brunofarad:
Its a pity

But I have to sincerely assure youthat GOD knows you tried your very best ok.

GOD BLESS

RedCapChief:
@op, don't let anybody make you feel guilty for heeding the instruction of your senior. I have been a house officer and I understand a bit of the dynamics of government practice. The fact that we deal with human life makes everything so sentimental so people will call you all sorts of names and ask you to lose your job. I have seen where the doctor is ready to work, but the nurses refuse to bring out the instruments because they are on strike. You can't disobey your senior. It is just like a military service system.

Besides, can you guarantee that you would have been able to save the woman's life? No law stops you from giving first-aid but can you continue to give the required care? You were not negligent in your duty.


It is a pity that we live in a country with a messed-up health system and you have to pay out of pocket for the most basic kind of healthcare. There is no social fund for accident victims in hospitals so anybody who is mad at you can go down to the nearest hospital and make a donation.

Many of the people criticizing you for not spending your money have never donated a single vial of normal saline (150 naira) or iv cannula (200 naira) to any government hospital. Just continue to do your best within your limits. Nigeria will be better soon

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.

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

ImpactWorld:
Immediate referral is a huge way of handling emergencies.
Based on your descriptions, the police should have immediately taken all patients to FMC where they have greater chances of survival.

Please I do not mean to blame you but I will say the following in case of the future:

In such emergency situation, physically going out to buy recharge card or call other doctors who MAY NOT be on duty at the time will only waste the little time such patients have to survive. Resuscitation protocols says you should call for help WHILE ATTENDING TO THE PATIENT.

It is unfortunate but based on your details, your centre did not have enough personnel or logistics to handle the situation at that moment.
The police need more enlightenment concerning the proper/best hospital to refer certain categories of trauma patients.

Another issue is the manner our health system is set up. The issue of payment keeps rearing its ugly head( although in this case, the patients were better of referred to a higher centre).

We need every citizen to be covered by the National Health Insurance Scheme.
If every citizen of this country had a health insurance as matter of policy, the issue of paying before treatment in emergency cases will cease to exist even in private hospitals.

cramjones:


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

Leopantro:


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.

RedCapChief:

The worst that could happen to a disobedient house officer?

Option A - Nothing -if the senior colleague is not pissed.

Option B - You could be sacked for insubordination, reported to the MDCN, made to face a disciplinary panel who could strip you of your temporary license and render you unable to safely practice medicine

cramjones:


Nonesense! The MO would be sacked not the other way round! This is a clear case of incompetence by both the HO and the MO. The MO obviously not wanting to be disturbed gives a foolish excuse! Since the HO prooved his incompetence by calling the MO first, the MO would have been on the phone instructing the the HO on steps to stabilize the patients.

-CramJones

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

dohyn:
as expected, the idiot called Cramjones has pulled up a story in the UK to back up his points. like we all don't know the difference between Nigeria and UK is night and day.
If you are who you say you are,then you should be grateful you are in a country that lets you roam the streets and not be in jail. Rabid dog. As if it's not you and your ilk that turned Nigeria to the pitiful state it is now.
Anuofia

nutarious:
I read OP story over and over without been emotional about it like everybody and I just want you guys to Read it too. THE OP AIN'T NO DOCTOR!!!.

CRAMJONES sums it up by that lecture....... From all the the OP said it's all lies, Doctors are not directly in charge of revenue Generation in Specialist Hospitals Govt owned, lol, u tried sha........ At least you generate Lotta traffic. Kudos

I work at Kogi state specialist Hospital, the OP is Liar. Shikena!

cosmatika:
I bet u wntd to do medicine but failed, hence ur rant against Drs. So u dnt knw dat govt policies affect healthcare provision in dis country? Or u dnt knw dat d nurses re d custodians of d equipments? So if a Nurse seys I won't bring out d oxygen cylinder cos px has nt registered I'll go fight her? Use ur head

safepassage2015:
exactly my view. I stated earlier that his position that his MO said he should collect money b4 treatment is very suspicious in a teaching hospital setting. Drs do not collect money in teaching hospitals its the job of cashier and medical records people to do so

ritababe:
You are wicked, how can order from above stop you from saving someone's life, if its your sister will you watch her die like that?
You are a doctor and thats your job irrespective of the order above.

RedCapChief:
@op, don't let anybody make you feel guilty for heeding the instruction of your senior. I have been a house officer and I understand a bit of the dynamics of government practice. The fact that we deal with human life makes everything so sentimental so people will call you all sorts of names and ask you to lose your job. I have seen where the doctor is ready to work, but the nurses refuse to bring out the instruments because they are on strike. You can't disobey your senior. It is just like a military service system.

Besides, can you guarantee that you would have been able to save the woman's life? [/s] No law stops you from giving first-aid but can you continue to give the required care? You were not negligent in your duty.
[s]

It is a pity that we live in a country with a messed-up health system and you have to pay out of pocket for the most basic kind of healthcare. There is no social fund for accident victims in hospitals so anybody who is mad at you can go down to the nearest hospital and make a donation.

Many of the people criticizing you for not spending your money have never donated a single vial of normal saline (150 naira) or iv cannula (200 naira) to any government hospital. Just continue to do your best within your limits. Nigeria will be better soon

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