This is the way to go.

Supplying uninterrupted power to the productive sectors of the economy will definitely boost productivity and revamp our ailling economy.

Similar visits should be undertaken by all DISCOS with the aim of supplying industrial hubs and business districts across the country uninterrupted power also .

Ruwaha:

Doc let's not call a spade a shovel,they were going in for a dignostic procedure not therapeutic,a uterine polyp would have been picked by a scan before instituting a therapeutic measure.

We are not getting the picture clear,so let's not argue over something we were given piecemeal info on

Thanks!

Going by the original story as recounted by the dad, I'm even of the opinion that a hysteroscopy was not needed at this stage.

If an abdominopevic scan was not elucidating enough after a negative pregnancy test, they had other options like a hormonal profile since it is amenorrhea we are dealing with and not a cryptomenorrhoea from imperforate hymen.

How they wound up with a hysteroscopy beats my imagination when it wasn't a case of abnormal PV bleeding.

However, like I said in one of my contributions, this history is patchy and may have been doctored to cover up something sinister.

Since I don't have all the facts of the case, I still give the team the benefit of the doubt to explain some grey areas causing confusion here.

Our argument actually spiralled beyond the case and went wild.

Thanks!

You know what they say about a "picture says a thousand words"

Just one snapshot would have represented "the streets, buses and subways are clean"



Nice summary though !

Hmmm!

This is one of the wolves in sheep clothing.

So, after seeing it , and touching it, how do you confirm that it works?

This your post should be considered for inclusion into the 2nd book of Proverbs.

........Compilation still in progress

The federal lawmakers are tied to the apron string of the SGF.

Since he fell out with the reverend gentleman, he has been attempting to make Benue state ungovernable but the good people of the state have stood solidly behind their governor to the dismay and chagrin of the SGF and his co-travellers.

Their military air accidents may be competing with road crashes by now.

300# from the factory, 350 from retailers

nedekid:

Where else do you keep a paltry sum?

Correction!

It is not the sum that is paltry but the interest is will generate when kept with the banks and it's usually <3% per annum.


Where to keep it?
You invest it of course.

Thegamingorca:





First off, the "procedure" is not a surgery. Like an endoscopy, it is done to merely to have a look at the womb and vagina for a probable cause of a symptom a patient might be having. In this case, the doctors wanted to look out for the cause of her rather "acute" amenorrhea. Whether a hysteroscope is what you use to investigate the probable cause of delayed menstruation will be discussed later.


2) Unfortunately "the procedure itself" was abandoned and we might not know what would have been the outcome but let's assume you want to do the procedure in your clinic, is it a spinal anaesthetic you apply to do an endoscopy or hysteroscopy?


You seem to be trying to compare apples and oranges with your submission that death from an idiosyncratic reaction from being administered a benzodiazepine is somehow equal to the foul play that reeks in what was been done here where an invasive procedure that wasn't supposed to be done in the first place was prepped for by using a spinal anaesthetic when a local anaesthetic would have sufficed if needed


3) From your own explanation of what the process of hysteroscopy involves, it is clear you have your complications mixed up. The tubes you need to fill with fluid for better visualization do not harbour clots and as such a thrombus cannot just dislodge from within the womb and go and cause an embolism in her lungs. A thrombus can only form within a blood vessel.

Another key thing to note here which you missed and I reiterate previously is that The part where the procedure would have been done was not arrived at. Hence an embolus from her pelvis cannot be the cause of this as There was no op


Please read the story the op put there before making assumptions or deductions

From you opener, I kind of have the feeling that you don't fully grasp what an hysteroscopic procedure entails.

Hysteroscopy (transvaginal) can be DIAGNOSTIC or THERAPEUTIC or BOTH.

Like I enumerated earlier, a diagnostic hysteroscopy is just fact finding.

A suspicious growth can be taken (biopsy) during the process or a uterine polyp completely excised.

A myomectomy can be done using the same scope.

All these later procedures fall within the definition of a therapeutic hysteroscopy and much more.

You limit the procedure when you called it mere looking at the uterus.

As for the team using a spinal anaesthesia, I duly noted the error in their judgement but I left it to them to explain themselves.


However when conscious sedation is employed in this procedure by use diazepam and pentazocine, deaths have occurred from idiosyncratic reactions.

Oh yes hysteroscopy is minimal invasive surgery. If you don't know this, then I'm done.

Your other points are also noted but like your opener, they are all spurious assumptions.

Enjoy your weekend.

Bretton wood is horrified!

They were thinking Russia will be on her knees in no time especially after freezing her assets in western financial system and banning them from the SWIFT code.

Her alliances with China, Iran, India and North Korea has toppled the western world's JANGA games.

Greed is the bane of our development in this country.

Like play, cement price has entered double digits of the thousands.


May God have mercy upon us!

Come to think of it.

Who leaves 500k in the bank to be eaten up by 29.9% inflation and given a paltry <3% interest rate?

RepoMan007:
Even if you have more in your account, will you keep it inside a single account for bandits and kidnappers? Or in Naira for its value to erode?

BVN and NIN will geo-locate all your accounts and balance it up.

Gone are the days of tally number you know!

That's a tiny drop in the ocean.

It won't dent the legion of unemployment in Nigeria.

Tackle insecurity, and our youths will find their way back to the land (Agriculture) from whence we came.

The idp camps are teaming up with unemployed youth because their lands have been taken over by cows.

Wisdom is profitable to DIRECT (Ecclesiastes 10:10b).

...... ''And away HE flew''

Kai!

This lady has fallen the hands of blacks.

People will start having trust issues with even black law enforcement agents this time.


Wonder how many times she had done this and gotten away with it ?

Health care workers need a heightened index of suspicion this time around in order not to get infected.


Observing infection prevention and universal precautions procedures is the surefire way of beating this outbreaks.

Please equip all hospitals with adequate PPEs

Thegamingorca:



A minor case like inserting a cannula or a catheter cannot spiral out of control and become fatal.

Someone that was scheduled for a hysteroscopy where a camera is used to view the vagina and womb is not what you expect to spiral out of control.

I hope I am addressing someone who has seen an endoscopy done first hand?

Fluid is also sent via the tubes to dilate the uterus for easy visualization. This process may dislodge a thrombus that may have been responsible for this fatality.


Though rare in the hands of an expert but a hysteroscopy may very well result in PV bleeding especially when biopsy was taken or an ablative procedure was done. Which was not the case in this situation.


I also marvel at your assertions. Have you heard of idiosyncratic reaction before.
A patient can develop a rare anaphylactic reaction to even common benzodiazepine and die before you even commence surgery.

Like I said earlier, there are no minor surgeries these days. Anything can happen intra- or post-op.

This is a tragic case indeed and I commiserate with the family on this heartfelt painful loss.

Before I open up my line of argument while not holding brief for the hospital, I want all of us to recollect that sometime in October 2005, we lost our first lady [on table] from complications of cosmetic surgery in far away Spain.

Also, Our popular actor RMD lost his first wife MEE [on table] from complications of myomectomy surgery in one of the best hospital in Lagos [1996].

Agreed that a vaginal hysteroscopy may not have required a spinal anaesthesia, we leave the team to explain why they chose to administer it.

The plausible explanation from the patchy one sided history given by the dad could be that the daughter suffered a pulmonary embolism which carries a near 100% fatality in our environment.

If the attending team did inform the patient on the procedure, reasons for the procedure, other available options and afterward extracted a signed informed consent for the surgery, they may go scott free if no negligence is established against them.


There are no minor or major surgeries these days as a minor case can quickly go awry.

Like I said earlier, I am equally traumatized reading this story but we can not crucify the medical team yet until after all processes are concluded.

RIP

Good thing he's trying to stay healthy by engaging in physical work out.

He should also cut-out the smoking and drink alcohol responsibly (3 units/day)

Rich and Thick things!

nairalanda1:


Yes because there was no evidence he did insider trading. I don't like Pelosi, but no evidence, nothing

In this case the evidence was blatant

Plus there are many big american men who have gone to jail for the same crime.

Exactly what the whole argument raging on this topic is all about.

Nancy pelosi had privileged information.


The husband by some stroke of luck invested and sold stocks in some company.

Coincidentally, that company was the same one Nancy had privileged information on.

SEC and FBI couldn't by virtue of marriage or closeness implicate Nancy of divulging privileged secrets to the husband.


Back to our case, if the man has kept mum about where he sourced the info. For his deal, it was left for SEC or the FBI to do their investigation and prove her culpability.

Tradepunter2:


You people talk without any sense sometimes..... The SEC and the FBI will find out because the fact is if institutional traders are not cashing in that efficiently.... Then it's most unlikely a single individual won't be able to..... If the matter had gone far, he will still be caught putting the wife directly in the line of fire.

Your opening sentence already gave you out as someone low on self esteem.

Can't you just quietly make your point without recourse to invectives.

Besides, you are coming late to the party. Other bright minds have already shared the stale information you are struggling to make with greater clarity my guy!

For your information, insider trading is a normal thing every where with people getting away with it.

Nancy pellosi had a case against her and her husband last year but it couldn't be proven.

Don't make SEC and the FBI look like one omniscience organization abeg!

Interesting thought provoking read!

Tjra:

Why should they destroy the goods when they are fit for consumption?

These food products oftentimes seized by customs are passed off as expired, dangerous and not fit for human consumption.

They released to idp camps or auctioned to the public after a while.

It's all deception!

The CBN is chasing shadows by attacking the BDCs via brute force.

If the government does not want the BDCs to exist anymore, then they should withdraw their operation licenses and criminalize their activities instead of harassing them in less civil manner.

The lacunae in this recent guidelines can be taken advantage of by the BDCs.

The CBN to my mind is still chasing shadows trying to stabilize the naira by clamping down heavily on the BDCs.

Diversify from a mono product economy, boost export by supporting MSMEs, criminalize the possession above 1000 dollars in cash for no valid reasons, and prosecute hotels and schools which charge for services in dollars.

De-dollarizing our economy may just be the panacea to stabilizing the naira and reducing the rush to adopt the dollar as a store of monetary value.

Now the house is divided against itself.

The planned protest is a stillbirth already.

Early rains already causing havoc!

After the meter upgrade , customers won't know what hit them.

The meters will be upgraded to a new speed to burn up tokens faster than before.

That's the format