therealMcCain:


I will advise you go for a second opinion.

Appendicitis is not something you play with especially if it ruptures.

She can seek a second opinion ... if she approaches a hospital she can trust! It is a trend now for Nigerian doctors to diagnose appendicitis just to make money. People need to be very careful.

After he corrected the antirabies prescription and failed to recommend the immunoglobulin drug. I received the day zero antirabies drug and went home.The fear of incomplete treatment and fear of death overwhelmed me so the following morning, I ran to Ikeja General hospital to present myself to more experienced doctors but when I got there,i got another shock.The nurse i met on duty said i should go and meet one of the training doctors there from the university i think so, and i explained my self to him. people call this guy professor by name.I think he must be very brilliant for calling him a professor.After my narration to this guy, he said everything i read on Google offhand correctly without checking any phone and this guy said I must take this immunoglobulin lattest the day 3 of my antirabies vaccine. I was so happy with what he said but by the time i returned to the nurse , she said one oga patapata has to give his final say on my issue. By the time they meet with the said Oga patapata doctor, that one said I don't need any Immunoglobulin even without seeing the level of cut in my leg.I was so devastated that day and i decided within me to look look for a pharmacy around Ikeja to buy the immunoglobulin vaccine. I bought it around 12k and went to the first general hospital to see if they would administer it for me but they declined. From there, i proceeded to like 5 private hospitals to see if I can see a doctor who will administer it for me but i saw none. I lost all hope in the 3rd day and threw the immunoglobulin vaccine i bought with N12;000 away. After that time, my only hope was on the observation of the dog which was found to be healthy after 10days .But I nearly died of fear of rabies before the 10 days. Well, the dog is still alive now.

fergie0o1:
#JusticeForPeju: Family Accuses Hospital Of Negligence In Death Of Lagos Chef



https://twitter.com/therealdaddymo1/status/1391042286704791553?s=19

SOURCE

Where are all those who say "our leaders failed to build good hospitals" - these are happening in high brow hospitals

Jman06:
When some of us advocate for overhaul of our healthcare system, especially her management, it is because we care for a better and healthy nation. A system that we can be proud to bequeath to our unborn generations.

It is not like we can not join the bad system and make good money from it, but doing that will be akin to destroying the world rather than building it.

Anybody who had been following my posts on this forum will agree that I have been a great advocate of a revamped healthcare system in Nigeria. But some people may think that we are chasing clout or trying to monopolize the system. That is not the case!


Let's fix our health sector now!

When we say fix healthcare system/ health sector it's the blacks working in it that are why it's not working. Hand over management of the hospitals to oyinbo and it will start working. Sad but true. Even Buhari dey go treatment for oyinbo land.

SapphirePRINCEX:
can I dm u?

Yes u can

lastchild:
when my father was in "nnewi teaching hospital" in 2014,I saw alot, 50% of death that occurred on a daily basis were caused by the doctors negligence

the one that made me lost control and descended on the entire nurses, was a two bike accident victims that were brought in

the doctor that was supposed to attend to them ignored them and sent a nurse, the nurse came and was busy eating okpa while one of them was bleeding to death

I lost my cool and created a scene in the entire hospital, what I did brought a little change which could've been taken up to a total revolution

to cut the story short, nurses and doctors attended to the victims by fire by force when my actions attracted victims who's looking for an opportunity to act

Since that 2014 nothing has changed. They are all the same. Blacks are spiritually cursed people....
Blacks.... no one wants to do their jobs excellently in black land aka sub saharan Africa

What a Terrible News it is.....with the amount of money been paid to 'em they still have the Gut to let the Innocent girl die, was it her fault to come to the Hospital i think its Condition that brought her besides thats their profession for sake or are they gonna tell me they don't know what to do? I think they don't.. because if they do, they could've been Confusion between where to start and where not to. Anyways its okay we all going there too someday

Nigerian doctors are so arrogant. That 6 years in medical school makes them feel like they already know everything. We have overhyped them...

Once you advise them, especially as a layperson their ego is bruised. Some will even shut you up; meanwhile you are trying to give them more insight. They won't listen to you... They feel like alpha and omega.

No wonder Pa Buhari dey always travel to treat his ear infection in London...

fostermd:
It's sad this had to occur.When her Blood pressure dipped after surgery, her pulse would have been rapid and faint.This should have indicated an internal bleeding.
An ultrasound scan or even an abdominal tap would have confirmed the bleeding which required taking her back into theatre to secure haemostasis and stop the bleeding. Many Nigerian doctors lack index of suspicion in practice,rather they kept transfusing her.This should even should have made them suspicious of significant leak.They even rebuffed the 2nd opinion by the family gynaecologist in the UK.
Many doctors in Nigeria act as if they know it all.I am.a doctor in Europe and we work as a multidisciplinary team and get input from all.members of the team.

The hospital and the doctors need the doctor need to be investigated and sanctioned by the Medical and Dental Council of Nigeria.The doctors certainly are liable to gross professional malpractice and their practice falls short of the expected standard.

Medical and Dental Council of Nigeria no send....same attitude. That black skin carries with it a curse.... that's why Nigeria is in tatters.... oyinbo skin too is cursed but to a lesser extent.

Segzy19:
Nigerian doctors are so arrogant. That 6 years in medical school makes them feel like they already know everything. We have overhyped them...

Once you advise them, especially as a layperson their ego is bruised. Some will even shut you up; meanwhile you are trying to give them more insight. They won't listen to you... They feel like alpha and omega.

No wonder Pa Buhari dey always travel to treat his ear infection in London...

That same attitude obtains even in workplaces.... the downfall of the black man is ego.....its sickening....

How many "hospitals" in Nigeria have CT scanners? Or even electricity to operate them when needed?

Jman06:
Don't mind some Nigerians! They want to live at the mercy of whites yet they'll cry when the whites want to impose their values like homosexuality on them.

The solution is to fight and get the government do the right thing by fixing our healthcare sector!
Healthcare is very important because only a healthy person can work and earn a living.

Who is "healthcare sector". You need to realise this all boils down to individuals and their attitude to work.... the posts on the first page already said it all...

There's a limit on what governments can do..... individuals like doctors nurses etc must decide to change.

There's a limit to how much govt can act.

Nigerians aren't animals that they must always be compelled to do the right thing.

Testy2020:
What a Terrible News it is.....with the amount of money been paid to 'em they still have the Gut to let the Innocent girl die, was it her fault to come to the Hospital i think its Condition that brought her besides thats their profession for sake or are they gonna tell me they don't know what to do? I think they don't.. because if they do, they could've been Confusion between where to start and where not to. Anyways its okay we all going there too someday

If they were truly professionals, they will refund the money or half of it....

May God accept her soul please

Why would anyone want to do surgery of this magnitude in Nigeria?

My own experience was that I was duped by doctors when my nephew had accident and he needed a plastic surgery for subdural hematoma (brain injury causing internal bleeding), thanks goodness the surgery was successful, so the money they scam me is nothing compared to the life that was saved. I notice some nurses in the hospital are very rude.

Ishilove:

I'm fine, good sir. It's been quite a while we saw you in these unhallowed parts

Google is my friend, quite alright but we are taking a break from each other, so break it down for us

Hmmm difficult to break it down but will give it a try.

The lady went for the surgery due to heavy bleeding and pain.. That suggests a good sized fibroid or several fibroids which in itself is a risk factor for heavy bleeding..

The initial BP suggest a lady who was yet to recover from the heavy bleeding encountered in theatre. I'd presume she might have been given some pressors- to counteract low BP due to hypoperfusion. Pressors paradoxically affect kidney function unfortunately.

This would suggest a lot of bleeding occurred in theatre. A few centres at the time might consider taking the uterus out - which means no more children , at this point......... but concerns that the lady and her family would be irate at this turn of events- might have affected surgical consensus at the time.

Early onset jaundice--yellow eyes-- is uncommon with DIC that early - - DIC which is basically the loss of an inherent ability to form clots and stop bleeding as a result.
This brings the opinion of a possible blood transfusion reaction - - QA has to be on point here. Or a drug/ gas which affects the liver..

It'd appear that there were quite a number of unfortunate events. The lack of clotting factors may have accelerated the deterioration.. Despite the whole blood transfusion.

To some of the comments made earlier..
As much as overseas advice is useful, people should be careful about utilising advice from people who have restricted real-time contextual analysis.

It's not uncommon here to close a patient and do a hematological work up before a return back to theatre as there's so much surgery can do. Waiting for those few hours alongside abdominal packing with clotting factor replacement, hoping her body catches up and fights whilst in ICU has proven very useful.

Imho, imaging was needed at Premier as she was rather unstable to move elsewhere... In the early hours post surgery.

.

PlayMaker14:
Sometimes, being stubborn is really helpful... Barely two months ago, my sister was rushed to the hospital from her place of work and the condition was so critical that required an operation, while in the theatre battling for her precious life, I was praying and sweating profusely that she would come back....

While this was going on, I moved to the female ward of the hospital to get her mantle which she kept on her bag and I saw one of the female patient who's having difficulty to speak and breathe well trying to get the attention of a nurse putting on a white earphone blasting to music from her mobile device.

The female patient was pointing to the pulse clip which the nurse mistakenly removed while arranging her oxygen cylinder.

I had to forcefully remove the useless earphone from her ears and shouted at her to concentrate.... She wanted to misbehave by trying to shout back at me, I had to show her that there are levels to madness by destroying the earphone. I did wrong there, but I hate negligence.... She reported me to the naval personnel there and after everything, they ask me to take it easy and be calm.

What brighten my mood that day was that my sister came out of that health challenge and the doctors gave her full attention anytime she complained.

I don't tolerate negligence at work place.

Action man!

This is so sad. Most of these hospitals only have names but no good doctors. May God rest her soul and comfort her family.

BigBashiru:


Who is "healthcare sector". You need to realise this all boils down to individuals and their attitude to work.... the posts on the first page already said it all...

There's a limit on what governments can do..... individuals like doctors nurses etc must decide to change.

There's a limit to how much govt can act.

Nigerians aren't animals that they must always be compelled to do the right thing.

On many occasions, Nigerian government had been advised to overhaul the leadership of our health sector starting from the minister of health, governing boards of healthcare institutions, leadership of tertiary healthcare institutions etc, but they seem to pay deaf ears to all the calls. Our health sector is currently managed in a cult-like manner where the medical doctors hijack all leadership positions despite not producing the desired results in terms of good healthcare delivery. They connive with their professional body; the NMA to destroy our health sector. They are placed in those leadership positions with no regards to whether they're qualified or not. Because all the medical doctors belong to the same association ie the NMA, they easily get away with professional negligence in those hospitals led by them. Only very few cases are brought to the fore. But when we have unbiased people who don't belong to same professional group, they'll run the system better. Discipline will be easier to instill and people will be on their toes to give their best.

So, government should start by changing the leadership of the health sector. People from any discipline can be appointed ministers and Commissioners of health. They maybe required to have post graduate certifications in health administration and Management and some years of experience in health administration.

Jman06:
On many occasions, Nigerian government had been advised to overhaul the leadership of our health sector starting from the minister of health, governing boards of healthcare institutions, leadership of tertiary healthcare institutions etc, but they seem to pay deaf ears to all the calls. Our health sector is currently managed in a cult-like manner where the medical doctors hijack all leadership positions despite not producing the desired results in terms of good healthcare delivery. They connive with their professional body; the NMA to destroy our health sector. They are placed in those leadership positions with no regards to whether they're qualified or not. Because all the medical doctors belong to the same association ie the NMA, they easily get away with professional negligence in those hospitals led by them. Only very few cases are brought to the fore. But when we have unbiased people who don't belong to same professional group, they'll run the system better. Discipline will be easier to instill and people will be on their toes to give their best.

So, government should start by changing the leadership of the health sector. People from any discipline can be appointed ministers and Commissioners of health. They maybe required to have post graduate certifications in health administration and Management and some years of experience in health administration.

This mentality of using leadership as scape goats must stop. There mustnt be deterrents before people do the right thing. Nurses listening to music on their phone instead of attending to emergency patients can only be cured by introducing foreign Filipina, Chinese English and American nurses into Nigeria who will shame the local nurses into performance and bring about a culture change.

The best hospitals in Nigeria today aren't run by blacks even under the current ministry of health. The foreign run ones are the best managed in Nigeria as of today even under the current ministry of health.

nairalee:
Many Nigerian doctors and nurses exhibit bad attitude. But I'm surprised when they port abroad they automatically imbibe good attitude. Why is that so?

its so because no one has ever been jailed or their licence revoked!!!

MEDICAL here in Nigeria is equal TO none!
Justice need to be DONE. Nigeria MEDICAL lines are evil.
RIP

Hmmm

Rip Peju , may your soul rest in peace.

However going by the writers account ,im yet to see negligence at play here. I know Negligence does exist in some of our hospitals, but in this case where was the negligence , because according to the op she was attended to till they deemed it fit for referal.

Chest pain that radiates to the back could actually be ulcer, but it also be other issues like a myocardial infaction, a pulmonary embolism or even a cardiac arrest. The writer claimed she was given injections and at a point oxygen and was on pulse oximeter which is the gadget that was placed on her finger. The truth is people will continue to die in hospitals as its God that actually heals.

Negligence is failure to administer care or atention to a patient in need. If all the above was done then were is the negligence , just going by the ops account.

For those that said why was she given injections before test was done. Let me say this in that scenario and serious on 2nd presentation that would have been negligence to wait for test when she was in a critical condition. If anybody can do self medication,trust me the doctors and nurse can do first hand prescription or firstaid ,even injections before test it all depends on the presentation and severity of the case. Mind you even simple pain relievers can come as injections .

Before we crucify the hospital lets also hear their account , there have been cases where people sleep and dont wake up. A patient dies in the hospital and then the hospital is responsible is totally insane. No body know exactly her condition or ailment , why do you think even the best hospital in the world would have saved her , if this is so there will be no death.

The hospital killed her is a hasty conclusion based on emotions .

RIP PEJU.

IYANGBALI:
go and bring him back then

bring who back? a dead man? Where did i say that i can bring a dead man back. You clearly didn't comprehend what i articulated in my previous comment.

drsibz66:
Rip Peju , may your soul rest in peace.

However going by the writers account ,im yet to see negligence at play here. I know Negligence does exist in some of our hospitals, but in this case where was the negligence , because according to the op she was attended to till they deemed it fit for referal.

Chest pain that radiates to the back could actually be ulcer, but it also be other issues like a myocardial infaction, a pulmonary embolism or even a cardiac arrest. The writer claimed she was given injections and at a point oxygen and was on pulse oximeter which is the gadget that was placed on her finger. The truth is people will continue to die in hospitals as its God that actually heals.

Negligence is failure to administer care or atention to a patient in need. If all the above was done then were is the negligence , just going by the ops account.

For those that said why was she given injections before test was done. Let me say this in that scenario and serious on 2nd presentation that would have been negligence to wait for test when she was in a critical condition. If anybody can do self medication,trust me the doctors and nurse can do first hand prescription or firstaid ,even injections before test it all depends on the presentation and severity of the case. Mind you even simple pain relievers can come as injections .

Before we crucify the hospital lets also hear their account , there have been cases where people sleep and dont wake up. A patient dies in the hospital and then the hospital is responsible is totally insane. No body know exactly her condition or ailment , why do you think even the best hospital in the world would have saved her , if this is so there will be no death.

The hospital killed her is a hasty conclusion based on emotions .

RIP PEJU.

Stop defending Nigerian hospitals and doctors.
Sho gbo

ppeessuu:


Stop defending Nigerian hospitals and doctors.
Sho gbo

You are the ignorant one here dear..

Of course negligence happens but in this case I think they tried their best..


If the patient has DIC, the advice from Abroad Doctor abt taking her to the theater is highly contraindicated and would kill the patient faster. Nigeria don't have equipment that ll sustain taking her back to d theater , u ll need enough blood, not the ones they donated that they had to call family here and there for blood, they have enough of selected platelet in bulk, where do u get that in Nigeria?? So one of the best thing is to give pressor agent and watch as the body might recover back..

Dont just conclude base on emotion. Those who did the surgery aren't kid, these are groups of obstetrician and knows better in this case...

Doctors only try, God heals, meanwhile I pray we hear the truth of the matter as the case press further and if found wanting due to negligence, they should b purnised according to d law then.. But with what I'm seeing here, I doubt if they are guilty.

Tedpgrass, my respects!
Your analysis of this case is topnotch. From your first post to this one, I have learnt a lot.

Tedpgrass
post=101525044:


Hmmm difficult to break it down but will give it a try.

The lady went for the surgery due to heavy bleeding and pain.. That suggests a good sized fibroid or several fibroids which in itself is a risk factor for heavy bleeding..

The initial BP suggest a lady who was yet to recover from the heavy bleeding encountered in theatre. I'd presume she might have been given some pressors- to counteract low BP due to hypoperfusion. Pressors paradoxically affect kidney function unfortunately.

This would suggest a lot of bleeding occurred in theatre. A few centres at the time might consider taking the uterus out - which means no more children , at this point......... but concerns that the lady and her family would be irate at this turn of events- might have affected surgical consensus at the time.

Early onset jaundice--yellow eyes-- is uncommon with DIC that early - - DIC which is basically the loss of an inherent ability to form clots and stop bleeding as a result.
This brings the opinion of a possible blood transfusion reaction - - QA has to be on point here. Or a drug/ gas which affects the liver..

It'd appear that there were quite a number of unfortunate events. The lack of clotting factors may have accelerated the deterioration.. Despite the whole blood transfusion.

To some of the comments made earlier..
As much as overseas advice is useful, people should be careful about utilising advice from people who have restricted real-time contextual analysis.

It's not uncommon here to close a patient and do a hematological work up before a return back to theatre as there's so much surgery can do. Waiting for those few hours alongside abdominal packing with clotting factor replacement, hoping her body catches up and fights whilst in ICU has proven very useful.

Imho, imaging was needed at Premier as she was rather unstable to move elsewhere... In the early hours post surgery.

.

Drfinn:
Tedpgrass, my respects!
Your analysis of this case is topnotch. From your first post to this one, I have learnt a lot.

Thanks very much sir.

.

I'm not even a doctor. I'm a registered nurse based in the US and I would have suspected that woman was bleeding somewhere. Her blood pressure was dropping so much after surgery and they kept giving her blood without finding out why it was dropping that much. Even her kidney was shutting down due to low blood volume and they still couldn't figure out what was going on. Ah, I think that untimely death was a preventable one. God knows how many patients they might have carelessly treated and led to untimely death that way. Maybe if the uk doctor was not involved, they would have given her another diagnosis and said something else killed her and most people would not know. This is so sad

May her soul RIP