God's babygirl

@jewstein3000 @robbys_toupee Okay

@Feran_me @robbys_toupee Straw man

I wouldn’t care if a patient came in with their own diagnosis. It’s easy to check your symptoms nowadays. Our job is to rule out differentials, but that can be done while validating the patient’s concerns and earning their trust instead of dismissing their worries.

This short post is for public education: I see that a lot of people are upset but I think this is largely misdirected anger. Kindly bear with me and let me explain. Every doctor-patient contact is a “consultation”. This consultation generally entails history taking (inquiring about your symptoms), physical examination (of your relevant body parts that the illness is), arranging necessary tests and implementing a treatment plan. Now if a specialist sees you on the first consultation and sends you for tests, he will need to see you for another consultation to discuss the results and decide a treatment plan. The problem with this current debate is that many of you have casually minimised and reduced this subsequent consultation to “just interpret my results”. But it is not that simple. The appointment to discuss your results is a whole new consultation. Because the doctor now needs to review your symptoms, explain the results of the test, take questions from you if you have any, discuss the treatments and arrange a followup. All of this takes time and requires thorough work. And It’s not as simple as “tell me my results”. This is why you can’t say “I already paid for one consultation and it should cover everything,” you can’t say that. That initial first consultation payment will only cover the first consultation, whatever subsequent contacts you have with the specialist is a new consultation and it has to be paid for. This is why health insurance and/or a functional government hospital is very important and crucial. You know why? A good health insurance will cover all/majority of these costs so you don’t bear it as the patient. A good government hospital also gets subsidised so that healthcare is free or very cheap. That’s why when you go to a government hospital, you pay little to nothing to see a specialist. It’s not that the specialist is working for free, it’s that the government is bearing the costs. So when you go to a private hospital like you have done here, you are choosing to bear the costs and sadly this is the reality. It takes about 15years on average from medical school to postgraduate education to become a gynaecologist, so they won’t offer their services for peanuts. I understand how frustrating it is, because many people are poor and the government has failed us- but unfortunately private specialist clinics run totally on patient fees, so you will have to pay premium for every contact you have with the specialist (as this counts as a “consultation”). The only way forward is to use a government hospital where you can see a specialist as many times as possible without paying a lot as the patient. But as you know, the government pays specialists poorly, owes their salaries and makes working conditions hell which then also means you have few specialists, long patient queues, long waiting times, poor patient experience and poor service. This is why patients go to private clinic. So if you want to avoid the headaches of government hospital, you will need to go private which means paying premium. Sadly this is the painful reality. We can’t blame the gynaecologist for charging for his professional specialist service, we can only blame the government for putting us in a position where there are no alternatives, or the only alternatives are shitty public hospitals. Because in all this, If the government hasn’t made us poor, hasn’t destroyed the public hospitals and hasn’t made our little money lose value, we wouldn’t be having this kind of issues. A useless incompetent government means poor citizens; terrible public hospitals and unaffordable private healthcare. It’s pretty much that simple. This is why I’m appealing to everyone pls take 2027 seriously like your life depends on it- because it does infact depend on it. My condolence to everyone who has had to pay a lot for private healthcare because they didn’t have much of a choice. I genuinely sympathise with you. I hope this simple explanation helps.

@jewstein3000 @robbys_toupee Asking her questions about her headache intead of just giving her tryptans right away is silly? Not to me, it isn’t. I will ask questions and get familiar with the headache, find out what she’s used in the past and then give tryptans if indcated.

@Feran_me @robbys_toupee EVERY migraine patient tries Triptans. A lot of us don’t tolerate them. This is silly. She made perfect sense.

@FelixFaustus @pst_Goodness With us 🙏🏽. It’s not ego or pride. Like no one is angry that you know you have ulcer, I don’t doubt you but I must ask you questions and everything is evidence tgat I gave you the best care I could with all the knowledge available to me.

@FelixFaustus @pst_Goodness get frustrated easily and can do better but this also my opportunity to help patients understand exactly what we’re doing and why. We’re very far from perfect and that’s systems have been created to keep us in check. If we don’t follow it, it could harm you and us so please work

Total control and dominance as per BDSM? Wetin de do some of una?

@FelixFaustus @pst_Goodness Also if you’re coming all the way to the hospital at 1am, then it’s really bad so you better start talking! Emergencies turn sour so fast and fellow doctors nitpick every part of your management even patient isn’t suing you. So yes you have ulcer but how are you??

@FelixFaustus @pst_Goodness All I’m saying is no one is doubting but we must ask questions. I’ve seen many people who thought they had ulcers but it was something else. So I hear you but I need to know more. We put it in as a “know pud patient” and then go on to learn your current symptoms.

@FelixFaustus @pst_Goodness to ask questions and follow the process can’t work. I’ve read stories on migraines, recurrent UTI and it’s the same how dare you ask me 30 questions

@FelixFaustus @pst_Goodness They’re saying stop asking me too many questions to try to get to a diagnosis. Been there, done that. I know my body and I know what I need. Even my patient’s who claim to have typhoid, I ask them questions and then explain to them what you would see with typhoid. But saying not

@GustinTerr31356 @HerbertJane06 @ffelisyn I am a doctor and it doesn’t sound impossible at all. The pharmacist said they weren’t giving loratidine simply because a senior physician had said so not that they had knowledge of why themselves.

@Feran_me @HerbertJane06 @ffelisyn Thanks. Pls are you an MD? What do you think of the story? Is it likely those events happened or just super story

🚨🚨 A doctor in a government hospital almost gave my 5-month-old baby the WRONG medication today 🤦🏽‍♀️💔 I took my 5-month-old baby to the hospital this morning after she ran a high fever all night and couldn’t sleep . We just moved to a new area, so I decided to register for a family card at a nearby general hospital—for immunizations and minor health emergencies. After registration, my baby’s vitals were checked. 1 hour later ⏳, I was called in to see the doctor. One doctor was attending to over 20 patients—mostly babies and children, with a few adults. I explained everything, and he suggested a CBC test for my baby. Results came out: infection. Apparently from putting her hands in her mouth. Meanwhile, I had been giving her Bonababe all this while, thinking it was just teething 🤦🏽‍♀️ I took the results back to the doctor and he prescribed: Loratadine syrup + Meroclau suspension. I went to the pharmacy to get the drugs… and that’s where things got scary 😳 The pharmacist looked at the prescription, paused, then asked: “Madam, how old is your baby?” I said, “5 months.” She immediately said, “No naw, please come with me.” We both went back to the doctor. She told him straight: “Doctor, Loratadine is NOT supposed to be prescribed for a 5-month-old baby.” The doctor looked her in the face and asked: “Why?” 😐 At that point, I was already uncomfortable. The pharmacist, clearly irritated, said: “We’ve been instructed by the former doctor not to give it to babies below 1 year. Please prescribe Piriton instead.” This doctor was STILL arguing: “But why? What’s his reason for saying that?” 🤦🏽‍♀️ Omo… 😩 Eventually, he reluctantly tore the first prescription and wrote: Piriton syrup (2.5ml for 5 days) + Meroclau suspension (2.5ml, twice daily for 7 days). Meanwhile, the pharmacist and even the nurse were already exchanging looks like: “This one no too sabi wetin him dey do.” 😒 As a mother, I felt it instantly—that fear 😭💔 Because how do you confidently prescribe the WRONG medication for a 5-month-old baby… and still be arguing when corrected? 😡 I didn’t even argue. I left that hospital immediately and went back to my former hospital, Mother & Child, to reconfirm everything. Because ego + inexperience is a dangerous combination ⚠️ Government hospitals need to do better. How do you leave babies and children in the hands of an inexperienced doctor without proper supervision? 🤷🏽‍♀️ These are people’s children we’re talking about 💔 Or is it until something irreversible happens before we start taking

@FelixFaustus @pst_Goodness minds are sometimes made up. Self-diagnosing is also what keeps many people at home until it’s too late. If you believe you’ve made a diagnosis, you can share it with your doctor but don’t be fixated on it. Give the doctor a chance too.

@FelixFaustus @pst_Goodness I have patients come in all the time to tell me they have typhoid and feel like I’m wasting their time if I don’t agree. For me those sessions take quite some time and usually end well. I know some of them might still go get the medications OTC. I try to educate them but their

@FelixFaustus @pst_Goodness I’m seeing a lot of people angry for being asked questions and feeling like they’re being dismissed but the doctor is just doing their job. Beyond your self-diagnosis, it’s good to share your symptoms and also hear what the doctor has to say.

@FelixFaustus @pst_Goodness Okayyyy. So you’re reiterating my point. I cannot just give you meds, I need to ask questions. I can create another similar scenario with a “migraine” and many other diagnoses which is why I hear you but I still need you to answer my questions.

@robbys_toupee And doctors are just trying to explain that if I’m seeing you and do not know your history, it’s important to ask those questions. There are many tweets with the same complaints.

@robbys_toupee The only issue is the patient who is migraine and wants to try tryptans doesn’t want you asking her too many questions. She’s been asked same questions before and she just wants her tryptans not to be asked questions she’s been asked before.

@FelixFaustus @pst_Goodness I hope it makes sense. All of this is due to a knowledge gap. Patients don’t understand why diff doctors wanna hear same thing over and over again. It is infact with good reason and non-negotiable. It’s the better approach. Maybe if people knew this it would ease interactions.

@FelixFaustus @pst_Goodness Sued all the time and we’ve had to learn from their mistakes. We’ve seen patients deny that they even said what they said and now there’s no evidence to back you up. That’s why we created these processes and systems that protect both patients and doctors.