₦airaland Forum

Generalj1, I have been following this post since. I dare say that I am inspired by you. I love dogs. I hope to have some dogs myself one day, however I am still in school now. I am would be graduating in another 6 weeks though. I hope one day, when I have some money, I can call on you....
To the people I offended by my earlier post, I apologize. Like I said before, I use Gokeyboard with T9 and swipe active. Sometimes, I do make mistakes and don't usually proof read. I beg you not to judge me on that note. I am deactivating it right now.

Facebook, Nairaland, Moskedapages, Oddee.com. mymindsnaps.com

saaedlee:
The cut on that person was in no way caused by the pictured broken toilet seat!
1. The cut is on the right thigh, which doesn't corresponds to how one sits when pooing(even if he/she were standing)
2. There is no blood splash on the floor indicating that the accident hppend in dt poo room!

At first I did not want to reply to your post, but let me do. Depending on how he fell, it is quite possible. Since the left side broke, he could have fallen to d left and then landed on d jutted out broken edge with his right buttock. How wide is your imagination?

Please, it is wrong and dangerous to climb on toilet seats. People who go to public toilets and even at home are fond of this, for example students in d hostels. If you are fond of this very bad habit, desist from such or accidents such as this could happen.

Astray

The situation is very critical. Picture comes tomorrow,I believe Op?

But please, I want to add that vitamins are good, but could be harmful if consumed excessively, especially the fat-soluble ones...

Prescription medications aren’t given to patients
without a list of potential side effects and
ingredients, along with proof that it worked and
was safe before it was approved. Even then, we run
in to problems with medications being pulled from
the market years later.
Polls show that 68% of Americans have it
wrong about the safety of vitamins and
supplements. The truth is herbal manufacturers are
not required to report side effects, manufacturers of
vitamins and minerals can make claims about
safety and effectiveness without evidence and the
FDA does not approve herbal products before
sale. There has always been a problem about dosing and constitution. The only change occurred in 2007 so now the
FDA can make sure a product contains what the
label says it contains. When they started doing this,
at least half of those inspected had problems.
Source
url. http://forum.facmedicine.com/threads/10-things-that-will-shock-you-about-vitamins-and-supplements.16708/

shawnfamous:
Pple these days can lie jst 2 mk front page! Sm1 hu d operation is been carried on is awake and d surgeon askd him to hold torch while d operation goes on? In T.B joshua's voice! ''And The both of u re liers,u Guys deserve medals: Gold for d victim and a silver for d OP''

Though I doubt the story, it is actually possible to be awake while you are being operated upon. Check up local anaesthesia, spinal and epidural blocks and you will understand....

Dabss:
your story is a lie. Why would the doctor cut his vein when a simple sympathomimetic injection can end the erection. That condition is called priapism.

Drainage of the corpora cavernosa is a choice of treatment for treating priapism . I have seen one before. When ice packs don't work....

Beware of the drugs you buy in the chemist shop, especially without a doctor's prescription, esp for pain. They end up usually giving you a multitude of drugs, all with similar function and this summing up their side effect. They would now d use of a drug, but most times the side effects are blank to them.. The woman ended up with a perforated stomach ulcer, that was discharging acid into her abdomen, after taking this dangerous mix of pain killers for her menstrual cramp.

Men, I will e getting myself some Doberman someday. I love this animal....

The Mind of Man is Desperately Wicked"

Given the title, I know most of you would hurriedly rush to devour this article with all enthusiasm and gusto in anticipation of .... you all know what!
"So finally one of their own speaks up about this 'Barbaric' practice !"

Well sorry to disappoint you all.

I use to advocate for "Treatment before bills", you know save the life first and talk about the bills later. Hell I still do. But having worked in a private setting this past 4 months and seeing how disgustingly selfish and inconsiderate people could be, I wouldn't blame any doctor who does the opposite.

When I started off, I laid some ground rules, going against the Hospital Management's better counsel and insisted on the "Treatment before bills" policy in cases of dire emergencies. Hell I even commence emergency treatment without people obtaining a hospital card let alone paying in cash deposits. And I still do that up till date despite the fact that it backfires most of the time! However in as much as I still favour that practice over the "Bills before Treatment" practice, I now have some reservations in criticising the later.

The following real life scenarios/examples will explain why.

□ Scenario 1

He staggered into the hospital, a 22 year old known asthmatic confused, unable to complete a sentence in one breath, with silent chest, thready pulse and cold extremities.

He was having a type of Aasthmatic Attack described as "Life Threatening Asthma". Simply put, without prompt intervention he could give up the ghost any minute!

He had no money on him, that I realised only after he came arround post resuscitation/treatment, cos when I first saw him my first impulse was to save a life hanging in the balance.

When the family was notified later, they came and saw him stable with all the symptoms of Life threatening Asthma gone. They refused to accept that he was ever sick, that he must have been "stage acting" just to "draw attention". That's right, those were there exact words!

□ Scenario 2

They come in with dire emergencies ... Road Traffic Accident victims with moderate to severe Head injury, Hypertensive Crisis, Massive bleeding from any cause, Child with severe dehydration and in shock.... you just name it.

There language usually is,

" ... Doctor anything it's going to take, just anything ....please do everything possible to save his/her life ".

Then you swing into action, not necessarily because of the promise of "anything", but because of the fact that there's a life hanging in the balance and you may be the only chance of tipping that balance to tilt towards the side of life.

When you would have arrested the raging emergency, the life is saved and you have lost you bargaining chip, that's when you see there true colours. Then you start hearing things like, " is it just because of this small thing that you are asking for this amount....". And making the payment becomes a problem.
‪#‎smh‬

□ Scenario 3.

This one happens almost every blessed day. Good lord, and it makes the doctor feel "used".

They come with their weird complaints after weeks of treatment in a "chemist" without success. You spend your time taking history, use your skills in examining them and at the end of the day use your sound clinical acumen born of years of study to make a diagnosis.

Then because ethics demands so, you discuss the diagnosis with the patient, counsel them on the dos and don'ts peculiar to the illness, and then draft a beautiful treatment plan for it.

Then you realise you are on a looooooooooong thing. They will tell you that they are coming, let them go and get money to settle the bills. And that's it; so goes the time, energy and expertise you put into reviewing the patient.

Simply, they had actually come to play you, pick your brains and go back to the chemist to get treatment for the diagnosis you made!

.

□ Questions.

` If a doctor who has had several of such occurrences as seen in scenario 3 suddenly decides that payment must be made before consultation, like they do in the western world, would you blame him and accuse him of being money minded ?

` If the same doctor decides to stop letting patients in on the diagnosis, counselling them on the dos and donts and discussing treatment options with them, would you blame him and accuse him of going against the required standards ...?

` If after having several experiences similar to scenarios 1 and 2, private hospitals insists on making cash deposits before commencement of emergency treatment, would you blame them ....?

□ Conclusion

The Igbos say "O nwere Ihe mere ede ji bee nwii ", a way of saying that for every seemingly "weird" action or inaction, there must be an antecedent prompting such ; "there's no smoke without fire".

The practice of medicine, while adhering strictly to the principles and tenets of the profession in a clime such as ours is simply very difficult.

The "Bills Before Treatment" that most doctors favour today, even though MAY not seem ethically right, is actually a reflection of the lack of trust and stewardship that is endemic in our society today. If people were more conscientious and considerate, or at least trustworthy; it MAY not have been so.

□ Moral

Know today that every betrayal of trust or goodwill sets in motion a cascade of events that even though may not affect you directly, has the potential of affecting adversely a larger number of people who may tomorrow need to benefit from such trust or "goodwill". And the society would not be better for it.

Be a better person today, be considerate, consider what ill fate your actions today may bring other people tomorrow, be trustworthy, and treat others as you would have them treat you.

□ Disclaimer

This article does not necessarily in anyway suggest that the author advocates or approves the "Bills Before Treatment" practice. It only aimed to proffer a rational explanation as to the cause of such practice, and the need for such to change.

‪#‎PEACE‬
https://www.facebook.com/chibuikesupercj.chukwudum/posts/683694008401627

□ A Rose With A "Bouquet" of Thorns □
Knocking off pain with the "Cocktail of Doom"

The Cocktail of Doom. Every doctor is all too aware of it, maybe not with a phrase as catchy as mine shaaa. But it's after effect is always there for us to battle, constituting nuisance & sometimes outright threat to life.

Like a Rose riddled with thorns, you can't accept it's good without it's harmful effects, more so when the proportion of thorns far outstrips that of the rose itself.

NSAIDS[a group of analgesics which include common pain killers like Aspirin, Piroxicam, Ibuprofen, Diclofenac etc] and pain, they are like the two sides of a heinous coin, a sort of Jekyl and Hide with a delicate balance, which is often tilted towards the deleterious when the balance is upset by the abuse of NSAIDS.

Pain[whether that of an arthritis, painful menstruation, following an accident] in itself is discomforting as well as it is debilitating, and sometimes can be so severe that it interferes with one's daily activities. For this reason, analgesics including NSAIDS are made for the prompt relief of pain. But while the relief of pain may be desired, care should be taken to avoid doing so aggressively as most of these analgesics[especially NSAIDS] have sinister long term side effects, the most common of which is Gastritis[an ulcer like condition] and worsening of an already existing ulcer with either of the following:

` Massive internal bleeding[I have seen a case that required about 12 units of blood within a space of just 24 hours! That's right]

` Mild to moderate internal bleeding which may manifest as:
□hematemesis[vomiting of frank blood or altered blood the colour of coffee]
□hematochezia[passing frank blood in faeces]
□melena[passing of dark tarry stool. So when next your stool becomes so dark, don't write it off as "just" veges(I.e vegetables) or blood tonic effect!]

` Perforation of the stomach or part of the intestine called duodenum with serious life threatening complications.

` Severe worsening of the ulcer pain referred to as "Acute Exacerbation of Peptic Ulcer".

` etc

.

Without having this knowledge, Patent medicine dealers["chemists] usually dish out these drugs "generously", sometimes combining/'mixing' three different drugs[all NSAIDS] with the same function. While the additive effect may give instant pain relief, it also heightens the accompanying deleterious effects, constituting the classical cocktail of doom.

.

□ Case Study

They brought her in, a beautiful 35 year old woman with complaints of generalised abdominal, so severe she could hardly move, cough or even take a deep breath without feeling excruciating pain in her tummy.

The pain had started 3days after her menses[more like continued from her menstrual cramps], and subsequently worsened necessitating her coming to the hospital. There was also occasional fever, anorexia, vomiting and weakness.

On examination she was apprehensive and in obvious painful distress with generalised tenderness[pain elicited by touching a part of the body] in her tummy worse on the central portion of the upper abdomen[epigastrium], central portion of the lower abdomen[suprapubic area] with rebound tenderness at the right lower abdomen[Right Iliac fossa].

The abdomen barely moved with her breathing, and there was a little fullness at the flanks[ I.e bulging of the sides, denoting possibility of fluid inside her tummy]

The breathing pattern was shallow and pretty fast, pulses were equally fast and of moderate volume, but the blood pressure wasn't low[she is hypertensive].

Now there were a lot of possibilities, given that she is a woman[Arrrgggghhhh! these are complicated species I tell you, especially when it comes to abdominal issues], and that she is a known Peptic Ulcer patient.

` Ruptured Tubal Ectopic Pregnancy[ I.e pregnancy with the baby growing in the tube instead of the womb] ...
Would have been classical but she just finished seeing her period, also she hadn't missed her period in the recent past. So she couldn't be pregnant.

` Acutely Rupture Appendix ...
Damn it, she had her appendix removed 14 years ago.

` Endometriosis [ presence of lining of the womb at places other than the womb, with a result of "menstruation" occuring also at such places ...?
Fits a little bit; symptoms started arround her period of menstruation and she has been having similar occurrences but of varying severity in a cyclical pattern, usually arround her menstrual period. Also she has chronic Pelvic pain, deep dyspareunia, congestive dysmenorrhoea, heavy menstrual bleeding, subfertility... etc But with fever and vomiting it didn't seem right.

` Acute Pelvic Inflammatory Disease[PID] ... Nah ... no vaginal discharge, no history of promiscuity and she didn't have the "toxic" look of PID.

` Perforated Peptic Ulcer ....?
She is a known Peptic ulcer patient.
Was diagnosed 2 years ago as having symptomatic Fibroid with heavy menstrual bleeding and severe dysmenorrhoea[painful menstruations]. So she has been abusing NSAIDS for the menstrual pain with a resultant flaring of the ulcer symptoms in a cyclical pattern, every time she is seeing her menses and is taking painkillers for it.
In the present illness there was prior worsening of the ulcer pain with referral to the back[ a sinister sign, usually heralding impending perforation]. And there was also epigastric tenderness.

.

Perforated Peptic Ulcer seemed the best bet. So hours later [after initial resuscitation] when I was staring at her Chest Xray on the viewing box with a column of air visble on the left hemidiaphragm, separate from the gastric air bubble, I wasn't surprised.

Simply put, the Ulcer had become bad and had perforated her stomach, with the inevitable consequence of the stomach acid leaking into her abdomen causing peritonitis with severe pain.
The "air under the diaphragm" was actually swallowed air that escaped from the perforation in the stomach to go and occupy what is usually an air tight space.

.

□ Morals

` For starters, obtaining over the counter medications from "chemists" without a doctor's prescription is a potential .... no a real health hazard rather.

` NSAIDS especially when abused complicates an already existing ulcer, can induce an ulcer even where not present before, and has other potential side effects like causing Chronic Kidney Disease.

` Ulcer patients should desist from indiscriminate use of NSAIDS, unless specifically prescribed by a doctor who is aware that they have the condition. Thus always make it known to the doctor in any hospital you go to that you have Peptic Ulcer before receiving treatment.

` Non ulcer patients should desist from indiscriminate use of NSAIDS too, and if it must be taken, it should be taken with food and not for a time period longer than 5 to 7 days unless otherwise instructed by a doctor.

` Dark stool may not necessarily be "veges" or blood tonics in faeces, sometimes it may denote an internal bleeding from an ulcer, especially when it is black and tarry.

` Those with chronic painful conditions should be mindful of the fact that the cocktail the chemist "mixes" for them to "knock off" the pain with one hell of a "punch" might as well be a cocktail of doom.
Be warned, don't fall a victim.
Am out.
https://www.facebook.com/chibuikesupercj.chukwudum/posts/684424871661874

Hahahahahah, them boots very funny....

radicalove:
There is improvement, but there is another side to the whole stuff. Old ones go away while new ones appear and along the line, the mother has also caught the same infection, what should she do
Iyatrustee
Christopher123
Tochimas
Dunhill20
ElPhoche

Forget all those home remedies that you are being adviced to try out because you can have complications that you would not even want. My advice, just like Prettyjo, is to see a doctor, preferably a paediatric dermatologist. But any paediatrician will do. That stuff requires system antibiotics, not just lotion now, dear.... Impetigo is known to be very contagious, and it usually develops wherever the fluid/pus touches. That's probably why the mother is now affected.

Evolve
Enigma
Allure

dogear
reared
donate
evaded
dreary

Deadlock

Ewuro4:
Noodle

Enable

ElPhoche:
Throttle

Emanated

Ewuro4:
Gadabout

Throttle

Grounded

Entail
London

Entail

That's likely impetigo. Take her to a doctor, preferably a paediatrician...

This is not d permanent site of NAUTH. There is a new site under construction. The present site was a former general hospital. They might not boast the best structure on ground, but they have among the best workforce in the country...

This is not d permanent site of NAUTH. There is a new site under construction.

Coldplay007:
The spinal did not take and she was given a shot of ket..
And probably diazepam too....

Hmmmm... didn't you see the ' The lady came and gave
me two injections "I feel".one on the right side of my
stomach and another on my spinal cord region....'? Or did you mean that the spinal did not take effect? I think she also received d diazepam shaa, that's d other injection. Anyway, she sure did receive ketamine...

I think you were also given ketamine, aside d 'spinal' that you received. Which teaching hospital was it, op?