Can our dear prescribers please stop writing brand names? Why should it take me more than 30 minutes explaining to Daavi that we don’t have this, but what we have is the same drug??
She still said no🫠
@TheDrAfolarin "She's married now and fun fact is that we still had a thing or two after she became my ex and was with someone else who is her current husband.
Sometimes people don't really change."
Hope you're not looking for a law suit!!!
It's actually quite funny because it was my first relationship in the university.
She used a china phone at the time and she didn't know the phone automatically records all her calls.
One day when she was sleeping, I don't even know why I took her phone.
It's been so long, I think my phone was dead but that was how I discivered the call recording app.
I immediately left the room and went to the toilet.
I listened to hours and hours of calls.
Apparently, she visits her ex often, he gives her money and they often had sex everytime she goes over.
For the first time in my life, I experienced Takotsubo Cardiomyopathy.
She eventually begged me and I even forgave her but that was the turning point of our relationship.
I never trusted her after that.
She's married now and fun fact is that we still had a thing or two after she became my ex and was with someone else who is her current husband.
Sometimes people don't really change.
@Coco_MD_@chokolat_mama In all,
It's not about invalidating a study,it's about telling you the basis on which some interpretations cannot be directly follow through.
I think research shd b analysed in its merit nd not on extrapolation without further research.
Science grows by questions.
@ChimDrag@chokolat_mama i don’t even get your point with all these? used for pediatric patients invalidates the study? because an author gets a grant from pfizer invalidates the study? because it’s a 2-3 years review invalidates the study? what are you talking about?
To be honest, I don’t get the reason why you’d be withholding opioids from HbSS patients in acute crisis.
“Is it really necessary?”
“Can we try NSAIDS first?”
No.
Pain is no joke.
Give them the damn medication…at least, until the acute crisis is over.
@Coco_MD_@chokolat_mama -Paediatric patients aren't the only pxts with SCD voc
-CONFLICT OF INTEREST is a thing , and it's very valid.
A recent case of spike in OUD was led by Studies sponsored by a particular Pharma group,cant remember d name.dt s y papers have 2 be critiqued.
-quoted a review f 11yrs
@Coco_MD_@chokolat_mama There is a diff between STUDY and GUIDE LINE.i think
n i quoted the study for u to go check it up.
The topic on discuss here,i also think,is why Nigerians are aversive towards OPIOIDS..
And you brought a STUDY,that's me analysing the study .
And showing u other studies
@ChimDrag@chokolat_mama please let’s be mindful of the information we put in the internet in defense of our points. there’s no guidelines that have standardized the use of ketamine for the mgt of acute pain in voc, at best, it’s an adjunct to opioid which still remain the first line for acute pain
@Coco_MD_@chokolat_mama AROUND THE CLOCK would mean that agents be given not waiting till the pain Occurs but giving something always (before pain, different agents interspersed)
From Mohammed's study we can see a pointer that the hesitation towards OPIOIDS is not really a NIGERIAN thing.Fear seems WW
@ChimDrag@chokolat_mama opioids just don’t have immediate analgesia benefits over NSAIDs, they have long term benefits by preventing frequent hospitalization… pubmed.ncbi.nlm.nih.gov/40892426/
also the speed of opioid addiction, dependence and tolerance in this context is exaggerated.
@Coco_MD_@chokolat_mama And how do you get Objective Info that patient had an NSAID and or PCM Prehospitalisation? and at adequate dosing?
And how do we Ascertain Objectively that the patient hasn't also had an Opioid before coming?
@ChimDrag@chokolat_mama protocol remains that you give adequate analgesia that matches the pain. mind you, before patients present to emergency, they are already taking NSAIDs or PCM at home that couldn’t match the pain, so what exactly is the benefit of repeating that again?
“This video is to CURSE all you BASTARD BLOGGERS.
It appears government has bribed all of you to continue to distract Nigerians from the focus that we should focus on. People have been killed in Jos, rager than focus, you’re discussing FUNKE AKINDELE AND TOYIN ABRAHAM DID NOT GREET THEMSELVES..”
- Koffithaguru comes for compromised bloggers.
President @officialABAT is running the Most Useless Government in the history of Useless Governments!!!
How many more Nigerians have to die due to this abysmal level of incompetence?
Nigerians wake up everyday to lament one tragedy of the other.
Unbearably heart-wrenching!!!
What happened in Jos yesterday is really said… Why’s the government allowing this to happen to its citizens?? What kind of government is this??? Speaking of K!dn@pp!ng in Nigeria; I will always support this video 100 percent !!! 💔✊🏽