💊Cancer pain management NCCN guideline summary #cancer #oncology #MedX #pain

Support a colleague who is battling with Breast Cancer, please. Dr. Nalubega Rebecca is a Lecturer at Makerere University. We can save her life. Contribute, Retweet and share widely. Thank you

DEAR TEAM, if the algorithm brings this to your TL, please retweet. She has gone missing. Name: Nantongo Gift. If found, Call: 0743101524 / 0749790452 /0703821000

Pictorial from the World Hearing day event at Kawolo hospital today.@MinofHealthUG @DianaAtwine @JaneRuth_Aceng @WHOUganda

“If your convictions are worth anything, you should be ready to stand up for them... if you're not ready, then you have no convictions at all. You just think you do. But those are not convictions & principles – just thoughts in your head.” Alexei Navalny. Died Feb. 16, 2024

Parting nuggets from rhinologist Dr. Byaruhanga Richard. -Treat your juniors well. -Be kind to your patients. -It is impolite to pick phone calls in front of patients. -Take time to explain to your patients. -What sets you apart from others?

Platinum Sponsor of the OSU conference Asiya Zahid from Puretone Uganda @Madsaint21 giving a talk on hearing loss presentations, rehabilitative devices. She highlighted the essence of collaboration between ENT surgeons and audiology services.

The Annual Otolaryngology Society of Uganda (OSU) Scientific Conference has started at Golf Course Hotel. @FLalango @assumptanakintu @isaacmukiibi19 @MinofHealthUG

3 days to go @assumptanakintu @isaacmukiibi19 @FLalango

9 days to go to our annual scientific conference.

11 days to go to the annual OSU conference @FLalango @isaacmukiibi19 @Nyaiteera

Our annual OSU conference is here - 14th November at Golf Course Hotel.

Charlie Munger: "You can be very deserving and very intelligent and very disciplined, but there's also a factor of luck that comes into this thing." "The people who get the outcomes that seem extraordinary are the people who have discipline and intelligence and good virtue — plus a hell of a lot of luck. Why wouldn't the world work like that?"

Tomorrow on UCI CME virtual lecture series: Dr. Mukiibi Isaac discusses risk factors for Head and Neck cancer. See flyer for details. #FightCancerUg #CancerAwareness

😂😂😂😂 You have not met Manigamukama Aeroplane 😂 Ainemukama Airport. These are siblings and I teach em at school. Naming scripts in Western Uganda doesn't change.

The biggest fans of home-cooked meals (always men) are usually the ones who never have to cook.

But singing Museveni will die some day in the court martial is another bold move 😂😂 I wish I was there🥳😂

The consequences of obstructive sleep apnea (OSA)

Happy holidays everyone. @isaacmukiibi19 @aminah002 @FLalango @nyivicky @assumptanakintu

In 2007 I was an ER doctor with a blog. This is an ER patient's perspective, and mine. Ms W’s perspective: 0800-1200: I’m sitting in the waiting room with abdominal pain – I thought this was an “emergency” room. 1200-1240: Finally, I get a room. Where is the doctor? 1240-1246: The doctor talked to me and checked me out for about 5 minutes. She pushed on my stomach and asked me questions. She said something about my gallbladder - said she needed to run some tests and that she’d be back later. Now, she’s already gone. 1330: What’s taking so long? 1420: My ultrasound is done. Where is the doctor? 1600-1605: The doctor said my gallbladder is filled with stones and infected and will need to be removed by ANOTHER doctor. This is absurd – that ER doctor didn’t even do anything for me! Amount of time the doctor spent with me: 11 minutes My Perspective: 1200: 5 new patients in the rack: 68 yo chest pain, 55 yo chest pain, 6 wk old fever, 30-yo upper abdominal pain (Ms. W), 87 yo weak and dizzy. We can save the abdominal pain for last. 1240-1246: I examined Ms. W and she’s stable with right upper quadrant tenderness and mildly positive Murphy’s sign. Probably has gallstones vs gallbladder infection. Will start labs and ultrasound and make sure she’s not pregnant. Will keep her comfortable. Have discussed with her that she’ll be here a few hours getting tests. 1248-1251: I look Ms. W up in the computer and find that she’s never been here for gallstones, but has had her appendix taken out. No other medical problems noted. 1257-1259: I write orders for Ms. W and ask the nurse to please start and IV, get blood, keep her NPO and give her some pain medicine. The nurse is busy and says she’ll get to it when she can. 1330-1332:  I go to check labs and the computer doesn’t show Ms. W’s liver panel.  Tech, please call the lab and see where the liver panel is. 1350-1354:  Check the computer again – still no liver panel for Ms. W.  I call the lab myself (after sitting on hold for 2 minutes) and they assure me “it’s on the machine right now”.  1410-1412:  We’re STILL missing the urine on Ms. W.  I ask the nurse and the tech to please get urine from the patient.  1430-1435:  The urine is back, but the lab forgot to run the pregnancy test.  I call the lab again and they tell me that the pregnancy test wasn’t ordered right.  I ask the tech to please re-order the pregnancy test and make sure the lab is actually doing it.  1450-1451:  I check in on Ms. W and she’s sleeping so I don’t disturb her.  I note that her vital signs are still fine and she’s gotten her 2nd liter of saline. 1500-1502:  I know that Ms. W has had the ultrasound, but I haven’t heard back from radiology.  I call radiology and ask them to please call me when the results are back. 1528-1531:  Radiology calls back to say that Ms. W has acute cholecystitis (infected gallbladder).  I recheck her liver panel and find that her alk phos is elevated and lipase is okay.  1535-1536:  I ask the front desk tech to please call the surgeon on call. 1537-1538:  I ask the nurse if Ms. W is still doing okay pain-wise and she assures me she is. 1555-1556:  After never hearing back from the surgeon on call, I ask them to please call the surgeon again at which time his nurse calls back and says he’s in the OR and will call back in an hour.  1600-1605:  I talk to Ms. W and explain that she will need surgery for her gallbladder and that the surgeon will be in to see her as soon as he is available.  I check her abdomen again - mildly tender. Seems comfortable. I explain we’ll get her admitted soon.  1630-1633:  Dr. Surgeon calls back. He agrees to admit her and asks me to do some transition orders, which I do.  I then call the charge nurse to make sure we have a bed. 1635-1638:  Dictate chart. Time I spent on this patient:  44 minutes.