Lomaxx's Posts
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jetworldpee:There is a natural way to lighten up. What you need: honey, youghurt, lemon juice. Make a mixture. Rub on your face at night and wash off after a long while. This should be preferably at night-then wash over night. Do at least twice a week. |
Xiadnat:I think cyclical vomitting syndrome(cvs). Very common in preschoolers and school children of age range 2 to 5. Vomitting occurs around the same time everyday and there are vomitting-free intervals. Unfortunately, that diagnosis cannot be made without ruling out other possible diagnosis. I'm sure she's seen Peds and its well managed |
Perpetual459:Weight gain in an adult is achieved by good food and good sleep. If an adult is not getting those regularly, asides any pathology that might cause unintentional weight loss(which is another spectrum entirely), he or she might appear to look skinny and be in need of flesh. Prescriptions have indications. That's how you know a good doctor. He/She always want to have a reason to make a prescription. And not make you spend money you shouldn't spend. Blood tonic is often prescribed when someone has mild anaemia. Someone that has anaemia would complain of weakness, tiredness, and easy fatigue-which the doctor asked. Since you said he doesn't have those, it is very unlikely he has anaemia even if it's inconclusive - that's why the doctor was "unsure" about recommending a blood tonic. To me it's not necessary. I've read your posts. If the person in question, eats well and sleeps well(8 hours max), he'd be okay. Most people that are naturally lean(like myself) have a high metabolism. Working round the clock knocks them off shape into leanness. Medical practice is very delicate. Ethics shouldn't come in here. the doctor was just being very professional. When is he taking a holiday? I also recommend that he eats round the clock. Not specific meal time. Which means he should have snacks. Also, in people that are naturally lean, and often presumed to have a high metabolism, adding "flesh" is mainly by adding muscle. one word - exercises. |
Raphael9:4 years. |
Lagusta:Haha... colposcope with no monitor. Awolowo did not die for this. ![]() The government has let the masses down. Few months ago, my friend went to see a physician for a problem he had. The diagnosis of nasal polyp was made. He was prepped for surgery on the same day. He did the surgery on the same day. He went back home the same day. This was free of charge from start to finish. Actually, this is not Nigeria. This is Canada. When I asked him how possible it was to get those things done with such austeric efficiency he said something I couldn't forget. "We have a government that takes the health of her citizens seriously " Sad. |
bushdoc9919:We had our best moments with the oil boom. We wasted them. It's now going to be difficult to accomplish with N10 what we could have when we had N1,000. All governments have neglected funding the health sector - no Nigerian government has funded the health sector above 10% of the National Budget. The proposed budget for health last year was a paltry 6.7% of the total national budget - even when the World Health Organisation (WHO) recommends tat least 25%. It's a really pathetic situation. Now raising hospital fees IS a different thing entirely. The effect on the masses would be dramatic. Quality healthcare is a right and should be accessible and affordable. As it stands now, many Nigerians cannot afford the most basic services. Nigerians should not suffer financial hardship at the instant of obtaining care. Healthcare is an inevitable responsibility of the government. Already more than 60% of Nigerians are paying 100% for their healthcare services from start to finish. Our policy makers are either grossly inexperienced in the mechanics of health economics or the government knows what to do but are just plain insensitive. It's a very pathetic situation. |
charleymed:One of my consultants who has been practicing for 23 years now as a gynecologist had part of his practice in Zambia. He's the only specialist that can do gynecologic laparoscopic surgery and procedures in our centre. While he was on a WHO outreach in a rural health centre in Zambia, on one occasion, he wanted to examine a woman's cervix so he asked for a speculum. He did a pelvic examination manually(as it is done in Nigeria) - using his hands and eyes. The Zambian nurse had to tell him that there is a colposcope!!! A colposcope in a rural health centre. Till date, he hasn't recovered from the shock. Even the Nigerian teaching hospital he trained didn't have a colposcope. A colposcope is an instrument used to magnify visual examination of the ectocervix. It's easier, better and more efficient than a manual pelvic examination in diagnosing cervical lesions.
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This is not a story to entertain you. This is to tell you that the health system in Nigeria is a big comedy. Forget all the rebuttals and counter-rebuttals you read from health workers on Nairaland, this country's health system is a joke. If this woman were to be from Cuba, or America, or Zambia, she would have been alive with the baby in Noenatal ICU trying to be alive. But not in Nigeria. The delays we have in treatment are largely due to policy and system issues. The health system is grossly underfunded, so patients have to pay so much to seek healthcare. When a teaching hospital doesn't have a single laparoscope, still has 2D ultrasound scans, give flimsy reasons as expired reagents - then you have to be very worried. I will leave you with these few words. This woman could have been your wife, your sister, your cousin. Her unborn baby could have been your child, your nephew or your grandchild. The health sector is a comedian's enterprise. We are still in the 19th century as far as healthcare is concerned in Nigeria. Quality healthcare should be a right - and not a privilege at a very pocket friendly cost. The government, has disappointed Nigerians - the living, the dead and even the unborn child. |
So on Wednesday last week, we went for our rounds to see this woman. Her blood pressure was still in the sky (170/100 mmHg) but the baby was still alive. The foetal heart rate was reassuring and this was indeed a good sign. We were still waiting for the husband to come with the blood for transfusion only to be told that the crossmatching could not also be done in the hospital laboratory because the reagents had expired. Few hours after, while this woman's husband was still running around looking for where to do a crossmatch for the donors he was able to garner, we came back for a reassessment. The woman's blood pressure had dropped to 110/80mmHg. This was bad news. The only thing that was keeping the baby alive was the high blood pressure. We had to do a bedside transabdominal ultrasonography. The foetus had died. How do we start telling this woman that her 28 week old baby who her husband was running around trying to save with her, after spending almost their entire earnings had passed on? |
The treatment for eclampsia is termination of the pregnancy. Terminating the pregnancy means an abortion or a preterm delivery - depending on the gestational age. For a 28 week old pregnancy, the doctors decided to take the chance to save the baby and the mother - a heroic feat if you'd ask me. Saving the baby means: 1) Giving the mother corticosteroids for the foetal lung to mature amidst other preterm delivery management protocol 2) Transfusing the woman with at least 4 units of whole blood. Her PCV was 24% which is an arbitrary value considering the fact that eclampsia concentrates blood. So her true PCV is less than that. 3) Doing a clotting profile (price is N11,000). Eclampsia is a thrombogenic and fibrinolytic condition. This woman is at risk of DIC and imminent death. 4) Other Management protocol beyond the scope of this post. The woman was started on corticosteroids for the foetal lungs to start maturation. Good step. This woman could only afford about N11,000 which was equivalent to the amount for the clotting profile test. Unfortunately, this couldn't be done in the teaching hospital laboratory because their reagents had expired. The doctors, considering the financial constraint of the patient, did a bedside clotting test and advised the husband to use the N11, 000 to cross match blood for transfusion. |
Have you ever been told of a story where medical doctors managing a pregnant woman had to choose between saving her life or that of her unborn child? I have, on one occasion. It sounds like fiction, doesn't it? I can also remember clearly in one of the episodes of Grey's Anatomy where Dr Shepherd (the fictional god of neurosurgery) attempted to save mother and baby in a dicey situation, and failed woefully(as good as he was). Last week, I was privileged to be part of a team who managed a woman with a 28 week old pregnancy who had eclampsia in one of the teaching hospitals in Nigeria. Suffice it to mention that the NIgerian health sector had been in a collapse for the past 3 months, hence this woman and her husband initially sought cafe in a private hospital. After the preliminary management, when it was time to begin the meat of the care for her condition, they ran out of money. They were to pay N300,000 (three hundred thousand naira) for continuation of care. When they couldn't afford this money, they had to leave the private hospital and resign their fate in the hands of destiny pending when the health workers strike would be called off and government owned health institutions would be open so they can seek affordable care. A week after, their prayers were answered. The health workers strike was called off, work resumed fully in government owned health institutions and this couple were among the first set of people that hurried to seek medical care in this centre. She was admitted immediately after her referral letter was read and the diagnosis of eclampsia confirmed from the vitals and other tests. Management began immediately. To cut the long story short, we had a pregnant eclamptic women with a 28 week old pregnancy, blood pressure of 170/110mm Hg, PCV of 24% and a financially constrained husband. |
valkaka:Do you have ar.se? |
Be decisive. Don't ask for permissions before taking YOUR decisions. Suggest and do it anyway. You must demonstrate you're reliable. Keep your word. Have your specifications for everything. Don't be an all-weather fellow. Be careful how you talk. Choose your words carefully. Don't talk to people if you're not sure you have their compelling attention. Make eye contact. Don't look away. Be nice. But don't be a wussy |
MrIncrediible:Epic!!!!. Warning: Do this and be ready to be without friends. You're going to be alone for a long time until people of your class come along. |
Those boobs look underaged to me. |
Likes are not endorsements. Votes are. Come March/April, your neighbour would realise he cannot have 16 PVCs. Rubbish! |
It's politics. Only interests.... nothing personal. |
There is more to life outside nairaland. Take a cue |
Smart007i:Sudan accent |
raziboi:How much are you worth? |
Andrew114:https://www.mdcn.gov.ng/index.php/training/accredited-medical-institutions |
Fabzgrace:Anatomy 1) BRS Embryology http://www.neuronarc.com/brs-embryology-board-review-series-5th-edition-pdf.html 2) BRS Histology(34MB) http://www.4shared.com/office/L_MOkl-Pba/brs_cell_biology_and_histology.html 3) Snell Clinical Anatomy By Regions(92MB) http://www.4shared.com/office/oBO4Yq1v/Snells_Clinical_Anatomy_by_Reg.htm?locale=en Physiology 1) Fox Physiology (201MB) http://www.4shared.com/zip/gM_lVpVt/fox_human_physiology_8th_editi.htm?locale=en 2) NMS Physiology (22MB) http://www.4shared.com/office/U7L6KV6d/NMS_Physiology.htm?locale=en Biochemistry 1) M N Charteajea Textbook Of Medical Biochemistry(21MB) http://indianmedicalebooks..com/2013/07/mn-chatterjea-textbook-of-medical.html?m=1 2) D M Vasudevan Textbook of Medical Biochemistry http://indianmedicalebooks..com/2013/07/dm-vasudevan-textbook-of-biochemistry.html?m=1 |
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shegestiga:The scariest thing in the world is thinking that your best won't be enough to get you where you want to be in life. Retrospectively, most of the the 'baddest brains' I was admitted with either repeated a class or were withdrawn. Medicine is not even about your abilities. The really good guys failed because they felt they have 'abilities'. The average students felt they had no abilities and decided to study hard. Fast forward to years later, hardwork is still paying off. I say this without mincing words Hardwork IS everything. |
Hi guys. How una dey? |
This is so touching. That's a good son. |
Marriage is a choice. And if anybody feels they can stay happy unmarried, then they should stay that way. This country is a democratic country and the constitution affords everyone a freedom of choice. No one should choose to get married and come here to say they were manipulated. That's blatant rubbish!!! |
aarinzee:Please what's the download size of this file? it says 424mb but my data manager is reading 551mb on the download counter. sadly, I cannot view the progress of download. I have to rely on the data manager. now 700mb |
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