₦airaland Forum

Kinfunfun22:
You people will not kill someborry with laughter on here!! AED? WTF!!! For someone that passed out while bleeding?? I won't bother saying much because it's glaring you know NOTHING about Medicine. But let me tell you what a wise man one said "he who knows not, and knows not that he knows not but thinks he knows is a fo.ol, ignore him".

And if you're one of those quacks that are not qualified as doctors but treat patients wrongly and detrimentally as doctors, giving hardworking doctors a bad name, your day of reckoning is very near. You can't escape.

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See how ignorant you are.

If you are resuscitating her and she presents with shockable rhythm e.g.. V-fib. what will you do? Now I understand why rich folks would rather fly out than patronize you undertakers masquerading as doctors. I am still in shock at the level of ignorance I am seeing among you Nigerian quacks just from this case. I can tell from your submission that you have no slightest idea what AED is and how it works. You don't have to admit it. It is very glaring.

I have an AED at home and you are telling me hospitals cannot afford it. You will rather buy a fancy car to look good than invest about $3000 on an equipment that will help you do your jobs competently. Oh! You want to lecture me about medical practice? Bring it on. Forget all the fancy medical terminologies which most of you like the OP use to massage your ego. Bring it down in a way that regular folks will understand and protect themselves. If you want a show off career, go into acting.
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Creative but too expensive.
17" tire used: N15k
15" tire used: N8k
Paint: N1.5k
Misc. N10k

Total = approx. N35k


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Okonjo Iweala?

Diezani Allison Madueke?

Their heist will be in the same category as Ibru's pen robbery.
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I don't like PMB. I don't like GEJ.

I don't even know what a Nigeria voter's card look like.

But I will take 1 Buhari to 100 GEJs any day and any time.

Full comparative analysis of both government would be better appreciated after 4 yrs of Buhari. So far all we have is 3months vs. 96months. And the gap has closed very fast.
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teamchocolate:
You would know pple who did not even do any bit of science but feel they are learned once they start spewing trash....



Even in developed health care systems which I have been privileged to be a part of.. once a patient lands the a/e, one has to take a brief history, examine, run tests then treat.. now this doesn't have to follow the sequence I av outlined, this is where the doctor's discretion comes in.


And you talk of advanced cardiac life support and AED. Pls u need to be sure if the hospital had ' advanced cardiac life support' before u open ur mouth to condemn the doctor.. most teaching hospitals in Nigeria are glorified health centres and we all know this.. when doctors went on strike to protest poor working conditions and lack of infrastructure and equipment, where were you all? You will get to a hospital and there will be no light.. Na magic dey run the advanced cardiac life support I remember as a medical intern, I personally had to manually ambubag a pre-term baby all night long, something that the child should have been on a mechanical ventilator..of cos when I came back later in the day, the child was gone...sometimes, no oxygen, no electricity, nothing. And. You expect the doctors to do magic...better hold your government who by the way I always encounter in foreign hospitals accountable..Medical care anywhere in the world is very expensive and needs a lot of capital investment.. until govt officials start using those teaching hospitals, they would remain as they are... DEAD.

Also the issue of training resident doctors has been on the front burner.. no one seems to care..
Hold your govt accountable and stop spewing venom on health care workers who are doing their best for this kind of set-up...

Note that most brilliant doctors in the U.S are of Nigerian origin..many of who even trained in Nigeria... tells u a lot doesn't it..

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You have a questionable medical career. Either you are grossly incompetent or you are a danger to yourself. So in your "advanced country" medical practice, you take brief history from a comatose patient who coded and was brought to the ER? SMH. I don't think you have an idea what the thrash you spewed above did to your credibility.
You AMBU-bagged a patient. Tough luck. That is the nature of the career you chose and the environment you work in. And in the whole unit, you were the only one available to provide ventilatory assist? Granted that Nigeria hospitals are ill equipped, most of you came into the profession because mommy and daddy said so. Of course, which means you are psychologically bereft of the characteristics that make a good doctor. Perhaps, the allure of phantom prestige takes higher priority than patients' care in your deluded world.
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This is a very commendable act by Fayose as long as he is not owing any salaries in arrears.

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bushdoc9919:
Hypothetical it may be...but I speak from experience.

And let me tell you that it is not easy to tell people that there is no space. In one hospital where I worked...we were having a busy night at casualty. The casualty officers were overwhelmed with cases. The nurses too were overwhelmed. Then someone came in with a bad patient....and we took one look and told them , sadly, no space. (I had to come out and help Sister in charge tell them).

And it is not easy. I felt upset.....but we had no choice. (We sent them to another hospital).

We could have admitted them....and then the patient would have died....or another of the cases we had at hand could have died because of the hectic situation we had then.

Better planning is called for....which is why the OP's listed solutions could have helped. And of course...there has to be an investigation. Negligence does happen.

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I don't even know where to start. The thought of Nigeria gives me migraine sometimes. In a sane society, they would have called EMT. They would have been the first point of contact. They would start the iv access, get the vitals and the ambulance radios in ETA. At least preparations to receive the patient would be made. And if the ED is busy, they will be directed to the next nearest ED. In all making sure, the patient gets adequate medical care he/she deserves. But in Nigeria's case, I don't even know where to start.
I still think that the OP started off wrong by passing the buck as if it is the patient's fault for being sick/ill especially with the inherent character assassination.
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bushdoc9919:
Well...so the casualty officer admits her.....and gets her to lie on the floor. Puts up a drip....then rushes to attend to the other patinets in casualty....which is filled up.

And one thing about casualty being filled up.....this usually means the wards too are filled up. Now...the Casualty officer calls the obs/gynae assuming the girl has an ectopic. The next thing would be to operate. Unfortunately....the ward is filled up. The theatre too is running at full capacity at night.So...the girl cannot be operated on.

And we need lab tests to be done...yet because the cas is filled up....the lab is running at full capacity.

And there are not too many doctors on duty at night (We run shifts/calls).

So...at the end of the day...the patient still dies because the whole ward was filled up. And we will still get blamed for causing the death.Not the fact that because of delays occasioned by the ward/casualty being filled up.....

Ah well......such is the lot of a doctor.


Now the ideal thing would be....girl slumps...ambulance is called...paramedics respond....and take her to the hospital where there is space as told them by dispatch.

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A lot of hypothetical situations. There is medical priority in the ER. Most investigative lab works come after a patient has been stabilized. The worst part was that no effort was made to resuscitate the lady. No single effort.

You said "such is the lot of a doctor". No! Such is the lot of all of you medical technicians parading as doctors.
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If it is not someone you intend to marry, why bother.

Keep the good times going.
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centje:
To the living, Death is a painful part of our life. It becomes more painful when it occurs at young age and from a preventable cause. To the diseased student, may her soul rest in peace, Amen!

I really pity the girl, her friends and family, most likely she died out of our poor system. That's a glaring truth!

However, there's a chronic problem among Nigerians, which is, we tend to be carried away by sentiments, no room for critical analysis to prevent such occurrence in future, as we continue to live.

Let's analyse what led to the death of this female student and the actions of her sympathisers afterwards..

From the story flying around, both first hand and news outlets, the student collapsed while taking her bath [ think!... her friends or neighbours, or hostel mates would only notice she has collapsed after a long stay in the bathroom, unless she was taking the bath with another person, so she must have collapsed in the bath room long before it was discovered ]. She was said to have started bleeding Vaginally. She was then rushed to the UPTH ( University of Portharcourt Teaching Hospital) Accident and Emergency (A/E) Unit, where she was told by a nurse that there was no bed space in the A/E unit. She was taken to a private Hospital, but her friends was unaware she died while in transit, so she was certified Dead on Arrival (DOA) at the private hospital. The private hospital, to avoid 'trouble', then referred them back to UPTH where she was taken to morgue. Friends of the diseased student then instigated other students and protest began, and attack was targeted at UPTH, and its staff, especially those at A/E unit. The East west Road(A federal road) was also blocked.

Let's also clarify something about the student. I have worked in a University Medical Centre, and I knew how Theatre Art students were rushed to A/E unit. Then, 5 out of 10 admission in A/E unit were theatre Art students. Why was it so? Reason: They do a lot of rehearsals, very stressful rehearsal, almost 24 hours in most days of the week. What if she has been ill for sometime but didn't seek care?

Now, let's critically look at this student's death. What are the possible causes of her death? We are limited here because we need some basic medical information from her friends, but from the history of vaginal bleeding as a young girl of reproductive age, what comes to mind is Ruptured Ectopic pregnancy, severe Anaemia from menstrual loss, Miscarriage, illegal Abortion ( illegal in Nigeria) and other gynaecological cause of Vaginal bleeding. Other common possibilities include severe malaria ( severe Anaemia ), hypoglycaemia( low blood sugar ) ...

As I write the Hospital is planning for Autopsy on the Diseased student. So findings will be out soon.



Now, What are the problems that eventually led to her death?

First, if she was pregnant, then her Boyfriend should be ready to answer some queries from her parents and investigating team. Did they attempt Abortion? Was it ectopic pregnancy? Pregnancy would have been prevented by simple condom, but most girls dislike condom, yet they have little knowledge on how to monitor their ovulation or use of contraceptive.

Secondly, Theatre Art department need to review the inhumane activities these students pass through as theatre Art students, sometimes they are made to rehearse under the rain, when some of them are asthmatic.

Thirdly, how equipped is their University Medical Centre? Are money not allocated for their medical centre? 'Uniport wasn't born last night', it's an old university. Their medical centre should be able to handle cases like this, unless her friends are hiding something which will spread in the school if they had taken her to their medical centre. Like I said earlier I have worked in a University Medical Centre, I know how students behave in relation to medical treatment. While I worked there I gave serial complaints about setting up a theatre to handle minor surgeries. I was happy the university responded fast, and before I left they were already performing appendicectomy and other surgeries. Can that be said of Uniport medical centre? Who is to blame if it is not equipped? Is the the doctor or the nurse or the Government?

State of of our healthcare system, especially teaching/ tertiary Hospitals. I have also worked in a teaching hospital, a very busy one. It gets so busy that we stop taking in patient into A/E, into the wards. Laboratory results are queued and takes average of 2days to get a lab result, you can now imagine how long it takes to make definitive diagnosis for a patient in critical condition in A/E. You just can't do anything when the teaching hospital capacity is saturated. The worst is the troubles of accessing blood to save an traumatised patient, most time doctors go to lab to beg....not really the fault of the lab scientists per say but the replacement system is poor. Once the patient gets well he refuses to replace the blood used in saving him/her.
Who's fault is it that we have a poor system? The doctor? The nurse? The pharmacist? The lab scientists? The government? The populace?

Poor design of health care network. In countries with good health care network, both hospital (private and government owned hospitals) and state ambulances ( can be bus, van or helicopter ), have a short code one can easily dial in cases of emergency and the response is swift, and while they are moving, they are already giving first aid treatment to the patient, they already know hospitals in the city where there's available bed space, the hospital is contacted and given clue of the kind of case coming, the hospital assembles team of healthcare professionals to receive the patient and start necessary management fast. But then we won't direct our anger to the government in power at any given point in time.

Have you asked yourself what is the population of PH not to talk of Rivers state? Have you also tried to compare such population with the number of government hospitals and the capacity of each hospital, I say government hospital because that is where most River State residents will access cheaper health care. How much has Rivers state government done to ensure easy accessibility of health care her residents? Are there Doctors and equipment In our village healthcare centres?

Again, we can be careless with emergency situations, some states like Enugu, have some ambulance service, Have effective fire service, Have police short code, how many of us make effort to have these codes or numbers, how many know how to administer CPR in case of emergency. I was the one that opened a thread in Health section of Nairaland : TIPS ON COMMON ACCIDENTS AND EMERGENCIES, how many of us have taken time to learn one or two skills there?

In this index case, the students attacked UPTH for perceived negligence, even in the report the Nurse was tagged wicked. Negligence is not out of the question, no one is certain of what transpired until investigation is carried out.
But let's take another angle, for a nurse to tell you there's no space, most likely no space, because I have been with nurses most part of my life. They run shift system, while doctors work 24hrs, so the stress of the hectic hospital work in Nigeria is not so much on them, a doctor is more likely to be overwhelmed by work or to run away from work due to work fatigue than a nurse. So must time when a nurse says there's no space, check very well there won't be space in that hospital, and am sure the students wouldn't take the female student away to another hospital if they could sight an empty space or bed in the A/E unit.

The immediate past Governor of Rivers State, Rotimi Amaechi once said that they ( politicians) steal because we don't stone them. You can't imagine the happiness I would have felt if these students had directed their grievance to the government, as little as hauling stone to government house would have sent a lot of messages to politicians all over the country. At least the Government at every level would know that Nigerians can rise Against them one day, so they would sit up, build good roads to reduces Road traffic accident as major cause of death in Nigeria, build better universities, plan our Cities well, equip our hospitals, build more hospitals, design a good healthcare network, give health care works their deserved remuneration to avoid industrial action, instead of buying cloth and newspapers for senators, flying presidents and Governors to foreign medical treatment with our tax money.

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You are not making any sense. The most important thing in this story is that the victim was rushed to a medical facility. As a trained personnel, whether they have beds or not is a non issue. The first response would had been to initiate Advanced cardiac life support using medications, Iv infusion and AED if necessary. Once the patient is stabilized, then she would be transferred to another facility. Common sense is not common among you quacks parading as medical personnel in Nigeria.

UPTH A/E denied the lady the right to live.
All the running around with a patient who deserved emergency medical attention is callous. It is sad how you people get away with murder by negligence.

With your mindset, you should not be allowed 100meters near a patient.
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Air France flies to PortHarcourt which is very close to the East. It is very convenient.

I hate MMIA

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175:
Abeggy make dem free the woman and besides the Kids are fine! Britain, what you guys did to Nigeria before and even after Independence, strong pass this!
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However, I love children! I've always dreamed to have them all at once like this. . .God pls help me I pray in Jesus name, Amen!

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I really do wanna get married this year to my love!

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I am trying to figure out which is worse between what Britain did to Nigeria vs. What Nigerians did to Nigeria.
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SCAM 101:
1. Identify with your victims
2. Earn their trust.
3. Strike.

Oldest trick in the book.


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Junk yard should be a good business in Nigeria.

A whole lot of things need to be totalled.

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Granted that Hope Uzodinma's record is bad, but when she sent thugs to eliminate him in Ajao Estate, that's when the marriage ended and she moved back to her family house at Onitsha after release from police detention. It was an amateur job. And like I stated, Hope is not an angel. They are both birds of a feather.

Augusta moved on since. But like every jilted woman, she must rock the boat whenever the sail appears smooth.
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It is difficult to take the predictions of an elder serious when the elder has bundles of dollar notes in his pocket.

The word "elder" used to have big weight.
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You can't beat experience.

Bad girl got some experience.

Combine the experience with "packaging" and she weds next weekend.
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So Adefuye finally died.

This life sef. When he was gallivanting all over the place with Mrs Farida Waziri, they thought the world is theirs.

I hope Prof. Bolaji Aluko (VC of Fed. University, Otuoke) learns a thing or two about Adefuye's death.

It seems the one they fought tooth and nail to dismantle in Maryland is winning after all.

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Why not send Mbu to Borno?

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bidex:
why are you talking like this? you call inventions a SHit and disgrace All those that have been inventing this or that, where do they start from? dont they fail in their trials to invent things? dont they? they have the fund to invent but these students out of no fund went ahead to beat the odds to put something down. does failure means the end? if pikin fail for school no be repeat e dey repeat? mind you, its only one person that started invention of cars while other went ahead to follow suit. these car manufacturers have heavy equipments and factory that they make use of. but these students make use of little resources they have. what i see them proving here is that our ajaokuta where we produce metal will start functioning one they are able to get it right. our fuel exportation will reduce, our electrical engineering students will be gainfully employed likewise our mechanical engineering students as well as our computer scientists which marketers are not excluded as well as painters/artist when everyone will be smilling to bank.
please stop rubbishing Naija made things again. lets start developing our own stuffs. lets start contributing to our economy. WE ALL CAN DO IT!

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Do you know the meaning of "invention"?

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Just curious...have you figured out what preys on snails? How do you intend to scare or keep them off?

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In the spirit of equity and fairness, how many Northerners were in key positions during OBJ and GEJ's regimes? Did the heavens fall? To how.much did the lot of the Southerners change with their people in key positions? How positively did the presence of GEJ in Aso Rock change the lives of Otueke people?
I can understand the concern about lopsided appointments by PMB but it shouldn't be misconstrued as the key issue in governance. Government of parochialism, ethnicism and worse, prebendalism have not gotten Nigerians anywhere. Yet they continue to fall for the same shenanigans. This is why I frown at the term "juicy" portfolio because such suggestive lingo negates the whole essence of public service.
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Ramos16:
you are a bleeping fool, what have you done in your entire life, instead of giving these kids credit you are here sayn rubbish

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I will give them credit alright. They deserve 24 lashes of koboko each for lack of scientific and technological imaginations.
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And that dude that lives in Awka continues to bombard us with same pictures of ongoing work.


A lot of willful detractors abound.

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THey want him to sell his private jet to pay their salaries.

LOL

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This era of disgrace by the so-called Engineering students must stop.


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And here I am thinking there is a difference between burglary and robbery.

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What an id10t!

No helmet?
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Goke7:
This is no longer funny, Politicians and all Nigerians I de beg on my knees

Let's stop all these, am no longer enjoying this but honestly orubebe should keep quiet and same goes for oshiomole too.

dem no de tire.

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Every Sunday, you go to church to bother God to bring confusion in the camp of the enemies. God has started answering prayers. Now you are turning around to broker peace.

SMH
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The bar is set so low in Nigeria that conceeding an election (which result they couldn't use Orubebe effectively to disrupt) is a heroic act.

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We have heard this directive so many times over the years without full implementation.

If you take their police escorts, they will get the military guys.

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That's why sometimes when one hears about assassinations in Nigeria, it is easy to decipher what happened.
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