₦airaland Forum

a.A.K:
Doc,i am realy happy i can finaly dicuss my broblem.I need urgent help.For over a year i hav been filing pains between my scrotum and my anus.I've been on diffrent antibiotics and the pain just won't go.Please i need your advice please.

If I may chip in, @ a.A.K.

You probably have Chronic Prostatitis - A condition characterized by a low-grade pain and irritation in the exact area you have described, and caused by a long-standing bacterial infection of the urinary tract.

However, I may be wrong.

I see you have used antibiotics. Were they prescribed by a doctor who heard you out fully and then assessed you properly?

Your best bet is to see a Urologist who specialises with the "water-works" part of the male anatomy. Your regular GP can refer you to one.

If not a specialist, then get your GP to take a more thorough repraisal of your complaint.

Goodluck, mate.

@kathyekiti. Hi, doc.

I left you a message on me thread, pleeeaase. . .

ikamefa:

^{* subscribing *}

interesting thread!

most touching story the lost twin baby !

I'm encouraged by this post. Thanks.

That lost twin yet unborn. Was sad, yes.


Will post-on tomorrow. Promise.

. . .

kathyekiti:
Kudos. A lot of obs in America are not exposed to vertical skin incision so end up making what I call "christians" of their patients i.e. doing a pfannestiel in the presence of a preexisting vertical scar. However, I have also seen a few Naija docs who insist on verticals. Doesn't make any sense to me As for the hiv tests, I have a few family members who are still in Nigeria and are practicing physicians. After I heard of delayed c/sections in the presence of fetal distress pending payment of fees, I realized it is impossible to take the behavior out of the location and be fair.

Hmm. . . .

I think Healthcare Policy at the government levels as well as the general lack of civility in Nigeria, are to blame.

Doctors are meant to be civil and part of the highly educated in society, and so with this view in mind, they share the blame for "tolerating" the awful situation, in a sense. The matter is never mentioned really. Just like many other uncivil health issues that go on that we are now numb to, such as sanitary issues in our biggest cities, etc. . .

The patients just get sucked-in and many times hit by unexpected emergency expenditure.

In a civil society, a persons life should not hang in the balance merely based on not being able to raise sizeable sums at moments notice.

The case is worse when good samaritans rush in an unconscious person, say an RTA hit-and-run case, to a private hospital. Most would simply send such a case away to the nearest government hospital, precious seconds ticking away. I know that private hospitals are what they are - Private, hence cash-based. But the consciences of private hospital doctors in civil societies abroad are intact because they are part and parcel of policy that have provided para-medics, ambulances, police patrol and the like, that would aid the critically injured to nearby designated public hospitals at moments notice, many times already being life-supported (by the para-medics) before arrival.

No para-medical services in Nigeria - A gagantuan shame to every doctor in Nigeria who proclaims to be, by virtue of the profession, pro-life.

Me, I'm practically a zombie many times on the job



PS @kathyekiti, I'd like to request something of you, I think. Could you mail me so i'd get your addy? Mine's[i] . . . at yahoo dot com[/i]

Just say kathyekiti, then I'll mail my request to you.
Thanks

@kathyekiti

I'm suprised you thought that I may have taken offence. I didn't feel this way the least bit. Not at all.

Matter of fact I think you managed to win my admiration in the way you mildly, humorously, registered your surprise at our abusive ways where individuals' consent for HIV screening is concerned. I who had been cringing and expecting a justifiable lambastment.

We have done a vertical incision, when due to a huge fibroid occupying the lower uterine segment, a [i]classical [/i]incision was planned on the uterus, hence the vertical skin incision made electively.

Also used a vertical for the obvious reason that same skin incision had previously been used for a past surgery such as a Myomectomy. We go through the same scar as it were, and this agrees well with the possibility of encountering extensive adhesions for which the pfannentiel approach may prove not too roomy.

Re: H.I.V. Discrimination . .   Circumcision


April 30th

M

@kathyekiti

I feel flattered by your words

Your desire to visit us, is it born of the need to ply us towards the right path concerning international best practice?

If this is the case, I for one would welcome you with open arms. We would both then need to take in deep breaths. . .

My favourite and mostly used incision is the pfannenstiel. However, a lower mid-line is sometimes used by us for specific, particular cases.

We repair the uterus in two layers. Interesting that you ask though, because recently, our former Consultant Obstetrician started leaving the repair at just one layer. I was assisting that first time he did this so I inquired. He said these days one layer can suffice so long as it is deemed that this adequately has maintained good apposition and haemostasis.

H.I.V. Status Discrimination . .   Bad Obstetric History . .   Elective Caesarean Section

April 29th

A

Out-Patients Cinic. .   No Circumcision

April 28th

I

A Mid-Wife's Very Own First Child Birth

April 26th

F

Kongi:
@kathyekiti
I guess the lady can leave if she so chooses.
In Naija, I doubt if you can hold someone against their will even if she is of unsound mind.
I am guessing they did not refuse treatment.
Or blogger, are we mistaken?

@Kongi, no you are not exactly mistaken in the exact sense of your statement. However you are not exactly correct too. We did refuse to treat the patient unconditionally. We were willing to treat, yes, but only on the condition that she paid us cash.

@kathyekiti's observations were accurate, including the fact that Pregnancy Induced Hypertention(P.I.H.) is a medical emergency.


Interwoven situation. Very much controversial.

lifegal:
hello doc.

Lost the pregnancy @22weeks 2days

* sigh *

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kathyekiti:
A pt with PIH released the same day?!!!! I am flabberwhelmed and overgasted. Do they really do that? In America, if anything happens to her, she would own your hospital!!

@kathyekiti

What can I say? My lips, for now, are sealed. . . .

More comments are welcome.



The archived entries continue below . . . .

kathyekiti:
@Krrush
aleuta continua welcome.
@chief s
is the pcv tha same as hct? I am a little confused. I beleive you are talking about her blood level but let me know so I may help
@ nenebran
I sent you a response already.

I have to make a quick announcement. If I receive one more 419 email, I will be forced to make my email address private. I am sick and tired of insulting people's mothers and raising my blood pressure at the idiots who make my work as a Nigerian physician more difficult

@kathyekiti

Thanks, I appreciate it.

Yeah, "aleuta", the sruggle continues oo!

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@darequam

Hmm . . . .

How long have you had this problem?

Is it every single time you get sexually excited that you feel pain ever since it started?

Ever had any major injury to that area of your body?

Ever had a long-standing urethral discharge with pain when you urinate, which you left untreated, or, poorly treated?

Why decide not to see a doctor, who usually is a fellow man like yourself, one on one? No doctor can physically examine your water-works, here you know

ChiefS:
Dr in the House thanks for the great job you're doing.Please my wife is pregnant and underwent PCV test and the result was 30%.The Doctor complained it dropped from 34% the initial test she did at the beginning of the ante natal?Presently she is 5 months pregnant.What is the right PCV value and what can she do to improve on her PCV?
Thanks

Hmmm . . . .

Nenebran:
EkitiKathy,
hi am still waiting for the reply

Hmmm . . . .

@kathyekiti . . Doctor, may I apply for the night-duty locum position?

I have a short but useful resume:

Medical officer with relevant General-duty experience . . . And I'm available at night!

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@edundayo

Thanks a lot!

Will do that, pronto.

Ordinary Day Today

April 17th

T

'edundayo

I'd like you to check out my blog.

I'm new in blogging but I think I've got the potential and the drive and I need help with things like Feedburner applications, ad code uploading and stuff.

NB: Moderators seem to have blocked the ability to post URL links here!

Looking forward to your response. Thanks.

Me too.

http:// kofoawojobi . . com

Go check it out.

Tumour of Fat Origin - A Lipoma. . .   Tuberculous Neck Swelling. . .   Anatomical Provocativeness. . .  Al Capone.


April 13th

I'

b

m

/

.

Hey,@brume2020,

It's me, Your buddy from CMS.

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Say,is mine a lesser product than the Toshiba satellite A215 you mentioned above?

I no who to turn to next time.

Cheers!

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