₦airaland Forum

seborrhic:
https://www.medifee.com/treatment/hernia-surgery-cost-in-new-delhi/
I insist your point is highly flawed.
Even in the US you want to use as a point of reference to back up your wrong assertion,majority from all sectors agree that the cost of healthcare is artificially inflated by a large measure,but over the years all efforts to address it has been futile largely because of same powerful health insurance companies.
It's the reason that without insurance in US you are doomed health wise because an astronomically arbitrary figure would be quoted for you.
But with health insurance,when hospitals submit that same quote to your HMO,they end up paying,less than half the calculated cost,and even in some instances 1/10th of it!
I ask again,what is your point?
That a patient goes to one surgeon and is quoted a fee of $10,000;while another in another part of the world quotes you $1000,does it now equate, according to you,that the $10k surgeon will give u a better outcome?

The prices listed there are for umbilical Herniorrhaphy, not inguinal Herniorrhaphy, and are still far above what's obtainable in Nigeria.
$400 is over 155,000 naira. In Nigeria, they'll price an average of 50,000 for the same surgery
There are a lot of things you do not understand when it comes to health, especially the peculiar nature of that of Nigeria.
Considering your last paragraph, let's use Nigeria as the case study.
The $10k surgeon in Nigeria will have a better outcome, because he's a surgery specialist, and will work together with other specialists in other areas, like the Anaesthetist, and will most likely have the necessary equipment in his hospital. A specialist will always charge higher, and have a higher standard of professionalism. He is trained to carry out surgeries in postgraduate training. His hospital is a specialist hospital.
Still in Nigeria, the $1k "surgeon" will usually be a General practitioner with first degree as his only qualification. This doctor is not a specialist, but has acquired some skills to be able to carry out limited surgeries. These are usually the doctors most Nigerians know in the private hospitals.
His fees are usually cheaper, and his hospital is usually not very well equipped. And because he is collecting a very low fee, he is most likely going to be both the surgeon and the Anaesthetist. His outcome may not always be fantastic.

In advanced countries, only the surgeons/specialists operate.
Most patients in Nigeria don't know who's a specialist and a general practitioner, and end up judging every doctor and hospital the same way.
This is the peculiarity in Nigeria, and I hope you'll understand it.

seborrhic:
This your comparison is highly flawed.
Herniorapphy in India with same outcome as in US is just about $400 on average.
Many Americans troop to India,Mexico and China to perform surgeries at fraction of the cost in the US.
Even in UK with a very high medical care,hernia surgery is about $3000,so what is your point?
Outcome does not usually equate to cost of an operation.It musn't be expensive to be successful or to be without complications.

Those who understand how the healthcare system works will understand what I mean.
When you say India, do you mean private or government hospitals??
The government hospitals there may be highly subsidized, just like those of the countries in the middle east, but no private hospital there will take $400 there for Herniorrhaphy.
Do your research well, bros.
Ask Nigerians who go there how much they pay.
Standard healthcare is expensive except where it is subsidized

cococandy:
I think I understand why they do. Of course like you, I don’t agree. I thought I knew some stuff about healthcare at home. Apparently I don’t.



Also they pay 40k for anesthesia service? Like for that very very hard work? That’s terrible but I digress

You've not seen anything yet.
There's poverty in the country.
Before I ran away from there, a patient once priced me 15,000 for inguinal Herniorrhaphy and insisted on paying nothing more. And he told me about other doctors doing it at that amount.
The easiest way to be a pauper is to practice in Nigeria as a healthcare professional.
Majority are poor and, unfortunately, constitute the bulk of the patients.

cococandy:
They do that?

That would scare me

Most low-cost private hospitals do that to save cost, as patients pay poorly.
Anaesthetists charge about 30,000 to 40,000 when they're invited.
A patient that pays a total of 30,000 for Appendectomy or Herniorrhaphy will, of course, have the doctor as both the surgeon and the Anaesthetist, as the money is not even enough to pay off the Anaesthetist.
And that could end in tears.
The same open Appendectomy or open Herniorrhaphy in the US is about $25,000( over 9million naira).
Truth is healthcare is expensive all over the world, and shouldn't be "managed".
When you're willing to "manage", you've agreed to have the standard compromised.
And both you and the doctor should share the blame.

Jaqenhghar:
When there is lack of professionalism everywhere why won't people be scared. Our hospitals are where people go to die.

There's no hospital in the world where people don't die.
Nigeria's case may be different because of lots of factors, which include:
1. Most of the hospitals are not well equipped because there's no investment in the healthcare system in Nigeria. A poor country can't have a world class healthcare system.
2. Most Nigerians are poor and can't afford standard care in places that render it. There are places in Nigeria where the above woman would be charged in millions, with every bit of professionalism assured, but she may not be able to afford it.
3. Most Nigerians only go to the hospital when they're already in critical conditions, eg, like the woman above delaying till the cyst ruptures. That's not obtainable with most patients in advanced countries.
4. There's dearth of specialists in Nigeria relative to the population
5. Nigerians don't go to the hospitals and request to be attended to by a specialist in that area. Most don't even know there's specialization in medicine, compared to their counterparts abroad. The outcome of a case handled by a specialist can't be the same as the one handled by a non-specialist in that area.

paroh137:
Hello house. Please on what platform can one buy US shares from Nigeria? Thanks.

There's a thread for it in this investment section.
Search for it.

I have noticed Nigerians are usually afraid of surgeries and see it as 50:50 thing.
That's not how it should be.
The most common cause of death in the theatre is anaesthetic complications and transfusion reactions.
There's nothing to be afraid of if these areas are properly handled.
Discuss the mode of anaesthesia with your doctor.
Let the anaesthesia be handled by doctors trained in that area, ie an Anaesthetist.
They'll charge you a little bit more for that, but the patient will be safer, especially if its spinal anaesthesia in this case.
Let the doctor not be both the Surgeon and the Anaesthetist in the theatre, as do often do in most private hospitals.
The extra bill won't kill anyone.

Shouldn't you have sat down and discussed these things with the doctor already attending to her?
If a cyst is symptomatic or large as in this case, it has already qualified for surgery.
Surgery shouldn't be scary if the person doing has the required training and experience in that specialty.
I don't know what you really want, but if it's a medicine or herbal concoctions that will "dissolve" it as most Nigerians usually say, no trained doctor will suggest that to you.
The condition requires a surgical solution.
If you're not comfortable with the level of training and experience of the doctor or services obtainable in the hospital, you look for another one.
If that cyst ruptures, it'll become a surgical emergency with a bigger threat to life, and higher risk of complications during surgeries.

HarunaWest:
What is the first test a doctor carries out when a patient presents symptoms of headache and fever?
Stop talking and speaking GIBBERISH dude.. I have medical doctors as siblings, family and friends.

I won't be blaming you; the blame should go to the environment where you live.
Is there any regard for sound knowledge and wisdom in your country?
Is there any appreciation for expertise and professionalism in that part of the world where you live?
That's why most of us cannot practice there, where the above are lacking.
Those you called racist appreciate and value free professional advice when they get it from even black folks like us.
I can't even wish to have something like you as my patient, even as you can't afford it.

HarunaWest:
Check studies Oga.. No be by just yearning you have data and Google.. There has been upsurge in such nerve incidence.. Some people's case, it causes outright arthritis. It is due to mobile phones and gadgets.that man always operates everyday.
Witg time if she isn't careful, it will get to the left hand too cos all nerves are connected. And they work in sync.

As I already said, there are many different pathologies that can cause pain in the wrist and hand.
Most of you comment and swear on what you're not trained on.
Your condition may be quite different from hers when you consider the age, sex, occupation, underlying co-morbidities, etc.
And treatment is given in accordance with the diagnosis, and often times, is individualised.
That's why she need to see a doctor first to be properly diagnosed.
I do not need your Google to learn about the disease conditions affecting the hand, as my specialist training has already taken care of that.
To make it worse, you didn't even ask your doctor what he diagnosed you of, as is typical of most Nigerians.
You have to know your own diagnosis first, before you can advise those who share the same diagnosis as your.
In medicine, we treat the diagnosis(the disease itself), and not the symptoms.
Different diseases can present with similar symptoms, but will have different treatment protocols.

LEBEfirstson:
.. thanks Doc. I'm grateful for your prompt response. Are there specialist for the treatment for the genital warts here in Nigeria? Where can I get the salicylic acid?

See a Dermatologist or a Plastic surgeon(if the warts are so large as may require surgical excision). The size and number determine the most appropriate treatment modality.

I don't understand what the other guy meant by "I'm not sure of specialist treatment in Nigeria..." That sounds derogatory.

There are numerous Dermatologists and Plastic surgeons practicing in Nigeria.
The only problem is Nigerians don't know who is who, and do not care, when compared to patients abroad.

HarunaWest:
Tor continue then until you damage your nerves.
I did not say you wouldn't write again.
But it should be suspended for a while, that's what a neurologist recommended for me and it worked.. You say you can't stop writing? Who told yah that where I work I could stop writing as well. Reduce your workload shikena, divert to someone else for the main time.. The important thing is to drop that phone or gadget. That is the main antagonist.

How are you sure you share the same diagnosis as her?
Treatment and recommendations differ with different diagnoses, ie they're disease-specific.
Let her see a doctor first for her own condition to be diagnosed.
There are many disease entities that can cause pain in the areas she mentioned, with each having a different treatment modality.

Chekitaut:
Do you know that 6units of 2bedroom or 4unit of 3bedom terrace cost over N40m to build in Lekki, rent per annum is N3m or N4m/annum either option.
If you invest same N40m in trucking in a month you get N3.6m.

Invest with us today and confidently have a good return on investment (ROI) in just 12months.

Take home N1m to N1.2m per month & sleep comfortable why we get you covered.

Contact us: +2348055545355

But trust/integrity is a big issue here.
Nigerians have a high tendency of defaulting on their promises and from agreements.

Naijabad:
The depreciation/maintenance projection of #5m is hardly sufficient.

The best practice is to depreciate used vehicles for 3 years and brand new ones for 5 years.

If this is brought into your analysis, then depreciation alone for the fairly used one is almost #5m per annum

I thought you were bringing in something new to what he already had??

Margy:
Someone please help me with Enugu office address. Or is it not in enugu. Pleaseplease

The information was just posted yesterday by someone on the page before this one .
You guys should learn how to read things up and become more informed.

DisLifeSha:
But I've tried herbal drugs in the past with no solution. The doctor told me that my pancreas cannot produce insulin. This is Type 1 Diabetes and I have not seen anyone with a solution of healing the pancreas

Don't mind him, the ministry of health did not approve use of any useless herbal products for the treatment of any type of diabetes.
If that was the case, Nigeria and his Herbalist would be exporting it to the rest of the world, and making millions of dollars monthly.
You even know more than him and his Herbalists.
Frequent urination here means your glucose level hasn't been under proper control, and that's not good news.
The problem with type 1 DM is that your body is producing antibodies that are destroying the insulin-producing cells in your pancreas.
It's a chronic disease, and for type 1, the treatment is solely insulin replacement with dietary modifications.
There's no cure for it yet, except pancreas transplant, which is out of your reach.
Your use of insulin is lifelong to ensure optimal glucose control.
You have to understand this: you can't do without insulin, no matter how distressing and expensive it is.
One of the problems with diabetes is that it's an expensive disease, and that's very unfortunate.
To endure optimal control, you may have to give multiple times a day, especially as you're using short acting insulin, and this has to be by yourself.
That's the way it is everywhere. You need to understand and endure it.
You also need to get a glucometer to monitor your glucose levels regularly by yourself at home.
When the glucose level is properly controlled, complications can be avoided.
You're also supposed to have an Endocrinologist reviewing you from time to time.
Your goal should be to avoid complications by all means, by having a tight glucose control, and insulin is the only way.

Maxykings:
Honourable colleagues, good day.
I have Primary from West African College of Surgeons and in residency training.
I seek to understand in depth, the advantages of being a fellow of both West African and National Colleges of Surgeons. Pls what are they?
Because if there are no clear cut advantages pf being a fellow of both colleges, one will end up spending a lot more with little gains.

In concrete terms, there's actually no advantage, except for bragging rights.
Occasionally, a hospital may request for holders of fellowship of a particular one just for accreditation purposes.
It's only one hospital in the east that has ever requested for holders of fellowship of both colleges.
But that too, was for accreditation purpose.
These days that people are eager to travel out, I don't see any need for going for both.
And, if you decide to go for one, choose West Africa.

rationalhuman:
I got my university degree from India back in 2008-09 Lived there a long time.
Once injured my leg and admitted in a small rural government hospital near to dairy technology institute, Care and facilities they had in that small hospital, I can not dream of such free medical treatment in our big hospitals in this continent.

Forget about small operation on my leg, Medicines they give over there are absolutely free. Not to mention food as well.

We can just dream such thing in this continent, our real problem is , we have nothing but too much fake ego.

Too many Keyboard Visitors and experts, who think by reading few blogs and few google searches they know everything.

I suggest dont rely on what i said, ask anyone returning from India about availability healthcare for their Citizens, Cost of Medicines, test etc

Still on your matter, as you don't seem to understand the reasons for some of the things you saw, which still lend credence to my call for non-governmental investment.

India has numerous pharmaceutical companies that are producing genuine drugs and disposable hospital materials for them.
These companies are owned by private individuals and groups who invested heavily in them.
Government only provides regulatory services.
They also have privstely owned companies that produce low-cost hospital equipment and test kits.
How many functional pharmaceutical companies do we have in Nigeria?
With these, you can see why these things could be cheaper there.
A country that has no company producing little things like gloves, syringes, facemasks, etc, cannot have a good healthcare system.
There's no country where governments do all these things. They only regulate.
Our people are not investing, but are stashing their money in foreign banks.

rationalhuman:
I got my university degree from India back in 2008-09 Lived there a long time.
Once injured my leg and admitted in a small rural government hospital near to dairy technology institute, Care and facilities they had in that small hospital, I can not dream of such free medical treatment in our big hospitals in this continent.

Forget about small operation on my leg, Medicines they give over there are absolutely free. Not to mention food as well.

We can just dream such thing in this continent, our real problem is , we have nothing but too much fake ego.

Too many Keyboard Visitors and experts, who think by reading few blogs and few google searches they know everything.

I suggest dont rely on what i said, ask anyone returning from India about availability healthcare for their Citizens, Cost of Medicines, test etc

I don't know the point you're trying to make.
For your information, I'm not a keyboard expert searching and getting information from Google; I'm a surgeon working in the middle east, and I have first hand information of what most countries' healthcare sectors in Asia look like.
I've also worked and still working with many indian doctors.
You might have had a one-off experience in their government clinic. A few of them may be properly equipped, but majority are not.
My position still remains that most of their big, well equipped hospitals that are oing well and are involved in medical tourism are privately owned.
And their citizens who are rich patronize those hospitals, while their millions of poor citizens patronize mainly the poorly equipped government hospitals.
A student can't know more than I do about the healthcare of some countries.
My main point is that there is need for massive investment in the private healthcare sector, as government has persistently failed, and I didn't see you arguing along that line.

Davidem111:
you don't have any talk at all, u don't approach everything aggressively like that.. Learn how to follow things easily..we aren't fighting its just a simple question that require simple answer, the 1st person that replied same question peacefully above�, did anything happen to him? have some manners, no too dey throw hard feelings over little things.

Yes, the problem with people who come today to ask "if I invest 2m, how much will I get...", is that they'll come next week after investing to ask "is MBA still paying? I'm scared", after being discouraged by some random people they meet in their area.

It's good to do all your research and DD before embarking on anything.
If you did, you would have seen the answer to your question in this thread staring you in the face.

I like the statistics you gave above.
Meanwhile, almost half of those 72,000 registered doctors are no longer in Nigeria or practising(even Saraki and Ngige are part of the number), as people travel out almost every day.
Truly, the government has failed woefully to invest in and revive the health sector.
But there's need for individuals, groups, associations, etc, to get involved and invest massively in that sectors.
Where are our millionaires and billionaires?
Most of the well equipped hospitals abroad are privately owned.
And the owners are not necessarily doctors or other healthcare professionals.
The government can then play the role of subsidising it or providing insurance services.
For instance, government owned hospitals in India are almost as poorly equipped as our own in Nigeria, but there's massive investment in their private health sector.
Gigantic privately owned Indian hospitals are scattered all over the middle east.
The hospitals Nigerians patronize over there are privately owned, and that's why they pay hugely in terms of bills.
Our own problem is unique in that both the government and the citizens have failed to invest in the sector and there's no hope anywhere.
Modern medicine is capital intensive and technology driven, and what you put in is what you get.
That's what we're seeing in Nigeria today.

Davidem111:
I'm only asking, based on, if they will also pay back ur start up capital,2m, together with the profits, that's what I wanted to know, who doesn't 15% of 2m.

Every information anyone needs is in this thread.
A new person who goes through, at least, the first 10 and last 10 pages of the thread will be as knowledgeable as most of the older people here.
Our problem is the aversion to research in Nigeria.

Greenvaiper:
If u add 1+1 together, what will u get
Pls stop asking stupid questions here

Didn't know you've already replied him.
Very annoying kind of question.

Davidem111:
Wow this is wonderful..

But, bros, if you can't calculate 15% of 2,000,000, how have you been making and saving your money??
How then do you calculate or know what percentage of your income you should save per month?

It's very annoying when I see people asking such simple questions even our 3yr old kids can answer.

Fxmanager:
Visit the link below to educate yourself before falling a victim to any scam/ponzi scheme

https://www.nairaland.com/5486596/ponzi-scam-fraud-schemes-fronting

You're everywhere sending rubbish, and indirectly advertising your own ponzi/scamming scheme.
How come you can give 5-15% monthly and the others you're condemning cannot do it??
You're a ponzi operator condemning your colleagues to gain acceptance.

nonny93:
chat me up let me show you the best investment to do,you don't even need the whole 300k,with 50k you are good to go 08146210237

Why not defraud him of the entire 300,000??
Why only 50,000?
Because you think he can endure the loss of 50,000 better than he can do for 300,000??

Nairaland handlers should find a way of making these scammers easily traceable.
Maybe, registration requirements should be made similar to those of the banks so that people can be traced even if it's 1 naira they defraud others.

[quote author=iTroll post=91609765]scammer!!!! I smell scams.

you just opened a new account and the first thing you do is to open a pity thread while simultaneously seeking for financial grants

Who you fooling? not

Did he ask you for money?
I know you were too lazy to read the write up before commenting.
The young man is looking for job, please.
What's the scam in someone appealing for a job??

I think most Nigerians are now losing the meaning of the word "scam".
Even the loan the FG is giving you guys is also branded as a "scam".
Covid-19 in Nigeria is also a "scam".
What's really the problem?