₦airaland Forum

Thegamingorca:
Where in the world are ppl paid for neglecting duty?


Where in the world are ppl paid for refusing to work even causing patients demise for the strike action.

What kind of animals are johesu to be clamouring for this payment?

NHS workers are paid hourly. If u don't work, u don't get paid for that hour. A struggling FY2 MO get about 50-60 pounds per hour with the NES, a nurse supervisor gets about 25-30pounds. Johesu is a cancer, and palliative care will not solve their madness.

U didn't work, yet u want to be paid. Johesu has successfully turned our country's health sector to a big joke. Judgement await these jokers.

Men, I don't agree with this post. I never want to break a ladies heart again. When u use and dump a lady, u trample with her character, and make her a demon to the next man she meets. She may be with the next man, but punishes the man for what u did.

Olajide200:
The recent information I got now is that she will be needing plastic surgery because UCH 'professionals' distrupted a blood supply to her lower abdomen and the skin there will need to be recontructed. So much from our 'seasoned' 'pros'

I think when she recovers, u should take the case up. U could make a formal complaint to the management of UCH demanding them to look into ur mums "unfair treatment", or u could use a lawyer too, and demand damages. This is so u can allay ur worries, and so u don't unjustly tagg people, because complications can arise from Surgery, even in the best hospitals. Negligence is a different thing all together. I pray ur mum overcomes this painful time.

Gboliwe:
Get a health insurance get a health insurance we scream here daily, but Nigerians are smarter. They would rather drink Hero and Guilder, eat Nkwobi and pepper soup and eat up the health insurance premium for one year and peg hernioraphy at 330k

Hian!

Go to any NHIS office near you and buy a health insurance cover for just 15k and your health for one year is covered.

cc Maayoithmo

True. Health aggressive health insurance will return sanity to our health sectors. Hospitals with mushroom practice's will phase out, as patients have the right to choose their facility and abandon under performing ones, quackery will be curbed and unnecessary out of pocket expenses will be avoided. I hope we get there someday.

ebonyjoke:
Well said Doc
As a clinical Pharmacist. Pipercillin /tazobactam readily available now in Nigeria.the brand is Revotaz and Annie Pharmaceutical in Lagos has Generic brand also of same.bioavailability.

Thanks pharm. Pharmacists know these things and know that patient recovery is as important as the drugs used. Working with the general hospital years back I knew that cellulitis was best treated with the cloxacillin+a penicillin to cover staph and strept. I also know that tigercycline, vancomycin or linezolid could be used for MRSA's, however wen suppurative cellulitis struck, our hands were tied and we had to make use with other available alternatives. However, pharmacists know they play a vital role in patient care, and actually can help or mar a doctor's sincere effort.

Where is Annie Pharmacy in Lagos?

Olajide200:
Thank you very much Dr Bigiman (Hope I got it right). I took my time to read ur medical epistle and I concluded you are in the medical field.

I agree with u there are wonderful doctors all around who know their onion.

But you as a medical person should know that it is absolutely unethical for any surgeon to work based on assumptions. I means surgeries on a human, not a lab rat.

How the hell would you convince me that leaving a section of the internal abdomen cut open and assuming that magically, it will sew itself shut was a professional act.

That was a complete amateur and unprofessional act. Assumptions or gross carelessness. That singlular act could have cost her life. I may not be in the medical field, but i know human medicine wont work with magic.

I should be telling you to fear God because you dont know what it feels to lose a loved one as a result of an individual's recklessness. I pray you will never experience that Dr Bigiman.

Were the tables turned, arrogant doctors and consultants would react more aggresively. You never know where it hurts people until you wear their shoes.

I am grateful ur mum is coming out victorious. And u have played a vital role in seeing that things went rightly.

We are generally reactive as Nigerians, and as a Doctor, I am blessed to have a dual perspective to Medicine, having had both foreign and local stimulation.

Acute abdomen is a surgical emergency and sometimes a surgical dilemma. Reasons ranging from lack of facilities, to human limitation, to even incomplete history can limit our diagnostic ability. For example, an acute abdominal pain may require a CT, and if it's not available, getting at a diagnosis may be delayed. Sometimes, like I saw recently too, you do all radiologic investigations and still cannot arrive at the cause, or the radiologist keeps quering several possibilities.

When the above happens and the patient is deteriorating on conservative management, which may involve a tube being passed through the nose to relax the intestines, fluid and broad spectrum antibiotics, then the Surgeon needs to act.

There's a procedure call exploratory laparotomy, where u have to act and go In to unravel and stop the cause of the pain, even when u don't have a full clue. So that answers the guessing part.

Your mum may also have either a large abdominal abcess or a large pelvic abscess in addition to the other finding and that pus must all get out if not ur mums pain may return, as the remaining pus, may be a new focus for infection. This is solved by manually removing the pus, and using a suction to remove the pus (Some hospitals in Nigeria don't have a functioning suction, sometimes doctors use tourch light). A pipe is left in the intestine, and a bag to the exterior to drain the remaining pus.

Afterwards broad spectrum antibiotics are used. Funny enuf the types of drugs used in the UK like pipperacilin, tozobactam are not available here, even when the doctors knows. He has to use ceftriaxone and flagyl.

In 90% or more of cases when the drain is removed, the little space created by the drain closes and the patient is fine. However in some cases, like ur mum's, it doesn't. This may necessarily not be the Doctors fault, it could be surgical complication, or the volume of access and the limitation of our antibiotics and that area is infected. This causes an incisional hernia. Unfortunately, this is what ur mum had.

While it's very normal to be upset, be assured that the Doctors never meant any harm, and they would have tried to repair the fascia which had given way. Luckily you had the means to go abroad which is not a bad thing.

I worked in the A and E recently and had a VOC, I attended to the patient to the best of my ability, and the next day transferred to the team responsible for such. Even though I had remembered the patient, I didn't check on them anymore. Few days after, I saw them discharged and the mum yelled that I abandoned them. However, I didn't, because I had referred them to her team, and visiting them will only be a social affair, as my input was not needed anymore, and my hands where already filled with obligation.

In the end u can believe whatever u choose to, but putting up Dr Irabors name, and calling Doctors baby Doctors, is not also fair on those guys, who seek to help in very limiting circumstances. I once had a woman insult me and call me names as a Medical student trying to use her for history taking , she wouldn't allow me explain, but years later, I would play a vital role in saving her dying baby. If everyone had called me Medical student or baby like in ur case, we can imagine the effect.

I hope ur mum recovers fully

Well done

Mr Bigiman

ifyalways:
How did you arrive at your cost of 330K for hernia surgery? It should not be more than 80K for general hospitals and 200K for private hospitals and that's even Lagos quote, east should be cheaper.

Cc MrBigiman

I feel for the young mans distress and salute his courage for asking for assistance in this age. However, 330k is a real bogus bill for a herniorrhaphy. While it's possible, as most private hospital can fix whatever price, a man requiring help will not go to such facility. General hospitals charge far less

The basic money for fixing a hernia should not exceed 30k in a government facility, excluding drugs, add another 10 for drugs. And it's a day case surgery. Meaning if u do the surgery today u can return home the same day as its done on Local Anaesthesia.

Other things to note before assisting are.

1 Herniorrhaphy is mostly not an emergency, and can be booked. If not he wouldn't be here typing and replying messages.

2. You can save for it. Let's say over 5 months and fix it without being a burden to anyone. However, I also agree that things can be very bad. I have been there before.

3. It can however become strangulated, in that case he'll be grave pain and will find himself in a hospital by force. I have seen a dozen of those. If this was the case he'll be typing in the hospital

I could however link him to facilties that do free herniorrhaphy and all he'll do is pay for the Medications and consumables, thus coating less than 30k.

It u feel some pain right now, or the hernia becomes irreducible, lie on ur bed supine, elevate the waist area up and apply ice packs for over 20mins, every 3-4 hrs for the next 24hrs. Meet a pharmacist and get potent over the counter antiinflammatories, and the hernia should have reduced. Then begin hustling to make up for surgery.

I hope this helps u in all sincerity, and hope it guides people in making a decision on whether to assist or not.

Mr Bigiman

Stephaustin:
I have a whole lots of reasons to applaud this response.

Previously, I do blame doctors for many of the problems we see in healthcare delivery in Nigeria. However, I have come to understand the reality. One thing I have discovered with a lot of Nigerians, including me, is the problem of being too quick to conclude without adequate premises, and consequently pass wrong judgement. Though, I have been enlightened, and so work to overcome this.

Many thanks again for this wonderful explanation.

Thanks for understanding my point.

I understand how distressing it would be for u ryt now. However, u should not make the mistake of stabbing urself on the foot by seeking conflicting and mostly inaccurate health advice.

Essential hypertension is a chronic illness, which means u'll have to stay with it for the rest of ur life. While theres safe treatment, there is sadly no cure. Its in search for a cure many get badly hurt and loose their life. But those who know and accept that it can be managed do well.

Here are things you could do for ur self:

1 Reduce weight, if u are on the fat side, for every KG drop the weight, the BP concomitantly drops. Thus diet and exercise could help u loose weight.

2. Totally avoid smoking, significantly reduce ur alcohol intake or stop if u can.

3. Reduce the salt in ur diet drastically. Sodium retention, which is worse in blacks have been implicated in the pathophysiology of hypertension.

4. Rest and reduce anyform of stress.

Visit a Medical Doctor in an credible centre and get sorted out:

The physician will ensure these:

1. That the cause of ur blood pressure is probed. So as to confirm its essential hypertension.

2. Your risk factors and counsel u on workable modalities to overcome the modifiable factors.

3. Check your major organs , checking for side effects, eg Retinopathy, Nephropathy, Neuropathy etc. This may be done via physcial examinations and investigations.

4. Choose antihypertensives for u based on the above work-up and put u on follow up to ensure u head a healthy life.

Hypertension is fairly common and shouldn't be the end of the world.

Cheer up.

Hope this helps!

I understand that u are under a lot of pressure, but It's easy to note a Nigerian speak, and ur level of arrogance is glaring.

The Doctors are not the cause of ur mums acute abdomen, but were frantically seeking for ways to help. Don't vent the frustration of ur mums illness on Nigerian Doctors. Many inconclusive tests where also carried out by other health workers.

A sick person may not be the easiest of people to draw blood from, as several of her veins may have collapsed. Venepuncture, doesn't kill anyone. In chronic cancer patients we something's have to use a 3 way central line for blood draws and medications.

There is nothing like kid doctors. There may be Medical students, Medical officers, registrar's. However the Junior Doctors are the hope of tomorrow. Nigerian Doctors are not bad at all, at least 1000 passed the UK board exams. That itself is reassuring.

Complications could occur from surgery done anywhere in the world. People have died from a bleeding aortofemoral byepass surgery done in the best centres in the world. That's the aim of signing consent before surgery. Surgery do have complications sometimes.

Thousands of patients have been saved in UCH, and owe some gratitude to those same consultants u slander and use unsavory words for. And Gods judgement awaits u, if u slander them unjustly. Because I am sure they didn't cause ur mums acute abdominal pain.

If u have any case against someone, the best ways to handle it is to take it up. Report to authorities, charge them to court and let true justice be done, not using disparaging words on people in the court of public opinion.

The whole of Last year and the past several cases were taken up by patients in tertiary hospitals, and at the end the Doctors weren't at fault.

In one case the child was on prolonged steriod from another hospital, the parents never disclosed this even wen asked before surgery. The child died the theatre table and the parents made all sort of unsavory remarks and publications about the hospital and Doctors.

In another case, a patient had metastatic CA, was informed and counselled for treatment, but ran away, only to present at the terminal stage and then was blaming dirty bed sheets, doctors not able to start an IV line once, old oxygen cylinders and junior Doctors.

In yet another case a child was stooling over 20 times a day, was taken to a chemist and when the child was totally spent, he was brought to a hospital. The parents complained how they looked for vein over 5times, how they shaved the hair finally, and how lack of oxygen killed the child.

All these cases were struck out.

Nigerians have a bad attitude to health care. A doctor's cannot introduce himself as a Junior Doctor, because once he does that, a patient with malaria starts asking to see the senior Doctor. However in the same UK the FY2 will walk of to u and say, "I am Dr X, one of the Junior Doctors in the Surgical Department", and the same Nigerian will be shivering and saying yes sir.

Repent and pray ur mum recovers fully and any of ur relative doesn't need the help of a " Nigerian Doctor".

Really. What proof of marriage can one then provide in case of travel and all?

Unigrad:
You are aged but immature.

Call me immature, but in few years the labs will be concessioned for better output. Shame will await those dragging the labs with the rightful owners. Judgement day is not far again. Mark my words!

chuksbogus:
..

I want to take it that you must be a kid. So I will pretend you are practicing letter writing .

No one ,the health attendant works under a nurse not a Dr.
secondly is an orderly suppose to be irrigating a patient wound?
Did you here the nurse said she is now here to help the Dr? that the health attendant should go for the errand he was sent to before the Dr came in .

Haba mana! How did you know the Nurse is a Diploma holder ?

Does all these warrant a "Dr " knowing how contaminated a wound irrigated water is? and even when he did it the first time the nurse gave him a benefit of the doubt by asking " hope this was a mistake " but he went ahead and carried it with his hand and poured. I actually think that Dr is not well upstairs

U are the kid here. You take a person's version and make conclusions. The Nurse is lying until proved otherwise. Good day.

JoannaSedley:
You bore me.Continue deflecting
Your guy should've written a much more counter argument to refute the incidence but alas he is as guilty as every other criminal. NMA would've wrote a strong worded rebuttal but there is no witness to back it up cos he is a lousy person to work with, so no witness will come forth to rescue him. Ask your people at Ondo trauma centre.
It is possible in Nigeria for him to be even a president after all the country is not called a zoo for fun, but I assure you that he is done for anywhere else.
Need I remind you of the security checks from potential foreign employers, even ordinary travel visas are being cancelled on mere allegations talk more of a witnessed assault.?

If u were currently practising abroad, maybe I would take u seriously. What's the doctors business with abroad, when he's plying his trade to the best of his ability here.

Meanwhile it's good news for Nigerian Doctors, Visa rules have been softened, also for nurses. The home office says they are in dire need of Doctors and nurses. Note not pharmacist, lab scientists and optometrist. Until the Nigerian Nurses repent and note that the other non-medical professions are using them to achieve a ill-motivated fight, then the better for her. The nurses and the Doctors remain the bedrock of Medicine, all others can be concessioned successfully. Nepa because they were power workers never knew retrenchment was imminent, it's another story now.

Repent and be accepted and stop fueling a false and ill-timed propaganda.

JoannaSedley:
YOUR LIES SMELLS TO THE HIGH HEAVENS. There is no case of insubordination or negligence anywhere. You just pluck words out of trees to massage your bruised ego. The nurse is not insubordinate to the doctor so the case of insurbordunation is null and void. Do you even know what insubordination means? Insubordination is the refusal to comply with your direction and fulfill appropriate orders. So tell us from the incidence report where the nurse refused to fulfill orders. Heck, she offered her assistance.
Negligence? Give me a break! Is the doctor now the patient or was the patient complaining of being neglected by the nurse.? Whipping out words from the winds to suit you guys modus operandi. Why is the CMD answering for the .maniac doctor? Why not allow him to write what happened? A classical case of coverup we all are used to from you egomaniacal lots.

You must be a confirmed quack not to know the instruments for wound dressings. World acclaimed Jack of all trade who had rely on a porter to perform his duties. Lying and embellishing the truth won't get you anywhere.

You done have a case and everybody knows that. By the time the media is done with him he will never travel out of this country to practise medicine as he will be stuck here forever. His re ord of criminality is available for any potential employer. Continue.

The media is not a competent law court. The nurse is a lier. Why didn't she snap pictures in this jet age, yet she's quick to run to facebook and news station. Running abroad isn't the ultimate. That guy myt one day become the minister of health or CMD of that facility. He has done well and professionally for not beating up the insorbordinate, loosed mouth nurse. Any other talk is just cheap allegations that hold no water.

Victoryissure:
So someone can spew out or rather type this shit without listening to the other side of the story. SMH for these kind of people that fabricate this kind of lie and also those who believe it too.

The CMD of the hospital has spoken out. There's a case of gross negligence of duty on the part of the nurses. An accident victim came into the hospital and despite request for the nurses to join the doctor in attending to the patient, they ignored, probably owing to the fact that they are now autonomous and seek their own distinct department.

A porter seeing the doctors efforts, joined in to assist the patient to get sorted out. The infuriorated nurse works in ordering the porter to go do her bidding. An altercation ensues and water splashes on the nurse. Do they wash a patients wound into a bowl?, why then do they paint lies against doctors.

A case of negligence and insorbordination has been found against the nurse and this time no one will give Johesu any space to display their routine indiscretions.

oyatz:
When you make mistakes, please accept it and not start shifting goal posts.
This doesn't necessarily make you a weak but a strong person.

An intelligent person doesn't necessarily mean someone who makes no mistakes but someone who learns from mistakes of himself and others.


Read my posts very well and your responses, this time slowly.


I repeat, graduates of Life sciences like Biochemistry ,Medical Microbiology, Physiology etc (after necessary PG trainings) work in Medical laboratories in several parts of the World.

The attempt to make Medical laboratories in Nigeria exclusive for MLS can't work and will backfire in the long run.

The over zealousness of some MLS through the MLSCN to even stamped Medical doctors out of Medical laboratories has led to several court cases like the N1Billion suit that Pathcare (a firm of Pathologists) slammed against the MLSCN and several other court cases going on.

They came with thugs and crowds to attempt to seal off the laboratory of a hospital in Damaturu in 2010 and they were met with 'appropriate responses'. Similar cases abound until, they were called to other.

There no point arguing with that baised man. MLS in Nigeria seeks to initiate an exclusive yet quack practice. Abroad there's a place for biochemists, microbiologists, Anatomists and physiologist in the Lab. But here the greed of the MLS is dampening those courses, who in my opinion are more intelligent and objective than MLS graduates. The health system is still evolving and the laws will be repealed after series of agitations.

k

danilmo:
are u asking me that??

i read thru the thread and got my fact baba..

u tried though..

Thanks bro. It's good u can see the truth where other act oblivious. Most of the time humility is the route to mental freedom. We stay up all night gaining knowledge to help humanity, while some people sit up all Night seeking ways to catch up with us without mentally exerting themselves.

Nothing wrong in what rugged man said at all.

mostHandsome01:
truth be told, the Nkechi lady was wrong, but I am so pissed at how some people reason, everyone can clearly see juliet meant no harm from her first post, But ur hatred for juliet won't let u all speak the truth. God will help some Nigerians and unnecessary bitterness.

U are absolutely right.

kingreign:
Answer my query

That would be schitosoma. Would it be Nice, if we did a post on hematuria to Educate people.

theoldpretender:
You know, this is not to excuse police brutality at all...

But I am getting a bit tired of stories of 'police brutalise x',complete with pictures, which basically includes a story of how X was beaten up by the police...with no context or addition to the story

Thing is, sometimes,people deliberately assault police officers. Then when the police retaliate, they then claim brutality.

Also, some of the stories of 'innocent people die' may be tales of criminals who came off the wrong end of a police attack...and died.

I think that the problem is, Nigeria has a bad relationship with its policemen. The Nigeria Police is descended from the old colonial forces that were made up of emancipated slaves....outsiders, who were used to enforce colonial rule, breeding resentment...and of course, breeding a cycle of retaliation and attack.

In one of the pictures, the woman is shown holding the policeman. That is assault of a policeman, which is a criminal offence. (I once got into an argument with a policeman. I did not lay an arm or finger on the guy...and neither did he...and as a result...situation resolved smoothly).

We can call the police Zoologic police, zombies,etc....but a situation where people do not follow the rules...I have been stopped by the police...SARS inclusive...asked for my car papers...and once I present my intact papers...I go on my way. Simple....and also when people don't follow the laws,and assault and attack policemen...hmmm...

We need mentality change...we Nigerians.

Definitely a police officer parading as spokesman.

Wickedness is too much in this country. A lady is being malhandled and the best abled body men can do is take pictures and videos. Had it been police men get mob attacks, their madness would have reduced.

That not attempted suicide but deliberate self harm. We should learn to distinguish both.

babajeje123:
I pray your ego doesn't limit your progress. Empty barrel

I pray ur bias doesn't becloud ur judgement.

femianski:
will you talk like a sensible man for once Mr private university mbbs holder

The same ugly discrimination that Johesu talks about is the same madness they uphold. How did u come about ur assertion?, is it because a faceless nurse mentioned it that u picked it up? I am one of the most sincere men on N/L because I am objective, blunt without being politically correct, and ensure I hear 2 sides of a story. U should do likewise.

rex444:
Do you take sex enhancement drugs?( Tramadol and thr likes) probably u must have ruptured your corpora cavernosa ... Go to the nearest hospital okay

That would have caused a penile fracture and the dude would have been aware.

MrTrump:
29 years bro

Questions are. Are u still seeing the blood now?, does the blood come when u urinate too?

Hope the girl is not on her menses? Most STDs have incubation periods, and would not present on that same night. That said visit a good facility and get urself accessed. How old are u also, as this may help?

2yrs and 4 months now.