sunnyeinstein:


Ulcer, chest pain?!!! Bros fear God naw! Ulcer has to do with the walls of the intestine and before drug prescription one has to do test to ascertain if its chronic or not, or if it has microbial inclination or chemical. Bros, the only thing closest to chest pain an ulcer patient can experience is discomfort in the upper gut region (last resort is except d sick has been administered drugs at home which could have cough/chest pain as side effect). Make una no dey support doctors unnecesarily, tell dem d truth wen its warranted. I am not a doctor, just a scholar, thanks.

ur ignorance has no cure bro.. u don't know what ulcer (peptic) is

sunnyeinstein:


Ulcer, chest pain?!!! Bros fear God naw! Ulcer has to do with the walls of the intestine and before drug prescription one has to do test to ascertain if its chronic or not, or if it has microbial inclination or chemical. Bros, the only thing closest to chest pain an ulcer patient can experience is discomfort in the upper gut region (last resort is except d sick has been administered drugs at home which could have cough/chest pain as side effect). Make una no dey support doctors unnecesarily, tell dem d truth wen its warranted. I am not a doctor, just a scholar, thanks.

Not everything u read online is correct, and u may not have d knowledge for detailed understanding. stop misleading ur self. now let me school u a bit. Peptic Ulcer has Notin to d with the walls of the intestine. the intestine includes the small and Large intestines. Peptic Ulcer wch is d discussion here includes d Gastric (Stomach) And Duodenal Ulcers ( 1st Part of d duodenum), so u see u r wrong saying ulcer involves d walls of d intestine. A good medical history will differentiate d two types which will make a doctor decide for appropriate investigations whether Endoscopy or other investigations: Barium Swallow, follow-through tests etc. chest pain is one of patient's complaint. history will determine if d pain is of gastric or cardiac origin. then examination will follow after thorough history taking. I dnt need to go further here bfore I start sounding mystical to u bc u dnt belong here. so ask ur Doctors for detailed explanation if u get confused. Dnt rely on Google, rely on ur doctors. Medical cert can't be achieved tru Google. Some Doctors dnt go thorough through it all, mayb for patient workload or other reasons best known to them. but as a patient, it is ur right to knw what ur diagnosis is, and what relevant investigations & medications would suffice. Dnt keep shut, always ask when in doubt. good Patient-Doctor relationship in terms of communication is lacking in our health sector. we should do our best as patient or Doctor to sort this out.

CircleOfWilis:
oga u are wrong.. History comes first before examination, u cannot jump history all because the stethoscope is there for u to use..
After history and examination comes the investigation (lab).
Pls don't conclude on what u don't know

I never said medical history is unimportant oo, it is even one of the first things to be asked during consultation. It is of utmost importance.

NB: @all screaming at my "ignorance", thank you. I dont envy doctors, they do a hellofa job... the articulate ones!

speak2leo:


Not everything u read online is correct, and u may not have d knowledge for detailed understanding. stop misleading ur self. now let me school u a bit. Peptic Ulcer has Notin to d with the walls of the intestine. the intestine includes the small and Large intestines. Peptic Ulcer wch is d discussion here includes d Gastric (Stomach) And Duodenal Ulcers ( 1st Part of d duodenum), so u see u r wrong saying ulcer involves d walls of d intestine. A good medical history will differentiate d two types which will make a doctor decide for appropriate investigations whether Endoscopy or other investigations: Barium Swallow, follow-through tests etc. chest pain is one of patients complaint. history will determine if d pain is of gastric or cardiac origin. then examination will follow after thorough history taking. I dnt need to go further here bfore I start sounding mystical to u bc u dnt belong here. so ask ur Doctors for details explanation if u get confused. Dnt rely on Google, rely on ur doctors. Medical cert can't be achieved tru Google. Some Doctors dnt go thorough through it all, mayb for patient workload or other reasons best known to them. but as a patient, it is ur right to knw what ur diagnosis is, and what relevant investigations medications would suffice. Dnt keep shut, always ask when in doubt. good Patient-Doctor relationship in terms of communication is lacking in our health sector. we should do our best as patient or Doctor to sort this out.

Thanks doc #ilearn

sunnyeinstein:


But d poster was merely pointing out the blatant truth! A doctor- a well trained one- shouldnt make most diagnosis without an adequate lab test so as not to misdiagnose, it kills. Doctors should talk to patients, recommend d test to be carried out and rely on such test results to profer the type of medication, while the pharmacist would look at the doctor's card and use the information therein to administer the appropriate drug for such patient and frequency of usage. If this is followed, we'd have a healthy population not walking reservoirs of sickness.

Thank you

Oh really, tell me more on how I shouldn't make a diagnosis of appendicitis till I get a lab result, or meningitis, or fibromyalgia, or Lyme's disease, or whooping cough, tell me how I should wait for you before treating infective endocarditis. There is a reason it's called " confirmatory" tests. Most trained doctors already know what they are dealing with, not all disease require tets before treatment, so stop all these seeking for relevance and do your work

sunnyeinstein:


I never said medical history is unimportant oo, it is even one of the first things to be asked during consultation. It is of utmost importance.

NB: @all screaming at my "ignorance", thank you. I dont envy doctors, they do a hellofa job... the articulate ones!

I apologize for using ignorant

eyinjuege:


People with ulcer, gastritis, present with epigastric pain and oftentimes due to it's proximity to the chest call it chest pain. You as a doctor now have to find out from them the exact point of the pain. But usually, they tell you they have chest pains, and not stomach pains.

see you mess up abeg. And you answered him. I saw that he said he is a 'scholar'. These are the set of people to fear the most they do not know something or they know the wrong thing and won't mind raming it down other peoples. Smh

chiketee:

Oh really, tell me more on how I shouldn't make a diagnosis of appendicitis till I get a lab result, or meningitis, or fibromyalgia, or Lyme's disease, or whooping cough, tell me how I should wait for you before treating infective endocarditis. There is a reason it's called " confirmatory" tests. Most trained doctors already know what they are dealing with, not all disease require tets before treatment, so stop all these seeking for relevance and do your work

Hehehehe, spoken like a typical nigerian. One thing u shld rememba is if dat drug u recommend for dat meningitis doesnt cure the patient u should be held accountable (in a sane country o). So pls doc, u can go ahead to become ur own lab oo. Odi egwu

chiketee:

The most common cause of chest pain in adults is dyspepsia. Google that. This is why ppl like you irritate me. You don't have the knowledge yet you are trying to force down your wrong opinion on someone more knowledgeable. And yes the most accurate test to do is an endoscopy, after you have ruled out a hear pathology with other cardiac tests. How many Nigerians can afford all these tests just for a simple ulcer.

Don't you just feel like screaming when you read some comments so wrong on every level?
And a lot are not even bothered on getting accurate information.. Arrrrhhhhh

Doubleagent008:
see you mess up abeg. And you answered him. I saw that he said he is a 'scholar'. These are the set of people to fear the most they do not know something or they know the wrong thing and won't mind raming it down other peoples. Smh

You are right.

I give up... But its really sad ..

chiketee:

Oh really, tell me more on how I shouldn't make a diagnosis of appendicitis till I get a lab result, or meningitis, or fibromyalgia, or Lyme's disease, or whooping cough, tell me how I should wait for you before treating infective endocarditis. There is a reason it's called " confirmatory" tests. Most trained doctors already know what they are dealing with, not all disease require tets before treatment, so stop all these seeking for relevance and do your work

Looooool bros, i'm even an SLT person o. Abeg make i go face my real work ooo. Graci

sunnyeinstein:


Hehehehe, spoken like a typical nigerian. One thing u shld rememba is if dat drug u recommend for dat meningitis doesnt cure the patient u should be held accountable (in a sane country o). So pls doc, u can go ahead to become ur own lab oo. Odi egwu

. I' m not here to argue with you. I repeat, I don't need a lab test to start treating a child with meningitis. I start my treatment then you confirm. It's called empiri antibiotics. Your job will be to narrow down the organisms involved, then I may have to change my antibiotics if there is even a need. Drs are trained to know the common cause of meningitis in each age group, so most of the time the tests just confirms what they are thinking. Stop misleading the ppl. Telling them we need you before starting treatment. You are needed quite all right so just do your work and leave all this supremacy rubbish

This is one of issues dat supposed to be addressed by government. But even government hospitals are not left out.
Doctors of now are not to be called doctors. The inflict permanent injury and caused death due to their inexperience and negligence.
These evil occurrence happens every day in hospitals and they cover it up.

sunnyeinstein:


Hehehehe, spoken like a typical nigerian. One thing u shld rememba is if dat drug u recommend for dat meningitis doesnt cure the patient u should be held accountable (in a sane country o). So pls doc, u can go ahead to become ur own lab oo. Odi egwu

So Mr Einstein, the doctors should wait for your CSF culture and sensitivity to come out before they start antibiotics? MCS takes like 3-5days to come out. Odi egwu

eyinjuege:


You are right.

I give up... But its really sad ..

@both, its one thing to be ignorant and its another to be willing to learn, its another to bee wiling to submit oneself to correction and learn d real thing.
I think i just described myself on dis topic...

...and i know the correct info now. Me too i wee be using obinoscopy to fumblee on the streets
Thanks to the docs in d house #thumbsup

eyinjuege:


So Mr Einstein, the doctors should wait for your CSF culture and sensitivity to come out before they start antibiotics? MCS takes like 3-5days to come out. Odi egwu

Hehehehe, me i no dey there oo. I hate hospital things like kilode, so abeg no rope me ooo, i have been schooled here today and i appreciate the education. E seun

CircleOfWilis:
ur ignorance has no cure bro.. u don't know what ulcer (peptic) is

i don't like when people say stuff like this ignorance has cure it's education. People should seek education on all issues of their interest. the education doesn't have to be formal. This kinda ignorance is seen in all aspect of our Nigerian lives; politics,sports, finance and economics, health, even education. The list is endless. The cure is out there people just aren't looking for it.

eyinjuege:
OP, you went to a private hospitals without compulsion.

If you couldn't afford the consultation fees, you should have gone to a general hospital.

If you have no trust in your doctor's, then there's no point going to the hospital.
You were asked if your child's cough was throaty, yet you're taking offence.

Who should know if not you or the grandma taking care of the child? Your doctor doesn't live with your child and he'll only act based on what you tell him.

That's why some persons rarely visit private hospitals. I rather visit public hospital than private to avoid story that touch.

sunnyeinstein:


@both, its one thing to be ignorant and its another to be willing to learn, its another to bee wiling to submit oneself to correction and learn d real thing.
I think i just described myself on dis topic...

...and i know the correct info now. Me too i wee be using obinoscopy to fumblee on the streets
Thanks to the docs in d house #thumbsup

funny guy. Cheers mate.

sunnyeinstein:


@both, its one thing to be ignorant and its another to be willing to learn, its another to bee wiling to submit oneself to correction and learn d real thing.
I think i just described myself on dis topic...

...and i know the correct info now. Me too i wee be using obinoscopy to fumblee on the streets
Thanks to the docs in d house #thumbsup

You're not serious.

But seriously, issues of health shouldn't be taken with levity. The Nigerian healthcare system has a lot of challenges facing it. Even a lot of those in the sector have given up on it.

You really cannot know so much about diseases, the process and the progression if you've not been trained to. Google can only do so much, but it cannot be so exhaustive, particularly if you don't even have the background. A lot of textbooks explain exhaustively, but online articles dont do that, unless you go for ebooks.

1) well there is one private hospital, I always go to, the hospital is very good, once they give u drugs I swear that's the end of that sickness.... but by the time they want to write ur bill they will first ask u ' where do u work' or if they don't ask u that, they will look at the bill for like 5mins then put one ridiculous and outrageous bill and it's not less than #5000

2) so on this particular day I had to take someone to the hospital, I was like let me change the hospital cos I felt their charges were outrageous, so I saw one hospital, I walked into the hospital, I went for malaria and typhoid test @ 2100 (I couldn't shout cos the other hospital I always do it @ 1500), so the result for the malaria test was ready but that of typhoid was till the following day... so the doctor wrote out the drugs for malaria and it cost #4600..... as I heard it I first opened my mouth.. I told the guy that so when the typhoid result comes out how much will I pay. He did not even answer me he just continued watching...... I just told the lady I took that please let's go to my first hospital

3) why it's annoying is that the lady earns #10,000 and we went to two government hospitals within our area but they had not opened... so we had to go to the private hospital

So how do they now discourage people from self medication

The problem I have is with how some cases are handled in some private hospitals probably in a bid to make more money I wouldn't know.

I met a woman of recent who is said to have been having back, arm and neck pain for a couple of months, she went to a private hospital where various tests were done and repeated many times during the course of receiving treatment there. They kept treating her for Typhoid, malaria, PID and what not, with different analgesics, yet her condition kept deteriorating, rather than refer they kept extorting money from her, till she left for another hospital where proper history, physical examination and some investigations were carried out and breast CA was queried and she was referred to a teaching hospital where after more investigations, a dx of a metastasizing breast CA was made.

And no, the Dr in the first hospital isn't a quack.

There was a case too, someone with renal insufficiency, there was no record of the pt's intake and output, they kept bombarding with fluids even with oedema++, no diuretics, no anti-hypertensive, no nothing, I don't know what they were treating sef, only God saved the her till she left, and if you see the bill ehn. God help us

Like every profession my dear, there are less proficient doctors. You just have to find a good one and stick to them.

teechudleyy:


Thats d most painful part. The looking down on you like you dont know what you are talking about. It makes me reluctant to go to tye hospital.

I told a doctor i wanted to have a breast exam because i had a lump and he told me they only attend to women in their forties that i cant have cancer. I had to take myself to a lab.
They make u look like you are over reacting.
Yet they blame you for self medicating and waiting till the issue has gone out of hands before coming

To cut the long story short,

My late mother in law died some 5 years ago in PH after her son has spent well over 1 million on the treatments. After her untimey death, at the age of just 52, I discovered that ALL the symptoms were the symptoms of Meningitis. All of them, and all from the symptoms taught in medical schools, not just some unusual symptoms.

I would understand if they openly said they can't treat her due to lack of equipment or lack of competent staff. But they kept reassuring the family everything will be fine, they kept collecting the money. That is it. It is all about your money. If you don't have it, you are doomed. But if you do have it, healing is by no means guaranteed!!!

With what I saw when my friend wife was to give birth last year. Honestly, am beginning to hate the medical doctors in Nigeria. And they are pushing us to a place where we are going to wage serious war against them..

teechudleyy:
I had to post this because with the kinds of experiences I have had, I have come to lose trust in private hospitals and even my respect for young medics has really waned.

I will share three instances of my personal experiences with different hospitals.



1. My Little One was a bit down, and I was reluctant to take him to the family hospital in ikeja because it was a hot day so I saw a pharm at health plus who prescribed anti malaria drugs, ampiclox and multivitamins etc. I spend about one thousand five hundred naira getting the drugs.
But my MIL insisted we take him to the hospital even though he was already getting better the next day. Well, i took him down to our hospital and you wony believe I paid 2k for consultation. We went in to see d doc, and he asked a few questions like is it chest cough he has or is it throaty?( i was thinking...how wd i know. When ur d one wearing d stethoscope. Am i a doc to know types of cough? ) how is his temp. his appetite? doc didnt even check his eyes... i know that eye widening thing they do. He made it look like i was an over reacting mom.

After the q&a called consultation, he started scrawling in the prescription pad. I asked wnt u at least check the child? pls wat if something else is happening that isnt clear unless we check.
He said madam, additional check up will cost more money. So i shut up and collected d presc he wrote.
When i got there d lady asked me to pay 2000 naira and i did. She wrote me a receipt and i sat down. I waited 45 mins. My son was already sleepin. I asked the lady n she told me to calm down i will soon b attended to.
Just den,der messanger came in with a package and she just put it in d hospital bag and gave to me.

They were out of drugs. They went out to buy

What drugs?
paracetamol, vit c and bcomplex... D cheap brands o

And guess what... d chemists receipt was in d bag
It all cost 470 naira

I dnt mind consultation fee. But 2000 fr those drugs was extortion.

Medical attn is expensive, but i think some private hospitals take it too far.

, your own is even small,I was paying 4500 for a month prescription if carbimazole, this is apart from consultations fees oh, which I pay each time I come for refill oh, one day I was out of money and out of drug, decided to check around, my dear na so I buy the drug at one pharmacy at Ikeja at the price of 670 for a packet, and that packets lasts for 30 days oh, i once went to a hospital and and they requested I ran some test at their lab to find out what was wrong, no problems, I did at a cost of 3k, after that nko, I had malaria and typhoid which I had suspected, no problems again as I try as much as possible to seek trained medical personnel advice and not to self medicate. Na so they packed all cheap antibiotics and folic acids, those types they sell 90 naira and amoxicillin , the cheap ones they sell 100naira for packets, and they charged me 4000 naira, after the dosage finished, I was getting worse oh, I went back again and they charged me 7000 with some injections I can't tell what they were. I was already worse that I was before I came there, was about to go to worst when I borrowed myself sense and collected a prescription from a friend, a family nurse prescribed it for him and I had ignored it at the beginning because of my over sabi, went and bought the ciprotab with some vitamins and one malaria frugal line that from one pharmacy at the total price of 1200, I threw out all those useless drugs from hospital, I had shown them to the nurse at the pharmacy, she laughed and showed them to me and their prices, within two days, I was back to my feet but continued to finish my dosage. I did rather go to general hospital and collect prescription , then go to pharmacy to buy. I have lost count of number of times I have self medicated after wasting money on some stupid hospital.

eyinjuege:


You're not serious.

But seriously, issues of health shouldn't be taken with levity. The Nigerian healthcare system has a lot of challenges facing it. Even a lot of those in the sector have given up on it.

You really cannot know so much about diseases, the process and the progression if you've not been trained to. Google can only do so much, but it cannot be so exhaustive, particularly if you don't even have the background. A lot of textbooks explain exhaustively, but online articles dont do that, unless you go for ebooks.

, Abeg, Google help a lot, I use it most times to diagnose myself and I have never been wrong cos I also go to trained medical personnel to confirm, people have survived when there was no doctors, that's why you have books like "where there is no doctor"

You now see why people fly abroad for treatment, its not becos there aren't hospitals here, but that these hospitals are run by lunatics called doctors.

The average nigerian doctor doesn't see patients as human beings but rather as disposable test subjects,

Even with the cut throat fees they charge, they still abuse and manhandle patients, and seem to get away with it.

Thank God for alternative healt practicioners and homeopathic medcine we have a choice, I would not trust my life to a nigerian doctor, they re licensed killers.

chiketee:
. I' m not here to argue with you. I repeat, I don't need a lab test to start treating a child with meningitis. I start my treatment then you confirm. It's called empiri antibiotics. Your job will be to narrow down the organisms involved, then I may have to change my antibiotics if there is even a need. Drs are trained to know the common cause of meningitis in each age group, so most of the time the tests just confirms what they are thinking. Stop misleading the ppl. Telling them we need you before starting treatment. You are needed quite all right so just do your work and leave all this supremacy rubbish

it will be allowed in Nigeria cos of our lack of needed equipments but you can't do that in USA, you make the patient comfortable with some medications that were not intended to cure just make it bearable till test result it out, again some result of test takes ages to come out here but not some for the developed world , the minimum time for thyroid test here is 7 days for the fastest lab you can get at teaching hospital, but 2weeks if it's private hospital,but us, the following day, your lab result is ready. No wonder some of our Drs kill more people than they save. The only hospital I can vouch for is beehess at akowonjo where I had my baby, it was not only affordable with good service, plus they ask all the right questions and right affordable tests. My favorite when it comes to maternity and delivery

ashjay001:


I can be forceful sha. My 1st kid, they kept chasing us back, 5hrs later I'll be back. After 3 attempts(fri/sat), they gave us a room and I had to rub her back till monday mrn. 5 days later, I did a discharge on my own recommendation, after a whole week of jaundice treatment at eko hospital, surulere! Told them I had flourscent bulb at home, natural birth was already over a 100k(2009) and I never buy ram!

Is that picture what you're calling a "fluorescent" bulb? And you're complaining about buying a ram??

Jehovah. You're an idiot. Sorry but true.

That is an Ultraviolet light, used for treating severe cases of jaundice in newborn (neonatal). They saved your son's life because if they hadn't done that, he would have died.

And you called it "fluorescent" and complained about buying a ram?!!!! Let me guess, you're a "graduate", right??

And please don't spew that talk about early morning sunlight, as that treatment only works for mild cases of jaundice, which is probably not what your son had and he got better after a week of UV treatment. If you had refused and he had died (2-3 says of severe jaundice will kill most newborns) you'd have come here to rant. When your careless ignorance caused it.

I'm not a doctor or nurse, btw, just an informed parent. But you have seriously annoyed me tonight. You and the OP have shown the kind of ignorance that made me stop helping almost all the cases I hear of, because Nigerian stvpidity and wilful ignorance is high and we need to reduce the population of ignorant half-baked graduates (let Natural Selection get rid of them). I mean, you could have used your phone to Google the treatment o....Chai.

And to anyone complaining, go to GH. At least they treat you not based on profit. I use private for our regular medicals and when we have an issue I call the GH doctors and tell them we are coming or ask them for a 2nd opinion and crosscheck with my private hospital. That's your right as a patient, ask for a 2nd opinion if you are not sure of your attending physician.

eyinjuege:


You're not serious.

But seriously, issues of health shouldn't be taken with levity. The Nigerian healthcare system has a lot of challenges facing it. Even a lot of those in the sector have given up on it.

You really cannot know so much about diseases, the process and the progression if you've not been trained to. Google can only do so much, but it cannot be so exhaustive, particularly if you don't even have the background. A lot of textbooks explain exhaustively, but online articles dont do that, unless you go for ebooks.

#gbam. And to think i got some info from d departmental postgraduate seminar presentation students, i shudder. Now i will ask more questions when any student wants to bamboozle me with misleading informations because me sef i be student but dont like asking questions not to cause any of dem being stepped down to repeat their presentations...

we all need to do more, both the informant and the listener. Selah!

Dear aggrieved OP i apologise. Not for the Doctor but for the system. We have all been screwed by the system at one point or the other. The doctor had his fault his patient communication skill left much to be desired. The part where you were worried about cost it is not totally his fault. Health care is expensive. You think it's cheaper in govt hospitals? No its not it's just that govt has subsidised it so that a CT Scan that should cost you around 150000- 200k now cost u around 70-100k. Don't let house MD and Greys anatomy series fool ya reality is very different. That being said for fees received services must be rendered i.e the doc collected money to treat he must treat (I'm saying all this from a one sided story - yours). BTW why do people think doctors' consultations should be free? Lawyers' aren't LoL.