Saturday 27 February 2016

weight loss

Cancer treatment in Nigeria – time for a paradigm shift ( Lakeshore Cancer Center leads the way)

Cancer. It is a dreaded word that strikes fear into the heart of people. The World Health Organization (WHO) reported about 14 million new cases and 8.2 million deaths in 2012 related to cancer. It is the second most common cause of death in developed countries and among the three leading causes of death in developing countries. In Nigeria, it is estimated that over 71,000 people die each year from cancer related causes, with about 102,000 new cases diagnosed each year.
A neglected arena of public health in Nigeria
Faced with the second highest burden of HIV in the world, an increasing incidence of tuberculosis, a health care system that is unable to provide primary care, cancer has not been high on the list of priorities in Nigeria. Very little is being done on prevention and even less on establishing excellent treatment centers that can cater to the growing number of cancer cases in the country. There are a few treatment centers for cancer and cancer related illnesses but they are always in the news for the wrong reasons – a failure of their radiotherapy infrastructure.



National Hospital Abuja currently has the only functioning radiotherapy machine in Nigeria. Photo source: olisa.tv
National Hospital Abuja currently has the only functioning radiotherapy machine in Nigeria. Photo source: olisa.tv
In a country of over 170 million people there are only nine radiotherapy facilities, and (as at October 2015) the only functioning machine is at National Hospital, Abuja. The effect of such poor cancer services is expensive medical “tourism” for those who can afford to get care outside the country, or turning to private hospitals, traditional healers and religious leaders, for the many Nigerians who cannot afford to travel. By and large, cancer treatment and care in Nigeria is sorely inadequate.
Cancer treatment is expensive. With the fragmented nature of private medical care, we are mainly reliant mainly on provision of care services by government facilities. These currently lack the funding, support and management capacity needed to bring consistent, high quality care to the average Nigerian cancer patient.
Changing the cancer treatment story in Nigeria
When government fails, as is so often the case in Nigeria, the private sector steps in. There are a few examples of groups that finding innovative approaches to the provision of care. We have highlighted a few in the past such as “Kidney Solutions” providing renal care and D&TEC providing endoscopy services, both in Lagos. One new organization that is passionate about changing the situation with cancer in Nigeria is the Lakeshore Cancer Center in Lagos. It is taking a series of steps to become the most comprehensive cancer care and treatment center in Nigeria.



Dr. Chumy Nwogu is the CEO of Lakeshore Cancer Center, Lagos. Photo Credit: Nigeria Health Watch
Dr. Chumy Nwogu is the CEO of Lakeshore Cancer Center, Lagos. Photo Credit: Nigeria Health Watch
The center began in July 2014, and is the dream-child of Dr. Chumy Nwogu, a U.S. trained Thoracic Surgical Oncologist. Nwogu began his journey at the University of Nigeria Nsukka (UNN), and still works part-time at the Roswell Park Cancer Institute in Buffalo, New York, when he is not in Nigeria.
Nigeria Health Watch recently visited Lakeshore Cancer Center, to talk to some of its pioneering staff. We met with Dr. Oge Ilegbune, the Center’s in-house general practitioner, to discuss the ways in which the Center is working to improve the access to quality cancer care services in Nigeria. Ilegbune, who herself returned to Nigeria in September 2014, said Nwogu wanted a “comprehensive cancer center in Nigeria because he found that cancer care was being done in patches. It was a case of trying to get cancer care under one roof, a bit like what Roswell Park does.”
The need for such a comprehensive center is obvious, Ilegbune asserts. “In Nigeria, you have a lot of private hospitals that do sporadic chemotherapy and some even invite oncologists to come in to manage the odd patient. Some teaching hospitals have their oncology departments, but it is one of several services,” she said. “Until now, there hasn’t been this sort of coordinated care, where you are doing not only cancer treatment and chemotherapy, but also cancer education and awareness and prevention all under one roof.”



A private chemotherapy treatment room at Lakeshore Cancer Center, Lagos. Photo Credit: Nigeria Health Watch
A private chemotherapy treatment room at Lakeshore Cancer Center, Lagos. Photo Credit: Nigeria Health Watch
Lakeshore services include cancer consultations, chemotherapy, as well as palliative care for cancer related illnesses. “If a patient goes to India for treatment and returns to Nigeria, and needs to continue their regimen, we care for that patient,” Ilegbune said, adding that “It’s expensive and emotionally draining for someone to leave their country and go to another country to stay for an extended time while getting treatment. There are financial and emotional implications, many patients cannot afford to be away for too long, so when they return, they need a place to go. In the long term, we hope that there will be no need for them to go at all, as we hope to be able to provide for all their care”. And this is what Lakeshore offers. A place for those dealing with the complex and difficult care and treatment of cancer to go to, here in Nigeria, and receive world class care from concerned and expert staff.
Since June of this year, Roswell Park is officially affiliated to the Lakeshore Cancer Center. Roswell Park Cancer Institute is one of the most renowned cancer research and treatment centres in the world. “Dr. Nwogu is here in Lagos every six to eight weeks, and when he is here he carries out surgeries and provides specialist care,” Ilegbune said, adding that, “We have an affiliation with other specialties at Roswell Park, who are available when patients request a second opinion from a known cancer institute.”
The Center recently hosted a team from Roswell Park, who spent a week doing in-house training for staff as well as training nurses at LUTH and UCH Ibadan. The Center has also held a Continuous Medical Education (CME) course with LUTH and Pathcare. Ilegbune says continuous development is part and parcel of Lakeshore’s vision. “We do not just want to achieve excellence in our centre, but to support those working in other centres, especially the public sector.”



A pharmacist at the Lakeshore Cancer Center Lagos. Photo Credit: Nigeria Health Watch
A pharmacist at the Lakeshore Cancer Center Lagos. Photo Credit: Nigeria Health Watch
Beyond cancer treatment alone
Besides treatment, Lakeshore offers prevention services such as cervical cancer screening. Early detection is an important part of reducing cancer prevalence in Nigeria. Ilegbune said her team is advocating for cancer screening to be covered under the insurance packages of Health Maintenance Organisations in Nigeria. “We are in the process of getting advocacy groups to recognise that lots of HMOs in this country do not have cancer screening on offer, which leads to a situation where patients end up paying a lot more in the long term for care. She said a “nationally recognized screening program” for certain cancers will help bring down the incidence of cancer in Nigeria. “In the UK or US, women get a letter when they turn 40 to come in for their mammograms, and it’s the same thing with a pap smear, when at 25, and subsequently every three years to come in for cervical screening. It’s already built into the system,” she said.
She adds that Lakeshore hopes to “set up a directory that anyone who passes through us for any type of screening can be reminded at the appropriate time to come for subsequent screening appointments.”
She notes that government support is key, as well as private investment, if Nigeria is going to one day be known for excellent cancer treatment centers. “At the end of the day, it’s going to have to be a collaborative effort,” she says, adding, “It can’t be the public sector alone, it can’t be the private sector, there’s got to be some sort of merge, some sort of relationship between the two, to get it going.”


from: Nigerian Health watch November 3,  2015

Oncologist advocates free cancer treatment in Nigeria

Oncologist advocates free cancer treatment in Nigeria
The head of Oncology Department of the University of Port Harcourt, Dr. Rawlings Jamabo, has appealed to the Federal and state governments to provide free cancer treatment for patients in Nigeria, as a measure to reduce the high rate of cancer related deaths in the country.
Jamabo, made the appeal while addressing newsmen in Port Harcourt on the forth-coming World Cancer Day, February 4.
He said the call/appeal has become necessary following the increasing cases of the ailment in the country, followed by its high cost of treatment, which according to him is beyond the financial capacity of Nigerians.
The coordinator of Cancer Therapy in the University however blamed the rising cases and death toll of victims of the disease in the country on the ability of patients to report early in hospitals apparently for lack of money.
He noted that patients of the disease would report early for treatment, should they realise that the treatment is free as is done in developed countries of the World.

Wednesday 17 February 2016

Why Medical Doctors Who Are Perm Secs Earn More – NIGER NMA


The  Nigerian Medical Association (NMA), Niger State branch has defended its members against criticisms that doctors who are permanent scretaries earn more in the state civil service.
The Association in a statement signed by  its chairman, Dr Usman Abubakar, yesterday in Minna noted that they were in support of the screening exercise embarked upon by the state government but frowned at the allegations leveled against their senior members
.”We frown at the malicious allegations against any of our members, especially senior colleagues that have distinguished themselves in service to the state over the years” the statement read in part.
The statement explained that there are circulars defending the earnings of the said permanent secretaries.
“ Doctors in Nigeria, Niger State inclusive, are on Consolidated Medical Salary Scale (CONMESS), which clearly states what allowances are due all doctors based on levels, qualifications and appointments”.
According the NMA: ‘‘That a doctor is appointed a permanent secretary does not change his status as a medical doctor nor stops his or her clinical practice, considering the fact that most of them are specialists, whose services are still very much needed in our hospitals and hence the need to earn professional allowances”.
The doctors argued that the said doctors still discharged their duties as medical doctors in government hospitals in the state despite their administrative position hence they were entitled to some of the allowances.
They demanded that NMA be represented in the screening body and also part of investigations in some of the allegations made against their members.

Quality of a good nurse

A good nurse is the best a human being can be.’ How true? To be able to reduce misery and save lives is the most incredible feat good nurses achieve on a daily basis. Nurses have the enormous privilege of touching and changing lives. I know Jesus died a long time ago, but good nurses perform miracles every second of the day. It requires an awesome level of conscientiousness.
 
So, what makes a good nurse?
 
A cousin of mine rushed his father to the emergency room with acute retention of urine. The man could not pass urine due to obstruction caused by an enlarged prostate gland. A nurse came out, took one look at the old man and called the son aside. “Your father is dying,” he said. “You should go and buy a big cow to celebrate his long life.”
 
I asked him to remove his father to another hospital immediately. At the new hospital, the nurses asked the right questions, examined the patient and passed a urinary catheter. The patient felt immediate relief. His blood pressure settled and he stopped sweating profusely while he suddenly found his voice. He lived for much longer and the family did not buy a cow!
 
There are many qualities that make a good nurse but humanity, curiosity and professionalism are the key values.
 
Humanity
 
A good nurse is a human being who can relate to others as if they are members of a family. Once you see your patients as an extension of your own humanity, you will go that extra mile to do the best you can for them. The question that really great nurses often ask is: ‘What if this was my family?’Once you answer that question correctly, you would move mountains.
 
Studies show that having a warm and accessible nurse not only makes you a more satisfied patient, it also has another important benefit. Experts say when patients trust their nurse, they are more likely to adhere to treatment plans and follow advice. They add that if you’re looking for a good nurse, start by looking for a human being who cares about people. A good nurse must be able to treat all patients equally, regardless of their ethnicity, lifestyle choices or conduct. The job is to treat your patients, not to judge them.
 
A good nurse is not looking for a community that can support his/her needs. Rather, he or she is looking for a community that desperately need his or her attention. It is an altered mindset looking for who you can help with compassion and your expertise. This is different from many who work in our hospitals or areas where they hunger to get the most pay for the least amount of work. Such nurses often have little respect for people and are largely unsupportive when they are truly needed.
 
Curiosity
 
A good nurse has fine manners and excellent communication skills. It is not enough to know your job and do it well; you are in a wrong profession if you have terrible bedside manners and lack empathy. A nurse’s ability to explain, listen and empathise has a profound impact on a patient’s care. A good bedside manners is simply good medicine.
 
The best nurses always ask courteous questions, let people talk, and listen to them carefully. They give unbiased advice, let people participate actively in all decisions related to their health and health care, assess each situation carefully, and help whatever the situation is.
 
Many patients tell us what is wrong with them and exactly where the problem is, in many situations. Usually, you might find that you have a rough idea of what is wrong with your patient within the first minute of their visit, but until you’ve dug deeper and got a real understanding of their situation, you will not be able to treat them to the best of your ability. Listening and hearing exactly right is therefore fundamental to making the right diagnosis. If you are distracted, you could miss vital clues.
 
Professionalism
 
This is of utmost importance, along with your skills. It is critical that you behave well and maintain a professional distance from your patients. They need to feel safe in your company to disclose information at their discretion, and they need to be sure that anything they say will not be broadcast. Nurse/patient confidentiality is extremely important and it has been a fundamental strand of nursing ethics.
 
If a patient feels they are being cared for by the right nurse who has taken an interest in their well-being, their body will suppress their awareness of pain and they will experience faster recovery. And, conversely, the stress of having a bad nurse who doesn’t show an interest can actually prolong the patient’s suffering.
 
Finally, the nurse should be a human being, happy, healthy, caring and competent. They should have a balanced life and care for themselves and their families too.
 
NB: There is a real need to train and test nurses in interpersonal and communication skills in Nigeria. Therefore, we have started improving nursing standards courses in Abuja. The workshops and lectures on all aspects of nursing take place every Saturday. Run by two great nurses, Joy Ugochukwu and Cecilia Nwankwo, they hope to elevate nursing care to lofty heights. See Facebook for more details.
 
By: Biodun Ogungbo
Punch News

Wednesday 10 February 2016

OPEN LETTER TO INSPECTOR GENERAL OF POLICE ON POLICE BRUTALITY TO DOCTORS IN IMO STATE

Dear ALL

Find below NMA's open letter to the Inspector General of Police on the disruption of the peaceful protest embarked upon by members in Imo State:

OPEN LETTER TO INSPECTOR GENERAL OF POLICE

REF: NMA/PRE/SG/02/01038

9th February, 2016.

Inspector General of Police
Nigerian Police Headquarters
Louise Edet House,
Abuja

Dear Sir,

A CALL FOR A PROBE AND RESTITUTION ON THE VIOLENT DISRUPTION OF A PEACEFUL PROTEST EMBARKED UPON BY MEMBERS OF NIGERIAN MEDICAL ASSOCIATION IMO STATE ON THURSDAY 4TH FEBRUARY 2016 BY MEMBERS OF THE NIGERIAN POLICE FORCE IN OWERRI IMO STATE.

The attention of The Nigerian Medical Association has been drawn to the incidents leading to lethal violence meted out to medical doctors and resulting from the botched attempts of members in Imo state chapter to bring to the notice of the state governor Owelle Rochas Okorocha and the entire citizens of the state the negative developments unfolding in the public healthcare delivery sector in Imo state on Thursday 4th February 2016.
The national secretariat of the noble association is aware as we gathered that the officers of the Association in the state sought and got the cooperation of the state command of Nigerian Police Force to enable them embark on the peaceful demonstration without violence or rowdiness should infiltrators from members of the public join the group.

NMA is therefore in shock that an orderly procession of unequivocally identifiable members of the medical profession who have previously sought and gotten the assurance of protection from the police could be so assaulted with tear gases and other forms of brutality leading to the infliction of a deadly injury to the head of one of them.

The Nigerian Medical Association wishes to state that the action of the police in contradiction to the provisions of the 1999 constitution as amended in chapters 39 & 40, and various judgements of the competent courts of jurisdiction in Nigeria including the Court of Appeal as it concerns the inalienability of the citizens? right to Peaceful Assembly and Association; freedom of Movement and those of Thought and Conscience, is unfortunate and shocking. Our Association also recognises that whereas democracy guarantees the expression of dissenting opinions through protests, rallies and demonstrations as long as the people do not constitute themselves into an unholy assembly or riotous crowd, the brutal dispersion of doctors? peaceful march is unbecoming of an organisation that is statutorily entrusted with the protection of lives.

In the light of the foregoing therefore, NMA as a law abiding professional association wishes to state unambiguously that the draconian, vindictive and violent action meted out to our members who were simply bemoaning their fate in the face of the mistreatment they are subjected to by Imo state government stands condemnable before all men and women of good conscience.

The Association therefore demands as follows;

i. The police officer and his/her commander who fired/ ordered the firing of the near fatal missile that injured our member Dr.Bede Azudialo be identified and subjected to appropriate action according to the law; and the hospital bills incurred in the course of his treatment be borne by the so-identified officer/s.

ii. All expressed as well as conceived threats against the executive and other members of NMA in Imo state be withdrawn immediately and their safety guaranteed as law abiding citizens of Nigeria are entitled to.

iii. The erring officer and/or the Imo state Command of the Nigerian Police Force should offer an unreserved apology to Dr. Azudialo, Imo state chapter of the NMA and Nigerian doctors in general.

iv. That on no account should members of the Association again in the future be harassed and threatened with death in the hands of the members of the Nigerian Police Force in Owerri, Imo state or any other parts of Nigeria; while admonishing the state police command not to take sides unnecessarily with the state government on issues of labour unrest as our members and other citizens of Nigeria have a guaranteed right under the constitution to say no to oppressive, repressive and draconian policies of the government.

We wish to restate that Nigerian Medical Association acknowledges the precarious nature of various stresses the nation is facing today and would always work as partners with government and her agencies towards rebuilding our nation from its foundations. It therefore behoves on us as the custodians of the peoples? health to say no whenever certain policies that are inimical to the availability, affordability and efficiency of healthcare are formulated and implemented in any part of the country.

Please be assured of the regards of our highest esteem as we join hands to build a better, safer and progressive nation.
Yours faithfully,

Signed:

Dr. Kayode OBEMBE                                                        Dr. Adewunmi ALAYAKI
President                                                                              Secretary General
Nigerian Medical Association                                             Nigerian Medical Association

Cc:

Honourable Minister of Health
Honourable Minister of State for Health
Governor of Imo State
Commissioner of Health, Imo State
Director of State Security Service
Chairman, NMA Imo State.

Electric Shock : first Aid

https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjg_r86MA5_LAXwmxvYhC_g47EOytIJ74X4mDmDYPl6U6nhpxeFFZIz-6kFK2r_H3sPh80WqOalqstYkkHRTZrichvC1ZAjra4dq49mjg9wgrBWAgK33WSJ6v44G7Qjj-PCxIqqswsOoiN_/s1600/1.jpg
Electrical shocks always need emergency medical attention -- even if the person seems to be fine afterwards.

Call an emergency line, most countries have dedicated line for emergencies e.g 911, for country who do not have call for nearby help (medical or not) if available.

Your safety is the most important: use the first 30 second to 1 minutes to  observe, think then act.

 Check the environment :
Type of current (high or low voltage)
the source and the switches,
 look for wetness, 
nearby metal (conductors) ,
 non conductors, 
the victim(s) position in relation to the environment, 
the condition of the victims (breathlessness, convulsion etc)

1. Separate the Person From Cur rent's Source

To turn off power:
  • Unplug an appliance if plug is undamaged or shut off power via circuit breaker, fuse box, or outside switch.
If you can't turn off power:
  • Stand on something dry and non-conductive, such as dry newspapers, telephone book, or wooden board.
  • Try to separate the person from current using non-conductive object such as wooden or plastic broom handle, chair, or rubber doormat.
If high voltage lines are involved:
  • The local power company must shut them off.
  • Do not try to separate the person from current if you feel a tingling sensation in your legs and lower body. Hop on one foot to a safe place where you can wait for lines to be disconnected.
  • If a power line falls on a car, instruct the passengers to stay inside unless explosion or fire threatens.

2. Do CPR, if Necessary

When you can safely touch the person, do CPR if the person is not breathing or does not have a pulse.
Begin CPR if the person shows no signs of circulation, such as breathing, coughing or movement.

3. Check for Other Injuries

  • If the person is bleeding, apply pressure and elevate the wound if it's in an arm or leg.
  • There may be a fracture if the shock caused the person to fall.
  • Try to prevent the injured person from becoming chilled.
  • Apply a bandage. Cover any burned areas with a sterile gauze bandage, if available, or a clean cloth. Don't use a blanket or towel, because loose fibres can stick to the burns.

4. Transport the victims to hospital. 

an ambulance is preferable, use other safe means if not available

 


5. Follow Up

  • A doctor will check the person for burns, fractures, dislocations, and other injuries.
  • An ECG, blood tests, urine test, CT scan, or MRI may be necessary.
  • The person may be admitted to the hospital or a burn centre.
The danger from an electrical shock depends on the type of current, how high the voltage is, how the current travelled through the body, the person's overall health and how quickly the person is treated.
An electrical shock may cause burns, or it may leave no visible mark on the skin. In either case, an electrical current passing through the body can cause internal damage, cardiac arrest or other injury. Under certain circumstances, even a small amount of electricity can be fatal.

A person who has been injured by contact with electricity should be seen by a doctor.

Caution

  • Don't touch the injured person if he or she is still in contact with the electrical current.
  • Call  your local emergency number if the source of the burn is a high-voltage wire or lightning. Don't get near high-voltage wires until the power is turned off. Overhead power lines usually aren't insulated. Stay at least 20 feet (about 6 meters) away — farther if wires are jumping and sparking.
  • Don't move a person with an electrical injury unless he or she is in immediate danger.

When to seek emergency care

Call 911 or your local emergency number if the injured person experiences:
  • Severe burns
  • Confusion
  • Difficulty breathing
  • Heart rhythm problems (arrhythmia)
  • Cardiac arrest
  • Muscle pain and contractions
  • Seizures
  • Loss of consciousness
Take these actions immediately while waiting for medical help:
  • Turn off the source of electricity, if possible. If not, move the source away from you and the person, using a dry, nonconducting object made of cardboard, plastic or wood.

New Recommendations for Preventing and Managing Neuropathy, Fatigue, Depression, and Anxiety

April 15, 2014
· Amber Bauer, ASCO staff
Many people are prepared to experience side effects while they are going through cancer treatment. However, it is often surprising to cancer survivors that some side effects may linger after treatment has finished. Some of these side effects go away over time, but others require lifelong management.
Relieving side effects, both during and after treatment, is an important priority for your health care team. To help doctors better prevent and manage peripheral neuropathy, fatigue, depression, and anxiety, the American Society of Clinical Oncology (ASCO) has just released three new clinical practice guidelines. Clinical practice guidelines are recommendations created to help improve patient care. They are based on a thorough review of the research and an assessment of the benefits and risks of the possible care options.
Peripheral neuropathy
Peripheral neuropathy is a type of nerve damage that can cause numbness, tingling, pain, muscle weakness, and other changes. It develops when the nerves that carry information back and forth between the brain and spinal cord are damaged.
About 30% to 40% of people with cancer develop peripheral neuropathy as a result of specific types of chemotherapy, particularly in high doses. Unfortunately, there is no good evidence that any medications, vitamins, or supplements can help prevent neuropathy caused by chemotherapy. Still, if neuropathy is caught early enough, your doctor can switch to another drug that doesn’t have neuropathy as a side effect, reducing the risk of permanent nerve damage.
Although there are no medications that are able to reverse neuropathy, there are a number that may help relieve pain. However, they do not relieve numbness. For neuropathy related to chemotherapy, ASCO recommends the antidepressant duloxetine (Cymbalta). Other medications may be considered depending on your specific situation and the cause of your neuropathy.
“Some of the drugs used for prevention or treatment of neuropathy may cause side effects or interfere with other drugs,” said Gary Lyman, MD, MPH, co-chair of the ASCO Survivorship Guidelines Advisory Group.  “We want to be clear that if there is no evidence of benefit from those drugs, it’s probably best not to take them.”
Fatigue
Fatigue caused by cancer treatment is different from feeling tired because you stayed up too late. It is a persistent feeling of physical, emotional, or mental exhaustion that interferes with your usual functioning and doesn’t improve with rest. Most people receiving cancer treatment experience fatigue, and approximately one-third of cancer survivors have fatigue that lasts for years after finishing treatment.
“Fatigue is an extremely common symptom in patients with cancer,” said Smita Bhatia, MD, MPH, co-chair of the ASCO Survivorship Guidelines Advisory Group. “We hope that this guideline will help ensure that fatigue screening and management are incorporated in the care of every patient and survivor.”
ASCO now recommends that people should have their level of fatigue evaluated when they are first diagnosed with cancer. This evaluation is part of a comprehensive screening called distress screening that evaluates your emotional health and quality of life. Health care providers should perform this evaluation every year and any time there are symptoms of fatigue throughout treatment and into recovery.
 If fatigue becomes an issue, there are a number of strategies to help manage it, including physical activity, cognitive and behavioral therapies, psycho-educational therapies, yoga, acupuncture, massage, and music therapy.
Depression and Anxiety
Depression begins with feeling down or sad, having little interest in or receiving little pleasure from doing the things you once enjoyed, and feeling hopeless. While these feelings can be a common reaction to a cancer diagnosis and the challenges of treatment, they become an issue when they continue for two or more weeks and negatively affect your daily activities or relationships.
Anxiety, on the other hand, makes you feel nervous, on edge, worried, or overwhelmed a lot of the time. Anxiety is a normal response to anything your body perceives as a threat, but intense anxiety for a long time is a disorder that may interfere with your daily activities and relationships. Many people with cancer experience symptoms of anxiety, with fears triggered by the uncertainties of a cancer diagnosis.
“Doctors sometimes don’t give these symptoms much attention because they think it’s normal that patients are a little anxious or depressed about their disease,” said Dr. Lyman. “But it’s important to keep an eye on the symptoms and step in when they start to interfere with a person’s life.”
ASCO recommends you receive an evaluation for depression and anxiety when you are first diagnosed with cancer and on a regular schedule throughout treatment and recovery. During this evaluation your doctor or another member of the health care team will ask you about any symptoms of depression and anxiety you may have and how often you have experienced them. Based on your answers, your doctor may refer you to supportive care services available at the hospital or cancer center where you receive treatment, group therapy, or a mental health professional, such as a licensed counselor, psychologist, or psychiatrist.

Tuesday 2 February 2016

PATIENT SURVIVED LASSA FEVER AT FEDERAL MEDICAL CENTRE, ABUJA

 A female patient (name withheld) has survived the Lassa fever disease at Federal Medical Center, Abuja ( formerly Federal Staff Hospital)

The patient presented with some of the symptoms and sign of a febrile illness on the 20th January 2016.

One of the doctors who attended to the patient attested that the patient presentation was not classical.

However, with high index of suspicion the diagnosis was made.
The Patient sample was send to a research laboratory in Lagos.
It was confirmed the following day to be a case of Lassa Fever,

Patient has been isolated since the day of diagnosis,
He has been on treatment since confirmed and has been discharged from the hospital.

On a lighter note, staff of another Federal Medical Center was said to have jumped the fence on seeing a patient suspected to have Lassa Fever.

It is no longer news that medical personnel are at increase risk of the disease

NIGERIANS ENGAGE THE SERVICES OF CAT TO PREVENT LASSA FEVER AMONG OTHER MEASURES
























It is now trending that various communities in Nigeria has embarked on using ecological mean to curtail the rat population..
Even higher institution of learning are not left out in the fight against Rat.
other measures put in place include:
1. Fumigation
2. keeping a clean and tidy environment
3. make your food stuff container rodent proof
4.Avoid eating food that is suspicious  of rat contamination


Is  it really ideal and safe to own a cat just because of Lassa Fever?

Cat is also known to transmits some diseases like TOXOPLASMOSIS, CAT SCRATCH FEVER.

 Also cat are pets and would need your care.

So before you buy you buy that cat: consider the cost.