Sunday, 15 May 2016

Anambra Doctors Urged to Register Their Hospitals

Anambra State government has said it would label medical doctors in the state who do not have the necessary certifications to run private hospitals.

Commissioner for Health, Dr. Josephat Akabuike stated this on Friday during a workshop of the Association of General and Private Medical Practitioners of Nigeria, Anambra State branch, held in Awka.

The state, as of 2013, had a total of 1, 069 private hospitals registered with the state ministry of health and the state has begun recertification of private hospitals.

Gov. Obiano through the Commissioner asked doctors to make sure they were properly registered with the Nigerian Medical Association and the state ministry of health.

“We won’t ask you to show us your qualifying certificates. The only way we would know you are a doctor is when we ask the NMA and your name is on their list, otherwise we shall label you a quack. The era of one-roomed hospital should be over. Build your hospitals in flats and bring business experts to manage them for you,” the governor said.

He said arrangements had been completed to commence a health insurance scheme for the state, saying it will help people who cannot afford to pay their own medical bills.

Saturday, 14 May 2016

Dr. Pimple Popper Tackles The "Biggest Pimple EVER"

Ever since Californian dermatologist Dr Sandra Lee, also known as Dr Pimple Popper started making viral videos of herself popping pimples and cysts, she's become quite a sensation.

In her latest video, she bursts the 'mother of all cysts' on an elderly gentleman's head.

Dr Lee, who works at Skin Physicians & Surgeons in Upland, California, titled the YouTube video: 'The Biggest Dilated Pore of Winer?!'

But underneath the clip she wrote: 'Today I present to you a "mother" of a cyst. I mistakenly call this a dilated pore of Winer when in actuality I would say this is an epidermoid cyst…

'…we sent it for pathology and it was confirmed to me a benign epidermoid cyst microscopically.
'There ya have it! Now go enjoy this great day with the ones you love, and give your momma a big hug and pop 'em a kiss from me too, if you can!'

Epidermoid cysts are non-cancerous lumps beneath the skin, which commonly appear on the face, neck and torso. They occur when hair follicles become blocked with wet, dead, skin cells.

In another video discussing her success, Dr Lee said: 'I feel like I have really brought this sort of thing out of the closet, in a way.

'Previously people were hiding in their rooms, at their computer sweating and worried that someone was going to come in and catch them looking at pimple porn.

'But now they they feel like they have this community and it's okay to kind of like this and be into this.'

Well, different strokes for different folks.

Laugh It Off!!

I hope one of these pictures makes you smile.....

Stevens-Johnson Syndrome Re-Surfaces in Nigeria

The Minister of Health, Prof. Isaac Adewole, on Friday announced the outbreak of Steven-Johnson Syndrome in the country and the death of one person from the disease. He added that another person affected by the disease was responding to treatment at the National Hospital, Abuja.

Although many sites are reporting it as a new disease, Stevens-Johnson Syndrome (SJS) is far from being new. I still remember seeing a case as a medical student and it looked really "bad".

Usually, SJS occurs as a reaction to a medication or an infection and it often begins with flu-like symptoms, followed by a painful red or purplish rash that spreads and blisters. Subsequently, the top layer of the affected skin dies and sheds (toxic epidermal necrolysis).

SJS is a medical emergency and Nigerians are advised to be vigilant and seek urgent medical attention should they notice any sign of the disease.

Prof. Adewole also urged Nigerians to always involve health practitioners when unexplained reactions occur as a result of infections or in the use of drugs as the syndrome is unpredictable and more prevalent in women.

A pathologist, Dr. Idris Durojaiye, described SJS as “a very severe reaction to drugs.”

He said, “The whole skin will peel off but it is usually linked to a drug that the person has taken, so if there is an outbreak, it is because people are reacting to a particular drug being circulated.

Drugs identified as possible causes of SJS include anti-gout medications, such as allopurinol; pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others); and naproxen sodium (Aleve).

Others include medications to fight infection, such as penicillin, medications to treat seizures or mental illness (anticonvulsants and antipsychotics) and radiation therapy

The clinic identified infections that can cause the disease to include: “Herpes (herpes simplex or herpes zoster); Pneumonia; HIV and Hepatitis.”

If 10 per cent of the body surface area is involved, the disease has a mortality rate of around five per cent.

Thursday, 12 May 2016

Treat All Gunshot Victims With or Without a Police Report

The Federal Government has given a CLEAR DIRECTIVE to all medical doctors in the country to treat emergencies including gun-shot victims without requesting police clearance or other restraints.

The Minister of Health, Isaac Adewole, gave the directive at the swearing-in of 342 foreign trained medical doctors and six dentistry graduates in Abuja last week.

Prof. Adewole urged doctors to treat patients on emergency before asking for money, adding that life is more precious than money.

He further advised them to continually practise within the limit of their competence and imbibe global best practice to better their lots in the profession.

"Doctors must show no restraint in treating emergencies, even with gun-shot wounds you must treat them, thereafter raise questions."

Mr. Adewole, who noted some of the challenges in the profession to include lack of adequate places for internship programmes, however, assured of government commitment to fund the programme.

New Rapid TB Test Being Developed in South Africa

A point-of-care rapid diagnostic test for TB has been developed by a multinational team of scientists led by researchers at Stellenbosch University in South Africa.

One of its co-inventors, Professor Gerhard Walzl, spoke to The Conversation Africa’s health and medicine editor Candice Bailey about the advantage of the new test over the current methods.

"If our test is accepted after clinical trials are completed, it will be able to provide almost immediate results. People will be able to be diagnosed and start treatment in a single visit to a health-care facility.

The test is done with blood obtained from a finger prick and can make a TB diagnosis in less than an hour. The diagnostic test is a hand-held, battery-operated instrument that will measure chemicals in the blood of people with possible TB. This test will not have to be done in a laboratory and health-care workers will be able to perform it with minimal training.

It is a low-cost screening test and has the potential to significantly speed up TB diagnosis in resource-limited settings.

With the current tests, samples need to be taken from the stomachs of  young children, as they cannot follow instructions to produce a good quality sputum sample. This requires the use of a nasal tube, which is not pleasant for the child or the health-care worker.

The test also isn’t effective for people living with HIV. This is because their sputum often has low levels of the bacteria, which can lead to a false negative test result.

There is also a molecular test that detects bacterial DNA in the sputum sample. This test only takes two hours to produce a result and although it speeds up the detection of TB, it is not widely available to people in rural areas as instruments are placed in a centralised manner.

The new test's biosignature has been patented and its accuracy and efficacy will be tested in five African countries over the next three years. We will recruit 800 people who have TB symptoms from Namibia, the Gambia, Uganda, Ethiopia and South Africa.

I wish Nigeria was included though.

Test Medicine Knowledge: Paediatrics

An 8-year-old boy with asthma is admitted to the hospital with shortness of breath. The mother tells you that he is usually well controlled with bronchodilator inhalers. However, for the past 2 days he has had rhinorrhea, a low-grade fever, and myalgias. She also reports that the child has a non-productive cough. Bronchodilators temporarily improved the child's breathing at home, but it once again worsened and they became worried. On admission, this child is given droplet precautions.

Nebulized bronchodilator treatments are initiated. Oxygen supplementation is given by nasal cannula and he is given aspirin for the relief of fever. For prophylaxis of influenza, an antiviral is administered because of a recent influenza outbreak in the community.

Of all of the therapies initiated in this patient, the one that is not indicated in this case is:
a. antiviral
b. aspirin
c. droplet precautions
d. nebulized bronchodilators
e. oxygen

Answer:  B (aspirin)
Although aspirin (choice B) is appropriate for the relief of fever, this patient is an 8-year-old child. The use of aspirin in a child with influenza is contraindicated, due to the association of aspirin usage in children with influenza and the development of Reye's syndrome. Reye's syndrome is more common with influenza B, but outbreaks have been found to be associated with influenza A. Hence, during an outbreak of influenza, aspirin is contraindicated in children with respiratory symptoms or fever.


Where there's a will there is a way. Just ask 32-year old, Nigerian native, Dr. Foyekemi Ikyaator, who opened Life Savers Emergency Room, a stand-alone full service emergency room, in Houston, Texas, reports.

Dr. Ikyaator created Life Savers ER to meet the growing medical needs of the Houston community. While not attached to a hospital, the facility is equipped with radiology equipment, an onsite laboratory and pharmacy.

The ER prides itself in no waiting lines for labs to be sent or processed or even to be seen by a doctor.
“In emergency medicine you don’t pick your patients. You don’t get to decide who walks in the door,” Dr. Ikyaator tells KUT during a “In Black America” segment.

“As far as what led me to [start Life Savers ER]; I worked in a few ERs in Houston and often I’d get to work and there are 15-20 patients in the waiting room waiting on me,” Ikyaator explains. “There are patients in the ER waiting to be admitted; there are patients who are admitted and can’t get a bed upstairs so they’re taking up space.”

Dr. Ikyaator now directs Life Savers Emergency Room where she can be more hands on with her patients and promote the kind of medicine and medical attention she believes is necessary in communities.

Thumbs up to her!

Test Your Medicine Knowledge

The correct answer is amitriptyline (A) Amitriptyline is a tricyclic antidepressant (TCA); a class of drugs that can cause fatal dru...