Dr. Barn

Welcome to the month of April… the only ‘pril’ that isn’t an ACE inhibitor.

A 90-year-old woman told me today that she spends about €30 feeding a stray cat she adopted. I suggested a cheaper option and she looked at me seriously and said, “Oh no, he doesn’t eat cheap food.” I asked where the cat was. She said, “He’s out visiting his girlfriend. He only comes back at meal times.” 😭 At that point, I realised this cat has a better social life and feeding budget than a good number of grown men.

Interesting how public attention shifts. For the past 24 hours, it’s been liver cancer everywhere on the timeline, even though it is not the most common cancer in Nigeria. Meanwhile, the more prevalent cancers often receive far less sustained public attention: 1.Breast Cancer 2.Prostate Cancer 3.Cervical Cancer 4.Colorectal Cancer Awareness should ideally be driven by public health priorities, screening opportunities, and disease burden, not just what is currently trending online

True. What makes this even more concerning is that countries with similar resource limitations within sub-Saharan Africa have made far stronger progress. Take Uganda for example, while Maternal Mortality Ratio (MMR) in Nigeria (recent estimates) is ~993 to 1,047 deaths per 100,000 live births which is among the highest globally, in Uganda, the estimate is ~170 to 284 per 100,000 live births. While Nigeria’s Skilled Birth Attendance Is ~46% nationally as pointed out by @aproko_doctor, Uganda has ~88–91%, Skilled Birth Attendance. These numbers are not mere statistics; they reflect: 👉🏼access 👉🏼trust 👉🏼infrastructure 👉🏼transportation 👉🏼workforce distribution 👉🏼emergency obstetric care 👉🏼health financing, and 👉🏼political will. Again, maternal mortality is not merely a “medical problem.” It is a systems problem.

I have said this for years and I will keep saying it: maternal mortality in Nigeria is not falling because the system is not built for the woman. Skilled birth attendance: 45% in 2018. 46% in 2023. One percentage point in five years is not progress. It is the same emergency wearing new clothes.

The news, on any given morning, is mostly about politics, power, and persecution. Rarely does it speak of peace, of progress, or of the extraordinary decency with which most human beings, most of the time, conduct their ordinary lives. We inhabit an age of endless headlines, yet very few of them carry hope. Turn on the television, scroll through a telephone, open a newspaper: everywhere the same drumbeat of division and disaster sounds. Wars rage in one corner of the world; corruption scandals unfold in another. A parliamentary dispute trends higher than an act of kindness. The global stage has become a theatre where conflict is the main performance and the audience, restless and addicted, never looks away.

I strongly believe I can significantly improve the health landscape of a community, ward, local government area, or even an entire state in Nigeria if given the opportunity. It would require a large-scale collaborative effort, systems thinking, long-term commitment, and substantial investment; but if done properly and allowed to mature over time, it could evolve into one of the strongest healthcare systems in Africa. Sustainable healthcare transformation is possible when policy, public health, clinical care, education, technology, and community engagement work together within a structured system.

@PharmMaidoki @Moh_eye_doctor How to fix health without wealth? 🤔

If you want to be wealthy, fix your health

@Moh_eye_doctor 👌👌👌

I don't belong to the group of young people that are desperate to get rich overnight. I believe in following the process and experiencing gradual progress. I work hard to earn little, I don't mind working for people who spent years of struggles to get where they're today, I love

The man is free to express himself and carry out whatever busybody intervention he enjoys. My only concern is that people with this level of confidence in weak reasoning tend to be highly productive socially, they rarely come alone, they multiply. And that’s part of why meaningful progress can sometimes feel so slow around here.

Rufai Oseni and Dr. Abbati have dragged the ADA Chairman to the gutters* Sir, what is your business with the NDC? Why are you acting like a busybody in a matter that concerns INEC and not you? Listen to his reply 😂

Kenneth Okonkwo really needs to evolve beyond this current trajectory. I used to genuinely enjoy listening to him because he brought clarity, structure, and strong communication to political conversations. But lately, his commentary has started to feel overly one-dimensional and repetitive. Ironically, he now appears to occupy for Atiku Abubakar the same kind of combative media space many once associated with Reno Omokri. Political engagement is strongest when it remains constructive, and intellectually flexible, not when it becomes predictably monolithic.

"Obi or Nothing" is an abomination in Igbo land — Kenneth Okonkwo explains why he believes Peter Obi would lose the entire South East in 2027 election. # PoliticsToday

I’ve had cases where patients presented with nausea and vomiting, but standard antiemetics weren’t available, and access outside the hospital wasn’t possible until morning. In those moments, I’ve used a second-generation Antihistamines as a pragmatic alternative. In another instance, a patient with insomnia, same resource constraints, benefited from a first-generation antihistamine. 👉🏼Different scenarios. 👉🏼Same drug class. 👉🏼Different outcomes.

@Moh_eye_doctor Thanks, chief. Very possible indeed.

@RealDoctorBarn Very possible

We have come a long way with our volunteers and partners. Small Efforts, Big Impact. Now planning something big for 2027.

Sadly the main sponsor of this mission died on the 4th of May, 2026. Her death was sudden, unexpected, and painful. She was only 48. 💔

@GossipMillNaija Why is food always the first line of action for every government? Are African children really that hungry?

Just In: “If an African Child is assured of a Good Sandwich and a Classroom or 1 Egg a day, there will be no Fear of learning” - President Tinubu reveals

@safonyameherbal Run away from all types of poverty. That’s all.

To reduce your risk of cancers, Run away from alcohol Run away from noodles Run away from sausages Run away from cigarettes Run away from refined sugar Run away from energy drinks Run away from canned foods Run away from synthetic spices Run away from Hepatitis B and C Run away from take away packages No one will save you, save yourself now!

@devan_blk @OurFavOnlineDoc If you look closer you would see maggots as well. I’m a big fan for home made food.

There is an urgent medical information I want to pass across. This will save your life, pls come close. If you ever see rotten tomatoes that looks like these pictures I posted, or if you ever see onions with black spots on them or you see corn with mould on it, PLEASE RUN FOR YOUR LIFE. Why do I say this? All these food items are contaminated with a poisonous fungus called AFLATOXINS. Aflatoxins are notorious for increasing the risk of liver cancer. When you eat food that has this type of tomatoes, or you eat food cooked with this kind of onions or you eat this type of corn you are at risk of developing liver cancer. Only eat fresh tomatoes, fresh onions and fresh corn. Avoid rotten tomatoes, blackened onions or corn with mould (even if they are cheaper to buy). This is not a threat or a joke. This is a real life serious medical issue. Kindly share this information.

@OBA_ohlugy Haha, yea.

@RealDoctorBarn Receiving more attention than most.

One day I will be proud to say I built this account to 100k+