and Osemidiamen-when
they were attacked by the two dogs owned
by their landlord"". The name of the brother is also deltan? #hogwash

duni04:

The point is the boy was at LASUTH long enough for any infection resulting from the bite to have been treated. Did you read the part where the boys father described the attitude of the nurses when treating the wound? They would leave the wound open and wait for hours for the doctor to have a final say.

ziga:


The fact that the wound was badly infected while the kid was getting health care (Mum complained about the foul odor) and the infection was not adequately controlled until the mother had to take the child out of the hospital is the issue.

If the wound got better, and mum wasn't misinformed, she wouldn't have a bad story to tell.

Did the kid get the care that he was supposed to get?

Healthcare in Nigeria is in pieces and we have to take responsibility to make it better.

duni04:

I've actually learnt more from her posts than anyone else's. I don't get the promissory notes part. Are you referring to the consultants that would have handled the plastic surgery or the normal doctors and nurses that should have treated the infection? Are you suggesting that doctors and nurses pay for the drugs and the treatment from their own pockets? Aren't they paid by the government? If their employer, the government, tells them to take a case pro bono, I don't understand why the boys father would have had to pay for the dressing or antibiotics.

happydays1:

LASUTH....AFTER THEY WILL SHOUT CHANCH , CHANCGE...NOW WHERE IS THE CHANGE ... SEE AKWAIBOM BUILDING STATE OF THE EARRTH HOSPITAL. I WILL STILL GO FOR PDP GEJ... in 2pac voice..... i see no changes......, all i see is thieves and faces.

dumodust:

you dont get my point, I'm not defending lasuth or saying Nigerian hospital hygiene practices and nosocomial infection prevention habits are perfect... I'm saying that blaming nigerian physicians solely for that outcome is nonsense in view of the reasons u gave . Nigerians have made it a habit of judging what they dont understand from our fake reporters in the media. I 've seen patients from india surgical wound infections too but they're making it look like indian govt hospitals dont have issues too. A good big private hospital in nigeria would have handled it well. Ask them how much that was paid in india to get such care and ckmoare it to cost here
maybe all nigerians should start going to india self make person rest

JustCurious:

Not Health Sector
Not Power Sector
Not Education
Not even Aviation
BUT
Political Party/Department (APC, PDP, APGA, KOWA) seems to be the only sector working efficiently as it should, in Nigeria. There's always enough fund for political intent, campaign etc. Application Form sales in Millions of Naira doesn't scare them. So many things seem to work so well in that sector. Such a good sector to invest rigorously, for higher dividend. Unfortunately, not even a charity organisation gets as much Billions as they get during Fundraising exercise. *sic*

twoondei:
Reading through all the comments on this thread, I can establish that most people have watched too many movies and judge Nigerian healthcare standards by what they see on foreign Tv. We do our best and I can proudly say that there's almost no medical condition that we can't handle at Lasuth. Yes, some systemic woes here and there but we won't lose credit over a dog bite.

wazoboy:
This is how simple medical cases are said to be "home problems" by "Toronto" certified doctors we have in Nigeria, imagine just one month and the boy is coming back to life, upon the fact that our doctors we write uselessly and claim that they were trained like that now their foreign colleagues could not even get any information from their writings.
But wait o, how are we even surviving in this country called Nigeria self?

Barselonia:
soooo badddd.....


the fear of dogs is the beginning of wisdom......


very strong woman, She fought the dog until She rescue her son.......

#mother