Very bautiful.

kenny714433:
The army commander just enjoy hearing the sound of gunshot. If I was commanding that army, I won't even be shouting all those unnecessary shout talk less of shooting aimlessly. Every shot must be accompanied by a dead terrorist.
I know its not easy sha. God protect them

Reality and Hollywood dey different sha.

Oh well, the topic of this thread easily gives away its content.

I once had a patient whom I was very close to. Extremely close to. Will call him Mr. S, he was a young boy who we managed for type I diabetes and extensive Fournier's gangrene.

S and I were close, in fact, ours was beyond the typical doctor-patient relationship. Even when I was off duty, S would ring me for one issue or the other and I would appear in the ward to sort him out. Was pretty close to his mother and siblings too.

During the course of S's admission, he was transfused a number of times. His condition also requires steady antibiotics therapy and the meds were expensive. Of course, financial constraints became an issue. One time, they couldn't provide blood as they had run out of donors and finances for transfusion. I donated a unit of blood to S.

As a doctor, I knew S's condition was fast depreciating. He had become septic, his vital signs were screaming for urgent attention. He had an extensive collection of abscess in his urogenital region, thighs, and abdomen. He had become cachectic.

Despite these, his family remained entirely positive and very supportive. His mum never gave up. His elder brother was running around for funds and materials for his treatment. His sisters were always beside him, they never left his sight.

I was later moved to another unit but this didn't affect my relationship with S. I still found time to visit him and talk. One time, he told me, "doc, when this is all over, you and I will hang out and catch some fun."

This statement shot a beam of shivers down my spine. I knew his chances were minimal. I only gave a smile and reassured him.

Sometimes, I discuss about God with S and he was pretty happy to hold such discussions with me.

One night, or early morning, I got a call. 2/3am. It was S's mum. He had stopped breathing.

I dashed to the ward. Saw his motionless body lie in absolute peace, his eyes closed like he was having a satisfying sleep. For some reason, the sight of S's body gave me an impression of a prison whose door had been destroyed by the inmate who had gone on to enjoy complete freedom.

S, my dear friend and brother, was no more. His soul couldn't be recalled by the ressuscitative efforts of the workers on duty.

S, my dear friend and brother, was gone, he was free at last from the pains of the flesh.

When the mother saw me, it seemed she suddenly found strength to fuel her cries. She screamed and hugged me. His sisters sat beside him, their shoulders fallen. Other patients sat on their beds watching and absorbing the episode.

I held the mother and consoled her. I spoke the little Igbo I could. The nurses were also there. We all consoled the family.

As I left to my room, I could feel an ache expand in my heart's core. I felt the arteries in my head pulsate. I was shattered. Broken. I felt like screaming on the top of my voice.

But I'm a medical doctor, and I should be a super man. I maintained my calm and returned to my apartment.

The doctor consoles, but who consoles the doctor?

I'm still in communication with S's family. I recall they invited me to his burial but I couldn't make it, work didn't let me.

I know I'm supposed to maintain my limits while providing care to patients. Professional limits, that is. But right from medschool, I knew this was going to be a problem. I personalize things a lot. If I pick up a task, I'm easily dedicated and immersed in it. I don't see my patients as patients. I see them as humans - fathers, mothers, sons, daughters. I know that life is a weird complex, and tables can turn in an instant. A good number of my patients have invited me to their houses or events (mostly thanksgiving ceremony in their churches after discharge)... though I've not been able to honour any.

Because I am quite close to them, if I lose any, it hits me real hard.

I know I'm not the only one going through this. There are many doctors like me. I know of a consultant cardiologist who broke down when he lost a patient. That day, he called me and we were on phone for over 10 minutes. This man has got over 30 years of work years up his sleeves. I know of colleagues that cry when they lose their patients. Some just shutdown.

Society should understand that doctors are humans. Our work exposes us to hundreds of traumatic experiences that we stand at risk of coming down with a major depressive disorder. One study found that the rate of depression among physicians is as high as 29%. Other studies project much higher figures.

Not many doctors would want to talk about this. Perhaps, this may be because they want to protect their images or something. Oh well....

Maybe I should ask my colleagues, all healthcare providers, not just doctors...how do you cope with devastating treatment outcomes?

Cc: Dominique, Sissy3, Seun

Rolandq:
Wow! I've just seen your diaries and I found 'em enthralling, engrossing and quite a pleasure to read. Welldone! Keep it up, boss.

Thank you very much, doc, for your kind review.

Glad you enjoyed reading my story.

SIRS, sepsis, severe sepsis, septic shock.

You must have heard of the above terms at some point in your training.

I'm currently working on a video where I'll be discussing the sepsis spectrum.

Please, follow my channel on YouTube if this video will benefit you.

Kindly subscribe to the channel, please, if you're interested in similar content.

https://m.youtube.com/channel/UCKZFtKo0vvgwYFZFigdjT5Q

SF123:
greetings doc. Amen

I am extremely grateful sir, i sincerely commend you. I am looking forward to your tutelage cus i don`t know where to commence from with respect to anatomy, physiology and biochemistry cus the workload is extremely much
Sir, please with all due respect; i will love to have your whatsapp contact.

Once again, congratulations, doc.

I'll advise you follow your senior colleagues closely. They're the best source of guidance...those in Year 2 in your school...meet them and find out how they maneuvred through your current class.

Start your work early, and be dedicated. Low times may come, true, but prepare for them and maintain your focus.

Be quick to ask questions whenever you're not sure about anything, be humble, very humble, in fact. Review your past questions, if possible, multiple times before your exams.

Above all, if you believe in God, hold Him closely.

Stay clean, please. Don't get involved in shady businesses.

May God perfect everything for you ajdnyoir colleagues.

You can send a mail, please. I'll respond once I see it.

SF123:
Greetings medics. Glory be to God. finally with all the struggles, huddles, burning mid night candles, prayers, fasting and smart/hardwork. i just got admitted officialy via direct entry to study medicine and surgery at the University of Jos. My joy knows no bound, this z really what i dreamed of after several jamb attempts. Wrote jamb three times got several admission from diff sch to study nursing science, i scrapped the admission and again UNIZIK gave me admission to study HUMAN PHYSIOLOGY which i accepted. After resuming with them and attending inumerable lectures even after paying an acceptance fees #62k, i withdrawn and stoped coming to sch. I did crazy things just bc of med and now God has finally done it for me

Congratulations, doctor.

This is a wonderful piece of news to start the day with.

May you have a perfect path through medschool.

Best wishes, sir.

Cheers.

Are you a final-year medical student?

Did you just graduate from medical school?

Are you in the process of picking a centre for your house job?

In this video, you'll find the stories of six house officers currently working in different centres across Nigeria.

Their stories may help you make your choice.

Please, remember to like, share, comment, and subscribe.

Merci beaucoup, mes gars.

https://www.youtube.com/watch?v=rNWaqT_p6ro

Wizuman:
I have heard the saying that "[i]the doctors know bette[/i]r", but it is not always the truth.. I have encountered terrible and poorly trained doctors. I will cite 2 scenarios.
1. About a decade ago, my uncle who had been having feverish feeling woke up one morning with blood stains in his eyes. I was assigned to take him to a popular church hospital, somewhere in Oloosha mushin. On getting there, the doctor on duty examined him and concluded we had to start eye treatment, that the eye must have been injured. He asked if d man ever had any thing hit him in the eye, and the man answered no, yet the fùfú doctor insisted we must commence eye treatment. Anyway we left because their fee were too high.
We then went to Mushin Local Govt Community hospital in Palm Avenue. The doctor on seat was a graduate of OAU, whom I knew earlier in the neighbourhood. We exchanged pleasantries and he started diagnosis on my uncle. Guess what, after the excellent diagnosis, he deduced that the man's BP rose so much and his veins (including the one in d eyeball bursted). We starred BP treatment, and to God's glory, the man's health was stabilised and his eyes were clear in a short time.

2. M The second one happened in 2019, to my church member who was down with fever. He was in a community hospital around Ayobo, Lagos, and the female doctor knew he needed urgent malaria treatment, so she ordered us to take him to the general hospital somewhere in Alimosho. On getting to d general hospital, the doctor on duty refused to attend to him. In fact we saw the doctor a few meters away discussing with a lady. When I saw the situation of the brother, I picked him and we went to join the doctor, and he grudgingly disengaged d lady.
The diagnosis started and the doctor said "I saw u when u guys came in, u were staggering. Tell me the truth, do use any drugs? ". The young man answered *no*. Then the doctor responded, "u are not ready to be helped".
The young patient brought out his cellphone and said "sir I saw it online that when malaria parasites cumulative so much in d blood stream, they can block the blood vessels supplying the brain, thus affecting balance, memory and so on". The young man is not even anything near a medical professional. He was a struggling graduate, trying to explore computer programming career.
The doctor felt so embarrassed and answered "aren't u a Christian? Are u supposed to believe such....", in an attempt to cover for his failure. Then he wrote something in a paper and gave me, asked me to take it to d pharmacy. It was MALARIA injection that was written there. I bought it and he directed us to somewhere nurses were, and the young man was given d injection, and we also bought malaria medications on the counter, and to cut long story short, the young man recovered.

Always consult Google any time you are with these so called "doctors'. . Most of the people we call doctors nowadays are young children who weren't smart enough to pass jamb, and their parents used alternative admission routes to help them study Medicine.
Moral of my epistle: The doctors don't always know better.

Your conclusion is horrible, to say the least.

How you arrived at this conclusion from 2 unverifiable experiences is marvelling.

Well done.

FRANCISTOWN:

Wait make you marry first.
You go know say e possible make person wear shoes on top boxers and singlet go office. Wos! You go break dance to Fela songs

I'm married, and I say again, marriage isn't that hard.

Your wife should know how much you earn.

In marriage, financial decisions should be made together.

How can a wife not know the total income of her husband?

Couples should discuss and agree their expenditures....including how much to send to their parents.

Marriage isn't that hard. It's as simple as having a close friend who is your roommate.....just imagine how you related with your school/university friend/roommate.

Honestly, marriage shouldn't be a big deal. Na this una unnecessary philosophies nai dey make am hard....

I feel for a woman who doesn't know how much her husband earns...or a man who doesn't know his wife's income. What a home!

shawante:

Doc you no longer update your diary.. Wuts up na?

Will do that this week.

MAMMAN777:
Short contexts worth reading.

One of the most bias stuff I've read recently.

How about considering what Hamas did to Israel?

Chuzoetoh:
shut up, are you a doctor Quack doc

Wow.

OK.

Mine isn't.

My writing is incredibly clear. These days, sha, most centres have moved on to electronic recording, so the issue of writing is almost outdated.

Terrible.

Yesterday, a teenage girl was brought in dead by a crowd. Story was that she was swept away by flood!

Most of these mortalities are entirely preventable.