A Doctor's tots

OTUKPO . . . . . THE TEXAS TALE 2. . . . . .

2011-08-03T12:25:00.001Z

QUICK MEDICAL CONSULT IN COLLABORATION WITH THE GLOBAL INITIATIVE FOR PEACE LOVE & CARE (GIPLC)ON BEHALF OF THE SENATE PRESIDENT, MOST DISTINGUISHED DAVID A.B. MARK GCON,ON A PUBLIC HEALTH CAMPAIGN TO DE-WORM CHILDREN OF PRIMARY SCHOOL AGE (FREE OF CHARGE) WITHIN BENUE SOUTH SENATORIAL DISTRICT. 21th-26^th July 2011.

Once again, a “phone in” programme was broadcast from Joy FM 96.5 to sensitize and create more awareness across the zone, the state and beyond. A jingle continued for the rest of the day to inform the public of the LGAs to be visited on the 23^rd july 2011, namely, Otukpo, Obi & Oju LGAs, respectively and the particular communities/villages. Thereafter, the first port of call was Utonkon, Ado LGA, on the 22^nd July 2011.

With reference to the last mission, we ran out of drugs at Utonkon. Upon our return on the 22^nd July to the same community, at the LGEA (Local Government Education Authority) primary school, we successfully completed the exercise with an additional 1,300 children, totalling 1,877( we could only administer to 577 on the last mission before we ran out of drugs). As noted in the prior mission, a highly contagious fungal infection that is widespread within the zone was given marginal attention, due to the larger response i.e. application of medication (Ketaconazole cream) and distribution to infected children’s’ parents/guardians for continuous use. In addition, over 100 OVC were identified and their bio-data recorded for proper growth monitoring and further intervention.

At Akpegede village, Otukpo LGA, 263 were de-wormed and 30 orphans were identified, on the 23^rd of July 2011. Fungal infections were also treated and follow up drugs provided. The dental care once again, is very poor and leaning towards critical conditions. A campaign for proper dental care and hygiene should be in the works, sooner than later, due to the current situation.

Later on, same day, we arrived Obarike community, Obi L.G.A, where 2449 children were administered with the anti-worm medicine, in addition to treatment of the sadly reoccurring fungal infection and a few cases of ring worm. Up to 55 OVC ( Orphaned & Vulnerable Children) were identified. A gracious volunteer, Mr Emmanuel Obi, was very supportive and generous to the team within the council ward. The Chief of Obarike council ward extended the generosity further, by offering us accommodation and every courtesy, asking that we stay behind for one more day, so more children from the hinterland could access the medication. Sadly, we had to decline but promised to be back.

Further down the bad road with scenic views, on the same day, we got to Onyike Ekpengbe Junction (town central) Oju LGA., where the mission didn’t get a really good turnout, for the first time, with only 187 children receiving the medication against parasitic worms. At this point, we were joined by a volunteer from otukpo, Miss Catherine Mark, who eagerly participated in the activities. However, it was a bit hectic trying to identify the OVC, as the community came across as rather uninterested in that issue.

On Sunday, 24^th of July, after noon, we headed out to Otukpa Olachagbaha community, Ogbadibo L.G.A, where up to 1,467 children turned out for the medication. It was observed that the dental hygiene issues, especially among children, have reached epic proportions. The situation is truly worrying. So bad that the team had to raise funds, from within, so a particular little girl, in excruciating pain, could have her totally destroyed tooth pulled out, the next day at Otukpo. We received a call the day after from her mother, to assure the team that she had been treated and is fine. We couldn’t identify the OVC in the community, due to inadequate local resources.

A long bumpy ride got us to Obagaji, Agatu LGA, L.E.A UBE school, where 2,836 kids received medication. There was a bit of politically induced resistance but the community & social mobilisation/communications officers of the team adequately handled the situation. Only 2 (two) 2nos OVC identified in the school. A high number of dental issues but very few fungal or ringworm diseases.

At Ugbokpo, Apa L.G.A, the team pitched tent at the LGEA School, where 505 children from within the community were administered with the worm expeller. There were widespread fungal diseases and a few ringworm issues, while 21nos OVC were identified. The community acceptance to the programme and gratitude to the initiator was phenomenal.

On the day of our departure, 26^th July, 2011, we visited Amufu Edumoga village, Okpokwu L.G.A and attended to a number of fungal diseases and de-wormed 332 on the spot and further donated another 640 doses to the community primary healthcare centre, to be administered, free of charge, under close supervision & monitoring, by selected, reputable community members.

§ Total number of children De-wormed- 10,556 children

§ Total number of OVC Identified- 467

§ Total Number of Fungal cases treated- 784

§ Total number of Dental cases examined and treated- 1

Reported By: Dr Ojia Adamolekun

For: Quick Medical Consult Ltd.

Special thanks to Senator Hope Uzodinma for all his support and encouragements.

OTUKPO..... THE TEXAS TALE....

2011-08-01T12:27:00.000Z

QUICK MEDICAL CONSULT IN COLLABORATION WITH THE GLOBAL INITIATIVE FOR PEACE LOVE & CARE (GIPLC)ON BEHALF OF THE SENATE PRESIDENT, MOST DISTINGUISHED DAVID A.B. MARK GCON, EMBARKED ON A PUBLIC HEALTH CAMPAIGN TO DE-WORM CHILDREN OF PRIMARY SCHOOL AGE (FREE OF CHARGE) WITHIN BENUE SOUTH SENATORIAL DISTRICT.

THE ACTIVITIES COMMENCED ON THE 11^TH OF JULY 2011, WITH A RADIO CALL-IN PROGRAMME HOSTED BY JOY FM 96.5 AND ANCHORED BY ANDY GABRIEL, TO RAISE AWARENESS ON THE NEED TO DE-WORM CHILDREN, AGED 2-15YRS. THEREAFTER, THE TEAM OF 7 (COMPRISED OF MEDICS, PARAMEDICS & SOCIAL WORKERS), PAID AN ADVOCACY VISIT TO THE OCHE OTUKPO; DR EYIMONYE. AFTER A VERY COURTEOUS RECEPTION, HE GAVE HIS WORD, ENSURING US THAT HIS SUBJECTS WILL GIVE US ALL THE REQUIRED SUPPORT WE NEED AND IS INDEED GLAD THAT THE SENATE PRESIDENT IS PROVIDING QUALITY, RESPONSIBLE LEADERSHIP TO THE PEOPLE OF HIS IMMEDIATE CONSTITUENCY. HE PROMPTLY INSTRUSTED THE TOWN CRIER TO MOBILIZE THE ENTIRE COMMUNITY, TO ENABLE A SUCCESSFULL EXERCISE.

ON THE 12^TH OF JULY 2011, THE ACTIVITIES COMMENCED AT OTIA METHODIST PRIMARY SCHOOL IGBANUMAJE OTUKPO L.G.A, WHERE UP TO 802 CHILDREN WERE ADMINISTERED THE MEDICATION. THEREAFTER, THE TEAM PROCEEDED TO ST MARYS PRIMARY SCHOOL OTUKPO, WHERE THE MANAGMENT WAS VERY EXPEDIENT IN THEIR EFFORTS AND UP TO 571 CHILDREN WERE DE-WORMED. TO ROUND UP THE DAYS ACTIVITIES, THE TEAM VISITED ST MARYS ORPHANAGE GRA OTUKPO, DE-WORMED ALL THE CHILDREN (UP TO 23 NOS.) AND DONATED TREATED MOSQUITO NETS TO THE HOME. SO MOVED BY THE DEPLORABLE CONDITION OF THE HOME, THE TEAM MEMBERS TAXED EACHOTHER AND DONATED AN UNDISCLOSED WIDOWS MITE, TO FURTHER ASSIST THE HOME.

ON THE 13^TH OF JULY 2011, CARAVAN HEADED TO OHIMINI L.G.A , WHERE 60 CHILDREN WERE ADMINISTERED WITH THE EXPELLER AT L.E.A PRIMARY SCHOOL AWULEMA. AT OKPOKWU;EKE OLENGBECHO PRIMARY SCHOOL PLAYED HOST TO THE TEAM AND UP TO 187 CHILDREN GOT MEDICATION, INADDITION TO OTHER MINOR CHECKS, WHICH REVEALED THAT A PARTICULAR EASILY CONTAGIOUS FUNGAL INFECTION OF THE SKIN WAS WIDESPREAD AMONGST THE CHILDREN. THE TEAM INTENDS TO DO MORE EXTENSIVE RESEARCH DURING FURTHER MISSIONS IN THE AREA, TO ENSURE IT OCCURS LESS FREQUENTLY, THAN THE CURRENT SITUATION. AT ADO L.G.A, L.E.A PRIMARY SCHOOL UTONKON, A LARGE SCHOOL, 577 TOOK THE FULL DOSE TOO, ABSOLUTELY FREE.

WORTHY OF NOTE IS THE VERY SIGNIFICANT ROLE PLAYED BY THE CHAPERONE OF THE MISSION,MR ANDY GABRIEL, WHO HAS A GOOD GRASP OF THE CULTURE AND TRADITIONS OF THE PEOPLE, WITHIN THE COMMUNITIES, OTHERWISE KNOWN AS ZONE C, OF BENUE STATE SENATORIAL DISTRICT. HE SEAMLESSLY INTERGRATED US INTO THE FABRIC OF THEIR WAYS, WHICH IS KEY, FOR EXPEDITIOUS COMMUNITY & SOCIAL MOBILISATION STRATEGY. HIS ROLE IN ENSURING A HITCH FREE MISSION CANNOT BE OVEREMPHASIZED.

UNFORTUNATELY, THE MISSION RAN OUT OF MEDICAL & SUNDRY SUPPLIES, DUE TO THE OVERWHELMING TURN OUT BY THE COMMUNITIES VISITED, IN THIS FIRST PHASE OF THE EXERCISE. HOWEVER, AS A RESULT OF THE RESOLVE OF THE INITIATOR OF THIS PROCESS, SENATOR D.A.B MARK GCON, TO COVER THE ENTIRE DISTRICT, IT SHALL CONTINUE IN EARNEST, UNTIL ALL THE CHILDREN HAVE ACCESS TO THE DRUG, AT LEAST TWICE YEARLY. DURING THIS PILOT SCHEME, IN TOTAL, UP TO 2,5OO CHILDREN GAINED ACCESS TO THE DRUGS.

You may find enclosed images of the exercise for your perusal.

MEMBERS OF THE TEAM:

QUICK MEDICAL CONSULT (QMC):

DR OJIA. L. ADAMOLEKUN- CEO Quick Medical Consult LTD (Coordinator)

CHINOMSO FAITH IBEH- PROGRAMME OFFICER

GLOBAL INITIATIVE FOR PEACE LOVE & CARE (GIPLC):

NUHU KWAJAFA- COORDINATOR

HARUNA HUA- PROJECT DIRECTOR

ENG. WENEGIEME VICTOR- PROJECT OFFICER

CHAPERONE:

ANDY GABRIEL

REPORTED BY: ADAMOLEKUN OJIA LYDIA (MD)

INFECTIOUS DISEASES

2011-06-18T20:18:00.000Z

Hello people, yesterday I wrote about non-infectious diseases and sicknesses that are easily confused. Today ill continue with the infectious diseases and sicknesses.

Bacteria and other organisms that harm the body cause infectious diseases. They are spread in many ways.

Here are some of the most important kinds of organisms that cause infections and examples of sicknesses they cause.

Bacteria, like many of the organisms that cause infection are so small and cannot be seen without a microscope and the viruses are even way smaller than the bacteria.

BACTERIA CAN CAUSE:

1. Tuberculosis and it enters the body and spreads through coughing and is air borne.

2. Tetanus and it can be caught and spread through dirty wounds.

3. Some diarrhea and can enter the body and spread through dirty fingers, water, flies, etc.

4. Pneumonia (some kinds) can enter the body and spread through coughing and it is airborne.

5. Gonorrhea, chlamydia and syphilis are caught and spread through sexual contact. (Un-protected sex).

6. Earache can be caused when the person has caught a cold and has sore throat.

7. Infected wounds can be caused when wound is exposed to a dirty environment or when foreign bodies are introduced into the site of the wound.

8. Sores with pus spread or enter the body through direct contact (by torch).

The principal medicine to treat bacteria is through the use of anti-biotics and they differ according to the type of bacteria and infection.

VIRUS CAN CAUSE:

1. Cold, flu, measles, mumps, chickenpox, infantile paralysis, polio in children, and virus diarrhea. It can enter and spread through the body through someone who is sick, it is also airborne, and transmitted through coughing, flies, etc.

2. Rabies, which could get into the body and spread through animal bites. A popular animal is the dog.

3. Warts, which can spread through physical contact (torch)

The principal mode of treatments for viruses are aspirin, and other painkillers, this is because there are no medicines that fight viruses effectively. Antibiotics do not help, however, vaccinations help in the strong prevention of some of these viruses.

FUNGUS CAN CAUSE:

1. Ringworm, which can be caught n spread by touching or from clothing.

2. Athlete’s foot and Jock itch can also be caught from damp feet in shoes and mostly trainers it can also spread by physical contact of torch and clothing.

Sulfur and vinegar, ointments like undecylenic, benzoic, salicylic acid, and griseofulvin can be treatment for fungal infections.

INTERNAL PARASITES

In the gut, worms, amoebas, can be present and most times they are got by lack of personal and environmental hygiene they can cause dysentery. They can be treated by different specific medicines. If they are found in the blood, it can cause malaria through mosquito bites and an anti-malaria drug combination is more appropriate to treat them.

EXTERNAL PARASITES

Lice, fleas, bedbugs, scabies can be contacted when persons are exposed to other persons with these infections or when exchange of cloths are done. This is the part where we discourage borrowing of outfits from friends. Spraying your local raid can treat them (insecticides) in addition is Lidane.

Finally, cleanliness is next to Godliness and it’s extremely difficult to contact infectious diseases. Protection during sexual intercourse is important especially if you are not yet certified to have married sex. Lol. Having multiple partners also increases the chances of getting infectious diseases.

Blessed weekend

Ciao!!!

SICKNESSES THAT ARE OFTEN CONFUSED

2011-06-17T21:14:00.000Z

WHAT CAUSES SICKNESS?

Good question, people from different countries or backgrounds hence the different ways to explain what causes sickness.

A baby gets diarrhea. But why?
People in small villages may say it is because the parents did something wrong, or perhaps because they made a god or spirit angry.

A Doctor may say it is because the child has an infection.

A public health officer may say it is because the villagers do not have a good water system or use latrines.

A social reformer may say the unhealthy conditions that lead to frequent childhood diarrhea are caused by an unfair distribution of land and wealth.

A teacher may place the blame on lack of education.

People see the cause of sickness in terms of their own experience and point of view. Who then is right about the cause? possibly everyone is right, or partly right.

This is because...................

Sickness usually results from a combination of causes. Each of the causes suggested above may be a part of the reason why a baby gets diarrhea.

To prevent and treat sickness successfully, it helps to have as full an understanding as possible about the common sicknesses in your area and the things that cause them. When considering how to prevent or treat different sicknesses, it helps to think of them in 2 groups: Infectious and non-infectious.

Infectious diseases are those that spread from one person to another. Healthy persons should be protected from people with these sicknesses.

Non-infectious diseases do not spread from one person to another, they have other causes. It is important to know which sicknesses are infectious and which are not. They have many different causes but are never caused by germs, bacteria, or other living organisms that attack the body.

It is important you know that ANTI-BIOTICS or medicines that fight germs do not help cure non-infectious diseases. There are different types of non-infectious diseases;

1. Problems caused by something that wears out or goes wrong within the body; Rheumatism, heart attacks, epileptic fits, stroke, migraines, cataract and cancer.

2. Problems caused by something from outside that harms or troubles the body; Allergies, asthma, poisons, snakebite, cough from smoking, stomach ulcers and alcoholism.

3. Problems caused by a lack of something the body needs; Malnutrition, pellagra(whooping cough), anemia, goiter or cretinism, cirrhosis of the liver(part of the cause), night blindness and xeropthalmia.

4. Problems people are born with; cross or wall-eyes, and other deformities, birthmarks, e.t.c

5. Problems that begin in the mind (Mental illnesses); paranoia, nervous worry (anxiety), belief in hexes (witchcraft), uncontrolled fear (hysteria).

Finally, this babe is tired so maybe tomorrow or next ill post up another blog on infectious diseases. Its been raining all day and its time to have some hot coco.

Ciao!!!

THE AGONIES OF TOOTHACHE

2011-06-15T20:56:00.001Z

Have you ever had tooth ache? hmmmmmmn the thing is, if you have never experienced tooth ache before, it can never be explained to you. The same goes for those who have experienced labor pains before, it can never be explained to you. I wish i could describe this excruciating pain but........

This story started last year april when i was at the Obafemi Awolowo university Ile-ife for the Nigerian Medical council examination, i had just bought a chicken burger from Mr Biggs and headed back to my hotel room. It had been a long day and all i could think of was a warm bath and my chicken burger.

My plan worked, i had just taken the first bite and it was just enough to ruin my night. The fillings in my lower right molar just gave up on its situation of having to put itself through junk food one more time. I yelped out from the pain and flung the damned burger out of my hands.

The right thing you would guess i did was manage the pain for the night and go straight to the dentist the next day, WRONG!!!! i just managed the pain and went back to reading like nothing serious happened. However, the pain kept getting worse and i kept suppressing it while i reminded myself why i had to finish my exams first before attending to the bruised molar.

Furthermore, the pain subsides but then i could only chew on one side of my mouth " how boring can things get?" this way, i could only eat so much and of course it meant i would be losing some weight too.

The days passed, months, and finally a year and some months then the sleepless nights began. Imagine the worst pain imaginable, last night was the final hell that let loose in my cavity. i had just had a bite of fried beef and yes, it came on me.......

A friend of mine stopped by my house yesterday and complained about the sleepless night he had because of his tooth and i laughed a little and handed him a tablet of Cafegot, not knowing i was next. Agony, tears and then wailing, that was the plan and i can now tell you for a fact that there's a huge difference between crying and wailing. Unbearable, and irritating. The kind of pain that cafegot could not preach the gospel of peace to, i died. It was so ridiculous because i had to do things i had not done in a long while.

At about 3am, i thought i would die and i also played the role of a wounded toddler by putting my parents on a conference call to wail about my tooth, if i was going through acme aorta of hell it was only fair i shared it with them too lol. Sleepless in seattle was my case as i stayed awake waiting for sunrise.

First thing i did this morning was to race as fast as i could to the dentist thanks to Doc Bussy. Dentist's first remarks are "Angelina" taken aback in my teary eyes i asked "who's that?" he smiles and then the process i cannot put in words took place.

.................................................................................................................................................................
Blank, that was the feeling when the tooth was finally extracted from its roots. My entire mouth was dead numb at this point and all i could think of was "sleep".

The rest of the story is not so important. The morals of this experience are:
1. Matters of the mouth and teeth are not things you should procrastinate about.
2. We were told in Medical school that tooth ache can also be compared to labor pain. #Hailings to all mothers out there.
3. The best remedy to tooth ache is your near-by dentist (though i still think dentists are mean).
4. Those advices we were given as kids to brush our teeth after the last meal should be err highly adhered to.
5. Finally, avoid the use of toothpicks, flossing is the real thing.

Ciao.

THE CARE OF A SICK PERSON WHEN THERE'S NO DOCTOR

2011-06-07T00:00:00.000Z

THE CARE OF A SICK PERSON

WHEN THERE'S NO DOCTOR.

The care of a sick person is one of the easiest thing that can be done by anyone when or if the need be.

This topic is one of my favorites from a book called “where there is no doctor”.

Sickness weakens the body. To gain strength and get well quickly, special care is needed. The care a sick person receives is frequently the most important part of his treatment.

A person who is sick should rest in a quiet, comfortable place with plenty of fresh air and light. He or she should be kept from getting too hot or cold. If the air gets cold, or the person is chilled, cover him or her with a sheet or a blanket. But if the weather is hot or the person has a fever, do not cover him at all.

In nearly every sickness, especially when there is fever or diarrhea, the sick person should drink plenty of fluids: water, tea, juices, broths, etc.

It is important to keep the sick person clean. He or she should be bathed everyday and if they were too sick to get out of bed, tepid sponging would be the next best thing to do, wash him or her with a sponge or cloth and lukewarm water. His or her clothes, sheets and covers must also be kept clean.

If the sick person feels like eating, let them. Most sicknesses do not require special diets. A sick person should drink plenty of liquids and eat bodybuilding and nourishing foods like milk, cheese, chicken, eggs, meat, fish, beans, green vegetables, and fruits.

If the person is vey weak, give then these same foods in liquid or soup forms. Energy forms are especially important for example, yam porridge, maize porridge, plantain or even cassava porridge. Adding a little sugar and vegetable oil will increase the energy. Sweetened drinks will also assist the recovery process.

SPECIAL CARE FOR A PERSON WHO IS VERY ILL

It is extremely important that a very sick person should be taken to the hospital and before you do, it is important that this person drinks enough fluids or liquids. If he or she can only drink a little at a time, give small amounts often. If they can barely swallow, give sips every 5 or 10 minutes.

Measure the amount of liquids the person takes in each day. An adult needs to drink 2litres or more everyday and should pass out urine 3 to 4 times daily. If the person is not drinking or urinating enough, and begins to show signs of dehydration, encourage him or her to drink some more. Nutritious liquids are advised here and usually with a little salt added to replace lost fluids. If the person cannot drink enough, please take the person to the nearest clinic or hospital around so intravenously, fluids can be passed.

If the person is too sick to eat solid food, give soups, milk, juices, and broths. Porridge of yam, maize or plantain is also advisable but should be given with bodybuilding foods. If the person can only eat little at a time, then several small meals should be given regularly.

Personal cleanliness is very important for a very ill person; he should be bathed everyday with warm water. Change the bedclothes daily and each time they become dirty.

Handle soiled items with care; wash them in hot soapy water.

A person who is very weak and cannot turn over alone should be helped to change position in bed many times each day and this way there is prevention of bed sores.

Frequent changing of position will also help prevent pneumonia. A constant danger for anyone who is very weak or ill and must stay in bed for a long time: If the person has a fever and also begins to cough with fast breathing, shallow breaths, he or she probably has pneumonia.

You should watch for any change in the sick person’s condition that may tell you whether he or she is getting better or worse.

Here are lists of dangerous symptoms that warn you that the person’s sickness is serious or dangerous. If you ever see these signs or symptoms with the sick person, pls accelerate the speedometer a little to get them safe to the hospital, medical / health care centers or clinics.

1. Loss of large amounts of blood from anywhere in the body.

2. Coughing up blood.

3. Marked blueness of lips and nails.

4. Great difficulty in breathing; does not improve with rest.

5. The person cannot be wakened (coma)

6. The person is so weak he faints when he stands.

7. A day or more without being able to urinate.

8. A day or more without being able to drink any liquids.

9. Heavy vomiting or diarrhea that lasts for more than 1 day or more than a few hours in children.

10. Black stools like tar, or vomit with blood.

11. Strong, continuous stomach pains with vomiting in a person who does not have diarrhea or cannot have a bowel movement.

12. Any strong continuous pain that lasts for more than 3days.

13. Stiff neck with arched back, with or without stiff jaws.

14. More than one fit (convulsions) in someone with fever or serious illness.

15. Weight loss over an extended time.

16. Blood in urine.

17. Sores that keep growing and do not go away with treatment.

18. A lump in any part of the body that keeps getting bigger.

19. In pregnancy; any bleeding during pregnancy.

20. Swollen legs and face and trouble with seeing in the last months.

21. Long delay once the waters have broken and labor has begun.

22. Severe bleeding.

Have a wonderful week………

ARE YOU HYPERTENSIVE?

2011-05-09T20:15:00.003Z

Hello people, its been a long while, forgive my laziness.

I do have a couple of things to discuss in the next few days, weeks, months and even years so i suggest you strap up your seat belts because we are going on this ride together.

Hypertension is a sensitive topic as it is one of the major killers of our time. Most people cringe at the topic and most just take it likely. In my humble opinion however, i suggest we take hypertension (AKA High blood pressure) very serious.

The plan is not to scare you, its just that we need to realize the importance of good health and appreciate it and try as much as possible to maintain it.

Hypertension is when blood pressure readings are consistently above 140/90. This is a very basic rule for determining whether the reading is high or not. There is more to it than this. But nevertheless, in its most basic sense, a reading is high when it exceeds these numbers. What about if the blood pressure exceeds just one of these numbers? This is where it gets a little dicey. So, let’s get a little deeper into the subject.

A blood pressure reading consists of 2 parts. The first part is the systolic reading. This is the top number. The bottom number is the diastolic reading. To an extent, the diastolic number is considered to be the more important one. Still, systolic numbers that run wild can also be very dangerous.

When a doctor takes your reading, the old-fashioned way, he pumps up the cuff on the patient’s arm to the point where the pressure exceeds what he guesses will be the systolic reading. He then slowly lets air out of the cup and waits until he picks up the sound of the patient’s pulse on his stethoscope. The point at which the pulse is heard is the systolic reading.

This is often very important piece of this specific theme. He then continues to let air out of the cuff until he can no longer hear the pulse. The point at which he can no longer hear the pulse is the diastolic reading. So, in essence the doctor is determining how much effort the heart is making to pump blood through the patient’s veins.

When your blood pressure is high, you give the heart a heavy workload and you know what happens when you over-work anything? you do the maths..

Furthermore, hypertension is usually a long-term concern. So, a lifestyle conducive to good health is one that puts little strain on the heart. But nevertheless, living many years with hypertension tends to wear out the heart.

Just like every other thing in life, high blood pressure has different ranged from mild to severe and even moderate.

Systolic: Under 100 = low

100 to 120 = good

120 to 140 very good

140 to 160 = mildly high

160 to 180 = high Over

180 = very high

Diastolic: Under 60 = low

60 to 70 = good

70 to 84 = excellent

84 to 90 = good

90 to 100 = somewhat high

100 to 110 = high Over

110 = very high.

Blood pressure rises with age in most Nigerians. It is prevalent more in the urban areas than the rural areas. In women, this trend is marked after 50 years. 1 in 10 Nigerian adults have high blood pressure, 1 out of every 3 are aware and 1 out of 3 of those aware are on treatment.

Hypertension has risk factors such as stress, Obesity, Alcoholism (which can lead to Heart failure, stroke, subclinical left ventricular dysfunction, Arrhythmias e.t.c.) smoking (vasculotoxic), low potassium intake, low calcium intake, high cholesterol diet, high NaCl (salt) diet and increase in Uric acid.

How do you prevent high blood pressure you may ask, abstain from smoking, either first-hand or second-hand, moderate intensive physical activity AKA exercising the body for at least 30 minutes 5days a week, maintain or attain a healthy body weight, and if you must take alcohol, please take in moderation because you also don't want to get your liver mad at you.

Try as much as possible to limit your intake of saturated fat and consume fish regularly. You also need to consume sufficient amount of fruits and vegetables regularly and in-addition, fiber-rich grain products and legumes. Finally, reduce salt intake as much as possible.

Medical treatments are essential and in most cases we combine 2 or more drugs for effectiveness, these treatments further reduce the risk of stroke, cardiac events and death, it may also improve the quality of life.

Please check your blood pressure every chance you get at any hospital or nearby clinic, health is wealth, stay stress-free and eat healthy....

Ciao

ANXIETY DISORDERS

2011-01-30T15:11:00.001Z

Anxiety is a distressing, unpleasant emotional state of nervousness and uneasiness; its causes are less clear. Anxiety is less tied to the exact timing of a threat; it can be anticipatory before a threat, persist after a threat has passed, or occur without an identifiable threat.

Anxiety is often accompanied by physical changes and behaviors similar to those caused by fear.Some degree of anxiety is adaptive; it can help people prepare, practice, and rehearse so that their functioning is improved and can help them be appropriately cautious in potentially dangerous situations.

However, beyond a certain level, anxiety causes dysfunction and undue distress. At this point, it is maladaptive and considered a disorder.Anxiety occurs in a wide range of physical and mental disorders, but it is the predominant symptom of several.

Anxiety disorders are more common than any other class of psychiatric disorder. However, they often are not recognized and consequently not treated. Left untreated, chronic, maladaptive anxiety can contribute to or interfere with treatment of some physical disorders.

Anxiety disorder is divided into generalized anxiety, phobic, and panic disorders; each has its own characteristics and symptoms and they require different treatment.

Generalized anxiety disorder (GAD) is a common chronic disorder characterized by long-lasting anxiety that is not focused on any one object or situation. Those suffering from generalized anxiety experience non-specific persistent fear and worry and become overly concerned with everyday matters. Generalized anxiety disorder is the most common anxiety disorder to affect older adults. Anxiety can be a symptom of a medical or substance abuse problem, and medical professionals must be aware of this. A diagnosis of GAD is made when a person has been excessively worried about an everyday problem for six months or more. A person may find they have problems making daily decisions and remembering commitments as a result of lack of concentration/preoccupation with worry. Appearance looks strained, skin is pale with increased sweating from the hands, feet and axillae (armpit). May be tearful which can suggest depression. Before a diagnosis of anxiety disorder is made, nurses and physicians must rule out drug-induced anxiety and medical causes.

In panic disorder, a person suffers from brief attacks of intense terror and apprehension, often marked by trembling, shaking, confusion, dizziness, nausea, difficulty breathing. These panic attacks, defined by the APA as fear or discomfort that abruptly arises and peaks in less than ten minutes, can last for several hours and can be triggered by stress, fear, or even exercise; the specific cause is not always apparent.A person experiences an unexpected panic attack, then has substantial anxiety over the possibility of having another attack. The person fears and avoids whatever situation might induce a panic attack. The person may never or rarely leave their home to prevent a panic attack they believe to be inescapable,extreme terror.

The single largest category of anxiety disorders is that of phobic disorders, which includes all cases in which fear and anxiety is triggered by a specific stimulus or situation. Between 5% and 12% of the population worldwide suffer from phobic disorders. Sufferers typically anticipate terrifying consequences from encountering the object of their fear, which can be anything from an animal to a location to a bodily fluid to a particular situation. Sufferers understand that their fear is not proportional to the actual potential danger but still are overwhelmed by the fear.

Agoraphobia is the specific anxiety about being in a place or situation where escape is difficult or embarrassing or where help may be unavailable. Agoraphobia is strongly linked with panic disorders and is often precipitated by the fear of having a panic attack. A common manifestation involves needing to be in constant view of a door or other escape route. In addition to the fears themselves, the term agoraphobia is often used to refer to avoidance behaviors that sufferers often develop. For example, following a panic attack while driving, someone suffering from agoraphobia may develop anxiety over driving and will therefore avoid driving. These avoidance behaviors can often have serious consequences; in severe cases, one can be confined to one's home.

Social anxiety disorder (SAD; also known as social phobia) describes an intense fear and avoidance of negative public scrutiny, public embarrassment, humiliation, or social interaction. This fear can be specific to particular social situations (such as public speaking) or, more typically, is experienced in most (or all) social interactions. Social anxiety often manifests specific physical symptoms, including blushing, sweating, and difficulty speaking. Like with all phobic disorders, those suffering from social anxiety often will attempt to avoid the source of their anxiety; in the case of social anxiety this is particularly problematic, and in severe cases can lead to complete social isolation.

Obsessive–compulsive disorder (OCD) is a type of anxiety disorder primarily characterized by repetitive obsessions (distressing, persistent, and intrusive thoughts or images) and compulsions (urges to perform specific acts or rituals). It affects roughly around 3% of the population worldwide. The OCD thought pattern may be likened to superstitions in so far as it involves a belief in a causative relationship where, in reality, one does not exist. Often the process is entirely illogical; for example, the compulsion of walking in a certain pattern may be employed to alleviate the obsession of impending harm. And in many cases, the compulsion is entirely inexplicable, simply an urge to complete a ritual triggered by nervousness.

Post-traumatic stress disorder (PTSD) is an anxiety disorder which results from a traumatic experience. Post-traumatic stress can result from an extreme situation, such as combat, natural disaster, rape, more serious kinds of child abuse, or even a serious accident. It can also result from long term (chronic) exposure to a severe stressor,for example soldiers who endure individual battles but cannot cope with continuous combat. Common symptoms include hyper-vigilance, flashbacks, avoidant behaviors, anxiety, anger and depression. There are a number of treatments which form the basis of the care plan for those suffering with PTSD. Such treatments include cognitive behavioral therapy (CBT), psychotherapy and support from family and friends. These are all examples of treatments used to help people suffering from PTSD.

Separation anxiety disorder (SepAD) is the feeling of excessive and inappropriate levels of anxiety over being separated from a person or place. Separation anxiety is a normal part of development in babies or children, and it is only when this feeling is excessive or inappropriate that it can be considered a disorder. Separation anxiety disorder affects roughly 7% of adults and 4% of children, but the childhood cases tend to be more severe, in some instances even a brief separation can produce panic.

THE CARE OF THE PRICELESS DIAMOND

2010-11-27T15:40:00.000Z

Having a blast one of those nights at a popular night club called "reloaded" with friends and my bladder became unbearably full, i ran to the bathroom and there was this mad queue. I waited patiently as the lady before me rushed in, i was zoo scared of the state of the bathroom but somethings gotta give so i just did the sign of the cross and waited.

It took about 4 minutes and the lady was finally out of the bathroom "sigh" i rushed in and i almost passed out at the odor that followed her out of the bathroom. I could feel my bladder about to erupt but there and then i had horrible thoughts screaming and running through my thick skull " Ojia, infection oooooo"

However, i used the bathroom and i kept wondering through the night was what kind of infection this lady had and how she let it deteriorate to the point where it was so foul to the human nostrils. I was puzzled for days and the bad part is the fact that she was so damn pretty.

There was this other time i went for a christmas house party where about 5 girls had to get dressed in the same room and this particular girl stripped down to her panties and the room went dark with fear and agony as we were in otter shock. The room became unbearable to everyone and the bad part was the fact that she didn't seem to understand why.

My obvious point here is the care of the " priceless diamond" (the VAGINA or private region as it is also called) has been neglected by a lot of women. It is one of the most essential part of a woman and should be given ultimate attention as we all know it is a sensitive part of the body and a "Birth Canal" too.

The care of the "priceless diamond" is basic, when a woman "urinates", a simple dab should be done and this helps prevent the DAMP irritating smell of urine. If you must use a public toilet, please squat and remember to dab with tissue paper or even a feminine wipe. Washing or rinsing off with water too can be very helpful. It is always advisable to have tissue in your purse or bag as a lady, just incase your present location does not have any.

The Urethra (that little hole where the urine comes out from) is 4meters long in females and 11meters long in males so its easier for a woman to contact infections, men can easily get away with using public toilets where women cant.

Furthermore, its a thing of shame if you have a lover who finds out that your "temple" is not neat or holy, but smells like hell. It can be embarrassing if "HE" never gets to talk about it and just ignores you from that point onwards and you would say "HE" used you and dumped you, when you have neglected to do the fundamentals of being a healthy lady.

Infections are a different ball game entirely, the different odors depend on the type of infection and the mode of treatment depends on the type of infection too. A quarterly checkup with a Gynecologist is encouraged and that way, the female genitalia is properly catered for. When a woman is itching, there can be different causes and different levels of itching as it can be external and internal, do not self-medicate on antibiotics without proper prescriptions from a certified Doctor or Gynecologist because some of these micro-organisms and bacteria which the antibiotics eradicates are essential organisms used in fighting other bacteria and when the antibiotics clears it all up, it leaves the VAGINA more susceptible to infections

Talking about shaving, this is an issue that is equally important, the priceless diamond should be mowed regularly but not completely sometimes because the hair down there serves as a cilia to help prevent some infections. It is easy to access the properties of this "DIAMOND" when the lawn is mowed and it makes it easy for your "LOVER" sometimes to explore this region.

Finally, there can be a lot of complications from a simple infection that can affect the reproductive system of a woman, it may seem like a simple thing to handle but it always gets worse with time especially when it is being neglected. A healthy woman is 10 times sexier than an unhealthy woman.

THE CRISIS

2010-11-17T08:03:00.000Z

My heart feels cold, numb with emotions when i see patients who suffer from the SICKLE CELL ANAEMIA CRISIS. The pain they go through is unexplainable and unimaginable, their cries hit every nerve in my body and i wonder why these things happen.

I was in the Pediatrics wards the other day and i saw a 7 year old boy who was so irritable and in so much pain, he wouldn't even let us touch him. His mother was rolling in silent tears as she didn't want to let him know she was broken by his pain and tears.

The truth is that this SICKLE CELLS can be prevented in many ways and the most important way to fix this is by cross-checking blood groups compatibility with parents before they get married or get involved sexually. In our society now, it costs almost nothing to do a blood test, to find out your GENOTYPE and PHENOTYPE.

Sickle cell anemia is an inherited disease. People who have the disease inherit two copies of the sickle cell gene—one from each parent. The sickle cell gene causes the body to make abnormal hemoglobin. Hemoglobin is an iron-rich protein in red blood cells. It carries oxygen from the lungs to the rest of the body.

In sickle cell anemia, the hemoglobin sticks together after it delivers oxygen to the body's tissues. These clumps of hemoglobin are like liquid fibers. They cause the red blood cells to become stiff and have a sickle, or crescent, shape.

If you inherit one copy of the sickle cell gene (from one parent), you won't have sickle cell anemia. Instead, you'll have sickle cell trait.
People who have sickle cell trait usually have no symptoms and lead normal lives. However, some people may have medical complications.

People who have sickle cell trait also can pass the sickle cell gene to their children. The following image shows how two parents who have sickle cell trait can pass the sickle cell gene to their children.When both parents have a normal gene and an abnormal gene, each child has a 25 percent chance of inheriting two normal genes; a 50 percent chance of inheriting one normal gene and one abnormal gene; and a 25 percent chance of inheriting two abnormal genes.

Example of an Inheritance Pattern for Sickle Cell Trait

Virtually all of the major symptoms of sickle cell anemia are the direct result of the abnormally shaped, sickled red blood cells blocking the flow of blood that circulates through the tissues of the body. The tissues with impaired circulation suffer damage from lack of oxygen. Damage to tissues and organs of the body can cause severe disability in patients with sickle cell anemia. The patients endure episodes of intermittent "crises" of variable frequency and severity, depending on the degree of organ involvement.

The major features of sickle cell anemia include:

Fatigue and Anemia
Pain Crises
Dactylitis (swelling and inflammation of the hands and/or feet) and Arthritis
Bacterial Infections
Splenic Sequestration (sudden pooling of blood in the spleen) and Liver Congestion
Lung and Heart Injury
Leg Ulcers
Aseptic Necrosis and Bone Infarcts (death of portions of bone)
Eye Damage
Other Features

The treatment of sickle cell anemia is designed according to which of the individual features of the illness are present. In general treatment is directed at the management and prevention of the acute manifestations as well as therapies directed toward blocking the red blood cells from stacking together. There is no single remedy to reverse the anemia. It is, therefore, important that family members have an optimal understanding of the illness and that communication with the doctors and medical personnel be maintained.

I woke up this morning with these thoughts in my heart and felt the need to communicate it to everyone and i am definitely glad i could accomplish it.

Lots of love.......

THE INFERTILE COUPLE

2010-09-13T20:12:00.000Z

Infertility is the inability to conceive despite adequate unprotected sexual intercourse for at least 12 months.

Many a time I watch Nigerian movies and how they tend to blame the women for their inability to bear children. Truth is: the fault lies both in male and females, you’ll never know till you visit the doctor.

A friend of mine once said “impotence is nature’s way of saying NO HARD FEELINGS”. –Lolade Adamson.

There are different grades of infertility; primary, secondary, sub-fertility and pregnancy wastage.

Primary infertility is when the couple have never had a pregnancy, secondary infertility when there has been a previous conception irrespective of the outcome. Sub – fertility is when there is impaired capacity for reproduction and finally pregnancy wastage, when the woman is able to conceive but unable to produce a life birth i.e. inability to carry the foetus to a viable age of 24weeks.

Infertility affects 10-20% of couples, “Fecundability” is the ability to achieve a recognised pregnancy within one menstrual cycle and only 20% of couples actively trying to conceive will be successful in a given month. Chances of conceiving in 6months is 75%, chances of conceiving in 1year is 85%. 10-15% however, require longer than 1year.

CAUSES OF INFERTILITY

Male factor approximates 40% and Female factor approximates 40%. Cause is unknown or problems exists with both partners can be approximately 20% and unexplained infertility where there are no abnormalities on either partner occurs in about 10% of couples.

Female infertility may be due to anovulation (no ovulation), unfavourable cervical mucus or blocked passage. Anovulation accounts for 40% of female factors and may be due to primary ovarian failure (PCOD), hyperprolactinaemia (high production of prolactin in the blood), hypothyroidism, e.t.c.

Male infertility may be due to abnormal sperm quality which may be due to X-rays, smoking, alcohol and medications. OLIGOSPERMIA (few spermatozoa in semen) may be due to congenital mumps, criptochid, tight clothing, and varicocele. It can also be due to blocked reproductive tracts which may result from infections (STD’s), tumors, congenital anomalies, vasectomy or retrograde ejaculation. Improper deposit of semen may be due to premature ejaculation and hypospandias (an anatomic abnormality where the opening of the penis is not properly located)

THINGS YOU MUST HAVE AS A FERTILE FEMALE

1. A normal sexual drive which permits sexual intercourse.

2. A normal vagina, cervical mucus and ovulatory cycle, unobstructed passage from the cervix to the ovaries. (patent fallopian tubes)

3. A Uterus that is capable of maintaining foetus (baby), capable of hormonal status to maintain pregnancy.

4. A normal immune response to accommodate sperm, conceptus and fetal (baby) survival.

5. Adequate nutritional, chemical, and health status to help maintain nutrition and oxygenation of the foetus (baby).

THINGS YOU MUST HAVE AS A FERTILE MALE

1. Normal sperm count, motility, biologic structure and function( sperm can penetrate cervical mucus and ascend, can penetrate ova)

2. An unobstructed reproductive tract

3. Ability to ejaculate and deposit sperm around the cervix i.e. adequate sexual drive and ability to maintain erection and have normal ejaculation.

However, there are some factors that affect reproductive performance, the age of the woman and man, coital frequency, timing of coitus, toxic agents, smoking/alcohol, medications, surgery lubricants, douching, multiple sexual partners, STD’s , previous pregnancy, sickle cell disease, nutrition and radiation.

Infertility can be prevented by avoiding multiple sexual partners, avoiding barrier methods of contraception and avoiding illegally induced abortion.

In conclusion, infertility is both a medical and social problem especially in Africa where a high premium is placed on childbearing. Management or treatment should be based on identifying the underlying pathology or problem for adequate therapy. There is a definite option of Adoption too.

Prevention of pelvic infection, STD’s and unnecessary pelvic operations will reduce d prevalence of infertility.

ACCIDENTAL POISONING IN CHILDREN

2010-09-10T02:05:00.000Z

I often wonder if it was the same God that watched over adults that watched over kids and to my surprise it’s the same big God. Children seem to get away with a lot of accidents especially when they put all sorts of things in their mouth.

In primary school, kids would put lead (from pencils) on biscuit and eat it and nothing would happen, some kids would play with sand and even eat some sand and nothing would happen. Have you ever tried to do same as an adult? Yea, I thought so.....

Most cases of poisoning exposures occur in children less than the age of 5 yrs. Almost all are accidental, reflecting the propensity for children in this age group to put virtually everything in their mouths. Majority occur in the home, & most involve only a single substance.

Ingestion is the most common route. Others are the dermal (skin), ophthalmic (the eyes), & inhalational routes (the nose). Poisoning in older children are much less common and are primarily intentional (suicide or abuse) or occupational in adolescents.

Most cases involve non-drug products e.g. household cosmetics, hydrocarbons (kerosene) & caustic soda. The remainder are pharmaceutical preparations e.g. analgesics (Paraceutamol, Aspirin), Iron tablets, cold & cough mixtures. Few children have ingested their parents’ oral hypoglycaemic agents and organophate-based pesticides (e.g. Gamalin-20^®).

More than 75% of poisoning exposures can be managed at home without direct medical intervention, because either the product involved is not inherently very toxic or the quantity of the material involved is not sufficient to produce toxic effects.

1. History: Name/ type of toxin, Amounts taken/ duration of exposure, Determine the age, Progression of Symptoms & Pre-hospital/ Home treatment protocol.

2. Examination: Weight of the victim, Vital signs, State of hydration, Urine output & Features of cardio-respiratory disturbances, shock, dysrhythmias, altered sensorium & seizures.

3. Management:

a. Stop further contact: Dermal (skin), ocular & oral decontamination by flushing the affected area with tepid (room temperature) water over a minimum of 10 minutes. For dermal exposures, mild soap & water can be used.

b. Prevent further Absorption:

i. Emesis (vomit) induction: with syrup of ipecac or concentrated salt solution (e.g. 3%). The onset of emesis is usually 20–30 min. For infants (6-12 months); 10 mL, children 1-12 yrs (15 mL) & 30 mL for older children & adults. Avoid if < 6 months.

ii. Gastric lavage.

iii. Activated charcoal.

iv. Cathartics: are commonly used in conjunction with activated charcoal to hasten the clearance of the charcoal-toxin complex e.g. sorbitol (max: 1g/ kg), magnesium sulphate (max dose: 250 mg/ kg), & magnesium citrate (max: 250 mL/ kg).

v. Whole Bowel Irrigation: involves instilling large volumes of a colonic lavage solution (e.g. Colyte) into the stomach to cleanse the entire GI tract.

c. Enhance elimination.

i. Diuresis.

ii. Ion trapping: alkalinisation (hpH) of the urine with IV bicarbonate increases the elimination of weak acids, such as salicylates & phenobarbital (phenobab). Alternately, acidifying the urine to increase the elimination of weak bases such as amphetamine.

iii. Dialysis. (Haemodialysis, peritoneal dialysis & haemoperfusion).

iv. Exchange blood transfusion.

4. Laboratory Evaluation.

For specific instances (e.g. salicylates, PCM, iron & alcohols) laboratory/ toxicological measurement is integral to the treatment plan. RBS, PCV (pack cell volume), E/ U + Cr (electrolyte/Urea/Creatinine), LFTs (liver function tests), clotting profiles & CXR (chest X-ray) are often helpful.

Hydrocarbon Poisoning (e.g. Kerosene)

This occurs at some homes because of the storage of kerosene (which looks like water) in bottles.

Aspiration usually occurs at the time of ingestion or following coughing, gagging or induction of vomiting. Little quantities aspirated (<1 mL) may produce significant injury. Pneumonitis does not follow dermal absorption or from ingestion without aspiration.

Aspiration Pneumonitis is characterised by coughing, which usually is the first clinical finding. Transient, mild CNS depression is common. CCF, headache, vertigo, ataxia, euphoria, & renal & hepatic damage may also be seen acutely.

CXR (chest X-ray); an initial film is usually normal but subsequent films may show features of Pneumonitis & much later, pneumatocoeles.

Emesis (vomit) or instillations of vegetable oils or mineral oil into the stomach in an attempt to prevent absorption are contraindicated. In hydrocarbon-induced (lipoid) Pneumonitis, corticosteroids may be harmful & should be avoided. Likewise, antibiotics should not be given prophylactically.

However, for superimposed bacterial pneumonia which occurs in only a small percentage of cases, antibiotics (penicillin) are helpful. Respiratory failure has been successfully treated with both standard ventilation & with ECMO.

Acetaminophen (Paraceutamol, PCM, Acetaminophen sodium)

PCM is the most widely used analgesic & antipyretic. Consequently, it is commonly available in the home, where it can be accidentally ingested by young children or taken in an intentional overdose by adolescents (in suicide attempts).

The acute toxic dose of PCM is > 150 mg/kg in children younger than 12 yr or > 7.5 g in adolescents & adults. In adults, renal damage & failure are also associated with long-term ingestion. Repeated doses of PCM at doses exceeding those recommended may lead to hepatic injury or failure in some children.

If untreated, patients who have acutely overdosed pass through four stages of toxicity. Early symptoms are non-specific.

Stages in the Clinical Course of PCM Toxicity

Stage	Time Following Ingestion	Characteristics
I	½ – 24 hrs	Anorexia, nausea, vomiting, malaise, pallor, diaphoresis.
II	24 – 48 hrs	Resolution of above; right upper quadrant abdominal pain & tenderness; ↑bilirubin, ↑Prothrombin time, ↑hepatic enzymes; oliguria.
III	72 – 96 hrs	Peak liver function abnormalities; anorexia, nausea, vomiting, malaise.
IV	4 days –2 wks	Resolution of hepatic dysfunction or complete liver failure.

Children younger than 6 yr fair better than adolescents. The mortality rate is < 0.5%. Most children survive without sequelae but severely affected patients may require liver transplantation. Prognosis worsens with concomitant alcohol use.

Please contact the nearest Hospital or clinic as soon as possible if your child or sibling has an accidental poisoning.

PREVENTION OF CERVICAL CANCER

2010-05-17T09:58:00.000Z

The cervix is part of a woman's reproductive system. It's in the pelvis. The cervix is the lower, narrow part of the uterus (womb). The cervix connects the uterus to the vagina. During a menstrual period, blood flows from the uterus through the cervix into the vagina. The vagina leads to the outside of the body.

Cancer begins in cells, the building blocks that make up tissues. Tissues make up the organs of the body.Normal cells grow and divide to form new cells as the body needs them. When normal cells grow old or get damaged, they die, and new cells take their place.Sometimes, this process goes wrong. New cells form when the body does not need them, and old or damaged cells do not die as they should. The buildup of extra cells often forms a mass of tissue called a growth or tumor.

Cancer prevention is action taken to lower the chances of getting cancer, hopefully, this will lower the number of deaths caused by cancer.CA Cervix is caused by the HUMAN PAPILOMAVIRUS.

The prevention of cervical cancer can be broken down into Primary, secondary and tertiary preventions. CA Cervix is most prevalent in females between the ages of 18 - 65.

The primary prevention basically deals with the education of young females about early sex, protected sex, Vesico -Vaginal fistula (VVF), HIV and personal hygiene. These lectures and conferences should be given at different intervals so as to ensure proper understanding.

The secondary prevention is basically about the screenings that can be done to prevent this cancer. The Pap smear is the most common of these screenings and should be done. The Pap smear should be done once every year for 3 years and if the result is negative, it should be done once every 3 years.

However, in under-developed areas where the pap smear cannot be carried out, there are other tests that can be carried out.

The tertiary prevention happens only when a pap smear is possitive.Identification of the cancer at the earliest stages and treatments should begin immediately to prevent further spread of the cancer.

For questions you would like answered, pls contact oj84xxx@gmail.com

ACCIDENTS AND EMERGENCIES 101

2010-04-25T20:55:00.000Z

Welcome to A&E 101.
The accident and emergency ward is the most important ward in the hospital. "first bus-stop when a patient arrives"

QUESTION
A 27 year old man was rushed into the A&E, he was involved in a RTA (road traffic accident), patient presented with bleeding to the left ear and a swollen left thigh and was semi-conscious.

Discuss the management of this patient.

MANAGEMENT
This is an emergency and the patient should be attended to immediately.
1.The basic ABC's (Airways, breathing and circulation)
2. A Glasgow coma scale should be performed immediately.
3. Check the blood pressure and control bleeding.
4. Set up an intravenous line infusing normal saline to avoid shock.
5. Set up another vein and take blood for baseline investigations ( full blood count, blood grouping and cross matching, packed cell volume, electrolyte/urea/creatinine, RVS (retro-viral screening) and urinalysis)
6. Insert a urinary catheter if the patient is unconscious
7. Specific investigations should be carried out. ( an X-ray of the head and neck(CT scan preferably), AP and Lateral x-ray of the left femur, x-ray of the hip joint)
8. Send an emergency consult to the surgical team.
9. Examine the 2 ears, examining from the right to the left.
10. Send an emergency consult to the ENT team (Ear, Nose and throat specialists)
11.When the patient is stabilized, take a good history from relatives or from him, Past medical history, drug history and allergies.

Thats all for now folks............
To be continued...
errrr, any questions????
cc @bumight @eneni @sexxydoc @docmurffy @ezzieb

REALITY CHECK ---- THE REAPER

2010-04-23T10:48:00.000Z

For death is but a passing phase of Life;

A change of dress, a disrobing;

A birth into the unborn again;

A commencing where we ended;

A starting where we stopped to rest;

A crossroad of Eternity;

A giving up of something, to possess all things.

The end of the unreal, the beginning of the real.

EDWIN LEIBFREED, "The Song of the Soul"

“Somebody should tell us, right at the start of our lives, that we are dying. Then we might live life to the limit,

every minute of every day. Do it! I say. Whatever you want to do, do it now! There are only so many tomorrows".

There is a time to be born and a time to die, just as Ecclesiastes said in his 3rd chapter in the holy bible and the characteristics of human beings "MR NIGER D " as we were taught in school, every living thing must die.

Those who think about death, carrying with them their existing ideas and emotions, usually assume that they will have, during their last hours, ideas and emotions of like vividness ... but they do not fully recognize the implication that the feeling faculty, too, is almost gone. The imagine the state to be one in which they can have emotions such as they now have on contemplating the cessation of life. But at the last all the mental powers simultaneously ebb, as do the bodily powers, and with them goes the capacity for emotion in general. It is, indeed, possible that in its last stages consciousness is occupied by a not displeasurable sense of rest.

It seems a strange and repugnant conclusion that with the cessation of consciousness at death, there ceases to be any knowledge of having existed. With his last breath it becomes to each the same thing as though he had never lived. And then the consciousness itself -- what is it during the time that it continues? And what becomes of it when it ends? We can only infer that it is a specialized and individualized form of that Infinite and Eternal Energy which transcends both our knowledge and our imagination; and that at death its elements lapse into the Infinite and Eternal Energy whence they were derived.

Death, is the reality we all run away from, it is inevitable and does not need to give a notice. What we do with our lives however is important. "live, love and learn" like my friend says "Ayanyinka Ayanlowo AKA Ayanyanks" Enjoy each moment and cherish them like treasures because you only have one life to live. Smile all you want, laugh all you can, do all the things that make you happy. The impact you have on the lives around you are but memories and they always linger.

Death is not the greatest loss in life. The greatest loss is what dies inside us while we live.Have the courage to live, anyone can die. Though difficult, try not to sleep with pain, hate and disdain in your heart. Dont hesitate to show love to everyone around you, tell your friends and family how much you appreciate them because they need to know. it is painful if you loved someone dearly and you never got the chance to tell them when they were alive. I was having a conversation with a friend yesterday evening and he said "you better appreciate me now that i am alive o" i thought deeply and said to myself "this is the truth and reality"

Finally, it is important to understand what grief is all about, and how to grief without hurting other people in the process. Grief is an important part of life just like death is. Grief is hard, it can be broken down into different stages and phases, the shock and denial, pain and guilt, anger and bargaining, depression, reflection and loneliness, the up-ward turn, reconstruction and working through and finally, acceptance and hope.

Have a blessed day......

#ENOUGH IS ENOUGH

2010-04-15T19:20:00.000Z

Woke up feeling lazy and laid back, the sun was shinning to bright, the heat was truly hot. lol.

took a good bath and rushed out of the house, "where was i going? " i thought to myself, the rally "yay i'm so excited about this"

Got into a yellow and black taxi and headed straight to the "Arch Bishop vining church " in GRA Ikeja. On my way, i stopped by a pharmacy to get some lucozade sport drinks and some bottles of water "just in case i would need them ". Just as i arrived there i ran into a couple of fun faces i knew, exchanged pleasantries and took some pictures with my friends.

Shade, hmmmmn what can i say about her, " she just cool like that". She told me there was an ambulance available and it felt so cool to be a volunteer, saw this doctor walking around in scrubs as i whispered to osaghie "his he supposed to be performing an open heart surgery on this field?" we laughed bout it and i understood it was a way to identify himself as a medic. (i thought that was cool though)

Dr Dayo Osholowu and i proceeded to the ambulance and discovered the absence of a first Aid kit so we decided to go in search of "the basics".

The match was going on and we walked behind the crowd initially, after what seemed to be 20 minutes, we had to walk up to the front-line to find out if everyone was alive and well.. (trust me, this part was not so much fun, but it was energetic).

Futhermore, we had to run at some point to catch up with the front-line, and go back again to make sure nobody had fallen or sprained an ankle along this long walk.

Finally, we approached the finish line, "lol Alausa toh behd" and lots of people seemed tired and drained of whatever fluid they had left in them. We (Dr. Osholowo and i, gave out water to kill the thirst, and some glucose to as many people as we could) I was tired, to be truthful but i knew i still had work to do. Below, is the summary of the reports "from the doctor's point of view"

Enough is enough Rally Medical Report

Prepared By

Document Owner(s)	Project/Organization Role
Dr Dayo Osholowu	Medical Officer
Dr Ojia Adamolekun	Medical Officer

1 Rally Medical Report REPORT PURPOSE

Project Closure Report Purpose

This enough is enough rally Medical Coverage Report is the final document produced for the project and is provided for rally organizers to assess the success of the Medical Coverage, identify best practices for future rallys, resolve all open issues, and formally close the project.

2 PROJECT CLOSURE REPORT GOALS

Project Closure Report Goals

This Project Closure Report is created to accomplish the following goals:

· Review and validate the milestones and success of the medical coverage.

· Confirm outstanding issues, risks, and recommendations.

· Outline tasks and activities required to close the project.

· Identify project highlights and best practices for future projects.

3 PROJECT CLOSURE REPORT SUMMARY

3.1 Project Background Overview

Project Background Overview

·The Enough is Enough rally was an organized rally of 2500 plus youth held in Lagos Nigeria on the 13^th of April 2010. The event was a 2.5km walk from Archbishop Vinning Ikeja Lagos to Alausa Ikeja Lagos.

3.2 Project Highlights and Best Practices

Project Highlights and Best Practices

Project Highlights:

· No mortalities recorded

· One medical emergency required evacuation to Lagos State University Teaching Hospital. Collapsed Patient from dehydration later recovered fully

Best Practices:

· Coordinate with Medical referral Centers in rally area

· 2 ambulances required to cover for multiple casualties

· Water provided for anticipated crowd numbers

· Preferred Health professional to Person Ratio 1:100

· Pre departure Health and Safety Brief

3.3 Project Closure Synopsis

Project Closure Synopsis

·[The medical coverage was a success as Primary medical care and first aid was available. Presence of Emergency Ambulance for evacuation and coordination with tertiary medical centers in the Area averted death and sever injuries

PROJECT CLOSURE TASKS

Resource Management

Resource Management

· Only unanticipated cost factor was cost of Admission for transferred patient

Lessons Learned

Lessons Learned

· The coordination of health professionals and presence of Ambulance were instrumental in preventing death of Collapsed patient

· Adequate budgeting for emergency admission and additional ambulance for Back up coverage

ZZZZZZZzzzzzzzzzzzzzz

STOMACH ON THE RUN

2010-04-03T17:39:00.000Z

Here i was, packing up and getting ready to round up my stay in Ile-ife, i stopped for some strange reason and decided on reading a few more topics in my obstetrics and gynecology notes. My belly starts to sing to my brain in a very unharmonious tune "hunger, e no get enemy o" i ignored this rantings and thought to read some more....

A knock came on my door and i was hesitant. In my head i thought, "who the hell is that right now? mscheeeew" oh it was my brother and he said "sis, u already packing up for lagos?" "yes o, as soon as we done with this exams am howdy".

Another knock came on the door and now i was confused, "who's at the door"i called out and then he says "Dr Moyo" and then i'm seriously wondering why he is visiting and who told him i lived here. He walks in with all the pride he must have and sits on my bed uninvited and there, my day was already going funny on me. i tried to be as nice as i could (cos i was obviously not in the entertaining mood) and asked if he wanted a drink.

I opened a bottle of red wine and handed him a glass. My brother and i shared a second glass simultaneously. We discussed topics and then Lagos parties (hmmmmn i didn't know he had it in him because i had perceived him to be some sort of geek and i wonder why. Maybe because he wore very funny looking recommended glasses).

The hunger song began again and this time we were talking about gastro-enteritis. My brother asked if i had eaten all day and i said no, my colleague immediately suggested "BUKA"( a place on the main campus i had heard about but never eaten from). I was glad they offered to bring me food but i was skeptical about the location, he persuaded me to try it out that it was wonderful and i finally succumbed and yes, they set out.

I was sincerely glad i was alone in my room again and continued some more reading while listening to music alongside, waiting for my food too. some hours later, they showed up, with 2 extra colleagues of ours and my steamy-hot food of fried-rice, jollof rice and fish. I could not eat it right away so we all laughed at funny jokes and revised some topics together and it was fun.

Finally, they all left and i loved the quiet once again. I took a nice shower and decided it was time to eat. Opening the food didn't give me much of an appetite but i knew i had to eat so i took some spoons and had a bottle of coke. I kept what was left of my meal and glanced through some more pages.

It was time to sleep, so i put up some tweets and decided to watch a movie on my laptop when it started, my stomach put up a worse tune "ojia, you have killed me o, O ti pa mi o "and i thought to myself, "this don't feel right"

I raced off to the toilet immediately, trying so hard to take a shit, but it just won't come. i had some water and some more water and tried so hard to concentrate on my movie. Finally i ran to the bathroom and threw out every single thing i had eaten, simultaneously using the toilet. Spending approximately #30 minutes in the bathroom, the episodes were over, gosh i felt drained and weak.

Thanking God i took a clean shower again and took 2 tablets of Immodium. what a night..........

CONTRACEPTIVES.....

2010-03-23T22:35:00.000Z

Most people hate the small talks of contraceptives, well i hate to burst your bubbles but, "we cant hide from these things".

Sex is a very interesting topic, but more interesting when there are no complications to it and the regular "oh had i known" thoughts wont have to be an issue with contraceptives...

Prevention is always better than cure......

There are the NATURAL contraceptive methods that do not rely on use of any device and medications whatsoever to prevent pregnancies. this method however is the oldest form of contraceptive known to man. "i'm sure you are wondering what it is" Its called ABSTINENCE, although thats really very difficult given this wonderful generation of ours. FERTILITY awareness, and even WITHDRAWAL methods.

ABSTINENCE, is the voluntary refraining from sexual activity as a means of preventing pregnancies. #Justsoyouknow, its the only contraceptive method that is 100% effective in the prevention of both pregnancies and the transmission of sexually transmitted diseases (STD) "how boring right?"

WITHDRAWAL method, this is when a man removes his penis from the woman's vagina before ejaculation "meaning before he cums... lol". However, this method can be less effective..

FERTILITY awareness method "AKA family planning" uses the natural functions of the body and menstrual cycle to calculate ovulation "pretty boring if you ask me, taking pills everyday."

Furthermore, there are the BARRIER methods of contraceptives which could be either CHEMICAL or PHYSICAL, designed to stop sperm from racing straight to the uterus "aren't they just too athletic? lol".

These BARRIERS include CONDOMS { male and female}"i'm guessing we all know them", SPERMICIDES, DIAPHRAGM, CERVICAL CAPS, CONTRACEPTIVE SPONGES, IUD's (intrauterine device).

The male condom, is "by popular demand" the most commonly used method, it is a tube of thin material(latex to be precise) worn over the ERECT penis prior to contact with the vagina. Well guess what????? Its only 86% effective.

The female condom on the other hand is a 7-inch long pouch of polyurethane (synthetic plastic ) with 2 flexible rings and is inserted into the vagina prior to sex. it actually covers the immediate area around the vagina, the cervix, vaginal canal and guess what????? Its only 79% effective.

The diaphragm is a soft rubber dome stretched over a flexible ring and it is filled with spermicidal cream or jelly " i think it means sperm killer if you ask me". It is inserted into the vagina and placed over the cervix at least 3 hours prior to sex. Guess what???? its about 80% effective.

The cervical cap is a small cup made of latex, rubber or plastic, "errrm the choice is yours" It is also filled with spermicidal cream or jelly and inserted into the vaginal to be placed on the cervix "you can even let him do it for you, it should be fun hehehe, just see it as a form of foreplay"guess what??? its about 70% effective.

The intrauterine device (aka IUD coil) is a metal or plastic device inserted into the womb " this one should be done by a professional o joooh o!" guess what??? its about 96% effective. BUT, there are risks of getting caught up with infections.....

The spermicides are chemicals designed to bring about the DEATH of sperms and they come in form of foam, foaming tablets, jellies, and vaginal suppositories (theobroma oil) and guess what???? its about 74% effective.

In addition, there are the HORMONAL contraceptives and they are commonly used by women rather than men and can be introduced into the woman's body in different ways : orally, vaginally, transdermally "through injections or even implants". there are the oral contraceptives, non-surgical devices, intra-uterine devices, injections and surgical devices......

Oral contraceptive pills, there is "THE PILL" which has to be taken daily at exactly the same time, "POP" AKA the morning after pill. "in case you're wondering, they are not 100% effective too.."

The contraceptive patch however is applied to the skin and worn continuously. It is changed each week for 3 weeks and removed for 1 week. the same applies for the contraceptive vaginal ring aka nuva ring and the only difference is that it is inserted into the vagina as it's same signifies.

I hate injections but if you love needles, then Estradiol is just cool. Its an injection of progesterone taken monthly, while Depo provera ( also a progesterone injection) is taken every 3 months. "the choice still remains yours".

If you are bold enough, then surgical implants are extra cool, where 1 or more flexible rods containing progesterone are implanted under the skin, just like Norplant, Jadelle, and implanon. of course you should also put on your jogging snickers cos you might just add some uninvited fat.

Finally, there are the PERMANENT contraceptive methods "clears throat" aka "sterilization" which is a surgical procedure, usually permanent in which an individual is made incapable of reproduction. this method can actually be done to both sexes "man and woman oh".....

In the woman, the surgical closing of the fallopian tubes aka tubal ligation and in the man, surgical closing of the tubes that carry sperm (vas deferens) by a process called Vasectomy........

I walked down the Obstetrics and gynecology wards today and came across a small quotation "More people die from pregnancy than the effect of contraceptives" by David Paintin, British Chairman, birth control trust...

Ciao.....

I'VE LEARNT

2010-03-22T15:39:00.000Z

Learning is a process, its not compulsory.......

We learn for ourselves, and share this knowledge.

Its wiser to learn from other peoples mistakes than to learn from ours.

I've learnt that just because someone doesn't love you the way you want them to, doesn't mean they don't love you with all they have.

I've learnt that you should always leave loved ones with loving words. it may be the last time you see them.

I've learnt that we are responsible for what we do no matter how we feel.

I've learnt that we don't have to change friends to know that friends change.

I've learnt that no matter how good a friend is, they are going to hurt you every once in a while and you must forgive them for that.

I've learnt that true friendship continues to grow, even over the longest distance. The same goes for true love.

I've learnt that you can do something in an instance that can give you heartache for life.

I've learnt that it's taking me a long time to become the person i want to be.

I've learnt that you can keep going long after you can't.

I've learnt that either you control your attitude or your attitude controls you.

I've learnt that regardless of how hot and steamy a relationship is at first, the passion fades and there'd be something else to take it's place.

I've learnt that heroes are people who do what has to be done when it needs to be done, regardless of the consequences.

I've learnt that money is a lousy way to keep scores.

I've learnt that sometimes the people you expect to kick you when you're down will be the ones to help you get back up.

I've learnt that sometimes when i'm angry, i have the right to be angry but that doesn't give me the right to be cruel.

I've learnt that maturity has more to do with what types of experiences you've had and what you've learned from them and less to do with how many years you've lived.

I've learnt that it isn't enough to be forgiven by others. Sometimes, you have to learn to forgive yourself.

I've learnt that no matter how bad your heart is broken, the world doesn't stop for your grief.

I've learnt that our backgrounds and circumstances may have influenced who we are, but we are responsible for who we become.

I've learnt that just because 2 people argue, it doesn't mean they don't love each other and just because they don't argue, it doesn't mean they do love each other.

I've learnt that you shouldn't be so eager to find out a secret. it could change your life forever.

I've learnt that your life can change in a matter of hours by people who don't even know you.

I've learnt that even when you think you have no more to give, when a friend cries out to you, you will find the strength to help.

I've learnt that the credentials on the wall do not make you a decent human being.

I've learnt that the people you care about in life are sometimes taken from you far too soon.

These are the lessons my friend, "AJIBOLA AYANA OLUBIYI' learnt. She decided to share with us all.

Thanks for allowing me post these lessons on my blog........

RANDOM THOTS

2010-03-05T14:29:00.001Z

I believe in Angels

I believe in miracles

I believe in coincidences

I believe in second chances

I believe in like at first sight

I believe there can be fairytale endings

I believe in children

I believe in true friendships

I believe in true love

I believe in beautiful minds

I believe in good health.

IMOLE

2010-03-03T03:21:00.000Z

The thoughts of you brings tears down my cheeks!
I blush with pain.
Its so amazing how you held my hands when i felt so alone,
words cant express how i feel.
You were my sunshine,
my knight in shinny armour,

my 1 big hero,

You never brought me sorrow.
Helped my baby feet take those fragile steps.
I was never afraid to fall 'cos i knew u were right there beside me.
I never got to tell you this when you were around but now i wish i did!
I LOVE YOU IMOLE
ln your loving and warm memories............

N.B IMOLE means light and special thanks to Henry (the4eyedmonk) for his help in publishing this poem and teaching me how to blog.

THE GREAT LOSS........

2010-03-03T00:36:00.000Z

"Affliction shall not rise a second time" says the lord.

It was about 6am on saturday the 16th of may 2004, my phone was ringing so loud i had to get up, it was my mum and i was wondering why she was calling me that early. i picked up my phone and said "good morning mum" she replied in a troubled tone and said "good morning baby, sorry i had to wake you up but this is really important and i want you to listen carefully" i sat up immediately and i said "mummy, is there a problem? is everything alright?" "i just had a terrible dream about your brothers that one of them had a bandage around his head and his right tigh."

Now, at this point i was worried because my mum is a prayer warrior and i had known with time that her dreams were to be taken very seriously. she continued saying "please tell them not to get into any fight with anyone pls, i am going to be at uncle dele's wedding but i'll fast and pray allday today for them. Please get this message accross to them as soon as you can. i love you baby" and i replied saying "i love you too mum and il call them right away."

I got up immediately after my mum's call and dailed my younger brother's phone and my elder brother picked it up and i narrated mum's call and told him to pass the message on to our younger brother. He was also worried because we always took dreams from my mum very seriously. He had just finished his 3rd year in medical school and the results were out.

The next day, which was a sunday morning, my brothers went to church (BLW in igbinedion university) and came back to their hostel at about 11am. Marvin Solomon, a friend of ours from lagos who also attended igbinedion university had just arrived from lagos with a car hire from 1004 estates where he lived and the taxi was to return to lagos immediately so my elder brother decided to take the free ride home with his excellent results in his 2nd MBBS.

They had driven out of the school gate towards the community bank in okada (1minute from the school gate) when a mechanic was test driving a car and ran into their car. The school hospital was just 2 minutes away and people around the area immediately rushed my brother to the hospital as the doctors said "he needs to be referred to UBTH immediately because he has a head injury and his right femur has been fractured, he is also comatosed so pls wait for the ambulance". At this point, my younger brother was already with him, he called me asap to give me a feed back on the true situation as i was not with them but in lagos to collect fresh orders of the "GLITZ" magazine i did weekend jobs with.

My mum called me "Ojia, please head back to school right away to see what exactly is going on please" and at this point, pandemonium was an understatement for what i truly felt. Andrenaline pumped through my system like oxygenated blood. The ambulance had still not arrived and we had to move my brother to the teaching hospital in Ugbowo Benin. I literarilly ran to Edegbe line to meet with the last bus but they had closed, so did eagle line and delta line because it was a sunday evening already. the ambulance never came BTW (by the way) and my younger brother Irawo had to get my elder brother Imole to the teaching hospital with help from Wale Ojo, a 4th year computer science student of the institution who had a car.

Events changed as he got to UBTH as he was placed on oxygen immediately, a colar round his neck and bandages roung his forehead n right femur just as my mum has said in her dream. Irawo spent the night in the ICU with Imole as we spoke on the phone every 20 minutes talking bout his vital signs and if he had woken up from the coma. My parents on the other hand were saying prayers and also calling us for more news on his comatosed state.

The next morning, i got up from my bed, (oh, i didnt get any sleep at all) after saying all the prayers i knew best with all my heart, heading straight to Eagle line in yaba with a collegue of mine called Vivian Gilbert (now Mrs Vivian Kenedy) and just as we were crossing the road Irawo called me and said "Ojia there's no use he is dead" i asked him gently in the calmest voice i could use to check again that it couldnt be. He repeated the same statement with him wailing for the first time in his life. I was in the middle of the road and i started wailing and screaming from my insided and cars just kept going left and right away from me like as if they had just seen a mad black woman in rage.

Vivian dragged me off the road to the car-park as we managed to chatter a 504 station wagon to okada. The jouney was the worst i had ever encountered. We sang worship songs to God as i also question him as to why he could let this be. We got to Okada and i went straight to see irawo and held him with all my heart as we cried in each others arms as he was now my only brother.
We went straight to Benin where my Dad's cousin (An Aglican priest) was awaiting our arrival, lolade Adamson and Bukola Afariogun were with us at this point.

Sleepless in seatle was my case as i had to type out the program for the internment which was to hold the very next day. Finishing the program about 4am that morning i tried to nap for that day would be a day we would have to be strong for.

Uncles and Aunties flew in from lagos that morning with letters from my Dad to be read at the internment, and Imole's final resting place was put together. However, after the burial, a student stood up and said she had something very important to say, we all listened as she said " i am so happy today and i want you all to be happy " at this point, i felt like giving her the beating of a life time but i was compelled to listen as she continued " Imole and i met for the first time yesterday in church and why i am so glad is because he rededicated his life to God yesterday and i was his councellor and we prayed just 30 minutes to his accident and i can proudly tell you that i know he is resting in God's bossom for that is the ultimate." I ran straight to her and gave her a hug and said "thank you."

"He was born on the 18th day of April 1983 and he died in God's bossom on the 17th of May 2004 and was burried on the 18th of may 2004" His name......... Imole Seth Ajileye Adamolekun.

Please i use this opportunity to appeal to the Nigerian Government to please equip all hospitals with constant light, {#Lightupnigeria} and Ambulances and Good doctors for if my brother was given some Rescusitation, he would have survived.
If the ambulance functioned, he would have survived.
If there were no reckless drivers he would have survived.
If there were airbags in the cab, he would have survived.
This could have been anyone's son, brother, and friend.

Stay blessed.......
N.B :This is a true life story

THESE THINGS DO HAPPEN.

2010-02-27T19:23:00.000Z

Soooo, my day was soo dull, my heart skipped 3 beats when it flashed back to the male, female and peadiatrics surgical wards.

Woke up pretty hungry, and angry "dunno why i was soo hungry" sunny day, grouchy, "girls are not smilling"

had a few random thots, some were definately good and some were naughty (make ur mind no drift o).

This lovely evening, I packed up 2 fresh thongs and a redhot shawl, "going to spend the evening @ a friends place" oh yea, hygeine first.

"Nothing as clean as fresh underwear, regardless of what Dr whatever advices on the radio."

I walked down the stairs SMA (shaking my ass) and just as I approached the hospital gate, I saw a woman sreaming in a yello taxi and I tried to find out why,( major tatafo) hmmmmmn, I wish I didnt.

I was in my 6th year, attached to millitary hospital Ikoyi for my senior postings for 6months. I was in the obstetrics and gyneacology department so I definately recognised the woman who was wailing in pains when she said "Doctor, pls my baby, ye o ah!” I tried to avoid eye contact but it was too late so I asker her "madam, when did your water break? And where are you coming from?" angry thots running through my head like "why didn’t I just walk off? Why did I need to care?"

The expectant mother answered in tears and my heart skipped another beat “doctor, about an hour ago. Please help me I am coming from aja and there was traffic."

Trying my best, with her husband speaking in tongues we managed to get into the hospital elevator and the destination was the 4th floor.

Talking to the woman in labour, I appealed to her saying “madam please do not push till we get to the 4th floor." she noded in agreement but did otherwise due to the unbearable pain.

Furthermore, the elevator got stuck as NEPA struck "#lightupnigeria" and i had to take the delivery before the hospital generator came on. Without much effort, a cute baby boy bounced out to the warm shawl i could grab from the new mother's hospital bag.

However, a complication did occur as soon as the elevator opened wide, i couldnt deliver the placenta cos her bladder was full. (I know this sounds gibberish to you) so with assistance from the cool hot nurses we lifted her from the elevator to the front of the wards and delivered the placenta after 45mins. (Trust me, the details are not so interesting)

mother and baby were in good health and were extremely grateful. Husband was still speaking in tongues BTW (by the way).

My night was ruined cos i smelled of liquor, (amniotic fluid) and i felt irritable. I thought to myself "why do I always find myself in funny situations all the time?"

Finally, I went back up my stony stairs, took a warm bath and went straight to bed with a feeling of satisfaction" I had 2 lives in my hands and God's grace saw me through".

"Did I mention this was my first non assisted delivery ever?"

#lightupnigeria.

Have a blessed day.

ITS ALL ME...

2010-02-25T08:47:00.001Z

I’ve heard that some people dont see me as a doctor, cos they are
probably wondering how i could go through med sch and still "party
hard".
Truth is I was in Med school for 8years altogether cos at some point I
lost my calender #dontjudgemeo#
I am Dr Ojia Adamolekun, just so you know.
My Parents call me the "Bluerose" and only call me Ojia when I’m in
alot of trouble (which is like 7/10 times) hehehe.
"I dont know why am writing this blog or why I even started it” but I’ve been to the best shows, funkiest parties, and even dated amusician. (All in this same 8 years o)
I’ve been to a video shoot, "oh yea you know that already right?" even
though some of the video did not see the light of the day but i saw
"light", "camera" and enjoyed loads of action.
I have rocked lovely dresses and graced loads of red carpets, but above
all these, something gives me joy, something makes this "party-loving
doctor" tick, something gives me inner peace.........
It is definately my love for humanity. I remember the day i had my
dissertation and the last professor asked me "why do you want to
become a medical doctor?" I was suprised this question was part of my
assessment and I said to him with a cute smile on my face "sir, i have
a strong and unbreakable passion for humanity" he smiled back at me
and said "well, medicine is a noble profession and i hope to see you
soon" i couldnt believe it. In my head at that moment i remembered a
friend of mine and the word "Noble" clicked, remember him? "Noble is
my dude?”
I have made great friends along the way and definately lost some.
Some friends have touched my life in interesting ways and oh, I’m not
all bravo woman cos i have also made mistakes. (Errrm not
that bad sha!)
Had some embarassing moments just like every other person and some were
just ridiculus like this night i had a friend over at mine "Did i
mention my friend's sex? Oh well, you decide" I was so Hungry and i
just had ijebu garri, 2 satchets of peak milk, sugar and cold water
(student life no easy o) I offered to make the garri cos i had plans
*evil smile* but they backfired. I made creamy cold garri toh behd and
gave it to my friend first so we could eat up together. He tasted it
and gave me a blank stare like someone who was suffering from a
cerebrovascular accident and then he insisted i taste it immediately.
Feeling good with myself i thought deep in my head "this garri must be
extremely sweet" to break the camel's back "pata pata", i tasted it
and spat it out all over his face.
Apparently, i put 3 spoonfulls of salt instead of sugar. I was soo
embarassed; i never picked his call again.
Now. am all tucked and ready to sleep but still thinking of those out
there who still dont have a roof and pray earnestly so it doesnt rain
tonight.
To my ladies toh behd. "Pls always remember to clean up and take a
bath at least twice a day, and yesso, i know it’s not easy but if you
must, practice safe sex" and to my hot boys, "E no de show for face
oh, pls use a condom"

Always remember, Health is Wealth......

YESTERDAY......

2010-02-24T13:43:00.000Z

Alot of things happen on a daily bases,
the things we can control,

and the things we cannot.

My imagination grows wide as to what could have been and what really happened.

The yesteryears cannot be changed,

but we must work hard for d morrows.

Innocent blood spilled over and over,

when will this malicious act stop?

We are the future,

so we were told by the people before us,

but we act like the past.

When will these bleedings end?

When will we stand up firm for what is right, even if we stand alone?

What we do to one another has a ripple effect on our lives and the ones after us.

What we stand by today,

becomes yesterday by tomorrow.

Why are there robbers?

Why are there assassins?

Why are there drunk drivers?

Somewhere along these yesterdays,

someone forgot to be their brother's keeper,

Some parents forgot the value of home training,

The government got greedy,

We say we believe in God n yet we do not act the path.

We have sold our conscience to the frivolities of life.

We want to drive the posh cars while the poor remain poorer.

What future do we plan for ourselves if we do not take care of today?

We point our hands to the government,

but we forget that they were also once the youths of yesterday.

It all starts now.

I will stand up for what is right even if i stand alone,

Iwill fear God for in doing that i will become wise,

Iwill be my brother's keeper,

Iwill help the poor in the best ways i can,

and i will show love to the sick.

The future starts now.

What can you do?