Saturday, December 29, 2012
What age does a woman get to before she really gets worried about her unmarried status?
At what age does this worry become so pronounced that it begins to mess with her mind? At what age does the messing with her mind become so bad that she actually breaks down and loses her mind?
Is that even possible?
Can a woman become mentally deranged simply because she has reached a certain age and is unmarried?
Recall this post about a 38 year old unmarried woman who was having a series of headaches related to her unmarried status
The stench coming from her was so nauseating that I became uncomfortable, she was brought in by her brother.
She had lost her mind.
According her brother, she had worried relentlessly about being unmarried.
She was 45.
She now talked and behaved irrationally.
She refused to have her bath.
She would sit at one spot for days on end.
I tried talking to her - she would talk, then suddenly become quiet as if her mind had left the room, then smile awkwardly.
Who places the burden on such a woman?
Is it the society?
What is your take on this?
Wednesday, December 12, 2012
I never thought an actual patient could ask me this - and ask me seriously. The patient was a retired accountant in his sixties and he asked me, with all seriousness if we are taught in medical school how to write horribly.
I told him he was wrong, that we actually have nice handwriting though various reasons could account for our writing being sloppy occasionally, some reasons being:
1. large number of patients
3. Might not want patient to see what you are writing (eg his bill).
But being a scientific kind of guy, I set out to disprove his assertion; I checked the different case notes around me and what I saw shocked me; I will attempt to reproduce what I saw using my own artistic impression here:
By the way, one of the above is mine:)
Quiz: Can you decipher what is written? Kindly score the handwritings.
Tuesday, November 27, 2012
Ever wonder why a lot of Doctors are poor?
Yeah, you got it right - free consultations.
Sadly, yours truly is a major offender.
If I was given a penny for every free consultation I have given, I'd probably be on a remote Island somewhere, sipping fruit juice under a coconut tree, being served by various butlers in black and white tuxedos.
The temptation to give free consultations comes in various forms especially via telephone and text messages; sometimes, you are even required to reply using your own credit.
Examples of questions I have been asked on the phone include:
"My son has what looks like a rash, what can I give him?"
"I have a swelling here, what do I use?"
Note, in these instances, I have no means of seeing the offending rash or swelling, nor am I given more information about it as regards the site, size or shape of the rash, but somehow, I have to provide a cure over the distance.
You could also be out in public and someone introduces you as a doctor, the next thing is, "Doctor what do you think this is?" "What can I use?"
I have decided to stop giving free consultations/ services because of my experience with two cases:
1. The case of Mr B.
Mr B works in a utility company. Lately, I have been billed ridiculously, most of the time through Mr B himself who claims not to have any say on the billing - but Mr B who is a diabetic/ hypertensive comes to my home to have his blood pressure and sugar checked and receives a new prescription, without me taking a dime from him.
2.The case of Mr E.
Mr E does some work and electric fittings for me, he is always paid in full; after his work he asks,"Dr I have this pain here, What can I take?" I am expected to give him a free prescription .
WHY DO PEOPLE ALWAYS EXPECT FREE CONSULTATIONS FROM DOCTORS?
1. Medicine is a ' humanitarian' profession.
This comes from the so called Hippocratic oath; reading through the original oath and the Modern version, no where did I see it written, "I shall work for free."
2. Knew you before you became a doctor: Yes, we grew up together, or went to the same college, I don't have to pay to see you or to ask your opinion do I?
3. Doctors lack of business sense.
So my new year resolution is - no more free consultations.
Are you in support? What is your take on the issue?
Monday, November 5, 2012
The Nigerian movie industry is one of the fastest growing in the world today, they are said to be the third largest after Hollywood and Bollywood.
I have watched some Nigerian films and I have noted some hilarious things when they act hospital scenes:
IT IS ONLY IN NOLLYWOOD THAT:
1.The doctor uses his stethoscope to check for the heartbeat on a patient's wrist.
2. Blood used for transfusion looks like Ribena, or a local drink called Zobo.
3. Primary school science charts are hung on the wall of a doctor's consulting room.
4. Bandages are tied like a turban around the head of a patient with a head injury.
5. The patient is in a coma, and is just placed on the bed, no oxygen, nothing. And he recovers.
6. The intensive care unit contains a bed and no machines.
7. The only hospital instruments are the doctor's stethoscope and the tray the nurse carries.
8. The drip is plastered to the patient's arm without a cannula.
9. The nurses always run to the doctor's office with their mouths wide open whenever there is an emergency.
10. The doctor checks the heart beat on the right side of the chest.
11. No matter how big the hospital is, there is always only one doctor on duty who somehow is a specialist in all fields of medicine.
12. Absolutely any material can be used as a hospital curtain.
I believe Nollywood is coming of age but have to do proper research when writing medical scripts.
And by the way, I am available for a small fee, if they need proper consultation when acting medical scenes.
Thursday, October 25, 2012
Wednesday, October 3, 2012
I once thought that being a doctor was all about prescribing drugs for sick people- how wrong I was.When I started practicing, I had to learn the other functions of a doctor not taught in medical school, these include:-
1. MARRIAGE COUNSELLOR.I've been asked one too many times to play a mediatory role between a husband and a wife: e.g this story where the husband was not faithful; and this story where the wife doubted the husband's fertility.
2. TELEPHONE OPERATOR.We learn the art of making and receiving phone calls at the oddest of hours , and how to politely turn that patient down who calls you for a drug to treat that swelling he has that you can't see.
3. CAREER COUNSELLOR.Everyone wants to know what it is like to be a doctor, and should they continue on that path or take another route?
4. PUBLIC SPEAKER.The inevitable world of presentations: From presenting patient cases to your superiors, to presenting mortality figures to the whole hospital, to talking about Diabetes to the old men at church, you really can't escape this.
5. DISPUTE RESOLVER.Somehow, you're expected to have the solution to any dispute that the courts can't provide, e.g this post about a lady who had two boyfriends and didn't know which was the father.
Your name is kept at the top of any event, and the reason why is so you can donate your hard earned cash. I was once asked to donate a public utility in my locality; you can guess my reply.
7. SOOTHSAYER."Doctor, will I survive?" "Doctor, will I walk again?" "Doctor, will this tablet work?"
So many mysteries will present themselves, and you're a better doctor if you can solve them, an example is this case where the Lady was found dead in a room, with the door locked on the outside.
Tuesday, October 2, 2012
Have you ever wondered how a doctor seems to have a prescription for everything?
You have a headache- Bam! Take this!
You have a fever- Bam! Take two tablets of this.
Your urine looks funny- Bam! This should clear you up.
Amazing right? So what is the secret to this superhuman ability?
1. COMMON THINGS OCCUR COMMONLY.You might think your case is unique, but a doctor who has practiced for a short time has probably seen hundreds of such cases; just like driving a car, treating that case has become a part of the doctor, he can treat it while asleep.
2. THE POWER OF DIFFERENTIAL DIAGNOSIS.Several illnesses present the same way, and it could be one of a group of possibilities. Whichever the doctor thinks it is, he may follow that line of management.
3. WELL, YOU NEED TO DO SOME TESTS.This is a sure get out clause, giving the doctor time to consult his notes; who wouldn't agree to some tests to help get at the root of a problem?
4. HEY FRED, COME AND TAKE A LOOK AT THIS.The power of a second opinion- Who wouldn't want two doctors taking out time to see one patient.
5. SOMETIMES, TESTS COME WITH ANSWERS.Tests like Microscopy, culture and sensitivity come with recommended drugs to use, leaving the physician to take all the credit.
6. THE SYMPTOMATIC APPROACH.Pain = analgesic; Fever = anti-pyretic (anti-fever); Malaria= anti-malarial. (You didn't hear that from me.)
7. WATCH AND SEE.The conservative approach- Who wouldn't want his doctor to say, "It's probably nothing, it will go in a few days. Well, if it hasn't gone in a few days, the doctor would have at least read about it.
8. AND IF ALL ELSE FAILS...Well, uhm...Kindly give me a minute, I need to check something.
So, have you ever come across a doctor who didn't know everything?
Tuesday, September 25, 2012
-So you mean to tell me you've never done an operation using a torch light before?
- So you're telling me you've never sutured a wound without anaesthesia before?
- So you mean to tell me you can fly a sick patient in a helicopter from one hospital to another?
- So you're saying your government pays for your hospital stay?
- So you're telling me your ambulance drivers don't just put on their sirens because they have a lunch date and there's actually a patient inside?
-So you mean to tell me each patient has an ECG monitor and ultrasound scan to themselves?
- So you mean to say you don't see more than 10 patients a day?
-So you're trying to tell me your politicians get treated in your local hospitals?
HMMMMM, LET ME SEE...
You're telling me one can actually eat off your clean hospital floors?
- So you're saying you can transport someone's beating heart in a box?
- So you mean to tell me your patients don't have to share oxygen?
- So you mean to tell me your President moves around with his personal blood bank?
- So you're telling me your Doctors monthly income can pay my annual income?
- So you're saying your medical students get loans and not village contributions?
- So you mean to tell me your Doctors don't migrate to foreign countries after graduation?
- So you're saying 911 actually works?
- So you mean to tell me you've never seen a bush rat in your hospital?
- So you want me to believe you've never admitted a patient on a bench?
- So you are telling me you isolate patients with malaria? Get ready to isolate a whole country.
- So you're saying this man Gates has sent us billions of dollars for the above? Where is it?
Friday, September 21, 2012
Wednesday, September 19, 2012
Is it possible to look like this just by swallowing a drug?
The answer of course , is YES.
Unforunately, there are some things one doesn't know about one's health until one has a life changing experience . An experience one doesn't forget. An example is a drug reaction.
Recently managed a young girl whose only crime was to take a popular sulphur containing antimalarial tablet ( those that require you to take 3 tablets at once). She ended up looking like the above.
Could this condition be fatal?
The answer is YES, see this sad story.
Question : Name the above condition/ possible conditions and or common drugs that give such reactions.
Tuesday, September 11, 2012
Are you considering proposing to that female doctor you can't get out of your head? Well, here are some reasons you may or may not want to:
WHY YOU MAY HESITATE BEFORE MARRYING A FEMALE DOCTOR.
1. She is older and wiser ( which might not always be a bad thing).
2. She is independent.
3. She will more than likely talk back at you.
4. Her career may mean more to her than your needs.
5. You will sleep alone at night a lot and she'd probably not be back before you leave for work in the morning.
6. You would more than likely need a maid.
7. It may be hard to convince her to take extended time off work to raise the family or even to put her career on hold.
8. She has no time for extended dating, you're either ready to marry or out the door.
9. I will stop here because I have been warned by the female doctors mafia to put more advantages than disadvantages.
So on to the pros.
WHY YOU SHOULD MARRY A FEMALE DOCTOR.
1. She takes her relationship seriously - she's more than likely ready for marriage.
2. You are admired by your peers for landing a choice catch.
3. She is able to take care of major expenses for the family e.g paying the maid.
4. She is smart. And knowing a smart lady is ready to be submissive to you puts you on top of the world.
5. You have little to worry about her ante-natal care and birth of your kids.
6. She is hard working and good at multi-tasking.
7. She will hardly have time to sit down and engage in gossip with other housewives.
8. You always have a ready excuse to dodge couple events - "my wife is on call and I have to take the kids to Grandma's"
9. You can leave her to bother about the right amount of calories you need in your diet.
10. Most female doctors are beautiful ( I had to put in that so my food won't be poisoned at work); my actual view about this can be seen in this post
So go ahead and propose to that doctor, while I take cover from the expected responses to this article. :)
Special thanks to @TheChubbyMissus
Ladies, are you considering that young handsome doctor that took you out last week? Well, here are some reasons you may or may not want to respond to his advances.
REASONS WHY YOU SHOULD NOT MARRY A DOCTOR.1. His Medical friends will probably bore you.
2. He will probably bore you.
3. You will spend many nights alone.
4. Nights you do spend together, he may be fast asleep before you say Jack Robinson.
5. You just can't go on holidays when you feel like or spend weekends together like other couples.
6. You will probably attend a lot of couple events alone, or he may be with you a short while and give an excuse.
7. His beeper or cell phone is not your friend.
8. He will have a lot of trying times especially when preparing for never ending exams.
9. You're never really sure what he's doing when he goes for night calls.
10. Many doctors these days are broke.
Okay, just before you run away at the altar, here are some reasons you may want to reconsider.
REASONS WHY YOU SHOULD MARRY A DOCTOR.
1. He'll compensate his lack of spending time with you with a lot of money to splurge at the mall.
2. You don't have to worry about giving the wrong drugs when your kids run a fever.
3. You have a variety of his Specialist Friends at your beck and call if you have any medical issues.
4. You become a medical authority yourself, your friends run to you to take a look at any rash they have.
5. Doctors are romantic. Period.
6. Doctors are hardworking. Period.
7. He takes your feminine cycle seriously and understands why you may be cranky sometimes.
8. He probably can never be out of employment - he may not be paid much, but he usually always has a job.
9. You and your family can jump any queue for your medical appointments.
10. A lot of doctors these days are rich.
Do you agree? Can you give me other reasons for or against?
Monday, September 10, 2012
I have noticed that different doctors have different ways of wearing their white coats:
1. BUTTON DOWNI guess this is the traditional way of wearing it.
2. OPEN FRONT JACKET .This is a more relaxed way of wearing it, you could be wearing a designer shirt or blouse underneath that must be appreciated at all cost.
3. BUTTONING FIRST OR SECOND BUTTONS ONLYThis is bringing one's personal style to it.
4. BUTTONING FIRST AND SECOND BUTTONS ONLY.Similar to above.
5. WAIST LENGTH COAT.Well, It either gets longer or shorter.
6.KNEE LENGTH COAT.No problem so far you don't trip
7. FOLDED SLEEVES.Well, you wouldn't want to take germs home, would you?
8. SHORT SLEEVESAgain, similar to above.
9. WEARING NO WHITE COAT AT ALL.I guess this is self explanatory.
So there you have it. Do you have any preferences? Are there any institutional laws guiding the length of your ward coats? Do you know any other fashionable way of wearing it?
All images courtesy picasa web albums.
Sunday, September 9, 2012
ARE DOCTORS PROMISCUOUS?
I had to take some time to ponder this question. Of course, we are talking more about male doctors here; female doctors hardly have time to be promiscuous (though there are few exceptions). Due to the nature of medical school, by the time a female doctor graduates, her biological clock has already started ticking and there is little time for philandeering.
Before I answer if doctors are promiscuous, let me give the reasons why they MAY BE promiscuous.
WHY DOCTORS MAY BE PROMISCUOUS.
1. THE STRESS OF MEDICAL SCHOOL:
Medical School puts a lot of stress on any person, and if this is not properly handled, a ready outlet of frustration could be in promiscuity.
2. THE DURATION OF MEDICAL SCHOOL:
like a bird set free from a cage (see angry birds), once doctors are released from medical school, they suddenly feel all the inhibitions loosening and are ready to explore what they missed.
3. PEOPLE OPEN UP TO DOCTORS:
Doctors are good listeners which may be interpreted as caring, and they've seen you when you are most vulnerable. A patient or a patient's relative can easily fall for a caring doctor.
4. OTHER FACULTIES HOLD MEDICAL STUDENTS/ DOCTORS IN HIGH ESTEEM:
A doctor/ medical student is quite respected by many peers, and dating one (in some cases) is seen as a choice pick.
5. MONEY TO BURN:
Well, a Doctor that is ready to splurge his hard earned money can easily get a bevy of admirers.
6. LATE NIGHTS:
Call Duty is a ready excuse for any overnight rendevouz.
So there you have it - but I'm not done yet, I have to give the other side of the argument-
WHY DOCTORS ARE NOT PROMISCUOUS.
1. THEY'VE SEEN IT ALL:
Beauty is only skin deep, and medicine is a profession that recognises this.
2. THEY'RE TOO BUSY:
Too busy making money, too busy caring for their patients, or too busy writing exams.
3. THEY ARE AWARE OF THE RISKS OF PROMISCUITY:
They see the consequences of STDs and the likes.
4. THEY'RE USUALLY NERDS:
Oh Oh, I didn't just say that did I?
5. THE DURATION OF MEDICAL SCHOOL:
They are usually more mature when they finish school, and besides, most of their peers would be married.
OBSTETRICS AND GYNAECOLOGY
SPECIALTIES AT RISK OF PROMISCUITY:
In that order
Do you agree?
Special thanks to @pep_eluwa
Friday, September 7, 2012
OUT OF EVERY TEN DOCTORS YOU MEET, ONE IS:
DOCTOR FRUSTRATED:These are doctors that are not happy with the conditions in which they work; this may be due to the country, the specialty or the department in which they work, You can constantly hear them complaining about something or the other.
DOCTOR BUSINESS:These doctors are constantly on the phone, and no, they are not discussing a patient's management. They have various business interests outside medicine.
DOCTOR ACADEMIC:These doctors are always reading, either for an exam or for the next ward round; you can usually find them in a tutorial session discussing any new academic topic of interest. Many times, they have no life outside the medical field.
DOCTOR POLITICS:These are doctors that are either activists, interested in politics or holding various posts in medical associations, they nurse an ambition in administration.
DOCTOR LEISURE:These doctors usually have extra curricular activities which they take more serious than Medicine, they could be members of various recreational clubs.
DOCTOR CARING:These Doctors go the extra mile for their patients, they are very empathic and can stay up late thinking about their patients.
DOCTOR I AIN'T PRACTICING:These doctors have hung their stethoscopes either temporarily or permanently, and usually, they'd rather you didn't ask their opinion on any health issue, because, frankly, they've forgotten.
DOCTOR'S DOCTOR:These are doctors even doctors like running to for advice or their opinion ; they are always calm, composed and possess a perfect grasp of any issue you bring to them.
DOCTOR FRIENDLY:These doctors are the life of the party - or should I say, the life of the hospital. Everybody loves them; the nurses have a smile on their face when such doctor is on duty, the patients feel better when the doctor is around, or at the sound of his voice. You can see such a doctor throwing banters around as he walks through the wards, just like a president waving to a crowd of supporters.
DOCTOR SERIOUS:Medicine and health is a serious matter for these group of doctors - there is no time for idle chit chat as lives are at stake. These doctors are usually unforgiving when any mistake is made by their subordinates.
Do you agree with these stereotypes? Have you met any of the above stereotypes? What do you think about them? Is there any stereotype I left out?
Sunday, August 26, 2012
Thursday, August 23, 2012
Linda was a seventeen year old girl. Like other girls her age, she liked going out without telling her parents. On one such occasion, she returned home and was scolded by her mother. In a fit of rage, Linda went into her room, opened a bottle of insecticide and swallowed the contents. She was dead a short while later.
Samuel was a 14 year old whose parents had decided to separate; he stayed with relatives under questionable conditions. One day Samuel disappeared. He was found 4 days later, hanging from a rope tied to a fan in a nondescript building. An apparent suicide.
We hear countless stories of teenagers who decide to take their lives for reasons that may not be clear or logical to us. In their own thinking, there is no point in continuing to live. It could be due to repeated failure in an exam, excessive bullying at school or displeasure over parents separation. Other reasons may be rejection from a loved one or substance abuse; the reasons are numerous and complicated.
SIGNS TO WATCH OUT FOR.
Depression:A child that is constantly unhappy without any obvious reason should be closely monitored.
Withdrawal:A child that becomes withdrawn and displays a lack of interest in things that usually excite him or her.
Mood swings:Going from one emotional extreme to the other within a short time.
Sudden changes in behaviour.
WHAT TO DO1. Create more time to attend to your child's needs
2. The child should be carried along and considered when major decisions affecting the family are being made.
3. Children at risk should undergo counselling and should be followed up.
How do you think parents can help their teenagers go through seemingly rough times?
Wednesday, August 22, 2012
"HELP! I CAN'T URINATE."Imagine - it is time for your evening meal - a plate of your favourite native delicacy, crowned with a bottle of your favourite drink, chilled to perfection.
" Aah!, life is good," you down the glistening liquid and settle down for a nap (afterall you've worked really hard).
Midway into your slumber, you have that expected urge to relieve yourself; lazily, you hobble to the bathroom, unzip in preparation to urinate
and nothing comes out. You try again, still nothing.
Imagine the shock a grown man would feel, when he discovers he wants to urinate, has the energy to urinate, has all the resources to urinate, but urine just won't come out.
The above could be a symptom of an enlargement of the Prostate gland or worse still, an initial presentation of a Cancer of the Prostate gland.
WHAT IS THIS PROSTATE GLAND?Let's think of a road with freely flowing traffic. Imagine two trees on both sides of the road; imagine both trees falling onto the road, blocking traffic.
The road is the opening through which men urinate, the trees are the prostate gland. When the prostate enlarges, it reduces the opening to urinate.
WHO IS AT RISK OF PROSTATE GLAND ENLARGEMENT?Men above the age of 50.
WHAT ARE OTHER SYMPTOMS TO WATCH OUT FOR?Blood in the urine.
A feeling you haven't completely emptied your bladder.
Straining to urinate.
Swelling of the abdomen.
In advanced cases, back pain and inability to walk.
WHAT TO DO.Go to your local clinic, after initial emergency is addressed (a catheter may be passed), ask for a referral to see an Urologist.
Note: Enlargement of the prostate is not the same thing as Cancer of the Prostate, but it could be an initial sign.
Thursday, August 9, 2012
Seriously, have you ever tasted your urine?
Well, my patient did - and - he enjoyed it.
Or more precisely, it tasted sweet.
Well, he had enough supply of urine anyway as he Urinated excessively.
That would be Clue 1.
Of serious concern to him was the fact that he could no longer satisfy his wife.
That would be Clue 2.
He did a test before coming to see me that morning which clinched the diagnosis that explains all the above.
That would be Clue 3.
Question : What was the Diagnosis?
Image 1, 2, 3
Friday, July 20, 2012
Dear Patients ,
How are you?
You know I care so much about you , that is why I am taking out time to write you this note.
As we all know, the World Cup is around the corner - I feel it is necessary we are all prepared for some changes that will occur during the events, I have thought long and hard before coming to the following conclusions:
1.COMPLAINTSMake your complaints brief and to the point. I am really not interested in your family and social history.
2. LENGTH OF SICKNESS .If you have been sick for over 5 days and are just coming for the first time, another 2 hour wait for the TV highlights to end will not kill you.
3. PATIENTS ON THE WARD.You are advised to keep arms that have IV lines ABSOLUTELY still during the period of any match I am watching, as any tissued lines will not be reset.
4. PREGNANT WOMEN.I have a soft spot for you.
If you know your Expected Date of Delivery falls on a day my country has an important match, kindly come to me now for some quick tips on self delivery( items needed: warm towels and really sharp scissors or garden shears.)
5. INJURIES.- Except your head is cut off, be satisfied with a bandage for any...and I mean any kind of injury.
6. CONSULTATION TIME.now for any kind of complaint is one minute, if you feel you need to talk more, I will be glad to refer you elsewhere...
7. PATIENTS AND NURSES- The fact that I am watching the TV on the wards does not mean I came in for consultations...
8. PEOPLE WITH JUST ONEof the following symptoms will not be seen:
1.Inability to sleep. .
3.Cough or catarrh.
4. Lack of appetite.
5. Pain....(Please note that pain and agony are not the same thing) .
The aforementioned should go to their local Pharmacy.
9. If you suddenly see me jump up and start dancing while consulting, don't think your doctor has run mad - it's a goallll!
Thank you for your support.
Your Football loving Doctor.
Image 1: premium times
"DEAR PARENTS FORGIVE ME IF I HAVE OFFENDED YOU."I knew there was something wrong, the moment I saw her.
The way she gazed at me made me very uncomfortable, I shifted in my seat.
But she wasn't looking at me - she was looking through me. She never blinked all the time I looked at her, the tears streamed down her eyes from the pressure of keeping her eyes open without blinking. Her neck remained at an awkward angle as she continued to look at / through me.
She was in her mid 20's and she had lost her mind.
It had started gradually, she forgot little things - she forgot where she kept things in the office and at home, she forgot how to operate her Laptop.
She had told her mother about this and was subsequently taken to the hospital. After some tests were done, they saw nothing wrong with her .
Now, she was no longer talking, all she could do was continue to stare and pull at her hair.
I enquired about the usual predisposing factors for a mental breakdown for a girl that age - boyfriend, drugs, alcohol and substance abuse - nothing significant.
Except this - Dad had decided to live with his girlfriend and had been in an argument with her mother, she had been caught in between the argument. But was that enough to lead to a mental breakdown?
Another thing - she had kept some money in an envelope addressed to her parents saying, "Dear Parents, If I've in anyway offended you, please forgive me."
Had depression about her parents' separation led to her mental breakdown? Was that just a tip of the iceberg? Was she contemplating suicide?
Thursday, July 19, 2012
EDITORS NOTE: Due to a certain state government's recent "ban" on commercial motorcycles popularly call "okada" I felt I should once again bring up this post for you to air your views.
"I don't want to die!"
"I don't want to die, please help me!" "Please save my life!" He pleaded passionately.
He was brought by good Samaritans in the early hours of a calm day.
Looking at him he looked moribund. His life seeping away.
He was a young man in his early 20s; unkempt and in a lot of pain; dirty, with a foul stench emanating from his body.
Oh that smell!
He was also penniless.
He was in a pool of his own blood with multiple deep lacerations on the chest and the abdomen.
There was nothing left to the imagination,he was a living study in human anatomy - his stomach and intestines
were out of his body, clearly exposed for all to see.
He was a local commercial motorcyclist who, as is common to many of them, was riding at break-neck speed when he suddenly had to apply his brakes.
He was immediately launched like a rocket off the motorcycle and landed on the metal wires used in demarcating the dual carriage way on a popular street in the city's Metropolis. The wires tore into him like a prize turkey.
Of course he had no protective gear on.
It was a gory sight. A scene straight from the horror movies; blood here, blood there and blood everywhere. One of the ones you know that just can't survive.
We rushed him to the theatre, his life hanging by a thread, in a pool of his own blood, no time to ask un-necessary questions like who would foot his bill.
It was a gruelling surgery, but survive he did. He was lucky all the necessary manpower and equipment were available.
The lacerations were all sutured; The stomach and intestines were returned into the abdomen.
Luckily for him, his spleen and abdominal aorta were spared. If not, he would have been dead in minutes.
I felt proud to be a doctor, a life saver used by God. It was one of the most memorable days of my career.
But there was one small problem - who would pay the bills?
Follow Dr Busuyi on twitter @drbusuyi
Tuesday, July 17, 2012
Read Article 1 here.
HE DIDN'T HAVE TO DIE. (Stories that touch the Heart.)That day Dr B woke up, nothing could have prepared him for the series of events that would lead to his untimely death.
Dr B was a privileged child of his parents who are both Doctors, they had ensured he had a world class medical education.
Dr B would probably still be alive if he had not met the patient that day. But he did.
Just when all seemed to be going well - it happened - a physician's nightmare - Dr B pricked himself with the needle he was using on the patient.
The patient was HIV Positive.
Dr B panicked.
He informed his parents(who are Doctors).
His parents panicked.
Dr B was eventually given some Anti-Retroviral drugs, possibly to prevent any effect or progress of the HIV virus.
Dr B reacted to the Anti-Retroviral drugs and was rushed to the hospital.
Dr B died a few days later from complications of the reaction to the drugs.
Wednesday, July 11, 2012
Thinking of starting that career in medicine? Here are a few tips that may help guide you:
1. KNOW WHY YOU ARE THERE.
Do you love being a doctor and caring for the sick? Or were you just the best Science student who naturally drifted towards medicine? Or was it your parent's decision? This is fundamental in determining your attitude to the course.
2. SIX YEARS IS NOT A LONG TIME.
Take it from me, six years goes by in the twinkling (or two ) of an eye.
3. IT IS NOT HOW FAR, BUT HOW WELL.
You don't have to be perfect and know everything, but what you do know, know it well.
4. DON'T PROCRASTINATE.
Don't wait till tests and exams are coming up before you prepare for them. Read in convenient little bits after each day's lecture rather than a fire brigade approach when exams are near.
5. DON'T DEPRIVE YOURSELF OF SLEEP.
Except absolutely necessary. Even when necessary, sleep. Your brain will reward you with excellent recall, but you should have been following tip 4.
6. USE MNEMONICS OR CODES TO RECALL COMPLEX STUFF.
There is no Doctor that remembers absolutely everything, but we do have a way of recalling important details either by codes, diagrams, poems, or even songs.
7. HAVE HOBBIES.
This is essential to keep you balanced, hobbies and positive extra curricular activities keep you sane and may come in useful as alternate sources of income in the future.
8. KEEP EMOTION IN CHECK.
Positive or negative relationships have the potential of either building the medical student or totally destroying him or her.
9. HAVE A FAINT IDEA.
Of what you want to do after you graduate. Often times, this is a cross roads for most young doctors. 'To be or not to be.'
10. HAVE A ROLE MODEL.
Someone that inspires you, that you want to be like, for example Dr Ben Carson.
11. COPE WITH FAILURES.
Yes, only a very few go through medical school without failure, dust yourself and move on.
12. STARTED BUT YOU'VE LOST INTEREST.
My advice? Get your degree first then you can dump it for your true love.
Hope I have been of help?
HOW NOT TO ENCOURAGE A COLLEAGUE
The patient was slowly slipping away. . .
I had battled relentlessly to save his life; I was obviously losing the battle. I couldn't even secure an IV line for him; his veins, though visible had collapsed. Time was ticking away, I was helpless.
The patient was HIV positive and in a very bad state; I was conscious of the risks to myself continuosly trying to secure an IV line in him.
A doctor, seeing my helpless situation, came to my side and said. "Do be careful, hope you heard about the Doctor who died after being pricked with a needle used on an HIV positive patient?"
Now that's what I call encouragement.
Wednesday, June 27, 2012
WHO WAS HE?
Mrs J was found dead in her room, the door locked on the outside. The key was found placed on a table after a frantic search had been made for it.
There was only one suspect who had been noticed leaving the room by Mrs J's teen daughter. The suspect (male) had stayed overnight with Mrs J.
After examining Mrs J's lifeless body, I became interested in the Story which had the following peculiarities:
1.The Door was locked on the outside and the key placed on a table.
2.There was a mystery man at large who Mrs J's daughter could recognise .
3. Mrs J's husband was away.
4. The death occurred in Mrs J's husband's house.
5. There was no immediate evidence of a traumatic death.
1. Who was the mystery man, and what was their relationship?
2. If he had to kill her, why did he do it in her husband's house?
3. Why was the key placed where it could be found?
4. Did the daughter know more than she claimed?
5. Could the murder have been premeditated?
6. Was It Suicide?
7. WHAT SHOULD BE THE HUSBAND'S REACTION?
What are your thoughts?
First Mystery here.
Monday, June 25, 2012
Ever walked into a Hospital ... then walked right out when you see the Doctor on duty?
Yes, I know the feeling - Even if he was the last Doctor on Earth, you'd rather die than have him treat you.
Finding a good Doctor for yourself or your family, may be a daunting task, here are some habits you should look out for (if you had the choice) when choosing your doctor.
1. A GOOD LISTENER.A Doctor must be a good listener, gently guiding the conversation to get all the important facts - rather than cutting you short at every whim or telling you to hurry up and get to the point.
2. CALM.A Doctor must never lose his cool, lives are dependent on his ability to remain calm through tense situations.
3. COURTEOUS.A courteous Doctor respects you and would not deliberately do anything that would not be in his patient's best interest.
4. REMEMBERS YOUR NAME.If after five visits, your doctor still has to look at his notes before addressing you, then he probably forgets about you after each visit.
5. APPEARANCE.Now I'm not talking about good looking Doctors (Grey's Anatomy). A Doctor that appears unkempt, smelling of either Alcohol or Cigarettes may not be the best for you.
6. WORD AROUND TOWN.If the word around town is that your Doctor is not a good one, then he probably isn't. A Good reputation has a way of spreading, so does a bad one.
7. RELATIONSHIP WITH OTHER HOSPITAL WORKERS.A Doctor with an excellent relationship with Nurses, Pharmacists, Lab Scientists, Records staff and Cleaners will probably be good to you. Also, he can get all the aforementioned to offer their best services to you because they like him or her.
So back to my initial question: have you ever walked into a Hospital and walked right out because of the Doctor on duty?
Wednesday, June 20, 2012
Out of curiosity I checked the top keywords with which my blog posts were found and thought it will be good to put a summary here and useful links.
Note : Search items not edited for grammatical accuracy.
1. Future of medicine:This post about my vision (used loosely here) of how medicine will be in the year 3012.
2. Awkward doctor stories:Must be this post about awkward and embarassing moments of being a doctor.
3. Breaking bad true story basedMust be this story of my peculiar way of breaking bad news to patient relatives.
4. Sickle cell diaries:This poem about the realities of having sickle cell from a sufferer's point of view.
5. Cartoon doctor and patient:Awkward moments continued, but this time from the patient's point of view.
6. Cute Black Babies:Must be this hilarious post about a lady who wasn't sure who the father of her baby was
7. keep out of the reach of children:Sad story about a teenager who committed suicide.
8. How to know before study medicine:This post about things I wish I knew before studying medicine.
9. My wife superwoman photos:Here I talked on the challenges of being a single mother and a good doctor.
10. Cartoon cat's face:Talked about Cancer here. How crafty it is and the subtle way it creeps into people's lives.
So there it is, but I would really like to know how YOU discovered my Blog.
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