₦airaland Forum

LGDON:
There are few expert treating this disease, not every medical doctors are liver specialist.

Speaking from experience, I see many Nigeria doctors recommend treatment for patient after they diagonised HBV which for most cases is not suppose. Lastly, they scared alot of patient about the virus which can be managed most of the time without even taken drugs for life.

The fact there are few specialist doesn't mean a general practitioner is ignorant about it

LGDON:
Many Nigeria doctors don't really know much about this virus. The reason they scared patient when they diagonised.

HBV is a virus that can be controlled easily

Many Nigerian doctor don't really know much about Hepatitis B & C viruses? something that is endemic in our environment? nawa

Thanks Doctor for the information.
However, I don't think it is right for u to prescribe medications on social media as u just did. people may abuse such medications & of course I know you are aware of resistance.

otokx:
There is more to this story, was at a teaching hospital yesterday, except for the HoD there was no other doctor in the department, trust the matron to keep reading it like a news item. 3 of the doctors finally came in by 11am ~ no apologies they are Lords of the Manor. A referral from Antenatal clinc was turned back at 12 that the number has been exhausted and she should return on Monday. Nigeria is the way it is because of the Nigerians residing therein, a contraption of chaos and corruption bound by religion.

This is a big lie.
pls mention the department here. Most likely, u are talking about O&G department. Department of O&G has more than 20 residents (Senior & Junior regs), & by that time(11am), a working hour u will see nothing less than 15 doctors at various units of the department

tintingz:
From your link where is it said it's life threatening?!

From the same link you provided, it said it heal itself.

"acute otitis media is a condition in which there is inflammation of the middle ear lasting 3weeks.

Most cases of AOM will resolve spontaneously with no sequelae."
https://nimedhealth.com.ng/2017/09/06/acute-otitis-media-overview-risk-factors-symptoms-treatment-2/?amp

Did you even read your own link?

There are different causes of ear discharge, doctors should diagnose that before you start saying it's life threatening. I'm sure the doctor they took the kid to would have mention that instead they gave him drugs to use which is the first treatment.

whether it is life threatening or not, it doesn't rule out the fact that it can spread beyond the middle ear thereby causing serious complications. The nerve that controls facial muscles courses through the middle ear. it can be damaged leading to facial paralysis.
There are also other complications that may be life threatening later

ichidodo:
[color=#1980BC]This just an AK 47 bullet and not some new age explosive bullet tipped with glycerine designed to shatter on impact or is it a bullet tipped with a bio poison to catabolize soft tissues....this is simple 7.092mm projectile shot from a long barreled assault rifle thus there can only be injuries or death from excessive trauma to the body as regards to hits on major organs or tissues. That is why you are much likely to survive a gunshot to your limb than your chest or your head.... The knee in question is looking too good in shape,structure and even color to indicate gangrene or damage to any soft internal tissues thus I believe surgery with metalplating and screws would have helped the young man..[/color]

you are correct but the aspect I'm considering is the fact that that pics was taken on the day of incident. a close look at the wound will tell u that & of course gangrene won't appear on the first day of bullet injury. u begin to see clear demarcation between viable & gangrenous tissues about 24-48hrs after incident so you can't tell the extent of tissue involvement just by looking at a fresh bullet injury

alphaNomega:
You need to study what happens to the body after a bullet wound. What are you even saying?

That's exactly what I'm trying to tell him

ichidodo:
[color=#1980BC]The leg could still have been saved no matter the kinetic energy or force on impact as long as the leg isn't mangled or gangrenous.. Better still with a projectile with a relative small entry wound...highest injury here could be shattered bones (bone setting)...or torn ligaments (surgery) or whatever.[/color]

How about that soft tissues that will be affected? Bullet wounds cover more margin than u can imagine. U can only get a clear margin of involvement of or between viable & necrotic tissues after a day or two of the incident

ichidodo:
[color=#1980BC] That leg could have been saved...It doesn't look mangled neither does it look gangrenous...Tis a clean hole with an exit wound.A six hour surgery could have saved it, but no, lazy doctors would prefer the cheapest and easiest option.[/color]

I don't think you are right. Bullet injuries extend way beyond the point of entry of the bullet & depending on the kinetic energy of the bullet & the type of gun used. Lastly there is what we call secondary missiles( this would have affected or chartered more bones that u can see generally. Possibly that pics was taken on the day of the said incident.

cosef:
A white robed butcher and his rants. House job man, you tried to disrespect a noble profession but you got a good beat down as you always got in the courts, deal with it.

You are still defending yourself? na wa for u

ichidodo:
[color=#1980BC]The human skin is far too thick and complex to be an absorbent of every solute or solvent imaginable unlike those of insects which the sniper is formulated to kill....Insects breath via their skin, sniper compounds help to mess this breathing process up very efficiently thus guarantee their quick demise. That isn't the same with humans.....Unless Sniper is exposed to softer inner cavity tissues e.g membranes of the alveoli, bronchi ext...God help you if you asthmatic. [/color]

Have u ever considered if she may have had some lesions on the skin following relaxer application & that if true, it may enhance absorption of the said insecticide? Again, she applied it on her head; have u considered chances of inhaling it?
Organophosphate can be absorbed easily into the system

optm:
do not downplay the essence of lab tests in clinical practice. if u were certain about a diagnosis, there ll be no need sending for investigations. often times , you come out with differentiall diagnosis nd would require investigations to arrive at a definitive diagnosis. conditions could present with similar symptoms yet require different management approach . you can be very well mislead without a laboratory investigation or a wrong result. have respect for these guys. this kind of attitude nd lack of respect or downplay on the importance or contribution of other health professionals in patient care is a major problem on the part of med docs that calls for concern and needs to b addressed. you can't do much without laboraty investigations. pt's re not lab rats to be experimented on; they shldnt b treated by trial nd error.

My brother, most of the time specimen is sent to the lab, it's not intended to make diagnosis..
Some diagnosis are clinical. The most important part of patient's management is diagnosis. When a diagnosis is made, anyone can give medication.

cosef:
Your submission have been rehashed and debunked severally, a few keystrokes during research in search box for previous similar threads will clear your doubt.If Medical laboratory Science is as irrelevant and you always struggle to paint it won't be on Critical skill list of Advanced countries like Canada, Ireland, Aussie etc.

Those test panels are comparatively more complex than the malaria and typhoid you are used to in your fake side labs, that's why you don't run them in your and hardly even request them. Most physicians know less than 5% of over 18000 available test panels and investigations, especially for Non-communicable diseases. That's an irrefutable fact.

you know over 18000 lab tests yet you can't run any for the benefit of the patient except a doctor who do not know about such test request for it. are you really thinking?

Au79:
am highly disappointed with this comment of yours..I was hoping to hear very 'complex' tests that you claim u perform in the lab only for you to be saying AFP, transferin assays, cardiac troponin, creatinin kinase....
let's be serious do you know the indications for this test you just mentioned? what test would you carry out when a toddler comes with retinoblastoma? or even stomach pain? u think its just by doin the tests? more than 80% of the tests you do in the lab are been done by machines ranging from e/u/cr , and so on...something that a lab technician can do when trained: press dis red button button and press that green one after 5 minute..the professionalism comes in interpreting the results in carrying out operations like stem cell transplant and bone marrow replacement which is done by pathologist
do u know dat most of the times before most lab results comes out doctors av started treatment already which in most times patients get well? sir do we have labs in the rural areas, don't patients get cured there without ur lab result? laboratory is just for confirmation, more dan 90% of diagnosis can b obtained from a good history and thorough clinical examination..

Thank you brother.
Cardiac troponin is now a complex test to perform according to a lab scientist

In case you do not know the role of a pathologist...
a pathologist tight up a lab result with the clinical presentation of patient & makes a diagnosis.


Diagnosis goes beyond carrying out lab procedures most of which can be done by any one who understands written English( that is if the procedural manual is written in English).
Diagnosis involves history taking & physical examination(these form about 80% of the diagnostic process) & the lab investigation if need be cos most diagnosis are clinical( meaning u don't need a lab test to tell u ).

The reason you won't understand this is because u are confined to the lab. you do not know what happens in the clinic, wards etc. sometimes we send consults to haematologist to review our patients this is because they are well equipped with the clinical knowledge to care for them. We can't send consult to med lab scientists as they will kill our patients or complicate the condition

cosef:
Investigations are run in the laboratory with provisional diagnosis. Just like prescription notes are given before drugs are dispensed. Nobody is a magician. The key word here is 'suspected' but suspicion is not definitive, that's why you consult the laboratory.
Just as the police will say 'everybody is a suspect' but investigations must be done before you can definitively confirm that the person is a criminal.

It's common sense.

point of correction, a physician consults his colleagues(who are pathologists) in the lab not a scientist.

cosef:
A real physician doesn't downplay the importance of investigations just because he is not grounded in them. That your submission and comment raised a red flag about your qualifications. Even Jman detected it a long time ago.

Which investigation did I downplay? That you look for Bench Jones protein in urine? So if the result turns out to positive does it rule out the fact that the physician suspected multiple myeloma before requesting for such investigation? Or u think specimens are sent to the lab without knowledge of the pathology for which the investigation is requested? Pls answer those

cosef:
Actually your physician pathologists who are the trying to run the labs are the most redundant and laziest group of physicians in Nigeria. It's common knowledge. Even other physicians in other specialties like Surgery, O and G, mock them with it.
Most of them rush down to the lab to do nothing but gossip that's why they find enough time antagonize the Scientists. Take an unbiased survey.

You are most likely an undergrad, and you are talking to a post-baccaleaurate specialist in the field of mycoplasmology with his PhD in very close view, so I am qualified to give you the lecture you so crave for. You sit and learn.

You have all those degrees yet you are unable to differentiate between an undergraduate & a doctor?... you see the difference between both of us now? like I did say, u still have a lot to learn

Jman06:
Mtcheeeeeeeew...



Thought I was communicating with a sensible person... Now I know I've been wasting my MB on a complete dunce!

I pray they give medical laboratory science a faculty in the university, then in the same vain, Create another faculty for pathology (say faculty of pathology)....
I think that will solve all these nonsense between lab scientists & pathologists.

pls say Amen to that

cosef:
If every physician knows what the every result will be qualitatively and quantitatively without proper investigations, then you can as well close down your side lab and consult only the 'Oracle' in your brain since laboratories are not important, you can as well write to the American Medical association and American Society for Clinical Laboratry Science (ASCLS) and ask them to shut down every lab and stop research on new test methodologies. I doubt you already a physician, maybe still a student still being brainwashed in Nigerian class rooms by failed physicians who ran away from consulting rooms into the academia. I strongly suspect.

There is no test that a Medical Scientist can not run in his field of expertise and specialty, from molecular to even forensics. They are boss when it comes to laboratory investigations, they spend their whole training on it from undergraduate to professional to post-graduate levels.

In your quest to downplay the importance of Scientist you keep committing intellectual gaffes. I'm sure you were not taught that laboratory tests are not just for diagnosis, but also for monitoring, evaluation and even epidemiological studies. Every test has it merits. Maybe when you graduate you'll settle paternity disputes by just looking at faces of the Alleged fathers, looking up the sky and then give a verdict about who the real father of the neonate is. Ofcourse you are 'clinical magician'.

I will be as civil as possible not to insult you. However, I put it to u that you know just too little of what you talk about.
Don't boast yet, just learn by observation; you have a great deal to learn that way.
Now, back to the matter. if ur submission is true, pathologists would have been redundant worldwide but u know what? laboratory medicine belongs to the pathologists & that won't change no matter ur sentiments.

cosef:
Actually it is the Scientists that educate physicians on the value and interpretation of most high complexity tests. I'm not talking about MP and Widal that you get any road side person to run in your dirty side labs without Quality control. Go and read the D.CLS curriculum of the United States.

I'm talking about investigations like Alpha feto protein, cortisol assay, CEA assay, CKMB markers, Troponin Assays, Allergy panels, Australia antigen, Transferrin assay, apolipoproteins, Bence-jones etc. Many Nigerian physicians don't know the validity of these investigations, it sounds like rockets to some of them when you are not talking about malaria and typhoid test.

There are more than 18,000 tests and investigations and the Medical Scientists are the professionals who are grounded and specialized in them. Take that to the bank.

For typing those, I no longer take you serious. So u will advice a doctor on allergic panel, CEA assay, Alpha fetoproteins when the doctor himself knows what the result will be(base on his clinical acumen)like before the result comes out?

So looking for Bence Jones protein in urine is a difficult stuff? I didn't see any histopathologic investigation there why? Why not also tell me u advice pathologist onFNAC & it interpretation? That u also stage malignancies?
As a scientist, how many doctors have u advised on special investigations that he has no idea of? & pls could u name those investigations?

cosef:
If you like see white and call it black like the typical Nigerian sociopath, that is your cup of tea. Call them lab man o, lab woman o, lab coat man o, they remain astute Scientists and Laboratorians according to the Nigerian constitution in tandem with global best practice. Continue with your malaria and typhoid practice. Dokita malaria na u sabi. In fact na you Biko!

You said doctors do only malaria & typhoid tests, well, that's fine. You also think you can run all the tests in the lab because u are a scientist right? well that's still okay too, but I can tell you that if a patient present to ur lab with few vague symptoms which may not be diagnostic of any illness, u will be surprise, u won't be able to run any test to get a diagnosis.
That's where that malaria man is ahead because he knows the right test to request for.

felai:
Will have to think about it

I'm waiting

felai:
AVAILABLE

30k?

felai:
Opebi, Ikeja

Okay, too far.
I'm in PH

felai:
The glass

The screen is intact right?


Pls where is ur location

dayo8080:
S.A

Is this still available?

felai:
Have it

Is the skin broken

felai:
Have it

Is the screen broken

wolewolsz:
Available

I have 30k for this

Jman06:
You're the big fool here because in the developed countries, leadership of health institutions is not an exclusive preserve of the physicians!

Even world health organization is not exclusively led by medical doctors!

Smiles

The most important question will forgot to ask the op is " when was his wife's last menstrual period...

That with ultrasonic evidence of decidual reaction can give us clue if the woman is pregnant or not.... TVS can't detect pregnancy as early as 2-3wks