Edward

[Robinson Ayugha @AyughaRobinson]

First, it was:
BSc Anatomy (First-Class Honours)
MSc Neuroanatomy (Distinction)

Now:
MBBS, University of Nigeria

Reintroducing:
Dr. Nsan A. Ayugha
(BSc, MSc, MBBS) 🩺🎓

Another chapter of excellence.
To God be all the glory. 🙏

[Edward @Softlife100]

@adejoju_Ayofe @Coco_MD_ So your job as a first line responder is to clerk and refer? Go and read management of stroke, you can just use chat gpt, I don't think you understand anything about stroke.

[Dr M Shujat Rasool @DrMShujat]

Step 3: My Diagnostic Workup - "Less is More"

I don’t do shotgun testing. I do targeted testing:
For ALL: CBC, CRP, TSH, Tissue Transglutaminase IgA + Total IgA
If IBS-D or weight loss: Fecal Calprotectin, Stool studies for infection
If >50Y or red flags: Colonoscopy
I avoid: Random USG, CT, SIBO breath tests, food allergy panels in everyone
Goal: Rule out IBD, Celiac, Thyroid, Infection. That’s it.

Step 4: Classify the Subtype - Bristol Stool Form Scale

Treatment depends on this:
- IBS-C: >25% Bristol 1-2, <25% Bristol 6-7
- IBS-D: >25% Bristol 6-7, <25% Bristol 1-2
- IBS-M: >25% hard AND >25% loose
- IBS-U: Meets criteria but doesn’t fit
I ask patients to keep a 2-week stool diary. It changes our plan.

[Edward @Softlife100]

@Chukwuebuka_7 @ElisonLB1 @vandaviid Go check meaning of doctor in the dictionary, Google or chat gpt. You can twist the narrative to suit your mindset but that is a fact.

[Edward @Softlife100]

@Dhreyagainnnn I've not seen any fact.

[Edward @Softlife100]

@adejoju_Ayofe So a stroke patient will present to physiotherapist before referral to doctor? You aren't serious or you don't even understand your job as a physiotherapist.

[Edward @Softlife100]

@SirAlexanderrr Interested

[Edward @Softlife100]

@Klauss6139 @the_beardedsina You are dull. Read the findings and conclusion. The CT scan didn't reveal anything. Where you get the stage 4 cancer from?

[Edward @Softlife100]

@_Romsss Interested

[Edward @Softlife100]

@4ieudonne @prolactin_ Teach us

[Edward @Softlife100]

@YourCosmetist Emergency and you come when you can?

[Edward @Softlife100]

@Richtyns @rhoda_etta It's serious, that's why you need the mri

[Edward @Softlife100]

@rxbiu Insha Allah

[Edward @Softlife100]

@Rxblaize 4000IU , are you okay?

[Edward @Softlife100]

@ToviaMonday Your plan is to check vitals, other thing you are doing for the patient is based on Doctor's plan.

[Edward @Softlife100]

@Doo_shima4 You are silly

[Edward @Softlife100]

@kiloxtopher @Oladayo_ @enodamade It's for the patient benefit. Doctor will discontinue a medication but nurses are still giving. You don't join rounds, don't read updated treatment plan. Just checking vitals.

[Edward @Softlife100]

@__YellowJacobs @Oladayo_ @enodamade Nobody is coming to explain things to you, either you join the rounds or you follow the documented treatment plan.

[Edward @Softlife100]

@DSuulola Keeping them stable? You guys are just checking vitals. Any small thing una go still call doctor.