Health › Re: Through The Valley Of The Shadow Of Death - An Ebola Survivor's Story by Chartey(op): 5:53pm On Sep 15, 2014*. Modified: 6:12pm On Sep 15, 2014 |
Later that evening, Dr. David brought another lady into the ward. I recognized her immediately as Justina Ejelonu, a nurse who had started working at First Consultants on the 21st of July, a day after Patrick Saywer was admitted. She was on duty on the day Patrick reported that he was stooling. While she was attending to him that night, he had yanked off his drip, letting his blood flow almost like a tap onto her hands. Justina was pregnant and was brought into our ward bleeding from a suspected miscarriage. She had been told she was there only on observation. The news that she had contracted Ebola was broken to her the following day after results of her blood test came out positive. Justina was devastated and wept profusely – she had contracted Ebola on her first day at work. My husband started visiting but was not allowed to come close to me. He could only see me from a window at a distance. He visited so many times. It was he who brought me a change of clothes and toiletries and other things I needed because I had not even packed a bag. I was grateful I was not with him at home when I fell ill or he would most certainly have contracted the disease. My retreat at my parents’ home turned out to be the instrumentality God used to shield and save him. I drank the ORS fluid like my life depended on it. Then I got a call from my pastor. He had been informed about my predicament. He called me every single day morning and night and would pray with me over the phone. He later sent me a CD player, CDs of messages on faith and healing, and Holy Communion packs through my husband. My pastor, who also happens to be a medical doctor, encouraged me to monitor how many times I had stooled and vomited each day and how many bottles of ORS I had consumed. We would then discuss the disease and pray together. He asked me to do my research on Ebola since I had my iPad with me and told me that he was also doing his study. He wanted us to use all relevant information on Ebola to our advantage. So I researched and found out all I could about the strange disease that has been in existence for 38 years. My research, my faith, my positive view of life, the extended times of prayer, study and listening to encouraging messages boosted my belief that I would survive the Ebola scourge. There are five strains of the virus and the deadliest of them is the Zaire strain, which was what I had. But that did not matter. I believed I would overcome even the deadliest of strains. Infected patients who succumb to the disease usually die between 6 to 16 days after the onset of the disease from multiple organ failure and shock caused by dehydration. I was counting the days and keeping myself well hydrated. I didn’t intend to die in that ward. My research gave me ammunition. I read that as soon as the virus gets into the body, it begins to replicate really fast. It enters the blood cells, destroys them and uses those same blood cells to aggressively invade other organs where they further multiply. Ideally, the body’s immune system should immediately mount up a response by producing antibodies to fight the virus. If the person is strong enough, and that strength is sustained long enough for the immune system to kill off the viruses, the patient is likely to survive. If the virus replicates faster than the antibodies can handle however, further damage is done to the organs. Ebola can be likened to a multi-level, multi-organ attack but I had no intention of letting the deadly virus destroy my system. I drank more ORS. I remember saying to myself repeatedly, “I am a survivor, I am a survivor.” I also found out that a patient with Ebola cannot be re-infected and they cannot relapse back into the disease as there is some immunity conferred on survivors. My pastor and I would discuss these findings, interpret them as it related to my situation and pray together. I looked forward to his calls. They were times of encouragement and strengthening. I continued to meditate on the Word of God. It was my daily bread. |
Health › Re: Through The Valley Of The Shadow Of Death - An Ebola Survivor's Story by Chartey(op): 5:50pm On Sep 15, 2014*. Modified: 6:10pm On Sep 15, 2014 |
The ambulance door opened and a Caucasian gentleman approached me but kept a little distance. He said to me, “I have to inform you that your blood tested positive for Ebola. I am sorry.” I had no reaction. I think I must have been in shock. He then told me to open my mouth and he looked at my tongue. He said it was the typical Ebola tongue. I took out my mirror from my bag and took a look and I was shocked at what I saw. My whole tongue had a white coating, looked furry and had a long, deep ridge right in the middle. I then started to look at my whole body, searching for Ebola rashes and other signs as we had been recently instructed. I called my mother immediately and said, “Mummy, they said I have Ebola, but don’t worry, I will survive it. Please, go and lock my room now; don’t let anyone inside and don’t touch anything.” She was silent. I cut the line. I was taken to the female ward. I was shocked at the environment. It looked like an abandoned building. I suspected it had not been in use for quite a while. As I walked in, I immediately recognized one of the ward maids from our hospital. She always had a smile for me but not this time. She was ill and she looked it. She had been stooling a lot too. I soon settled into my corner and looked around the room. It smelled of faeces and vomit. It also had a characteristic Ebola smell to which I became accustomed. Dinner was served – rice and stew. The pepper stung my mouth and tongue. I dropped the spoon. No dinner that night. Dr. David, the Caucasian man who had met me at the ambulance on my arrival, came in wearing his full protective ‘hazmat’ suit and goggles. It was fascinating seeing one live. I had only seen them online. He brought bottles of water and ORS, the oral fluid therapy which he dropped by my bedside. He told me that 90 percent of the treatment depended on me. He said I had to drink at least 4.5 litres of ORS daily to replace fluids lost in stooling and vomiting. I told him I had stooled three times earlier and taken Imodium tablets to stop the stooling. He said it was not advisable, as the virus would replicate the more inside of me. It was better he said to let it out. He said good night and left. My parents called. My uncle called. My husband called crying. He could not believe the news. My parents had informed him, as I didn’t even know how to break the news to him. As I lay on my bed in that isolation ward, strangely, I did not fear for my life. I was confident that I would leave that ward some day. There was an inner sense of calm. I did not for a second think I would be consumed by the disease. That evening, the symptoms fully kicked in. I was stooling almost every two hours. The toilets did not flush so I had to fetch water in a bucket from the bathroom each time I used the toilet. I then placed another bucket beneath my bed for the vomiting. On occasion I would run to the toilet with a bottle of ORS, so that as I was stooling, I was drinking. The next day Monday 4th of August, I began to notice red rashes on my skin particularly on my arms. I had developed sores all over my mouth. My head was pounding so badly. The sore throat was so severe I could not eat. I could only drink the ORS. I took paracetamol for the pain. The ward maid across from me wasn’t doing so well. She had stopped speaking. I couldn’t even brush my teeth; the sores in my mouth were so bad. This was a battle for my life but I was determined I would not die. Every morning, I began the day with reading and meditating on Psalm 91. The sanitary condition in the ward left much to be desired. The whole Ebola thing had caught everyone by surprise. Lagos State Ministry of Health was doing its best to contain the situation but competent hands were few. The sheets were not changed for days. The floor was stained with greenish vomitus and excrement. Dr. David would come in once or twice a day and help clean up the ward after chatting with us. He was the only doctor who attended to us. There was no one else at that time. The matrons would leave our food outside the door; we had to go get the food ourselves. They hardly entered in the initial days. Everyone was being careful. This was all so new. I could understand, was this not how we ourselves had contracted the disease? Mosquitoes were our roommates until they brought us mosquito nets. |
Health › Re: Through The Valley Of The Shadow Of Death - An Ebola Survivor's Story by Chartey(op): 5:49pm On Sep 15, 2014*. Modified: 6:08pm On Sep 15, 2014 |
The frenetic pace of life in Lagos, coupled with the demanding nature of my job as a doctor, means that I occasionally need a change of environment. As such, one week before Patrick Sawyer died, I had gone to my parents’ home for a retreat. I was still staying with them when I received my temperature chart and thermometer on Tuesday 29th of July. I could not contain my anxiety. People were talking Ebola everywhere – on television, online, everywhere. I soon started experiencing joint and muscle aches and a sore throat, which I quickly attributed to stress and anxiety. I decided to take malaria tablets. I also started taking antibiotics for the sore throat. The first couple of temperature readings were normal. Every day I would attempt to recall the period Patrick Sawyer was on admission – just how much direct and indirect contact did I have with him? I reassured myself that my contact with him was quite minimal. I completed the anti-malarials but the aches and pains persisted. I had loss of appetite and felt very tired. On Friday 1st of August, my temperature read a high 38.7c. As I type this, I recall the anxiety I felt that morning. I could not believe what I saw on the thermometer. I ran to my mother’s room and told her. I did not go to work that day. I cautiously started using a separate set of utensils and cups from the ones my family members were using. On Saturday 2nd of August, the fever worsened. It was now at 39c and would not be reduced by taking paracetamol. This was now my second day of fever. I couldn’t eat. The sore throat was getting worse. That was when I called the helpline and an ambulance was sent with W.H.O doctors who came and took a sample of my blood. Later that day, I started stooling and vomiting. I stayed away from my family. I started washing my plates and spoons myself. My parents meanwhile, were convinced that I could not have Ebola. The following day, Sunday 3rd of August, I got a call from one of the doctors who came to take my sample the day before. He told me that the sample which was they had taken was not confirmatory, and that they needed another sample. He did not sound very coherent and I became worried. They came with the ambulance that afternoon and told me that I had to go with them to Yaba. I was confused. Couldn’t the second sample be taken in the ambulance like the previous one? He said a better-qualified person at the Yaba centre would take the sample. I asked if they would bring me back. He said “yes.” Even with the symptoms I did not believe I had Ebola. After all, my contact with Sawyer was minimal. I only touched his I.V. fluid bag just that once without gloves. The only time I actually touched him was when I checked his pulse and confirmed him dead, and I wore double gloves and felt adequately protected. I told my parents I had to go with the officials to Yaba and that I would be back that evening. I wore a white top and a pair of jeans, and I put my iPad and phones in my bag. A man opened the ambulance door for me and moved away from me rather swiftly. Strange behavior, I thought. They were friendly with me the day before, but that day, not so. No pleasantries, no smiles. I looked up and saw my mother watching through her bedroom window. We soon got to Yaba. I really had no clue where I was. I knew it was a hospital. I was left alone in the back of the ambulance for over four hours. My mind was in a whirl. I didn’t know what to think. I was offered food to eat but I could barely eat the rice. |
Health › Re: Through The Valley Of The Shadow Of Death - An Ebola Survivor's Story by Chartey(op): 5:48pm On Sep 15, 2014*. Modified: 6:06pm On Sep 15, 2014 |
On the morning of Wednesday 23rd July, the tests carried out in LUTH showed a signal for Ebola. Samples were then sent to Dakar, Senegal for a confirmatory test. Dr. Adadevoh went for several meetings with the Lagos State Ministry of Health. Thereafter, officials from Lagos State came to inspect the hospital and the protective measures we had put in place. The following day, Thursday 24th July, I was again on call. At about 10.00pm Mr. Sawyer requested to see me. I went into the newly created dressing room, donned my protective gear and went in to see him. He had not been cooperating with the nurses and had refused any additional treatment. He sounded confused and said he received a call from Liberia asking for a detailed medical report to be sent to them. He also said he had to travel back to Liberia on a 5.00am flight the following morning and that he didn’t want to miss his flight. I told him that I would inform Dr. Adadevoh. As I was leaving the room, I met Dr. Adadevoh dressed in her protective gear along with a nurse and another doctor. They went into his room to have a discussion with him and as I heard later to reset his I.V. line which he had deliberately removed after my visit to his room. At 6:30am, Friday 25th July, I got a call from the nurse that Patrick Sawyer was completely unresponsive. Again I put on the protective gear and headed to his room. I found him slumped in the bathroom. I examined him and observed that there was no respiratory movement. I felt for his pulse; it was absent. We had lost him. It was I who certified Patrick Sawyer dead. I informed Dr. Adadevoh immediately and she instructed that no one was to be allowed to go into his room for any reason at all. Later that day, officials from W.H.O came and took his body away. The test in Dakar later came out positive for Zaire strain of the Ebola virus. We now had the first official case of Ebola virus disease in Nigeria. It was a sobering day. We all began to go over all that happened in the last few days, wondering just how much physical contact we had individually made with Patrick Sawyer. Every patient on admission was discharged that day and decontamination began in the hospital. We were now managing a crisis situation. The next day, Saturday 26th July, all staff of First Consultants attended a meeting with Prof. Nasidi of the National Centre for Disease Control, Prof Omilabu of LUTH Virology Reference Lab, and some officials of W.H.O. They congratulated us on the actions we had taken and enlightened us further about the Ebola Virus Disease. They said we were going to be grouped into high risk and low risk categories based on our individual level of exposure to Patrick Sawyer, the “index” case. Each person would receive a temperature chart and a thermometer to record temperatures in the morning and night for the next 21 days. We were all officially under surveillance. We were asked to report to them at the first sign of a fever for further blood tests to be done. We were reassured that we would all be given adequate care. The anxiety in the air was palpable. |
Health › Re: Through The Valley Of The Shadow Of Death - An Ebola Survivor's Story by Chartey(op): 3:57pm On Sep 15, 2014*. Modified: 6:03pm On Sep 15, 2014 |
The following day, the results for HIV and hepatitis screening came out negative. As we were preparing for the early morning ward rounds, I was approached by an ECOWAS official who informed me that Patrick Sawyer had to catch an 11 o’clock flight to Calabar for a retreat that morning. He wanted to know if it would be possible. I told him it wasn’t, as he was acutely ill. Dr. Adadevoh also told him the patient could certainly not leave the hospital in his condition. She then instructed me to write very boldly on his chart that on no account should Patrick Sawyer be allowed out of the hospital premises without the permission of Dr. Ohiaeri, our Chief Medical Consultant. All nurses and doctors were duly informed. During our early morning ward round with Dr. Adadevoh, we concluded that this was not malaria and that the patient needed to be screened for Ebola Viral Disease. She immediately started calling laboratories to find out where the test could be carried out. She was eventually referred to Professor Omilabu of the LUTH Virology Reference Lab in Idi- Araba whom she called immediately. Prof. Omilabu told her to send blood and urine samples to LUTH straight away. She tried to reach the Lagos State Commissioner for Health but was unable to contact him at the time. She also put calls across to officials of the Federal Ministry of Health and National Centre for Disease Control. Dr. Adadevoh at this time was in a pensive mood. Patrick Sawyer was now a suspected case of Ebola, perhaps the first in the country. He was quarantined, and strict barrier nursing was applied with all the precautionary measures we could muster. Dr. Adadevoh went online, downloaded information on Ebola and printed copies which were distributed to the nurses, doctors and ward maids. Blood and urine samples were sent to LUTH that morning. Protective gear, gloves, shoe covers and facemasks were provided for the staff. A wooden barricade was placed at the entrance of the door to keep visitors and unauthorized personnel away from the patient. Despite the medications prescribed earlier, the vomiting and diarrhea persisted. The fever escalated from 38c to 40c. |
Health › Through The Valley Of The Shadow Of Death - An Ebola Survivor's Story by Chartey(op): 3:56pm On Sep 15, 2014*. Modified: 6:05pm On Sep 15, 2014 |
This is the story of Dr Ada Igonoh, an Ebola survivor. On the night of Sunday July 20, 2014, Patrick Sawyer was wheeled into the Emergency Room at First Consultants Medical Centre, Obalende, Lagos, with complaints of fever and body weakness. The male doctor on call admitted him as a case of malaria and took a full history. Knowing that Mr Sawyer had recently arrived from Liberia, the doctor asked if he had been in contact with an Ebola patient in the last couple of weeks, and Mr. Sawyer denied any such contact. He also denied attending any funeral ceremony recently. Blood samples were taken for full blood count, malaria parasites, liver function test and other baseline investigations. He was admitted into a private room and started on antimalarial drugs and analgesics. That night, the full blood count result came back as normal and not indicative of infection. The following day however, his condition worsened. He barely ate any of his meals. His liver function test result showed his liver enzymes were markedly elevated. We then took samples for HIV and hepatitis screening. At about 5.00pm, he requested to see a doctor. I was the doctor on call that night so I went in to see him. He was lying in bed with his intravenous (I.V.) fluid bag removed from its metal stand and placed beside him. He complained that he had stooled about five times that evening and that he wanted to use the bathroom again. I picked up the I.V. bag from his bed and hung it back on the stand. I told him I would inform a nurse to come and disconnect the I.V. so he could conveniently go to the bathroom. I walked out of his room and went straight to the nurses’ station where I told the nurse on duty to disconnect his I.V. I then informed my Consultant, Dr. Ameyo Adadevoh about the patient’s condition and she asked that he be placed on some medications. |
Career › Re: Medical Doctors' Forum: Let Us Know You! by Chartey(m): 1:15pm On Sep 14, 2014 |
Fyneboy33: HOW TO PASS USMLE STEP 1
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I have recently passed the Step 1 USMLE and thought I should share my experience. My advice may apply more to the IMG but others may find it useful too. The advice also assumes that you have at some stage in your life had a reasonable exposure to basic sciences.
Just a few words on my background. I graduated from Medical school in Nigeria in 1990 so my contact with the basic sciences is very distant. Indeed while reading a lot of the stuff was totally new to me and never existed when I went to medical school. I am a resident in cardiothoracic surgery in the United Kingdom and only want to go to the States for a year to do a fellowship. For this reason I just need a pass mark for the USLME. My advice would therefore not be useful for those who require a high score but only those who are struggling to pass or just need a pass. My advice might be slightly tainted because I have been a clinician for over 10 years and taken many exams in my time.
Sources/material I used exclusively 3 sources for all my study for USMLE 1) First Aid 2000 edition which I bought second hand on the net for $8 2) Crashing the boards (Yeh) 1999 edition which I bought 2nd hand for $10 3) Qbank 1 month $150 for online version I did not own or use any other books. I think this is the most important aspect of preparation – RESTRICT YOUR READING MATERIAL. There are always books to read, Anatomy, Biochem, Path etc containing 100s of pages each. The list of books and sources is limitless and you could spend the rest of your life reading for this exam. I think the key to time management is not to waste time on things that yield low output. There is noneed to read a biochemistry book when 1st aid can provide you answers on 80% of the questions in exam. Reading big books is for those who need to score 99. If you want to pass there is more than enough in first aid (or any good review book). Also bear in mind that the objective is to pass and NOT to acquire knowledge, so if first aid tells you that NSAIDS preferentially constrict the afferent arteriole reducing the GFR then that is all you need to know. There is no need to find a big pharmacology book that will explain the precise mechanism or why the efferent arterioles do not dilate in response to PGE….now that is time wasting. Move to the next fact, don’t be greedy and try to get all the marks cos the time you spend, maybe 30 minutes consolidating on one aspect that might yield you one correct answer (or none) in 350, you could have used to cover a broad topic that would answer you five questions. Also ignore the questions and recalls you see on discussion forums; don’t even read them– those serve only to panic you. Nobody posts the easy to moderately difficult questions which constitute over 70% of the exam. The questions people post never reflect the real exam but the 10 or 20% that defines those who will score 99 and those who won’t. Remember even if you fail 20% you will still pass with a very good score.
Time for preparation I sat my exam 17 September 2003. I started preparation August 1 2003. Prior to this my last exposure to any basic sciences was in 1993 when I did my basic surgical exams. So it was all new to me and if I had taken the exam in August I would definitely have failed. I was working full time as a resident in cardiac surgery and worked all through my preparations except for a week off in August and a day off the day before the exam. As you can imagine being a cardiothoracic resident is very busy, working over 80 hours a week. So depending on how busy my day has been I would study for 0 minutes to 2 or 3 hours maximum on weekdays. The only reason I include this is to illustrate to you that it is possible to PASS this exam with minimal effort provided you use the right approach. I think rather than preparing for months and then putting in for the exam you should put in for the exam immediately leaving a SHORT period of preparation, maybe 2 months, 3 months max. You will then focus your preparations. You can then understand why I did not read big books…I simply could not afford to as I just had 6 weeks and was working full time. Big books is for people who have the time…but then even if you have time why waste it?. Use it for something better.
Sequence of preparation. In the first week of August I read the two books (first aid and yeh) cover to cover once. I then registered for Q-bank which would become my ONLY method of study for the 4 weeks up to the exam.
QBank QBank to me is the MOST IMPORTANT contribution to my passing the exam. My advice to you is to buy the online version. It is well worth the 150 dollars. If you pay for a month's access you will be forced to work hard and finish the 2000 Qs in a month and take the whole thing seriously as you don’t want to waste your hard earned money. If on the other hand you had a free disc you probably would not finish or would pace yourself and spend the next 12 months studying. Also the online version gives you better feedback on your progress. If you are concerned that 150 dollars is a lot to pay, I would say it is much cheaper than the 800 dollars it would cost to retake the exam. Other question banks may serve the same role but I only have experience in QBank.
QBank has 3 main roles, it gives you concentrated knowledge in a manner that is easier to retain (compared with reading a book), it offers you self assessment, and it prepares you for the real thing. To dismiss the last point first, if you have done loads of QBank tests the real exam would not overwhelm you, your time management will be precise, your marking methods will be spot on, you will learn your own limits, how to guess, when to change and not to change etc. In other words you will know how to play the game…it is a game and while knowledge is important, probably more important is how you play. For every person the optimal approach to answering questions differs, for example the traditional teaching is not to change an answer unless you have a good reason to do so. My experience from Q-bank was that when I did change answers, it was from incorrect to correct in 65%, correct to incorrect in 20% and incorrect to incorrect in 15% so this gave me the impunity to change responses in the real exam. So QBank will help define the best approach to answering questions for YOU.
NEVER do QBank in a tutor mode (or you lose on the latter 2 objectives). Always set yourself tests of 50 questions so you would have done so many simulated exams that the real one cannot faze you. Don’t despair when you fail questions. Indeed it is better to fail questions because it points you to your areas of deficiencies. No point wasting time on things you know already. After each QBank test review all the answers…study Kaplans explanations and read the relevant areas in First Aid. As you go along you will get better and learn the art of question answering. You will never get all questions right…some of them are stupid…some require too much effort. If it requires too much effort leave it and accept you will fail it if it comes out in the real exam. Like the difference between a GLUT 1 and GLUT2 receptor or FAB1 and FAB5 – there is absolutely no way of knowing that other than cramming and it will get you one mark in 350 at the most. Forget it and move to the next. Your performance should increase over the 4 weeks; I started at about 56 to 62% and ended about 65 to 75%. Overall average was 67%. Also QBank will tell you your strong subjects (forget them) and weak subjects (read relevant first aid chapter again). By the time you have finished QBank there will be few things they can ask in the exam that you have not dealt with in one way or the other. First Aid is useless for the ethics questions and doctor-patient relationship questions of which there are loads…for this QBank will prepare you.
The exam I will not go into the exam in detail because previous discussion threads give a very good insight into the exam. Only comments I will make is that you do it as if you were doing QBank. If it worked for QBank it will work in main exam. Just imagine your USMLE was another test on the QBank…if you passed the last 10 you did with over 60% you will pass the USMLE too (provided you answer in exactly the same manner). Remember USMLE is set by human beings too and they can’t be much different from the human beings setting Kaplan so not many new things they can think of. Don’t think too hard…there is no problem with failing one question…indeed there is no problem with failing 100…you will still pass. As you go on you will realise from present questions that you failed a previous question in an earlier block…just smile or laugh and move on. Remember there is an element of competence based testing so performing ‘badly’ on a block doesn’t mean failing. Also be prepared for many strange questions, some I doubt anyone other than the person who wrote it knows the answer, smile again, mark B, C or D and move on. The question probably won’t even count to the final score. There is another type of question though which is very long and seems to ask something you know nothing about; don’t bother reading those, mark them and then come back to them if you have time. When you come back you may find the question has a workable answer (but only work them out at the end as might require up to 3 or 5 minutes).
After the exam You will remember loads of questions you failed. You will hardly remember any you passed. That is human nature. Smile and get on with whatever else you have to do.
Hope you find this advice useful. I think the reason most people fail any exam has nothing to do with knowledge but all to with their approach to preparation. Follow the path of least resistance - get rid of those big books, read first aid, do QBank! Months of preparation won’t make that much difference…it is how you prepare that matters. For most people, provided you have been through medical school okay (without struggling), it should be possible to PASS without excessive effort. I don’t think it is risky either; using the above approach my score was 90/221 so there is plenty of safety margin.
Best of luck
Ani
ani90@btinternet.com Share |
Culture › Re: How Do I Speak My Dialect-- Urhobo-- Fluently by Chartey(m): 12:00pm On Sep 14, 2014 |
eben28: hahan... you people should help me out na. Don't just view and pass by like that na. Any advice will be highly appreciated. Please have you written your Step 1? |
Fashion › Re: Don't Know What To Wear ? Look In Here by Chartey(m): 11:27am On Sep 14, 2014 |
Flawlessdiva1: you do not Rock a bow tie to work not to talk of an Interview, you only wear it to cocktail parties. I don't think it is also appropriate(maybe not cool) for church Were you able to get admission to study Medicine? |
Health › Re: Where In Lagos Can I Do Echo, Ct Scan And Ecg Tests At Cheap Prices? by Chartey(m): 9:00am On Sep 14, 2014 |
lomaxx: I don't have Browse Ok. Pls can I get the others? Thank you very much. |
Health › Re: Where In Lagos Can I Do Echo, Ct Scan And Ecg Tests At Cheap Prices? by Chartey(m): 7:51am On Sep 14, 2014 |
lomaxx: Double post Abeg na. 1. The guide to overseas training 2. Those textbooks especially Norman Browse. johnsongreenspace@yahoo.com |
Christianity Etc › Re: Synagogue Church Statement On Collapsed Building by Chartey(m): 12:25pm On Sep 13, 2014 |
tmabin: Some Lagosians are daft, why stand on the debris of a collapsed building. These ones should be sent to Borno State So Borno is the place for daft people? If you really think like that, then you're the daft one. |
Business › Re: 28th August Seized Goods - Nonnykings Settlement Thread by Chartey(m): 12:21pm On Sep 13, 2014 |
Freksy: You describe the mistake as costly and claim it's better not to say it?
Panicking today is better than being a victim of costly mistakes tomorrow. True, but let me still not say. I really want them to overcome their challenges. |
Education › Re: The medical students and aspirants thread by Chartey(m): 11:31am On Sep 13, 2014 |
Please who has an e-copy of Norman Browse? I need it urgently. |
Romance › Re: Should A Lady Propose Marriage? by Chartey(m): 11:24am On Sep 13, 2014 |
lomaxx: She's 18 and you're 6 years older than her. Does this mean you're 24? Because I'm really worried. Lomaxx pls can I get your guide to overseas training? johnsongreenspaceATyahooDOTcom Kindly include those texts, I especially need Browse. |
NYSC › Re: NYSC Coorditor Ask My Friend To Sleep With Him Before She Can Be Redeploy by Chartey(m): 10:46am On Sep 13, 2014 |
Ladies always want strangers to go out of their way to help them either legally or illegally. If someone is corrupt enough to bend the rules for you, won't he ask for some form of payment? Common sense! |
Computers › Re: HP Envy Laptop Needed by Chartey(m): 10:29am On Sep 13, 2014*. Modified: 1:41am On Sep 14, 2014 |
What Envy specifically? Like my Envy m6 (not for sale tho) below? I can help you get one if I know which one you want. See my numbers in my signature.
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Business › Re: 28th August Seized Goods - Nonnykings Settlement Thread by Chartey(m): 10:11am On Sep 13, 2014 |
Ymodulus: On the 28th of August 2014, a Stupid Nairalander sent some contra-bands item to NonnyKings and these items were seized.
All goods were seized by NAFDAC officials both Contra-bands and Non Contra-band Goods all due to the action of this stupid Nairaland who is at this moment viewing this thread but don't want to comment.
After series of complain back and front, progress were made some goods have been released and some are yet to be released. In all only 6 people goods are yet to be released now, and would not be released by NAFDAC officials.
Now 3 people have contacted me
1. OsDah ( Name on Package ) 2. Hope '' 3. Chinedu ''
The following are yet to contact me
4. Victor 5. Busayo
Please kindly do contact me and showing me proof of goods bought, then i will guarantee you a refund. in 2 working days.
Please lets help ourselves so as to get good service from these coy. Thanks Apart from the NAFDAC problem, they've made some costly mistakes themselves. I don't want to make people panic so I'll better not say. |
Celebrities › Re: Professional Sperm Donor Becomes Richest Man In Wyoming by Chartey(m): 9:37am On Sep 13, 2014 |
VantagePoint: What part of your "anatomy" says he can't live long? I wonder o. |
Celebrities › Re: Professional Sperm Donor Becomes Richest Man In Wyoming by Chartey(m): 9:37am On Sep 13, 2014 |
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Education › Re: A.B.U 2013/2014 Aspirant Lets Discuss by Chartey(m): 1:36am On Sep 13, 2014 |
Rrhoda: if i hear, u want compare a 2.1/1st class 2 a bloody ijmb candidate. I understand that you want to get admission as a DE candidate with your first degree. The truth however is that your chances are slim (well almost nil since you graduated with a 2.2) as ABU admits in this decreasing order: UTME>SBRS(remedials)>IJMB>B.Sc(2.1). I know Unilorin admits a few 2.1 degree holders, but they're mostly students that finished from Anatomy and Physiology depts in the same faculty and occasionally from Biochemistry. If you really want to study Medicine, write UTME, get very high scores and prepare for the post-UTME. Admission into Medicine is still largely on merit. For schools like ABU where all the 774 LGs are represented, if you understand the LG and state quota system, you can use it to your advantage. |
Romance › Re: Do You Believe In The Concept Of Emotional Cheating? by Chartey(m): 6:16am On Sep 12, 2014 |
MizMyColi: You see, that's one mistake females are very prone to make. Feeling and acting like they're married, when they're not. We call it, "being faithful".
It becomes really irksome because, in most scenarios, these boyfriends are more like figure heads, they bring either little or nothing to the table.
Truth is, if as a single, I start developing extreme feelings of closeness to another, and in all honesty, it isn't sexual........ Then there most be something that guy is doing right, especially emotionally.
No, I'm not advocating that she dumps her man, uhn, uhn.......that'd be plain foolish, because for all we know, she just might be infatuated with this guy. Need I also point out that the male folk are better pretenders.
She needs to ask herself questions: What is it about this guy that trips me so? Is my boyfriend, despite his flaws, really all that I desire in a man? Do I have needs that I haven't been as open in communicating, with my boyfriend?
That said, she has to take a break from the new guy already, yes she must take that break, to recollect herself emotionally (of course! It requires discipline).
I also know that when you commit to get married to an individual, more oft than not, someone else shows up, who makes your partner look like a big time learner......She just might be in that phase now. It's called Emotional Infidelity
I'll leave you with this quote I shared here just recently, hope it leaves you with some form of guidance 
"I'd rather be the prize you felt you deserved, than be the option you felt forced to settle for. If we BOTH don't feel blessed to have one another, then we shouldn't be together." ~Rob Hill Sr.
Good Morning.
I had to scroll up after reading to really make sure I wasn't the one who typed this. You even used the words I wanted to use. |
Adverts › Re: So You Need To Download An E-book Or Movie! by Chartey(m): 12:45am On Sep 11, 2014 |
Oga Polaris, "Browse's Introduction to the Symptoms and Signs of Surgical Disease". I think I'll need your phone number too. |
Education › Re: Please I Need This Book Asap by Chartey(op): 12:40am On Sep 11, 2014 |
Polaris1: Request for other books or videos  Oga Polaris, "Browse's Introduction to the Symptoms and Signs of Surgical Disease". I think I'll need your phone number too. |
Business To Business › Re: IBL PROCUREMENT/LOGISTICS SERVICE (DOORSTEP/WAYBILL FROM LAGOS TO OTHER STATES). by Chartey(m): 7:14am On Sep 10, 2014 |
Mcleo007: Thanks for reaching out ma. Do reach me on WhatsApp or phone call. Thanks again.
Thanks boss! Anything for my Oga o. |
Romance › Re: Preetiest Girl I Ever Been With. Doro Mega Super Preety by Chartey(m): 6:40am On Sep 10, 2014 |
marieolae: stop wat please? Let it pass. |
Romance › Re: Preetiest Girl I Ever Been With. Doro Mega Super Preety by Chartey(m): 6:36am On Sep 10, 2014 |
marieolae: Ehn she's pretty..so what should we do? Just stop it. U're very pretty too. |
Business To Business › Re: IBL PROCUREMENT/LOGISTICS SERVICE (DOORSTEP/WAYBILL FROM LAGOS TO OTHER STATES). by Chartey(m): 6:23am On Sep 10, 2014 |
berra: Hello.Please I have items weighing about 9.6kg form base1 @the airport and sent down to my home address in Ibadan.How much is it and how do I go about itvwith you? cos I need to pay them for the shipping too. Do I give the money to you? Please reply ASAP and include your contact details.Thanks. Call or whatsapp him 07033801717 or 08021219158. He'll definitely pay the shipping fee for you. It's his job. |
Education › Re: 12 Things I Learnt From The Medical School by Chartey(m): 6:19pm On Sep 09, 2014 |
skylord337: Hi evry1,am an ss3 student.i would luv to study medicine , but i kept having this feeling d@ if i do,am not going to succeed,am going to quit .am good at biology,agricultural science andEnglish.chemisry am trying but maths and physics am just dumb and clueless.please help me cause am realy confuse It's good you have this feeling now and not when you are already in. Some people are overconfident when they come in and they don't get to finish. Use your fear positively, be overcharged, prepare for jamb and waec like your life depends on it (well, it depends on it), get those high grades and you'll get admission. After that, get info from people ahead of you who've done it or are doing it. Proper orientation is more important than rugged studying. Finally, the most beautiful part is that you don't need to be a genius to do it, you only need hard-work, discipline, and common-sense. Good luck brother. |
Business To Business › Re: Newly Found Shipping Agent For China Importers - Tested And Proven by Chartey(m): 9:10am On Sep 08, 2014 |
shorexng: Hello guys. Isn't it possible to get reliable shipping lines that charge as low as $5 even if it takes a month+? or are there better options for a 600kg package? Please help. if you can wait that long, why not use Nonikings sea shipping. It's the best for you. |
Business To Business › Re: Newly Found Shipping Agent For China Importers - Tested And Proven by Chartey(m): 6:01pm On Sep 07, 2014 |
GiggsTk: thanks Let IBL logistics do your picking up and waybill next time pls to save you the unnecessary heartache. |
Business To Business › Re: Newly Found Shipping Agent For China Importers - Tested And Proven by Chartey(m): 10:30pm On Sep 06, 2014 |
GiggsTk: I will appreciate that, but mine was said to get lost when they were going to waybill it to kogi state. The said person (whom Augusta sent) claimed he forgot it in the car he boarded while going to the park. just a tablet and some wristwatches. they claimed its not just my own, its getting close to three weeks now, and they are still promising me in vain even after I have decided to bear a part of the burden since I felt anyone could make a mistake. Ok. Not the person I thought. Goodluck bro. |