₦airaland Forum

Emory Hospital! May God bless them and all the doctors within their walls... these are people that know what they are supposed to be doing, jare....when it comes to taking care of patients and nursing them back to full health. So far, they have recorded 100% success rate in treating their own victims of Ebola.

I doff my hat, jo!

Onilaiscool: If you suspect you have come in contact with someone who has Ebola, PLEASE NOTE: Running to your village will not save you! It will rather ensure that you die and that you kill your relatives too. If you develop Ebola disease while hiding from quarantine, your story will come out eventually. Without good care, Ebola will kill you painfully. The good news is, the handling of reported Ebola cases in Nigeria is excellent. Ebola fatality rates in Nigeria are the lowest in the world right now. You have a good chance of staying alive if you seek help from the right authorities. Call 0800-EBOLA-HELP (0800-326524357) now. Please share this with all your contacts on Facebook, Whatsapp and BBM

Where did you hear this slogan "The good news is, the handling of reported Ebola cases in Nigeria is excellent.?" Excellent, by whose standards? How much are you being paid, to recycle this hype?

Abeg, stop it. Just provide the info, and leave out the unnecessary exaggeration.

Those infected with EVD are packed into the Infectious Disease Hospital in yaba, Lagos and left to their own devices. Haven't you read Dennis Akagha's story of how his late fiancee was abandoned in her own vomit and wastes, without adequate care?

Please, just as you are advertising the helplines here, kindly apply pressure on the authorities to step up the level of care given to Ebola patients!

Before the government beats its chest about how they have allocated millions to the fight against Ebola, they need to ask the medical personnel to take a leaf out of the lessons learnt by Emory hospital in the US, in their bid to treat infected patients.

Scientific American: Ebola Doctor Reveals How Infected Americans Were Cured: Techniques used in the U.S. to treat symptoms and subdue the virus in patients could work overseas, Bruce Ribner says on Aug 27, 2014 |By Dina Fine Maron

Last week two American aid workers who had contracted Ebola while working in west Africa were released from a U.S. hospital and pronounced “recovered.”

They had been flown to Emory University Hospital in Atlanta from Liberia earlier this month to receive care in the hospital’s specialized infectious disease unit. Kent Brantly, a physician with the humanitarian group Samaritan’s Purse, and missionary Nancy Writebol, of SIM USA, beat the strain of the disease they had contracted, which kills 52 percent of its victims.

Bruce Ribner, medical director of the hospital's Infectious Disease Unit, sat down with Scientific American to explain how the two Americans were cared for, the lessons that could be applied to help patients across Africa and why the hysteria over flying the two individuals back to the U.S. was unfounded.

What sort of lessons has Emory learned from caring for these two people that would be transferrable to patients in west Africa?

We are not being critical of our colleagues in west Africa. They suffer from a terrible lack of infrastructure and the sort of testing that everyone in our society takes for granted, such as the ability to do a complete blood count—measuring your red blood cells, your white blood cells and your platelets—which is done as part of any standard checkup here. The facility in Liberia where our two patients were didn’t even have this simple thing, which everyone assumes is done as part of your annual physical.

What we found in general is that among our Ebola patients, because of the amount of fluid they lost through diarrhea and vomiting, they had a lot of electrolyte abnormalities. And so replacing that with standard fluids [used in hospital settings] without monitoring, will not do a very good job of replacing things like sodium and potassium. In both of our patients we found those levels to be very low. One of the messages we will be sending back to our colleagues is even if you don’t have the equipment to measure these levels, do be aware this is occurring when patients are having a lot of body fluid loss.

Our two patients also gained an enormous amount of fluid in their tissues, what we call edema. In Ebola virus disease there is damage to the liver and the liver no longer makes sufficient amount of protein; the proteins in the blood are very low and there is an enormous amount of fluid leakage out into the tissues. So one of the takeaway messages is to pay closer attention to that and perhaps early on try to replace some of these proteins that patients’ livers lack.

Considering how limited resources are in some of these facilities, could health care workers really act on this information?

I think the world is becoming aware that issues like this are not going to go away. The developed countries of the world will have to do our part to assist our colleagues with less developed infrastructure to care for sick people. I think one of the messages that is going out from many sources is we really have to help countries such as the ones involved in this outbreak to develop their medical infrastructure. Hopefully in five years they will have this infrastructure.

You have said that you are helping to develop new Ebola care guidelines based on your experience. How will those be disseminated?

We have several articles that we have submitted to major medical journals, which are read overseas, where we will be pointing this out. We are working with several government agencies, including the U.S. State Department, to help them come up with lessons learned—guidelines which they will distribute in turn to other countries. It is our goal to help our colleagues overseas.

Alternatively, what lessons did you learn from those health care workers?

Mostly the clinical course of the patients—much like any physician sending a patient to a referral center. They admitted they knew they were kind of flying blind. They’d say, “this is what we observed, but we had no way to test it.”

The World Health Organization maintains that patients can continue to be infectious via their sexual fluids for several months after recovery.

What did you recommend to Brantly and Writebol?

There are data that go back several decades—over several outbreaks—that suggest when you have individuals that have recovered from Ebola virus infection they may still be shedding nuclear material [genetic material from the virus which could potentially help spread it] in semen in males and vaginal secretions in females and also, potentially in urine. People have done this by doing assays looking specifically at the nuclear material of the virus. There has been very little attempt to demonstrate if this is viable virus that these individuals are shedding. It’s important when looking at epidemiological investigations that no one has been able to show people shedding these nuclear materials as a source of infection after they are discharged.

Looking at Ebola survivors who were discharged and successfully resolved the infection, following up several months later and evaluating their family members, there has never been any evidence that family members became infected. A lot of the thinking now is this probably was not live and is not important in terms of control of infection. We did give both of our patients the standard recommendations, which are contained on the CDC [U.S. Centers for Disease Control] Web site—not having unprotected sex for three months.

How many doctors and nurses were on your team caring for these two Ebola patients?

Twenty-one nurses, five physicians and we had the support of hundreds. Just making sure all the disposables coming out of those rooms were sterilized before we put them on the federal highway system, for example—we had to certify to the contractor that takes our regulated medical waste that it didn’t have active Ebola virus inside it. We didn’t have the equipment to handle all of the waste but in two hours facilities brought in industrial autoclaves [which sterilize materials with extreme heat] to replace the system that we had. We would have been drowning in garbage without them.

http://www.scientificamerican.com/article/ebola-doctor-reveals-how-infected-americans-were-cured/

Just imagine! The hospital deployed 21 nurses and 5 doctors to take care of just two Americans!! Can you see why they were able to recover in record time?

Here, in Nigeria.... the Infectious Disease Hospital in Yaba, Lagos where EVD patients are kept, lacks even ordinary cleaners that can sanitize the wards where the patients are located and give them a conducive, hygienic environment that would boost their speedy recovery. Instead, patients are left to simmer in their own waste without adequate care and in unsafe, unsanitary conditions that promote the growth of secondary infections which could wipe them off, for good.

Yet, Lagos State government and its FMoH allies, go on air every other day to make noise about how well-prepared they are to tackle EVD.

.......I weep for this country!

justi4jesu: ........ Welcome to the world of Mr. Dennis Akagha, the husband-to-be of late Miss Justina Ejelonu, the nurse, who contacted and died of the Ebola disease from Mr. Sawyer.

In an exclusive, explosive and passionate interview with Saturday Vanguard, Akagha, who contracted the disease from Miss Justina, was quarantined, treated, cured and discharged last week, spoke on how and why his fiance died, how he contacted and survived the disease, how he was stigmatized and abandoned by co-workers and neighbours, and why victims must be given adequate care. He said perhaps, Justina would have survived with better care. Read on:

-His thoughts on Ebola and late Justina

..... She was one of the nurses that nursed him. She was pregnant and so her immune system was weak, which made it easy for her to contract the disease. On that first day which was a Monday, she was having some pregnancy symptoms, but I just encouraged her to go because it was her first day at work. Sawyer was her first patient.

.....The fever continued and we thought it was just pregnancy symptoms and even when she went to her hospital, they confirmed the same thing. She took drugs and ran tests, yet it persisted. At night, she was usually cold and feverish and her body temperature was usually very high.

At a point, I began to suspect that she had contacted the virus. I did some research on the disease and realised that she was having similar symptoms. On the 14th of August, it became serious, she started stooling and vomiting. I had to clean up everything. All of a sudden, she started bleeding and she started crying that she had lost the pregnancy. I had to call her relatives and other people. The bleeding persisted and I had to clean up everything.

- While you were attending to her did you wear gloves?

Initially I was not wearing gloves because I felt I had already been exposed to the virus. But later I cautioned myself and started wearing nylon on my hands. But I couldn’t stay away from her. I kept consoling her. Even when I took her to the hospital, she wanted to hold me and I
told her to also consider my safety. She managed to hold herself and was able to find her way out in a pool of her blood. We chartered a taxi to the hospital, but first, I took her to First Consultant Hospital because I felt they should know more. When we got there, I was directed to IGH, Yaba. I told the taxi driver to take us there. The driver wasn’t even aware of what was going on as he took us to Yaba.

Justina was on the floor for 30 minutes before she was attended to. She was screaming that she was going to die. She was seriously bleeding, she had to come out of the taxi and lay on the floor. I ran around, trying to get doctors to attend to her.

After everything, they took her in, took her blood samples and the following day, the result came out that it was Ebola. They washed the taxi with chlorine and also bathed the taxi driver and I with chlorine spray. At that point, the taxi driver knew what was going on, he couldn’t even take me home because he was so scared. I had to look for somewhere to pass the night in the hospital. Early the next morning, I left the Hospital. The taxi driver is alive today, nothing happened to him. We have been checking on him and the last time we spoke he told me, he was fine.

-So what happened after you got exposed to the virus?

I was going to the hospital daily to see late Justina. Initially, I was seeing her through the window and she would say I should take her out of the hospital. She complained of lack of care. Perhaps, Justina would have survived the virus, if not for the state she was in.

Her immune system was down because she was pregnant. Along the line, she had a miscarriage and lost the baby due to the Ebola virus disease. The doctors, who were supposed to do an evacuation on her couldn’t do it because they claimed that an evacuation was too risky as she was heavily infected and may pass on the virus to another person

Since nothing was done even after the bleeding had stopped, it led to more complications for her because the already dead foetus somehow got rotten in the womb and started a damaging process which led to further complication. Meanwhile, she was still stooling and vomiting and since nobody could dare to touch her, she was left on top of her excretions even when she couldn’t do much for herself due to her weak state. She was given her incisions and other drugs. I believe if some people survived Justina should have been one of them. At a point, I wished I was a doctor myself; I would have taken the risk of doing the evacuation because it really affected her.

-When was the last day you saw Justina?

The last day I saw her, I had to go inside the ward because she was so unkempt as nobody attended to her. At that time, the quarantined patients were in the former facility where there was no water and she had messed up herself again. I had to look for water to clean her up, change her pampers and arrange her bedding.

Since I was aware of what I was dealing with, I got myself protected while cleaning up the place. I made sure she looked better than when I saw her. Justina was shivering the last day I saw her, one side of her stomach was already swollen, and her legs were also swollen. I prayed for her. At a point, she needed oxygen and the hospital couldn’t provide it. Her friends had to provide it. That was the last day I saw her.

On Sunday Morning, I called her line like I usually did before visiting her, but she didn’t pick her calls. When I got to the hospital, I was told that she was dead....

With all the noise made about how many millions the government had released to tackle Ebola, one would have thought that the patients in the isolation/quarantine unit would have been given better care. It was not just the virus that killed the late Justina.

The secondary infections and lack of adequate care played a strong factor in cutting short her life, too.

Maybe, those who are touting the quarantine wards as a panacea for EVD, should also go up in arms against the personnel that refused to provide adequate secondary care to the Ebola victims. (Please note: am not advocating that those infected or all those who have had contact with any of the patients, should abscond from the quarantine centres. Neither am I asking them to decline going there, for treatment).

What we should also be doing is advocating for better standards of healthcare & ensuring that government officials and their medical teams, deploy the money released to tackle EVD, into providing adequate & appropriate care for the infected patients, too. Chikena!

With friends like these clueless Ministry of Health personnel who supervise the infectious unit, leaving EVD victims to wallow in their mire, the patients do not need enemies.

eaglechild: Going through all the posts here, I am utterly devastated that the Rivers state government has succeeded in spreading blatant lies against a dead doctor who cannot defend himself.

But I will categorically state that the doctor had absolutely no knowledge that he was treating a primary contact.

The wife who is also a doctor alerted the authorities based on the symptoms that preceded the spouse's death.

These were more specific haemorrhagic symptoms unlike that of the diplomat which were non specific and thus undetected.

The diplomat was treated primarily at the doctor's hospital.

The diplomat withheld history of contact.

Hmmn... and where did you get this piece of info? Are you related to the late Dr. Ike Enemuo? Or did he confide in you before he passed on? Pray, do tell. And why would the Rivers State govt spread lies about the doctor?

Those who know say that the good old doctor knew precisely what his patient was suffering from & he even tried to disinfect the room after treatment was completed.

The Punch Newspapers: The Rivers State Commissioner for Health, Dr. Samson Parker, says the late Dr. Samuel Enemou, who treated Olu Koye, a Nigerian diplomat with the Economic Community of West African States, was aware that the diplomat was a carrier of the deadly Ebola virus.

The commissioner stated this during a press conference in Port Harcourt on Friday evening.

Parker said, “He had received the late Dr. Patrick Sawyer in Lagos. Upon developing the symptom, confided in a female colleague, called Lilian, who contacted the late Enemuo. It was after contact was established with Dr. Enemuo that Olu Koye flew to Port Harcourt to see him......

On arrival in Port Harcourt, he said Koye checked into Mandate Gardens, a local hotel in the Rumunokoro area in Obio/Akpor Local Government Area.

The hotel is within the Rumunokoro area where Dr. Enemuo’s private health facility, Sam Steel Clinic is located.

Parker added, “From what we have gathered so far, Dr. Enemuo, knowing that Koye was positive of the Ebola virus took some measures of precaution to protect himself while treating Koye.

“Knowing the enormity of what he was doing, Enemuo upon Koye’s departure for Lagos, poured bleach all over the room that Koye slept in order to sanitise the place.”

He said the deceased, after having developed the symptom, approached a colleague for treatment at Good Heart Hospital along Evo Road in G.R.A.

Read the rest of the story here:
http://www.punchng.com/news/late-doctor-knew-diplomat-had-ebola-virus-govt/

0mOnnakoda25: In many countries in Europe methane IS domestic cooking gas !!! So both LPG or Methane may be called Domestic cooking gas

Huh?? Methane is natural gas, not cooking gas. A few countries in Europe use it for cooking, if it is piped directly into the home. But the appliances that can work with methane have been carefully configured by the manufacturers to do so.

In Africa, methane is NOT classified as domestic cooking gas, oh! Unless, you want to blow up your house....

Please do you have LPG gas dispensers and nozzles available? Kindly confirm.

duzz: mini model now available at 3-4 filling scale in skid at filling capacity of 3600 cylinder per dual daily shift
Container type model with 6-12 filling scale at filling capacity of 19200 cylinders per dual daily shift
sales@primatronics.eu, matheworama@gmail.com

Hello, how much is the mini-model? Just curious. It looks quite nice, portable & efficient.

ikaleguy: We have LPG storage tanks in various sizes for sale

Sizes from 1000 - 4480 litres. Can be used for Mini-Gas plants.

Interested? Contact 08055109979

Hello, please post pictures of these LPG storage tanks and their prices. Do you also carry out installation services and calibration/pressure testing of these tanks?

omogidi234: I have sent an sms to you. However, since it is a new company, you would not need to file annual returns but you will need to amend the objects to add the new objects, but the issue is that CAC might query the additional objects like I have said earlier.

Please leave your email addy here.

Please I need your advice. I have an old company which was registered a few years back, but it was not used for over 6 years because I stopped trading & went back into the corporate world to work as an employee. (Don't ask why...it is a long story). Anyway, I dusted the certificate of incorporation this year and I have paid the relevant annual returns and penalty. But I need to get my TIN and the FIRS guys are asking some funny questions about taxes. What do I do?

Good work by Seven Energy. But they should take this project further by investing in an LPG gas processing plant that can produce LPG propane and butane, for both the domestic market and export market.

oniwo: Cost of setting up a dry cleaning centre
One 12kg Washing machine #55k tok
One drying machine #50k tok
One Big 7500 generator #95k new
Two Tables for iron and washing #20k
One big industrial fan #12k new
Buckets, Gallons, Big Bows, Brush & others #10
Rent 50K for small shop in a street.
Other expenses 20k

There is a drycleaning/laundry outfit in my area and their washing machines and dryers are powered by 50kg cylinders of cooking gas. I saw it live!

What an innovative way to save money!

free2ryhme: You talk of cheaper I talk about accessibility. How many homes can afford gas since u claim it is cheap?. You don't just approve any initiatives that comes from the govt. Large number of homes consume more of kerosene than gas suddebnly they all ran health risk becos lagos state wants to sell gas abi?, what has the govt done to make kerosene accessible to the common man? what have become of all the subisidy and the initiatives to make it kerosene accessible?

How manypeople have complained to you that they don't have money to buy kerosene? Yet I know of many peopl who can't afford gas

Guy you are too shallow to see what govt is trying to do here

All those families need to do, is buy the size of gas cylinder they can afford. From 3 kg to 6 kg, there is a wide variety for everyone. Refilling the 6 kg, costs between =N=1,200 and =N=1,800 in Lagos. To refill the 3kg, is even cheaper...

Some of those families that complain that they can't afford gas need to be educated on its benefits and hazards. If you visit such homes, they probably also have a TV set, a refrigerator and other electronic gadgets in their small one-room apartment or face-me-I-face you block. If they can spend money to acquire all those gadgets, they can certainly spend a few extra quid on a good 6kg gas burner.

It is not compulsory to buy a 12.5kg cylinder. The only thing with the smaller cylinders, is that you have to go out more often to refill them, if you are a heavy user.

nickxtra: How often do you cook that your 12.5kg takes you upto 3 months? Even when I was single and seldom cook, it lasted only for about 2 months, but now with my wife and baby, it does not take us upto a month. So what's your magic?

Please check the following:

(1) Do you refill your cylinder from an accredited gas plant, petrol station or from the roadside? If you refill from the roadside, you may be cheated by those roadside retailers, as they often 'under-fill' the cylinders with a much lower quantity, than what is required. If you do not have a gauge to check the contents or refill level, or do not use a scale to weigh the cylinder before & after you refill, you may have been short-changed by your retailer. The result is that the gas cylinder refill, will not last as long it should, in your household.

(2) Is your gas cylinder valve leaking or damaged? This could cause the gas to escape in small quantities over a period of time, and such losses mean that the quantity of gas left in the cylinder, would not be enough to meet your needs over a period of time. Check your valves and make sure it does not leak. If it does, take it to a competent gas plant to be fixed, or buy a new cylinder.

(3) Are your burners emitting soot or have they been burning slowly and inefficiently? Please service your gas cooker regularly to ensure it performs optimally and the holes remain unblocked by oil or sediments from your cooking pot. That way, you would use less gas and your cylinder refill, would last much longer.

(4) Finally, get a good portable fire extinguisher, keep it in your kitchen and learn how to use it in case of an emergency!

akinsdeji: At the pace the railway transformation is going, its will take us like forever before we see result,I boarded the train from abeokuta to ota and we spend 3hrs plus,α 30min trip by car.I tire for naija Jare

Am sure the trip was not done recently. Two weeks ago, there were no train services to Abeokuta. No reason and no explanation has been offered by NRC. And this has been the situation for the past few months...

Yet, if you go to Iddo terminus they have pasted the schedule on thier wooden notice board in black & white, as if regular rail services are available and are still running to Abeokuta on schedule. May God save us from misinformation emanating from official quarters in Nigeria!

Just read this article to see what Nigerians are going through on our 'trains' in 2014!

http://www.punchng.com/special-feature/on-nigerian-trains-passengers-are-like-refugees-1/

On Nigerian trains, passengers are like refugees (1) by Punch Newspapers

Passengers turn refugees

Many of the passengers, especially the women, spread their wrappers on the bare floor and slept like refugees in front of the train station in anticipation of the good news that was not forthcoming.

When the night fell, the train station was thrown into darkness even when a few hours of low current which could hardly provide illumination was noticed in some of the mud houses in the nearby community.

Investigations by this correspondent revealed that the train station had long been cut off from the national grid. However, the hopes of many who had thought that the coach will be powered were dashed as the officials switched off the power compartment three minutes after putting it on.

Explaining the reason for throwing the over 500 passengers into darkness, an official who craved anonymity says the fuel provided for them is being rationed, adding that no provision was made for them before leaving Offa to refuel in case of unforeseen circumstances.

“We cannot put on the generator. They gave us the exact fuel that will take us from Offa to Kano. If it gets finished on our way, there is no extra fuel. Besides, we will get a query in the event that the fuel does not take us to our destination,” he notes.

As the stranded passengers took positions on the coaches and on the premises of the train station, mosquitoes went on the rampage biting them voraciously.

“How do I prevent this baby from malaria attack with the way and manner mosquitoes have bombarded us this night?” Bola voices her concern as she petted her 10-week-old son to sleep on the coach.

Tempers flare

Obiora, the Kaduna conference attendee, had become disenchanted. It was already a few minutes past seven in the evening. The conference he was supposed to attend had started. This time, the conference coordinators had begun bombarding his telephone with calls asking for his whereabouts.

He laments, “I’m psychologically down. They (railway officials) don’t even care about our welfare. We started this journey yesterday and we are still here at this time. They packed us inside here as if we are sardines. They don’t even care about our welfare. Not even a decision to address us on this development. I think I have passed through all this stage.

“If you have something serious to do you can’t board these Nigerian trains or else, hypertension will kill you aboard the coach. I will never board again. Nothing will ever take me to NRC again. I paid for service and what I get in return is a very bad experience.”

http://www.punchng.com/special-feature/on-nigerian-trains-passengers-are-like-refugees-2/

TRUCKPLACE: PRICE REVIEWED FOR QUICK SALE

Has the price come down to =N=700k? Please confirm. I wan buy!

PAGAN9JA: These traders are a very minute addition and I have never even heard of them. They are probably diluted if they ever mixed.

What makes you feel they are 'minute'? Unfortunately, there was no census conducted during that period to validate your opinion that it was "minute." What you think or feel however, does not negate the fact that they existed, and if you pay a trip to the Ogbomosho area of Yoruba land, you would find several families with a history of relatives who were merchants that ended up getting married to residents or indigenes of those Northern areas, where they established trading links.

PAGAN9JA: To be honest, the people of these areas, Illorin especially, consider themselves muslims over and above tribal identity. I doubt these mixed people even have proper tribal identification, though many identify as Yoruba.

Again , I am talking about Hausa proper. Hausa like us Maguzawa and other sub-tribes consider ourselves Pure. We never marry outside.

Er... please read the history of the Ilorin people, especially the part that deals with the old Emir of Ilorin called Alimi and his opponent, Afonja.
It would go a long way in clarifying the issue.

This reference to 'pure stock' is reminiscent of Hitler's rhetoric prior to his hateful propagation of the holocaust that decimated the Jews.

Anyway, among the "Hausa like.....Maguzawa", there have been reports of cousins getting married to each other, and step-brothers getting married to their step-sisters. It is not clear, if this is done to preserve the "purity" of the Maguzawa.

PAGAN9JA: No one cares for post-colonial Nigeria. these are the days when humans marry dogs too. Anything goes these days.

If you do not care for post-colonial Nigeria, there are quite a number of us that do care. If humans marry dogs, maybe it occurs within your own circle, which is why you chose to refer to it. Such things are a taboo in any sane society.

Please free your mind. If inter-ethnic marriages would contribute to the peace, stability and progress of Nigeria, then hey, ....am all for it!

Peace.

fairheven: Do u read before u comment,did I say all women?am talking of something that a popular newspaper just did a documentary on,an u are only interested in refuting it.

Huh? Keep your hair on. Stop hyperventilating. Are you upset by the word 'all'? Eeyah ....sorry oh! You presented the scenario in your previous post as if the war was the sole reason why Igbo women married Hausa men.

Unfortunately, you did not post the link to your "popular newspaper just did a documentary on" the subject. Maybe, if you had done that, it would have been easier to see where you were coming from.

katman9x: You have heard of how more than half the ebola fatalities in other countries have been health care personel who were poorly protected. Now you wish for the same health care workers i.e the Doctors here to go back to work when your government is yet to provide standard protection gear talkless of sorting out the 24 point agenda. You dont understand how lucky you are that Doctors are on strike. If Lasuth had been working? Enough Matrons and nurses would have touched Patrick Sawyer. Talkless of House officers and medical students and resident doctors and Lab scientist etc who would have dealt with his blood and sample collection. Then those same people would have gone out to the rest of lagos to spread it. After all, Lasuth is just next to the airport............ I guess its a pity things didnt work out that way huh? I did take an oath to save lives and though that oath allows me to risk my life for others? It doesnt mean I must risk the lives of my loved one with inadequate protection and policies that dont work.

Ok, return your certificates back to the medical school you graduated from and tell them you no longer want to practice medicine. You can go to Dubai, (there is a ticket going for half-price) to buy bags and shoes to sell at Idumota market. Oya, what are you waiting for?

In public hospitals, the patients buy everything the doctors use to treat them, from surgical gloves to medication to catheters.

Am sure, if they requested that patients should buy more equipment they would gladly do it for the sake of their health. There is no test, surgical procedure or treatment that is free in Lagos State. Patients pay through the nose, even in public hospitals for everything they get! So what happens to all these funds generated within the hospital?

Instead of the doctors to ask medical directors in each health facility to give a detailed account of the revenue made from patients, they are going on strike again, for the umpteenth time! From October last year till now, doctors have gone on strike on several occasions. And they expect people to take them serious!

Yeye dey smell!

The Nigerian doctor has passed on.... she didn't make it.
http://www.thisdaylive.com/articles/ebola-strikes-at-the-heart-of-nigeria-/186843/

The Ebola Virus Disease (EVD) struck at the heart of Nigeria, when Dr. Ameyo Stella Adadevoh, a consultant
physician, and member of the illustrious Kwaku Adadevoh/Herbert Macaulay/Bishop Samuel Ajayi Crowder lineage succumbed to the scourge of the disease.

Adadevoh contracted the virus from the Liberian, Mr. Patrick Sawyer, who imported the disease into Nigeria.

Sources close to Adadevoh, 58, said she succumbed to the disease yesterday evening, having been in a coma for some days. Adadevoh, who is survived by one son, had led the medical team at First Consultants Medical Centre, a Lagos-based hospital, which treated Sawyer on his arrival in Lagos.

As the head of operations at First Consultants, Adadevoh was praised for being the first to detect that Sawyer, who was admitted at First Consultants for five days before his death, was not being truthful when he denied that he was infected with the Ebola virus.

After he had tested negative for malaria and other diseases, she was said to have ordered that his blood be tested for Ebola. It was the positive result of the test that enabled the hospital to contact the Lagos State health authorities about the first Ebola patient in the country.

Her death brings to five, including the index case Sawyer, the total number of persons who have succumbed to the scourge of the disease in Nigeria.

Among those who have passed on, Adedavoh is the first doctor and the fourth Nigerian to have died from the virus. Others who died before her comprised two nurses and the ECOWAS protocol officer, Jatto Abdulqudir, who picked up an already infected Sawyer from the Murtala Muhammad International Airport (MMIA), Lagos.

However, five others who contracted the disease from Sawyer have been discharged while two others remain in the isolation ward at the Infectious Disease Hospital, Yaba, Lagos.

Prior to Adadevoh’s death, her family and colleagues had held a press briefing in Lagos appealing to the US government to intervene to keep her from dying.

They felt that the medical care she was getting in the isolation ward was insufficient and had called on the US government to send the ZMapp trial drug to save her life.

Adadevoh comes from an illustrious family of physicians, politicians, statesmen and clerics.

Her father, the late Dr. Babatunde Kwaku Adadevoh, was a renowned Harvard University-trained physician and former vice-chancellor of the University of Lagos, while her grandmother was the daughter of Sir Herbert Samuel Macaulay, a foremost politician and founder of Nigerian nationalism in the early 1940s.

Macaulay himself was the grandson of Bishop Samuel Ajayi Crowther, who was ordained the first African Bishop of the Anglican Church in Nigeria in 1864, making Dr. Ameyo Adadevoh, his great-great-great-grand daughter. The Adadevoh family can trace their roots to the Creoles in Sierra Leone, Ghana and South-west Nigeria.

suyu: Actually they have, I know a girl whose mother is yoruba and father hausa and there are others

small numbers but they exist

Very true. I know several folks with such backgrounds. Some even have a combination of Igbo and Hausa parentage. A number of them are part of my extended family. Thank God, I have relatives all over Nigeria. You can't imagine how much I have saved over the years in hotel bills!

fairheven: There are a whole lot of IBO/HAUSA couples,especially the Ibo women that were forced into marriage by HAUSA solgdiers during the civil war.

(sigh..!) Not all women were 'forced' into marriage, in all those cases. Migration patterns also account for a lot of inter-tribal marriages. The war ended over 40 years ago, and many of such inter-ethnic marriages have been conducted since then. Were the women abducted in those cases, too?

PAGAN9JA: Hausas never mixed with Yorubas. We are both of separate and different stock. Your example of onions is useless. The reason for that loanword is because onions probably never existed in Yorubaland ,prior to introduction by Hausa farmers and Traders from the North. Hausas never breeded with Yorubas to produce onions .

With reference to the part in bold type, I don't think this is true.

Pre-colonial Nigeria, had a lot of Ogbomosho people from the south-western part of Nigeria who were itinerant traders. They migrated up north and settled there. Some of them intermarried with the Hausa communities in those areas. More details can be found in this book: Approaching the Study of Yoruba Diaspora in Northern Nigeria in the 20th Century by Rasheed Olaniyi, IFRA SPECIAL RESEARCH ISSUE VOL. 2. In that book he states that...

Rasheed Olaniyi: Conceptualising Yoruba diaspora: Ajo ko da bii/ile.

Diaspora is not like home

Yoruba diaspora in northern Nigeria is better understood within the historical context of the respective host communities and indeed the entire history of northern Nigeria as a whole. It is equally important to examine the interaction of resources and opportunities in order to understand the dynamics of Yoruba commerce in northern Nigeria.

Isa Hashim has offered three explanations why the Yoruba were accepted in the north.

First, according to Islamic tradition, the Yoruba were regarded as brothers and sisters of the Hausa people because the majority of Yoruba migrants were Muslims. This suggests why some Yoruba have been assimilated into Hausa culture or enjoy accommodation. Second, economically, they were hardworking in ternis of their technical skills, productivity and quality of work delivery. Third, the Yoruba shared myth of origin with the Kanuri. Oral tradition in Borno has it that the “Yoruba and Kanuri were cousins." http://books.openedition.org/ifra/919?lang=en

You can also read this book Strangers and Traders: Yoruba Migrants, Markets, and the State in Northern Ghana by Jeremy Seymour Eades, Africa World Press, 1994 - Business & Economics - 234 pages. In an entire chapter titled The Legacy of the Nineteenth Century , he dwells extensively on the migration patterns of the Ogbomosho traders in Northern Nigeria, and makes comparisons with their entry into Northern Ghana, during the same period.

Also, if you go to the middle belt especially in areas like Ilorin, Kwara, Kogi etc., & some parts of the far North, you would find out there has been a long history of inter-marriage between the Hausa, Kanuri, Fulanis (who are sometimes erroneously referred to as 'Hausa') and the Yoruba tribe, due to the long historical links between them.

Post-colonial Nigeria, also saw a number of northerners, including the Hausa (I hesitate to use the word 'Hausa', to describe a collective group of people, as there are several minority tribes in the North that speak fluent Hausa, but are not core Hausa themselves) conducting inter-tribal marriages with Southerners, including Yoruba people.

bushdoc9919: Or they may produce children who have an appreciation for both cultures .....or who may just simply take on their father's culture.

Also good from a genetic point of view.

True talk! I have often discovered that people with a mixed heritage tend to be broad-minded, and can see things from a far more interesting & different perspective, when relating with folks from other tribes.

They are often more patient, willing to give others the benefit of doubt and better at getting along with people in general, irrespective of their ethnic or cultural affiliations.

repogirl: My moms ijaw, my dads Yoruba, my husband is Ibo

flowjoe: My dad is from crossriver ..my mum is from taraba . & my maternal grandma is igbo. So I can speak hausa & igbo but not my language

Complete Nigerians!! Come here and collect a royal handshake!

shoefreak: Hmmm... can be worrisome. had an igbo boyfriend once. NYSC, kogi state, mopa precisely. Everyone knew us... and mocked us actually. He never left Igbo land all his life. So couldn't understand yoruba for the life of him. And we were together for like 2 years after. Anytime his mum visited same time as me, chai, See drama. to the point that one day she told me that she'd make my life miserable if I don't leave her son. But his dad was an angel, he'd lived in Ondo state for a long time while growing up. He'd always be on my side. Was thinking of marrying this dude, then his dad died. Omo, all hell broke loose. Even the smiling smiling sisters, became hostile. I broke it off.

Dude still calls me to say how unhappy he is. Poor him...

Anyhoo, mum: osun and Dad: ogun (he is part egun though)

Hmmn... the dude lacked strength of character. I believe the correct word for such people is a "wimp."

Women are their own worst enemies.

Some married women act as if 'marriage' is a trophy and a passport to paradise. Yet, if the truth is told, their marriages are probably nothing to write home about, and they are just trying to console themselves by acting as if it is the best thing to happen to them.

Some single women act as if they are incomplete, without a man by their side. They act as if marriage is a destination they must arrive at, irrespective of the stress, strain and headache they encounter during that journey called 'courtship.'

I weak oh!

vivaciouzz: RIP Doc..heard she is a descendant of Herbert Macaulay.

Here is another article about her...

[quote author=Jide-Salu.com]- The First Consultant Hospital was where the late Patrick Sawyer, the Liberian-American, was diagnosed with the deadly Ebola disease. Mr. Okubadejo said his colleague (Stella Adadevoh) was trying to save Patrick Sawyer’s life and does not deserve to die. He has appealed to the U.S. government to urgently send whatever medication in its possession on Ebola virus to Nigeria.

Dr Ameyo Adadevoh held fort for Nigerians. She refused to allow Mr Sawyer leave First Consultants Hospital even when the Liberian ambassador pressured her to release him. Imagine what would have happened if she had let him go. Ebola virus would have been much more widespread than what we are dealing with now. She is now fighting for her life because of her contact with Patrick Sawyer.

HERBERT-MACAULAY-COVER

Olayinka Herbert Samuel Heelas Badmus Macaulay (November 14, 1864 – May 7, 1946) was a Nigerian nationalist, politician, engineer, journalist, and musician and considered by many Nigerians as the founder of Nigerian nationalism. (source – wikipedia)

Gratitude goes to a reader (Ken) of this blog who pointed out this piece of information.

Dr. Ameyo Stella Olubunmi Adadevoh is the first grandchild of Mrs Sarah Idowu Abigail Adadevoh nee Macaulay, so she is a great granddaughter of Herbert Macaulay.

Her Father was Prof. Babatunde Kwaku Adadevoh who was a grandson of the grand old man of Nigerian anti colonial politics who was also a fine physician.

She is not to be confused with her Aunt Mrs. Stella Ameyo Folashade Marinho nee Adadevoh.

Ameyo is an excellent and dedicated physician whom her family, patients and everyone who has ever had any interaction with her do not want to lose. They, as well as most Nigerians are praying round the clock for her recovery.

http://jide-salu.com/2014/08/16/stella-shade-ameyo-adadevoh-ebola-infected-consultant-is-a-grand-daughter-of-herbert-macaulay-founder-of-nigerian-nationalism/[/quote]

barcanista: We No de see picture?

Bros, there is a very big difference between 'picture' and reality.

What is the train schedule, like? How many of them are actually running and what is the length of time spent on each leg of the journey?

FrankC3: I will let your continued names calling slide. I hope we can have a mature discussion, devoid of childish short hands and unnecessary insinuations.

What day did you try to travel to Kano from Ibadan and could not get information? Where exactly did you seek this information? Secondly, what effort did you ever make to get information on the movement of trains and did not succeed? I will prefer if you provide information of what you experienced, not what someone else felt.

NRC is a government commission and provides information (not propaganda) on her activities, just like NCC or Boundary Commission. Thousands of people have used the train service this year and their only complaint is quality of services, not that the published schedules are wrong as you are pushing here.

And finally, no government anywhere in the world have the powers to transform the country into an El Dorado. What capitalist government does is to expand opportunities to enable her citizens transform their lives. Thousands of Nigerians use these rail lines. Those people did not have the option few years back. Lots of progress has been made particularly in rail transportation. Of course, there are still some challenges in service quality, just like in every transport business. Actually, as I am typing, Aero Contractors Airlines, a private coy delayed a 2:45pm flight to 5:40pm and as at now, the flight is yet to take off.

It is arrogant to assume that every other person making efforts to salvage our country from years of military rule is wrong but just you, armed with a PC and a keyboard is right. Transformation is a process, not a destination.

Hmmn.... when was the last time you actually rode in a train in Nigeria? When was the last time you transacted business via rail?

No one is saying that the trains are not there, but they are OLD, EPILEPTIC, FILTHY, NOISY, EXTREMELY SLOW, POORLY SCHEDULED and can only carry a fraction of the passengers that actually need their services.

To get information on intra-city train schedules within Lagos, you need to physically go to the train station like Iddo terminus, Ebute-Metta Junction etc., to get any information about the train schedule. It doesn't matter if you live in Ajah, Badagry or Epe. You have to be physically present in person at the terminus to get any meaningful information, which can easily be obtained over the phone in other countries.

At the terminus, you will see some sheets of paper stuck on a wooden board with a list of train stations typed on it along with the corresponding timing and fares.

If you make the stupid mistake of relying on that information, you will live to regret it . Most of the information is out-dated or non-existent. I am speaking from personal experience and clear observation. Yet, you are saying, "Thousands of people have used the train service this year and their only complaint is quality of services, not that the published schedules are wrong as you are pushing here." Ok, I guess you conducted your own survey to arrive at these conclusions.

At the begining of the year, there were train services to Abeokuta and Otta from Iddo, Lagos. For the past 3 months services have been suspended to those areas, yet NRC in its wisdom did not see it fit to notify anybody either by print or electronic media, and this outdated info is still widely displayed on their notice boards in each terminal.

In this day and age, NRC does not offer any dedicated customer care line to provide info to prospective and existing customers. There is no electronic notice board to notify you on when the next train is approaching or when it would depart.

Instead, at each terminus you find clueless, rude ticketing officers and a terrible lack of services/professional courtesy that makes you want to scream.

https://www.nairaland.com/909516/trains-getting-better-nigeria-picture#25285131

Lagos to Kano takes over 43 hours by rail, and we are celebrating this mediocre activity online instead of suggesting ways of improving rail services in the country.

Oduduwaboy: you are a joke ! i bet its people like you that abuse doctors...and you dont know anything about how the doctor-
work is done.
Okay.Listen and learn. A house officer will have the first contact with the patient, then the registrar, followed by the senior registrar and the the consultant. They could all have seen him at the same time, however. So we have 4 doctors seeing a patient in any hospital that provides tertiary care.
Enough said.
And to think you already have 50 likes only shows the level of degradation of 'national' intelligence quotient in this messed up country!

Bros, all this one you have quoted here about how the medical chain consisting of a "house officer-registrar-senior registrar-consultant" attends to a patient, seems to only apply in a private hospital oh!

In a government owned public hospital, the patients only get to see house officers through out their entire stay in the hospital. Only in very few and rare cases, does any patient ever get to see a registrar. To see a consultant, would take the same number of days and length of time, it takes to go to the moon and back.

So I beg, do not give the impression that it is standard practice for any patient in a public hospital to have access to the entire "house officer-registrar-senior registrar-consultant" medical team. It is never the case, in reality.

A relative of mine was once admitted in LASUTH for over a month. When his condition was not improving after 2 weeks, I requested to see the consultant. Haba! It was as if I had committed a crime. The house officer queried me angrily: "What for? Why do you need to see the consultant? You can't just see him like that oh!".

When I pointed out that the patient's condition had not improved despite the tons of drugs and various tests that had been done, the house officer got angry and vowed to abandon the patient if we did not stop interfering.

i stood my ground and insisted that it was either the drug regimen was changed or further tests were carried out to determine why the patient was not responding to treatment. Bros, my insistence led to nothing oh! The doctor made good his threat, and walked away.

Nurses advised that we should go and beg him, as then next doctor was not due to resume until the next 6 hours were over.

To cut the long story short, the patient was finally transferred to a private hospital where he eventually regained his health.

SolomonAdeola: So Sad! Rest on Doc.

Personally, I tink our health system nids a full scale overhaul. More efforts shld b committed to Research. And Health workers strike actions shld b addressed. Its a National shame if ppl in d Security Forces, Health Sector and Education Sector held in high esteems are embarking on frequent strike actions....dats a No-No to transformation and progress.

Rest on Hero!

You are so right!

Am interested in what steps were taken by the medical team immediately they discovered that Dr. Ameyo Adadevoh went into a coma.

Was she placed in an intensive care ward? Was she hooked up to life support machines? Was she given intensive and adequate 24-hour monitoring & care?

What was the treatment regime that was administered? Did the medical team make contact with Emory University in the US which had treated Dr. Brantly (the American doctor who contracted Ebola in Liberia), to see if there was any useful lesson that could be shared, which would make the treatment of Dr. Adadevoh more effective?

There are too many questions that need answers here. Those who do not learn from the past are condemned to repeat it, in the words of George Santayana.

Her family had raised an alarm a short while ago about the quality of care, being given to the quarantined patients. The federal government & Lagos state officials were quick to deny their claims.

Now, see what has happened! The poor, diligent doctor is no more.

12inches1: I'm sure you're a stark illiterate. It is not by compulsion a doctor must save lives. A doctor didn't come to earth with the sole responsibility of treating you. You pay and get treated or your government pays to subsidize what you pay. You can't force anybody to treat you. They didn't inflict you with the illness or hit you with a vehicle so how are they murderers?

"A doctor didn't come to earth with the sole responsibility of treating you." Hmmn... so why did the doctor spend 6 or more years in medical school, take the Hippocratic oath on graduation, spend another few years to become a consultant, if it was not for the purpose of treating patients?

Agreed, "you can't force anyone to treat you." So, if that is the case the doctors should not complain that the federal government called for their sack (even though I don't agree with this step). As a doctor, you can't be on strike, still keep collecting wages while sitting at home, refuse to offer medical assistance during a pandemic, then turn round to frown when sack letters are distributed, because in your opinion "you can't force anyone to treat you."

If you rushed a grievously ill relative to the nearest government hospital (because there was no other health centre in the vicinity), only to discover that doctors were on strike and there was no one to offer diagnosis, treatment etc, because of the strike action, would you still turn round to post this comment you have made up here?