Andrew .D. D.Ddamulira

A wonderful Evening It Was.

@ChefKarim02 @rkalyes1 @TSM_Humanist @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago Will read and update my mind first

@damshae87 @rkalyes1 @TSM_Humanist @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago Point Noted 🤝

🏥 Our Pt from 2 wks ago came back. She had seen a physician, gynecologist and urologist. 📍 A review of cystoscopy showed hyperemia. 👉 She was initiated on Praziquantel 40mg/ kg & predinselone. 👇 Urine is now clean Case report loading- Halla if Interested! @TSM_Humanist

@ChefKarim02 @rkalyes1 @TSM_Humanist @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago We do not cure the guy, bladder cancer , renal failure , etc , anyway guy is doing followup with Prof

@damshae87 @rkalyes1 @TSM_Humanist @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago To avoid compromising malaria treatment⤵️ Do not use artemisinins routinely for schistosomiasis Expanding use outside malaria accelerates P. falciparum threat

@ChefKarim02 @rkalyes1 @TSM_Humanist @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago If my mind serves me well. There documented cases of poor response of S Hematobium and Mansoni to praziquantel. I did some repeat dosing and didnt achieve much in a sudanese patient in the past

@damshae87 @rkalyes1 @TSM_Humanist @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago Yes combination improves biological clearance But in most cases, you can achieve the same outcome with⤵️ Properly timed praziquantel Repeat dosing

@ChefKarim02 @rkalyes1 @TSM_Humanist @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago How about Artemisinin combined with praziquantel. It has better clearance rates.

@damshae87 @rkalyes1 @TSM_Humanist @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago Timing +repeated dosing is the solution

@rkalyes1 @TSM_Humanist @ChefKarim02 @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago Should we add Antimalarial aka Artemisinin or any of its derivatives for better clearance given Praziquantel doesnt clear schistosomes

@rkalyes1 @TSM_Humanist @ChefKarim02 @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago Artemisinin and its derivatives are effective against schistosomes and Clearance Rates are twice higher when Artemisinin is combined with praziquantel.

@rkalyes1 @TSM_Humanist @ChefKarim02 @DrOribaDan @DrAkhilX @drkeithsiau @DrRobertsen @Drwafulafrnco @SemitalaFred @ACCESS_UG @ps_lukwago Schistosoma Hematobium, the first normal cystoscopy made us think Nutcracker Syndrome. Praziquantel is excellent but ineffective against immature schistosomes but also some studies showing treatment with Praziquantel especially for S.Hematobium.

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@rkalyes1 @ChefKarim02 @ACCESS_UG @SemitalaFred @DrOribaDan @DMavine @dr_RaymondM @dr_migadde @graekan @TheUMAofficial We are waiting for the case

🏥 All set for the day despite a challenging morning case!

@nkoyoyo3 Very TRUE

@damshae87 Congratulations Andrew, many dreams die in rural areas, you can join us to advocate for rural transformation.

Memories!!. Trace back to Masaka, present day Lwengo district, where my journey to MBChB, MMED,MRCP commenced. You have been faithful God.

@JosephNsamba40 @MuhangiRonaldM Buti nursery school

@damshae87 @MuhangiRonaldM Which school be this tho.

@Fattah562 Nice. Do you know the school

@damshae87 Ohh kaalomate

@rkkkalungi No. It closed long ago

@damshae87 Any plans to support renovation?

@drk_fred Yes, the school closed almost 15-20 years ago

@damshae87 The school closed?

@Lidocaine237 Elementary school where my education journey started from

@damshae87 Hmmmm, what exactly was there? A hospital?

@Boblisk12309 It closed

@damshae87 Donate to have better structure

@OcaakiDavid The school closed, no pupils. There is a USE school a few kilometres that is also struggling

@damshae87 Why don't you start up a strategy to build for those children a school

@OkelloGod7 Planning something for the village

@OkelloGod7 The school closed almost 15 years ago when the educationist/owner died

@SNoreens No, my school journey started with Elementary school. That was my elementary school. Med school was makerere

@damshae87 Was that a MED school Doc?