firstly, how much is the blood loss? she should have her hemoglobin level checked, infact she should have her CBC, LFT checked.
secondly, she should STOP the Depo povera injection.
insha allah she will be fine.

there are other methods of contraceptions, pills, patches, implants, IUDs; however she should consult a qualified doctor or better still a gynacologist for proper selection.

If you feel you dont agree with the doctor's decision, please seek another doctor in another hospital medical advice......if two or more different doctors agrees on the same plan....I STRONGLY ADVICE YOU SIGN THE CONSENT PAPER FOR THE AMPUTATION. Also make sure you are going to teaching hospitals..... candid advice from a medical doctor....

i still believe he should intensify in the investigations, both blood work, urine analysis as well as radiological investigations

peacettw:


Makes sense. My initial thought was renal but I read the op saying that the SEUCr was essentially normal or maybe I am mistaken.

Secondly, he has been taking frusemide and lisinopril to no avail. Surely the doctor who saw must have entertained either a renal or a cardiac problem and yet the problem remains unresolved.

Another strange thing is that this has lasted a year. I would think that if this were to be truly a renal or cardiac problem, the brother will be bed ridden by now or worse. His being relatively stable provokes another differential albeit uncommon.

All in all, a good history, physical examination and investigation will solve this mystery. Besides the renal and cardiac pathologies, hypothyroidism remains a strong differential. Would have added cushing syn to the list especially if he has been abusing steroids but that will come later after the above have been ruled out.

Sadly, there isn't much we can do for the op from our ends except to councel that he takes his brother to a good facility, preferably a tertiary institution and not some private clinic.

have your brother tell us all his symptoms and signs noticed by people and his doctors. he should also do LIVER FUNCTION TEST, ELECTROLYTES, UREA AND CREATININE, AS WELL AS ROUTINE BLOOD WORK (CBC/WBC) if possible he should have a CXR and Abdominal Ultrasound Scan to visualize the Kidneys....

then we will talk

Indirectly you are saying Catholics ain't born again....
From your post.... honestly you are the 1 that have a problem....
If you want to look for an excuse... look for but for all these you typed here.... you got no single excuse

Very funny..... I laugh at these toyotas guys alot

I disagree with you on the Doctors perspective. If you however encounter such Doctors....please you can report to the appropriate authority.... though no doctor will be making a call or chatting to unmedical related case while a patient needs his urgent or emergency attention.

this stupid senseless government started this,
1st by hiring thugs to attack protesters in abuja with the aid of security personels....videos evidence available
2nd ordering military to open fire on civilians (while ordinary boko haram has been defeating them for more than a decade now)

this is no more endsars......rather revolution.......

We aint asking for any reform..... END SARS....how hard is it? This time around any sars seen on d street after disbanding them will be termed as Arm robber....

Useless country...... WE SAY U SHOULD DISBAND THEM NOT STATING A LAW IN A LAWLESS COUNTRY...

and its white color too self??

2.9million for naija used 2009 c350 benz 4matic.......is what you are calling distress sale how much is the tokunbo of 2008? like 3.1milli........ just saying......reduce ur price bro....... 1st its distress sale.....2nd na naija use......so do the math...

Waste of time commenting on stupid post.... nothing meaningful ever comez out of this fool's mouth......

this is nonsense..... the major work of the frsc is being abandon instead they take advantages of this situation to become a revenue generating organization in the country.
i strongly believe that FRSC should priorities by listing all dilapidated roads (federal, state, local, and even street) to the government and enforcing their so call force on the government to ensure that these roads are being fixed. every motorist pay road worthiness... funny?? is 80% of nigerian road worthy for our cars
they are emphasizing on speed limit, what of in the case of emergencies? to me instead of enforcing a speed limit device in people's car, they should do what other developed countries do(except we are not thriving to become 1) install a speed limit check device, traffic offender capture device and so on, and ensure these perpetrators pay their fines.
the earlier we understand that some of these laws imposed on masses should be voted for by the masses, it will be better for this country.
remain blessed.
(for the google map, i think the voice is better off rather than the visual, thats why there is navigation systems in most modernized cars, or are they going to be fining people that have navigator system too??

hmmmmmm...... She complained of malaria? do people complain of malaria? when does malaria turn to symptom? well she died of ignorance and probably self medication.... may her soul rest in peace........ PLEASE GUYS Always seek for medical help ASAP......

And where was Alcohol mentioned in this Proverbs 23:31? guys Christianity is of the heart/mind simply put.... but las las... having a pure heart is better than being a christian/ islam or any other religion...

alBHAGDADI:


The Bold part is where your problem lie, lazy reader. If you had read the entire write-up, you would have seen that the Bible speaks two kinds of wine: Fruit juice and alcoholic beverage.

Paul didn't advice Timothy to take alcohol. It was fruit juice he advised. Telling Timothy to take alcohol is the same as going against the Book of Proverbs 23:31 that says we shouldn't even look at alcoholic wine not to talk of drinking it, regardless of the amount.


Now, go back and read the OP again, Mr personal encounter with God who throws away the word of God just to operate based on his own conscience.

[b][/b][i][/i]UNA MUMU NEVER DO....MAKE UNA DEY DIA DEY WAIT FOR USELESS GOVERNMENT TO DEFEND U..... BETTER DEFEND YOURSELF....NA E SURE PASS......

stupidity...

in as much as i am a black man.....this dude is saying the holy truth.......the message should b directed to Nigeria in particular...
\

zoo..... no jungle

[b][/b]BEST ADVICE..... QUIT NOW YOU HAVE D TIME, SHE IS A SLAYER AND ALWAYS SLAY EVEN AFTER MARRIAGE......
HEAR WORD OOOOOOO

yeye people, it is called Federal ROAD Safety Comm... and not Car Safety....... go and make the road safe for commuters and stop extorting money from the masses by looking out for fault.....Nigerians una mumu never dooo?

This is simple.... 80%+ in south south and south east are with PDP, the agenda is to vote buhari out, the north is being divided now, ( tambuwal, atiku, kwankwaso and etc) all pdp need is to get a vice from the west cos they are the people that caused all this wahala in the 1st place, they should be mandated to correct it.... #IAMATIKULATED, ARE YOU?

do u think this post will help because some of we doctors actually allow relationship interest to cloud our rightful judgement...... i have tried my best to fight this ill practice in health sector but the truth remain that every average Nigerian prefer them say to what the doctor says...... for the fact that you did something wrong and got a positive result doesnt make that stuff right, NEVER..

hey guys.... want to share this little disturbing rumor circulating about FRSC to start using fire arms.... please what is your take on this; i think Nigerians should be allowed to vote for this.... yes to carry arms or no for not to carry arm.

for me its a BiG NOOOOO; first why do they need fire arm? you are suppose to help keep the road safe by;
*writing reports of several bad roads in the country that need urgent attention
*enlightening the masses on road safety protocols like need for functioning break lights, pointer lights, fire extinguisher and lots more.
*cautioning offenders and possibly fining them if need be ( but seems FRSC is more of profitable organization than safety provider as they look for any little reason to fine some1)
*too numerous to mention and none of these obligations need use of weapon.....

above all i believe they should be thinkin of going digital as most country have done and not to be thinking of bearing fire arm....

#SAYNOTOFIREARMFORFRSC......

please share if your answer is NO, otherwise enlighten me by giving me some useful points why they should be given fire arms.

Being good in any profession especially doctors is by knowing your limit and when to seek assistance or refer..... as my colleague Dr. Linda Oluchi Ehie always say....there is no heroism in medicine.....

foolish court and lawyers..... thats man slaughter and not murder...... he shud be given some years in jail.... zoo

ZOO

Na u n ur family dat will b in wilderness

Foolish idiot... na only u will show ur stupidity com 2019

despite being lax...giving opportunity for people around you to loot......i still believe and strongly believe that u r better than this clueless, incompetent, lazy, deceitful, blamers, "dont value human life", hell bound All promises cancelled govt...... may d blood of d innocent continue to hunt u all down.....Amen.

God bless u GEJ...my president.

if this is a real country....unlike the jungle it is....this man should have been impeached within 12hours after saying this rubbish..... ofcourse he knows nothing will happen to him as long as he is in APc....party of immunity