pestrolus2002:

Anaemia is always secondary to something, this prof cannot pass MBBS again

aribisala0:
A lot of people want to sound off to feel important.

Anaemia is not a symptom ,yes it is a diagnosis in this case without all the details the ICD 10 WHO diagnostic code is D64.9.
A symptom is something complained about by the patient whilst anaemia is a physical fact according to predetermined parameters.
Yes anaemia should have a cause generally but this may be unknown or unknowable at the time of diagnosing and diagnostication would allow for D64.9

It is always dangerous for doctors to speak to the press because their words may be reported incompletely or out of context but Buhari is a public figure and this kind of medical speculation is not inappropriate.

The professor said among other things
There is therefore a preliminary diagnosis of anaemia meaning insufficient blood in the circulation
"it is imperative to know the possible causes of the anaemia.The question that arises in the absence of information, which is understandable, is the cause of the anaemia.
Is it possible that his anaemia is drug induced or drug related and that investigations in London revealed this? We do not know. If this is true common pain relieving drugs like Panadol may cause kidney damage and give rise to anaemia for which he received transfusions."

Now we have a lot of young Turks puffed up with half knowledge thinking they know it all.
I am sure many of them have never heard of ICD-10.

In summary Buhari has Anaemia and IT IS A DIAGNOSIS . There is no law that says you must have ONLY ONE diagnosis.
Yes any sensible doctor would want to know of other diagnoses that are causing anaemia but the truth is this may be unknown or unknowable for some tine.In Buhari's case it is probably known. We now know one of his diagnoses and would like to know more. It is notewothy that he likely is a sickle cell trail carrier having lost a child to SS anaemia and that may be relevant in view of his rambling disclosure of "self medication"
The context is important : an interview with the press which are always likely to edit things and report their own version of things but I think the Prof was balanced,knowlegable and objective and much of the criticism I see here is egotistic and self serving

aribisala0:
Is hypertension a disease? Is type 2 diabetes a disease? Please define disease?
T

AreaFada2:


While ICD-10 classification is good, it is not necessarily perfect. If you work for me and refer to anaemia as your diagnosis and do nothing further, I'd be furious indeed.
Sure the prof can only speculate based on limited information available.

Still any idiot can diagnose anaemia.

Yes, correcting it to remove lethargy & strain on organs would be desirable. But if after 50 days we are still talking of anaemia without any probable cause, that would be pretty mediocre to me.

Sure, there are idiopathic (of unknown cause) cases. But many would still fall under anaemia of chronic disease/malnutrition (Vit B12, folate, etc). They tend to be more in seniors and very deprived populations.

There are some super quality health institutions who use in-house system in treating patients because they feel superior to even the so called international standards. A notable one is a world standard top Psych Hospital.

In my first post, I said it is not a diagnosis strictly speaking. But it depends on the standards & expectations of people.

Basic123:
Hypertension is not a disease.its a state of high blood pressure which may serve as a sign of a cardiovascular disease.You can only have "hypertensive heart disease" in which the patient will also has high BP.

Type 2 diabetes is a disease.which will have its own feature like hyperglycemia(high blood suger).so,medically you will not call the patient disease "hyperglycemia" or "high blood sugar" but diabetes.The same thing is applicable to the "anaemia" thing.That causes of anaemia which are many is the disease.e g SCD,sickled cell anaemia.I.e Anaemia caused by sickle cell.you will not just say the patient has anaemia but SCD.



. A disease is morbid entity ordinarily characterized by two or
more of the following criteria: recognized etiologic
agent(s), identifiable group of signs and symptoms, or
consistent anatomic alterations.

colloquially for a layman,literature alway muddle the sign and symptom with disease.so,they call everything disease.

Medicos in the house will understand.I'm very sure the prof. will not say buhari has anaemia as a disease.

aribisala0:

According to your definition there are no mental diseases,is that correct?

Is depression a disease?

Is schizophrenia a disease

Is Autism a disease?
Type two diabetes does does not fulfil your 3 criteria rule since there is no anatomic change and the aetiology is almost always unknown or multiple

AreaFada2:
Actually the prof is said to be London-based. which surprises me even more. I have never heard of him & never seen any of his publications.

Should it surprise anyone that a 74 years old man has anaemia? Maybe a man more used to drinking milk, kunu/corn/millet based food and not actually cow meat?

Also, nobody mentions that Bubu's first daughter unfortunately died of sickle cell complications after childbirth.

Meaning Bubu would be a carrier. While it might not be significant in youth, stresses, malnutrition (includes eating the wrong food, one-sided food, not just hunger) old age, diseases like GI ulcers & other chronic diseases can make it become relevant.

Anaemia is merely a sign, not a diagnosis strictly speaking.

Anaemia of chronic disease is not uncommon in seniors over 70.

So the rumoured Crohn's disease can very well cause anaemia. Especially if the ileal or ileocolic type. Dame to the ileum impairs absorption of Vitamin B12, needed for Red blood cells. Gradual leakage of blood in the affected GI tract will also cause anaemia.

Anaemia from gradual blood loss causing iron deficiency would be microcytic anaemia & from Vit B12 deficiency would be the macrocytic type. Easy to differentiate under the microscope.

omenkaLives:
I didn't mean that sarcastically bro. I was truly thanking him because I never thought anaemia is a secondary disease. Thought it could occur on its own, independently.

Jabioro:
What about his personal doctor..

Basic123:
..They are.if you think they are not in line with my definition,proove it.

aribisala0:

According to your definition

There must be 1.Anatomical
2. Aetiological
3. the observed changes of the condition

Please tell us the anatomical changes and aetiology that are accepted by the profession as typical of schizophrenia,depression or autism

Prinzyy:
check him in the other room

aribisala0:

If I work for you? Don't be ridiulous ,what is more likely is that you work for me.

No need to induge yourself in fantasy.ICD 10 may not be perfect but it is the best we have.You annot make up what you like.

At any rate did you read everythin the Prof said.I do not believe you did. You are just sounding off.
He made it very clear that he was speaking from a position of limited inforation without all the facts and that yes anaemia is almost always secondary to another condition.
If you read what he said then there really is no need for this conversation

Basic123:
..I don't have time.if you have a different submission.state it.

aribisala0:
Did you read the interview. Did you reflect on it before commenting.

You sound immature. You claim it is ALWAYS secondary to something. That may be true(it may be essential) but everything is secondary to something. Leaving that to one side once again did you read the interview? A mature doctor wants to be armed with the facts before condemning a colleague. Your post is self serving and not relevant to what HE ACTUALLY SAID.
Ok sir, thanks for your observations


At any rate have you ever used ICD 10 in your life to make charges for treatment ? Of what relevance is it to aything the prof said that "anaemia is always secondary". He indeed did say as much!!! Let us assume it is secondary to Iron deficiency that may be secondary to a vegetarian diet which is secondary to a religious belief which is secondary to a religious revelation or to poverty or to recession or to the dollar exchange rate ad infinitum.

That is the way medicinie is taught in Nigeria but . secondary conditions like Hypertension like diabetes like dermatitis like anxiety like vitiligo are indeed diagnoses. Nigerian trained doctors have a problem wiith intellectual humility.They know little but think they know everything

AreaFada2:


Lol.

We are not here to brag o.

"You" in this case is hypothetical.

I wonder what you are flaring up about.

I made it clear that he can only speculate from limited info available.

One thing is certain.

I will never work for you & you will never work for me or under me.

I guess the ego & pride people display depends on the culture people are used to.

In a place where I see Noble Prize winners ride bicycle to work, who am I?

sarrki:
We have heard

Baba is the commander in chief

God will heal him completely of what ever sickness

Basic123:
..I don't have time.if you have a different submission.state it.

Themandator:




Papa, please I am not a doctor so I want to know if kunu and millet that you mentioned are good or bad for consumption because I no really understand your explain and as I dey read dey to na so d thing dey get more complex bec u come enter terms wey I no sabi like dame to ileum to macrocyclic ....all about want is kunu , fura ...den goo or not


Thank you

sartorius:
Anaemia due to cancer