₦airaland Forum

Darkchocolate:
Yes...you have to wake up by 3am to shower. That s the time most people wake up.....

Chaiii!!!

cychioma:
m sorry doctor. so wher were u posted n its friday late

I was posted to ondo.....

Our ARD president is seriously trying his best to get our full registration ready, we are just hoping and praying for good outcome....

Usually, the receipt suffices, but now with the CHANGE we have wished for.......

cychioma:
pls i hv a document that is to get to us by tuesday morning. i'm a medical student and without the cerrificate there wud be no clearance. my question is when is arrival to camp termed late becoz i was posted to sokoto. getting to camp on.friday morning is it late?

A medical student or a medical doctor.....

Isn't that document the MDCN full registration

Well, I'm also hoping too....

Vcojuro:
medicine in the general sense is an unclassified course.
There is grading in medical school but In the general views of most people it is of no consequence and meaning.
There is nothing like first class doctor or second class doctor. A doctor is a doctor regardless of whether you finished with pass or distinction.
Regardless of whether you finished from any school in Nigeria provided it is accredited by mdcn which is the regulatory body for medical practice in Nigeria.
#i rep ui mbbs#

Lovely response, thank you brother.....

Darkchocolate.....

Please I heard we have to collect one "nysc id card" from our schools, now I'm terribly confused!!!!

Hello all,

Please how's abia camp, the area generally and how much do they pay, especially doctors....

Thanks

Hey everyone!!!

Concerning abia state, what's the general condition like, how much do they pay there, especially doctors?

I'm asking for a friend, thanks.

They gave me first choice OOO

07033422401. 58E1C850

Add up if u wish....

Ahem......

Make I book space with the nearest babe

Darkchocolate:
Daily activités start at 5am with Physical Training - a typical day is Physical training, to showers, breakfast, marching, lunch, marching, dinner, lights out.

food time is your break time. It is possible, I guess but you have to be somewhere during activities time and if the soldiers find out anywhere else or in mamma market when it is activity time, you will be punished.

Hey!!! No time for siesta??!?!!?!!!?!

Habaa, these goons are wicked faa

12month:
pls help my date of birth (just the day) was incorrect on the green card. the other info are correct.
that is, day of birth in my waec certificate is 3rd, but in the green card it was mistaken for 1st.

pls what should I do? and will this affect me at the camp screening?

secondly, wat kind of provisions should one go with? some are saying milk n milo n cereals (i dislike cereals )

wat other kind of provisions should we go with?

To your first question, I heard it would be rectified in camp....

To your second question, garri is okay nah

Elevation:
Dark chocolate very important!!!

Quickly go and apply for another one nah....

Swiftboy:
I appreciate the way you've been committed to answering questions. My Q is when will the posting be out. I tot its suppose to be out like on the 18th.

Tomorrow, hopefully

Toksytoks:
Chaz B was a post renal transplant patient, he has had two major medical issues after the transplant which necessitated a laparotomy . Before we kill the hospital and the doctors, few people need to understand prognosis of renal transplant.

In America where best medical care is obtainable, 5 year survival chance is about 80% if post transplant treatment is carried out in the same center. He had his transplant in India, he had to fly back for another surgery few weeks after the transplant in India. Post renal Care in Nigeria was not too good, i am sure he did not get the necessary post renal support he needed.

one thing a renal transplant patient needs to be wary of are symptoms and signs of rejection. Chaz B's body had rejected the kidney and he had signs that were clear. so what was his post transplant treatment and follow up like? Nephrologists, General surgeon , cardiologists , Dietitian ( very important ) , Internal physician asides immunosuppressants.

He probably had uremia as a result of poor kidney function, Intestinal obstruction as a result of Lymphocele , complications of the renal transplant itself and laparotomy he had few weeks after his transplant.

FLUID THERAPY - in a patient with evidence of renal shut down not the best option.
ANALGESICS - no way

NG TUBE INSERTION ? - maybe to empty the content of the stomach , but the reason for the abdominal distention was most like fluid retention as a result of chronic renal failure.

UREMIA - only urgent dialysis could have saved him , but was he stable enough for the procedure? UREA shuts down the heart and brain in minutes.

Respiratory distress - Pulmonary edema, aspiration. This sums up a bad case, which St. Nicholas wasn't prepared for. Are the consultants full time employees of St Nicholas or part time. What is the working hours stated in the employment offer. Most doctors work 3 jobs to keep body and soul together, so dishing out instructions via the phone is part of the modus operandi.


only few hospitals can afford to keep 4 consultants on physical call every night, i doubt if there is anyone in Lagos. The healthcare system is messed up, poor training , poor remuneration , poor financing , poor and obsolete equipment. Government will not finance training , banks will not finance equipment purchase. Banks will rather finance oil and gas, shopping malls and telecoms projects.

Is Dr. Kevwe at fault? No. He transferred the case to his superiors who were supposed to take over.

we are quick to descend on doctors every time without critical analysis. so many Nigerian doctors have been 'bashed' away to other countries. Australia is recruiting them daily paying them up to 4600 dollars weekly, UK wants them , US and UAE. You down here call them block head.

Chaz B's case was bad, what he needed was a multi disciplinary team in a word class facility to save him. This is at today is not available in Nigeria.

Okay.....

If what u posted is true, then there is a true possibility that the graft was rejected....

Dr kevwe has to be competent as a doctor, and to show that he knows his onions, or else the patient would take you for a fool...

My humble submission

Nice meeting you again, senior colleague

Bjergtrolde:
I think you are being very unfair to Dr Kevwe. He is still a trainee and can work only under supervision. I dont know if Dr Balogun was the supervising consultant.
His performance was of what was expected of a doctor at that level: He asked for help.

The report says that his provisional diagnosis was of intestinal obstruction. This is very likely to have ben the case.
We don't have the details of the phjone conversations betwen Dr Balogun and Dr Kevwe but I doubt if Dr Kewve would have discharged the man without being advised to do that by his senior, in this case Dr Balogun. I think he is the one at fault here and not Dr Kewve who is most likely going to be scarred by this unwanted exposure.

On another note, there are major systems failure in this Hospital such as how long does it take for the anaesthetist and the surgeon to arrive after being summoned for an acute abdomen.

My condolences to his family.

According to what I read there, Dr kevwe should have called the next in line IMMEDIATELY!!!

That was not the time to ask questions....

Well, the deed is done, all is gone....

Thanks bro

Toksytoks:
What year did u graduate from Ilorin? There are signs of rejection in a post renal transplant patient. If you don't know them, go back to your books or go back and re enrol for internship.

Vomiting, abdominal distension, abdominal pain , respiratory distress..what else do you need. You suggested a quick ex lap in such patient, please do me a favour and gerrout of here.

Brother, it could also be a cause of intestinal obstruction....

I am saying this because I have seen a patient die because of this mis-diagnosis....

This patient came in with abdominal pain, vomiting, breathlessness....

The docs in internal medicine thought it was enteric fever....

But an ultrasound scan revealed dilated bowel loops....

A quick ex-lap saved his life, he even had gangrenous bowel....

So please, don't tell me to gerrautahere... Just admit that the junior doctor was very careless in his management.....

And eerrr, lets keep our discussion as civil as possible, or I'll report you to profs ABO omotosho and BJ bojuwoye

You also said something concerning how u practiced in the bush with lanterns and all that.....

Brother, I have held torch light in a teaching hospital while an emergency CS was going on...

I have expelled fetuses with "hopefully sterilized" instruments....

I have worked in a private hospital where analgin is still given to patients....

So what are you trying to prove

Bros, calm down, the Dr kevwe was not competent at all, he fidgeted like a baby, he is NOT fit to be a doctor in Nigeria....

Maybe in another country tho...

@toksytoks

@toksytoks

Now, I want you to point out where exactly in that write-ups that the patient had renal shut-down, uraemia and all those complications you were mentioning like a 400l medical student....

He was a post-kidney transplant patient, and so what?? So because of that you would restrict fluids abi

In fact, I don't even have time for this....

RedCapChief:
A few things

1.) All that we have heard is the account of the wife of ChazB. An emotion as powerful as grief will distort any attempt to hear the correct details. It is a painful loss and there will be an urge to rationalize. We have not seen the report from the officials of Saint Nicholas.

2.) From what I've read, ChazB was a post-renal transplant patient who recently had surgery for a hernia. His immune system would have been suppressed to allow the kidney to function. This imunosuppresion doesn't mean that the kidney will thrive, it just reduces chances of failure.

3.)The only place Dr. Kevwe erred was by discharging a post-transplant patient after a few hours. Knowing how precarity of transplant patients. He should have admitted ChazB for specialist review the following day. If a transplant patient has as much as a slight cough, you admit him for a full work-up.

4.)St. Nicholas should have had a specialist on ground. No excuses.

5.) Contrary to what many people think, there are a lot of good Nigerian doctors. Unfortunately, they are constrained by the system. Medical training in Nigeria is one of the cheapest in the world and yet we still churn out good doctors who smash the USMLE and PLAB

6.) I don't understand the fascination of Nigerians with elderly doctors. If Mrs. ChazB had run into one Baba, maybe she would not have published this. The marker of any good doctor should be competence.

7.) Medicine is apprenticeship. Ben Carson did not fall from the sky. He was also an intern once, making mistakes. Many people argue and shout that they don't want to see 'baby doctors'. I ask, who is the son of a goat that the baby doctor will attend to? A doctor is a doctor. The only reason to doubt a doctor should be a clear lack of competence, not because he is fresh-faced.



This is one area I often feel a duty to share my knowledge.
Any doctor worth his salt will tell you that it is naturally very difficult to obtain blood samples from newborn babies. These babies still have very friable and delicate veins and get a tap is many times a matter of luck; it does not matter if it is a consultant or a medical student. The squirming and wailing of the babies doesn't help the matter.
So please don't fight with your doctor and give him heat, you will only put him under more tension to perform

@toksytoks @lagusta

Thank you for your mature submission jare my dear brother

Toksytoks:
Have you ever practiced medicine in Nigeria? you dont sound like a doctor and it is very uncouth, ill mannered and irresponsible of you to call your colleague 'st**pid'. what do you know in healthcare practice? who gives fluids indiscriminately to someone with renal shut down? you want to overload the heart and lungs? you are trying to fool the people here that you know 'stuff' but you are absolutely pathetic. " quickly resuscitate and give fluids" to a renal patient whose GFR you dont know.

where in the world would you do a "quick ex lap" a stressful surgery on a patient with such comorbidities - renal shutdown, uremia , possible pulmonary edema , hypertension and all. what anaesthetic route are you gonna employ? Chaz B IN THAT STATE CANNOT SURVIVE THE RIGORS OF SURGERY.

I trained in Ilorin my brother, i have practiced in the city, in the village in the dirt, with touch lights , with latterns, i know my stuff, i have passed exams that oyibos fail, because we dey this shit country wey things no dey work dont ever assume one is empty. Dont come here ranting you sound EMPTY UP THERE.

if you are a doctor, better tear your certificate, give fluids to person wey get renal shut down..you be silly quack. if you quote me again i will expose your silliness to the world.

I actually schooled in ilorin too bro....

I spoke the truth, and you decided to castigate me....

I was also an intern too you know, read my diary to verify that....

And I am not a quack.

Thank you

donodion:
I agree 100%. Our doctors still performs excellently well if you ask me....except too many ' exhaustive private practises' overshadows their commitments.

Oh yes, I agree too....

But how many of them I bet with my left big toe that the good docs here in Nigeria are very few....

I don't even trust myself....

My submission....

1) I am a medical doctor, so I have every right to comment here

2) Dr kevwe (or whatever his name was) was very likely a house officer, the most junior doctor in the cadre. I'm sure he was a freebie, fresh out of .medical school. But sad to say, he is a very stupid person and his license needs re-evaluation. Because when someone is vomiting and complaining of pains, didn't he know that the next thing is to resuscitate and give fluids, then call the surgeon on call for a quick ex-lap to relieve the obstruction??

3) the next senior doctor on call (likely Dr balogun) is very lazy, and can never make it if he continues this way. Your junior doctor called you for an emergency, and you were there giving silly instructions "call this, call that" even with the Lagos traffic, one hour would still save a life....

4) the anaesthetist did his job, he was just informed late, by the two stupid docs balogun and kevwe....

5) that hospital needs a overhaul, a panel must be set-up to investigate the matter, and prices have to be paid, at least to set an example to other lazy and negligent docs....

In conclusion, being a doctor is no child's play, the health sector in Nigeria is in shambles, but Mrs chazB has to move on, her husband is gone, nothing can bring him back....

Thank you