₦airaland Forum

SirShymexx:
Lol. The internet isn't even that serious. I see so many things play out here every time I'm online by just mere observing certain patterns and I can expose so many folks. However, I don't get down like that...and I could care less about folks as long as they stay in their lane.
Anyway, I'm riding with you, my Ijebu sis. I'll always stay loyal to my roots.

SirShymexx:
Alright, sis. Lawd knows I was minding my biz and having a decent civil convo before these folks started craving my attention. I don't like them, and I stay away from them all the time. Just wanted to finish off by sending the hellfire missile towards the most hateful one, with so much innate bile.

I'll listen to you.

TCD:
Wrong diagnosis occurs with doctors the world over. The human body is a complexity you cannot get it right 100% of the time. thousands of illness mimic each other and that's why there can be as much as 5 differential diagnosis for a single patient. It's not magic or divinity we are performing.

That is why in medical school even in professional exams it's not about if your diagnosis is wrong or right but by how you came upon such diagnosis based on patients history , physical exam and investigation results.

a patient can have pneumonia and you diagnose tuberculosis and you will pass because you were able to reasonably defend your diagnosis, reconciling it either the patients signs and symptoms and offer appropriate treatment while one who gets the correct diagnosis but can't defend it will fail..more emphasis is placed on your clinical deduction.

surgeons the world over make a diagnosis and upon opening up the patient find something else. it doesn't make them bad doctors.

SirShymexx:
Darn! Yetseyi my Ijebu sis don't go ghost.

That means I ain't repping right. Now, I'm sober like grandma osisi.

SirShymexx:
Yetseyi my Ijebu sis, I hope I'm acting right?

I can't let my Ijebu folks down lol.

I just studied the art of war lol.

TCD:
I see a result of potassium 10mmol/l and the patient is alive right there in front of me chewing gworo . the question should be should I throw that result in the dustbin or lagoon?

My patient with renal failure displaying classical clinical signs of uraemia almost at encephalopathy and EUCR comes out normal. I should have left the patient to go home and sleep rather than dialysing just because the lab results came out okay.

look. a doctors clinical instincts and experience comes first most of the time. Labs are there for support.

TCD:
I see a result of potassium 10mmol/l and the patient is alive right there in front of me chewing gworo . the question should be should I throw that result in the dustbin or lagoon?

My patient with renal failure displaying classical clinical signs of uraemia almost at encephalopathy and EUCR comes out normal. I should have left the patient to go home and sleep rather than dialysing just because the lab results came out okay.

look. a doctors clinical instincts and experience comes first most of the time. Labs are there for support.

nobilis:
Did u also read where I said the doctor can send the patient for another test possibly in another lab?
Did you not read that part?

As for the part you bolded, yes. I've seen it happen.
When I was still a student, my consultant sent a patient to for a test. The result was unacceptable to him. He sent the patient for a repeat test. The result still didn't tally with his diagnosis.

He had to discard the lab result and treat the patient based on his own "unconfirmed" diagnosis. The patient recovered. Post-recovery tests proved that the doctor's diagnosis was right all along.

I'm not saying lab tests are irrelevant. I've never and will never say that. But in some cases, a "provisional" diagnosis is more than a provisional diagnosis Especially if you have seen several similar cases in the past. And that will make the test just a formality.
The doctor is not discarding the result out of professional arrogance. No. That's not it. So I guess you misunderstood me.

We treat patients not lab results.

Mintayo:
You know now...

nobilis:
My final points on this thread (if u lab scientists can tell yourselves the truth),

1.A doctor doesn't need a laboratory test to make a diagnosis.
A doctor makes a diagnosis, albeit a provisional one, before sending for lab tests.
Even you lab scientists working in government hospitals are aware that you will never accept a lab request if it doesn't bear a provisional diagnosis.
How I wish you guys will educate the Nigerian populace about how things actually are.
Quote me anywhere: a doctor who doesn't have a diagnosis, or several differentials in mind after at least, 20 to 30 minutes of interacting with a patient is a certified quack.

2. A doctor doesn't use a lab result to make a diagnosis. A doctor uses a lab test to confirm a diagnosis.
In most cases, when the lab result doesn't tally with the doctor's suspicions, he may have to either order for another test, possibly from another lab, or [/b] discard that result and work with his diagnosis. [b]




So everybody should know his position. It is as simple as that.

Kcinho:
yes the lab tests are needed to confirm "some" not all diagnoses. meanwhile some diagnoses are referred to as "clinical diagnoses" where the doctor doesn't need any form of investigation to confirm it. these basically require only good history and physical examination.

babosky2008:
you got it wrong.A qualified doctor is equal to a lab scientist + a nurse + a pharmacist + microbiologist + a biochemist + a pharmacologist +a psychologist. This is where we coined d word general practitioner.

HumbledbYGrace:
This used to be, once upon a time in 2012. When we were young, Jesus Freaks and carefree.

When Dagr8 was my bebfl.
When Muskeeto used to make me so angry alongside logicboy.
When Ujsizzle was much younger.
When we all still lived in dream land, then reality crept through closed doors and we drifted apart.
When ATMC was just fun
Ishilove still young at heart
Superbloke stealing ladies hearts since 100 BC
When toba was officially single and searching, my trusted mog
When there was Bella and guitarlife
An0nimus was still playing "thousand years" on his guitar before they snatched it.
There was Yetseyi and OmoDaddy, cool chicks.
Salc and Francistony, my lovely funny pair.
We used to play a lot here, but now all we talk about is money, kids, wives, husbands, marriage and politics.


Well hi Mintayo, I know your the only one who reply pms.

An0nimus:
International observer

An0nimus:
International observer

herald9:
We all miss him...he used to make this thread lively...

Zerop:
Hi guys, for those who has the Skype interview, can you please share with me likely questions? I need your support!

Zerop:
I did not do the Skype, I guess there's a second batch of I interviews planned. I'm yet to get details of the interview.

Zerop:
Happy new year! I got a call from nampak today! Anyone else?

herald9:
this place have been deserted...