JoannaSedley:
James, you have to back up your claims as a professional you claimed to be. No sane professional will swallow a massive argument like this without concrete evidence.
Remember Nigerians are watching.
If you are an authority as you claimed prove it or withdraw quietly.

Don't bother throwing expletives my way as it will be ignored as always.

Mr.Bigiman gave the idiot upto 4 references/links that candida is a microflora yet he refuses to clam down and receive knowledge. I'm an authority he should qoute me then.

It marvels me when I see ignorance cry so loud. You mean in your entire professional life both as Bcs in Mcb n medlab technology u were never taught candida albicans is a microflora in vagina that becomes pathogenic in conditions where the pH is disturbed such as using soaps to wash the area, in immunosuppression,diabetics n pregnancy? You really mean you dont know d risk factors of candidasis?Then you are a bastard technician.


I don't need to quote any link. I'm an authority in pathology.
You graduated 2012? you are a kid to me. This yr is making me 11 years in practise and 3 years as a consultant.


Boy you have a long way to go.

nelszx:

Fix tissues for you to interpret ....... hahaha gerrarahere
Of course technician will fix the tissues for you....if your left ball strong go and say this nonsense to any scientist and see if you wont eat the tissue.
When you can't hold meaning argument you resort to name calling. If you like call me student if you like technician that's your headache, it won't change anything in me.

graduate first. Then you will understand the power of a pathologist talkless of when he/she is the HOD.
Even the fixing..most of the idiots ask my residents for assistance. Only my residents do the microtomy n prepare slides.

When circular was passed to compile list of johesuites that didn't go for strike so they can be paid...Some of them ran to me d youngest pathologist in d unit with hope I will meet d HOD so their names be included. I trust prof.....He doesn't talk shit. I only succeeded in including 3 after much persuasion.... they came thanking as if I just safed their lives.

nelszx:


Oga when all the conditions are right S.epidermis is a normal flora and a contaminant when seen in the urine. Someone not up to 50 is that your definition of old? Someone who produced a clean catch urine is that person catheterised? You sound like a slowpoke


Of course Candida is a urinary pathogen why would I be shocked when I isolate them myself. This guy no just get sense

Idiot candida ablicans is vaginal and skin flora that migrates into d urinary tract when pH is altered or immunity lowered.

Go and research n liberate your self of ignorance. you will thank me later when u discover S.epidermidis is a very important cause of UTI.

keep your ignorance till later in d day. I will adress them frontally.

nelszx:

Hahahaha when you come up with a superior argument quote me
So the American Society of Haematology are a malpractice society ba? And were you blind to the part where blood film was mentioned?
slowpoke of the highest degree. Anything you like call me it can't change what's written on my certificate

No they are not doing malpractise. They recognize the fact that philadelphia chromosome(due to BCR-ABL mutation) is the basis of diagnosis..n that can only be done via flouresence insitu hydridization. I'm sure u don't even know what that means.
you don't know d difference btw presumptive n definitive diagnosis.
Student-technician goodnight! I have a bunch of idiotic technicians to percuss 2moa. They'd better fix d tissues I'm supposed to interprete.
Boy... see you 2moa... I really enjoy making fun of your deficiency n stupidity.

nelszx:


I have told you the more you justify the more stupid you become. The resident was made to do an extension plus several days call. Do you want to know who found out his mistake? An intern MLS chai. Hahahaha and aren't surprised an undergraduate is saying things you acclaimed pathologist is reading a book to justify?

Just incase you don't know I hold a B.MLS degree and soon would run up my MSc degree(both in medical microbiology). You aren't talking to a dunce you know

If you hold those degrees and you are still a dunce. I wouldnt advice any of my kids to take up such course. It is full of idiots then.

nelszx:


"A normal white blood cell count ranges between 4,000 and 10,000; in contrast, patients with CML typically have white blood cell counts ranging from 100,000 to as high as 500,000. Because the white blood cells mature and function normally, infections are not a common feature of CML."
http://www.hematology.org/About/History/50-Years/1529.aspx

The basis for Leukemic diagnosis (presumptive) is a WBC of greater or equal to 100,000 with the addition of blast cells and immature neutrophils (chronic cases). No chemotherapy can bring down the count in a space of 2 months.

Patient in question has WBC of 45,000 with marked neutrophilic leukocytosis (no blast or hairy cells) and within months of treatment now has a WBC of 8200. Does this suggest as CML to you numbskull?

Kid I told you that it is d blast phase that u likely see up to that value n it takes just 15% of cases. Even a 4th yr medical student knows it is a malpractise to use WBC count for diagnosing CML. Blood film and flourescence insitu hybridization are gold standards.

You remain a technician kid! A student technician for that matter.

Honestly I enjoy this thread. It really serves as source of entertainment. Especially when I see idiots displaying their deficiencies. Govt should just give them the 'doctor' degree. I now see it wouldn't make any difference. A medical doctor will still be superior in knowledge,practise and benefits/renumeration anyway.

nelszx:


You are sure yet your brain can't comprehend simple English.
Hahaha I don't know yet I've explained the pathology of how S.epidermis causes UTI and other systemic diseases yet you still can't see it.
The resident wrote gram positive cocci while patient eventually died of yeast infection from the blood culture. How can you be treating with antibiotic when the patient need antifungal. The more you justify the more stupid and less knowledgeable you look.

You see...you are an idiot!
A resident reports to the consultant after carrying out a test and b4 instituting mgt. I wouldn't be surprised u are an undergraduate. You are so stupid n deficient in knowledge. The other time u said u used FAB to stage CML... You are so stupid my friend.

nelszx:


What are you saying now?
Leukemoid reaction can be reversed not leukaemia oga Ade. You are numbskulled. When I saw same patient last week she was ridiculing the doctor who diagnosed her of CML. I knew she had Leukemoid luckily for her she came back and told me it was exactly what I suggested in the film report she had (after seeking second opinion abroad) not the bastard that made her face trauma.
Doctors are lucky some patients don't know their rights else most would be in jail by now. May God help us oo

you stated that in CML,.WBC count is always >100, 000....I educated u that it musnt always be up to that...u r now talking of reversal. I'm not surprised that ur statements are full of lies...just like phase1 referred me to a newspaper headline that doesn't even exist...may be he thought I wouldn't check.
A bunch of idiots!

MrBigiman:


Chief stop teaching these boys these things. In my opinion, it's like if one is not a Doctor, no matter how long he is in the hospital, a veil still covers the person's eye. Sometimes patients run to scientist insisting for tests and I just laugh.

I had a guy complaining of yellowish urethral discharge and dysuria. He agreed to having MSP, and I counselled him on the dangers. Did HIV, hepatitis and VDRL screen for him. And wrote down medications. He protested that I didn't do test of the sample and he wouldn't treat without it. Rightfully the test only cultured staph, and I withheld myself back from laughing at his stupidity and the wickedness on the man who took over 2k only to write the all predictable staph, and the patient bearing avoidable pain for 3days in the name of "testing". I told him the result was ridiculous and he should take the Meds I had previously written and it was solved.

Yet they want to bear doctors. It is pathetic that our health system is full of idiots parading as glorified technicians

nelszx:


As low as 8,200?

Hahaha slowpoke I'm a B.MLS (medical micro) holder and a Msc Medical micro in training. I will lecture you if you so wish

That is why u can never be better than an hematologist. A doctor is not restricted to textbooks, boy!

nelszx:


Did you see catheter on my comment slowpoke?
Oga stop being stupid over what doesn't make sense. You isolated a normal flora from an healthy patient and you are trying so hard to defend nonsense. The more you defend the obvious, the more stupid you sound. Exactly how a resident (though pardonable) isolated yeast and wrongfully wrote gram positive cocci during my internship. As usual resistance everywhere, not until we traced it back and saw oga was mistaking yeast for GPC.

And Mr know it all the catheter doesn't pick up any bacteria it's just the bacteria that produces biofilm around the catheterised site. You are talking of S.epiderdimis uti when you should be worried about prosthetic heart disease that's if it's their (cos it wasn't in the case I illustrated).

You remain a technician . An incorrigible technician.

It is pitiful u don't know S.epidermidis causes UTI in catheterized n old patients.
I'm sure u don't even know Candida albicans is d commonest cause of UTI in diabetics.


Idiot!

nelszx:


Point to one

I point to 2.
1) you don't know that WBC count can be less than 100,000 in chronic stage of CML

2) You don't know S.epidermidis can cause UTI.

You remain a technician!

nelszx:

Do you think you're talking to a fresh graduate? Even a fresh graduate would laugh at the result.
No wonder you are called butcher in ward coat. Antibiotics already prescribed on normal flora (spits on the floor).
The patient in question was an uncle and wasn't catheterised. Can you say something else? Don't you even sound stupid to yourself?
Yes oo I see you went to read so you can come tackle me. Don't you know details (type of urine) must accompany any laboratory form. I wonder what you even know
I can name and identify all urinary pathogen.
Immediately I saw the result, i just trashed it, told him to go and enjoy his life (so you know).

Your knowledge of pathology is too shallow.
weren't u taught that microflora can cause disease when it migrates from its original location to another?
Boy listen!
S.epidermidis is a microflora in d skin of d perinuem, during urinary catherterization, d catheter picks it up from d skin n lodges in in d urethra n thus precipitates UTI. Boy u remain a technician...u can never be better than a pathologist.

You see your knowledge is too shallow? S.epidermidis is the 4th commonest cause of UTI in old people due to reduced immunity...go and research n recieve knowledge boy!

You can name all pathogens that cause UTI...then u don't know S.epidermidis is common cause of UTI? what a pathetic technician.

I'm sure d man might have gone back for proper treatment by the doctor...or will go home ignorantly n come back to d doctor with chronic pyelonephrits n probably scepticaemia just because of a technician!

I'm sure u will go mad if u see a doctor sign Candida albicans as a cause of UTI. Technician!

phase1:


Mr man, I know you feel embarrassed that an 'ordinary technician' (according to you) exposed you ineptitude and ignorance in the laboratory field which you always claim superiority. If you hadn't tried to trivialize my profession you wouldn't have been so intellectual battered.

It is an open secret many of you cantankerous wardmen cover your ignorance in ward coats and gallivant around with empty skulls yet claim undeserved superiority. I organize audiovisual medical science seminars and many of your superiors pay to attend. I respect the ones who are level-headed but the empty ones amongst you make the loudest noise.

Enabulele your former NMA chairman was an empty noisemaker feeling funky in lab coat. Go and pick up the Sun newspaper published on November 28, 2014 flip to page 38 and read his gaffes. A noisemaker who calls himself a pathologist and wanted to boss around Scientists in the laboratory but can't focus a light microscope. Shame!

You must be a bastard for wasting my time. Sun news paper stop publishing as at 10 dec,2012 and resumed in 2015. I placed a special order from d vendors and felt embarrassed. I even researched for Enabulele's articles I didn't see any nonsense related to N.gonorrhea. I'm not surprised...dirty propaganda has always been a tool for johesu.
IDIOT!

nelszx:


Let's just leave it here no need to wash our dirty linens outside to prove a point. I won't call you names but this diagnosis came from one prominent teaching hospitals in Nigeria.
What did I write what are you writing? Don't you know CML and Leukemoid reaction both have leukocytosis as marker?
CML wbc (greater or equal 100,000)
Leukemoid wbc (less than or equal to 50,000).
Or was it the pathologist who signed a result of Staphylococcus epidemidis to a patient as cause of UTI? If not for ethical issues I'd have pasted them here.

Calling us technicians doesn't degrade us anymore cos we know who we are so we're used to such from your lot. No name calling

For knowledge sake. Staphylococus epidermidis is the commonest cause of UTI in patients with indwelling catheter. You just sit in the lab n don't know how d specimen was collected. I know u expected E.coli....what a sterotyped technologist would expect. You see the knowledge gap btw medical doctors and technologists?
So you see a pathologist remains superior in knowledge and practise!

nelszx:


Let's just leave it here no need to wash our dirty linens outside to prove a point. I won't call you names but this diagnosis came from one prominent teaching hospitals in Nigeria.
What did I write what are you writing? Don't you know CML and Leukemoid reaction both have leukocytosis as marker?
CML wbc (greater or equal 100,000)
Leukemoid wbc (less than or equal to 50,000).
Or was it the pathologist who signed a result of Staphylococcus epidemidis to a patient as cause of UTI? If not for ethical issues I'd have pasted them here.

Calling us technicians doesn't degrade us anymore cos we know who we are so we're used to such from your lot. No name calling

Very shallow knowledge!

phase1:


Lol.. You are still licking your wound. I exposed ridiculous figures of a lab result I got from a physician owned hospital who refused to employ trained Scientists in order to expose the quackery of physicians in laboratory practice and you validated that fake result by validating the ridiculous values.

I see u have a dull brain and can't understand the meaning of "separate results"
I know no physician could make such mistake atleast not a pathologist.
You said the other time that a consultant wrote an article stating N.gonorrhea is gm+ve I asked u to provide screen shots or snap shots of the article u became mute.
This is the last time I reply ur stupidity.
You are a damn idiot!

MrBigiman:


I differ bro. Johesu's biggest problem is not finances but indiscipline and corruption. Doctors are also going through financial crises. Indiscipline, inferiority complex, greed and jealousy has constituted a complex mesh that only dictatorial rulership can solve.

BSC nurses are refusing to wear white uniform, asking for Uniform allowance. I am sure the problems will compound till a state of emergency and fresh job appraisal is done in our health sector.

hahahaha...uniform allowance? Soon the employers will have to pay them for wearing handgloves/nose-masks while attending to px. Let me reserve the word 'illiteracy' for further surprises. I wonder if they weren't taught their uniform is part of universal precautions. So the employer has to pay for both hazards and safety?
Nigeria is a wonderful country though.

MrBigiman:


Resently a PharmD refused to sit with other Pharmacist in the NYSC dispensing cubicle. His greviance was that he should be with the Doctors scrutinising rationale for Doctors prescription. All the Ds in this title will definitely cause professional disharmony. A NurseD will tell u she won't take orders to do dressing.

However, with all due respect, even if records start a Doctorate of 9years, MBBS still remain the king and any effort of upgrade other courses will lead many frustrated. I won't add a penny to the salary of my Lab Scientist even if he brings Consultant MLSD-PHD. These rubbish is only geered towards the Civil service.

Its already happening btw Degree nurses and matrons. So when D-nurse is added it will be 3 heirachies in Nursing.
Anyway with time things will get better.
All this misdemeanours are ravaging in Nigeria because of the economic system. When a johesuite go home at d end of d month with 150k and yet it doesn't solve financial issues he/she feels like the extra 30-50K for doctors will make him/her rich.
I have 2 colleagues from sec school working as medlab scientists in all saints university of medicine but they have no problem with a doctor being CMD or pathologist heading d lab because their pay is appreciable.
If u trace the agitations of johesu you will see its not just mere academic title or headship issue but poverty. Johesu should not try to tresspass relativity what they should do is that both parties(johesu n NMA) work together and fight for proper renumeration of health/medical worker across board. Ofcourse relativity is not evident only in Nigeria but even Britain where we got our medicine from.

nelszx:

And I commend you to take responsibility for 1/47 and 1/73 titre goofing too

Your fellow johesuite #phase1 brought up the values not me. So how am I sure he wasn't the one that conducted it? I only made him see they r separate results....

nelszx:


I'm not one who doesn't take to correction when posed with one (superior argument). I must have mistakenly used FAB to classify CML which you have outrightly corrected. The reason I didn't quote you to dispel your claims.

First time a johesuite takes responsibilities on this thread. I commend you for Johesu chairman.

nelszx:

For the first time, i agree with you on something.

PharmD, MLS.D, DPT all been approved by NUC as minimum academic benchmark for undergraduate suggest grey areas that needs to be exploited.

ahahahahahaha. what difference does it.make? people with pharm.D are even quarrelling with those with B.Pharm becoz they have no added advantage neither is there an extra benefit or salary recognition.Iy I were to be in position of things I would grant Doctor of whatso ever to u guys but u'd come out more frustrated when u facee reality struggling with testtube and for salary. I see the degree is the issue. It would even cause intra-professional discourse btw those with Ds and Bs because they would be no difference in renumeration.
the extra one year and failing out of school would just be a total waste. Dr.of physiotherapy was given out in UNN even wen I was an undergraduate. They came out with frustrated faces because I was still ahead of them with my Bachelor degree. NUC is just anouncing it now to give u guys 'false sense' of victory. Trust me it is politics. Go check if there is any increment in renumeration in respect to the change of Title.
If at all there will be Dmls,Dradio or Dnursing u would just be bearing title with no corresponding renuneration. NUC can give titles but FG has fixed CONHESS relative to CONMESS.
Go and ask ur D.pharm colleagues what difference or edge it gives them over B.pharm.
Did you just say this is the first time u agree with me? So you didn't agree that u were wrong for using fAB to stage CML? Don't make me tag you 'incorrigible idiot' my friend.

I agree with johesuites on this. There is no need for NMA to be part of the bargaining.
NMA are not employers in public hospitals. It is good to appreciate the truth when you see one.
NMA president is just agitating on a "no issue".
The first circular stating "relativity is sacrosanct" is enough warning to the FG. If I was NMA chairman I would support Johesuites on grounds that any increment will be across board I.e applies to both johesuites n NMA. That way Relativity would still be intact without a trespass on a single kobo.
Now what NMA will do is just to stay back and watch. Once any increment is made to johesuites ,NMA swings into action and demand for a the same.rise for "relativity" sake. I know that is what FG is trying to prevent. Though the public health sector is dwindling but believe earnestly it is generating a lot of revenue for d govt. FG can't risk all doctor retiring to private practise that would be automatic privatization overnight because no stroke px,CCf px ,Aids px n etc would go to d hospital to be treated by Doctor of mls,dr of pharmacy or dr of nursing an etc.. talkless of surgery. As at yesterday NUC accreditated Dr of physiotherapy. I am actually not against that. Atleast they would be writing MB in preclinicals n also fail out as obtainable in medicine but it is still in no way at par with medical doctors. It is a degree and there is no equivalent increment in salary neither is there provision for CMD in their scale. It is outright futility that you bear Doctor of physiotherapy but someone with Bachelor of medicine still has more benefits than you.
The End will tell.

nelszx:

What knowledge do you even have it baffles me when you come here to tell me laboratory matters somethìng I know like the back of my palm. How many DNA test quite laughable ..... do you know the commonly done genotype test is a DNA test. Or do you want me to lecture you on DNA paternity test using pcr technique. I'm ready to lecture You, you can't lecture what you don't know.

Oga calm down no one is trying to be a doctor if I had wanted to be one I'd have been one. Need I tell you how many pathologist had told me to go and read medicine and come major in pathology? The other day I saw a woman that one of you diagnosed to be having CML of out curiosity I did a blood film and FBC yet she didn't fall into the FAB criteria. How can you say someone has leukaemia of wbc of 45,000, No blast cells but more neutrophilic leukocytosis and place her on chemo while the poor woman had no trace of it in her blood film and was suffering from leukemoid reaction.

I just called the Dr and gave him my opinion on the patient management (does that make me a Dr?). Since we haven't gotten to that stage of using molecular techniques for microbial identification yet patients will wait for result. The reason why results are communicated to physicians while they wait for the real antibiotic to rid the condition. The part result given is to aid in patient treatment. If I culture salmonella and communicate to you I expect you know what antibiotic to administer while waiting for the sensitivity result.

BTW any physician who uses widal test as a basis of diagnosis in treatment enteric fever is a murderer and only subjecting the patient to antimicrobial resistance. Diagnosis of typhoid is either via stool or blood culture.

For real? You used FAB to stage CML? You can never be better than a pathologist. Technician! FAB is for AML and ALL. I like sharing knowledge from my reservoir. It won't take away my FMCpath. We classify CMl into chronic,Accelerated and Blast phase. It is the blast phase that is likely confused with film of leukemoid rxn. 85% patient present at d chronic phase and diagnosis using a blood film is accurate though cant be a substitute for FISH. You should pay for the knowledge I'm imparting on you.

nelszx:

Why then are you begging to be part of the negotiation if you aren't the loser

The End will tell.

nelszx:


Let's just leave it here no need to wash our dirty linens outside to prove a point. I won't call you names but this diagnosis came from one prominent teaching hospitals in Nigeria.
What did I write what are you writing? Don't you know CML and Leukemoid reaction both have leukocytosis as marker?
CML wbc (greater or equal 100,000)
Leukemoid wbc (less than or equal to 50,000).
Or was it the pathologist who signed a result of Staphylococcus epidemidis to a patient as cause of UTI? If not for ethical issues I'd have pasted them here.

Calling us technicians doesn't degrade us anymore cos we know who we are so we're used to such from your lot. No name calling

You don't hve eyes of a pathologist that is why you can't differentiate a film of CML from leukaemoid rxn. You rely on FBC for diagnosis? I guess u never knew that depending on the stage that WBC count can be less than 100000 What happened to the philadelphia xsome that is pathognomic?
Those results are xtic blunders that technicians commit. May be u conducted the test n microbiologist signed without scritinzing the blunders. A consultant microbiologist can never mistake S.epidermidis for S.saprophyticus.
I wonder why u guys were locking the labs and afraid of doctors conducting the test if you guys are indipensable.
To further show you how your statement is full of lies..for real you used FAB to stage CML?? You are miserable my friend. FAB is used to stage ALL and AML not CML boy!
You not relating fary tales with a kid. Technician!

nelszx:
NMA calls Johesu illegal body yet want to be included in a negotiation of a strike my friend MrBigiMan has termed them terrible names for. Now it's negotiation the NMA now realises it's "TEAMWORK"

"Include Us In Negotiating JOHESU's Demands" Doctors Tell Industrial Court

---

“The NMA wishes to reiterate that the health sector operates as a team with the Doctors as the leaders...It is in this vein that we call on the government and the National Industrial Court of Nigeria [NICN] to involve the NMA in the ongoing NICN....
The Nigerian Medical Association (NMA) has commended the decision by other health workers under the Joint Health Sector Union (JOHESU) to shelve thier nationwide strike after six weeks.
While describing themselves ‘leaders of the health sector’, the doctors also demanded to play a part in the negotiation of JOHESU’s demands.
JOHESU, a body of all other health workers except doctors, last Thursday suspended its strike which crippled services across public hospitals in the country and left millions without care.
Since 2014, the health workers have been asking the government to increase their pay and improve their working conditions among other demands. No common ground has been reached yet.
In its ruling a day before the strike was suspended, the National Industrial Court (NIC), offered to take over the mediation process between the striking workers and government.
The NMA in a statement Tuesday by its National Publicity Secretary, Obitade Obimakinde, asked the government to involve them in the negotiations.
“The NMA wishes to reiterate that the health sector operates as a team with the Doctors as the leaders to utmost benefit of the patients. NMA is therefore unapologetically committed to a good and harmonious relationship among the team members.
“The NMA also welcome the alternative dispute resolution [ADR] as a means of resolving the crisis but insist that no holistic, meaningful and long-lasting resolution can be made without the input of all the team members especially the NMA.
“It is in this vein that we call on the government and the National Industrial Court of Nigeria [NICN] to involve the NMA in the ongoing NICN midwifed ADR”, the statement read.
Repeatedly calls and texts sent to both the National chairman and the National vice chairman of JOHESU, Biobelemoye Josiah and Ogbonna Chimela, for reactions were not responded to.
However, doctors had opposed the demands of the health workers.
In the third week of the strike when states and local governments joined, medical doctors threatened to withdraw their services if the government accedes to the demands of other health workers.
Source : Premium Times

It is just the beginning. I can bet my testes for bilateral orchidectomy Johesu can't achieve more than medical doctors allow. Loosers.

nelszx:

What knowledge do you even have it baffles me when you come here to tell me laboratory matters somethìng I know like the back of my palm. How many DNA test quite laughable ..... do you know the commonly done genotype test is a DNA test. Or do you want me to lecture you on DNA paternity test using pcr technique. I'm ready to lecture You, you can't lecture what you don't know.

Oga calm down no one is trying to be a doctor if I had wanted to be one I'd have been one. Need I tell you how many pathologist had told me to go and read medicine and come major in pathology? The other day I saw a woman that one of you diagnosed to be having CML of out curiosity I did a blood film and FBC yet she didn't fall into the FAB criteria. How can you say someone has leukaemia of wbc of 45,000, No blast cells but more neutrophilic leukocytosis and place her on chemo while the poor woman had no trace of it in her blood film and was suffering from leukemoid reaction.

I just called the Dr and gave him my opinion on the patient management (does that make me a Dr?). Since we haven't gotten to that stage of using molecular techniques for microbial identification yet patients will wait for result. The reason why results are communicated to physicians while they wait for the real antibiotic to rid the condition. The part result given is to aid in patient treatment. If I culture salmonella and communicate to you I expect you know what antibiotic to administer while waiting for the sensitivity result.

BTW any physician who uses widal test as a basis of diagnosis in treatment enteric fever is a murderer and only subjecting the patient to antimicrobial resistance. Diagnosis of typhoid is either via stool or blood culture.

Keep crying. You didn't study medicine so expecting a sound acumen from a technician is a waste of hope. If you studied medicine and knowledgeable in priniciple of mgt of enteric fever u'd know that tx is instuted while waiting for lab result especially when the pathognomic signs are elicited clinically. Much wonder patients come down with intestinal perforations after waiting at home for glorified chief lab technicians to come up with their results and erroneous diagnosis.
You are not telling a kid fairy tales. Any hematologic condition is under full mgt of an hematologist. No hematologist will institute chemo/radiotherapy without looking at the blood film n even grading/staging the malignancy. No hematologist wouldn't have leukaemoid rxn as a differential of leukocytosis. So you see your story will be just perfect for a final yr mls. Nonsense.

nelszx:

Even a student in 300l knows widal isn't a diagnostic tool/test for typhoid fever. And that for diagnostic purpose there has to be a 4 fold rise in titre (this I lecture doctors for free who upon seeing a titre of 1/80 will load the patient on ceftazidime - poor management).
You say you're what again 1/188 oh my goodness which school threw you out please?

A frustrated idiot noted. Go back and read about widal test kid. I won't share knowledge for free again. How many DNA test have u done b4? You wait for stool culture result while patient is dying? A Johesuite will never be equivalent in knowledge with a doctor. I'm sure u don't even know pathognomic signs that can help narrow down a physician's acumen then when combined with widal test give high accuracy. stay frustrated with all baseless effort of being doctor you are not and can never be.
Have a nice time treating your headache. I will always be on your head. Boy!

If you don't paste the article here this is the last time I'm replying your comment because at this moment I look at you as an incorrigible idiot.