Sir fash🩺

Believer in Christ || Husband💍 || Father ||Medical Doctor || Surgical resident || Healthcare & Leadership || @travelswithelo || @ChelseaFC

[Sir fash🩺 @DrfashMD]

Today is world hypertension day, and it's a reminder of the havoc that hypertension has continued to wreck in the health of Nigerians and the world at large.

[FinestDoveTruth @FinestDoveTruth]

One thing I noticed when I begin to live in the West is how deeply invested white parents are in their children’s development.

Music classes, swimming, coding clubs, weekend sports, summer camps… they learn alongside their kids, show up, sit through practice, research new skills, and plan years ahead.

It’s not magic. It’s a system that gives them the space, time, and support to be present.

Now compare that to many African parents. It’s not that they don’t care.

They care deeply.

But how do you focus on piano lessons when rent is due. How do you think about swimming classes when the cost of food is a daily battle. How do you push a child toward sports when the country has no pathway that guarantees safety or a future.

There’s no structured support, no government cushioning, and most parents are too tired from survival to start exploring “skills development.”

It’s not neglect. It’s economics. It’s the reality of raising children in societies where the parents are still fighting for their own stability.

But even with the limitations, we can still do better. Encourage your kids’ curiosity. Expose them to free resources. Support their talents in small ways. And for our leaders, the responsibility is clear: build systems that make childhood more than survival.

Because when parents are supported, children can finally breathe, grow, and dream.

[Sir fash🩺 @DrfashMD]

@oliveKubmite @Adejibo Make i no even talk

[Sir fash🩺 @DrfashMD]

Unsolicited Ads have ruined apps and website.

You can't even browse some sites without ads popping up in your face.

[Sir fash🩺 @DrfashMD]

The missing and most important variable you have not considered is LOVE.

For God so LOVED the world, that he gave his only begotten son..(John 3:16).

God became flesh, died for our sins, and rose from the dead. Through this, he reconciled man back to himself!

Glory to God!

[Sai Ishaya @Sai_Ishaya_]

Nigeria has one of the worst scope creep problems in the world. Everyone from hospital attendants to even patient relatives become MDs in the hospital. In such a dysfunctional system, there aren't enough measures in place to avoid putting patient safety at risk and blur the already thin professional lines.

Titles aren't just for show, there is a reason a Radiographer Aide/Imaging department assistants(IDAs) don't go by Radiographer. Everyone understands this until a doctor brings it up regarding our professional roles and it becomes about "ego" and settling scores, ignoring the very real problem.

The US, UK etc are always used as an example of systems that have welcomed the "multiverse of titles" but people also keep forgetting the myriad of problems this has caused in a system that is a lot more functional and organized than ours.

They also forget to mention that there is currently a lot of pushback to these earlier accepted changes by physicians and other healthcare managers in these countries.

Currently, the royal college of nursing has been actively fighting against the scope creep problem of nursing assistants and expansion of their roles. So it begs the question of why it isn't clear why common sense has to prevail when doctors point out these problems.

The length and breadth of allied health professional roles are wide enough for growth without creating confusion, blurring professional lines, devaluing the complexity of their own roles, and encouraging role subsitition.

The fight for protected titles is pushed as something Drs with big "egos" are heavily focused on but it will come for us all, whatever you feel your profession is, it is not safe from role subsitition, and soon the people fighting against title protection today would also be actively fighting others for their titles to be protected.

[Olaleke Folaranmi @DrGeeONE]

It's becoming silly... let everyone just take a break!
No one should be making such divisive statements if they have truly embraced the "calling" in their profession.
The healthcare team can only function effectively when every member plays their role with respect for others, understanding that every area of responsibility, no matter how specialized or foundational, is critical. (Even among physicians, we know some can be condescending to other “lesser” colleagues).
Personal note:
What concern do I have with the million things a Cardiothoracic Surgeon can do that I can't? None. I chose to be a Pathologist, and they chose their own path. They go through a laborious process to send tissue samples to me so that I can use my expertise to render a definitive diagnosis and advise on the prognostic and theranostic markers necessary for treatment.
Endpoint: The patient receives life-saving care. Most times, the patients don't even know who made the diagnosis, and that's okay. Our reward is the outcome, not the spotlight.

If you ever feel the need to compare yourself against another profession before you can appreciate your own value as an invaluable member of the team, then perhaps a change of career path would bring you peace.

Physicians lead the clinical team because they hold the ultimate burden of clinical responsibility for the patient's diagnosis, overall treatment plan, and outcome. Anyone can choose to become one, the higher burden of responsibility is the fundamental reason for their role as the captain of the ship, not an inherent superiority.

[Sir fash🩺 @DrfashMD]

Oh, but Jesus died for our sins.
And he didn't stay dead. He rose on the third day, having defeated death.

These are well documented facts.
The death of Jesus was documented even in historical texts.

Because of Christ death and resurrection, we can be saved!
Glory to God!

[Maliq @MasterMaliq]

As Muslims, we believe that Jesus Christ was not crucified. He was not killed, nor did they succeed in harming him.

[Sir fash🩺 @DrfashMD]

@FEMMY466 I'm honestly restraining myself.

His ignorance and folly are so palpable.

[Sir fash🩺 @DrfashMD]

@Lordkyril @FEMMY466 You have captured it well👌

[Gold-Olufadi Shakirat @skinandall_]

An experienced nurse will never ever say this publicly. Because except you are being deliberately obtuse, there are many things a doctor can do, that in fact you cannot or should not do.
And there are many things a nurse can do, that I cannot and should not do.

Laise baranda ni Gbagi??
What kind of thing is that!?

But if you had said, “there’s a lot we can learn from ourselves,” I would agree wholeheartedly. God bless Nurse Jibike of LUTH hemodialysis center who closed the curtain that day and showed me how to cannulate properly. She recognized that I was a new resident and the skills will not just magically appear. Unlike some people that thought screaming was a necessary skill for femoral cannulation. I have appreciated Ms. Jibike several times. Perhaps today is the day to appreciate her publicly.

We cannot exist without each other. The rivalry is unnecessary. But there needs to be clearly defined roles. Finito

[Ụlọma @ulxma]

Jehovah’s Witnesses take modern medicine seriously. They go to hospitals, get surgeries, take medications, do chemo, get vaccines… basically the full range of standard medical care.

Take Covid for example: they approached it with a mix of caution, organisation and strict internal consistency. They were one of the few large religious groups that shifted their entire global routine very quickly and stayed with it. They suspended all in-person meetings, conventions and door-to-door preaching early in the pandemic, long before many governments mandated it. Their worship moved fully online.

They took public-health guidance seriously. They encouraged masks, distancing and hygiene measures, and they followed local regulations and never resisted them. Their official publications consistently framed these actions as practical expressions of caring for others.

Additionally, they did not oppose Covid vaccination, and many jws viewed vaccination as a responsible medical decision consistent with their general acceptance of modern medicine.

They also quickly adapted their ministry. Door-to-door work stopped worldwide and did not return for more than two years. Instead, they wrote letters, made phone calls and used digital tools for outreach. This was historically unusual for them because personal, physical ministry is central to their identity. They treated this as both a safety measure and an opportunity to preach or distribute content without travel or crowding to avoid infecting others.

Anyone who is familiar with their disaster response system during natural disasters can testify that they use a similar approach and that they take science and community very seriously.

The single line they don’t cross is blood transfusion. This is because of how they interpret the biblical instruction to “abstain from blood” in Acts 15:28–29. For them it isn’t exclusively a food rule but a moral boundary, so they avoid transfusions of whole blood and its major components: red cells, white cells, platelets and plasma. When it comes to smaller blood derivatives (like albumin or certain immunoglobulins and similar products) each jw decides for themselves. The same applies to procedures where their own blood stays connected to their body in a closed loop.

I grew up holding that stance too but my understanding of the verse changed as an adult; I now interpret it as a dietary rule that was valid at a time when eating and cleansing oneself with animal blood was common in ancient pagan traditions. Of course, the rule was made by people for whom blood rituals were the limit of their imagination based on their current reality. Today, modern medicine has advanced and allowed us the gift of saving others’ lives by giving them our blood and I do not believe that a loving god would rather watch his children die for his own ego rather than accept the kindness of extending or saving their lives through blood transfusion.

But even though they don’t accept blood transfusion, they (mostly) approach it with care (or at least this has always been my understanding however a little bit complex). They often use what is called “bloodless medicine” which are techniques designed to manage or replace lost blood without using donor blood. Some medical centres have dedicated protocols because they’ve been treating jw patients for decades. Unfortunately, the reality in Nigeria when it comes to “bloodless medicine” protocols for jws and how widespread they are is a patchwork. There are doctors and hospitals in Nigeria who have treated jw patients with bloodless surgery approaches, but it is not yet uniformly or widely adopted. This makes it incredibly and disproportionately risky to be a jw in need of critical blood transfusion in Nigeria. Being a Nigerian in need of critical healthcare is already risky enough given our broken medical system, so this adds an extra layer of risk.

So, overall: they welcome medical care, but blood transfusion is a spiritual no-go area.

That one belief has shaped entire fields of bloodless techniques and also means they’re usually very clear about advance directives so doctors know how to treat them responsibly.

Generally, especially when lives are at risk, I advocate for understanding, respect and empathy in caring for people with unconventional religious beliefs. I too once lost a close childhood friend to this belief, and I know a number of people who have gone the same way too. My beef is with the organisation’s governing body for holding onto this archaic position and refusing to adapt which has cost thousands of lives.

Sadly, this is the tension between ancient texts and modern medicine which isn’t unique to jws. Every tradition that treats an ancient text as morally binding faces the same challenge: how to apply ideas shaped in a pre-scientific world to technologies the authors could not have imagined.

I’ll continue to hope their stance on blood transfusion is eventually reversed, just as they once reversed their position on organ transplants.

It is unnecessary. It is inhumane.

[Sir fash🩺 @DrfashMD]

I have tried to steer clear of this conversation, but it's just heartbreaking.

It is painful to see someone make decisions that may cost her her life despite efforts to help her.

[Sir Dickson @Wizarab10]

Thank you for your kindness and the trust you have placed on me. I do not regret to inform you that @the_beardedsina and I have decided to step down from Aunty Esther's matter. The previous tweet is my best attempt at salvaging the situation. But I've been tired for a while.

While we respect her religious belief, we do not have to be a part of it and the ensuing consequences. Her church people have said she would be disfellowshiped if she takes the blood transfusion. Her family have said whatever happens to her, is the will of God, while fighting against blood transfusion. It is best we leave her in their care if religion trumps medical science. Dr Sina has spoken with care and medical experience, and all of that fell on deaf ears.

My best wishes goes to @AUNTYMUSE_ who has been by Aunty Esther's side daily. She leaves the house at first light to be with Aunty Esther and most nights, sleep on the floor, just to look after her. She is the liaison between myself and Dr Sina on one hand, and the hospital or Aunty Esther on the other hand . Still, there is no insult she has not gotten from Aunty Esther on this matter. In fact, Aunty Esther asked her to lie to Dr Sina and me, about her decision, but she refused. Aunty Esther is not a good or honest person.

I'm not sure what to do with the money now. But I'll be happy to leave it in the care of the family or church to do as they please. Dr Sina and I have agreed to compensate @AUNTYMUSE_ for her time and effort. It is an uneasy job to be a care giver.

Thank you all, and God bless 🙏🏾

[Sir fash🩺 @DrfashMD]

Well said

This is similar in some ways to how the Rwandan genocide started.

This requires prompt attention on both sides to prevent the issue spiraling down to utter chaos.

[Thεό Abu @TheoAbuAgada]

Here lies the problem, and why the government needs to move in quickly to address the insecurity bedevilling the nation.

The Rwandan genocide started with suspicion and ethnic profiling just like this.

For decades, Northerners have travelled inter-state using this method, but people are now becoming suspicious of it because of the rising insecurity, which, to a large extent, is perpetrated by people from the northern part of the country.

I don’t blame netizens for being security-conscious.

This should also serve as a wake-up call for Northern elites: the time to put an end to this madness is now.

[Sir fash🩺 @DrfashMD]

@the_beardedsina She knows what she is doing o chief.

[Sir fash🩺 @DrfashMD]

@FEMMY466 Some people are incredibly talented!

[Sir fash🩺 @DrfashMD]

Time and chance!
Kairos moments

[Morris Monye @Morris_Monye]

TRUE LIFE STORY

Opportunity meets preparedness.

So we attended an Heirs Insurance event in Lagos on Saturday with personalities like Tony Elumelu (He needs no introduction), Nonso Okpala GMD VFD group in attendance etc. The MC of the event randomly calls for people in the crowd to come sing, dance with Heirs Insurance name.

This young man in the video comes to the stage, sings his heart out and wows everyone. We are all stunned and impressed.

Tony Elumelu wowed by him, comes up and gifts him 1,000,000 naira, Nonso Okpala gifts him 1,000,000 naira, every other person starts gifting this young man. MC even got jealous. 😀

Now the story is this…. This young man was homeless, no job, nothing. He’s educated but life was not working for him.

Infact he said he came around for the event hoping to get free food. He was just at the right place at the right time.

His life changed forever

[Sir fash🩺 @DrfashMD]

Keep your visit brief
DONT KISS THE BABY

[Dr. Ose Etiobhio @osemagnum]

visiting a couple who just had a baby. 101

I'll go first: never kiss the baby.

share with us let's learn.

[Sir fash🩺 @DrfashMD]

The two best teams in the premier league played out an intense game.

But it was clear who the better team was; the one with the world champions badge on their shirt.

[Sir fash🩺 @DrfashMD]

I ask again: What is the Nigerian identity?

[Sir fash🩺 @DrfashMD]

@ChelseaFC Aura for aura!