@kathyekiti,
I am a Physician - I mean Internal Medicine, Hoping / Studying to become a Neurologist, All things being equal. That really should mean I do not have any business with this thread as I just saw now that its Gyne/Obst strictly. It used to be all encompassing. Sorry, I'll just stay in the wings,

Kudos chief,

@ronell,
Even though the spotting stopped 3 weeks ago, did u continue to have the symptoms of pregnancy, I mean the early morning sickness, vomiting, feeling of being unwell and the likes. If they saw just a sac and no contents, you might have had a missed abortion. The spotting and if u stopped having the symptoms of pregnancy would point to the diagnosis but meanwhile an Ultrasound scan is diagnostic. Get another scan as soon as u can, if possible from another centre. If its a missed abortion, just go for an MVA (Manual Vaccum Aspiration), its almost like D&C but its a big syringe we use called Karmann's syringe.
Thats what I'll advice. The sooner u know the better and the sooner u can conceive again if its a missed abortion.

Ciao

HI people,
Its been a long time I have been in this forum. I do not want to barge in on the discussions, so I would just wait in the wings. I am a Medical Dr presently in General Hospital Abuja. I would bust in once a whil and probably contribute subject to approval from u guys. I used to be a frequent caller but work has been crazy.
Hi to all the docs in the house

Peace

HI people,
Its been a long timeI have been in this forum. I do not want to arge in on the discussions, so I would just wait in the wings. I am a Medical Dr presently in General Hospital Abuja. I would bust in once a whil and probably contribute subject to approval from u guys. I used to be a frequent caller but work has been crazy.
Hi to allthe docs in the house

Peace

Hi dr chic,
Pls correct me if I am wrong but Staphylococcus aureaus is not a normal skin commensal. It is a pathogenic bacteria. the normal skin commensal is Staph. epidermididis. and co. Some people are though nasal carriers of Staph aureaus but from what I know I think its a largely pathogenic organism.

Thanks

@ big nero,
Hi. What u have might not be a pilonidal cyst. Does the stuff discharge like a real boil at any time? It could be an ischiorectal abscess. Let a doc see it. I agree it might be a pilonidal cyst though but I'll its better its examined.

Lipitor is the same thing as atovarstatin. its all around Nigeria. At least I prescribe it Ibadan and patients get it.
The problem is that it is expensive compared to another cholesterol lowering agent like simvastatin. maybe you should ask for atorvastatin. A lot medical people know only pharmaceutical names and not generic names so asking for atorvastatin might do the magic.

If you don't get it, simvastatin is an alternative. Ask your doctor to prescribe that instead if you can't still get it


Ciao

Hmm. This world is such a small place. I am a Medical Doctor in UCH. Some days after the strike was called off, one of my consultants told us of a piece written in the Guardian Newspaper with the above title. We argued about it a little cos I didnt read it and he didnt remember details but I was of the opinion that no blame should be dropped at the doorsteps of the doctors rather the Govt should be told to answer for the lives of every citizen that was lost at that time.

Unfortunately today is the first time I am reading the full text of the article and Lo and behold I know Agberemi. His younger brother was my mate in Secondary school. When Agberemi had an accident, he was unconscious for several days. He was infact in ICU. I was at his side for a couple of days. I didnt know him personally but I knew his brother, Lateef - nice guy. Agberemi's improvement was miraculous. Infact I was amazed. After some days he was transferred to the ward and was on his way home. I infact saw him two times walking confidently on the corridor of his ward. Then I felt the worst was over and that he was on his way home. I became increasingly busy and I stopped going to see him. I did not hear anything again until today.

I weep now. I only conversed with him once. At that time he was still a little confused but the things he said then could only have come from a brilliant mind.

But are we to blame the doctors? Someone wrote "to the foolish striking doctors, your life is at stake , ".

No really are we to blame? Is it our fault that our government is not concerned with the health of the people of the country? They had enough ultimatum. They ignored it. We begged them to listen to us. Infact we begged them to negotiate. All the government understands is strike, confrontation!

Imagine during the period, one of the ministers opened his mouth and said "Why waste money on a sector, that is not producing money in return". Is that sensible. Is the health of the nation negotiable. Is the health sector a business venture that should generate profit?

As far as i am concerned, I know Agberemi. I am very sad he is dead. I also know a lot of other people that died during the strike. I am sad they are dead but I do not think the doctors deserve any blame. Infact medical doctors in this country should be called heroes for the kind of work they do in such frustrating working conditions imposed on them by this country.

Many people think that all the time that a strike is called, the doctors are fighting for wages alone. This is far from the truth.

The doctors did not kill Mr Agberemi. Let us ask our government to give account. They surely could fly Atiku to London for a sprained ankle yet they cannot equip UCH - the foremost healthcare delivery center in Nigeria with a laser knife.

What a shame!!!

May the Lord have mercy on us all.

Actually cravings for ice (its not necessarily ice, some it might be chalk etc) is called pica. It is a feature of iron deficiency anaemia. But some cravings are not necessarily due to iron deficiency anaemia. Some pregnant women (as someone rightly said) have abnormal cravings. Some crave for charcoal, some chalk, others some weird stuff.
But some cravings can be a sign of some worse problems. Some might be a sign of a psychiatric illness. Some people eat hair. There is also a condition of the brain called KLuver-Bucy syndrome - the person craves for food and sex. etc.

Let me stop boring you guys with a lot of medical jargons. The question was innocous.

Well we all have our cravings. I crave for orange juice and I am sure I am perfectly normal.

Are u asking me?

Seun,
I want you to listen to yourself. Thats why it is a society. we cannot do whatever we like, it has to conform to the laws of the society. Who determines whether another person is harmed? If you allow people to do what they like, there would be a societal breakdown. There should be rules governing everything. Human beings are very funny. They are quick to misuse complete freedom. Also the rules are standards, it ensures fairness, so that today you do not tell me A that he can kill and then you tell Mr B the next day that it is wrong to kill.
You think human beings can funtion properly without rules even the creator put down rules and guidelines. If the creator knows our charcater, who are you to say that we can do what we like? Ethics are essential my friend.

@cyberangel,
Thanks. My email address is open. It is ajolayo@yahoo.com

Seun, you amaze me. You think the issue of ethics do not apply because it is a single case. What ignorance. You do not know that it is that case that would be quoted in the future. You cannot afford not to set standards at any point in time. There is a propensity for humnas to misuse things and refer you back to a similar case in the past. Thats why we have standards which do not bend no matter who is involved.

@ Seun,
I do not consider that inflammatory at all. It was also not a personal attack. It was an attempt at fun. Besides eniola is my very good friend, she would sure laugh it off. Then who decides whether a statement is inflammatory in this forum: Should it be you? or the person who the statement was directed to?

Listen, I admire you greatly. That does not take anything away from the respect I have for you but I think the person who a statement is directed to should be the one to say that a certain statement is inflammatory or abusive. We all sure view things differently.


About ethics or no ethics. Are we going to decide how many years you can store sperm for? Are we going to store everybody's sperm cells? Can there be mistakes in the sperm bank? What if a widow becomes pregnant 4 months after the death of her husband, and she tells you that the child is her husband's as she was fertilized by his sperm when actually she was promiscuous(that child can then claim the man's inheritance)? What if the family of the dead man do not like the wife and then they take the sperm and fertilize another woman so that the child lay claim to all the property and then then widow is left in the cold?
It is known that when ovaries are stored for long periods, they might produce some malformations in the children. Does that happen with sperm too? Can it be a accessory weapon for ethnic cleansing later in the future?
Who has the right to the sperm of the dead man? His wife? His family? or his next of kin?
There are other things to be considered but thats that for now.
As you can see I am not referring to this dead man in particular but to the whole idea

Please next time you want to edit my post, I would prefer you remove the whole post and not remove a chunk and leave the rest there.

Thanks

@ Seun,
I want to ask first of all why you edited my post? You removed a whole chunk and then left just a bit and then you want to humour me? I will tell you what ethics are involved when you explain why you edited my post.

I think the problem about the arrangement is the ethics. Is it ethical? Can it be misused? What are the problems of sperm banking? etc.

Science and infact Medicine is advancing at an incredible rate but we must remember that as good as this is, if we are not bound by the laws of ethics then all these can have negative impacts on the society.

@noble_irc,
What you have is most probably Schistosomiasis. It is caused by schistosoma hematobium.
Infected people pee into rivers and release the eggs into the river. The eggs hatch in the water and the larvae are taken up by small snails. These now develop in the snail, leave the snail and penetrate the skin of humans taking their bath in streams and rivers.
It cause terminal hematuria. that is blood in the last bit of ur urine. Not treating it leads to bladder fibrosis and later on Bladder cancer.
Effective treatment is simple and not costly. The drug of choice is Praziquantel.
I advise you do a urine test for ova of schistosoma.

Do not pee into any river or stream as you might pass the infection. And in fact do not swim in rivers or streams.

Thanks

@vicky,
Sorry to ask cos I am not a lady whats the Summer's Eve for? What does it do? I have been made to believe medically that douching is not beneficial but infact harmful as it disrupts the normal vaginal flora. I do not know what this product is and what its used for. Can u clarify pls?

Thanks

@crazykid,
I guess we are birthday mates. I am 21st of March too.

Aint that great, I share birthdays with crazykid

@jo joe,
I am sorry. My error. I dont know whether its the weather thats playing pranks on my brain or something (Laughs).
Wow, you seem to have had lots and lots of tests and procedures done for you.
The tests should at least have shown what is wrong with you. Scar tissue near your liver? ok
Can you send me a mail? I want to know the full characteristics of this pain. What test you have done and what it showed and whether any pain reliever you have used helped or not and most importantly you past medical history

Ciao

@jo joe,
The way you sound seems like you are not in Nigeria and so its better as in you have access to quality health care.
When did this pain start? Does it come and go? Has it changed since it started? Does it move? Where exactly on the right side is this pain? Any other associated symptoms like vomiting, anorexia, constipation? What tests have you done? Ultrasound, Abdominal CT, hormonal profile or what?

There are a trillion causes of right sided abdominal pain and so the questions and the test would help in narrowing down.
Does any analgesic help you?

A reply to these questions and some more would help in making a reasonable judgement and offering the best advice available.

Thanks

Ciao

Na waya o.
How can we be comparing The Emeritus Professor of football to Ronaldinho.

Zizou is the best. He is in the class of Maradona, Pele, Eusebio, etc. Zizou is the best player that we have seen in the last decade.

He's got skill, class, his dribbles are beautiful. He is a master midfielder. He holds and dictates the game. Infact you'll love him. Did you watch the worldcup match between Brazil and France, Zizou did the magic. Its a pity age has cuaght up with him now and he has retired.

At his prime he was the best and is yet to be equalled not to talk of beaten by any player of recent.

Professor Zizou, I doff my hat.

@nicetohave,

Thanks. I agree completely with you. I am just trying to say that there is no exclusivity in the classification. I would also be thinking more of Type I if i see an adolescent with diabetes but its something to keep at the back of your mind. As you said there is No Never in Medicine.
As I said a lot of Endocrinologists do not want to say Juvenile onset and Adult Onset again rather they say Type I (Immune Mediated) etc

Thanks
PS: I want you to talk a little on the issue of alcohol. I know you might have some info about that too.

Hmm Good topic, very varying views.
I got this to say:

Adolescents can develop Type II Diabetes mellitus. Current classifications shy away from classifying Type I as Juvenile Onset and Type II as Adult Onset. Knowledge has changed that. It has been noticed that more obese adolescents are now developing Type II diabetes mellitus. So whether we like it or not diet is extremely important in the prevention of diabetes. We might say that there is no direct causal relationship between a bad diet and Diabetes but that does not hold water any longer.
(Note pls my bad diet does not mean coke or pepsi as people are wont to say.)
Some school of thought believe that obesity is an important first step in developing Insulin resistance of Type II daibetes. It is family linked but bad diet is very associated. the importance of Proper exercise and good diet cannot be overemphasized.

It is not excessive intake alone that causes diabetes, also inadequate intake of some essential nutrients can cause diabetes. there is a new classifictaion that Identifies Type IV caused by Malnutrition. It presents like Type I cos the Malnutrition causes some pancreatic injury and calcification.

Now for the issue of alcohol, Medically litlle alcohol intake is not harmful to the body but infact beneficial. In studies carried out in France and some other places, it was found out that people that take some amount of alcohol (mainly red wine) have better hearts than those who do not.

But can alcohol cause diabetes? Yes. Excessive alcohol intake is one of the prime causes of acute or chronic pancreatitis that is alcohol has a way of injuring the pancreas. It is this same pancreas that produces insulin. So what do u expect? Excessive alcohol would cause diabetes. Shikena

The complications of diabetes are too many. Thats for another day. Also there is something we call Metabolic Syndrome or Syndrome X. that also for another day.

Thanks all.

Hi everyone.
So many questions. Its been busy for all the doctors I am sure. Its been busy for me sef.
So lets answer the questions as best as possible:

@christie,
I agree that that might be an allergy. One problem is that you have not yet been able to identify what you react to. The presence of the allergy would continue to stimulate that response, so a long lasting solution apart from the drugs is identification of the allergy and life style modification.
Are you also asthmatic? Do you itch around your eyes, nose? All these allergic conditions can coexist. What you have is probably perennial rhinitis. The most probably organism is house dust mite.
So the following advice might be useful, remove all pets (cats, dogs etc), rugs are to be changed to carpets if possible,
your pillows and beds should be covered with silk beddings. There are other drugs but I don't see a point in adding another one. your symptoms seem mild to me and you are well controlled on piriton. I think lifestyle modifictaion is all we need to win here. Ok
Please do not hesitate to ask any questions you are not clear about.


@4 play,

It is possible he has congestive heart failure. He has swollen feet, he complains of feeling his heart racing. The hyperventilating symptom looks like PND to me. Its is very possible
But I think a thorough check up in a hospital would be essential
I have to ask a lot of questions but it is better he is thoruoghly evaluated.



@bimpeaka,

How long have you been married.?
Have you been pregnant before?
Other questions I'll love to ask seem personal. You can mail me or buzz me when I am online. I can ask a few qesutions and probably recommend you see your Gynecologist or whatever.

Thanks everyone

Gat to go

Thanks

Its going to be a tough call this season.
BARCA has the chance but I think my All conquering El-Galacticos, the Merengues in White REAL MADRID would push them hard, give a good account of themselves and win The LA LIGA this season.

I can feel it in my bones despite the 3 Nil Losss



Ciao

The effects of alcohol are damn too much. I cannot even start to think or enumerate them.
One very important one is the Liver Damage it causes. It causes Liver Cirrhosis and eventually Liver Cancer.

It is also implicated in Peptic Ulcer, Wernicke's Encephalopathy, Korsakoff's Psychosis, pancreatitis, cardiomyopathy, Neuropathies etc.

I cannot mention them all

The negative effects of excessive alcohol use far outweigh its positive effects.

@Ndipe,
thanks so much for the article. Was really educative. To you question: It has not been proved yet that mosquito bite transmits the HIV virus and the article at no point proves that.

This article is just highlighting the reasons why our life expectancy in Nigeria would remain at a dismal 43 years. Instead of our leaders to sit up and do something it is White house that is interested, a place that does not have Malaria and certainly does not have as high prevalence of HIV as we have here.

GOD HELP US.

what of
1) kokolets
2) Jehovah effizy - God of special effects
3) Give the Lord a wiper
4) sepe
5) baraje
6) wowo like taribo
7) ayangba
igbin (not snail o)
9) idi araba
10)o ni jeba je

i will send more

@everybody,
I do not think that this forum is meant for arguments like this. I suggest that this thread be stopped.

This argument has been on for ages so what do we intend to achieve by arguing here. everybody has his/her own opinions and these have been ingrained, very difficult to dislodge by just arguing esp in a forum like this.

I have my beliefs. To The starter of this thread, go find something else to do. and that goes to all of ya.

Get the f**k outta here.

@gentleone,
There is no strict regulation on how often one should deworm. I am not sure I have seen it in any text or article on the frequency of deworming. Also deworming would depend on the age of the indivivdual (as children are more predisposed to the effects of worm load) and the location, I mean place of domicile of the person. I do not expect a person in the US to have the same worm load as someone living in my village in Osun State. You get. But Personally I would advise once in 6 months for an adult. That though is very arbitrary as I myself I have not dewormed in the past 6 years. (maybe thats why I am this skinny). LAUGHS

I welcome other people's comments on the frequency. I'll advise once in 6 months to a year.

Now for the effects of worms: plenty. Firstly depends on the type of worms. Mostly the kind of worms that inhabit us in Nigeria is Roundworm (ascaris).

Effects of Ascariasis include:
Nausea, vomiting, abdominal discomfort. they may cause biliary obstruction and intestinal obstruction if the worm load is much. Actually in my unit when I was in Paed surgery one time , we had taken a child to theatre for Intestinal Obstruction only to get in and find a bag of worms. some of those worms were as big as my head. They also cause malnutrition esp in children.
Hookworm causes anaemia.
Threadworm causes intense perianal itching (itching around the anus)
etc.
Let me stop boring you.

The effect of worms are more important in children and I would advise regular deworming in children but in adults I think once in 6 months and above is good enough.

Thanks