Quelme:
damn you idiot... Clinicians are only good at superiority contest with other medical workers...

Crocz:

Miss...little things like empathy which the doctors both superior and the underling lack could have saved the little lady...but he came here to tell us story how he and his superior practically murdered the young lady.


What exactly does he want people like me to say, tell him he's done well?

chrisdstar:

pple shud learn 2 talk about things they know about.the op said he is a house officer.the govt hospitals are structured in such a way that a house officer are answerable 2 a junior resident drs,d junior 2 a senior and d senior 2 a consultant.the house officer isn't a full staff of d hospital and as such,acts as ordered

Crocz:

Shame on you too

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

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

Chinwem:
As 'bitter' as you claim your experience as a doctor was today,
It's nowhere near as bitter as the young lady who lost her life or the young man robbed of his fiancé under your watch

cramjones:


If the idiotic OP does that, I would make sure Gov Ambode gets him arrested. He is killed the victims from his actions and inactions. Nonsense!

-CramJones

xavier0327:


As in eh? I tire....i would save lives first!!! Medical doctor indeed!! What's the worst that can happen? ?? You get fired? Won't you have some consolation at least that you did the right thing? You are coming here to lament!! Mstheeeew!

cramjones:


You still don't get it...do you? Why did he make the call in the first place? Is that what a first-on-call suppose to do on sighting accident victims. What happened to the ABCD of resuscitation? What happened to being the first on call? How did he know his limit when he did not even set a simple line? Even if he was referring shouldn't the patients at least have a line for IV access? Are you really defending this profoundly dumb and criminal action by the OP? Are you really that stuupid?

-CramJones

RedCapChief:

If you can't answer the question, just say so. Don't hurl insults. It is impolite



For sure you will get a fair hearing. They will ask you why you disobeyed a superior order to refer the patients. You will tell them you wanted to 'save life'. God help you if just one of the 7 patients developed a complication or died why you were trying to 'save life'. They will tell you that the patient may have lived if you had obeyed your senior and referred on time. They will tell you there is no room for superheroes in medicine. They will then starting debating how long to seize your license for. If you are a HO with only a temporary license, then gbese re o!

Venom104:
Cover your head in shame Doctor... All you did through out the ordeal was to go buy airtime, you administered nothing as the so called doctor that you are to relieve any of the patients form their suffering.

Typical Nigerian doctors... Heartless and lack love for fellow human life.. They are just there to make money.

cramjones:


You still don't get it...do you? Why did he make the call in the first place? Is that what a first-on-call suppose to do on sighting accident victims. What happened to the ABCD of resuscitation? What happened to being the first on call? How did he know his limit when he did not even set a simple line? Even if he was referring shouldn't the patients at least have a line for IV access? Are you really defending this profoundly dumb and criminal action by the OP? Are you really that stuupid?

-CramJones

Chinwem:
As 'bitter' as you claim your experience as a doctor was today,
It's nowhere near as bitter as the young lady who lost her life or the young man robbed of his fiancé

Leopantro:


Please note that I have not insulted you but let me educate you as you are hell bent on showing your ignorance.
In UK and USA you keep quoting, in events of mass casualties a code is called. That code is call all doctors in the location to provide support because the number of casualties are beyond the capability of the ER doctors. Also note that in UK or USA, the emergency room has more than one experienced doctor always on ground but in this case only one doctor was in the ER. Finally, in UK and USA you keep quoting, the ambulance service would have stabilised the patients before presenting at the hospital. Here, the patients where in the booth of a police jeep
watch HOUSE or Gray's anatomy.

Leopantro:


Instead of insulting him, insult the policy that does not have in place emergency care for accident patients. We keep quoting civilized countries but what has your country put in place for such situations? The only thing he could do from your list , he did it I.e examination. There are hospitals in Nigeria without oxygen cylinders, blood or blood products or drugs for normal patients. Every other thing on your list requires money, who will pay? The hospital should have a plan for such events but obviously they don't. Is it the doctors fault that the hospital is ill equipped for him to save lives. He not only has a conscience that he called other doctors to help at least he knew his limit. I know of government hospitals that will not allow you to enter the hospital ;from the gate you will be referred to another hospital. You could use his story as a rally point to demand efficient health care in our hospitals but it is better to attack the messenger.
Until we call a spade a spade Nigerians will continue to suffer.

cramjones:


An incompetent doctor killed a patient for his inactions, and is calling on government to help him resuscitate patients, and you think it is rocket science that this doctor does not deserve to be in prison?

-CramJones

Leopantro:
I give up.

My brother of the stethoscope, don't give up. All this outrage is founded on ignorance.

RedCapChief:


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

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

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

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

klassiquette:

Not wen the people in power are not doing the necessary things to aid the medical needs of the masses ....

cramjones:


Thank goodness you said the patient would have been stablized in the ambulance in developed world - the more reason why he should have attempted to stabilize the critical ones he triaged since that did not happen in Nigeria. In this case, come down your high horse - we are in Nigeria, we are not in the UK or USA. There is no red code in our ER, there is paucity of doctors and nurses. In this case calling his other house officers was good to help, but then get to work before calling your second!

-CramJones

Analysiscorner:
This your name sha!

eyinjuege:


I seem to agree with your comment.

There really is a policy on ground that emergency cases are treated as such, and at least basic treatments should be started in a public institution.


Op, don't you guys have an emergency tray in your A&E?
Wasn't your pharmacy open?

You failed in your primary responsibility in the care of your patient, and that supposed boss you called on phone will conveniently deny that your conversation ever occured.

In short, you should be given some extension in your A&E posting, in order to learn the basic mgt of trauma patients- A/B/C.

So you just folded your arms and was a spectator like the other market women and passersby who were responsible enough to bring the accident victims to the hospital.

Common IV canula you could not set in place. You could not ask the nurses to apply firm dressings even if you dont know how to secure hemostasis?

Like seriously? Even if those patients already had a poor prognosis and would still have died despite having all the necessary things on ground, you would have known you tried your minimum best, and not just watched them die doing nothing...

dohyn:


I did not say the op is blameless. he is a green HO in what is probably his first posting. The bulk of the blame is on the Govt and the society at large that allows this kind of scenario to occur time and again.
I have donated my own blood 3 times for patients,paid for patient's food and drugs..in a system that does not care.I'm sure my colleagues have their stories too.Before you paint us as heartless beings,tell us what you have done to help.
lots of people castigating the op can't lift their finger to help.I have seen where sons refuse to donate blood for their fathers before.
so,I beg u again,take your stupidity away from me.

p.s,the op does not deserve jail time.a week's extension in A &E maybe. you,definitely deserve it.