I'm not trying to be atheistical or influence you not to pray. It is a weakness, not a flex. As a Christian, you ought to pray ceaselessly.
I just do not consciously pray. But I do if you compel me to. I usually prefer worship and thanksgiving. I'm just not comfortable with the idea of making demands in the name of prayer. Even if I have to, I end up praying for others. I just believe God is faithful enough to do what he wants to, if he wants to, and when he wants to.
However, I'm working on my prayer life. Not well enough, but I'm on it.
So more about how having or not having money can make you suffer.
So imagine 3 People had the same accident and had the same injury, a simple transverse femoral fracture.
So person A is rich, he was immediately rushed to Cedarcrest, where he had closed reduction and IM nailing done under C-arm.
In two weeks, he is walking with crutches with the help of physiotherapy.
Cost of care - 3.5 million
Person B is a high school teacher, the breadwinner of his family. But his family could only afford to take him to one general hospital in Ibadan.
The orthopedic surgeon fixed his fracture with k-nail and placed the leg in a cast for 3 months.
He spent weeks on bed and developed joint stiffness. He was told not to bear weight on the leg until 6th month.
After six months, he need another procedure to free his stiff knee and spent 2 months with physiotherapy.
Cost of care - 950k
Person C is an okada man. His family discharged him against medical advise and took him to a traditional bone setter. The bone setter immediately put his leg in a cast and kept him on the bed for 6 months. He then had malunion, with his right leg permanently twisted to the side and a little shorter than the left. At least he could walk. Kinda.
Cost of care - 400k
@OmarRano_@coracoid_one It would be better to start the correction ASAP as every second that passes may be critical. A ≥6.5mmol/L K+ is severe hyperkalemia. You're expecting to see ECG changes and these are already signs of cardiac distress. You must act as quickly as possible.
@OmarRano_@coracoid_one Hypertension, however, can result in myriad consequences that may require "ABDCE" rescuscitative steps. Acute Pulmonary Oedema for instance, or an MI, or a stroke a haemorrhagic stroke can/will directly result in airway, breathing or circulatory impairments.
@coracoid_one That said, considering we work as teams, cases may/can be delegated to team members with clear and concise plans to follow so as to handle them simultaneously.
@coracoid_one Blood glucose next. As opposed to the others, lethal damage isn't usually instantaneous but often follows prolonged hypoglycaemia. Oral glucose (if conscious)/50% bolus for correction then maintenance.
Finally, SpO2. Supplemental O2 to relieve distress. Identify and rx cause.
I’m a resident doctor and I can tell you that no matter how beautiful your residency is, especially In today’s economic environment, nothing is more important than leaving the country even if it’s to go and hustle hard elsewhere.
Doctor… why is doxycycline often advised with a full glass of water and not just before lying down?
What painful complication are doctors trying to prevent?
In medicine, when moving stuff to
Younger colleagues slow the pace down and understand there was a time you didn’t know so much too!
Teaching with grace and humility will allow them understand it more.
Avoid the tear down and ego method .