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Doctor shares Dreadful Story of how Stroke Patient Passed after Pastor Forbade Injections

BellaNaija.com

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Twitter user @training_medic shared the most awful story on his timeline, detailing how he lost his patient to a pastor’s unreasonable’s beliefs.

A patient had been brought in unconscious after suffering stroke, he shared, but the doctors were unable to act because the patient’s wife’s pastor had said stroke patients die when they take injections.

They had found it impossible to reach the pastor, he shared, and when he finally picked his calls, he ordered the doctors not to act until he arrived.

Ultimately, they lost the patient, and only after that had the doctor arrived.

See the thread below:

Doctor shares dreadful story of how Stroke Patient Passed after Pastor forbade Injections | BellaNaija

25 Comments

  1. Beebee

    May 30, 2018 at 8:33 pm

    That pastor is fake and ignorant.Religion is truly our problem in this country.

    • Jummy

      May 30, 2018 at 9:09 pm

      Aunty/uncle that is so quick to villify Nigeria, it most likely did not happen Nigeria.

    • NDBabe

      May 31, 2018 at 3:53 am

      He went to “heaven”, which one una dey? LOL and no LOL.. This is what happens when people become so desperate they deify their fellow human beings. If that pastor goes to hospital and you tell him he needs an IV, you know he is going to take it. He will even ask for it first. SMH

  2. Butterfly

    May 30, 2018 at 8:56 pm

    Ignorance at it’s peak. Fools.

  3. Wow

    May 30, 2018 at 9:31 pm

    Truly sad! I’m wondering though, why the patient’s wife didn’t take him to the pastor instead of the hospital if they still needed to consult with the pastor before treatment can be administered.

    Then, just out of curiosity, aren’t Nigerian doctors supposed to stabilize patients first before anything? If a patient is taken into the emergency room, then, the first course of action should be stabilizing the patient and this has nothing to do with the consulting the family members ??‍♀️ I don’t live in Nigeria so this is a honest question.

    • Miss Fine

      May 31, 2018 at 6:19 am

      Exactly, there is more to this story that meets the eye. So in essence tgeyvjust watched the patient die!

    • K

      May 31, 2018 at 6:40 am

      Consent is always taken in medicine. You cannot act against your patient’s will, or as is in this case, against the closest family’s wishes.

  4. Ife

    May 30, 2018 at 9:37 pm

    The solution is medical law and Ethics in Nigeria medical schools and hospitals should be strongly advocated. Actually, you guys are liable for the patient’s death. Was there a living will or prior directive such as a ‘do not resuscitate’ from the patient when he was conscious? The law allows you to disobey irrational decisions such as this, especially when it is by a proxy (pastor) who is not a medical personnel or does not owe the patient a duty of care. Dear doctor, your oath makes your primary responsibility to be towards your patient. Have you acted ethically by not treating an unconscious patient, whilst waiting or begging the pastor? I’m sure you already know the answer to this question. Lastly, had you treated and the patient still died, your intention to save a life would have absolved you of any blames.
    Like I earlier surmised, medical law and Ethics should be taught or encouraged in Nigeria. Thanks

    • DayoI

      May 30, 2018 at 10:10 pm

      Unfortunately, medical personnel didn’t act in the patient’s best interest.

      The scenario which the doctor described is unlikely to have been included in an advanced directive (if there was one in place) – I’m unsure whether these are even known about by most in the country. Hence, they should have treated as it was in the patient’s best interest – NO Family member was required to decide what needed to be done.
      At least that’s how things would work in a society with good healthcare provision, law, and ethical accountability.

      Because Nigeria is a pay-before-service system, medical personnel have no inclination to do anything until a family member can say they’ll be financially responsible, or show that they’ve already paid for the resources that’ll be used.

      It’s a terrifying reality because I saw some horrendous situations only a few months ago working in a South Western Nigerian hospital. Though not a stroke, and not quite as acute as this, it was still life-threatening. A young woman had delivered, suffered post-partum bleeding and became severely anaemic. The woman’s husband wanted to discharge her because they could no longer find people to donate blood – as was the hospital’s policy for replenishing blood used for blood transfusion. The doctors fought to convince the man, but consequently could not as at the end of the day, the person/people who’ll run into issues later would be relatives.

    • Socialmedia 9

      May 30, 2018 at 10:47 pm

      @ Ife . The tweet that says “Final Update “ actually states- Resuscitation attempted, failed.
      Nonetheless, you have made valid points.
      I think this also shows the significance of the choice of spouse we marry. The wife/spouse was making calls to pastor and awating pastors arrival before approval for commencement of her husband’s life saving treatment, a man who suffered a stroke and had very limited time for doctors attempts to save his life medically.
      Even if the man had survived , the stroke would have caused a lack of oxygen to his brain, causing severe brain injury amongst other complex damages . Having withheld treatment for that long….
      So sad……

  5. Bowl

    May 30, 2018 at 10:43 pm

    @Ife , pls it is taught

    • Ife

      May 31, 2018 at 3:35 am

      Hello Bowl and thanks for your response. Please furnish me with the details of Nigerian medical schools that offer medicolegal ethics as a structured, formal course and part of the requirements for the MBBS Degree. I qualified as a medical doctor almost 2decades ago, from one of the ‘elitist’ Southern universities in Nigeria, and it wasn’t taught me. Not one day, apart from a few words of caution during my ‘swearing in’ ceremony. I have since completed extensive postgraduate training in the field of medical law and Ethics and it will be interesting to return home and contribute to the existing body of knowledge.
      Once again, forward me the names of ANY such medical school. My preliminary search has revealed none, and with (as far as I know), only one prominent ‘medical lawyer’ (who is a lawyer by profession), it is also interesting to know who teaches ethics in such schools. Medical ethics is such an integral aspect of practice, in the developed world, that it cannot be left to just anyone. There should be be structured training by trained ethicists, especially medical personnel.
      I thank you for your time and earnestly awaiting your response. My email is [email protected]. I can be reached anytime.

  6. jamo

    May 30, 2018 at 11:47 pm

    In a situation like this the medical staff should have acted in the patient’s best interest. They have a duty of care to the patient. They should be glad this nonsense happened in Nigeria, if it were to be in the UK they we strike them off the register because the are not fit to practice

  7. Ife

    May 31, 2018 at 4:21 am

    @social media 9….
    …the article clearly states that resuscitation attempted after the patient was dead and the ‘usual signs of clinical death’ such as fixed dilated pupils, absent heart sounds, etc, already present.. Zero intervention, save calling and begging pastor before then.
    Time had been wasted begging the pastor and literally playing to the gallery, documenting the patient’s death time line, rather than instituting proper medical intervention
    . The doctor may be good at what he does clinically, as most Nigerian trained drs are, but ethics wise and medicolegal wise, I can only shudder at the dearth we still have ongoing in our medical training institutions.
    Again the article states that patients were begging the woman. Lols in French. Where is the autonomy or privacy for this patient? How did patients know of, or even be allowed to start begging ‘madam’, over an unconscious almost moribund patient?
    I get that this is not a law court, but it is imperative for us to know these things so that our Nigerian doctors can up their game. Our healthcare establishments deserve better and such ‘better’ is only gleaned from adequate medicolegal and ethical training.

    • Cocoa

      May 31, 2018 at 7:16 am

      Please this is in no way Biblical. This is IGNORANCE.

      All parties involved FAILED this man….including the doctor (so much so that he saw nothing wrong giving a real-time commentary of their collective failure) not an ounce of ETHICS!

  8. Bowl

    May 31, 2018 at 9:31 am

    @Ife, did you ever attend the compulsory Health management courses organized by the 2 postgraduate colleges. As a matter of fact , reviews of ethics come up all the time throughout out the time of training and practice in a teaching hospital. I don’t know about private practice.

  9. Bowl

    May 31, 2018 at 9:56 am

    Ethical issues are very complex. Like a thick a vegetable web, teasing it apart , is both technically and time demanding .
    And yes ethics provides for you to administer blood to a Jehovas witness with the consent of Chief Medical Director in face of severe blood loss.
    Same ethics demands full consent ( both written and oral, from both patient. and relatives ) for an emergency amputation. Even if you have a warrant to go ahead from the Chief Justice of the federation, you cannot proceed without the above.
    There are provisions for the unconscious and minors too ( providing much autonomy to the doctor in these instances ) . Patient in the above post was fully conscious at the time .
    In other circumstances, the lines are too thready ; there is no provision for you to abort the foetus of a woman with advanced stage breast cancer without consents from woman and family.
    However, we must also consider that the Nigerian medical practice is fraught with ignorance and attachment to traditional beliefs on the part of the patients and their relatives.
    What we do most times is to discharge patients if they refuse medically fit advice for treatment.
    A patient is also entitled to a second opinion from a medically qualified personal.

  10. Bowl

    May 31, 2018 at 10:11 am

    Recently, a patient was admitted with an unsalvageable limb from a road traffic accident.
    Resuscitation and limb stabilization was initially carried out. Relatives and patient were counseled on possibility of emergency amputation . They all acquiesced.
    At time of wound toilet, limb was found ‘ not viable ‘ . Patient was counseled again and he gave consent for amputation. We took extra pain of robing of 3 of the relatives, and invited them into the theater to see things for themselves before proceeding. Relatives withheld consent. Patient also withdrew consent. We took off as much dead tissue as was possible , dressed what was left of limb and wheeled him out.
    Full consent came after limb began to fester giant sized maggots, with patient constituting a nuisance to other patients in the ward. It was at this time that surgery was done.

  11. Bowl

    May 31, 2018 at 10:12 am

    BN pls post remaining coment on ethics

  12. Cocoa

    May 31, 2018 at 12:45 pm

    BOWL
    This measure was taken in the situation you described because :
    1. The patient was considered stable enough to make reasonable decision for themself

    2. The foot did not present IMMEDIATE threat to life…if it did and the patient was already in theatre there would be no need for relative consent. The best decision would be made to save the pateints life….and the rest will be dealt with AFTER

    Medics can override request for consent in emergency situations.

    I know the issue of consent isnt always black and white…every situation has to be dealt with individually. Thanks for sharing.

  13. Bowl

    May 31, 2018 at 1:18 pm

    @ cocoa , px already had sepsis . Say what you know

  14. Bowl

    May 31, 2018 at 1:26 pm

    @Cocoa, patient had a mangled limb not foot . Risk of gas gangrene and overwhelming sepsis were very high . If you understand the attendant morbidity and mortality they both attract. Besides patient was already septic at the time of debridement.

  15. Bowl

    May 31, 2018 at 1:28 pm

    And medics are ‘not too empowered in a lot of emergency situations in Nigeria !

  16. Cocoa

    May 31, 2018 at 1:43 pm

    BOWL
    Relax. Na fight?

    I didnt say the measures taken in the case you described were wrong. I merely highlighted why i believe they were right FOR THAT CASE.
    Which is why i came to the conclusion that each case must be assessed individually and further went on to THANK YOU for sharing because i believe it is an important discussion to be had.

    Forgive me, you did state LIMB not foot. I retract that error.

    I understand the attendant morbidity and mortality sepsis and gas gangrene attract 🙂

    “Medics are not empowered in a lot of emergency situations in Nigeria” – well thats a shame!

    Take care.

  17. Marian

    June 1, 2018 at 8:14 pm

    The story sounds somehow. How did they know the guy had a stroke? What injection? tPA?? Why was he not intubated already?

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