"WHO KILLED MR.X"
(Nigeria Is A Zoo...)

It was just like any other day this festive period, cool and calm up until "Doctorrrr!!!!"

I ran out to see a "sea" of human beings carrying an unconscious man into the A/E, I quickly dispersed the crowd and got to work...

#OdogwuTales
Nobody was giving me a proper story of what happened and I started checking his vitals...wala!!!! Na serious case!!!

Sugar Level: 17mg/dl

Now let me explain this, for a person that is not diabetic...

The normal "Fasting Sugar Level" (Before Eating) is around 80-100mg/dl
Normal "Random Sugar Level"(After Eating) is 170-200mg/dl

So this man came in with 17mg/dl meaning He had very low sugar, a condition called HYPOGLYCEMIA and that was why he was unconscious, a condition called "DIABETIC COMA"

HYPO: Low
GLYCEMIA: Glucose

You get the meaning...
It didn't end there, we checked his Blood Pressure and it read 224/110mmHg...Another Wahala!!!

Now the normal BP range for people that are not hypertensive is...90/60mmHg - 120/80mmHg

This man came with GRADE 3 HYPERTENSION i.e Blood Pressure greater than 180/110mmHg
Now the main problem started when we corrected his low sugar level and he started regaining consciousness...Thank God

But his Blood Pressure was not coming down after using several emergency anti-hypertensives...Wahala

It didn't end there, the man was not MAKING URINE!!!
The body works in away whereby it gives out what you bring in (GIGO- Garbage In Garbage Out) so if we put in 100mls of fluid, we should get atleast 50-80mls back as urine...

We started asking, when last did this man urinate, they lied initially, that he urinated that morning...
But later admitted that he urinated 3days ago...

PATIENTS ALWAYS TELL YOUR DOCTOR'S THE TRUTH...

His kidneys were "Challenged" to enable him make urine but all to no avail, just then he started acting like "mad" man, a condition known as "ENCEPHALOPATHY" which is common in...
KIDNEY FAILURE/DISEASE.

Long story short, the man needed urgent DIALYSIS

Dialysis is the process of removing excess water and toxins from the blood in people whose kidneys can no longer function properly.

The DIALYSIS MACHINE does the job of the KIDNEY...shey una get...
I wrote a detailed referral letter and sent them to the General Hospital...

They got to the General Hospital and was immediately referred after reading my referral letter to any of the Teaching Hospitals...

They finally got to the Teaching Hospital and was told ....
"All of our dialysis machines are very busy at the moment"...

Hmmmm...Nigeria my country!!!

In frustration, they took the man home and watched him slowly give up the ghost!!!

Now the question remains who killed Mr.X?

It could be Mr.X himself who is a known alcoholic that...
wakes his kidney and liver up with gin and smokes till day break

It could be the poorly equipped state and federal hospitals...

Who is it???
Who do we hold responsible???

I'm tired of this country that spends billions of frivolities and ignores the health of its citizens!!!
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