Bjergtrolde:


I think you are being very unfair to Dr Kevwe. He is still a trainee and can work only under supervision. I dont know if Dr Balogun was the supervising consultant.
His performance was of what was expected of a doctor at that level: He asked for help.

The report says that his provisional diagnosis was of intestinal obstruction. This is very likely to have ben the case.
We don't have the details of the phjone conversations betwen Dr Balogun and Dr Kevwe but I doubt if Dr Kewve would have discharged the man without being advised to do that by his senior, in this case Dr Balogun. I think he is the one at fault here and not Dr Kewve who is most likely going to be scarred by this unwanted exposure.

On another note, there are major systems failure in this Hospital such as how long does it take for the anaesthetist and the surgeon to arrive after being summoned for an acute abdomen.

My condolences to his family.

According to what I read there, Dr kevwe should have called the next in line IMMEDIATELY!!!

That was not the time to ask questions....

Well, the deed is done, all is gone....

Thanks bro

Toksytoks:
Chaz B was a post renal transplant patient, he has had two major medical issues after the transplant which necessitated a laparotomy . Before we kill the hospital and the doctors, few people need to understand prognosis of renal transplant.

In America where best medical care is obtainable, 5 year survival chance is about 80% if post transplant treatment is carried out in the same center. He had his transplant in India, he had to fly back for another surgery few weeks after the transplant in India. Post renal Care in Nigeria was not too good, i am sure he did not get the necessary post renal support he needed.

one thing a renal transplant patient needs to be wary of are symptoms and signs of rejection. Chaz B's body had rejected the kidney and he had signs that were clear. so what was his post transplant treatment and follow up like? Nephrologists, General surgeon , cardiologists , Dietitian ( very important ) , Internal physician asides immunosuppressants.

He probably had uremia as a result of poor kidney function, Intestinal obstruction as a result of Lymphocele , complications of the renal transplant itself and laparotomy he had few weeks after his transplant.

FLUID THERAPY - in a patient with evidence of renal shut down not the best option.
ANALGESICS - no way

NG TUBE INSERTION ? - maybe to empty the content of the stomach , but the reason for the abdominal distention was most like fluid retention as a result of chronic renal failure.

UREMIA - only urgent dialysis could have saved him , but was he stable enough for the procedure? UREA shuts down the heart and brain in minutes.

Respiratory distress - Pulmonary edema, aspiration. This sums up a bad case, which St. Nicholas wasn't prepared for. Are the consultants full time employees of St Nicholas or part time. What is the working hours stated in the employment offer. Most doctors work 3 jobs to keep body and soul together, so dishing out instructions via the phone is part of the modus operandi.


only few hospitals can afford to keep 4 consultants on physical call every night, i doubt if there is anyone in Lagos. The healthcare system is messed up, poor training , poor remuneration , poor financing , poor and obsolete equipment. Government will not finance training , banks will not finance equipment purchase. Banks will rather finance oil and gas, shopping malls and telecoms projects.

Is Dr. Kevwe at fault? No. He transferred the case to his superiors who were supposed to take over.

we are quick to descend on doctors every time without critical analysis. so many Nigerian doctors have been 'bashed' away to other countries. Australia is recruiting them daily paying them up to 4600 dollars weekly, UK wants them , US and UAE. You down here call them block head.

Chaz B's case was bad, what he needed was a multi disciplinary team in a word class facility to save him. This is at today is not available in Nigeria.

Okay.....

If what u posted is true, then there is a true possibility that the graft was rejected....

Dr kevwe has to be competent as a doctor, and to show that he knows his onions, or else the patient would take you for a fool...

My humble submission

Nice meeting you again, senior colleague

slimbj:
I like that you are quick to make assumptions.exactly where did I state I am in anyway connected to medicine?? It's pretty hot out here. Enjoy your afternoon

Oh, really? What did you say in your last post?? Let me reproduce it here for you:

slimbj:
. U have also demonstrated same issue the previous person did wrong. One hospital on your street can as a matter of fact be run by a pe,rson without MBBS or its equivalent... and please give me a name and stop this them say them say gist. When u starry stating facts then I will start to educate you on how to confirm if indeed you were seen by a doctor Orr not. No be everybody wet wearr ward coat be doctorr. Shikena

You stated clearly that "I will start to educate you on how to confirm if indeed you were seen by a doctor Orr not. No be everybody wet wearr ward coat be doctorr. Shikena." Now what would you expect anyone to infer from that? For you to be able to confirm if the person who attended to me had an MBBS or not, then it stands to reason that you either have one yourself, which allows you to tell the difference between someone who has an MBBS and someone who does not!

As for being in the medical field, you comments above gave credence to that. Would a non-medical person be able to educate me on whether someone who offered treatment to a patient holds an MBBS or not?? I leave you to do the math.

Very true. If President buhari really mean this change mantra APC is posingg with then they should care more about the health care for the masses.

LUTH today is a death trap,specialists hardly attend to patients,the student trainees,not yet fully qualified doctors play with precious lives there.

lebete3000:
There's no need for the unwarranted insult, if one feels a Chemist is better at a job dan a Medic, the logical thing to do is to simply go see d Chemist which is what I simply requested you guys to do...it simply makes no sense rushing to a hospital when you know you'll still insult the doctor and say a Chemist is better dan him....it's better you go where you have faith in.

There's simply no reason for you to visit a hospital except something is wrong with you upstairs. We in d general hospital will say a big thank you for that as it will be a good riddance!

When a person makes such clueless remarks as you have done, he should not expect to be applauded. Now let me ask you one more time: Were you forced to study medicine?? Were you also forced to take the Hippocratic oath? Kindly let us know. If you cannot offer prompt and adequate medical care to the sick, weak and dying , in an efficient manner...then maybe medicine is not for you.

Again, I will repeat this because it is a fact: there are some doctors in the General Hospitals who are too lazy and incompetent to take responsibility for their patients. Please let us know if you fall into this category. I am speaking from experiences I have had at General Hospitals. So for goodness sake, kindly stop defending the indefensible. Your medical colleagues are NOT saints.

In your final comments you stated that: "There's simply no reason for you to visit a hospital except something is wrong with you upstairs." Thank you for giving us an insight into your mindset. I will not state the obvious by saying your comments are rather insensitive for a doctor, I will merely thank God for exposing the thought pattern of a person like you, who is supposed to care for sick and dying folks in the General Hospitals. With doctors like you, should anyone wonder why there is a higher mortality rate in public hospitals?

slimbj:
I don't think u are bn truthful..maybe u took your wife to a mediocre . Give us the hospital name. Liar oshi

You calling me a liar shows how low your level of reasoning is. I am not asking for any help, I just narrated my encounter. Don't be so quick in calling people names

laudate:


When a person makes such clueless remarks as you have done, he should not expect to be applauded. Now let me ask you one more time: Were you forced to study medicine?? Were you also forced to take the Hippocratic oath? Kindly let us know. If you cannot offer prompt and adequate medical care to the sick, weak and dying efficiently...then maybe medicine is not for you.

Again, I will repeat this because it is a fact: there are some doctors in the General Hospitals who are too lazy and incompetent to take responsibility for their patients. Please let us know if you fall into this category. I am speaking from experiences I have had at General Hospitals. So for goodness sake, kindly stop defending the indefensible. Your medical colleagues are NOT saints.

In your final comments you stated that: "There's simply no reason for you to visit a hospital except something is wrong with you upstairs." Thank you for giving us an insight into your mindset. I will not state the obvious by saying your comments are rather insensitive for a doctor, I will merely thank God for exposing the thought pattern of a person like you, who is supposed to care for sick and dying folks in the General Hospitals. With doctors like you, should anyone wonder why there is a higher mortality rate in public hospitals?

Keep asking if I was forced to read Medicine...it only shows how shallow your thought pattern is for not being able to bring forth a reasonable discussion

Dont even know why I'm giving you a response...my junior colleagues will be in a better position to reply you. if you refuse to use your brain that's your cup of tea....

Toksytoks:
Have you ever practiced medicine in Nigeria? you dont sound like a doctor and it is very uncouth, ill mannered and irresponsible of you to call your colleague 'st**pid'. what do you know in healthcare practice? who gives fluids indiscriminately to someone with renal shut down? you want to overload the heart and lungs? you are trying to fool the people here that you know 'stuff' but you are absolutely pathetic. " quickly resuscitate and give fluids" to a renal patient whose GFR you dont know.

where in the world would you do a "quick ex lap" a stressful surgery on a patient with such comorbidities - renal shutdown, uremia , possible pulmonary edema , hypertension and all. what anaesthetic route are you gonna employ? Chaz B IN THAT STATE CANNOT SURVIVE THE RIGORS OF SURGERY.

I trained in Ilorin my brother, i have practiced in the city, in the village in the dirt, with touch lights , with latterns, i know my stuff, i have passed exams that oyibos fail, because we dey this shit country wey things no dey work dont ever assume one is empty. Dont come here ranting you sound EMPTY UP THERE.

if you are a doctor, better tear your certificate, give fluids to person wey get renal shut down..you be silly quack. if you quote me again i will expose your silliness to the world.

Sir, there are good doctors and...there are bad doctors. Having an MBBS or an MBBCh is not a guarantee that a person would perform well on the job. I still carry a scar on my arm today, which is evidence of a poor attempt by a doctor to set up an IV line which went awry. Instead of the IV fluids going into my veins, it went into my tissues, causing me serious pain. Yet, the doctor declined to respond to my protests, until a senior consultant came in 4 hours later. I understand your anger, but abeg kindly sheath your sword for now. Please continue to educate the younger doctors on the right steps.

Maybe then, more patients would have a fighting chance at survival so that they can eventually make a full recovery.

laudate:


Sir, there are good doctors and...there are bad doctors. Having an MBBS or an MBBCh is not a guarantee that you would perform well on the job. I understand your anger, but abeg kindly sheath your sword for now. Please continue to educate the younger doctors on the right steps.

Maybe then, more patients would have a fighting chance at survival so that they can eventually make a full recovery.

I bet you didn't even understand what he said and the correlation with the person he responded to. you just opened your mouth saying he should lecture Junior ones when in actual fact he's lecturing folks like you. you see why saying you're shallow is a fact and not an insult?

lebete3000:
Keep asking if I was forced to read Medicine...it only shows how shallow your thought pattern is for not being able to bring forth a reasonable discussion

Dont even know why I'm giving you a response...my junior colleagues will be in a better position to reply you. if you refuse to use your brain that's your cup of tea....

I'm trying my best not to respond to you in a way that would cause you to further lose face among your colleagues on this thread.

You made a comment, you were called out on it.... instead of keeping your mouth shut, or offering a cogent explanation or even an apology, you continued digging yourself further into the bandwidth of insensitivity. Who dash you junior colleague??

You sound exactly like a med student, not even a corper. You are the one not using your brain here. I refuse to believe that a consultant or any senior doctor with some years of useful medical practice under his belt, would respond in such a juvenile fashion. If you cannot reply to my question, then kindly stop blabbing! 'Nuff said.

lebete3000:
I bet you didn't even understand what he said and the correlation with the person he responded to. you just opened your mouth saying he should lecture Junior ones when in actual fact he's lecturing folks like you. you see why saying you're shallow is a fact and not an insult?

And your stupidity quotient continues to rise. What he said made sense - the patient was suffering from too many ailments that had weakened him, so he would not have survived a surgery. And giving the patient fluids would have worsened his illness because of the fluids that had accumulated in his system, due to his bad renal condition. You need to go back to medical school, if you cannot understand the explanation made by your senior colleague.

The woman didn't state if he died at Campbell Street or their VI branch. Anyway, I was part of the team that converted the hardcopy files into soft copy for all the patients at the hospital and we finished the project in 2013. So if Dr Kevwe really said the man's file was in Dr Bamgboye's office, he should be arrested for the murder of that handsome man. That Dr Kevwe is obviously a Vet Doctor

laudate:


I'm trying my best not to respond to you in a way that would cause you to further lose face among your colleagues on this thread.

You made a comment, you were called out on it.... instead of keeping your mouth shut, or offering a cogent explanation or even an apology, you continued digging yourself further into the bandwidth of insensitivity. Who dash you junior colleague??

You sound exactly like a med student, not even a corper. You are the one not using your brain here. I refuse to believe that a consultant or any senior doctor with some years of useful medical practice under his belt, would respond in such a juvenile fashion. If you cannot reply to my question, then kindly stop blabbing! 'Nuff said.



And your stupidity quotient continues to rise. What he said made sense - the patient was suffering from too many ailments that had weakened him, so he would not have survived a surgery. And giving the patient fluids would have worsened his illness because of the fluids that had accumulated in his system, due to his bad renal condition. You need to go back to medical school, if you cannot understand the explanation made by your senior colleague.

From your second response I can clear see you're daft cos I wasn't even asking you to repeat verbatim what he obviously explained which even a bricklayer can understand but to let you see how you don't understand the correlation of his response to the other guy's statement but ofcourse an empty barrel like you dat has been lectured here comes here spewing unrelated knowledge. You're not only shallow but stubborn at it.

As I said you're not on the level of who I should talk with. People like you are better relating with Nurses cos you are ofthe same mentality.


P.S: The problem with most patients is they think they're coming to see someone who'll carry all their burden both emotional, psychological, spiritual and finacial as if the Doctor doesn't have his own problems too and when you tell them here the first garbage they vomit from their mouth is-"who forced you to read Medicine?" what a daft response!

If you have issues apart from your health condition better go see a Shrink or talk to the Lord.

laudate:


I'm trying my best not to respond to you in a way that would cause you to further lose face among your colleagues on this thread.

You made a comment, you were called out on it.... instead of keeping your mouth shut, or offering a cogent explanation or even an apology, you continued digging yourself further into the bandwidth of insensitivity. Who dash you junior colleague??

You sound exactly like a med student, not even a corper. You are the one not using your brain here. I refuse to believe that a consultant or any senior doctor with some years of useful medical practice under his belt, would respond in such a juvenile fashion. If you cannot reply to my question, then kindly stop blabbing! 'Nuff said.



And your stupidity quotient continues to rise. What he said made sense - the patient was suffering from too many ailments that had weakened him, so he would not have survived a surgery. And giving the patient fluids would have worsened his illness because of the fluids that had accumulated in his system, due to his bad renal condition. You need to go back to medical school, if you cannot understand the explanation made by your senior colleague.

And I'm sure even the person you're quoting positively won't subscribe to the nonsense you've been saying so far.

The problem with most patients is they think they're coming to see someone who'll carry all their burden both emotional, psychological, spiritual and finacial as if the Doctor doesn't have his own problems too and when you tell them here the first garbage they vomit from their mouth is-"who forced you to read Medicine?" what a daft response!

If you have issues apart from your health condition better go see a Shrink or talk to the Lord.

Same St. Nicholas where CD John that comedian died cos of slow Administration after an accident.

lebete3000:
The problem with most patients is they think they're coming to see someone who'll carry all their burden both emotional, psychological, spiritual and finacial as if the Doctor doesn't have his own problems too and when you tell them here the first garbage they vomit from their mouth is-"who forced you to read Medicine?" what a daft response!

If you have issues apart from your health condition better go see a Shrink or talk to the Lord.

are you a docyor?? nd if you are did you read the t/c of ur licence @all!!!

femcruz:

are you a docyor?? nd if you are did you read the t/c of ur licence @all!!!

It's better you state the "t/c" of my licence here....let's hear it from your mouth please.

RIP.bro

Toksytoks:
Have you ever practiced medicine in Nigeria? you dont sound like a doctor and it is very uncouth, ill mannered and irresponsible of you to call your colleague 'st**pid'. what do you know in healthcare practice? who gives fluids indiscriminately to someone with renal shut down? you want to overload the heart and lungs? you are trying to fool the people here that you know 'stuff' but you are absolutely pathetic. " quickly resuscitate and give fluids" to a renal patient whose GFR you dont know.

where in the world would you do a "quick ex lap" a stressful surgery on a patient with such comorbidities - renal shutdown, uremia , possible pulmonary edema , hypertension and all. what anaesthetic route are you gonna employ? Chaz B IN THAT STATE CANNOT SURVIVE THE RIGORS OF SURGERY.

I trained in Ilorin my brother, i have practiced in the city, in the village in the dirt, with touch lights , with latterns, i know my stuff, i have passed exams that oyibos fail, because we dey this shit country wey things no dey work dont ever assume one is empty. Dont come here ranting you sound EMPTY UP THERE.

if you are a doctor, better tear your certificate, give fluids to person wey get renal shut down..you be silly quack. if you quote me again i will expose your silliness to the world.

See as you tear this young medic into shreds...chai....easy oh baba.

Toksytoks abeg come help me oh...dem wan reveal the "t/c" of my licence...they might even say I must make sure i do all best to ensure my patient procures his medication even if na my money he take buy am.

I must even risk it & infect myself with HIV & Ebola if they're no gloves and be ready to die to save my patients life afterall "who forced me to read Medicine?" The Nigerian patient is such a comedian-never a dull moment!

I think it's more of a systemic failure, the hospital may not have all the blame. The doctors called during the emergency may have been stuck somewhere in traffic! We don't have all the information...let the court decide..rip Chaz B!

My mother in law died in that same hospital a little over 25 years ago over negligence. They failed to transfuse blood cos expert were not around when she lost too much blood at child birth.

Hubby was just 8, eldest was just 14 years. You can imagine how them suffered.

What is is it to allow a patient to throw up what is causing the inconvenience before administering the injection?

My school mate also died there after giving birth to her son.

That was how stupid young doctor almost killed my dad cos he couldn't insert cartica. Even BMH in port harcourt isn't left out, only dia bad mouth would kill a patient.

LastProphet:


thats how one young doctor nearly killed my mother last year until a consultant walked in at the nick of time, the consultant was so scared he flung his brand new Toyota car keys away through the window and which took more than 5 people to find. we were later told by a nurse that if that consultant had come even 10 minutes later there would have been nothing anyone could have done

lebete3000:
Toksytoks abeg come help me oh...dem wan reveal the "t/c" of my licence...they might even say I must make sure i do all best to ensure my patient procures his medication even if na my money he take buy am.

I must even risk it & infect myself with HIV & Ebola if they're no gloves and be ready to die to save my patients life afterall "who forced me to read Medicine?" The Nigerian patient is such a comedian-never a dull moment!

Please communicate like a supposed professional, you're giving medics here bad name.

Lagusta:
You also said something concerning how u practiced in the bush with lanterns and all that.....

Brother, I have held torch light in a teaching hospital while an emergency CS was going on...

I have expelled fetuses with "hopefully sterilized" instruments....

I have worked in a private hospital where analgin is still given to patients....

So what are you trying to prove

Bros, calm down, the Dr kevwe was not competent at all, he fidgeted like a baby, he is NOT fit to be a doctor in Nigeria....

Maybe in another country tho...

@toksytoks

u are a Mumu, I swear; true, it's not an insult, just d truth; u should be ashamed of urself

It's very common in Nigeria for hospitals to be negligent. The reason is that Nigeria is not a litigious society. Something like that here in US will attract a lawsuit against the hospital. Few years ago, my Aunt was rushed to St. Nicholas for shortness of breath, and she was improperly treated. One of the doctors who happens to know my cousin called him up to come and move his mother to US for treatment since she's an American citizen. My cousin travelled to Nigeria and on getting to a hospital in Denver, after running all kinds of test, they discovered that she has low oxygen. Meanwhile, the doctors at St Nicholas said she had Heart problem. All the medications given to her at St Nicholas was said to be junk. This after spending 800.000 Naira for nothing. It's a symptom of third world. No wonder the elites will fly out of the country for a mere checkup. Hopefully, people will start crying out loud for this hospitals to improve.

Jwhizzy:
This is why those who can afford to will run out of the country for medical check up at the slightest hint of medical need. It is rather unfortunate, but trusting your life in the hands of a Nigerian hospital is like playing the lottery. I blame the government for poor medical facilities and our educational system for churning out half-baked medical practitioners.

Gbam.

Quack educational system, produces quack graduates/professionals!!!!! This problem can be traced down to a lot of issues with the way Nigeria is in general! This is supposed to be one of the good hospitals!!!! Which means if you have an emergency and you can even afford to fly out, your chances of dying in a Nigerian hospital before you can be evacuated is HIGH!!!

InvertedHammer:
/
I have discussed Nigerian doctors at length.

I will not again this time because I don't see "most" of them as doctors. I consider them medical technicians.

One of my greatest phobia is falling sick in Nigeria. The thought of going to hospital will kill me before I even get there.

Most of them are in it for the title.

/

I have the same fear of getting sick in Nigeria like you do even with my Blue Cross/Blue Shield Card. Being a frequent visitor to Nigeria for family visits and work, what I do is to tell people close to me that in case I fall sick, just get me stabilized and get me back to US where my Health insurance will cover everything. I don't have any trust in Nigeria health care at all because of all this horror stories.

distributeinc:
Very true. If President buhari really mean this change mantra APC is posingg with then they should care more about the health care for the masses.

LUTH today is a death trap,specialists hardly attend to patients,the student trainees,not yet fully qualified doctors play with precious lives there.

Not only LUTH . most hospitals if not all are death traps. Until there is total overhaul of the healthcare system in Nigeria, cases like this will continue.

adorable29:


So you quoted the whole post just to write this "garage park" kind of English?! Smh!

No maggi for your soup.


(lo ba tan