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Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests - Health (3) - Nairaland

Nairaland Forum / Nairaland / General / Health / Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests (19764 Views)

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Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by omohayek: 7:34am On Apr 06, 2020
This has got to be the st.upidest thing I've read in a long time! If medical doctors needlessly expose themselves to personal risk by examining patients they suspect of having COVID-19, and then end up catching it themselves, who will be left to treat the rest of the population, witch doctors? Why does this loudmouth think the lack of personal protective equipment (a.k.a PPE) for medical professionals is currently such a big deal all across Canada, the USA and Western Europe?

3 Likes

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Angelfrost(m): 7:37am On Apr 06, 2020
ibnzubair:


I beg to differ sir.
I'm sure no doctor (in his right mind) would send a patient with acute asthmatic attack, acute decompensated heart failure or metabolic acidosis for COVID 19 test, even though they present with respiratory symptoms.

That said, COVID 19 has rarely any examination features that distinguishes it from other barrage of upper respiratory illnesses, hence I think any patient with a history that hints to COVID 19 (especially travel history or contact with a high risk individual) should be sent for testing.

Your last line is very apt... Proper clerking should tell a physician that, and covid testing should be immediate...

But, that doesn't mean the patient should not be at least placed on symptomatic treatment or palliative while results are awaited...

It would be quite unfair and unheard of that a critical case is left untreated and dies while results are awaited... Worse still, the result turns out negative.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Angelfrost(m): 7:40am On Apr 06, 2020
omohayek:
This has got to be the st.upidest thing I've read in a long time! If medical doctors needlessly expose themselves to personal risk by examining patients they suspect of having COVID-19, and then end up catching it themselves, who will be left to treat the rest of the population, witch doctors? Why does this loudmouth think the lack of personal protective equipment (a.k.a PPE) for medical professionals is currently such a big deal all across Canada, the USA and Western Europe?

Well, I sense the prof is under the assumption that PPEs are as common as garri here in Nigeria...

Please, pardon him... Isn't that how most of your fellow Nairalanders yarn like they live in a cloud or the moon.... People will just be living in denial!!!
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Angelfrost(m): 7:42am On Apr 06, 2020
PipTick:
It's worrisome that everyone with similar symptoms wants a Covid-19 test.


Nope... It's worrisome that everyone with similar symptoms is not quickly covid tested as a matter of priority.

1 Like

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by DarkJeddi(m): 7:51am On Apr 06, 2020
PipTick:
It's worrisome that everyone with similar symptoms wants a Covid-19 test.

Because everyone with similar symptoms maybe COVID 19 until proven otherwise..

2 Likes

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by manontree: 7:53am On Apr 06, 2020
shuttox:
Very important...As Coronavirus is trending..some fake and quack doctors that discovers any respiratory problem thinks you have contacted Covid-19


What do you mean by this? So you don't know that tests are a major part of the diagnostic steps. Mass testing is advocated all over the world and you are here calling people quacks

Have you heard of the number of doctors getting infected and dying? Pls be civil with your words. These are your frontline defenders. They face risks everyday while you cost at home and call them quacks

2 Likes

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by eyinjuege: 8:06am On Apr 06, 2020
Please provide hospitals with PPE.

Patients with cough should be triaged and seen by specific Drs- for adults and children, who will see them in a separate place, and have PPE available to them.
Now is the time for MdCN or NMA to release specific antionwide guidelines and standard operating procedure for covid to all Drs in Nigeria.
There should be a guideline to guide and a tree to follow. Get off your ass and do something NMA.

2 Likes

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Sheuns(m): 8:25am On Apr 06, 2020
Krak:
But the WHO is advocating for mass testing. The US has done millions of tests, UK is working towards doing 100k tests daily by month end. Mass testing is the only way of having an idea about the infection rate in a country.

Even South Africa is doing mass testing, so why is this man saying something else?

Don’t mind him. They’re planning on looting the resources meant to do the tests
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Cityguy: 8:27am On Apr 06, 2020
philfearon:
It's a no brainer.
But, i understand it's because of the cost of performing the test for Covid-19 that he is indirectly hinting at anyway.
It is d cost that is their worry jare. You just hit it on the head. What I need to understand is how doctor's physical examination of patient would rule out URTI. Presentation and findings are likely going to be same but how would that identify the causative agent, in this case coronavirus? And to take it home, nurses, doctors and other frontline staff have no PPE. Common surgical masks are not available and you want proper 'exams'? You try our professor.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 8:27am On Apr 06, 2020
So what will examining the patient contribute... apart from another contact case to investigate?

Test first, and if negative, send him/her back to their doctor for further treatment. That way, no one gets hurt; including the doctor who has had no PPE issued and a family at home.

1 Like

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 8:29am On Apr 06, 2020
shuttox:
Very important...As Coronavirus is trending..some fake and quack doctors that discovers any respiratory problem thinks you have contacted Covid-19

patients and their relatives are lying about thier travel history up and down, so this is going to make healthworkers discriminate you. This has already happened in 3 teaching Hospitals where patient and his relatives deliberately hid travel history, then later died. Infecting a lot of doctors, nurses, cleaners and so on. Many have had to go into self isolation . This news is being suppressed. Trust me, nigerians will get what is coming for them. Once you cough, straight to NCDC. Since people want to be stupid and greedy.



Since some Hospitals are reducing our salaries so that they can be prepared for COVID 19,since Hospitals refuse to supply PPE. NCDC is just witnessing the beginning.

RisenPhoenix greatresearcher

4 Likes

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Cityguy: 8:29am On Apr 06, 2020
Sheuns:


Don’t mind him. They’re planning on looting the resources meant to do the tests
That is in addition to the fact that they are not organised and were merely making political joke of the issue before it got here. That much was said by one of them when shit hit town.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Cityguy: 8:32am On Apr 06, 2020
funmisticqueen2:
patients and their relatives are lying about thier travel history up and down, so this is going to make healthworkers discriminate you. This has already happened in 3 teaching Hospitals where patient and his relatives deliberately hid travel history, then later died. Infecting a lot of doctors, nurses, cleaners and so on. This news is being suppressed. Trust me, nigerians will get what is coming. Once you cough, straight to NCDC. Since people want to be stupid and greedy.


Since some Hospitals are reducing our salaries so that they can be prepared for COVID 19,since Hospitals refuse to supply PPE. NCDC is just witnessing the beginning.
Very pathetic. I doubt that those medics have any insurance sef. In short, if they die, na their loss. What a country!

1 Like

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 8:37am On Apr 06, 2020
funmisticqueen2:
patients and their relatives are lying about thier travel history up and down, so this is going to make healthworkers discriminate you. This has already happened in 3 teaching Hospitals where patient and his relatives deliberately hid travel history, then later died. Infecting a lot of doctors, nurses, cleaners and so on. Many have had to go into self isolation . This news is being suppressed. Trust me, nigerians will get what is coming for them. Once you cough, straight to NCDC. Since people want to be stupid and greedy.



Since some Hospitals are reducing our salaries so that they can be prepared for COVID 19,since Hospitals refuse to supply PPE. NCDC is just witnessing the beginning.

RisenPhoenix greatresearcher

NCDC says I should get examination from a hospital, hospitals say I should first get a negative test from the NCDC. Be playing us like table tennis. I don't pray for illness, but when an original werey like me enters a hospital with one of his sick kids, I dare you to send them up and down. You will know that angry dads have close to 100% mortality rates and can kill faster than coronavirus.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 8:38am On Apr 06, 2020
Cityguy:

Very pathetic. I doubt that those medics have any insurance sef. In short, if they die, na their loss. What a country!
exactly.

Once you die of coronavirus, the government takes away your corpse, your family is not allowed to bury it. That's is the way it is in any epidemic. Same for Ebola. They cremate the body. For One of the cases that I am talking about the family tried and succeeded in pulling strings so that the corpse could be buried the same day because they are Moslem. It was post mortem that the hospital discovered that the patient was positive for coronavirus.

1 Like

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by ibnzubair(m): 8:43am On Apr 06, 2020
Angelfrost:


Your last line is very apt... Proper clerking should tell a physician that, and covid testing should be immediate...

But, that doesn't mean the patient should not be at least placed on symptomatic treatment or palliative while results are awaited...

It would be quite unfair and unheard of that a critical case is left untreated and dies while results are awaited... Worse still, the result turns out negative.

I think critical patients suspected to have COVID 19 are taken over by the NCDC immediately. They'd handle palliation and perhaps respiratory support.

Suspected carriers of the virus are neither expected to be admitted into hospital wards nor sent home. It's the doctor's responsibility to call the NCDC, and the NCDC's responsibility to respond adequately

1 Like

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 8:43am On Apr 06, 2020
RisenPhoenix:


NCDC says I should get examination from a hospital, hospitals say I should first get a negative test from the NCDC. Be playing us like table tennis. I don't pray for illness, but when an original werey like me enters a hospital with one of his sick kids, I dare you to send them up and down. You will know that angry dads have close to 100% mortality rates and can kill faster than coronavirus.
should I now come and die, because you withhold valuable information that can put me, my family, and other healthworkers in danger? We reserve the right to refuse treatment Biko, jejely send you and your kids to NCDC or a higher facility.

You cannot force us. Go and see how other countries are compensating their doctors and so on. And you are there running your mouth. Them never vex beat you before

2 Likes

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 8:44am On Apr 06, 2020
ibnzubair:


I think critical patients suspected to have COVID 19 are taken over by the NCDC immediately. They'd handle palliation and perhaps respiratory support.

Suspected carriers of the virus are neither expected to be admitted into hospital wards nor sent home. It's the doctor's responsibility to call the NCDC, and the NCDC's responsibility to respond adequately
those NCDC numbers don't work. I know because I have tried, alongside my classmates when one of us had a patient come in with florid symptoms and significant history. Took a whole day to no avail. The patient herself had to pull strings to get NCDC to contact her.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by photon3106: 8:52am On Apr 06, 2020
danowena:
See this man that called himself a professor speaking like a layman. So doctors should examine patients critically before refering them for malaria tests as well? Professor, just incase you have forgotten, the tests are meant to either confirm or negate suspicion of an ailmemt. It is a vital part of the diagnosis process.
Despite the number of negative results in the US and Uk (as examples) did you hear them advise doctors to stop referring people for tests? I am glad you mentioned that some were postive. What if the doctors of those positive ones allowed them to roam about? Professor, take your time o o. This is not the time to say rubbish if you have nothing tangible to say. Don't risk the lives of people because you want media attention.
Your statement is grossly stupid and very irresponsible.

No offence intended! I believe the declaration/statement is clear enough. In case it wasn't, consider a situation where someone who has severe difficulty in breathing and very weak probably due to an accident or termly illness and was rushed in to a nearby hospital for urgent healthcare. Would you as a doctor refuse treatment until you see a covid-19 test result? This is exactly what some unqualified doctors are doing this time.

A man bangs his head accidentally when he slipped off a wet floor and suffered severe headache and nose bleed. He was rushed to an hospital and the doctor was waiting for Covid-19 test result. How interesting! grin
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by famzynet: 8:53am On Apr 06, 2020
danowena:
See this man that called himself a professor speaking like a layman. So doctors should examine patients critically before refering them for malaria tests as well? Professor, just incase you have forgotten, the tests are meant to either confirm or negate suspicion of an ailmemt. It is a vital part of the diagnosis process.
Despite the number of negative results in the US and Uk (as examples) did you hear them advise doctors to stop referring people for tests? I am glad you mentioned that some were postive. What if the doctors of those positive ones allowed them to roam about? Professor, take your time o o. This is not the time to say rubbish if you have nothing tangible to say. Don't risk the lives of people because you want media attention.
Your statement is grossly stupid and very irresponsible.

You are wise. Remain blessed.

1 Like

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 8:53am On Apr 06, 2020
funmisticqueen2:
should I now come and die, because you withhold valuable information that can put me, my family, and other healthworkers in danger? We reserve the right to refuse treatment Biko, jejely send you and your kids to NCDC or a higher facility.

You cannot force us. Go and see how other countries are compensating their doctors and so on. And you are there running your mouth. Them never vex beat you before

Doctor wey never carry anything heavy pass thermometer go beat me? Lol. I go die there. Creating problems for doctors and nurses is my middle name. For myself, I don't care, but when any of my kids is sick, I have no time for their negligent attitudes at all at all. Just pray none of my kids gets sick and if they do, that it is not your hospital I come to. If you happen to see a dad with his kids in your hospital, better don't form NCDC o. A word is enough for the wise.

Compensation ko, menstruation ni. Go and tell your CMD to increase your salary. Tell him I said so.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by photon3106: 9:02am On Apr 06, 2020
RisenPhoenix:


NCDC says I should get examination from a hospital, hospitals say I should first get a negative test from the NCDC. Be playing us like table tennis. I don't pray for illness, but when an original werey like me enters a hospital with one of his sick kids, I dare you to send them up and down. You will know that angry dads have close to 100% mortality rates and can kill faster than coronavirus.

Laughter wan kill me with this one o. ... angry dads have close to 100% mortality rate . I can relate. Having seen where a passionate father got provoked in a hospital, one wouldn't doubt this grin

1 Like

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by GreatResearcher: 9:03am On Apr 06, 2020
funmisticqueen2:
patients and their relatives are lying about thier travel history up and down, so this is going to make healthworkers discriminate you. This has already happened in 3 teaching Hospitals where patient and his relatives deliberately hid travel history, then later died. Infecting a lot of doctors, nurses, cleaners and so on. Many have had to go into self isolation . This news is being suppressed. Trust me, nigerians will get what is coming for them. Once you cough, straight to NCDC. Since people want to be stupid and greedy.



Since some Hospitals are reducing our salaries so that they can be prepared for COVID 19,since Hospitals refuse to supply PPE. NCDC is just witnessing the beginning.

RisenPhoenix greatresearcher
Hmmmm
People lie about age, virginity status,HIV status infact people lie about everything

1 Like

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by ibnzubair(m): 9:07am On Apr 06, 2020
funmisticqueen2:
those NCDC numbers don't work. I know because I have tried, alongside my classmates when one of us had a patient come in with florid symptoms and significant history. Took a whole day to no avail. The patient herself had to pull strings to get NCDC to contact her.

Oh! We have a long way to go, a very long way to go. I was actually wondering why they released only one number to about 200 million people. And even if, how many people operate the line at each point in time.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 9:08am On Apr 06, 2020
RisenPhoenix:


Doctor wey never carry anything heavy pass thermometer go beat me? Lol. I go die there. Creating problems for doctors and nurses is my middle name. For myself, I don't care, but when any of my kids is sick, I have no time for their negligent attitudes at all at all. Just pray none of my kids gets sick and if they do, that it is not your hospital I come to. If you happen to see a dad with his kids in your hospital, better don't form NCDC o. A word is enough for the wise.

Compensation ko, menstruation ni. Go and tell your CMD to increase your salary. Tell him I said so.
yinmuuuuuuuuuuui!!!!!!!


It's mouth you have online oga. Try being rejected by at least 4 Hospitals. You go humble.

Nigerians understand only fear. May you never find yourself in a situation where fear will prevent your kids from getting Hospital treatment all over the city because that is true despair, and it happens more frequently than you think. Nigeria cannot handle coronavirus.

1 Like 1 Share

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 9:09am On Apr 06, 2020
ibnzubair:


Oh! We have a long way to go, a very long way to go. I was actually wondering why they released only one number to about 200 million people. And even if, how many people operate the line at each point in time.
we tried like 4 numbers, tried calling them out on Twitter. Some tried calling officials. It is well. Everybody should stay at home.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 9:09am On Apr 06, 2020
photon3106:


Laughter wan kill me with this one o. ... angry dads have close to 100% mortality rate . I can relate. Having seen where a passionate father got provoked in a hospital, one wouldn't doubt this grin

Meeeen Nigerian doctors and nurses can be extremely provocative. Total lack of empathy. You can see someone carrying his very sick child and looking desperately for help; you are busy discussing Man U vs Arsenal or telling me I should wait until the next shift starts in 2 hours' time because you have already closed your log book. I only joke with Nigerian doctors and nurses on NL o. I don't like most of them in real life at all at all.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 9:12am On Apr 06, 2020
RisenPhoenix:


Meeeen Nigerian doctors and nurses can be extremely provocative. Total lack of empathy. You can see someone carrying his very sick child and looking desperately for help; you are busy discussing Man U vs Arsenal or telling me I should wait until the next shift starts in 2 hours' time because you have already closed your log book. I only joke with Nigerian doctors and nurses on NL o. I don't like most of them in real life at all at all.
That will not be in the best interest of your child oga. Especially in times like this. I know what I'm saying

1 Like

Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 9:15am On Apr 06, 2020
funmisticqueen2:
That will not be in the best interest of your child oga. Especially in times like this. I know what I'm saying

I know it certainly will not be in the best interest of the medical officer attending negligently to my child. I know what I'm saying too.
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by omohayek: 9:20am On Apr 06, 2020
photon3106:


No offence intended! I believe the declaration/statement is clear enough. In case it wasn't, consider a situation where someone who has severe difficulty in breathing and very weak probably due to an accident or termly illness and was rushed in to a nearby hospital for urgent healthcare. Would you as a doctor refuse treatment until you see a covid-19 test result? This is exactly what some unqualified doctors are doing this time.

A man bangs his head accidentally when he slipped off a wet floor and suffered severe headache and nose bleed. He was rushed to an hospital and the doctor was waiting for Covid-19 test result. How interesting! grin
If you don't trust a doctor to be competent enough to distinguish the symptoms of an accident from those of COVID-19, why do you then insist that the self-same unqualified doctor treat the patient? Wouldn't it actually be better for the patient not to be treated by such a person?
Re: Tunde Salako: Doctors Should Examine Patients Before Suggesting COVID-19 Tests by Nobody: 9:21am On Apr 06, 2020
RisenPhoenix:


I know it certainly will not be in the best interest of the medical officer attending negligently to my child. I know what I'm saying too.
negligently ke!!

Somebody that is exercising his rights to refuse treatment. No negligence there, especially if it is proven that he or his Hospital cannot handle your case. Table your complains to your government, not us.


At times I wonder where all this hate from healthworkers come from. Maybe unrealised childhood dreams I guess.

But If there's community spread of this virus?
May we not find ourselves in situations where we cannot do anything to protect your loved ones.
Prevention is always better than cure.

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