So i went to check the meaning of purpuric and this is what i found,the photos accompanying this definition is HORRIBLE.
Description of Purpiric according to google..
The term 'purpura' describes a purplish discolouration of the skin produced by small bleeding vessels near the surface. Purpura may also occur in the mucous membranes, especially of the mouth and in the internal organs. Purpura is not a disease per se but is indicative of an underlying cause of bleeding.
When purpura spots are very small (<1 are="" as="" br="" bruising.="" called="" cm="" deeper="" diameter="" ecchymoses="" haemorrhages.="" in="" larger="" or="" petechiae="" petechial="" purpura="" referred="" they="" to="">
Purpura may occur with either normal platelet counts (non-thrombocytopenic purpuras) or decreased platelet counts (thrombocytopenic purpuras). Platelets help maintain the integrity of the capillary lining as well as being important in the clotting process. As a general rule, purpura indicates a problem of the platelet system whilst a deficiency of clotting factors will cause haematomas or haemarthrosis as in haemophilia. Nevertheless, clotting factor deficiency must be considered.
from patient.info
They should stop the blame game, the deed has been done, all these won't resurrect her.
ReplyDeleteA clear conscience fears no accusation @ the camp doctors.
Person wey don die don die jare
DeleteI'm not a doctor but a pharmacist. When a person suffers from an anaphylactic reaction, the first thing you do is pump them with epinephrine to keep them alive. Hydrocortisone comes much later when they are stabilised.
DeleteShut up...what do you mean trade blame? You accuse people and you expect them not to reply? We Nigerians are so freaking used to speculations and analysiing stories when we don't even know half of the gospel truth...
DeleteAnonymous 16.00. Your head dey there. Are these quacks knowledgeable about Advanced Cardiac Life support? Epi should be the first call in this scenario. But all these technicians masquerading as doctors do not know any better.
DeleteIf it's not Epi that was first given, then the camp docs killed that girl. Forget all these got back and forth. They killed her. Kapish!!
DeleteAll in all,God bless her soul.
ReplyDeleteNonsense! Biased truth. They Fucking killed that young lady!
ReplyDeleteThe lady is ndead n buried, so enough of this nonsense
DeleteChai!!!! Engleash is hard, medicin is hell.
ReplyDeleteMy mout has bin open the wole time.
Am sorry but how do you say pupura and then mention allergic rashes from okiraka clothes???? Really????
ReplyDeleteThe best way to know the truth,is from the first hospital they refered her to, emergency room clerking should be proof as to what time she was brought in and in what condition.
The victim also made a mistake of not stating any medical history(if there was one).
Her so called gp,that has treated her before for some allergic reaction also has to attest to it.
Stella, pupura is a skin lesion that manifest due to a haematologic disorder!!! Please how did it come up with allergic rash from used clothes???? It's not in anyway related,
Doctors in house can expand on the discussion.
CHW the relationship is a well known fact in medicine. You are not in the know obviously. Google Allergens and you will see that some clothing material are allergens, thus if the okirika happens to be one of such, then she's in trouble. Just like some people react to Gold, some do to silk and linen. Please don't be emphatic when you are not in the field. Also the antimalarial she took, there are reported cases of allergic reaction following administration of some intramuscular antimalarials. It would be great if we can get information on what she took, and of course we should take into consideration that she might have brought Fansidar/Amalar class of antimalarial on people's advice. Such situation is common even amongst Health care professionals
DeleteMadam/oga, you have got to be kidding me!!!! Allergic reaction has a relationship to pupurA????? I just fainted???? Please Google or use your med textbook to prove your fact since I read the books upside down!!!!!
DeletePupura is a heamatological condition,please please please how is wearing of okiraka/used clothes a trigger factor??? I will agree on meds/infection as trigger factors,that I know but used clothes????
Meningococcal rash? Headaches, rash. Dont think they could have done much at d camp clinic. And stabilizing and referring was the best way forward. Unfortunately she passed, may her soul RIP. I pray God consoles her family
DeleteIt's still a pity that she died dispite all these. If only...
ReplyDeleteOf cos everyone will try to exonerate themselves now. Mtcheeeeew!
ReplyDeleteMay her soul continue to rest in peace.
They're trying to avoid been sued, the Dr said she died in a Teaching hospital but her sister claimed she met her corpse in the general hospital morgue, they're lying and this lie does not follow it @all
ReplyDelete*Larry was here*
Read her sisters version again. She met her corpse in the teaching hospital morgue
DeleteDem go soon blem Buhari... Lol
ReplyDeleteMake I read comment first...
So sad this year for corpers.
ReplyDeleteNysc lost three first class student
Kano camp
Zamfara camp
Bayelsa camp
The devil is a bad 🙅 devil
@Galore
Three side to a story....r.i.p....since the corper doctors did their job...thats awesome...
ReplyDeleteWow. She registered and few minutes went to clinic! This looks like the case of a sick person going to camp despite the illness. God help us make the right decisions in life.
ReplyDeleteFew mins ke? Dazzalie....... when did she have time to take those pics of her in camp?
DeleteOK.noted
ReplyDeleteThey are trying to exonerate themselves
ReplyDeleteThe doctors r trying to wash their hands off her death. So who is to blame?
ReplyDeleteThe devil
DeleteDon't mind them
They better just keep shut.
@Galore
The beautiful girl died just like that,may her soul continue to rest in peace. I pity her family cos it'll be difficult for them to forget about her. Untimely death is not for me,my family,friends SDK & all blog visitors. Amen.
ReplyDeleteGod Bless Everyone.
The beautiful girl died just like that,may her soul continue to rest in peace. I pity her family cos it'll be difficult for them to forget about her. Untimely death is not for me,my family,friends SDK & all blog visitors. Amen.
ReplyDeleteGod Bless Everyone.
It is well. I will say when they saw those symptoms, she should have been transferred. No need to stable anything. And preferably a doctor should have followed suit rather than the transfer and left her to die with a nurse watching till she's gone. And it is not by force to do nysc biko. When you know you are not strong for the environment at all. Make a move to go home not until they start that their yeye screening self. When I was in camp in kebbi, there was a lady that was seriously asthmatic. She presented herself well and mannered. And she went back home exactly that week. Like four days to camp opening. It's not by force to participate now. This said lady knew herself and what she might faced since she was treated previously and you don't think you will meet consultant in camp. I pity her and family but camp should be well prepared for biko. Get your drugs. I bought so many drugs to camp o plus malaria, diarrhoea, steroid plus the one wey dem no send me. A guy self at was selling remaining drugs when camp was about to close. That's how prepared people were.
ReplyDeleteYou must stabilise a patient before you refer, the only issue is they did not give epinephrine which is d main drug in anaphylaxis.Dr
DeleteWetin dem want make we do with this one now? Abi will it bring the lady back to life? Bia, Mr doctor, ur negligence and that of ur colleagues, killed that young lady. Simple. 😒😒😒😒😒😒😒😒😒😒😒
ReplyDeleteThis doesn't ease the pain. Rip
ReplyDeleteNo amount of justification will bring her back. RIP girl
ReplyDeleteDarling Stella,even from the above, it's still clearly shows they refused to refer her on time. I just read this on Nigeria Tribune
ReplyDeletehttp://tribuneonlineng.com/fg-nysc-killed-daughter-anguish-death-first-class-graduate-nysc-camp/
Sad one
ReplyDeleteRip
May she RIP, that is all I will say..
ReplyDeleteGod knows why..
Doctors o! Pls tell us what she actually died Of
ReplyDeleteIt hurts so bad...her soul rest in peace and my condolences to her loved ones, may GOD comfort you all and heal your broken hearts and her memory remain alive in your hearts.SIGH!
ReplyDeleteStella forget.
ReplyDeleteDrs can lie so much especially when it involves covering up their mess.
Hello doc, I don't understand your post. Its clearly mismanagement from both the camp doctors andgeneral hospital doctors.Obviously she was dead by the time they got to the federal institution. Carelessness and negligence.
ReplyDeleteDr O.
Only God knows what happened to her
ReplyDeleteNo matter how they spin this story, delay in treatment and referral killed her. Its a pity
ReplyDelete#The only real mistake is the one from which we learn nothing*
ReplyDelete'Though timing of referral was delayed' hmmmmm.
ReplyDeleteOnly God knows the truth.
ReplyDeleteMay her soul rest in peace.
Amen!
www.ckjacob.com
just checked what purpura is on Google.... it's terrible... God bless her soul...
ReplyDeleteTheir negligence killed that poor girl, this explanation make no sense to me, after all they admitted delay in referral.
ReplyDeleteHmmm
ReplyDeleteStella a medical doctor here in the U.K.
FROM THE LITTLE I READ : I THINK WHAT THAT LADY HAD WAS MENINGOCOCCAL SEPTICEAMIA i.e. Severe form of meningitis with purpuric rashes ! It kills like wild fire !
Another differential could be anaphylactic shock i.e. severe allergic reaction but from the recount of the history , I think the 1st is more likely as anaphylactic rashes are not usually purpuric !
Stella both conditions are very life threatening and very fatal if urgent care is not given !
I weep as I write as I see gross mismanagement in this case and hence , why the lady died!
In meningococcal septicaemia : immediate parenteral antibiotic is needed and urgent transfer to a hospital that can manage the case .
In anaphylaxis: parenteral adrenaline should given along side hydrocortisone , one need to give few times.
I did not read that they did that !
Both cases as possible differentials are ICU cases i.e. Intensive care cases are they are both dire emergencies !
Stella the presence of the purpuric rashes means the whole system/organs are affected and so there will be malfunction of the organs including the clotting pathway which platelets are path of etc , not because there is an intrinsic platelets problem !
The body function as one and once there is a problem in one part, if not taken care of , it can quickly affect the functions of the others.
In conclusion , Nigeria medical system is very very scary as they are rarely able to diagnose and manage emergencies !
Every one with serious emergency, all tend to die!
My God, it's scary !
Where as here, emergencies are the key defining our expertise as we do every thing and any thing to save those emergencies
That is the essence of being a medical doctor : to save lives in emergencies and not prescribing medications for stable conditions !
'Mbelede ka eji ama a true medics ''
Am proud to be one and more proud that I can learn what human lives are worth outside Nigeria as it seems there is no value for human lives in Nigeria.
Hoping to come back some day and give back, practice real medicine and save some lives for good.
Until then Nigeria medical system is worse than kerg of gun powder waiting to be detonated !
Heard of the story and anaphylactic shock came to my mind...
DeleteWhen I served, the camp clinic was always understocked. The people awarded the contract to stock it with emergency drugs always tend to do away with the money and subsequently the clinic waits for philanthropists to donate drugs ...Just imagine..For a crowd of about 3000 be rest assured some people would come down with one or 2 things....I doubt if there was hydrocortisone or adrenaline in my camp when I served(anyway I spent only a week in camp)
Even the nysc clinic that we managed in the nysc secretariat lacked drugs,we got pharmaceutical to donate drugs to us and we found it all stolen the next day.
It's quite sad.
May her soul RIP.
Pls can you come back to Nigeria and practice so you can help them make accurate diagnosis???? Why did you leave Nigeria??You just sit down in ur air conditioned office, where you make diagnosis with help of high tech gadgets and write nonsense about Nigeria doctors. Do you even realize this happened in a camp clinic where it is difficult to see paracetamol, and you are talking of parenteral antibiotics??. How did you even arrive at that diagnosis when there was no fever and neck pain?? How many emergency rooms in Nigeria can boast of x-ray machine or CT scan machine.?? Or even electricity??.pls Nigerian health care workers are very hard working. Don't compare UK and Nigeria. Are u even sure there's a standby ambulance in that camp for referral? The delay could be from camp administration. It's a pity the girl died, but pls channel your anger to Nigerian govt.
Deletehi doctor thanks for this wonderful explanation.
DeleteYou are a liar ma. The pupuric rash of meningococcal septicaemia doesn't set in just like that, and as for anaphylactic shock which is closer to what she had, going by her allergic history ( viz a known asthmatic) . The only drawback here is the system, you need to see the few things the guys at camp clinic have to work with and the long list of logistics hitch they need to go through to refer,except for a few camps. Madam Doc. You can reply here, I'm on break.
DeleteWho is this one pls? Uk Dr, make proper findings before coming here to show us how learned you are. Has it ever occurred to you that not all drugs are found in the nysc camp? How many camps have I.V antibiotics that ure talkn about? Come to the Nysc camp first and ull knw how limited they are. Wen u practice medicine in d tropics u go sabi. No be did one wet u dey Siddon type epistle for ur fone
DeleteGod bless you anon 12:47 and anon 13:11. People just sit down to type rubbish. Come to Nigeria and practice and let us see how well UK based dr kk will do. Are you guys sure he/she isn't even a medical student who was recently taught meningococcal septicemia? You know as medical students dey like show demselves wen dem just dey start clinicals? Lol. This could just be one of them. Get your facts right pls before coming to rant on the SM
DeleteDear Mr, Mrs Drs or should I say defence ministers !
DeleteIt's obvious yall not reading in between the lines and are neither observant : a key attribute of a medic!
The write up said ' Nigerian Medical system' and not named dr or group of drs!
It's a known fact that there are systematic failures in Nigeria and other developing countries alike and thus the medical sector/system not left out.
It's a failured system!
The Camp where thousands of youths are gathered should be at least be equipped enough to be able to manage and stabilise common emergencies ! Other wise it becomes too risk place !
It's a known fact that the ambulance van here in the western countries is actually more equipped in both infrastures and man power to handle emergencies than most A&Es in Nigeria !
Now, no one is saying that is your personal fault nor short comings , it's still part of a failing system !
But employing defence mechanisms rather than looking at things critically and not trying to find ways of improvising ain't gonna help !
I repeat most emergencies die in Nigeria and that is quite scary !
Mind you, no one ranting here as I know no one personally !
Just feeling so sad that a young life yet again was cut short due to gross inadequacies in the medical system !
I remain a proud Medic and I hopefully plan to give back to my dear Failing country some day soon God helping me !
STOP DEFENDING YOURSELVES AS THE POST WAS NEVER DIRECTED TO NEITHER OF YOU GUYS .
RIP TO THE DEAD
BULLSHIT!!!!
ReplyDeleteShe is dead and gone! WTF are we supposed to do with their crappy explanations and lies??? To hell with all of them
Only God knows what really happened, may her soul rest in peace!
ReplyDeleteRest on dear! Different versions, replies, clap backs & come outs! Only God knows what really transpired...
ReplyDelete... Jesus is my worth!
May she RIP.
ReplyDeleteIf you go to sOme general hosps, you are on your own...
ReplyDeleteHahahahahahhahaaaa abeg make una no carry okrika matter put there, na today people begin dey wear okrika. Just so you know, she washed the shorts before she wore it. You doctors should quit lying! Making it look like they did their best. Mstcheeww
ReplyDeleteThey just told you the history they got from the girl.obviously she had a reaction.
DeleteIf only all this argument could bring her back to life,they should stop already and allow the family grief without being reminded.
ReplyDeleteWhy is the online doctor hammering on the fact that she didn't die in camp? Did anyone claim she died in camp? This is medicine after death Jare, we all know is the problem was they delayed in taking her seriously when she said she was ill. God grant her enternal rest🙏🏻🙏🏻
ReplyDeleteThis people should go to hell with this there useless cover up story. The beautiful lady (RIP) died as a result of negligence. If Nigeria is a sane country all those involved should be cooling off in jail by now.
ReplyDeleteThey should allow her family mourn her peace ...
#feelingsad#
This people should go to hell with this there useless cover up story. The beautiful lady (RIP) died as a result of negligence. If Nigeria is a sane country all those involved should be cooling off in jail by now.
ReplyDeleteThey should allow her family mourn her in peace ...
#feelingsad#
Liars, they are lucky they are in lawless country that has no value for human life's.
ReplyDeleteThey should be in trial already.
But shouldn't NYSC have 1 or 2 certified medical doctors on ground to oversee the activities of the amateurs for the duration of the camp and also a state ambulance in cases of emergency like this.
ReplyDeleteWe actually, have a long way to go in terms of managing the health of the public.
But shouldn't NYSC have 1 or 2 certified medical doctors on ground to oversee the activities of the amateurs for the duration of the camp and also a state ambulance in cases of emergency like this.
ReplyDeleteWe actually, have a long way to go in terms of managing the health of the public.
All this online chats will not solve anything. it cannot bring her back to life.
ReplyDeleteThis is just so sad
This is so sad
ReplyDeleteMadam Stella I know you won't post my comment. You've swallowed it abi?? Continue. Once someone speaks the truth you'll swallow the comment. A comment that no vulgar words or for of insult, you swallowed it. Rubbish
ReplyDeleteNo amount of this will bring her back. RIP. Doctors in d house both abroad and Nigeria docs. I enjoyed ur comments.
ReplyDeleteHmmn, na wa for medicine in 9ja sha
ReplyDeleteSo a patient has Headaches; spreading Purpuric (not Urticarial) rash, Felt unwell and tired and one idiot Ignoramus is still commenting about waiting for Fever and Neck pain??
So you want the Meningococcus to stand up and identify itself before you know that this unfortunate Lady died from Meningococcal Septicaemia??
If there was no medication to hand,one can understand (not excuse) that but Hydrocortisone won't do Sh-t even if she had Anaphylaxis (as onset of action is in the order of hours).
Established Meningococcaemia doesn't give up to 30mins to mess about.It is a TRUE Emergency.
For any Dr out there reading this, this is a learning point for you !! No need for Fancy diagnoses.Just bang in the Broad spectrum AntiBiotics stat
This is the diference between saving lives and sending o the local death house(Gen Hospital). May her soul RIP.
SDK In-House Physician(Specialist in Emergency Medicine)
Bless bless
DeleteAm glad some dr with functioning cerebrum is talking !
Beautiful
DeleteNo, Nigeria drs won't bother to learn instead they become denfence ministers
And patients keep dying
Over ego upon ignorance !
God help the people the people of Nigeria !
I trained and practice in Nigeria, and when i saw the rash and hx of headaches i thought meningococcal sepsi but truth is most people wont make that as a first diagnosis reason being we are hammered with common things occur commonly, and i am sure the UK doctors would agree this is more common overthere than here, this may be due to few cases even making it to the ER or underreporting. However that being said even if they knew what it was or had a high suspicion of whatever the lady had being fatal out major problems remain, inadequate medications. Even when you see a patient stabilize and refer getting the ambulance is another issue. I am talking about district hospitals o. Wos d problem is legion and extends thru Africa. We just do our best, maintain high level of suspiscion and hope our medical system is revived !!! Sometimes really you are handicapped even prescribe the iv antibiotics and the patients can not afford it.
DeleteWHen i first heard of this incident, my first thought was I hope she didn't have meningitis with a history of rash and fever. Please all corpers going to serve in the North should have the vaccine. It should be compulsory. Outbreaks occur commonly
ReplyDelete@ anon 20:33 you are correct. My mind went to meningitis when I read the symptoms. Rip to the dead.
ReplyDeleteThis country is so poor in emergency preparedness. In fact there is nothing called emergency in our dear country. I am a nurse and I know the situations in our govt hospitals. I weep for the patients anytime they come in with emergencies.Apart from the fact that there are no drugs or equipments to combat the situation, the level of negligence and malpractice among health workers is alarming.
ReplyDeleteI was a victim of the so called emergency some years ago. I was lying on the casualty couch for good three days without food and water hoping to go in for surgery anytime soon.Mind you, "Emergency" was boldly inscribed on my case file.
Anyway, I agree with the UK doctor, lives are not valued in this country. May we never fall victims.
This country is so poor in emergency preparedness. In fact there is nothing called emergency in our dear country. I am a nurse and I know the situations in our govt hospitals. I weep for the patients anytime they come in with emergencies.Apart from the fact that there are no drugs or equipments to combat the situation, the level of negligence and malpractice among health workers is alarming.
ReplyDeleteI was a victim of the so called emergency some years ago. I was lying on the casualty couch for good three days without food and water hoping to go in for surgery anytime soon.Mind you, "Emergency" was boldly inscribed on my case file.
Anyway, I agree with the UK doctor, lives are not valued in this country. May we never fall victims.
I have never seen epinephrine nor adrenaline in my ward before and I've been there for almost 7yrs. We request for emergency drugs and include them but they are never available in the hospital.
DeleteIt is not too much for the Nigerian government to have at least one experienced doctor in each NYSC camp for the 3 weeks orientation period. For crying out loud, the only experience the doctors in camp have is from their one year housemanship training so they really don't know much. A lot of trial and error is done and you can't blame them. Nigerian government should set their priorities right. These corpers are too important to be lost just like that. If they cannot afford experienced health care personnel in the clinics during the 3 weeks period, then they should scrap the scheme entirely instead of endangering innocent lives!
ReplyDelete