The solution to every medical problem cannot be, let the doctors do it.
There are professionals who train to learn how to sign. Why not advocate for then to be hired instead of dumping yet more work on already overworked doctors?
I hate this country so much
I hate everything about it
I’m a freaking doctor
But I’m here debating if I can afford to pay for the gym next month
I’m debating if buying Greek yoghurt is a good idea or a financial mistake
Dyk the last time I drank Malta Guiness?
2 weeks ago
I ask you for legal advice, you billed me...
You are asking a medical question for your wife... I'm billing you... you are squeezing face and talking about service to humanity.
you are a silly child!
So this Nurse came up with a new rule that IV medications that are supposed to be administered slowly should only be given by doctors and we must not give it, because apparently administering IV medications is suppose to be doctor’s procedure. Mind you, almost every medication administered IV has to be pushed slowly.
Okay, so if you relegate nurses from doing almost all the procedures we’re trained and expected to do, what exactly are we supposed to do? Just vital signs?
If the Hospital management is stopping nurses from performing basic procedures, we should be fighting it. But instead you the nurse in charge are reducing your young, active nurses who actually want to learn and work to taking vital signs. How are we supposed to grow? How are we supposed to gain experience? How would we be respected?
And then we wonder why they pay nurses ₦80k. Why wouldn’t they? Why wouldn’t they hire quacks in place of qualified nurses when we’re being prevented from doing the very things we were trained to do?
And you lazy nurses too will sit down and accept doctors setting lines, giving IV medications, doing catheterization, nebulization, suturing and other basic procedures, then turn around and wonder why they don’t rate you.
I genuinely pity all of us.
Somehow, this story reminded me of the most memorable night of my life as a house officer in O&G.
It still gives me chills.
This lady came in at about 6:30pm with 8cm cervical dilatation. It was her 5th or 6th pregnancy and she was expecting her first son.
She and her husband had been separated because an earlier scan had suggested the baby was a girl, and the man wanted a boy. A very foolish thing, especially considering that the father contributes the chromosome that determines the baby's gender.
The second scan showed that she was actually carrying a boy, so they were anxious that nothing must happen to this baby.
She delivered vaginally despite being only 8cm dilated, with an anterior, uneffaced cervix.
By about 8:30pm, the episiorrhaphy and cervical repair were done.
But she was still bleeding.
Then the drama began.
Oxytocin. Ergometrine. Balloon tamponade. Blood.
There was hardly anything we didn't try.
By 10:30pm, she had received three pints of blood and was still oozing.
We suspected retained products, so we prepared for theatre.
By 12:30am, we sent the ambulance to pick up the Principal Medical Officer and consultant and went into theatre.
PMO came and we evacuated the retained products but consultant was delayed actually.
But the bleeding continued.
She had severe uterine atony, and it became clear that we were going to have to remove the uterus.
I ran to the blood bank for four pints of uncrossmatched O-negative blood.
We had to send another ambulance to bring the consultant.
And then, the patient arrested.
That night, the nurse anaesthetist and I alternated chest compressions.
One hand on the blood bag.
One hand on the Ambu bag, while tireless work went on in the abdomen
The hysterectomy was eventually completed at about 6:30am.
Then came the hours of stabilisation, more blood, correction of the metabolic consequences of massive transfusion and transfer to HDU.
Everything finally settled around 8:30am.
Guys...
That experience marred O&G for me for life. 😂
I had been romanticising the idea of becoming an obstetrician because I was actually very good at it.
But that night that could have solidified my decision, made me realise that being good at something doesn't necessarily mean it is what you are meant to spend your life doing.
I have tremendous respect for obstetricians because I know that somehow, every 10 minutes, an obstetrician somewhere is making decisions under pressure, fighting to keep two lives safe, and sometimes may have to make incredibly difficult choices in the middle of the night.
Kudos to the scientist for being so passionate about his work.
I hope and pray we have more people like that in healthcare, who are passionate about what they do, committed to excellence and willing to keep go the extra mile sometimes and keep showing up for humanity.
It was difficult letting go of my passion for O and G, but thankfully I found my path, not the easiest but I will always be grateful for it.
Vaccines worked so well we have an entire generation that’s probably never seen cases of polio and tuberculosis. Heck some people have never seen measles and that’s why they have the audacity to be so stupid.
To think that most young women saw Diadem as an enviable role model because she acquired so much wealth at 40, not for it to turn around to be her doing sidchick drama in the internet. I really want to see more women who are doing honest jobs being promoted, not these instagram aunties promoting sidechikism as an easy route to wealth.