Day 1 of S0 posting:
A medical student from another unit kept hurriedly answering the question prompts i directed to my students. It was unintentional but I think she was preventing them from thinking thru and engaging me; they felt rushed. So I excused her to go join her team.
I was in the company of 2 of them three days ago, and another one we referred a patient to, still in Abuja. So that's a total of 3 already. Where is the other remaining one since less than five could be 4 maximum.
Good for medical education. Before and after intervention for a pathology on the right hemithorax. What are the radiological features of the pathology, what has changed after intervention Typical Nigerian styled questions--vague😁 (pardon the under-pernetrated second x-ray).
I almost didn’t write this.
I don’t like speaking about systemic issues publicly.
But sometimes, silence doesn’t help anyone.
For context:
I haven’t had a house officer for a week.
44 doctors are currently at home, awaiting induction.
Some who are already working haven’t been paid.
I haven’t had a registrar for months
Health workers are leaving in droves...
Yet the workload hasn't reduced.
This isn’t about one hospital or department at this point.
It’s what happens when a lot of gaps exist in a sector with not enough people filling it.
And here’s the difficult part:
Patients still come expecting answers.
Relatives still come expecting hope.
Juniors still look to seniors for direction and leadership.
Everyone keeps showing up.
That is what holds the system together .
The people!
But effort alone can not bear a broken down structure/system indefinitely.
At some point, the system must support the people working within them.
Because when they don’t, the impact is not abstract.
It reaches patients.
Families.
Doctors.
And the next generation.
We need to do better.
Not just for today.
But for the future.
Because a system that depends only on sacrifice will eventually fail the people it is meant to serve.
Day 89/100
For us in surgery, at least in our " tropical practice"
IV fluids 5% D/W alt with N/S (or R/L) 1L 8 hourly is not the same as;
N/S alt with 5% D/W 1L 8 hourly.
It is also not the same as 500ml of either fluids given alternatively.
This is of significance for our pts on NPO.
@Docfrosh It's been awhile since you checked then.
I am in UATH, there are 7 Orthopedic surgeons plus 1 yet to be employed Fellow.
We haven't done statistics for National hospital, FMC Jabi and others like Garki hospital, Cedar Crest (which is Ortho-heavy), Nisa Premier.
🚫📱 Babies under 2 should have ZERO screen time!
According to WHO and AAP, little eyes and developing brains need real-world interaction, not screens. 🍼👶
Start healthy habits early. Play, talk, and explore with your baby instead of screens!
"There is no greater calling than to serve your fellow man. There is no greater contribution than to help the weak. There is no greater satisfaction than to have done it well."
Walter Reuther
Pictures (at the green chambers ensuring the voices of NARDites are heard loudly and clearly)
It is not over, until it is over…
Till this day, patients think doctors own the hospital dey work in. So that when you cancel a surgery bcos of lack of resources in the theatre, they turn violent. When you direct them to SERVICOM in charge of complaint management, they refuse to go, it's you they want to beat.