A medical doctor, Chinoso Egemba has urged Nigerians to demand a better healthcare system from the government.
Egemba said this in a series of tweets on his official twitter handle in reaction to allegations that a graduate Obafemi Awolowo University, Moradeun Balogun stabbed by armed robbers was refused treatment by a Jolad Hospital, a private hospital in Gbagada.
The medical doctor explaining what could have led to the hospital referring her to Gbagada General Hospital said the healthcare system in Nigeria is broken.
See his tweet below…
It could have been anyone Me, you. A stab wound to the neck is most likely a death sentence in resource poor areas Nigeria is a resource poor area. This is true
The flow through the carotid artery, just at the side of the neck is roughly about 400mls every minute
The average volume of blood in a person is about 5 litres.
A person would bleed out in minutes. If you set a line and put a drip in, you’re not replacing the blood, you’re just replacing the volume in the vessels. You have to know what to do immediately to stop the blood loss
Most private hospitals in Lagos are not equipped for major trauma like this, hospitals are in levels, the highest levels are the teaching hospitals in a country.
You’d need vascular surgeons,(people who repair vessels) cardiothoracic, general etc, you’d need a whole team
You’d need blood and fast! Lots of it. Most private hospitals don’t have blood stocked, they have to request for them.
A well equipped hospital or emergency centre will have all these I’m not trying to exonerate anyone, I just want you to know how easy it is to die here.
You can’t just stitch up a blood vessel, that blood vessel is one of two that sends blood to the brain. It’s also elastic which means that it retracts. It’s goes “inside” when you cut.
You have to look for it. In bloody settings I must tell you that vessels are hard to find. You get a line set, you have to invite these surgeons or what you did was nothing. How long before they arrive. Remember blood is still being lost.
Replacing with fluid is not much if you don’t get actual blood. Where are all these surgeons in one place? A Tertiary hospital, how long did she stay before getting to the hospital? We don’t know
So, we don’t know how much blood she must have lost. Chances are getting dimmer by the second.
Every second counts! In better healthcare centres, you call the ambulance, they come to the victim, quick assessment is done and they know exactly where to send her. The hospital is informed before hand and everyone needed is contacted and waiting. Theatre straight!
On the way, first aid is given, Patient comes in! Further assessment is done and patient is wheeled to the theatre ASAP!
The average Nigerian has lost faith in the tertiary health hospitals so we send to private hospitals where they may equipped to handle a knife stab to anywhere except, chest, neck or abdomen.
What do you think expect? There’s not much they can do. So referral is one way to save a patient’s life.
If you keep a patient when you should have referred, you’re likely culpable in that person’s death.
Save a life is the key thing here. It hasn’t dawned on us yet how moribund our health sector is. We keep shouting #FundMyHealth2020 but Nigerians think the doctors are fighting for their pockets.
Give us the tools we need to do our jobs. You can’t fight with just catapults! Most times we’re handicapped.
The system is broken. Let’s not even go to the issue of police reports. That no longer exists. The president assented to an agreement that basically states, “Treat first, report later”
We need more in the health sector. It could be you, it could be me. Demand better healthcare
I hate that when things like this happen, it becomes a battle of people against doctors. It’s not. It should be us against the system! Because it can happen to anyone!
If you should get an accident on 3MB, are you getting to the hospital on time? Doctor or no doctor, When you get there, will they have what it takes to save you?
These are the questions we should be asking! That’s why the average Nigerian prays a lot. We get overwhelmed!
I say a prayer anytime I get on public transport, why? Baba God, na your hand I dey! A better system
I have done my best to break it down into the simplest forms just so everyone gets it.
If you feel like dragging or roasting me, I understand and take it in good faith. It won’t stop us from speaking. We need better. You and I