₦airaland Forum

emekatheo:
Wailer!
I pity you and also pity those that come to see you. Let God save them from your hands. Shame on you. You are hiding under the shadow of your colleague that can't even aswer simple question. That's why you keep doing copy and paste in the clinic and keep killin innocent patients with your illiteracy. You wouldn't want pharmacist to take up ward round because you are scared. We will keep exposing you quacks till you humble youself and learn. Pharmacists will keep exposing you. Simple paracetamol question you cannot answer and you call youself a doctor. Which school did you graduate from?

WesleyPepper:
Lol..This is ridiculous !! Acetylcysteine is cysteine analogue with a longer half life.Your methionine is just another AA that can be used for the management of paracetamol toxicity.

What is the commonest route of administration of the N-acetylcysteine in clinical settings?

And after how many seconds, minutes or hours would your antidote be useless If you fail to act

What zone of hepatic lobule is the commonest site of liver damage due to acetaminophen toxicity ? And why is it the commonest site ?

What type of necrosis does it cause ?

Gimme the prognostic signs of the toxicity ?

And can you tell me about the symptoms, signs and management of fulminant hepatic failure ?

The above questions are definitely beyond the scope of your curriculum.
My questions covered pharmacology, pathology and GI medicine ..

Keep calm and dispense my prescriptions quietly

emekatheo:
Google always giving you half information. Thanks to Google but listen let me teach you for free. Paracetamol underGoes gluroronidation and sulfation to its conjugates (which I won't tell you) and these make up 95% of the excreted metabolites.
However there is an alternative pathway which makes up the remaining 5%. It is the cytochrome p450 dependent glutathion conjugation pathway. I won't tell you the name of the metabolite so you can ask Google again and learn. So what you typed up there is trash.

Have you heard of Acetylcysteine and Methionine? Mr. Doctor!!

emekatheo:
Olodo! U think drugs are all about pharmacology which you don't even know. Oya over sabi doctor, tell me the chemistry in the elimination processes of the paracetamol you prescribe everyday : 1g tds x 3\7.
Answer fast!

Thanks18:
You should answer that question if your head is correct. I doubt if you are okay too because you just display sheer ignorance. Who and who are members of trauma mgt team? The team includes but not limited to nurses, orthopedic surgeons and physiotherapist, etc. infact, I recommended a total overhauling of our dead educational system which has thrown up illiterates and pseudo-intellectuals in all walks of national life who reel out mumbo nonsense in arguing against truth. Our health and educational sector are among the worst in the globe. Bros, if you dont have reasonable thing to say. keep quiet and stop embarrassing yourself.

Thanks18:
There was an incident of wound injury. You couldn't handle it because of your deficits in your learning and exposure. And thus that was why you went back to varsity. Pls tell that to buffons. Recently, the current Health minister guffed that (physical) rehabilitation is not treatment and Yusuf Buhari was flew abroad for it. I was visibly shocked and wondered why illiteracy is plaguing our universities this era. For the sake of clarity, rehabilitation is part of the job specification of physiotherapist.
look at this article:

The role of physiotherapy in managing patients with wounds.
Review article
McCulloch JM. J Wound Care. 1998.
Show full citation
Abstract
The physiotherapist is a highly respected member of the wound-care team in the USA. While assisting in all aspects of wound care, including debridement and dressing selection and application, the physiotherapist also provides a unique function. The numerous physical agents, such as electrical stimulation, ultrasound, hydrotherapy and heat all have benefits to offer the patient in contributing to healing. The background knowledge of biomechanics possessed by members of this discipline likewise enhances the services of the wound-care team. Physiotherapists recommend strategies to relieve or redistribute pressure for those confined to bed or wheelchair or for the ambulatory individual with an insensate foot. It is perceived that physiotherapists who remain uninvolved in wound care are a major untapped resource with great potential for promoting wound healing.
indeed our university curriculum should be reviewed.

Thanks18:
There was an incident of wound injury. You couldn't handle it because of your deficits in your learning and exposure. And thus that was why you went back to varsity. Pls tell that to buffons. Recently, the current Health minister guffed that (physical) rehabilitation is not treatment and Yusuf Buhari was flew abroad for it. I was visibly shocked and wondered why illiteracy is plaguing our universities this era. For the sake of clarity, rehabilitation is part of the job specification of physiotherapist.
look at this article:

The role of physiotherapy in managing patients with wounds.
Review article
McCulloch JM. J Wound Care. 1998.
Show full citation
Abstract
The physiotherapist is a highly respected member of the wound-care team in the USA. While assisting in all aspects of wound care, including debridement and dressing selection and application, the physiotherapist also provides a unique function. The numerous physical agents, such as electrical stimulation, ultrasound, hydrotherapy and heat all have benefits to offer the patient in contributing to healing. The background knowledge of biomechanics possessed by members of this discipline likewise enhances the services of the wound-care team. Physiotherapists recommend strategies to relieve or redistribute pressure for those confined to bed or wheelchair or for the ambulatory individual with an insensate foot. It is perceived that physiotherapists who remain uninvolved in wound care are a major untapped resource with great potential for promoting wound healing.
indeed our university curriculum should be reviewed.

Thanks18:
There was an incident of wound injury. You couldn't handle it because of your deficits in your learning and exposure. And thus that was why you went back to varsity. Pls tell that to buffons. Recently, the current Health minister guffed that (physical) rehabilitation is not treatment and Yusuf Buhari was flew abroad for it. I was visibly shocked and wondered why illiteracy is plaguing our universities this era. For the sake of clarity, rehabilitation is part of the job specification of physiotherapist.
look at this article:

The role of physiotherapy in managing patients with wounds.
Review article
McCulloch JM. J Wound Care. 1998.
Show full citation
Abstract
The physiotherapist is a highly respected member of the wound-care team in the USA. While assisting in all aspects of wound care, including debridement and dressing selection and application, the physiotherapist also provides a unique function. The numerous physical agents, such as electrical stimulation, ultrasound, hydrotherapy and heat all have benefits to offer the patient in contributing to healing. The background knowledge of biomechanics possessed by members of this discipline likewise enhances the services of the wound-care team. Physiotherapists recommend strategies to relieve or redistribute pressure for those confined to bed or wheelchair or for the ambulatory individual with an insensate foot. It is perceived that physiotherapists who remain uninvolved in wound care are a major untapped resource with great potential for promoting wound healing.
indeed our university curriculum should be reviewed.

theuniqueone:
I had maintained a silent position since the onset of current Johesu strike but I am worried by the sing song of many johesu members on how they save patients from doctors. It is unfortunate that the tail is now wagging the dog in the health sector of this country. I had a personal experience with a pharmacist while working in Bornue state. She came to my health facility on a UNICEF sponsored program and during our introduction, she flew off the handle when issue of doctors other hetheh workers relationship came up . She boasted about how she had saved many patients from doctors and how doctors are close to useless. It was so bad that I have to give up on her rants. Fortunately for me and unfortunate for her, a young girl was brought to me and what caught my attention was that the child was in severe respiratory distress with severe noisy breathing. I quietly passed the patient to my "almighty" patient saving pharmacist to save the patient.
For more than 5minutes, she was as confused as the patient's relatives and I have to ask her to returned the patient to me for review and urgent resuscitation and the patient made a very wonderful recovery. The next day , while the patient was on follow up, I now called the "almighty" pharmacist to have a look at the patient. She was shell shocked as the respiratory distress had disappeared, noisy breathing resolved and she was playing on her own. I then remained her that what she just saw is how we doctors kill our patients.
It is rather sad that johesu elements now see themselves as the movers of the health system in Nigeria. A perfect example of having a form of doctors' knowledge and denying the power in it which is true , total knowledge of the patient.
Yes, we doctors kill our patients when we do exp lap for perforated viscus and patients recover after a turbulent post op because patient can not afford ICU care. Yes we kill our patients with multiple small bowel atresia mostly preterm babies nursed post op without parental nutrition because it was not available and the parents could not afford it. It was with a sense of immense joy that we discharge these patients after a turbulent post op complicated by malnutrition. That is another example of how we day kill our patients.
Yes we kill our patients when they present unconscious with seizures at the children emergency and their guardians can not afford basic investigation and we tidy over the storm with clinical knowledge knowing that a CT scan could had made life more easier. Yes we kill our patients who after their fractures have been complicated by the traditional bone setters with resultant mal unions, non union and chronic osteomyelitis present to us and we have to do corrective surgery sometimes in a non air-conditioned theatre with good results. The number of ways doctors kill their patients are so innumerable. Even johesu elements still present themselves to the patient killing Nigerian doctors even during this strike. I also let them know that it is immoral since we are killers and they are the patient saviours.
For those that rant that it is just 1 year difference between medical doctors and other graduates in the health field, the truth is while your total course load for 5 year programme as stated by NUC is between
250 - 280 units, MBBS program is more than 700 unit load and if MBBS is a conventional program, 10 years will not be enough to complete it.
Please Nigerians to whom much is expected from, much must be given and this is the true meaning of equity.

9jakohai:
Am not a traditionalist, but knowing Nigerians, they probably will still bypass meters, and refuse to pay bills whatever the religion .

Most Europeans are arelligous, yet pay their power bills regularly.

Our problem, to me is that we don't rely on stable electric power for our revenue. We rely on exporting oil. Pagan nations like Japan have stable power because an hour's blackout can cause losses of billions to their treasury.

DABMarkNig2019:
another quack sited