Королева

♎ || Ijaw || 🩺

[Sai Ishaya @Sai_Ishaya_]

This conversation about speaking with patient relatives and the conversation a few weeks ago about HMO patients are all linked.

There is a common thread there that I will leave you to find.

For now, let it be that I am "out of touch".

I just know that if, unfortunately, your family ever needs a doctor, you will prefer me, who is willing to speak with you, than the person you are kiki-ing with and agreeing with today. 😀

[34.59.20 @106_36_52]

“Doctor, please can I have your number so that I can call you when…..”

Me :

[Kevwe @kevwe_od]

Like I’ve said repeatedly, the doctor you will find to be the most valuable is the one who is addressing your needs at the moment.
Patients are making these comparisons.
Any other thing is just medics building hierarchies for the perpetuation of their own egos.

[jay makinze ❼ @Mr_Teekay]

the first ten seconds of this video activates nigerian millennials the way ms. rachel activates toddlers and grabs their attention.

[Efoya, MD⚕️(❖,❖) @jayy_ayofe]

My takeaway from this HMO discourse is that, as healthcare workers, especially we doctors - we need to be a bit more measured with what we share on this app.

Not every experience from the hospital needs to become public discourse. It's also unrealistic to expect that certain comments won't draw reactions from the very people they're about.

Some conversations are simply better kept within the walls of the hospital.

[Sai Ishaya @Sai_Ishaya_]

An F1/F2 can't discharge patients in most Paeds EDs in the country. I mean, sometimes they're so cautious that even a Paeds ST1/2 will still double/triple check.

One of the issues with Dr substitutes is that they don't know what they don't know, and it comes with a very big dose of overconfidence.

Drs are at their very core risk managers & experts at navigating uncertainty. The foundational layers needed to build that skill cannot be skipped.
No matter how many silos of algorithms you create, no matter how much you try to dumb down every mgt plan so that even a pigeon could follow, the core of the job is combining all those pathways and making a risk assessment followed by a judgement.

This is a skill that needs to be baked into a person, layer by layer. We cannot continue this farce.

[Sai Ishaya @Sai_Ishaya_]

I discuss this almost every week here, and I wonder how many deaths will occur before something is done.

If an ED clinician can't assess a neurodivergent child without a GP letter instructing them what to do, they shouldn't be seeing patients in the ED in the first place.

There were at least 20 red flags in this case: no blood tests, no urine dip, no senior review before discharge, giving an enema for 10/10 abdominal pain, no proper history taking about fevers, etc.

This isn't a "systemic error"—it's a direct result of doctor substitution in emergency paediatrics. We need to start documenting these preventable deaths and calling them what they are.

My heart goes out to Ethan's parents, who will be utterly devastated by all this and may blame themselves for a very preventable death.
Even the coroner's report seems to point at the GP, when a child was seen for at two levels (triage & eventual ANP review) in a Paeds ED with failures at almost every stage of his review and treatment.

We must actively push to end this farce of doctor substitution and ensure that the correct pathways and systems are re-established. Only doctors should be on doctor rotas; this shouldn't be controversial. Anyone who wants to be on one should return to medical school.

[FitMedic @FEMMY466]

Patients do not care if you are dying, as long as you take care of their own problems.

[Nigeria Stories @NigeriaStories]

Sad 😢 💔

A medical doctor, Ere Siana Sintei Ogbachi, d!ed after successfully delivering triplets in Bayelsa State.

[Королева @douye_m]

Rest in peace my beloved chief.

[Sage of the Six Paths @DrJohnAfam]

A Nigerian doctor died today, from childbirth complications.

Dr. Sintei Erigheyefa. Obstetrics & Gynaecology Registrar. NDUTH.

Truth is, there is something unforgiving about childbirth that you only understand if you've stood inside a labour theatre.

May her soul rest in peace. 🕊️

[Helicopter pylori, MD💜 @_Faridah___]

There’s an RDT kit for troponin?
God please take me out of this jungle

[Королева @douye_m]

@a__vanita Ioo9u. 9iiiiouuuuuo

[Королева @douye_m]

@Urchilla01 �� 9999

[NurseMogbekeleoluwa @rachealray295]

Nah who never get needle prick injury dey follow Twitter selfless angels argue
Talk is cheap, thats why you can use your mouth to buy house banana island

[Zariyi Yusuf Madaki @ZariyiYusufu]

That pink part labeled as “South” is actuality the “lower side” of the North.

There is no other parts in Nigeria; everywhere is Arewa.

[DrMusa @DrMusaMthombeni]

I’m a big believer of not going to work on your birthday!

[The Nobel Prize @NobelPrize]

Tu Youyou became the first mainland Chinese scientist to be awarded a #NobelPrize in a scientific field - for discovering artemisinin, a malaria cure that’s saved millions. Today we reveal the 2025 medicine laureate. Stay tuned.

[T. Rânkïn' PisTola! @AfroVII]

Death in old age isn't a punishment.

He lived and died at Nigeria's expense.

He'll be buried at Nigeria's expense.

His family will continue to exist at Nigeria's expense.

🤷🏾‍♂️

[T. Rânkïn' PisTola! @AfroVII]

They'll die and Nigeria remains, trudging on, barely functioning.

[✨ brave girl ✨ @JungleOnts_]

HIV-infected babies in 2025? nothing pisses me off more.