Aribi

MD⚕️|| Research Enthusiast || @realmadrid || @fpl || Heb. 13:5-6

[Sam Otigba @SamuelOtigba]

A gentle reminder: human applause is fleeting. Don’t build your identity around people’s approval, never let it become the measure of your worth.

[Àgbà John Doe @jon_d_doe]

Young legitimate people between 25 and 35 in Nigeria are not against marriage in the real sense of it.

Most still want it.

They are just scared of what it costs right now.

Money, peace of mind, and the risk of building something that collapses under pressure.

Money comes up first.

Rent in Lagos, Abuja or Port Harcourt is brutal. A place that used to go for 400–500k can now cost 800k to over a million, before furniture or generator.

Food and transport keep rising.

Someone earning 150k to 300k already feels stretched. Marriage means housing two people (and later children) under one roof, plus the expectation that the man carries the bigger share.

Many look at their balance after rent and transport and say “not yet.” They have watched relatives struggle and get disrespected at home over money.

They do not want the same life.

Weddings make it worse. A “normal” wedding families will accept now easily runs into several millions once you add traditional lists, aso-ebi, hall, catering and photography.

Some bride lists alone are frightening.

People borrow heavily or sell land just to meet expectations, then start marriage life in debt.

Couples who need each other still postpone because they do not want the first years spent paying loans.

Social media has turned the celebration into a competition that can leave you broke.

Housing is its own problem.

You can have a solid relationship and still not marry if you cannot find a place both of you can afford without one person living with parents forever.

Culture adds weight.

Marriage is rarely just between two people.

In-laws come with expectations.

The man is still expected to be the main provider even when the woman earns as much or more.

That pressure meets a weak economy and many men feel set up to fail. Some women worry they will do most of the emotional and domestic work while also contributing money.

They have watched their mothers manage households under stress and are not rushing into the same arrangement.

Trust is thinner.

Many have already been through relationships that ended badly due to cheating, greed, lack of patience and foresight, and extreme violence and deceits.

They enter the next one already guarding themselves.

Talking stages drag on because commitment feels risky.

Divorce is more visible now. People see couples who did the big wedding and still split after a few years over money or growing apart.

That makes the permanent nature of marriage feel less safe.

There is also a quieter shift. A lot of young Nigerians want to sort their own lives first; career, some savings, mental space before adding someone else’s needs and family expectations.

The old script of finishing school, getting any job and marrying by 25–28 no longer matches underemployment and rising costs.

Some women would rather stay single longer than settle for a partnership that drains them. Some men feel the bar has moved so high that they would rather avoid the process.

People in that age bracket still get married every year.

But the difference is the caution. They are asking harder questions like:

Can we afford a place?

What happens if one of us loses a job?

Are we clear on money, children and in-laws?

The fear comes from the economy, the cost of the ceremony, the weight of expectations, and enough broken marriages around them.

Until those things ease, many 25- to 35-year-olds will keep choosing to wait.

That does not make them unserious. It just means they are paying more attention and probably feeling "woke".

End.

[Not Mr Quan. Just Posted The Image 🙏🏽 @UncleZubs]

Until death, all defeat is psychological

[Awèléwa 🌸 @SaameAbdul]

Imagine being the first female Consultant Rheumatogist from Northern Nigeria. See flex abeg!!! Super proud of Dr Zainab!🙌🫶🫶

[Dr. Shakrullah Habeeb🩺 @realbig_shak]

I can never understand why some
People will sit down in one office far away from the hospital and be dictating how doctors should manage patients just because the said patients are registered under your HMO.

I sent a patient being evaluated for enteric fever to get a code approval for stool MCS and the HMO replied that I should treat the patient without investigation. This has happened so many times.

There was a time I requested for various investigations to screen for secondary causes of hypertension in a 19-year-old with stage 2 hypertension and these people replied that the investigations were irrelevant. Irrelevant? Who exactly are the people making these decisions?

Is this how we will continue to practice medicine in this country?

[Dr EmJay @jjmusa2004]

Funny that I do not know how this came to me as a notification but good I'm here.

Alright, so I work in the health insurance industry and perhaps, one that oversees all other health insurance ecosystem.

1. Who are those at the other end? Medics? Although we encourage HMOs to have medics at the other end of the line but, a good number of them do not have enough or qualified medics. Some medics in some of these HMOs are grossly underpaid and may not be committed to assigned tasks.

2. Though unacceptable, HMOs may prescribe to cutting costs by engaging in empirical treatment which yet again, goes against appropriate practice of investigations both to support and rule out. A supporting clinical history may see the need for such investigations. I agree that it's a business and these HMOs are there to make gains however, they are obligated to provide quality healthcare to subscribed enrollees within the contexts of approved benefits package. The benefits package is a public document available and downloadable on the NHIA website which can serve as a guide to ensuring patients get the right, timely and appropriate care.

3. Inadequate documentation: many hospital desk officers are not medics (although we know some of them have experiences to do a similar job). In fact, it's best to have both the desk officer and call center official as medics but, this is unlikely the case. You the doctor may make an assessment with relevant investigations but the transmission to the HMO may not carry the full requisite clinical histories.

4. Portal system: unfortunately there is yet to be a unifying portal by the umbrella body of health insurance, the NHIA and thus, many HMOs have pre-slated investigations for each diagnosis (non exhaustive by the the way) and may not have the desired approval if such investigations do not tally with the assessment or diagnosis. This is where human interventions come in and maybe, in the nearest future, Artificial intelligence.

5. While it can be discouraging for physicians to have to treat empirically as a result of disapproval from HMOs, complaints can usually be filed through appropriate channels of NHIA/SHIA especially since there are medics in those organisations who can prevail and correct anomalies. Yet again, clinicians are much appreciated for the optimal and quality healthcare services rendered.

In conclusion, every patient/beneficiary/enrollees should know their rights and have access to the benefits package with the help of managing physicians having to ensure quality healthcare access is obtained.

Thank you

[Opeyemi Babalola @BOTAD01]

If you stay away from someone because the individual makes an error and you don't want to be associated with them during that phase of their life, the honorable thing to do is to maintain that same energy when the individual can pull through that phase, not minding the shame, ridicule, pain, or stigma attached to that error, and become successful in life.

Don't go and beg the individual for help.

[Aribi @aribi_shalom]

@SaameAbdul Too late kam

[Dr. HM Okpanachi🇳🇬(MBBS) @Dr_statesman]

There is this wonderful innovation by the new CMD at the University of Abuja Teaching Hospital with the hospital’s payment system.

Every patient has an e-wallet. You simply deposit funds into your e-wallet, and charges for services are automatically deducted as you access them. This eliminates the long queues at payment points.

In most public hospitals, payment points are a major cause of delays in accessing healthcare services. I hope other public hospitals can adopt similar innovations to improve efficiency and the patient experience.

[Aribi @aribi_shalom]

@thediabetes_doc Vitamin B12 deficiency

[Sir'D 🩺 @SirD___]

"A doctor is a student till his death, when he fails to be a student, the doctor dies"

~Sir William Osler

[Awèléwa 🌸 @SaameAbdul]

It's been two years since the devastating flood in Maiduguri and the death of my tailor Sanusi by drowning. May Allah SWT forgive his shortcomings and all those we lost in the flood. Especially those homeless and unknowns who have nobody to remember and pray for them, Ameen.

[Aribi @aribi_shalom]

Just saw a case of possible Rabies and I’m just sad 😔. He Dog bite to the head 2 months ago, hyperventilating and in respiratory distress, hydrophobia. Didn’t get the anti rabies vaccine.

[PVO @pvobranden]

My problem is I get around people and start making them believe in themselves. They get around me and try to dim my light.

[Camsiyo @Camsiyonna1]

She was in fact having a heart attack! why refuse to do the tests she's requesting? From a purely financial standpoint, it doesn't make sense.

[🌼 @mutedchronicles]

But here is what that crowd comforting them will eventually discover. Smoke always leads back to fire. And fire always leads back to who started it. You don't have to chase the truth. You just have to survive long enough For it to catch up with them on its own. 7/7

[🌼 @mutedchronicles]

that when the burning started you'd have fewer people to run to. The calculated destruction of everything you'd built not as collateral damage but as deliberate strategy. Leaving you with nothing while maintaining the image of someone who tried everything & then the tears. 5/7

[🌼 @mutedchronicles]

That injustice lives in a place words can barely reach. Think about what they actually did. The lies told to your friends. The stories whispered to friends & family before you even knew the relationship was ending. The way they systematically dismantled your support system so 4/7

[Idris Tahir @Idrees_taheer]

Privilege Can Become Self-Sabotage

Imagine the level of self-sabotage people engage in all in the name of “privilege.” Some people genuinely think it is a privilege for a doctor to see their relative in the hospital without a card or file, and they actually get offended when you insist on the proper process.

Scenario: You bring your relative to me as a staff member, and I ask for their card/file. “But she’s my relative; just see her.”

Like… are you kidding me? 😂

And if I eventually bow to the pressure and see the patient without a proper file, two weeks later, I’ll meet you in the hospital lobby:

“Ehn, that my patient you saw the other day is complaining of this and that.”

Are you ignorant, or are you just being careless? 🤷🏽‍♂️

What people fail to understand is that following the proper channel to see a doctor is not bureaucracy for bureaucracy’s sake. It protects you and your patient.

What using the proper channel offers you:

• A documented medical history and previous encounters.
• Proper documentation of examination, diagnosis and treatment.
• Easy access to previous investigations and prescriptions.
• Continuity of care when another doctor needs to review the patient.
• Accountability for both the doctor and the patient.
• A clear reference point if complications or new symptoms develop.
• Most importantly, patient safety.

So, please, stop confusing shortcuts with privilege. Sometimes that “connection” you think is helping your relative is actually putting them at a disadvantage.
Use the proper channel. It is there for a reason.

[Aribi @aribi_shalom]

😂

[Attah Akor @attah_akor_]

"we saw our duster in JSS2B "

The boys:
https://t.co/aYfWKyGwOS