Monday, 31 October 2016

Zambian Doctor Who Was "Racially Abused" Goes Missing Mysteriously In USA



A Zambian medical doctor, Dr Suwilanji Situmbeko, has mysteriously disappeared in the US capital, Washington DC forcing local police to issue an alert to establish his whereabouts.Dr Situmbeko, commonly known as Doc Stukie among peers, is attached to Global Health Corps.
His online presence may provide clues to his disappearance as investigators dig into the matter.
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The 27-year-old Zambia had made Facebook posts and twitter comments suggesting he was being racially abused. He has been missing since October 21, 2016." .
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Halloween cake

Saturday, 29 October 2016

Four-year-old boy died after becoming so dehydrated in hospital he had to suck on wet wipes

A disgraced children’s hospital has admitted 22 failures by medics following the death of a four-year-old boy.

Sean Turner was born with his heart on the right side of his body and died from a brain haemorrhage in March 2012, six weeks after undergoing corrective surgery.

During a 2014 inquest, Sean’s parents accused Bristol Children’s Hospital nurses of leaving their son so dehydrated that they found him sucking wet wipes for moisture.

Now a far-reaching inquiry by the Parliamentary and Health Service Ombudsman said the lad’s aftercare at Bristol Children’s Hospital amounted to “service failure”.

Friday, 28 October 2016

Menstrual Period Jewelry

Most woman would be horrified if they leaked on their clothing while on their period, but one designer wants ladies to wear their period blood proudly - well, sort of.

Lili Murphy-Johnson, 22, from London, wishes there was less of a stigma surrounding menstruation, which half of the world's population experiences at some point in their lives. By her logic, getting your monthly visitor shouldn't be gross - it should be beautiful.

That's why she designed an entire collection of period-inspired jewelry called On the Rag, which features plenty of red gemstones, tampon charms, and even a sparkly used pantyliner that a shopper could say was a glitzy heirloom from her Aunt Flo.

 'Periods are stigmatized in our culture from a long history of superstition and inequality for women,' she wrote in explanation on her website, nothing that society pushes women to hide the fact that they menstruate.

'My collection is inspired by menstruation, and the frustrating, leaking female body,' she added, telling Refinery29 that she began working on the project because: 'The anxiety and stress I experience
before my period was holding back my research and design process whilst at university, so I decided
to replicate these emotions into jewelry to get a collection started.'


The collection, which features rings, brooches, bracelets, and a necklace , is influenced by three parts of menstruation - PMS, the actual bleeding, and the products women use to clean the blood, like tampons.


The most plainly period-themed item is Lili's pantyliner ring.

I definitely see myself rocking a piece or two out of this collection, if I got it free..lol. But that 'menstrual flow' brooch is my favourite.



Source

Adegoke Olubusi: Changing the face of healthcare in Nigeria

Meet Adegoke Olubusi, innovator of OneMedicalNG; an advanced digital health records platform designed for Nigeria.

OneMedicalNG aims to accelerate Nigeria's transition to a data-driven healthcare system
by digitizing medical records, making them secure and instantly accessible to all
healthcare facilities and professionals on-demand."

Olubusi said  he came up with idea over 2 years ago after a thorough analysis of Nigeria's current healthcare climate. Many issues with DATA. Poorly recorded, inaccessible, etc.

He said, "it's the only medical file that you'll ever need!" and has won Etisalat's Prize for Innovation.



Wednesday, 26 October 2016

JOHESU Protests Director's Recall, Stop Traffic In Owerri

Joint Health Sector Union members, numbering over 2,000 from the South-East, South-South and South-West, on Tuesday converged on Owerri, the Imo State capital to protest the reinstatement of Dr. Angela Uwakwem as the medical director of the Federal Medical Centre, Owerri.

The five unions that make up JOHESU, namely Nigerian Union of Allied Health Professionals; Medical and Health Workers Union of Nigeria; National Association of Nigerian Nurses and Midwives; Non Academic Staff Union of Universities and Associated Institutions; and Senior Staff Association of Universities, Teaching Hospitals and Research Institutes, disrupted traffic flow from Wetheral Road, Bank Road to Orlu Road, where the FMC is situated.

Tuesday, 25 October 2016

The Baby That Was Born Twice



So proud of the Nigerian surgeon, Dr Oluyinka Olutoye, who was part of this surgery๐Ÿ‘๐Ÿฝ๐Ÿ‘๐Ÿฝ๐Ÿ‘๐Ÿฝ.

A story of tenacity and hope!

A true story narrated by @fbenson01:

"I hope my #truestory will #inspire and #motivate you. Thank you @abeezybeezy for asking me to write this #story #unfiltered.
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2006/2007 is a year I will never forget. I started out in my first year in university studying medicine, my dream course. I was a Christian but at some point I strayed from the faith. I had good grades that took me to 200 level. Gradually, I found my way back to God. Just when I thought I had rediscovered my faith, I returned from a Mission Outreach organized by the University mission arm, after 200L "Comprehensive" exams, to meet the result that told me that I had failed out of Medical School.. It was a terrible moment for me.
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I was a popular student which made it worse. The first person I called was my Dad and he told me to come home. My parents encouraged me and my mum’s exact words were, ‘’That medicine gan, is what you are going to study.” The failure didn’t dawn on me at first. However, a few hours later, text messages from my immediate past colleagues started flowing in and I realized my loss. I broke into tears, the kind of tears that can only be described as silent…painful…sorrowful…shameful. “So I’m not going to be a Medical Doctor? Is this how people fail out of school? How do I start again? Wasted year! And just when I wanted to return to God!” So many questions came calling and knocking at the door of my heart.
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This was my first experience of failing in life and it hit me real bad. I left home and returned to school. I stayed in my hostel all day, for the shame and fear of meeting familiar faces. That December, I stayed in school and didn’t go home. Alongside a few of my colleagues, I wrote a letter to the University Senate, appealing that we should be allowed to resit the exam. After a while, we were granted a pardon to do so (which is the first and only time this was done). I passed the exam after the resit and the rest is history. People say God will take you through places you don’t understand, just to bring you to the place He wants you to be. Despite several other challenges I went through in school, today, I'm a Medical Doctor, touching lives in my own sphere of influence."

Monday, 24 October 2016

Be Inspired!!!

RepostBy @dedun05:
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"I like the ginger when we start something new. The only thing that can sustain one's progress in life is Discipline. Practise it.
Dr Dedun ๐Ÿ’›".

An extraordinary doctor

We all know Medicine is not an easy course of study, but to combine that with running four different businesses in a foreign country and still managing to succeed on all fronts is just ah-mazing!
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Dr. Adedunmola Oluwo (@dedun05) who recently graduated from a Medical School in Hungary, solely manages Dedun's Cakes, a four-year-old cake and pastry company; Hair by Dedun, a six-year-old hair styling business that caters to every hair texture; Dedun Cooks, a six-year-old Nigerian food catering business, and Belle Artistry by Dedun, a new beauty-focused business she started earlier in 2016. Also recently, she runs an inspirational blog and a YouTube channel - talk of being versatile.
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Not only has this young achiever made Nigeria proud by representing us in good light in the diaspora, she has also managed to be financially stable and independent from her loving mother.
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In her words: "I was miraculously able to combine all these without repeating a year in the 7 years of Medical school while achieving utmost financial independence from my retired single mum. I was able to make and save enough to pay for my Masters which I'm starting next month at Rome Business School, Italy. I'm sharing my story to inspire others that it doesn't matter what your situation is, you can always challenge yourself to achieve great things whether you are a 17-yr-old (like I was when I started) or older."
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If you are reading this, you should be inspired. These days we don't hear of young people like this accomplishing such remarkable feats anymore. The great lesson here is that no matter what you are facing or your current circumstances in life, you can always push yourself to achieve great things regardless of your age.
#BeautyWithBrains
#CelebratingNigerians
#SplufikNigerians

Closure of an abdominal wound with Bogota bag

Pic๐Ÿ“ท๐Ÿ“ธ: Closure of an abdominal wound with Bogota bag.
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Bogota bag has several clinical advantages: it allows permanent drainage of the abdominal wall, because it is not sealed; prevents evisceration, because the viscera are contained in this plastic bag; favours the ventilation of the patient because it reduces intraabdominal pressure rise and prevents the diaphragm.

It facilitates the natural closing of the wall, because it is injured less; wounds prevent bedsores and secondary total points or staples used to hold the abdominal wall; preventing compartment syndrome, as it facilitates the expansion and intraabdominal pressure decreases; and retains the skin and aponeurosis better conditions for delayed closure.
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Cc: @kingjenyair๐Ÿ˜€๐Ÿ˜€.

Cute Medical Cake Design

Is this the cutest medical cake ever?๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜. I love it!!

Sunday, 23 October 2016

Nigerian surgeon removes baby from mother's womb, operates on her tumor & returns her back

LynLee Hope who suffered from a tumor know a 'sacrococcygeal teratoma'  underwent a crucial operation at 23 weeks and then returned to her mother's womb. She healed and continued to grow until she was born again at 36 weeks. This amazing feat was performed by a surgeon who is  nigerian but  based in the U.S , Dr Oluyinka Olutoye, and his surgeon partner , Dr. Darrell Cass of Texas Children's Hospital

When Margaret Boemer went for a routine ultrasound 16 weeks into her pregnancy with her third child, she found out that things were far from routine.

"They saw something on the scan, and the doctor came in and told us that there was something seriously wrong with our baby and that she had a sacrococcygeal teratoma," the Plano, Texas, mom said in an interview shared by Texas Children's Hospital. "And it was very shocking and scary, because we didn't know what that long word meant or what diagnosis that would bring,"

Sacrococcygeal teratoma is a tumor that develops before birth and grows from a baby's coccyx, the tailbone.  Found more often in girls than boys, this tumor occurs in one out of every 35,000 births.
"This is the most common tumor we see in a newborn," said Dr. Darrell Cass, co-director of Texas Children's Fetal Center and associate professor of surgery, pediatrics and obstetrics and gynecology at Baylor College Medicine. "Even though it's the most common we see, it's still pretty rare."
Booemer had been pregnant with twins, but lost one of the babies before her second trimester so it was a shock at 16 weeks to learn of her daughter's rare birth defect.

"Some of these tumors can be very well-tolerated, so the fetus has it and can get born with it and we can take it out after the baby's born," said Cass. "But about half of the time, they cause problems for the fetus and it's usually causing problems because of a blood flow problem."

Cass explained that the tumor is trying to grow by sucking blood flow from the baby, yet the baby is also trying to grow, too "so it becomes a competition. And in some instances, the tumor wins and the heart just can't keep up and the heart goes into failure and the baby dies," he said.

With a large tumor stealing the blood supply, Boemer's fetus was becoming more ill each day, doctors explained to the expectant mother. Something had to be done.

Although other doctors had advised her to terminate the pregnancy, Cass and his team told her about another possibility: fetal surgery. This option, though, would not be an easy road. Even worse, her baby's chances of survival would be grim.

"LynLee didn't have much of a chance," Boemer said. "At 23 weeks, the tumor was shutting her heart down and causing her to go into cardiac failure, so it was a choice of allowing the tumor to take over her body or giving her a chance at life. It was an easy decision for us: We wanted to give her life.
She was 23 weeks and 5 days pregnant, when Cass and his partner surgeon, Dr. Oluyinka Olutoye, performed the emergency fetal surgery. By this time, the tumor was nearly larger than the fetus. They operated for about five hours.

"The part on the fetus we do very, very quickly," said Cass. "It's only 20 minutes or so on the actual fetus." Most of the time is spent opening the uterus, which he described as "a big muscle lined with membranes. We don't want the mom's health to be jeopardized," said Cass, who explained they work carefully, both making the incision and sewing it up in order "to make that uterus be as sealed and as water tight as possible."
Still, Cass said, the tumor in this case was so large a huge incision was needed to get to it, "so it ended up that the baby was hanging out in the air... Essentially, the fetus is outside, like completely out, all the amniotic fluid falls out, it's actually fairly dramatic," said Cass.

During the surgery, LynLee's heart slowed down to an incredibly low rate.
"It basically stopped," said Cass. He credits the heart specialist, a key member of the team, for giving the right medication and transfusing the right amount of fluid, allowing the surgeons to continue their work. The surgical team removed the bulk of the tumor. When they finished their operation, the surgeons placed LynLee back inside the womb and sewed her mother's uterus shut. It's kind of a miracle you're able to open the uterus like that and seal it all back and the whole thing works," said Cass.

Boemer was on bed rest for the remainder of her pregnancy. Despite her pain, she marshaled her strength and made it another 12 weeks to nearly 36 weeks -- full term -- when Lynlee Hope was born for the second time via C-section on June 6. She weighed 5 pounds and 5 ounces.

After she was born, LynLee faced one more ordeal: removing the bits of tumor that surgeons could not reach, which had begun to grow again.

"At eight days old, she had more surgery, and they were able to remove the rest of the tumor," explained Boemer. LynLee recovered in the NICU and weeks later, arrived in her family home. Baby Boemer is still an infant but is doing beautiful," said Cass, remarking that she is perfectly healthy. His one previous surgery of this kind was also a success. "I think she's about 7 now, and she sings karaoke to Taylor swift -- she's completely normal," said Cass.

Source: CNN

US ACADEMY OF MEDICINE APPOINTS TOMORI AS MEMBER

The President of Nigerian Academy of Science, Professor Oyewale Tomori has been elected as international member of the US National Academy of Medicine, Class of 2016.

The election was in recognition of his leadership role in establishing the Africa Regional Polio Laboratory Network, developing laboratory capacity for polio diagnosis and providing a framework for the setup of additional laboratory networks for yellow fever, measles, and other viral hemorrhagic fevers.

The Academy which was established in 1970 as part of the US congressionally chartered National Academy of Sciences identified Tomori’s broad expertise in disease control and commitment to strengthening health systems that led to his serving in numerous advisory and leadership roles for the World Health Organization, governments and agencies.

They noted that he played a key role in the development of young African scientists through his leadership as founding Vice Chancellor of Redeemer’s University in Nigeria.

Dr. Tomori, a 1971 veterinary graduate of Ahmadu Bello University, earned a PhD degree in Virology from University of Ibadan in 1976. He was recognized in Nigeria with the National Order of Merit (NNOM), the highest award for academic and intellectual attainment.

Dr. Tomori joins a group of distinguished individuals who have made significant contributions to global science, medicine and health, including the only other Nigerian, Professor Adetokunbo Lucas, who was elected in 1988, as an international member of the US Institute of Medicine (IOM), as the US National Academy of Medicine was then known.

Gabriel Olawale 
Vanguard News

Friday, 21 October 2016

Renal Cyst


15 year old girl with a symptomatic left renal cyst. A partial nephrectomy was done to remove the wall of the cyst.
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Knowledge๐Ÿ“š๐Ÿค“: Simple kidney cysts may be monitored with periodic ultrasounds.

Simple kidney cysts that are causing symptoms or blocking the flow of blood or urine through the kidney may need to be treated using a procedure called sclerotherapy. In sclerotherapy, the doctor punctures the cyst using a long needle ๐Ÿ’‰๐Ÿ’‰inserted through the skin.
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Ultrasound is used to guide the needle ๐Ÿ’‰๐Ÿ’‰to the cyst. The cyst is drained and then filled with a solution containing alcohol to make the kidney tissue harder. The procedure is usually performed on an outpatient basis with a local anesthetic.
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๐ŸจIf the cyst is large, surgery may be needed. Most surgeries ๐Ÿ˜ทcan be performed using a laparoscope—a special tool with a small, lighted video camera. The procedure is usually done under general anesthesia in a hospital. The surgeon drains the cyst and then removes or burns away its outer tissue. This type of surgery allows for a smaller incision and quicker recovery.
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Picture and case credit: @CelebDr. Thank you very much๐Ÿ˜€๐Ÿ˜€๐Ÿ‘๐Ÿฝ.
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Nigeria: Fake Quinine Sulphate in Circulation

The Federal Government has stepped up vigilance within the drug supply chains in the country on the circulation of two confirmed falsified versions of Quinine Sulphate.

A statement said the Federal Ministry of Health received a medical alert that the two falsified drugs contain zero active pharmaceutical ingredients.

The statement signed by Mrs Boade Akinola, Director, Media and Public Relations of the ministry, on Saturday said the drugs were circulating in West and Central Africa.

Akinola said the two version of the drug were circulating in Cameroon and Democratic Republic of Congo.

She said the quinine Sulphate was used in the treatment of malaria.

According to her, the implication of using the falsified one is that it will not be effective and may also lead to other health challenges.

She said one of the fake products was named Quinine Sulfate 300 mg with 1000 Tablets per container, Batch Number 10H05, expiry date 09/2018 and it manufactured 09/2014.

Akinola added that the drug manufactured by Novadina Pharmaceutical Limited, London, United Kingdom was first was discovered in Cameroon.

The director said the other version of the fake drug was Quinine Sulphate 300mg with 100 Tablets per container; batch F4387, expiry date 11/18 and its date of manufacture is 12/14.

She explained that the product was manufactured in India by CAD Pharm, and it was discovered in Bunia, Democratic Republic of the Congo.

She advised Nigerians to be vigilant and report to the nearest National Agency for Food and Drug Administration office anywhere the drugs were spotted including hospitals and pharmaceutical shops.

The ministry urges Nigerians to also report it the following GSM no +234-8037881120, +234-8055056727 and +234-8035902679. “If you are in possession of these products, please do not use them.

“If you have taken this falsified product or if you suffer an adverse effect following its uptake, please seek immediate advice from a qualified healthcare professional and report the incident to NAFDAC.’’

By: Glory
Daily Times News

Thursday, 20 October 2016

MEET THE MEDIC


Meet the medic ๐Ÿ’‰๐Ÿจ: Doctor-in-training Titiloye Oluwatobi @Dr_tobby_sax.
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๐Ÿ‘‰๐ŸฝFavourite quote: Live your life to the fullest with no regrets 'cos no one knows tomorrow.
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๐Ÿ‘‰๐ŸฝFavourite show: Botched.
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๐Ÿ‘‰๐Ÿฝ What do you wish you knew in medical school: That I read too much.
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๐Ÿ‘‰๐Ÿฝ Your favourite mnemonic : PHC MATH FATIMOO..Components of Primary Health Care.
Provision of essential drugs, health education,communicable dx control,maternal and child health/family planning, adequate supply of safe water and basic sanitation, traditional medicine use, HIV/AIDs, food supply &proper nutrition, ARI, Treatment of common dxs & injuries, immunization, mental health, occupational health and oral health.๐Ÿ˜‰๐Ÿ˜‰.
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๐Ÿ‘‰๐Ÿฝ Your worst experience ever as a med. student: When I told my consultant I was going to eat during rounds๐Ÿ˜ฅ.
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๐Ÿ‘‰๐ŸฝWhat other course would you study if you had a choice?: Theatre arts.
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We love ๐Ÿ’• our medics. DM or tag @healththenmore with your stories, news, cases and pictures. Thank you๐Ÿ‘๐Ÿฝ๐Ÿ˜€
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FMC Owerri Protest


The Federal Medical Centre in Owerri, the Imo State capital, was on Wednesday shutdown for the second time by workers in the establishment who trooped out to protest against the return of the embattled Medical Director of the establishment, Dr. Angela Uwakwem, who they've named the GODDESS OF CORRUPTION.
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A detachment of armed policemen from the Imo State Police Command cordoned off the premises and fired several teargas canisters at the workers, causing them to scamper for safety.
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In the course of the protest, at least one person was beaten and arrested by the police.
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The workers and their unions in the establishment had turned against Uwakwem, accusing her financial malfeasance and anti-labour policies.
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When contacted on his mobile phone, the Commissioner of Police, Mr. Taiwo Lakanu, confirmed that he sent his men to FMC to enforce a directive from the Federal Ministry of Health.
“If the workers are aggrieved, they should go to court. They do not have a right to stop their fellow worker from doing her job,” Lakanu said.
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Wednesday, 19 October 2016

Medical Joke



So true๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚. Have you ever wondered why it's so impossible to finish reading EVERYTHING ๐Ÿ“š๐Ÿค”๐Ÿค”and be confident you did๐Ÿ˜‰ ?

Be Inspired!!!


Do what you want and love what you do ☝๐Ÿผ️

Monday, 17 October 2016

MEET THE MEDIC



Meet the medic ๐Ÿ’‰๐Ÿฉ: Dr. Ejiro Kragha-Ogomigo @jirokragha
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๐Ÿ‘‰๐ŸฝFavourite quote: He who knows not and knows not he knows not, he is a fool, shun him.
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๐Ÿ‘‰๐ŸฝFavourite show: Major Crimes๐Ÿ“บ๐ŸŽฅ
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๐Ÿ‘‰๐ŸฝWhat you wish you knew in medical school๐Ÿ”“: That I don't need most of the crap I was forced to learn. (I'm inserting my ๐Ÿ˜‚๐Ÿ˜‚ here).
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๐Ÿ‘‰๐Ÿฝ Your favourite mnemonic๐Ÿ“š: I don't like mnemonics and can't even remember any.
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๐Ÿ‘‰๐ŸฝYour worst experience ever as a doctor: Inserting a nasogastric tube for a patient with intestinal occlusion of almost a week.
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๐Ÿ‘‰๐ŸฝWhat other course would you study if you had a choice: Structural engineering
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We love ๐Ÿ’• our medics. DM or tag @healththenmore with your stories, news, cases and pictures. Thank you๐Ÿ‘๐Ÿฝ๐Ÿ˜€
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COMMOTION DOCTOR...LOL


Naij.com wrote: "This Nigerian doctor is a gynaecologist who has made his landmark in the fashion world. The young doctor identified as Dr. Tommy has worked with Calvin Klein, a top fashion company in the past."
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.....And he recently dumped his stethoscope to focus fully on causing commotion ๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚ (insert humour ๐Ÿ˜‰๐Ÿ˜‰)

VIDEO: HYENA ATTACK


Saturday, 15 October 2016

ABUSE OF POWER


This is what happens when a patient's relative is connected ....smh๐Ÿ˜“๐Ÿ˜“.

MEET THE MEDIC

Meet the Medic: Doctor-in-training Nelson Nwumeh @nn_fit
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๐Ÿ‘‰๐ŸฝFavourite quote: Hard work beats talent when talent doesn't work hard.
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๐Ÿ‘‰๐ŸฝFavourite show: Luke Cage
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๐Ÿ‘‰๐ŸฝWhat do you wish you knew in medical school: How to add more hours to the day.
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๐Ÿ‘‰๐ŸฝFavourite mnemonic: I 8 10 Eggs AT 12 ( Thoracic vertebral levels at which the IVC (T8), Oesophagus (T10), Aorta (T12) and Thoracic duct cross the diaphragm).
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๐Ÿ‘‰๐ŸฝWorst experience as a medical student: Luckily I haven't had any extremely bad experiences. My worst experience so far has been a week of 7 exams.
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๐Ÿ‘‰๐ŸฝAlternative to Medicine: Engineering

Thursday, 13 October 2016

Funny Medical Picture


RepostBy @ibadanmedicine: . "WORLD SIGHT DAY (WSD) is an annual day of awareness held on the second Thursday of October, to focus global attention on blindness and vision impairment. This year's theme is STRONGER TOGETHER!. 285 million people globally are visually impaired. According to the International Agency for the Prevention of Blindness, 80 percent of these cases could be avoided if people were to receive comprehensive eye care services. The key to good eye health is early detection. As part of your overall plan to stay healthy, have your eyes examined on a regular basis – even if you think there’s nothing wrong with your vision. Two ways you can celebrate WORLD SIGHT DAY 1. MAKE AN APPOINTMENT FOR A COMPREHENSIVE DILATED EYE EXAM. In addition to an eye chart test, your eye doctor will use drops to dilate your pupils and get a better view of the back of your eyes. If you find out you’re in the early stages of an eye disease like glaucoma or age-related macular degeneration, know you’re in good hands. Your eye care professional will help you to achieve and maintain the highest possible level of eye health and visual function. 2. ENCOURAGE FAMILY MEMBERS TO HAVE THEIR EYES EXAMINED. Especially children if they haven’t had their eyes examined by an eye care professional. Also urge loved ones who are at risk for vision loss to get examinations, like those who have diabetes, which is a leading cause of avoidable blindness @nimsa_ng @famsa_westafrica @iamdrkel @medicalstudentsfashion @ooumsa @abuadmedical @amsul_unilag @buams_official @bamshealth @cooumsa @aaumsa @official_ubemsa @udumsa @official_cumsa @oau_ifumsa_ @laumsa_ng @lasumsa @gsumsa @ilumsa_ilorin @bhumsa @youifmsa @officialcda @scafnigeria @dr_phili @itsjblaze #WorldSightDay2016 #WSD #StrongerTogether #ophthalmology #medical #health #sight #see #eye #eyedoctor"

A photo posted by Dr. HealthThenMore (@healththenmore) on

MEET THE MEDIC


RepostBy @ibadanmedicine: . "WORLD SIGHT DAY (WSD) is an annual day of awareness held on the second Thursday of October, to focus global attention on blindness and vision impairment. This year's theme is STRONGER TOGETHER!. 285 million people globally are visually impaired. According to the International Agency for the Prevention of Blindness, 80 percent of these cases could be avoided if people were to receive comprehensive eye care services. The key to good eye health is early detection. As part of your overall plan to stay healthy, have your eyes examined on a regular basis – even if you think there’s nothing wrong with your vision. Two ways you can celebrate WORLD SIGHT DAY 1. MAKE AN APPOINTMENT FOR A COMPREHENSIVE DILATED EYE EXAM. In addition to an eye chart test, your eye doctor will use drops to dilate your pupils and get a better view of the back of your eyes. If you find out you’re in the early stages of an eye disease like glaucoma or age-related macular degeneration, know you’re in good hands. Your eye care professional will help you to achieve and maintain the highest possible level of eye health and visual function. 2. ENCOURAGE FAMILY MEMBERS TO HAVE THEIR EYES EXAMINED. Especially children if they haven’t had their eyes examined by an eye care professional. Also urge loved ones who are at risk for vision loss to get examinations, like those who have diabetes, which is a leading cause of avoidable blindness @nimsa_ng @famsa_westafrica @iamdrkel @medicalstudentsfashion @ooumsa @abuadmedical @amsul_unilag @buams_official @bamshealth @cooumsa @aaumsa @official_ubemsa @udumsa @official_cumsa @oau_ifumsa_ @laumsa_ng @lasumsa @gsumsa @ilumsa_ilorin @bhumsa @youifmsa @officialcda @scafnigeria @dr_phili @itsjblaze #WorldSightDay2016 #WSD #StrongerTogether #ophthalmology #medical #health #sight #see #eye #eyedoctor"

A photo posted by Dr. HealthThenMore (@healththenmore) on

WORLD SIGHT DAY


RepostBy @ibadanmedicine: . "WORLD SIGHT DAY (WSD) is an annual day of awareness held on the second Thursday of October, to focus global attention on blindness and vision impairment. This year's theme is STRONGER TOGETHER!. 285 million people globally are visually impaired. According to the International Agency for the Prevention of Blindness, 80 percent of these cases could be avoided if people were to receive comprehensive eye care services. The key to good eye health is early detection. As part of your overall plan to stay healthy, have your eyes examined on a regular basis – even if you think there’s nothing wrong with your vision. Two ways you can celebrate WORLD SIGHT DAY 1. MAKE AN APPOINTMENT FOR A COMPREHENSIVE DILATED EYE EXAM. In addition to an eye chart test, your eye doctor will use drops to dilate your pupils and get a better view of the back of your eyes. If you find out you’re in the early stages of an eye disease like glaucoma or age-related macular degeneration, know you’re in good hands. Your eye care professional will help you to achieve and maintain the highest possible level of eye health and visual function. 2. ENCOURAGE FAMILY MEMBERS TO HAVE THEIR EYES EXAMINED. Especially children if they haven’t had their eyes examined by an eye care professional. Also urge loved ones who are at risk for vision loss to get examinations, like those who have diabetes, which is a leading cause of avoidable blindness @nimsa_ng @famsa_westafrica @iamdrkel @medicalstudentsfashion @ooumsa @abuadmedical @amsul_unilag @buams_official @bamshealth @cooumsa @aaumsa @official_ubemsa @udumsa @official_cumsa @oau_ifumsa_ @laumsa_ng @lasumsa @gsumsa @ilumsa_ilorin @bhumsa @youifmsa @officialcda @scafnigeria @dr_phili @itsjblaze #WorldSightDay2016 #WSD #StrongerTogether #ophthalmology #medical #health #sight #see #eye #eyedoctor"
A photo posted by Dr. HealthThenMore (@healththenmore) on

NOTICE ON PROFESSIONAL INDEMNITY INSURANCE TO REGISTERED MEDICAL PRACTITIONERS AND DENTAL SURGEONS IN NIGERIA


The Medical and Dental Council of Nigeria hereby notifies all registered medical practitioners and dental surgeons that the Council has noted with concern, the increasing incidence of various forms of litigations against medical practitioners and dental surgeons with the attendant effect on their fitness to practice.

In the light of the above, the Council hereby advises registered medical practitioners and dental surgeons to strictly heed its directive as contained in the Rule 12.6 of the Code of Medical Ethics in Nigeria (2008) edition, to ensure that they “protect their practice by regularly taking professional indemnity insurance cover” to avoid or minimize the untoward effects of litigations.

Practitioners and members of the public are to avail themselves of the provisions of the Code of Medical Ethics in Nigeria (2008 ed.) for more details on this matter and others.

It is also incumbent on every practitioner to acquaint him/herself with the provisions of the Act and other subsisting regulations made by the Medical and Dental Council of Nigeria.

Members of the professions and the general public are encouraged to report violations of any professional conduct to the Council.

Such reports should be made in the form of sworn affidavits and sent to the Registrar through the following addresses:

1.    Abuja Office: MDCN House Plot 1102 Cadastral Zone B11, Behind Prince and Princess Estate, off Oladipo Diya Road Kaura District, P.M.B 458, Garki  Abuja.
    Tel: 09-2902900 and 08106267970

2.    MDCN Lagos Zonal Office (Lagos): 25, Ahmed Onibudo Street, Victoria Island, P.M.B.12611, Lagos State.
    Tel: 01-4541228, 01-4541229 and 01-4541230

3.    MDCN North West Zonal Office (Kaduna): Plot 3, Unguwan Gwari Crescent, (Zaria Road), Kawo, Kaduna State.
    Tel: 08035501266.

4.    MDCN Enugu Zonal office (Enugu): 2, Ogufere Street, Off okpara Avenue, G.R.A. Enugu State.
    Tel: 09033145370

5.    MDCN North Central Zonal Office (Ilorin): No 13, Peter Tokula Street, Opposite Centre for Alternative Dispute Resolution, GRA, Ilorin, Kwara State
    Tel:    02-2918589

Funny Medical Picture



BTW I love real butterflies ๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚

Incredible call roster!!!


This is what Dr. Benson's October call roster looks like๐Ÿ˜“๐Ÿ˜“๐Ÿ˜“๐Ÿ˜“.
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If you were Dr. Benson, what would you do?๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚

Cc: Dr. Uche.


Sunday, 9 October 2016

Thank you Nurse!!!



Nurse Love๐Ÿ’‰๐Ÿ™Œ๐Ÿฟ๐Ÿ‘๐Ÿ‘. Don't forget to thank your nurse today.
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RepostBy @nursesandie:
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"She knows you by Name "Mrs X" and not jes by your Medical diagnosis "The CCF Patient" as some Doctors. [shows the level of relationship between the Nurse and her patient]
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She stays awake during the night shift, cause she is meant to "Reasons why they don't have a call room" she's always got to be at your Beck and call, dispensing those late night meds jes at the right time, changing those fluids when it is finished, tending to your immediate needs and also assisting you with your ADLs.
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She cares, supports and reassures her patients..... She not only dispenses drugs, she dispenses care..... Finds time to appropriately Health educate her patient on their medical condition, the Doctor might not have all the time to fix that.
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She does the "dirty jobs" *Empties that urinary bag. *Serves that Bed Pan *Changes that Adult Diaper *Cleans up faecal mess on the patients *dresses that dirty wound#
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She's a perfect combination of #Intelligent #Smart #Agile #Passionate #Caring and #Loving
She works under Pressure and still delivers well.

Bartsocas-Papas syndrome



Picture shows a baby with Bartsocas-Papas syndrome๐Ÿšจ๐Ÿจ: a rare, inherited, popliteal pterygium syndrome characterized by:
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๐Ÿ‘‰๐ŸฝSevere popliteal webbing.
๐Ÿ‘‰๐Ÿฝ Microcephaly, a typical face with short palpebral fissures.
๐Ÿ‘‰๐Ÿฝankyloblepharon (fusion of part or all of the eyelid margins).
๐Ÿ‘‰๐Ÿฝhypoplastic nose.
๐Ÿ‘‰๐Ÿฝfiliform bands between the jaws and facial clefts.
๐Ÿ‘‰๐Ÿฝoligosyndactyly.
๐Ÿ‘‰๐Ÿฝgenital abnormalities, and additional ectodermal anomalies (i.e. absent hair, eyebrows, lashes, nails).
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It is often fatal❌ in the neonatal period, but patients living until childhood have been reported.
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The disorder is inherited in an autosomal recessive manner, requiring an abnormal gene from each parent for it to occur.
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Hilarious joke!!!

Saturday, 8 October 2016

Breast Reconstruction



RepostBy @patrickhsumd:
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"In celebration of breast cancer awareness month, I will only be posting breast cancer related topics. Here's a breast cancer patient nearing the end of her reconstructive journey.
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Some last surgery touch ups with fat grafting to make her reconstruction look even better".

The way examiners attack during orals...lol

You won't even see it coming๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚. Those viva days๐Ÿ˜†๐Ÿ˜†๐Ÿ˜†๐Ÿ˜†#henevaexperredit #predators ๐Ÿ˜œ๐Ÿ˜œ๐Ÿ˜œ๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜€.


The Bastardisation of ‘Doctor’ As a Professional Designation in Nigeria


I wonder if there is any professional appellation or title that has been abused in Nigeria more than the title ‘doctor’. From the herbalists who sell their ‘NAFDAC approved’ herbal concoctions on our streets and market places to the quack ‘doctors’ who impersonate medical doctors. Everywhere in the country, one is confronted with a barrage of ‘doctors’ who treat all forms of ailment. A greater number of Nigerians believe that anybody answering a doctor, at least within the health sector, is a medical doctor more than those who are truly knowledgeable about the professional and ethical dynamics leading to someone being conferred with the title of a medical doctor.

In an interesting fictionalised scenario, in Chimamanda Ngozi Adichie’s Half of a Yellow Sun, one encounters a situation where a neighbour brought her child, having an acute exacerbation of Bronchial Asthma, to her neighbour whom everybody knew as ‘doctor’. Unbeknown to the poor woman, the ‘doctor’ was simply an academic doctor (i.e. a PhD holder in a field other

than medicine). The poor man, whose academic title was grossly misrepresented and subsequently misconstrued, simply looked on in rueful consternation while the woman on her part could not hide her annoyance when the reality dawned on her.  Such a scenario although taking place in a perfectly crafted prose work is not lacking in real life except that in Nigeria that PhD holder might try to resuscitate the child with the asthmatic attack not minding its attendant mortality all in a bid to save his face. And should the child die, people will quickly tell different versions of the story of how it was the ‘will of God’ as if God wishes death to everybody on a daily basis. Worst still, others may resort to blaming Nigerian medical doctors the moment the news filters around that a ‘doctor’ tried to resuscitate an Asthmatic patient with little or no attempt to verify if indeed it was a medical doctor that did the job.

While the above scenario can be forgiven, given the prevalence of ignorance and illiteracy in the land, it becomes rather worrisome that other people within the health sector often exploit the ignorance of the teeming Nigerian masses to attach the same title to their portfolios. As if this is not enough, the National University Commission (NUC) recently approved the doctor of pharmacy (D.Pharm/PharmD) programme for the pharmacists. Similarly, the medical laboratory scientists under the aegis of Association of Medical Laboratory Scientists of Nigeria (AMLSN) led by their National President, Alhaji Toyosi Y. Raheem on the 22nd of September 2016 paid a courtesy visit to the NUC Executive Secretary, Professor Rasheed Abubakar Adamu, with some far reaching demands among which is the adoption of MLSD (Medical Laboratory Science Doctor) curriculum and the subsequent approval of a faculty status for the Medical Laboratory Science course in Nigeria. This is happening at a time when every health worker presents himself or herself as a doctor to his or her unsuspecting patients. Every medical laboratory scientist in the private health sector is a medical ‘doctor’ since they prescribe drugs for their patients with impunity and reckless abandon. A short visit to any pharmaceutical shops usually reveals situations in which patients are made to lie in make-shift beds where they receive intravenous fluids and medications  while those in our tertiary hospitals are shouting ‘international best practices’ all because they want to take over the control of our health sector.

If these people are already answering and practising as doctors when their certificates say otherwise, one would naturally wonder what will be the fate of the entire health sector upon the approval of PharmD, MLSD, NurseD, RadiographyD, (et cetera) programmes by the NUC. The pertinent question is: Why does everybody in the health want ‘doctor’ to be attached to their names? What is even so special in being called a doctor? The answer can be summarised as follows: low literacy level, a poorly regulated health sector and inferiority complex on the part of those who wish to be so-called. Nigerian literacy level stands at about 61.3% yet what is seen every day is a case of people bereft of basic logic and reasoning. Even most of the educated ones lack the mental forte to appreciate simple logic. Could this ugly trend be also attributed to the failed educational system in the country? Why should people feel comfortable being dressed in ‘borrowed robe,’ to use the words of Macbeth? Little wonder then that a lot of seemingly educated and highly respected members of the Nigerian society are constantly being  hoodwinked and brainwashed by swindlers including fake religious leaders. Even among the educated ones, anybody answering a doctor in the health sector is seen as a medical doctor whereas the uneducated ones believe that being called a doctor both in and outside the health doctor means that the individual so-called is a medical doctor.

During my recent visit to Zone 9 Police Headquarters in Umuahia, Abia state, I saw a man who was hawking some herbal concoctions. My uncle who is a high ranking police officer was trying hard to convince me to pick one of the products. According to him, the product was very good as he claimed to have used it many times. I was greatly bemused when he went ahead to tell me that I should patronise a fellow ‘doctor’. What baffles me most is the fact that my uncle did not only enter the police force as a graduate but has also gone ahead to acquire other postgraduate certificates and trainings, yet he sees nothing wrong in a herbal medicine vendor attaching ‘doctor’ to his name. Perhaps I would have remained calm but when he said that the drug was produced by my fellow doctor my blood boiled with rage. It was then that I told him that I needed not check the biography of both the producer and the vendor to authoritatively tell him that they were not and would never be medical doctors because at least medical ethics prevents members from vending drugs on the streets whether orthodox or trado-medical.

Most worrisome is the false health information peddlers of such herbal concoctions dish out to members of the public. The Nigerian public is constantly being harassed by charlatans who hawk and dispense their ‘drugs’ unrestricted. It is indeed unfortunate that Nigeria has become a country where anything goes.

While one may think that my uncle was the only educated person who believes that herbal concoction peddlers are also medical doctors because they attach ‘doctors’ to their names in order to hoodwink their victims, but events have shown that there are very many other educated members of the public who do not equally know the difference between fake and real medical doctors. For instance, a classmate of mine who served in Gombe State as a National Youth Service Corps member once told me how their Zonal Inspector (ZI) and her husband were being managed for their eye problems by an optician whom the ZI always addressed as ‘doctor’. Although the young man was not even an optometrist much less an ophthalmologist as to deserve the inclusion of ‘doctor’ to his name, he proudly acknowledged the appellation as if his life depended on it each time people called him ‘doctor’. One could imagine the fate of less educated Nigerians in a situation where an NYSC Zonal Inspector, who has unfettered access to all information concerning all the corps members in her zone, still mistakes an optician for a medical doctor. What would happen to the generality of Nigerians when all other professionals within the health sector officially have ‘doctor’ attached to their first degrees?  Even the optometrists, the ‘doctor’ attached to their names is still a subject of controversy in many quarters.

Accordingly, quacks having discovered the parallel supervision of our eye clinics, have fully gone into the profession, converting patients’ low visual acuity to blindness. The ophthalmologists in the neighbourhood may think that the eye clinic is owned by an optometrist while the optometrists in the neighbourhood would believe that the eye  clinic is owned by an ophthalmologist and the impunity goes on. As at this moment, there is no specific regulatory body to control the opening of our eye clinics. Hence, quacks have come in to fill up the lacuna. This scenario is similar to the case where everybody wants to answer a doctor. With the health sector so poorly regulated, and if one would sit down to verify all the faculties offering health services, one would be shocked by the sheer number of quacks or those usurping services they were not trained for, which in any case would outnumber the genuine ones. Sometimes, even some optometrists, who questionably answer doctors, go ahead to operate on their unsuspecting patients. This is further aggravated by the fact that the patient might never know that the ‘doctor’ is merely an optometrist and not an ophthalmologist. If my friend, a medical laboratory scientist, could lie not only to his fiancรฉe but also his in-laws that he was a medical doctor and he went ahead to marry the lady undetected, then these Pharm.D, NurseD,MLSD etc programmes will provide alternative ways of ‘officially’  producing another set  of  ‘medical doctors’ in Nigeria. I will describe our current health sector as a laissez faire sector which is completely deregulated. In this case, somebody can walk into a pharmacy shop and buy drugs without a doctor’s prescription no matter the therapeutic index of such drugs. Worst still few patients who only managed to go to the hospital continue to use their former prescriptions to buy drugs from the nearest pharmacy shops without recourse to the fact that doses of drugs are adjusted according to patients’ responses. The pharmacists who want to increase their daily sales will never advise these ignorant patients to go and get doctors’ prescription or better still tell those coming with old prescriptions to go back to their doctors for new prescriptions. When I first heard of international best practices, I thought it was intended to correct these anomalies. But time has shown that such a lofty slogan was merely another strategy of ‘change agents’ in the health sector like JOHESU who are guided by pecuniary interest and the quest to wrest power from the medical doctors.

At the risk of sounding repetitive, it is a truism that inferiority complex is the major causative variable that pushes some health professionals who are not medical doctors to insist that they should be addressed as one. While Mark Zuckerberg was in Lagos, he was introducing himself simply as ‘Mark’ but if he were a Nigerian he would have attached a long string of titles to his name. Was it not during my first year at the Nsukka campus of the University Of Nigeria (UNN) that I came across a door with an inscription ‘Prof Engr. (Dr) xyz’. I just decided to use ‘xyz’ to replace his proper name to protect his true identity. To an average Nigerian, it does not matter if Prof Engr. (Dr) xyz eventually retires without inventing or producing students who invented anything.

Thus, a man of God who was an invited speaker in a crusade refused to mount the podium when called upon for no other reason than the fact that the moderator of the programme forgot to attach ‘doctor’ to his name? But when someone who probably had had a firsthand experience of the man’s penchant for titles corrected the ‘anomaly’ by adding ‘doctor’ to his name, the same ‘man of God’ mounted the podium beaming with smiles. The amusing side of the whole scenario is that the very ‘doctor’ he bandies about could have been either self-awarded or the Doctor of Divinity awarded by some mushroom bible training colleges. In the first place, why would medical laboratory scientists, pharmacists, nurses, radiographers, dieticians, mortuary attendants, security officers et cetera under the umbrella of Joint Health Sector Unions (JOHESU)  want to be addressed as doctors  if not inferiority complex? Why will they not learn from Pastor Chris Oyakhilome who despite having obtained a PhD and other postgraduate qualifications still prefers to be addressed as Pastor Chris Oyakhilome, PhD in line with what is obtainable globally? Even some of us , the medical doctors, hide that title because we know it comes with responsibilities. In fact, why will a man wish to be called  a doctor  publicly when he knows that the moment he goes to the market to buy anything the sellers will increase their prices since they do not expect a ‘whole doctor’ to complain about lack of money. At times, we are compelled to buy goods at exorbitant prices just to save our faces and respect the honour attached to our profession. This often makes us end up being cheated by those traders. Thus, if even medical doctors sometimes choose to simply go with their given names without attaching doctor to their names what then is the reason behind all these inordinate quest for all paramedical courses to start producing ‘doctors’ if not to parade themselves as  medical doctors  before their ‘patients’ ? If not inferiority complex, why should we have West African College of Nurses which is modelled on a pre-existing West African College of Surgeons/Physicians? Is it only in West Africa that nurses are found? Now, should we attempt to change the name to African College of Surgeons/Physicians, the nurses would immediately start clamouring for a similar institution like African College of Nurses .Why all these imitations? Why can’t these professionals show uniqueness and be proud of their professions and titles? The next thing, they will cite few countries that are still experimenting as their international best practices. It is a question of time, professional titles such as pharmacists, radiographers, physiotherapists, medical laboratory scientists, nurses et cetera will go into extinction in Nigeria, we will then have ‘doctors’ in: our pharmacy shops; radiography units; physiotherapy units; nursing units et cetera .I will not waste time on the proposed National Postgraduate Physiotherapy College of Nigeria modelled on the already existing National Postgraduate Medical College of Nigeria. Will anyone convince even a child that all these imitations are not due to inferiority complex? Let our medical consultants today change their titles to  ‘Attending’ just like their American counterparts, the quest for consultancy levels for other health workers will immediately die a natural death or they will immediately change their quest  from being called ‘consultants’ to being called Attending too.

Consequently, my advice now goes to NMA and her affiliate bodies at the national and state levels. There is a saying among the Igbo people that if the drummer changes his tune, the dancers must change their dance steps. In other words, we need to have Public Relations Office at the national level that will ensure that Nigerians are properly enlightened through regular radio and television jingles, newspaper adverts (both print and online), use of traditional institutions, outreaches, etc. We should not sit down and watch some people destroy the practice of medicine in the country. Nigerians should be informed that not everybody who wears a lab/ward coat, puts stethoscope in his or her vehicle or answers ‘doctor’ is indeed a medical doctor. We should clearly tell Nigerians that medical doctors neither produce herbal concoctions nor do they peddle herbal concoctions on the streets. These self-acclaimed ‘medical doctors’ should be reported to the police and the NMA for proper sanctioning. Any non-medical doctor, who treats, intends to treat people or behaves in way that does not clearly distinguish his or her duties from that of a certified medical doctor should be arrested and prosecuted. There should be a national database where patients can easily verify the authenticity of anybody who claims to be a medical doctor. Also, all state chapters of the NMA in conjunction with their affiliate bodies should be proactive as to have functional websites and ensure that the information of all medical doctors in their respective states are regularly updated, with each doctor’s picture clearly shown to avoid any impersonation. This will help to put a distinction between true medical doctors and the newly crowned ‘doctors’ by the NUC. This will eventually help the majority of Nigerian patients to distinguish between a true medical doctor and the one who tries to hide under what seems to be an administrative faux pas to have ‘doctor’ attached to his or her name. Perhaps also, when such is done, the much-touted international best practices will be applied by the nurses, pharmacists, radiographers, etc, since they will be compelled to answer their real names or make do with titles that truly capture their professional trainings and duties. In situation, where a non-medical doctor posing as a medical doctor is asked by his or her ‘patient’ if he or she is a medical doctor or a non-medical doctor, and if the non-medical doctor claims to be a medical doctor when he or she is not, the patient can easily find out through an online verification system that the ‘doctor’ is not a medical doctor. This will discourage others from continuing in this ugly practice of impersonating medical doctors.

Furthermore, a bill also needs to be sponsored and subsequently passed into law that everybody answering a ‘doctor’ in the health sector must clearly specify the type of degree he or she possesses. This is because any medical mismanagement by these NUC newly crowned and ordained ‘doctors’ will be attributed to the Nigerian medical doctors. Today, Nigeria lawyers have seals bearing the names of every lawyer and quacks are constantly being shown the way out but in the health sector more doctors are being created to come and misrepresent medical doctors. There was a time the UK had a similar challenge with respect to the issue of non-medical doctors insisting that they be called doctors  but this was resolved by introducing the phrase ‘medically qualified’ into the UK medical lexicon to guide against any form of ambiguity or misrepresentation. My position in this regard has been discussed in another article with the title ‘Who Is Medically Qualified?’ which I wrote when members of JOHESU in their characteristic manner laid an ugly siege against NMA by taking us to the court where they sought inter alia the ‘proper’ interpretation of the phrase ‘Medically Qualified’. In the said article, I made it clear that their suit amounted to what lawyers would call brutus fulmen (or an effort in futility) and today the National Industrial Court of Nigeria has vindicated me as we now know who is medically qualified. If we sensitise Nigerians on who is truly a medical doctor and how to identify the fake amongst us, with a working online verification system and functional phone numbers to call when in doubt, all paramedical professionals  will humbly and respectively answer their true names and that will nail any further quest for NurseD, MLSD, RadiographyD  et cetera.

Dr Paul John, Port Harcourt

Family doctor charged with adultery

Micheal Owoicho, a Jos-based family doctor, has been docked at a Jos Upper Area Court 1 in Plateau on allegations of adultery and ...