₦airaland Forum

tayooluwole:
I don't fucking care about any attack as long as I never break any rule in calling my child what ever name I cherish

You probably can handle it, but it is your child that will bear the name and you will not be able to shield him from all the attacks.

Nigerians can be hypocritical.

We love the freedom that people experience in 3rd world countries but we criticize the are extremely judgmental of the lifestyle.

Esseite:
And tinubu is the R in righteous..... she was a first lady. Her connections are up to the neck. I dont support corruption but if a banker can buy a 2014 prado suv with an annual salary package of 3.5m, why cant she... do you think people depend on one pay slip alone these days? Talk more with the right contacts..

Give me any individual who is in a very small position of power in procurement that does not get kick backs.. talk more of contracts that run in millions of dollars?.. its corruption but its tagged PR...

When ordinary ceo wives own outsouced cleaners/security/contractors/contract staff/etc.. now talk more of when you have the fg and state govt as you client for years..

Corruption is in our bones... ordinary secretary would tell you "whats my cut inside?" For a job you have given the lowest bid to secure.. ..

The problem with Nigeria is with Nigerians and the way we have accepted corruption as a way of life.

It is so bad that we no longer see anything wrong with it. And that is why contracts are overblown.

And at the end of the day, so much money is spent on projects that will have no impact on the common man (which is 95% of Nigerians)

Until this problem is controlled, Nigeria will continue to be where it is.

Why does he have all those officers to welcome him at the airport.

Nigerians and this wasteful "yes sir" attitude.

Oga don come back... Make we do welcome back ceremony!!!

Thread full of jokes!!!

Nigeria's solution no dey for paper or web.

Corruption no go gree!!!

So, human beings can survive with 1 kidney.

We all have 2 and that is why people can donate a kidney for transplant.

The Fulani man is on dialysis, which means both kidneys are not working.

Did he have 2 surgeries to remove his right and left kidneys?

That piece of news is part of Nigeria and actually the world's problem now.

We accept any news and jump to conclusions without any reasoning

In my opinion, that piece from Vanguard is extremely misleading and has a lot of holes in it to make any reasonable conclusion.

fortunejum:
I thank God for my wife. I don't need to instruct her twice.

I hope you return the favor and she never "instructs" you twice as well.

The world has become a global village and we all depend on each other for exchange of culture, technology, religion, beliefs etc.

Any leader that believes he can rule effectively without international collaboration is extremely myopic.

We need leaders who are exposed to positive changes all over the world.

Unfortunately, our leaders are either too selfish to implement positive changes they have experienced from other countries.

If she doesn't cook your food till 10pm, then when does she serve your food?

What time does she bathe you?

Does she even have time for $ex or time for the children you gave her?

How about massaging your back? I doubt that she will have enough time to wash your clothes.

You are in deep sh|t.

Better fast and pray for 30 days and read Psalm 23, 24!!!

Is it Buhari that is dumping all the refuse in the streets??

Agreed!!! The Government has a lot to do to gain the trust of its people.

But who do we harm when we can't keep our environment clean.

Stop throwing your trash in the streets.

Gutters will be less clogged, there will be less mosquitoes and rats.

A lot of these simple changes will benefit us more than Buhari!!!

Comments here are not surprising...

Nigerians are the biggest problems of Nigeria.

Bloody hypocrites!!!

It would have been good if you created an environment where millions of Nigerians can enjoy this type of retirement too....

Your excellency!!!

God dey.

The truth is that the aviation industry in Nigeria has been sh|t for many years.

The big question is why have they just decided to leave? Didn't they see all the issues that have been present all along? Or they looked the other way as long as they got paid for it which might justify why flight prices to Nigeria are always comparatively expensive.

I hope her husband is 80 years old also. Just like her daddy's new wife.

Hope they obtained his personal mail through legal means.

Journalism should be different from criminalism.

Imanuelle:
In certain situations, people improvise, especially when it has to do with life. A first aid treatment for a start, even on the floor could have had her alive till they can do the needful.

If a facility is filled. First aid on the floor doesn't cut it. It probably means that the capacity of the healthcare workers, equipment, lab services etc has been reached.

Would it have been better if she was placed on the floor and there were no nurses available to see her or Doctors to care for her, or even no lab facilities for her care??

We do more harm by providing inadequate care.

We need to see the big picture. You can't use plaster to fix axe cuts.

The problem goes deeper than any Doctor or Nurse.

Ask yourself. What is the population of PH?

And what is the bed capacity of UPTH?

The students have shut down the hospital, like that will prevent future recurrences.

The problem is that health facilities in Nigeria is pathetic and highly inadequate.

A society where you can walk into a "pharmacy" and order any drug you want without regulation.

I think introducing Morphine to a Nigerian market where there are no laws is a big mistake and will create a a lot of drug addicts in the near future.

BTW, Morphine is not more effective than other pain killers. Pain medications work in a different ways and sometimes, other meds are better for pain management.

Lagusta:
Some viral infections can last for that long... Remember warts

And someone above asked how she could have been infected with herpes, come on, this is Nigeria, she is a child, she was 4yrs at that time, God knows what she put in her mouth, maybe even a used condom. You don't know what your children do behind you....

But the best bet is for the OP to take the child to a teaching hospital for further evaluation....

Everybody is even screaming UCH as if its the best.... Nigerians and sentiments...

Warts do not cause blood filled blisters.

None of the STDs have symptoms described by the OP.

divAnnie:
Since these micro organisms in the mouth are normal flora, the microscopy and culture should be able to detect pathogenic organisms. We can achieve this by comparing the organisms found in a 'healthy' mouth versus hers and use a selective culture media for that 'out of place' organism. My opinion

Waste of time, money and potentially patient's life.

What type of organisms are you hoping to grow from the selective media?

TB, Gonorrhea, Chlamydia, Ricckettssia?

None of those organisms have symptoms like the OP described. They do not infect the tongue.

It is DEFINITELY NOT an infection.

Infections don't last 10 years.

Due to the blisters, she might sometimes develop a superimposed infection.

But the primary problem that she has had for 10 years is not an infection.

It is impossible for anybody to make a diagnosis online, so you are probably better off taking her to a good hospital.

Hereditary telangiectasia however can cause recurrent AV malformations which may be the reason for the bloody blisters in her mouth.

You can google that and see if her symptoms possibly suggest that diagnosis.

And like somebody else said earlier, doing a swab, microscopy and culture is probably the worst suggestion because the mouth has so many organisms that are normally supposed to be there.

Bottom line, look for a good DOC

BS.

The whole article is a joke.

Don't believe this crap!!!

Only in Naija!!!

No wonder most "pharmacies" in Nigeria operate illegally.

How do you expect business men to invest in this type of business if at the end of the day, they will likely be running at a loss.

Makes absolutely no business sense.

Well... Lets carry go!!!

I tire for ignorant Nigerians wey go dey form say dem sabi English pass the people wey create the language.

Educate yourself before you criticize.

Vice means deputy/assistant etc , and can be used to qualify many nouns.

Chidinma was right.

See Online dictionary link http://www.merriam-webster.com/dictionary/vice-governor

It is sad that Punch published this article with so much wrong information.

The cost of a Nigerian Visa for American citizens is $160 and there are a bunch of miscellaneous fees that you also pay at the embassy.


That is almost N30,000 and not the N14,000 that was published by PUNCH.

I also see that others are disputing the numbers published by them for other countries.

The information is available online.

https://portal.immigration.gov.ng/pages/visaguidelines

We are happy to be claiming biggest economy in Africa, and e no shame us to be collecting aids


If u be USA, you go give aid to country wey fit lost $20 billion just like that?

Great move by the USA.

dumodust:
you dont get my point, I'm not defending lasuth or saying Nigerian hospital hygiene practices and nosocomial infection prevention habits are perfect... I'm saying that blaming nigerian physicians solely for that outcome is nonsense in view of the reasons u gave . Nigerians have made it a habit of judging what they dont understand from our fake reporters in the media. I 've seen patients from india surgical wound infections too but they're making it look like indian govt hospitals dont have issues too. A good big private hospital in nigeria would have handled it well. Ask them how much that was paid in india to get such care and ckmoare it to cost here
maybe all nigerians should start going to india self make person rest

I agree and I understand your point. Lots of missing facts in the case. And we both agree that Nigerian Doctors could have done better.

I also know that there is a lot of doctor bashing by people who have no understanding of medical facts.

I am however, not taking any stance regarding the faults of the other members of the team.

Regardless of what people might argue, Doctors are the head of the health team.

And if we want to be CMDs, we should also be willing to take the overall fall for malpractices in the hospital. And we should lead the way in bringing about reform.

And that is why my stand regarding this issue is that regardless of who was deficient, the Doctors managing are responsible for picking up on the fact that the said child was not getting better and try to make the necessary adjustments.

I know some of the limitations in our Nigerian health system, and that is why I said they should try.

dumodust:
Even with the best care, that was a dirty ragged wound and there's a 40-50% chance of infection despite the best care...if it was a surgical wound that became subsequently infected, i will understand but not a dog attack wound, not by one dog but several!which other thing will infect it if the patient stays long in the hospital? Infected dirty wounds can have a foul odour and hospital acquired infections are had to treat because they are resistant to most antibiotics except few which may be costly.
Google dirty wounds and infection rate because I don't understand your point. Infections are a problem worldwide and that's how indians market themselves... the way they talk, you will think they can make the boy scarless.
I dont know about lasuth dressing practices but there are rules... unless soaked, once or twice daily dressing is ok. If someone was now negligent with dressing, na their wahala but indians na winch ... do they have a video canera in nigeria to know where the infection is from?

If a wound grows MRSA. I know it was hospital acquired. Depending on cultures, you can determine where an infection likely came from. There are lots of organisms that can only be carried by humans.

Nigerian hospitals lack basic facilities. Hand sanitizers, gloves. Even water to wash your hands. Let's not pretend like the infection couldn't have been hospital acquired.

I'm not here to argue medical facts.

Dirty wounds have a high chance of infection. I know that. And that is what we are there to prevent. And that is why the kid must have been admitted. Or else he would be home.

Most wounds can be dressed once a day. But wound dressing will only go so far if the infection was so bad.

And the bottom line is that if lasuth handled this matter the way it should have been handled, there wouldn't be any story.

Its that simple.

SIRTee15:
@op
please lets get some things clear.
-There's no big deal in managing animal bite wound. its all about aggressive wound dressing and subsequent grafting(that's if the wound is deep) after adequate granulation. Any plastic surgeon can do this and do not need any special treatment in india or anywhere else for that matter.
-The child was treated in a world class PRIVATE hospital in india and NOT an indian govt hospital. A world class private hospital here in naija that has a plastic surgeon in its pay roll will equally do a good job.
- I'm sure when the poor boy was admitted in LASUTH, the father had nothing on him except a promisory note from Gov Fashola that the boys medical expenses will be paid by the govt.
Now, anybody who knows how govt works in naija will know that fashola's statement was merely political and will most likely not be honored in any govt establishment.
Rather, the boy's father will be expected to provide for the dressing materials and antibiotics needed to treat his child. Something he failed to do.
if at all he will be reimbursed by the lagos state govt, that will not be immediate due to bureaucratic process that delays such payments.
Neither LASUTH nor the medical staffs will eat promisory notes, but they wont complain. Fashola is their employer, thus they will continue to do whatever they can to help the poor boy. Obviously their effort was too weak to have any effect..
The boy was flown to india with an adequate treasury chest backed by delta state governor. if he had gone to india with promisory notes, he would also have been rejected.
pls, lets be fair in our comments.
thanks.

note, I'm not exonerating our medical staffs, but as far as this case is concerned it has financial constraint written all over it.

I'll come back and reply that girl called onegal (she's just spamming nonsense all over the thread) and also profer solutions on ailing heathcare system.

There are lots of speculations here.

But I think we all agree that the kid got suboptimal care.

Do you think the Nigerian health system failed in this situation to provide adequate care?

armadeo:
A badly infected wound would always smell. We don't k ow if the infection was hospital acquired or not. There lies the issue.

The fact that the wound was badly infected while the kid was getting health care (Mum complained about the foul odor) and the infection was not adequately controlled until the mother had to take the child out of the hospital is the issue.

If the wound got better, and mum wasn't misinformed, she wouldn't have a bad story to tell.

Did the kid get the care that he was supposed to get?

Healthcare in Nigeria is in pieces and we have to take responsibility to make it better.

dumodust:
thank you dear... The way nigerians think, so the dog's mouth is now very clean and I now have to rely on indians to tell me that white is white... hogwash for gullible masses

We don't have to get too medical here.

The kid was in the hospital before his wound got infected.

The hospital was supposed to prevent or treat his infection.

If this was done, the mother would not have taken home elsewhere.

The mother had concerns about the foul odor from the wound which was not addressed at LASUTH.

This is enough to be mad about.

We don't have the culture results, so we can't really talk about what organism was grown to make the Indian Docs believe it was hospital acquired.

We need to be more accountable for the things we do or don't. And from our leaders down to the common man, this is not part of our culture.

Onegai:
Dude I get that you're trying to protect your professional pride but all those doctors I mentioned are all people who used to teach at LUTH, UCH and co, some are still at GH. Are they lying? I'm pretty sure one of them has taught you (where did you do your residency, let's start from there). Please park very well.

The Diclofenac case, the doctors she met first didn't even ask her if she had ulcers, one of the doctors I mentioned had to come over and take over her case.

The Appendix for constipation happened in Surulere, the doctor had to lewere going to hit him with malpractise.

The Asmathic was on her first trip as a teenager to Nigeria, she went to Delta state and was brought in wheezing and complaining of shortness of breathe, they took her temperature and declared it malaria

How can you rule PID without a single pelvic exam and base your diagnosis on a urine analysis which showed Staph and nothing else? Which is what that slowpoke did and was mouthing off just like you, until I calmly made a phonecall and he was forced to explain to one of his former specialists s how he got that diagnosis. Not once did that slowpoke refer me to a Gyno.

Was it not at Unilag Medical centre I took a friend there (she had fallen into a gutter and was still cracking jokes, so I knew it couldn't be worse than a fracture) only for the doctor there to POP her and declare a broken bone. I carried her home and took her to a very high up doctor at Igbobi, who looked at us and went "but this is a hairline fracture"

I do not walk into any hospital in Nigeria without getting a 2nd opinion. If my immediate family members (who used to teach doctors) are not sure of their current crop of colleagues, I see no reason why I should say "all is well with Nigeria Medical Association"

I bet your stories are true. I have heard of lots of horror stories and I have seen shameful things happen too.

There are good doctors that make bad mistakes and there are bad doctors everywhere in the world.

What is missing in Nigeria is accountability.

Every professional (not only Doctors) has to be held accountable for their actions, otherwise, we will continue to do things the same way.

And the way we currently run things is barely getting us anywhere.

Everything needs to change.

phineas:
You believe you're knowledgeable about the Nigerian health System, you are not.Not about the state of service delivery and definitely not about the personnel. To adequately criticize the system you have to be within or have been within the system.

1stly Nigeria has at more than 11 trained neurosurgeons working in Nigeria not 3, and more qualify every year after 7 years of intensive postgraduate training working round the clock literarily.A medic treating asthma as malaria are u kidding with all the obvious breathlessness wheezing and other tell tale signs? as well as the fact that the patient is a known asthmatic? tell me they misdiagnosed cystic fibrosis, or an ailment not commonly seen here, and I'll believe you write with no malice but asthma?

someone overdosed on Diclofenac and your first thought Sir/Ma in Nigeria was activated charcoal in Nigeria, really? Like what are your primary concerns, Gastric mucosal ulceration with bleeding, an acidosis and renal damage perhaps amongst others and to buttress the fact you have zero clue of the Nigerian health system, your first point of concern was finding activated charcoal? where have u ever seen activated charcoal in Nigeria, remember its taken this person a while to be discovered and to reach the hospital.

On their inability to do a PCR (hope you are aware most of the lab strengthening in Nigeria for PCR was done via foreign organization donations? they are meager like a few per state and definitely not within the jurisdiction of the Clinical Dr's in Nigeria, they are not doing PCR yet "the others" are shouting "stealing" of roles .

An appendix for constipation, we've established you're kidding right? and Lastly, Please tell me the gold standard for diagnosing a pelvic inflammatory disease and how many Nigerians consent to that with the risk of a negative result and we'll come back and discuss why you probably had just blood tests and Vaginal swabs with an abdominal scan before a diagnosis of pid was made.
My point your post was designed with malice to give a dog a bad name and you Sir/Ma are in no position to judge the system, you see you are not trained enough to cast that stone, you should find one corner and do your pity party with your other family members.

back to the topic

Dr Bashing, Naija's favorite past time.Is the practice here without flaws, no, but then I hope we are all aware one of the top leading causes of death in the US is medical error from prescriptions, yes Google that. No system is without its flaws and if you will criticize, please do it objectively and truthfully.

I"ll not bother typing out the problems in the Nigerian Health sector seeing its not the topic here but I'll discuss LASUTH. The personel (medics,nurses etc) patient ratio is alarming. The staff there are ill equipped and overworked, LASUTH almost never has bed spaces for new emergencies not willing to wait for this reasons, and that's all I'll say.

As for this case, they should sue the Apollo Hospital for such unguarded statements ,its not their first, its starting to be a habit.Its a calculated effort to win over naïve Nigerian patients,which if the referral letter truly carried the LASUTH Letterhead the relatives should be sued for fraud shikena. Yes its possible the wound was infected and they did not carry the relatives along on management and please what bite wound does not get infected, its a dirty wound for crying out loud on of the aims of management is to control and treat an infection on it, i can promise you there's no Nigerian nurse that will dress a wound five times a day in Nigeria's teaching hospital with the ratio of like 1 nurse to 20 patients sometimes. if you like write it as such the best you can hope for is to send your registrar's or house officers to dress twice daily, after "begging" the nurses to dress at least thrice daily. Add that to the fact that the hospitals where on strike forty percent of the time last year you start to get the true picture in a case like this

Nigeria has equally seen lots of mismanagement cases by Indian and foreign hospitals, you don't see anyone crying spilt milk on Indian hospitals/colleagues and for those who don't know its one of the codes of practice in medicine.Lots of cases diagnosed here were said to be wrong including cancers which turned out to be right, Dora comes to mind and I've seen other examples with CA that is.

Now For Nigerians: your medical teams nurses, Drs etc work round the clock with remunerations, settings and systems foreigners cannot imagine and definitely not produce results with you really should not pull them down but ask sincerely what are the problems, how can we help fix this. If we refuse to do that, the exceptionally good ones and the ok ones with any dignity left will leave, its happening already and its Nigerians that will reap the consequences with time.

You have valid points, but for a system to work, we have to constructively criticize what was not done right in order to make it better. It is good to talk about the success stories, but in Nigeria, there are too many unnecessary deaths from very trivial issues. Some of which you have identified.

The US health system is also absolutely imperfect, but it keeps on evolving, only because the Government, Doctors, Nurses and patients as well are held responsible for their actions and inadequacies.

We need to change how we do things after identifying the root cause of the problem

I agree. A lot of Doctor bashing goes on, especially by people who have no idea about the health system. And that will never end. It happens even in developed countries. It is just better controlled, and the docs are paid well enough that they can be empathetic with patients despite this.

The bottom line is that we can not continue like this.