I have got nothing but mad respect for @afrodoc..hopefully, I did not sound disrespectful in any of my comments.

At the end of the day we are both looking out for our bro @ibime and his child..nothing more.

Roland17:
I have got nothing but mad respect for @afrodoc..hopefully, I did not sound disrespectful in any of my comments.

At the end of the day we are both looking out for our bro @ibime and his child..nothing more.

Haba. We good nah. I don see where 2 unit heads dey argue on top similar issues for up to an hour so nothing spoil.

afrodoc2:


Lol. No disrespect was meant. I was an ED Registrar and i understand completely why Neurology follow up was not organized. They must/should have told Ibime to see his GP though.

As alarming as what he described seems it did not qualify as severe head injury and likely barely qualified for that CT sef. Before discharge 2 teams headed by an Emergency Physician and a Paediatrician would have discussed and come to the conclusion that there was no need for further Neurology follow up.

In the absence of further seizure or seizure-like activity EEG is of limited value. It is used to find out why someone is having more seizures. If there are no more seizures what are you doing it for then?

If the child is not back to a 100% in a few weeks as demonstrated by headaches, sleepiness, vomiting, poor co-ordination e.t.c or if the Neurologist has any concerns he would most likely move to MRI which would be of more value at that point. It will tell you if there is a small bleed in the brain missed by the earlier CT or if there is cerebral oedema i.e brain swelling or any other structural problem.

Surely we would receive a letter from GP before long if not the Consultant themselves.

Are you saying CT may miss some small bleed, or brain swelling. If so, small enough to correct itself?

Y'all cool off

Bville02:


Chelsea will announce him this week and he'd resume with Werner and Rudiger after the international matches.

this week don dey go na, Friday don already reach.
Wait, he will resume with Werner and who can't we just forget one German there


Speaking of international matches, expecting to see a Havertz-Werner combo against Spain tomorrow

Ibime:


Surely we would receive a letter from GP before long if not the Consultant themselves.

Are you saying CT may miss some small bleed, or brain swelling. If so, small enough to correct itself?

CT will usually pick up the obvious bleeds and whatnot and also almost all the tiny ones too.

However if a patient is still not himself after a couple of weeks and the doctor does not believe it is just concussion (which is the most likely explanation) next step would be an MRI which is a higher level of imaging.

To reassure you a bit. Seizure which occurs immediately after the head injury and lasts only for a few minutes followed by return to normal conscious state is almost always benign compared to the ones that happen hours to days after the injury or last for several minutes or when there is no return to normal or when the seizures are recurrent.
If the latter happens that is when alarm bells start ringing.

BlueMann:


I just weak.

Maybe they want to do a Netflix special as announcement

when it's not DVD we signed (Donny Van De... been)

Shebi them say na 29 Baba go wear so he'll be unveiled on 29th. 29th don pass o.

Abi na 3 Baba won wear?

nihilistjnr:


They say he has passed his medical already

12 days to start of season, these people should do and hurry up abeg

Haven't been this excited since God knows when.

the anticipation and excitement the saga has built, has been second to none, except Messi's.

I just hope Havertz gets registered on time, so as not to be quarantined nor miss an important game like Liverpool, where his world class talent abi generational talent as hyped by Dayo is highly needed.

Jeez if sports section is a university, this thread is definitely multipurpose hall. You just don't know when or which lecture would happen next.

Griffon:


Ibime hearken to this professional advice. I'll bet my testicles that afrodoc2 can't give this, he's just busy selling agbo in Australia.

Ashley please take him to School before the season starts.

afrodoc2:


CT will usually pick up the obvious bleeds and whatnot and also almost all the tiny ones too.

However if a patient is still not himself after a couple of weeks and the doctor does not believe it is just concussion (which is the most likely explanation) next step would be an MRI which is a higher level of imaging.

To reassure you a bit. Seizure which occurs immediately after the head injury and lasts only for a few minutes followed by return to normal conscious state is almost always benign compared to the ones that happen hours to days after the injury or last for several minutes or when there is no return to normal or when the seizures are recurrent.
If the latter happens that is when alarm bells start ringing.

Reading on internet, what happened can't pass fencing response (lifting arms up, tremor on the limbs and crossing fingers), although he hit his back on the chair on the way down which must have winded him.

E be like exactly wetin dis guy do for here

Ibime:


Reading on internet, what happened can't pass fencing response (lifting arms up, tremor on the limbs and crossing fingers), although he hit his back on the chair on the way down which must have winded him.

E be like exactly wetin dis guy do for here

It could well be. That is why i said your boy must have barely qualified for the CT in the first place.

Some other units might have held off on the CT and just observed for a longer period especially when the history of true seizure is not clear cut.

We try to avoid CT in children if possible because of the radiation. In some cases though it has to be done.

donjazet:


This your post got me to further think of how lucky you are to be in an advanced country that values the health of it's citizens and has a fully functional emergency response system.

Here, people have lost their lives over incidents even smaller than this.

Following your story, you are indeed lucky to have been in a country where, immediately the incident happened, the ambulance was there in no time to provide emergency health services and transport him to a nearby hospital equipped with CT scans and all other Medical paraphernalia that eventually saved his life plus the well qualified health practitioners on hand. I really envy you bro.

Your son's survival story just took me back to my own sister's death account, she was alive for more than one hour after her crash but bled out to death because people couldn't bring her out of the crashed car but worse than that was that the nearby health center, her body was eventually taken too was not what deserves to be called a health center but a death center. The place didn't even have basic medical apparatus for handling emergencies, showing that people in need of emergencies die unnecessarily here.

Truly brother, you are blessed to have escaped this hellhole. My ultimate ambition na to join una there one day.

You see why I can't easily denigrate this country. Before the ambulance came, a solitary paramedic arrived by car (first responder who can get there quicker than the main ambulance) then the ambulance came, then another senior medic came in a different car came shortly after (who must be a doctor sent to support paramedics in life threatening situations). Before they came, 999 operator has already coached us through performing CPR.

Before ambulance reach Hospital, they have already organised Consultant to be on standby with crash team. From entering the hospital to CT scan took 10 mins and in another 5 mins after that, X-Ray was ready for cervical scan. Nobody asked my skin colour or whether I pay taxes or have insurance before treatment. The lead Radiographer on the CT was one black boy (looks in his mid-20s) whilst the lead Radiographer on the X-Ray was one black girl (can't be up to 30). The nurse-in-charge in step-down observation unit after he had recovered sufficiently was one Somalian girl also mid-20s with hijab on her head. This country is trying abeg.

It is only those with rebellious spirit wey never see how things dey run for other countries go dey complain about UK.

cole01:
Y'all cool off

this year never finish naa.. if you give up, na u sabi oo

afrodoc2:


It could well be. That is why i said your boy must have barely qualified for the CT in the first place.

Some other units might have held off on the CT and just observed for a longer period especially when the history of true seizure is not clear cut.

We try to avoid CT in children if possible because of the radiation. In some cases though it has to be done.

This is a specialist children's hospital (MRI Manchester). Even the CT machine looked smaller than what I'm used to.

afrodoc2:


It could well be. That is why i said your boy must have barely qualified for the CT in the first place.

Some other units might have held off on the CT and just observed for a longer period especially when the history of true seizure is not clear cut.

We try to avoid CT in children if possible because of the radiation. In some cases though it has to be done.

I would imagine a CT was ordered because the story states he hit his head. @Ibime correct me if I am wrong, they should have asked the length from where he fell, trying to determine the impact level. Before ordering the CT, the doctor would have rubbed his hand across Ibime’s son’s head looking to feel trauma or facial changes/ reaction to pain. I think he was trying to play safe based off the story and you are right about radiation, you want to avoid exposure.

Roland17:


I would imagine a CT was ordered because the story states he hit his head. @Ibime correct me if I am wrong, they should have asked the length from where he fell, trying to determine the impact level. Before ordering the CT, the doctor would have rubbed his hand across Ibime’s son’s head looking to feel trauma or facial changes/ reaction to pain. I think he was trying to play safe based off the story and you are right about radiation, you want to avoid exposure.

Yeah the first guy did all that and pinpointed haematoma in one spot before the main ambulance arrived

Roland17:


I would imagine a CT was ordered because the story states he hit his head. Correct me if I am wrong, they should have asked Ibime the length from where he fell, trying to determine the impact level. Before ordering the CT, the doctor would have rubbed his hand across Ibime’s son’s head looking to feel trauma or facial changes/ reaction to pain. I think he was trying to play safe based off the story and you are right about radiation, you want to avoid exposure.

Yeah exactly. Sometimes you get a physician who is very cautious one way and other times a physician who is cautious the other way.

And you are absolutely right the mechanism of injury of which the height of the fall is an important aspect is very crucial.

Ibime described a fall from a low height which is another reassuring factor BUT what was the surface that the head hit is another factor.

Examination is also key and there are several things to look for.

One thing experience has taught me is that once the initial response is high level escalation with ambulance and lights n sirens it is often difficult for anyone to have the courage to now say “no need for CT”. Rather they would play safe and do the CT so everyone is happy and the parent won’t sue them later for negligence and not investigating properly.

Hmmmmm,
Somehow someday Nigeria will get there.

Sergio Romero is going to Aston Villa.. The fact that Chelsea did not go in for him probably means those at the helm of affairs rate Edouard Mendy higher

thorrvik55:
Sergio Romero is going to Aston Villa.. The fact that Chelsea did not go in for him probably means those at the helm of affairs rate Edouard Mendy higher

Or kepa has their nudes.

Ibime:


You see why I can't easily denigrate this country. Before the ambulance came, a solitary paramedic arrived by car (first responder who can get there quicker than the main ambulance) then the ambulance came, then another senior medic came in a different car came shortly after (who must be a doctor sent to support paramedics in life threatening situations). Before they came, 999 operator has already coached us through performing CPR.

Before ambulance reach Hospital, they have already organised Consultant to be on standby with crash team. From entering the hospital to CT scan took 10 mins and in another 5 mins after that, X-Ray was ready for cervical scan. Nobody asked my skin colour or whether I pay taxes or have insurance before treatment. The lead Radiographer on the CT was one black boy (looks in his mid-20s) whilst the lead Radiographer on the X-Ray was one black girl (can't be up to 30). The nurse-in-charge in step-down observation unit after he had recovered sufficiently was one Somalian girl also mid-20s with hijab on her head. This country is trying abeg.

It is only those with rebellious spirit wey never see how things dey run for other countries go dey complain about UK.

My friend, common lower your volume, you think it's me you're doing abi? You want make i continue dey vex say i never comot this shithole abi? E no go work for you.

BTW, I've always acknowledged that Western Europe have improved tremendously in race relations at least compared to the United States but you have to agree with me that it's not yet perfect, there are still elements of the old guard scattered across the country.
The disproportionate incarceration rate is a pointer to this. The presence of proud white supremacists group is another.

But on the whole, I do agree that there has been a great improvement in race relations than was seen few decades ago.

Abeg stop to dey gloat about how good their system dey, you dey make person wan swim go abroad.

thorrvik55:
Sergio Romero is going to Aston Villa.. The fact that Chelsea did not go in for him probably means those at the helm of affairs rate Edouard Mendy higher

Or maybe Manure refused to sell to us.

I wonder why they don't revive Areola bid since Mendy's price is pushing close to what PSG would sell Areola for. Maybe wages is also another factor. I know Romero also earns decent wage.

Van De Beek final price was £35m. Who do us this Kain thing?

Oboi, see wonderful medical prognosis and analysis. Nice one docs. More feathers to your caps.

Ibime:
Van De Beek final price was £35m. Who do us this Kain thing?

We already have numerous midfielders, do we really need more? I just want to us take care of our goal keeping problem..

Kepa will not change overnight. He lacks good communication with his defense, he has very poor ariel command, he cannot come out to grab the ball or punch it well away when we concede set pieces. He loses focus easily, he has weak hands for a keeper and many more problems.

This area has been my chief area of concern, not the midfield that is fully stacked.

Ibime:
Van De Beek final price was £35m. Who do us this Kain thing?

Very good deal. Dare I say Barca massively overpaid for Frenkie De Jong. I've always rated VDB higher than Frenkie De Jong right from time

thorrvik55:


Very good deal. Dare I say Barca massively overpaid for Frenkie De Jong. I've always rated VDB higher than Frenkie De Jong right from time

Indeed. Me too. Also DeJong wages is pushing £350kpw while VDB won't cross £150k. There is some Covid discount in VDB price though, about £10m discount on what they were asking last summer.

thorrvik55:
Sergio Romero is going to Aston Villa.. The fact that Chelsea did not go in for him probably means those at the helm of affairs rate Edouard Mendy higher

like I said it seems a deal may have already been reached for Mendy, just a matter of time.


Besides if Romero can't bench De gea is it kepa he can now bench

donjazet:


We already have numerous midfielders, do we really need more? I just want to us take care of our goal keeping problem..

Kepa will not change overnight. He lacks good communication with his defense, he has very poor ariel command, he cannot come out to grab the ball or punch it well away when we concede set pieces. He loses focus easily, he has weak hands for a keeper and many more problems.

This area has been my chief area of concern, not the midfield that is fully stacked.

Kepa will be dealt with surely, I just think VDB is an upgrade on Barkley, Kova and Mount. I won't say he's better than RLC attacking wise but he is miles above RLC in controlling midfield.