₦airaland Forum

very sad. may their souls rest in peace.

...everybody calm down

Zzor:
im a prophetess

this is the best you got?

Zzor:
mynd44:He's that type of guy that doesn't have much emotions to offer,hes the type that finds it hard to apologize,you will only notice and feel his good side when he wants to get laid,after that,he resumes his normal behavior.You will get emotionally drained dating him

Zzor:
Lefulefu:He's a very nice guy and will treat you well but I hope you have the strength to fight all the attractive ladies that comes his way,he will drain you and you will still not have concrete evidence against him.Avoid him for your peace of mind

Zzor:
mynd44:He's that type of guy that doesn't have much emotions to offer,hes the type that finds it hard to apologize,you will only notice and feel his good side when he wants to get laid,after that,he resumes his normal behavior.You will get emotionally drained dating him

.

how come you know these?

with your use of words, it shows you already dealing with it. just calm down and relax. no allow the kind vibe why you dey see from am enter your space. stay grinding.

with your use of words, it shows you already dealing with it. just calm down and relax. no allow the kind vibe why you dey see from am enter your space. stay grinding.

helpee:
You are very correct. That should be the norm. In Australia for example, call 000 and the ambulance is there. The ambulance operating in that area already knows the closest hospital that can handle it and they would have pre informed them. Meanwhile, the ambulance will come with paramedics prepared with ventilator, drips, blood in the ambulance for onward care on the way to the hospital. REMEMBER THEY DONT NEED TO PAY AND THE DOCTOR IS NOT BEARING ANY COST SO MONEY IS NOT EVEN AN ISSUE. Even at the site of the accident, people would most likely call 000. They won't take the victim to a hospital that will reject them because you can't blame the hospital who can't handle it. THE BOTTOM LINE IS THIS....BLAME BUHARI

no don't blame Buhari...
he got too much on his plate, many which are leftovers .
shouldn't the profession be clamouring for stipulations and actions for things like this.
cos current tussle has no resemblance with achieving this kinda state

helpee:
Honestly, even in advanced countries, it is meant for tertiary centres. It usually requires a multi disciplinary approach under normal settings. For example, let us assume the spleen is bleeding from gun shot wound, that requires immediate surgery by a surgeon and obviously an anesthesiologist is needed. It may be the lungs that is bleeding, you need a thoracic surgeon immediately. Even if the patient don't need more than chest tubes, you still need to be in a centre that can mobilise resources in a short time in case the bleeding from the lungs is not subsiding or there is persistence of say hemopneumothorax. The immediate condition alone doesn't matter. If the condition of the patient starts deteriorating suddenly, you need to be monitored in a tertiary centre that can immediately mobilise resources. Don't forget also that in Nigeria , we pay at the point of service. So, if the patient requires immediate surgery, ten pints of blood or more, assisted ventilation etc, do you honestly believe the private hospital can quickly afford to call a surgeon, an anesthesiologist at a very high cost and buy ten pints of blood for patients at their own cost assuming the hospital can even quickly mobilise such. If they ask for deposit won't you shout? Don't forget the patient may need a quick ultrasound/CT scan to delineate the site of intra abdominal bleeding for example before moving the patient to theatre meaning you also need a radiologist. Nigerians don't appreciate the complexity of medicine. They equate a big building to a hospital and once the hospital refers them they become aggressive saying you must do something. It is not straightforward.

in summary, it's not a very easy thing to do, like its kinda complex and not very plain.
isn't there any form of "standard" approval procedures b4 a "building" can be certified a hospital?
And it also shows that many specialist hospitals operate within same stream.

helpee:
Unless the bullet is impacted close to a vital organ, removing the bullet is not the immediate priority. The first thing is the hemodynamic stability of the patient. The patient may need an immediate surgery but usually not because the bullet must be extracted. The surgery may be needed to repair bleeding vessels, intestines etc and in the process the bullet may be extracted if it is not dangerous doing so at that time. However, removing the bullet is not the priority. The patient may need blood transfusion, enough drips, assisted ventilation, arrest of bleeding in the acute stage. Ordinarily, a gun shot is a case for tertiary centres abinitio. Meanwhile, prior to the law that authorized hospitals to treat patients without doctors report, it was a common scenario asking for a police report ( sometimes they used it as an excuse to discharge patient rather than telling them they can't handle it or that the patient is dead already), however since they enacted the law, no doctor is foolish enough to use it as an excuse. That is what I am trying to infer.

okay.
dies this seem like it may be very difficult for "many hospitals" to achieve right?

your honest professional opinion.

helpee:
No problem then. You believed the report from a journalist who is just interested in sensational news to gather traffic and you insist on crucifying hospitals and doctors. Every single doctor knows you can now treat a patient without police report in Nigeria because it is now a law so which doctor will now tell you I won't treat for police report. All those reports you were hearing were distorted. However, as a typical Nigerian with a mindset, you will want to insist it is true. General hospital Ota should be closed for not attending to the patient. Now you are happy.

Are you insinuating that every report that has been published about a hospital rejecting victims of gunshot wounds were distorted?

and it seems like you know about the medical profession...
what do you think is the standard requirement needed to extract a bullet from a person?

helpee:
so why did GENERAL HOSPITAL SENT HIM AWAY TOO? You think doctors are foolish? No doctor will tell you they are rejecting him for police report. They will tell you to take him to general hospital. I can bet my balls that is exactly what happened. They may ask for police report because when police start their investigation, they will still come and ask you about the case and you can just tell them you asked them to take him.to general hospital and you asked for report at that time but they had guys critically. They brought the five to us without any report. The police at the site refused to help the people transport the victims. They wanted to tow the vehicle since the guy had escaped and police knew that was the only way to trace him so rather than help the victims they didn't. Four were deeply unconscious and we asked them to move them to GH they were begging. We accepted two, two died and one was eventually moved. One just came out of coma about two days ago. We did that because we had the capability to treat....they were rejected by two other hospitals but I also know those hospitals couldn't handle it. No doctor...I repeat....no doctor will categorically tell you I am rejecting you for lack of police report. It is a lie

you are not "every" doctor and you certainly don't work in "every" hospital.
it is a "cliche" in Nigeria.
whatever reasons they might have I repeat, it wasn't stated other than the need for a police report.
and what do I have to gain with your balls, please keep them.

helpee:
You guys don't know how to read in between. They took him first to MERIT hospital which you want to be closed and then GENERAL HOSPITAL TOO....Why not close the general hospital who referred him to another one too? Nigerians usually misinterpret referral to rejection. The so called MERIT obviously did not have the capability to handle it. All they needed to do at most was just set up a drip like normal saline and then REFER. In the process, they may ask for POLICE REPORT but that doesn't mean they are referring for lack of police report. For you to know how critical the case was....the general hospital too REFERRED TO ANOTHER GENERAL HOSPITAL. It means the case was meant for a tertiary centre probably with CRITICAL CARE UNIT. The problem we have is the referral system which you can blame on govt. There should be free ambulance services that anyone can call that will take them to appropriate centres. You present a bad case to a glorified clinic and they ask you to go to general hospital, you will start blaming them that they rejected you. What should they do? They can't handle it....it is not the same thing as rejection. However when patient are reporting it, they will term it rejection because you asked them to take him to general hospital. They will keep saying....help us to attend to him now.

in accordance to the incident report, the deceased was rejected at Merit Hospital for lack of "police report". if there were other issues as it concerns Merit's actions, it wasn't stated.
we know every hospitals are of different capabilities, but the narrative of rejecting gunshot wounds for lack of police report, sounds like a broken record we all tired of. let other professional reasons be given that won't have to make lives seem worthless.

this order of police report b4 attending to a gunshot wound is very barbaric, it should be abolished.
if merit hospital had done the needful maybe he could still be alive and the friends wouldn't have to resort to a herbalist.

4teenblaq:
my child must play ball oo

someone is sitting on the bench is earning hundred of thousands and millions.

me that is working like a bull have nothing in my account close to tens of thousands.

what about the individuals or the owners of companies that pay these athletes?

whatever path you choose, there is success( monetary) as it implies here. your attitude is gonna make the difference.

both Ronaldo and Messi held the football world hostage for 10 consecutive years. it's no joke!

Magicians:
Where did he reveal that he awarded contract to assembly members ? The contracts he exposed awarded to the assembly members where on earth did he confess to you he awarded it to them. Myopic soul like you do not want to be insulted but you believe you own the right to make foolish n senseless statements.

You want to act like you can reason but dementia won't let you query why PDP was unable to audit NDDC from 1999 even when all Nigerians know it is the citadel of corruption. Why would you rather castigated Akpabio that made this attempt but shut your foolish mouth on those that never attempted any prob talk more a forensic audit ?

which political party was Akpabio affiliated with before August 2018?
no-one on this forum is gullible, it's possible some have more knowledge than others but that doesn't sway the truth.
so bro, calm down.