Recently, the Nigerian X timeline was awash with concern over the spike in kidney failure.
Much of it was linked to fake drugs and drinks, toothpastes, etc.
But there's an aspect that people hardly are aware of: the contribution of Nigerian doctors to the kidney disease scourge.
My recent experience makes me believe that doctors contribute a major percentage to Nigeria's organ failure crisis.
I have a habit of painstakingly researching on procedures my family goes through in any hospital. That curiosity has saved us many times.
Yesterday, my 9yr old daughter was sick and had high fever, so I rushed her to a hospital in Yaba.
After routine tests, she was given Artemether & Augmentin 'starts' around 8pm. Then I was asked to buy ACT and Augmentin tabs to follow up subsequently.
As we left the hospital, I asked the doctor when we are to start with the tablets. He said, "this night".
My ears tickled. I knew that can't be right. So I waited a few minutes till the doctor's chief came around. I walked up to him & told him what the other doctor instructed. He said no, that it is the following morning that we will start the tabs.
Throughout the night, me and my wife battled to keep my girl's temperature from crossing 40°C. The thing hovered between 38° - 39.5°. No sleep for us as we tepid-towelled her every 20mins. Why? The doctor we met earlier whom we made a clear report of high fever did not give the girl any direct fever antidote (like 'paracetamol start').
So today's morning we rushed her back to the hospital. Met a different doctor who immediately prescribed 50mg Diclofenac (Voltaren) suppository. I went to buy it.
While on the way, I made enquiries. Three pharmacists I asked (including the pharmacist of this hospital) all exclaimed & asked who wants to give 50mg Diclofenac suppository to a 9yr old as first-line treatment for fever.
I checked reputable medical websites & they affirmed that the ceiling for adolescents & children below 15yrs is 25mg in divided doses, that 50mg & above should not be used for that age range.
I got the drug, went back to the hospital, & expressed my concerns to the doctor. He asked what am I saying, that my 9yr old could actually take up to 90mg but that he reduced it to 50mg. I told him that I learnt that the 50mg should be cut into two and one 25mg administered as a dose. I told him that 50mg is high only for the nurses to 'add mouth' and scold me, asking if I am teaching the doctor his job. I stormed out of the room where they were.
Left to my fate, I had to quickly make a decision. I'm aware that paracetamol start could be given, but there's no way those nurses will agree to give it since I had fallen out with them.
My next option to quickly arrest the fever became Ibuprofen. At least I can get the syrup & accurately calculate my daughter's dose based on her weight. I left to get the ibuprofen. Meanwhile the girl's temperature had gotten to 40.5°C. The doctors and nurses looked away from us (most likely wishing us the worst in their hearts so they can gloat if we run into a crisis).
I returned with the syrup, calculated the dose as 15ml & gave my girl. After about 40mins she began to sweat. Her temperature dropped to 38°, and we left the hospital to our home. Her temperature is now normal.
Thankfully, she is stable, and we'll continue with the other medications that she was given.
The point is, if I was not well informed,
1. We would have given the girl ACT and Augmentin tabs less than 2hrs after her injection of the same.
2. The doctor would have given her the 50mg Diclofenac suppository.
The question is, how many people take their prescriptions without scrutinising them? Many of them might be inappropriately calculated dosages, and people end up leaving hospitals with compromised/damaged organs while seeking for good health.
Some Nigerian doctors may be contributing to Nigeria's organ failure crisis more than we imagine.
@aproko_doctor
@OurFavOnlineDoc
@the_beardedsina