Last night, the triage phone rang and the ambulance service informed us that they were bringing in an 89-year-old patient with a FAST-positive result. Immediate preparations were made to receive the patient, and the stroke team was alerted and attended promptly in anticipation of arrival.
On arrival, the patient was assessed and confirmed to be experiencing a stroke based on the presenting symptoms. The patient was immediately transferred for an urgent CT scan after the radiology department was informed. Imaging findings were consistent with a transient ischaemic attack (TIA).
The doctor and stroke team explained to the patient’s relatives that thrombolysis was required to prevent further brain damage. The benefits and potential side effects of the medication were clearly explained. Consent was obtained from the relatives.
The patient was weighed using the bed scale, thrombolysis was prescribed, and alteplase was administered as per protocol. The patient’s condition began to improve before the infusion was completed.
Following treatment, the patient was transferred to the stroke unit for ongoing management.
This is how multidisciplinary teamwork work in healthcare, where everyone understands their role, acts promptly, and recognises that life is precious and that negligence can have serious consequences.
In Nigeria, patient and their relatives lose their loved ones because they have to walk down to pharmacy to pay for a critical medication before it can be administered. Most times the medication will be out of stock, I reflect on these things and i wept for my country.
Nigerians are living in a potential time bomb.
2. A woman with a contracted pelvis had already undergone two Caesarean sections.
She was fully aware that all future deliveries must be via CS due to the high risk of uterine rupture.
During her 3rd pregnancy, she registered and received antenatal care at a Teaching Hospital. Throughout the pregnancy, she was repeatedly counseled and educated. The plan was clear: elective Caesarean section at term.
At 36+ weeks, she was admitted for the procedure.
She declined admission.
She went home.
Nearly a week later, she returned late at night and ofcourse in active labour.
Now it was no longer routine care. It became a race against death.
The obstetric team had to mobilize urgently:
Anaesthetists. Paediatricians. Midwives. Scrub nurses. Lab scientists. Pharmacists. Porters. Everyone.
Emergency Caesarean section was performed.
Her uterus was so thin it looked like tissue paper, on the verge of rupture One more contraction could have killed both mother and baby.
She delivered an asphyxiated baby She ended up rupturing the uterus
She suffered massive haemorrhage.
Her uterus had to be removed to save her life.
Both mother and child survived.
But at what cost?
The baby may live with long-term neurological complications.
The mother will never conceive again.
This was avoidable.
Not because doctors lacked skill.
Not because equipment failed.
But because medical advice was ignored until it became an emergency.
This is why healthcare workers are exhausted.
This is why burnout is real.
This is why public health education must go beyond hospital walls.
Early intervention saves lives.
Delayed decisions destroy futures.
We must do better.
Patients and their relatives also need to do better.
I am sure a lot of healthcare workers have stories like this,
#MedTwitter #Nigeriandoctor
1. A neonate was taken by his parents to a so-called traditional barber because they believed the uvula is a useless organ. This individual brutally cut it out.
That same day, the baby began coughing blood, vomiting blood, and passing bloody stools.
Shockingly, the parents did nothing for two whole days. By the time they noticed he could no longer suck and had developed difficulty in breathing (clear signs that the heart is already failing )
they finally brought him to the hospital.
On arrival, the baby was semi-conscious, extremely pale(almost paper white) and was already gasping. His blood was so diluted from massive loss that it looked like bright red water.
He had a PCV of 7%,
Despite having worked all day, exhausted staff had to run around desperately, moving from unit to unit and laboratory to laboratory, trying to source emergency blood.
Blood was eventually secured and transfusion commenced.
Sadly, the baby did not survive.
This is the silent trauma many healthcare workers carry daily, watching preventable deaths occur, not because medicine failed, but because ignorance, delay, and harmful traditional practices stole time that medicine desperately needed.
Nigerian Doctor vs Nigerians 🇳🇬
Nigerian Doctor: Please regulate our working hours.
Nigerians: Be patient. Your reward is in heaven
Nigerian Doctor: We need a pay rise.
Nigerians: You’re still doing better than the average Nigerian.
Nigerian Doctor: We need better equipment and hospital funding.
Nigerians: Manage it like that…
Nigerian Doctor: We are burning out, mentally and physically.
Nigerians: Doctor, you people like to complain too much. Remember, You took an Oath
Nigerian Doctor: Fine, I’ll relocate to a country that values my work.
Nigerians: You’re selfish, greedy, and unpatriotic
Nigerian Doctor makes one mistake
Nigerians:
One doctor just resigned at my new place of work.
Guess what?
Work will go on as usual.
His duty?
It'll fall on the remaining few staff left. This means more waiting after working hours, more waiting time for patients, more duties, more quality time missed with family and more calls.
Yet same pay.
Now what will happen?
More people will get overwhelmed, many will resign, until there's noone left.
But it doesn't matter does it?
Not until you bring your emergency and they say there's no doctor available.
“Overworked beyond measure,
underpaid without shame.
Blamed for what cannot be controlled,
and assaulted for choosing to care"
The life of a Nigerian doctor
@nard_nigeria@Nigerian_Doctor@mohagirei
Sincerely speaking @mdcan_ng , are consultants satisfied with the 500k they receive? Are the prolonged working hours not affecting them? I just don’t understand their silence.💔
A sad day again😔. Another Nigerian Dr Dead after 72hrs Call, despite complaints of being sick which was ignored and still made to work. 💔 How many more death to prove that @MDCNOfficial needs to Regulate Dr’s working hours??😭
Today, we mourn the death of a promising young doctor, Dr Femi. Loved by family and friends, failed by his home country Nigeria 💔. He was also said to have passed his PLAB exams and awaiting a job opportunity in the UK, until this sad event.
This is the sad situation of many Nigerian doctors, most of whom are alive but dying silently from overwork.
We call on @muhammadpate , @FatimaKyari to please put an end to these deaths. It’s time to #regulatedrsworkinghours #abolish32hrsworkeverycallday . We are begging the Nigerian government @officialABAT@NGRSenate to please come to doctors Aid🙏🏻. Lets please regulate Drs working hours now 🙏🏻
@aproko_doctor@Nigerian_Doctor@nard_nigeria@nationalnma@Fmohnigeria@the_beardedsina@Jebzmanchini@balaaudu53 @vdmempire @channelstv@seunokin@tvcnewsng@MobilePunch@vanguardngrnews@NewsCentralTV
A starving doctor is a dangerous doctor.
@MDCNOfficial, please pay house officers working in federal hospitals across the country their salaries.
It's unfair that those who have dedicated themselves to saving lives are not being fairly compensated.
Patient care suffers when those who provide it are struggling to survive.
Practicing medicine In Nigeria is becoming so uninteresting, gradually loosing the zeal as a doctor in Nigeria as the day goes by.
How can House officers be owed their meagre salary up until 13 th may, no wonder the JAPA syndrome is striving so well amongst Nigerian Doctors
House Officers are the Bed rock of Medical practice in Nigeria.
House Officers are the work engine of Medicine in Nigeria
MDCN @MDCNOfficial. Why are House Officers been owed over a month of their due salary.
They have worked tirelessly.
This is violation of human rights.
Dear @MDCNOfficial, house officers are being owed salaries
In a country with dwindling health professionals, we should do our utmost best to ensure that every doctor is allowed to thrive
Every worker is due their wages. Withholding it is a violation of their rights.
House Officers are the first resident doctors. They are the first on call, full of energy and hope, often working tirelessly through long shifts—sometimes without even a proper meal. Yet in 2025, many of them are still unpaid for months. This is unacceptable.
In the past 20 years, Nigeria has lost over 20,000 doctors to brain drain, driven by poor welfare and inadequate infrastructure. We cannot keep repeating the same mistakes and expect different outcomes.
We kindly call on the @Fmohnigeria (Federal Ministry of Health and Social Welfare) to resolve this issue and continue implementing policies that will improve our health systems.
Ramadan is not just about “making it through.”
It’s about leaving it better than when you started.
Set goals—spiritual, emotional, and personal.
Make this your best Ramadan.