cramjones:


Nonesense! The MO would be sacked not the other way round! This is a clear case of incompetence by both the HO and the MO. The MO obviously not wanting to be disturbed gives a foolish excuse! Since the HO prooved his incompetence by calling the MO first, the MO would have been on the phone instructing the the HO on steps to stabilize the patients.

-CramJones

klassiquette:
I've once been a victim of this inhumanly orders from above ....

so much for the CHANGE!!!!


Rip to the lost souls

chimkaire:
...Pele tie, iyawo dokita

prisiluv:

Hey doc,i feel u..my bae called me sometym ago,all emotional telln me hw a patient(a little baby) was lost...nd how dey all tried....

eyinjuege:


Thank you very much!

I was wondering if I was hallucinating on the treatment of trauma victims free at least for the first 24 hours till they can settle their bills...

alpontif:
The OP should accept responsibility. Psychologically speaking, you posted this article because your conscience is truly judging you that you did not give your best.

You want to pass the blame to your Oga, and hide under "orders" from above for plain cowardice to do the right thing.

Heroes are made in impossible situations.

You have no consolation from me. It is your fault that some died. You could have made a difference.

You are a big disappointment to the profession, and humanity.

cramjones:


You are not a doctor, you have never worked in the Nigerian system, so just keep quiet. Even the foolish doctor that started this thread, knows that he is a major factor the patient died, not the hospital or any government policy. His ineptitude, incompetence, and half-baked knowledge killed the patient.

-CramJones

Purposebabe:
Op, I understand you. You did the right thing although it is very bitter for the family.
In medical field you follow higher instructions and orders cos if you try to do things in your own way, knowing fully well that you are the only doctor on call and it's a clear thing that you can't handle the case on your own. The best is to refer to an higher Centre. If you try anything on your own giving the fact that you were given an order then your license is at stake.
Even the patient's parent won't want to know that you are only trying to help out as the only doctor on call.
God continue to help us o. A ni sise se o. A de ni ri ogun akoba o. Jesu oluwa wa. AMIN.

PURPOSE BABE.

FemiFaniKayode:


How is your rot and policy comment related to OP's actions and inactions?

alpontif:
The OP should accept responsibility. Psychologically speaking, you posted this article because your conscience is truly judging you that you did not give your best.

You want to pass the blame to your Oga, and hide under "orders" from above for plain cowardice to do the right thing.

Heroes are made in impossible situations.

You have no consolation from me. It is your fault that some died. You could have made a difference.

You are a big disappointment to the profession, and humanity.

Lexusgs430:



If our health sector was well funded, he would not be making calls, he would be saving lives!!!

RedCapChief:


1. The HO wasn't not incompetent by calling his senior. That is the first thing to do as a junior officer. You call the senior person once you have an emergency.

2. Nobody is going to sack the MO for instructing the HO to refer all those patients. It has happened severally with me. If you can't treat, you refer.

3. Let us even assume that the HO disobeys the senior and starts treating . . .and then one of the patients dies . . .That is now a case of hospital mortality. . .When the hospital ethics/disciplinary panel gets information that a house-officer was trying to play superhero, I assure you, they will not be merciful

I have worked as a HO in a govt hospital. Have you?

cramjones:


D stands for Disability and Drugs. More for drugs. E.g in cases where the patient is found to have say severe bradycardia of less than 60beats. You would expect this incompetent House officer to give a shot of adrenaline (which is a drug). But no - this house officer is totally useless! He is calling on government to stabilize a patient for him!

-CramJones

kelechiMarie:
hmmn deep. I sure hope I can get to a level where I'd willingly help a stranger even at the cost of my job. Truth be told is if op gets dismissed he'd find himself alone,all those talking here will be gone and so will family and friends. We all knw justice takes really long in Nigeria. It takes a lot of spine to do something like that in a society like ours. Besides how many patients can you pay for?There'll always be one you can't help and the guilt remains.#sosad

ccaramel:

A nurse controlling a doctor. Ridiculous! If it was your sister or mother....would you still listen to orders from above? Very painful that she died and you could have done SOMETHING

cosmatika:
Tears run down my cheek as I type this. I went into d medical profession to Save lives, but today I watched a patient die and I could do nothing.
It was around 11am today, 26th Dec 2015, I wz in the emergency room as the only Dr & House officer on call in a state Specialist hospital wen a peugeot wagon followed by a police van drove in. They opened d doors & trunk and started bringing out Accident victims. I did a quick triage & saw dat d 2 in d trunk were in a more critical condition, So d immediate plan was to refer d 2 to FMC wia dey hav better hands and equipment to handle it. So I asked d policeman who d driver is so dat d 2 will be rushed to FMC & he said he died at d Accident scene. I ran outside to buy airtime to start calling other HOs, b4 I could return, dey had dropped d 2 & drove off.
I called other HOs, only 2 showed up, others had travelled. To my greatest suprise, I called a medical officer who is a snr colleague in d proffession, she said I shud nt touch anyone till dey paid. That I shud Infact refer all of dem. I was incapacitated, d patients were in pains, crying, calling on us to help, some already unconscious, but we couldnt help cos we have an order frm above.
Within 5mins, 1 young lady in her early 20s died. Abt 10mins later, another police van came and carried d remaining 7 to FMC.
This evening, some road safety corps came to inquire if any Accident victims were brought to our center. They had retrieved d manifest frm d vehicle and contacted d families of d passengers. Dey came wit d relations of one of d patients, and wen I told dem 1 of dem died, dey asked for d Description of d 1 dat died and I showed dem d pix of d gal dat died, behold she was d 1 dey were looking for and right there was the gal's fiancee. Their traditional wedding was to be in 3days tym
I want to use this medium to call on the govt to make policies dat"ll enable Drs treat patients in such condition. Let's Save the human race

Leopantro:


But you are wrong. I am a doctor and I work in the Nigerian system. Let me give you a story.
Some time ago I delivered a pre-term baby that is a baby born at 24 weeks . Immediately after birth the baby stopped breathing. The hospital I worked with didn't have oxygen and the two incubators where in use. I used my own oxygen cylinder on the baby and did ambubagged that is cardiac massage in the baby for it to breath normally. We entered my car and rushed to LASUTH. We were told no bed space and were referred to LUTH. We drove to LUTH, parked at the car park and walked over a 7 minutes to the pediatric ward where we were told they had no free incubator and had no electricity supply. We were referred to a private hospital in Surulere where the consultant was not around. We decided to go back to our hospital to continue care for the baby. Please note that all this time I was doing cardiac massage on this baby while someone else drove. On our way back to the hospital, the oxygen finished, the baby turned blue and died. We got back to the hospital and the husband beat me up for not saving the baby. This happened 4 years ago ; till date I have not received a dime for what I did. This is what happens everyday.

Leopantro:


But you are wrong. I am a doctor and I work in the Nigerian system. Let me give you a story.
Some time ago I delivered a pre-term baby that is a baby born at 24 weeks . Immediately after birth the baby stopped breathing. The hospital I worked with didn't have oxygen and the two incubators where in use. I used my own oxygen cylinder on the baby and did ambubagged that is cardiac massage in the baby for it to breath normally. We entered my car and rushed to LASUTH. We were told no bed space and were referred to LUTH. We drove to LUTH, parked at the car park and walked over a 7 minutes to the pediatric ward where we were told they had no free incubator and had no electricity supply. We were referred to a private hospital in Surulere where the consultant was not around. We decided to go back to our hospital to continue care for the baby. Please note that all this time I was doing cardiac massage on this baby while someone else drove. On our way back to the hospital, the oxygen finished, the baby turned blue and died. We got back to the hospital and the husband beat me up for not saving the baby. This happened 4 years ago ; till date I have not received a dime for what I did. This is what happens everyday.

cramjones:


Nonesense! The MO would be sacked not the other way round! This is a clear case of incompetence by both the HO and the MO. The MO obviously not wanting to be disturbed gives a foolish excuse! Since the HO prooved his incompetence by calling the MO first, the MO would have been on the phone instructing the the HO on steps to stabilize the patients.

-CramJones

cosmatika:
I bet u wntd to do medicine but failed, hence ur rant against Drs. So u dnt knw dat govt policies affect healthcare provision in dis country? Or u dnt knw dat d nurses re d custodians of d equipments? So if a Nurse seys I won't bring out d oxygen cylinder cos px has nt registered I'll go fight her? Use ur head

Bjergtrolde:


Ehen,

Drugs in resuscitation comes under where it is required. There is no separate category for drugs. So your adrenaline for Bradycardia would come under circulation. Though if a bleeding accident victim has become bradycardic, adrenaline is not going to do diddly squat for you.

So Dr C Jones, do you really expect that OPs State Hospital has some adrenaline, fluids etc lying around? Lets be honest with ourselves. The high mortality rate following RTA's are because our hospitals are not equipped to handle it.
Cut OP some slack.

cosmatika:
Did u read everything at all? I'm a house officer, d lowest in d medical ladder. Can't tek some decisions wtout my snrs. Its a govt hospt & nt my father's

cosmatika:
Tears run down my cheek as I type this. I went into d medical profession to Save lives, but today I watched a patient die and I could do nothing.
It was around 11am today, 26th Dec 2015, I wz in the emergency room as the only Dr & House officer on call in a state Specialist hospital wen a peugeot wagon followed by a police van drove in. They opened d doors & trunk and started bringing out Accident victims. I did a quick triage & saw dat d 2 in d trunk were in a more critical condition, So d immediate plan was to refer d 2 to FMC wia dey hav better hands and equipment to handle it. So I asked d policeman who d driver is so dat d 2 will be rushed to FMC & he said he died at d Accident scene. I ran outside to buy airtime to start calling other HOs, b4 I could return, dey had dropped d 2 & drove off.
I called other HOs, only 2 showed up, others had travelled. To my greatest suprise, I called a medical officer who is a snr colleague in d proffession, she said I shud nt touch anyone till dey paid. That I shud Infact refer all of dem. I was incapacitated, d patients were in pains, crying, calling on us to help, some already unconscious, but we couldnt help cos we have an order frm above.
Within 5mins, 1 young lady in her early 20s died. Abt 10mins later, another police van came and carried d remaining 7 to FMC.
This evening, some road safety corps came to inquire if any Accident victims were brought to our center. They had retrieved d manifest frm d vehicle and contacted d families of d passengers. Dey came wit d relations of one of d patients, and wen I told dem 1 of dem died, dey asked for d Description of d 1 dat died and I showed dem d pix of d gal dat died, behold she was d 1 dey were looking for and right there was the gal's fiancee. Their traditional wedding was to be in 3days tym
I want to use this medium to call on the govt to make policies dat"ll enable Drs treat patients in such condition. Let's Save the human race

adahib:


I'm glad you pray to get to a level where you can do that. I hope you achieve it. Like you rightly pointed out,how many patients can you pay for? As a house officer in O&G,we had a patient who required emergency c/s,I thought I was helping by signing as a surety at the blood bank for two pints of O-negative blood. We know how expensive that is. The patient left the hospital without paying. I was called daily by the H.O.D of heamatology to come pay. Finally,I had to go write for it to be deducted from my next salary.

My dear, I don learn my lessons. I'm not forming any unnecessary heroics for patients who will never appreciate it at the end of the day. I'll do my job as best as I can but nobody should expect me to take any unnecessary risk for him or her....

ccaramel:

A nurse controlling a doctor. Ridiculous! If it was your sister or mother....would you still listen to orders from above? Very painful that she died and you could have done SOMETHING

FemiFaniKayode:


Bros who told you he needed "funds" to start treatment on an emergency patient?

Leopantro:


You obviously don't work in Hospitals. The HO did the right thing by calling the MO. As a doctor, know your limit. Even consultants call other consultants for assistance ; it's called consult

cramjones:


I won't cut him any slack! I won't cut him some slack for indirectly killing a patient for his inactions. Yes, we have issues in our healthcare system. But this OP displayed gross incompetence and ineptitude in performing his job as a FIRST-ON CALL. If prosecuted this OP will end up in jail!

-CramJones