Have you ever been in a situation where you meet an unconscious person and you need to call a doctor but lo and behold there is none nearby. Now there are many ways to know if the person is alive. These simple steps will tell you if the person is still alive in the majority of the cases and it will come handy one day.

Let’s look at the steps:

1. Breathing: When there is no breathing oxygen flow to heart and body rapidly decrease. Irreversible brain damage begins within 3-6mins in the absence of oxygen.

Check breathing: if you can’t see the movement of the chest, take your ear to his nose and attempt listening.

2. Heartbeat: This means there is no blood flow to organs of the body because the central pump (heart) is shut down. More than 95% of Sudden Cardiac Arrest patients die within 5minutes.

Check pulse: You should use the tip of your index and middle finger. Requires practising and you don’t need to be a professional to know these 2 below:
Radial artery pulse: press against the bone (not too much) just below the wrist and the line that continues with the index finger.

Internal Carotid Artery (ICA) pulse: ICA sends blood to the brain. Press just below the jaw angle.


3. Pupils: pupils are the dark central part of the eye. When wide open or dilated in someone without the above 2, it usually means that the person may not be alive especially when they do not constrict to light. In an unconscious person, the simplest way to know what’s up with the brain is to check for reactive pupils.

This does not mean you should confirm death; you need a professional for that. Now you have learned, it’s time to practise.

Wondering what happened after 2:43mins?
That was Ambroz Bajec-Lapajne, the Slovenian opera singer performing Schubert’s ‘Gute Nacht’ during surgery.

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In Brain Mapping, the Neurosurgeon electro-stimulated the area controlling movement of muscles used for speech. Then during tumour resection, he avoided that area. Tumour removal near this functional area can produce this too.

Wondering what happened after 2:43mins?
That was Ambroz Bajec-Lapajne, the Slovenian opera singer performing Schubert’s ‘Gute Nacht’ during surgery.

<iframe width="560" height="315" src="https://www.youtube.com/embed/obiARnsKUAo" frameborder="0" allowfullscreen></iframe>

In Brain Mapping, the Neurosurgeon electro-stimulated the area controlling movement of muscles used for speech. Then during tumour resection, he avoided that area. Tumour removal near this functional area can produce this too.

Hello Robotix,

I hope your problem will be resolved soonest. You should understand the following:

1. Quinine usually causes slow and progessive decreased hearing. It is dose dependant.
2. There are many things that can cause your problem. No need to panic yet
3. You should go and see an ENT soonest. If I can I will refer you to one.
4. ENT should examine you and do Weber/Rinne tests (check YouTube) and Audiogram if necessay.
5. Hearing problems can be of 2 types: obstructive (sometimes goes on and off like you described) or nerve related (slow and progresive like Quinine).
6. Most hearing problems can be cured.

Remember panicking will not help you until you see an ENT. Good luck!

I just saw this in Vanguard newspaper and most if not all are true. Our main problem is not really the personnel but the Goverment. You need to see how much we allocate to health.

Check this out: https://www.nairaland.com/3444409/what-nigeria-spends-health-infographic#50731437

My friend said that it makes him sick.

SOURCE: https://www.facebook.com/Docotal/photos/a.615575021937700.1073741829.598887090273160/656202241208311/?type=3&theater

Every young Nigerian doctor's dream is to get well trained. This training is carried out by two nationally recognised postgraduate medical colleges namely: National Postgraduate Medical College of Nigeria (NPMCN) and West African College of Physicians/Surgeons (WACP/WACS). Their operations for many decades have produced seasoned medical specialists in different specialties and sub-specialties who have driven medical practice and training from rudimentary stages to where it is today. Albeit, the whole process has not been without certain burgeoning factors.
Three major factors among others have been identified to be militating against the central rationale of Residency Training in Nigeria.
These factors include:
1. Trainer's factor
2. Trainee's factor
3. Training Institutions’ Management

Trainer's factor

The Residency Trainer (Consultants/Professors), are specialists who are universally recognized as those having the requisite knowledge, skills and professional demeanour required to successfully pass on the ideals/baton of quality and evidence-based practice from one dispensation to another. Astonishingly, it has been observed and held by most stakeholders that majority of these trainers have lost the noble enthusiasm that had driven the whole process of development of medical manpower from time immemorial. It is now very glaring that impartation of knowledge and skills to the younger generation of doctors has become impaired. If left unabated it will negatively impact on the utter future of medical practice.
The bitter truth about this situation is that when a ‘future’ of poor specialist manpower eventually arrives, these same trainers could become patients in the hands of their haphazardly trained junior colleagues. This could be due to the fact that they are more focused on their private clinics and hospitals which keep them out of their duty posts for training. It has been noticed that instead of physically being present to train, they consult and direct their junior colleagues/residents on phone even they are officially on call. How can a resident be properly trained without the consultants being available? Most of these trainers have been known to be incredibly selfish in sharing their specialist knowledge/expertise in order to maintain the monopoly of such capacity in the index locality. And when they seldom do, its mixed with a lot of demeaning tendencies that are toxic to effective learning. Severally this occurs in most training centres in Nigeria and its effect is lethal to the residents’ self-confidence.

Trainee’s factor

Resident doctors have their fair share are of the whole blame. Many among them approach the specialist training with so much impropriety. The trainees’ impropriety hinges on baseless pride and inordinate quest for money. A situation where a resident doctor gets distracted by the frenzy of the feeling of having arrived, little privileges and develops a mindset of misdemeanour is very inimical to acquisition of knowledge and skills. Unbridled quest for money affects the development of good ethical practices and erodes professionalism and respect for higher authorities connected to their training. The foregoing worsens the trainer’s factors.

Training Institutions’ Management

Institutions and nations fall, stand or thrive on the platform of leadership. Poor leadership or total lack of it bedevils Residency Training in Nigeria. It is impossible to explain away the unacceptable trends of:

- Using poor equipment or running residency training institutions improvising virtually every equipment due to stack lack

- Running Accident/emergencies unit at day/night without power/water supply, - operating in theatre during surgical emergencies with mobile phone light

- Running emergency paediatric and neonatal units without assistive instruments

- Poor remuneration of resident doctors and atimes none at all for several months

- Handling of agreed stances in labour matters with poor integrity (always reneging on agreements with resident doctors) leading to incessant strike actions and shut down of hospitals with attendant collateral loss of innocent lives.

One may argue that management teams of institutions don’t mean Government itself but it is a no-brainer that they represent Government, period! Most of them are either bereft of good managerial competencies or are enmeshed in the dirty political mileu of partisanship.

The time to act is now!!!!!!!!!!!!!!!!!!!!!!!!


Source: https://www.facebook.com/notes/docotal/problems-of-nigerias-resident-doctors-by-dr-okeaba-uk/651782028316999

Source: https://www.facebook.com/Docotal/?ref=bookmarks

Source: https://www.facebook.com/Docotal/photos/a.615575021937700.1073741829.598887090273160/643562542472281/?type=3&theater

My cousin went to see his mechanic and while one of the mechanics was under a car checking the vehicle he started having a seizure . His colleagues were like ''hapuya, owu otu o ne me'' meaning ''forget about him, that is how he does''.
Maybe the guy or his colleagues are not informed about the disease so that is why I decided to share this. When I was young I used to think that Epileptic patients are possessed. . FALLACY!!!

In surgery, we spray cold (physiologic saline) water on the brain to calm convulsions. Literally: fight hot with cold.

N.B.: Convulsion is just violent and uncontrolled moving of the body. Seizures, the bigger guy, is abnormal electric discharge of the brain. They mostly happen on the surface of the brain. Seizures affecting the body movement of the brain leads to what we call convulsions.

Our brains cannot literally multi-task

Exercise can rearrange the brain and increase your willpower

Your brain is around 2% of your weight but uses 20% of its total energy & oxygen intake.

5 minutes without oxygen can cause brain damage.

The popular myth that we use only 10% of our brains is false.

According to the World health organisation (WHO), road accidents claim the lives of about 3,400 people every day. It is amongst the leading causes of death in Nigeria and in most developing countries. In 2013 road traffic crashes report of FRSC, 34% of road accident cases were fatal. Recent NOI polls showed that most Nigerians recognise it as one of the major causes of death in the country.

The causes of accidents include:
Bad roads
Unfavourable weather conditions
Driver error
Faulty cars
Pedestrians

Contrary to popular belief, driver error is the number one cause of road accidents not bad roads. It is arguable that although roads maybe bad or the weather conditions unfavourable, the diver’s decision is critical to avoidance of accidents. The incidence of road accidents is lower in places where drivers obey traffic rules and vehicle movement is controlled.

Before diving, especially a long journey, drivers should ensure the following:
Seat belt is functional.
Check engine oil level
Water and coolant levels
Car tire pressure

I guess we now know the leading cause of road accidents and what to do before driving. Another day we will talk about first aid attention in accident victims.

Relevant information:
Rules and regulations: http://frsc.gov.ng/
Check tire air pressure: http://www.wikihow.com/Check-Air-Pressure-in-Tires
Simple car check up: http://www.thecarconnection.com/tips-article/1087248_how-to-do-a-simple-car-checkup

Source: https://www.facebook.com/notes/docotal/guess-the-1-cause-of-road-accidentsby-dr-nnamdi-elenwoke/613548202140382

For IT (larger field) to be compared with MEDICINE(smaller field), then then I think the later should be very important. You cannot compare them if you have less knowledge of both. As for medicine, I can explain what I know:

Doctors are fewer and of course EVERY DOCTOR is a big necessity, the cost of training a doctor is very high. In fact no country enjoys seeing a doctor migrate to another country.
It takes 8yrs or less(in some countries, 4yrs) to finish from an intense medicaL school.
It takes basically 4yrs for specialty/postgraduate, Surgery can take up to 7yrs!!!.
Maybe 2 yrs for becoming a member of one College or the other.
Actualization: periodic training schools, publishing books & reading all the days of your life because <0.003% of patients appear as seen in the books.
All these require TOUGH examinations.

After all these
A recien graduate is inexperienced and feel mostly insecure.
Most people will tell you that medicine is dificult and costly that is why doctors are respected.
It is a very risky profession(mistakes are not tolerated).
Irregular working hours(enjoyment really has no meaning: weekends, Easter, New Year etc).
Many of them see how people die and fail to help them.
Constant emotional stress/depresion: it is not easy to see someone die especially when you cannot do anything about it.

@tai2 this your post is still rocking and of course raising alarms for some months now.
You are saying the truth and remember it hurts in the ears, most women will play
as disliking it (they know deep in their hearts that >90% is true) & guys re going to shine their eyes.

Abortion maybe bad but,
1. that fetus less than 20wks cant survive without the umbilical cord, independent living thing?
2. can u withstand having a very malformed baby?
3. what of rape_pregnant cases?
4. Birth control, unwanted pregnancies?
5. There is also a natural vs. artificial abortion
6. If u legalize it people will abuse it, religion will destroy u, culture will abandon.