Fyodor T

@KagimuDrImran Olimba, Elon money has made people tell bad lies😂😂

I was conducting preoperative counselling on a 23yo nulliparous who had applied for tubal ligation. I reminded her: Had your mother get her tubes cut at 23, you wouldn't be born. She quickly replied: "Which is why I need mine cut at 23"

@mbirohud19 @faith_nabushawo Clearly you are not Medical doctor! Give me one absolute indication of hysterectomy without consent😂

@fyodormugabe @faith_nabushawo Unfortunately u should equip yourself with the knowledge I will leave it at that: Indications of hysterectomy and circumstances under which one can do it minus even consent

I watch her story on TikTok, she says before she was given GA the only doctors in the room were interns and no senior doctor was there. Then when asked if she knows their names or if she can recognize them she said no. The question is how did she know they were interns?! I hope she knows that in this generation we have very may young specialists/consultants. If she was expecting a specialist to be in his 50s or 80s then that’s where she gets it wrong. Then she was like no one is allowed to remove the uterus during C section. We do it a lot, a cesarean hysterectomy is a life saving procedure, we do it to save the life first. Then also if an intern can do a cesarean hysterectomy safely with no complications then he’s a very skilled intern. A very very good one. Clap for him.

@arathon_k @faith_nabushawo There scenarios where consent is except, but there things you must do to be protected

@fyodormugabe @faith_nabushawo It's medically allowed to perform without consent if the patient has reached a certain extent of unconsciousness. Doctors act 5o save the Life

@dchiwaraa @SwalehKhalid20 @faith_nabushawo Well I’m one fortunately or unfortunately, so I know what I’m talking about!! We have a full protocol of what you should do in such scenarios, consent may be part!we have a recent precedent of a court case over consent intraoperatively just this year you should follow it

@fyodormugabe @SwalehKhalid20 @faith_nabushawo How much time do you think doctors have during an intraoperative emergency to be able to contact NOK?

@MarkKirabo_MD @faith_nabushawo Unfortunately most places I have worked we only do this for previa, and a few other special cases!! If you’ve seen the consent form in public hospitals you would definitely know we have a huge problem

@fyodormugabe @faith_nabushawo A proper consent form for C-section must preemptively cater to the possibility of a hysterectomy in case hemostasis fails intra-op, cited amongst possible complications.

@Charlesrivers0 @faith_nabushawo It’s not just documentation, it about what have you documented and how exhaustive it is!! I have witnessed many cases and documentation is normally the center point

@fyodormugabe @faith_nabushawo I'm sure no surgery can go on or be finished without documentation

@SwalehKhalid20 @faith_nabushawo Surgical notes, should be clear on how and what time you confirmed death! But also NOK must be contacted that’s why in patients files the contact of NOK is always or must be there

@fyodormugabe @faith_nabushawo A woman on elective c/s reacts to anaesthesia and dies on the table before the procedure begins. Should they continue with it and save the baby? If they do, the whole scenario changes with the earlier death. I.e she died during procedure and not adverse drug reaction! What next

@mbirohud19 @faith_nabushawo Well anyone who has been trained at MMED level should be knowing what to do in such scenarios unfortunately you may not understand! Judgements on cases like these are there just ask grok to find you one and read the ruling

@fyodormugabe @faith_nabushawo So In a case of severe bleeding due to uterine atony Blood is gushing out...... One poses the operation, runs out look for the next of kin, ask him if we can remove the uterus U pipo joke alot

@darkxero5 @faith_nabushawo You know hysterectomy is like the last resort there are a number of conservative surgical procedures, if not clearly documented and efforts to get consent and consultation with another colleague not included in surgical notes! Cases like these exist!!

@fyodormugabe @faith_nabushawo You need to familiarize yourself with emergency protocol, not every hysterectomy needs consent, shed probably be dead by now

@Charlesrivers0 @faith_nabushawo There’s a protocol for handling that and you must document everystep, otherwise if they ask why you didn’t do a B lynch you may have no answer if it’s not indicated in your operation notes

There are scenarios where the consent doesn't apply And the doctors will win you if not careful you always forget somewhere on the consent form it says *i have consented for the procedure that's going to be undertaken with any intervention and medication for the benefit of my health* some of the reasons where they may not even wait for a consent can be 1.Refractive uterine atony 2. severely rapture uterus with severe bleeding 3. placental acretal spectrum 4.uncontrollable postpartum hemorrhage why consent is may not be thought here 1. patient is under anesthesia can't consent 2. delay to find care takers would risk the patient upto death 3. the law allows life saving intervention without consent in emergency So saving the life of a patient would be first priority And remember this woman is not saying that she got complications post surgery That would have at least sparked another debate of may be surgery was done poorly or negligence She's well okay She should be even thanking them for saving her life because she arrived in with PPH and raptured uterus per reports

@EdgarRiley9 @faith_nabushawo Go to the UMDPC website, you will tell me!!

@fyodormugabe @faith_nabushawo This is UG not in the US. How many court cases hv hospitals lost against the patients. Secondly, what time do u hv to contact the NOK en savings someone's life

@faith_nabushawo In such a scenario there’s a clear protocol about doctrine of necessity which you must follow and document every step, and it also involves engaging another doctor preferably of a senior rank! Our consents in Ugandan hospitals are very simplistic!!

@fyodormugabe Ok teach me

@CissyBirungi @idringp Killing this man isn’t enough, an eye for an eye!!

@idringp Police just leave the people ALONE LEAVE THEM ALONE YOU FOOLS WHAT IF THEY'RE YOUR CHILDREN

SHOCKING!!! This man captured here entered a Day care center in Ggaba and stabbed 4 Kids to death, he was successful captured but the locals want to deal with him. There are running battles between the locals the security personnel with a lot of Gunfire to disperse the angry crowd. Whatever was going through this man’s mind when he committed this horrendous crime is perplexing. May the souls of the little ones RIP

@iamprince_8_ @mtnug

Image Vs. final design

@ChrisExcel102 Don’t mislead people, you could just ask @grok to cure your ignorance. It can never become negative if a person is positive whether taking drugs well with undetectable viral load

A person who is HIV but taking their treatment properly also test negative on these things….

@ThembisileQ21 @ChrisExcel102 Undetectable viral load is not equal to negative detamine test, antibodies will always be there so this test that looks for antibodies will always be positive

@ChrisExcel102 True and that also means that person cannot infect you as their viral load is undetectable.

@256Rootyherman Not even joking, we were broke that i used the TV light to read at night, as a young boy not interested in politics I would turn on CNN with no sound and read for like 3 hours!!

We were so broke, l used to read books using lights from the fridge

@OfficialFUMSA These people think they will never consume the services in these places that are almost fully run by Interns but remind Diana Atwine that when Violet Kajubire (Museveni’s blood sister) got an accident in 2021 with George Agaba who died, they were brought to Mbarara hospital

Medical Internship: Training and Quality, or Budget Constraints? x.com/i/spaces/1RKjp…

@GabrielBuule Our health sector has many problems but this can’t be blamed on the system or the doctors! It happens even in the most developed systems like the US. TB is a differential diagnosis of cancer and vice versa! It is also possible he had both! Medicine is not ludo it can be complex

Our health sector is messed up, Cultons Dad went to hospital and he was told that he has TB after after a series of tests and he was put on TB drugs for long, when he sought for a second opinion from Mulago, it turned out that he had cancer not TB😒