INABOYA

MEDICAL DOCTOR, HUMAN PHYSIOLOGIST, RESIDENT ORTHO & TRAUMA.
POLITICS, FOOTBALL, FC BARCELONA, MESSI|| FOODIE, SARCASM, REALIST.

[MBAH @Mbahdeyforyou]

Champions league Draws 😂

Them say Chelsea will face their consequences😭

[Mechanic🛠️ @biigjay20]

Bro was brave enough to be there for his younger brother

[Richmond 愛は愛だ Lawrence @richmondbells]

A lot of you don’t foresee what’s going to happen if TINUBU is reelected , y’all ain’t scared enough

[Sage of the Six Paths @DrJohnAfam]

If you just passed your Primaries, here's some advice.

First, congratulations. What you've done is no mean feat. It's a defining moment in your career and a real step toward becoming a specialist. So take a bow.

Now, the practical part.

1. You are in demand.

Plenty of departments are looking for residents. You probably have more options than you think.

Do some digging. Is the department accredited for your specialty? What's the training actually like? How many consultants, and what's the case load? How much hands-on work do residents really get?

And don't forget the town or city itself. Cost of living, accommodation, security, life outside the hospital. You could be there 5–7 years. Ask your friends, Choose wisely.

2. On studying.

You're a sum of your knowledge, and residency is where a lot of that knowledge gets built and tested. Start building your study habits now, aim for daily.

Doesn't have to be five hours but learning one page, one review, one chapter or one guideline everyday, is enough. Note that Tiktok vidoes dont count please

Don't save reading for when exams are close. What you learn daily compounds over the years.

3. Take ownership of your training.

There's structure to residency, but systemic issues can water down the supervision you actually get. You're in adult education, sometimes youll have to teach yourself.

Haven't done a procedure? Find the opportunity.
Don't understand a topic? Study it.
Something you should know but don't? Find someone who knows it.

Don't wait for the programme to organise your growth for you, you will have to do some heavy lifting.

4. Find good seniors.

You don't have to figure it all out alone. Watch the people who are good at what they do. Ask questions. Learn from their mistakes.

Teaching is mostly a thankless task, so appreciate the ones who take the time. And when it's your turn, do the same for whoever's coming behind you.

5. Build good habits early.

Documentation. Case presentation. Communication. Time management. Following up patients. Reading around your cases. Being reliable. Showing up early.

These feel small now. They're not. Over time, they're what makes you the doctor you become.

6. Don't give residency your whole life.

It's demanding, yes. But hold onto your relationships, your friendships, your hobbies. You're more than a training programme.

Take your leave. Rest when you can. See your family. Don't wait until you're a consultant to start living.

7. Learn how the programme actually works.

Rotations, logbooks, presentations, research requirements, exam structure, progression; know it cold.
Don't find out your requirements when you are due for exams
Nobody should be more invested in your progression than you are.

8. Start thinking about research now, not later.

Learn to spot a good question. Document interesting cases. Write case reports. Present at conferences. Read papers. Pick up basic statistics.

Don't wait until you're staring down your dissertation to figure out how research works. Future you will thank present you.

9. Enjoy it.

There will be brutal calls, difficult patients, hard exams, bad days. There will also be some of the best learning of your career. Take the work seriously, but don't forget to actually enjoy the process.

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Congratulations again to everyone who passed. You've earned this one, and i am rooting for you 🎉

[Biggest Mack @Big_Mck]

Why are Elon Musk and Jeff Bezos funding this Nigerian Pentecostal pastor?

Short Answer: Ponzi and Pentecostalism are like 5 & 6. The World’s capital owners and prosperity gospel preachers have the same MO - “robbing Peter to pay Paul.”

[Dr. Shak🩺 @realbig_shak]

Prof. Mokuolu says

Dear NMA members, this statement from the US CDC is not a global recommendation on using Artemether-Lumefantrine. It is a specific US action in relation to travellers with Malaria who are coming from malaria-endemic regions. It involved a study of 47 US patients with malaria. 40 were treated with Artemether-Lumefantrine, and 7 were treated with Artesunate-Pyronaridine. High levels of treatment failure were reported, and some had severe malaria. The CDC use these findings to recommend extended duration. Malaria behaves differently between non-immune and partially immune populations, which is why most contemporary recommendations are based on studies from different regions of the world before making globally applicable statements. Please note the sample size of an observational series. In the US, they can only rely on these types of series, as they are unlikely to have the numbers for a randomised clinical trial. For the reasons indicated, the authors restricted their recommendation to the US. So, while off-label, the action is also limited to the US setting. Another point is that the report focuses on treatment failures. Treatment failures do not necessarily indicate resistance but can be an important early signal. But in the strict sense, treatment failure is failure to achieve the treatment objective, regardless of the underlying factors. The cited report described treatment failure and found that the factors were multifactorial, as they should be. In Nigeria, the scenario is different; It is a partially immune population. We monitor responses to ACTs through regular therapeutic efficacy studies. Currently, the 2026 study is being conducted in Kwara, Sokoto, Cross River, and an additional state. The Programme covers about 7-8 states to ensure inclusion of each geopolitical zone within a 2-year cycle since 2018. I hope this offers reassurance that we are applying the best available evidence to the treatment guidelines. Typically treatment failure will be documented and that is why a corrected PCR result is conducted to distinguish between recrudescence and reinfection. So far our PCR corrected parasitological cure rate averages 97-99% across different ACTs. That said, we must embrace practices that are geared towards resistance prevention and where there are early signs we adopt resistance mitigation. So like every proactive system, the National Malaria Elimination Programme has just developed an Antimalarial Drug Resistance (AMDR) strategy for the country. It is awaiting Ministerial clearance, and it will go into circulation shortly. Our best practice remains *ensuring parasitological diagnosis before treatment* in all suspected cases of malaria. We need to trust our RDT results and ensure our lab personnel are trained in malaria microscopy. *Continue using the currently recommended ACTs as a 3-day treatment*. We have several chemoprevention strategies, such as Seasonal Malaria Chemoprevention, and starting next year, a malaria vaccine will be deployed in Kwara. *Use AL for pregnant women in the first trimester* if confirmed to have malaria. In other trimesters, other ACTs can be used except Artesunate-Pyronaridine, for which WHO cannot comment due to a lack of data. We are also encouraging the use of various ACTs to increase parasite exposure to multiple molecules, in what is called Multiple First Line Therapies (contained in the AMDR strategy, with Kwara as a pilot State). We are at an advanced stage of examining fixed-dose Triple ACTs, all with a view to proactively having AMDR-related options in place. We are following this path strategically, and it is better to have exposure to multiple molecules than extended use. I recommend we maintain the current AL prescription of 3 days and allow the country to issue guidelines as needed. Before you jump onto the train, remember, the recommendation was not made for here. The questions we have to deal with with every strategy are: are we addressing treatment

[Gozie007 @Goziedragon007]

All they 774 local government in Nigeria are scam.

BAT 🦇 is a master strategy of what we called scam.

Non of the 774 of them can meet the requirement conditions.

They governors are stealing the money ment for local government,.

What a country.

Bandit leaders 😔

[Nnamdi Obi @nnamdiobiii]

Very true, Trump got hyped up from the Venezuela kidnapping . As a dictator, he thought his regime will be successful in Iran.

But Iran is run by strong men who understand what it means to fight for country.

Unfortunately Trump will leave a joke

[The Shadows @TheShadows109]

This is the moment Charlie woke up

[🎱 @FCB_Wyzz]

What the fuck is this goal catalogue

[Biggest Mack @Big_Mck]

Billionaires are the weapon fashioned against you.

You need to watch this to the end, especially if you are in Nigeria - the headquarters of billionaire worship.

[OurFaveOnlineDoc 🇬🇧 🇳🇬 @OurFavOnlineDoc]

We will never know the depth of what the Japa phenomenon has done to many families and communities.

A family of 4kids,
One in usa, One in Australia, One in UK and the last one in Abuja. Mother is dead, father is old and lives in the village. This is not an isolated case. This is the story of thousands of families.

Friends split. Communities fractured. Families torn apart. Because the country has become such a hard place that so many have to travel far and wide to make something meaningful out of life.

Eventually for the money we chase and the survival we seek, by going far far away from home due to no fault of our own, we all eventually pay back in a price far higher than money can give.

To you who has missed the birth of your child, the burial of a loved one, the graduation of a sibling, the hugs of your family, because you were far away…

To everyone who has had to go far away from home, or who has had loved ones who have had to go far away from home, this one is for you…

[Dr Mohammad Usman Suleiman @mohagirei]

Circular for the implementation of the New National Policy on Work Hour and Locum Regulation.

This is for the consumption of those doubting implementation pls.

Thank you @muhammadpate
Thank you @SalakoIziaq
Thank you @Fmohnigeria

The Nigerian Health Sector is grateful and shall be better for this.

[BR0TD🕊 @bronthedouble]

The great Lamine Yamal when the game is tied or his team is losing

[Dr Mohammad Usman Suleiman @mohagirei]

UPDATE TO ALL MEMBERS ON LOCUM ENGAGEMENT & CASUALIZATION

Good evening Distinguished NARDITES!

The leadership of NARD, ably led by the Strategic P-MUS (Garkuwan Matasan Arewa), is pleased to update members on the outcome of the FMoHSW Committee on Regulation and Casualization of Doctors.

Following extensive consultations, the Committee has developed a National Policy on the Engagement of Locum, aimed at ensuring fair, transparent and non-exploitative engagement of temporary healthcare personnel.

KEY RECOMMENDATIONS

1. Recruitment & Approval:
Locum engagement must be based on a clearly identified staffing gap and approved by the appropriate hospital authorities.

2. Contract Duration:
Initial locum contracts shall not exceed 6 months, with only one additional 6-month renewal permitted. Continuous engagement for 12 months makes the position eligible for permanent appointment.

3. Maximum Work Hours:
Healthcare personnel shall work a maximum of 48 hours per week, including weekends. Excess hours must be appropriately compensated.

4. Maximum Duty Period:
No healthcare personnel shall work beyond 24 continuous hours, including call duty.

5. Mandatory Rest:

- Minimum 12 hours between shifts.

- Mandatory 24-hour post-call rest after weekday and weekend calls.

- A 1-hour break after 6 hours of continuous work.

6. Call Duty:

- Maximum 2 calls per week.

- Maximum 1 weekend call per month.

- Calls must be equitably distributed.

7. Remuneration & Welfare:
Pay rates are standardized in alignment with the government's
Scheme of Service. Remuneration must be paid monthly without delay, accompanied by monthly
payslips.

Locum staff are entitled to all government-approved leaves, public holidays, and occupational insurance coverage.

8. Excess Work Hours:
Excess hours must be properly documented, monitored and adequately compensated, or appropriately balanced with structured time-off.

9. Protection Against Abuse:
Locum engagement must not be used as a permanent substitute for substantive recruitment or as a means of exploiting healthcare workers.

10. Integration & Safety: All locum workers must undergo mandatory orientation and integration into their respective clinical or administrative teams. Institutions are required to provide safe
working environment, adequate call rooms, refreshments during prolonged calls/shifts, and burnout prevention programs.

11. Discipline & Grievance Process: Professional misconduct shall be governed by the regulatory
council guidelines. Contracts can be terminated by either party with a one-month notice or payment in lieu, and all accrued entitlements must be settled within 14 days of termination. Disputes escalate through institutional mechanisms up to the Federal Ministry of Health and Social Welfare, and the Federal Ministry of Labour and Employment.

12. Monitoring: The Ministry would ensure Institutions do not engage in exploitative staffing practices and violations of this guideline in line with the Nigerian Labour Law.

13. Policy Review and Effective Date:
This policy becomes legally binding on the exact date of approval by the Federal Ministry of
Health and Social Welfare (FMoH&SW). To ensure its continuous operational relevance, the
policy mandates a comprehensive evaluation and review within two (2) years of its
implementation.

The policy is expected to provide a more structured and equitable framework for locum engagement across Nigerian health institutions.

[Sulaiman Uwaisu Idris @KafinHausaa]

Sheikh Alkali Zaria has called out Nigerian Islamic clerics for misleading the public and selling out the people’s interests to President Tinubu.

He questioned why clerics from the Tijjaniyya and Izala groups would visit the Presidential Villa with political guests while claiming to represent the people.

According to him, religious groups do not represent Nigeria, and the people should not be deceived in their name.

[Chisom Agbafor @ChisomAgbafor]

I will die on this hill:

A lot of Nigerian weddings are financial stupidity disguised as culture.

You don’t have ₦5 million.

You borrow ₦5 million.

You spend ₦5 million feeding people who came to eat.

Then you spend the first two years of your marriage paying back the money.

And we’re calling this a “dream wedding.”

[CHUKS 🍥 @ChuksEricE]

“APC’s desperation is so disheartening. Look at this video; they are using an armoured vehicle to carry ballot boxes. I’m happy that the people of Osun State are resisting, unlike the people of Ekiti.”

— Isaac Fayose says.

[Osamudiamen @OSAS4l]

I see no reason why a young person that wants a bright future is supporting APC.

[Thrilla the Gorilla @ThrillaRilla369]

Unpopular opinion

It’s not incompetence.
They’re destroying the country on purpose.