₦airaland Forum

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simplex2:
Just read the op.
You can imagine the incompetence of that house officer. The first thing he did was to run across the street to buy airtime to make calls! He doesn't even trust his ability as a quack medical doctor to save a life: stop a bleeding, suzture some dangerous cuts, administer first aid; he ran around to make calls!
Cosmatika, the blood if those you murdered will continue to tomment you! You will never know peace in this your medical career! You will never pass any of your residency exams! You will remain a junior medical officer till depression forces you out of that field!
Murderer! Killer! Imagine blaming govt policies when hospital emergency units are run to save lives first!
You will know no peace!!!

I support cramjones on this.
That doctor and all the hospital management should b prosecuted asap without delay. He should thank his stars I wasn't the fiance I would have strangled the idiot right there, then set the fuc king,useless, worthless hospital on fire.


Doctors and nurses kill patients more than HIV and Ebola combined.



Omo I don vex now sef

When I went through the Doctor's write up yesterday, I kept asking myself if it was necessary for the HO to come to the social media to disgrace his teachers and to justify the reasons why his temporary licence should be withdrawn.(1) As a House officer, u are meant to practice under the supervision of a consultant, the consequence of leaving a HO alone in the hosp is what happened.(2) If you transfer an emergency to a referral centre without stabilising the patient first, you are bouncing them and not referring. In that case, you neither stabilise them nor prepare them for the jurney which may take up to an hour. These patients may die of preventable complications en-route. I lost one of my teachers, a consultant pathologist sometimes last year, he bled to death because he was first seen by a wrong person. We all learned ATLS protocol in medical school but some doctors chose to invent their own protocol in practice.

cramjones:
fellis

Honestly, reading about that incidence just got me pissed again.
Nigerian Doctors; the majority of them at least are only after their pockets and that's why they keep embarking on endless strikes. They never strike to get the government to increase funding for the health sector or to improve on hospital amenities, its always for salary increment and the worst part is that they are mostly half baked jokes who crammed their way through university.
Why would a HO who cannot make independent decisions be the first point of contact for a dying patient?
HOs are fresh out of university for heavens sake, they are undergoing their horsemanship training programme to LEARN more under fully qualified experienced professionals, they have no business being left alone to attend to critical patients.
Another thing that annoyed me was the fact that the OP of that thread said he was the only doctor in an A&E unit.
How the hell is that even possible?
How do you leave only one doctor in A&E and an HO for that matter, when you know patients coming in will most likely need the most expert emergency care, provided by a medical team for them to make it through and survive?
I would really like to know the name of the hospital that cosma whatever guy works. I need to warn my family and loved ones to avoid that place like a plague.

interesting

I had a similar experience at UCH Ibadan on the night of 21st November. An uncle was rushed there so i was with him. Around midnight, the police brought a guy in there van with a broken leg. They called the matron, who came to check the patient, who was in serious pain and the next thing she asked the police was who was going to food the bill? The poliemen said he was a robber who jumped from a two storey building, but that they(the police) will pay the bill. The matron wasnt convinved and called the welfare, who came and showed sympaty. The welfare lady pleaded with the matron to atleast, give pain killers but the matron vehemently refused saying they dont have any pain killers. I was shocked.
This is the same situation in most Nigerian hospitals. They dont care about anybody except themselves. I was wondering, if the guy in question happens to be someone she knew, will she inquire who will food the bills? Most times, this people still drugs brought by government with taxpeyers money to sell to phamarcies, and come around to tell us government dont do anything.
Its a Nigerian problem, and i think we should change our ways. Same thing happens in most government establishments. They dont do what they are paid to do, instead, they want gratifications or better still bribe before doing what they are paid to do.
Again, i think the NHIS thing is shit. It only covers what most people can afford and i hear its mostly for Civil Servants.

AdiscoPele:
I had a similar experience at UCH Ibadan on the night of 21st November. An uncle was rushed there so i was with him. Around midnight, the police brought a guy in there van with a broken leg. They called the matron, who came to check the patient, who was in serious pain and the next thing she asked the police was who was going to food the bill? The poliemen said he was a robber who jumped from a two storey building, but that they(the police) will pay the bill. The matron wasnt convinved and called the welfare, who came and showed sympaty. The welfare lady pleaded with the matron to atleast, give pain killers but the matron vehemently refused saying they dont have any pain killers. I was shocked.
This is the same situation in most Nigerian hospitals. They dont care about anybody except themselves. I was wondering, if the guy in question happens to be someone she knew, will she inquire who will food the bills? Most times, this people still drugs brought by government with taxpeyers money to sell to phamarcies, and come around to tell us government dont do anything.
Its a Nigerian problem, and i think we should change our ways. Same thing happens in most government establishments. They dont do what they are paid to do, instead, they want gratifications or better still bribe before doing what they are paid to do.
Again, i think the NHIS thing is shit. It only covers what most people can afford and i hear its mostly for Civil Servants.

From doctors I have spoken to and my little experience, this cannot happen in University of Benin Teaching Hospital (UBTH), Ugbowo, Benin.
City.
They always stabilize their patients first in the emergency room before asking for money. They will only not transfer the patient to a ward if the patient have not made some deposits.

In emergency room, they will always threat the patient first.

These are my observations and comments based on my experience in and out of Nigeria in both public and private sectors.

1. House officers are doctors in training and should never be in charge of A&E. Most HOs could hardly secure IV access or suture in the first few weeks of internship. I was trained in a teaching hospital with Paediatrics, Obst and Gynae, Surgery and Internal Med departments having the HOs and Registrars manning different cubicles together in the A&E even during holidays and weekends.
HOs must work with Casualty Officers and see accident victims together in order to gain experience.

2. In General Hospitals, the Medical Officer is supposed to be on ground to see emergency cases with the HOs. My experience with General Hospitals is that most patients are referred to the FMCs or Teaching Hosp without any resuscitation. How on earth do an MO ask HO to ask for deposit or refer critical cases without even seeing the patients.

3. The poster should have attempted to do some resuscitation such as secure IV access, give plasma expanders, secure bleeders etc. Every A&E should have surgical gloves, suturing materials, canula, giving set etc for all emergency cases without any deposit. This is the practise except things have changed (am talking of 15 years ago).

4. In future you need to document every action taken because your MO is likely to deny your allegation on deposit or referral.

5. Referral should not be done by an HO but a senior doctor. HO is not yet a fully licensed doc but practising with a provisional license and cannot be communicating with another hospital as a doctor since he has a senior.

6. It is unethical to put this kind of scenario in the social media. You have implicated yourself, your colleagues and the hospital. I bet you this is not the end of the matter. This case is likely to end up at the Medical and Dental Council, Ministry of Health or the State House of Assembly or even in a court of law. The social media is going to take this up in order to verify if there is any Government hospital in Nigeria asking for deposit for accident victims. Mind you people have being able to trace your hospital and you stated the date and time of the incident.

7. It is unethical to take pictures without informed consent. You could be sued for this.

8. I hope the hospital do a weekly or monthly review to discuss this type of scenario.


9. What is the hospital policy concerning emergencies? We dont need to blame the doctors until we actually know what is the environment they are working in. I wont be crossed if it is a private hospital but a Government Hospital such not be demanding any deposit by attending to emergency.

thorpido:
From the write-up,you can say this was negligence.Nevertheless,the facilities available affect services in hospitals.

It is not negligence but inhumanity, cooked with madness and served hot with greed.

There is this general 'i don't care' attitude which is displayed in our government owned health service sector. Just as this government is fighting corruption, there should be an enquiry into happenings in the public health sector.

Journalists must now begin to carry out investigative journalism to cover all such facilities in Nigeria. I am calling on the likes of Sahara reporters to bring the rot in our health care sector to the fore so that punishments can be served to act as deterrent to send a message down the line.

AdiscoPele:
I had a similar experience at UCH Ibadan on the night of 21st November. An uncle was rushed there so i was with him. Around midnight, the police brought a guy in there van with a broken leg. They called the matron, who came to check the patient, who was in serious pain and the next thing she asked the police was who was going to food the bill? The poliemen said he was a robber who jumped from a two storey building, but that they(the police) will pay the bill. The matron wasnt convinved and called the welfare, who came and showed sympaty. The welfare lady pleaded with the matron to atleast, give pain killers but the matron vehemently refused saying they dont have any pain killers. I was shocked.
This is the same situation in most Nigerian hospitals. They dont care about anybody except themselves. I was wondering, if the guy in question happens to be someone she knew, will she inquire who will food the bills? Most times, this people still drugs brought by government with taxpeyers money to sell to phamarcies, and come around to tell us government dont do anything.
Its a Nigerian problem, and i think we should change our ways. Same thing happens in most government establishments. They dont do what they are paid to do, instead, they want gratifications or better still bribe before doing what they are paid to do.
Again, i think the NHIS thing is shit. It only covers what most people can afford and i hear its mostly for Civil Servants.

Please to correct the misinformation above. NHIS is for everybody. It is a health insurance scheme. Many Nigerians ignore insurance maybe they think it is too expensive. However, one can subscribe to NHIS with just N2,500 or even N10,000 for a family of five (5).

How many of those castigating the doctor have ever stopped to help people at an accident site or helped pay any accident victims emergency bill. The doctor is a product of his society. Do you think he is not aware that this could be him in a strange place or his sister or his mother. He posted that this was the worst day of his life and my advice to him as a more senior doctor is, to hurry up and get out of this country and practice medicine in a saner environment or find something else to do with his life.
I have paid patients bills, bought food for indigent patients, bought emergency drugs from my pocket, donated blood for patients whom I do not know from Adam. The last patients relative I gave money to run investigations for his child took off, left his child on the ward and dissappeared a day before the surgery. The surgery had to be cancelled because the pre op investigations had not been done. Nigerians have no love for one another,no value for human life generally but expect their fellow Nigerians to be angels because they studied medicine. Personally I am done, I have taken the advice I give to younger doctors especially in public service. I have bowed out. At least one less idiotic stupid doctor in the system.

Can nigeria ever be a good country?

I doubt it.

cramjones:
-CramJones

I like this old troll .

Op, you are right on what you have itemized herein.

The Dr and his colleagues should be charged for negligence. He was supposed to have acted on his instinct by trying to save the lives of those accident victim first and after stabilizing them, he can now start making calls.
He allowed them to die in his presence and he is here saying he was moved to tears.

Cramjones and his silly Inquisition. Haven't you berated this guy enough already Abi you wish he could lose his license...... by rallying Nlanders on a campaign and shouting "Crucify Him....Crucify Him"?



This spirit of wailing must not follow you into the incoming year. Even Jona has moved on.

alexis007:
Cramjones and his silly Inquisition. Haven't you berated this guy enough already Abi you wish he could lose his license...... by rallying Nlanders on a campaign and shouting "Crucify Him....Crucify Him"?



This spirit of wailing must not follow you into the incoming year. Even Jona has moved on.

Alexis why can't we just get along? Kindly strive for peace and harmony...Its a new year! Let us get along!

-CramJones

cramjones:
Alexis why can't we just get along? Kindly strive for peace and harmony...Its a new year! Let us get along!

-CramJones

Okay. P is for peace.


Terms and conditions apply anyway.

CODE OF MEDICAL ETHICS IN NIGERIA

Duties of Physicians to the Sick

A physician shall always bear in mind the obligation of preserving human life.

A physician shall owe his patients complete loyalty and all the resources of his science. Whenever an examination or treatment is beyond the physician's capacity he should summon another physician who has the necessary ability.

A physician shall preserve absolute confidentiality on all he knows about his patient even after the patient has died.

A physician shall give emergency care as a humanitarian duty unless he is assured that others are willing and able to give such care.


I am still trying to understand the rationale behind this house officer running across the road to buy airtime when he had bleeding and probably unconscious patients before him and to think that he even took picture(s) of such patients and posted it (them) online is unimaginable.

Why was he left alone in the emergency room?

Cramjones you need to visit what we have as emergency rooms in our hospitals, where you cannot get an ordinary N200 cannulla talk more of IV fluids. Patient relatives practically buy EVERY l mean EVERY item needed for treating their relatives... PITY

In emergencies there is room for resuscitation before referral not the other way round. However some hospitals (because of bad experience in the past) insist on making some deposits..... I don't know what his hospital's policy regarding emergency services is.

Because patients/relatives abuse such privilege save hospitals insist on full payment before admission and they have indigent forms that will take care of emergency services for ONLY 24 hours.

That doctor did not do well and should learn that his oath said : first do no harm.... Running out for airtime caused the damage.