DR. (Pharm.) Gwill FCIML, FCh.Ba, MPSN

@KoredeScribbles 😜😜😜

Unless you pretty much want to lie to yourself, there's absolutely no place a MBBS Doctor is equal to any MLS, Pharmacist or Nurse. But of course, we all want to defend rubbish.

@CuteDrTee Even flagyl and ibuprofen too is talking .

But there is a knowledge gap or ?? It is what it is, as it is. ✌️

Look at the context of the discussion, he is talking to someone who is a non medic and he said ulcer in the layman's context. When a patient eay they have ulcer its a non specific terminology that encompasses multiple different diagnoses that present similarly, dyspepsia, PUD e.t.c. all of this diagnosis have similar management PPIs, Antacids e.t.c. while you need endoscopy to confirm a diagnoses of PUD, you do not need to confirm the diagnoses before you start treating because the initial diagnoses of undifferentiated dyspepsia(what laymany calls ulcer) is clinical. Endoscopy is very invasive and it is not the recommended first line of diagnosis. There are specific indications for endoscopy. So i repeat again that you dont need endoscopy to diagnose ulcer (dyspepsia) or commence empirical treatment. Otherwise you want us to do upper GI endoscopy for every patient that comes to the hospital to complain of epigastric pain.

@SeniormanSolo @RowlandAkpan Are you drunk? If I know what public health is? You guys are just too daft. Pharmacist don't do public health ? It's ok. I think you know there is residency in public health in west Africa college of post graduate pharmacists?

@Ucg4sure @RowlandAkpan 😂😂😂😂😂 Do you know what is public health atall🙄🙄🙄🙄 Public health is just one branch of community medicine,baby girl. Pharmacist don't do public health even in your fake residency

Anatomy, Physiology, Biochemistry, Microbiology, Pharmacology, and Public Health are just few courses in the MBBS syllabus that people spend 4 years studying in the university 😭

@Joemedikals @Sai_Ishaya_ Did I oppose that or we are talking about the quotes on that guy's tweet as if doctors don't go ahead to treat ulcer without endoscopy. Read tweet , don't just jump on it

@Ucg4sure @Sai_Ishaya_ So does that oppose the fact it’s a gold standard?

The fact that you don't know how many times they do endoscopies in our teaching hospitals is exactly why you should sit out of clinical diagnosis conversations and dispense your tablets. You are drowning. It is an unfamiliar sea. You came to a tweet pointing out a knowledge gap to prove his point.

@SeniormanSolo @RowlandAkpan You are too daft to know pharmacy has clinical pharmacy department which comprise of Community pharmacy, Public health and clinical therapy .

@Ucg4sure @RowlandAkpan Can I see your anatomy,physiology, biochemistry, medical microbiology, public health course work. Never new community medicine is part of pharmacy too. All this wannabeism won't help your battered ego

@Sai_Ishaya_ We are talking about what you do in real practice. This is what we see everyday. How many doctors here in Nigeria can brag that he/she always insist on endoscopy before treating ulcer.

Again, I have seen that too many people have already explained this to you, so I won't bother repeating their error. The fundamental problem is that you are in the terrain of clinical diagnosis and acting with contempt and authority. This is not your field. There is no Doctor arguing drug formulation and dispensing with you. You are not trained in clinical judgement and diagnosis. That is the sole reason none of the clarifications have been able to get through. Simply sit this one out. Maybe return to it and read their replies again when you are humbler, you may actually learn something you will carry on.

@whales_medics Ok

@Ucg4sure What's funny here, I'm telling you fact So whatever you earn in your cubicle, please keep it as your highest

You are fucking hot bro Jump in the bath and soak in your tears 😂😂😂😌

@whales_medics 🤣🤣🤣🤣, calm. Down. Even some of profs can say this.

@Ucg4sure I earn more than you as a medical student Don't annoy me mate

@whales_medics You see those cubicles you are making fun of, they will comfortably pay your salary as a doctor practicing in Nigeria. So, calm down.

@Ucg4sure Alaye , when you are doing tearing you will enter your cubicle and sell those damn drugs

@E_ke_ne Says an E-diot.

@Ucg4sure Whatever you are nothing is in your head and your academic was a total waste of time

@dr_igwe_ @solobliss1 😁😁😁. In our hospitals here in Nigeria ? Ask Nigerians that were told by medical doctors that they have ulcer ,how many of them did endoscopy before diagnosing their ulcer. Is it not Nigeria hospitals? Our teaching hospitals and medical centres? Or you want to talk about GH?

@Ucg4sure @solobliss1 The treatment is for dyspeptic symptoms and H pylori eradication and not for ulcer. Without endoscopy, no certainty that there's ulcer, it could be gastritis or even a gastric cancer

Urea breath test? H.pylori STOOL antigen test? I don't think this is absolutely correct.

@E_ke_ne I am not your mate academically. For your information, I am not pharm D. Hope I made myself clear enough.

@Ucg4sure E be like say Pharm D dumb pass normal farm

@XYTI0 @Stoveiscoming You wanted to puff yourself. Thank God you used your brain. I don't need your X-Lecture. Take a look at how you and your colleagues were bragging as if without endoscopy you and your lots don't diagnose ulcer in Nigeria . The more reason I said you lie alot

@Ucg4sure @Stoveiscoming 😄Why are you this pained on an Academic discourse? Trust me it will reflect good on you if you are civil Dr Pharmacist? Will you use words like this in a seminar I I know you must have attended a few.

Now that you have diagnosed the ulcer with this… Please characterize the ulcer , what’s the location and size , what does the base look like? 😄

@XYTI0 @Stoveiscoming Uncouth comment for calling you a bloody liar ? You are still a liar. You guys just treat ulcer without endoscopy. So, how did you arrive at it yet the patient has ulcer ? He said gastritis as if you are talking to a child that is just learning ABC.

@Ucg4sure @Stoveiscoming I’d ignore your uncouth comment. Let’s get to the point. Read the last sentence I wrote !!!! Omeprazole isn’t used for Just Ulcer . It’s used for gastritis, H pylori eradication, prophylaxis with NSAIDs. ULCER is an endoscopic diagnosis. Learn to be civil in discourse

@Benkive @E_ke_ne Your colleague said without endoscopy, you cannot say a patient has ulcer . That's means you are guess-treating .

@Ucg4sure @E_ke_ne The point isn't about insisting that endoscopy should be done. We all understand the bottlenecks around our health sector. But coming here to make such statement that H.pylori presence means you have ulcer is wrong

@drmedinho @Hafaz_the_1st Everybody is quick to shout endoscopy on X platform. In real practice, most of you diagnose ulcer by mere patient complain. Some doctors still go ahead to even prescribe triple ulcer regimen by mere patient complain .

@Ucg4sure @Hafaz_the_1st Leave affordability that's a topic for another day.. What gave your colleague the audacity to tell Aproko doctor that he is wrong when he said endoscopy is the only definitive way to diagnose ulcers. That Arrogance is what triggered this conversation.

No one is disputing the fact that Endoscopy is the Gold Standard.💯 The debate here is, IN NIGERIA, do y'all follow that practice??? Who're y'all kidding???😂

@Eze68582168 @E_ke_ne Are you daft or something?

@Ucg4sure @E_ke_ne You still won't learn, continue