Friday 13 January 2017

BODY SHAMING? SEXUAL HARASSMENT? STOP EET!!!!


I have never fought anyone in my life. I am too much of a pacifist. But today, I almost went out of character and because I haven't dissipated that angst, I am now restless.
I walked into the departure lounge of MM1 this morning to check in for my flight back to Enugu and I was accosted by the vilest of creatures.
"Abuja or Enugu, ma?", he said initially. He appeared reasonable but I had had my share of experience with airport touts so I gently declined his offer. However, what he said next, made my blood boil.
"Sister, this your 'shest'"... I walked past him and asked a fellow passenger on the queue if that was for Enugu passengers. Initially, the shock of the statement had me do a double take but I shook it off, pretended not to notice he said that or was it that I was in a hurry that i did not react. Whatever my silence at such an affront meant at that point, he felt emboldened because I noticed he kept following me around and passing uncomplimentary comments about that part of my anatomy while my patience at him waned.
I was on the final check in line when he couldn't seem to help himself any longer and then walked up to me and muttered yet again like a depraved animal he was,"Aunty, I mean it. This ya 'shest'..." This time, I didn't let him finish. My right hand developed a mind of its own and lashed in his direction for a thundering slap. "I will slap the demons from your mouth if you come close to me again!!", I spat angrily,"What sort of animal are you?!" He ducked away from my aim so the slap didn't land on target and he slunk away, drawing stares from other people after him.
No one reacted but I noticed something different about my reaction to him. In the past, I would be the one slinking away in shame and mortification because I have faced all sorts of unsavoury comments from total strangers about my body but today, I was filled with rage. Murderous rage. I would have behaved out of character and slapped that idiot within an inch of his life.
I don't know what this post is setting out to achieve for you reading it but it is cathartic for me. My rage is spent.
It is bad to say stupid things to people on account of some physical flaw or otherwise they may have. No one has the right to make someone else feel what I have felt today and almost everyday of my teen and adult years. Sexual harassment and body shaming is wrong. Totally wrong. Trust me, you can get killed for it.
This nonsense needs to stop. We all need to be better people!!!

We have no idea what these things we say do to people's mind; their psyche. It messes them up. Some even need therapy to get over it long term. Just. Stop. It

Who even dictates what normal body forms are? We shame people for their bodies, their financial status, their educational prowess or lack of it, their faith, their convictions, their way of life, their choice of whom to love. marital status, even mode of child delivery!!!!

When do we stop?

I have chosen to stop hiding in cowardly fashion. I will start giving as good as I get.

That man should be lucky. He did dodge a grenade this morning.

A Moment With Doc...

This was a post originally put on Facebook by my very delectable, hardworking pal, Dr Oma Abii.


In clinic today, I saw a 14 year old girl, SS1 student. Very pretty, chubby, reminded me of my kid sister. She has sickle cell disease.
Very bright child I tell you! She wanted to know her (orthopedic) diagnosis, when I told her, she turned to her mom and said "I told you it was likely to be **** not. *****. I didn't have fever and the other things! "
I was curious, I asked her she said she had been googling her symptoms and the answers kept pointing to her diagnosis. She asked what we would do for her and all, it didn't feel like I was talking with a child... I was impressed!
Then without prompting, she asked me:
Her: Dr, do I have to be a doctor first before becoming a hematologist?
Me: As far as I know, yes
Her: I want to be a hematologist
Me: cool, why?
Her: I want to help and find a cure to this sickle cell disease. I hate it, I hate the pain, I hate that other people are passing through it too. It's not fair!
Me: *stunned*

It's been a while I had that kind of sober moment, I actually had goose bumps. She said she would read up on her diagnosis and come for her next appointment with plenty questions,lol. She's a jewel, that one, with a big heart. I pray her dreams come true!
PS: parents and intending parents, please for the sake of God, know your genotype before making children. These kids suffer too much; physically, emotionally and otherwise.

- Oma Abii 

Saturday 7 January 2017

Shady Meds!!!!

Wetin dey worry our people?? Haba!!!!

The year is just 7 days old and the material I have for this series is ah-may-zing!!! Is that how trifle we are?!!

You are a TTC couple. Then, you, the woman, allow someone to poke around your body without your consent in a less than sterile environment where you notice the many unethical sharp practices going on and you still stay.
The same 'doctor' tells you he found a fibroid without a scan and you believed him. He did not conduct any relevant tests and you believed him too. Then the clincher. He gives you a cocktail of medications plus the herbal ones which you ignore every defined commonsensical thought and accept.

Tell me why you won't get sick?!!

There are mistakes one should never make in this age of knowledge which can be freely obtained from knowledgeable sources-online and offline. Don't just accept stuff without questions!!!

I say it now and I will keep saying it. Verify everything you are told by any doctor. If it seems off, it probably is because of the abundant quackery and sharp practice in the health sector.

When you are like this couple that are TTC, please, see a qualified Fertility specialist. There are a few certified ones. They don't come cheap but they get the job done. And Facebook posts do not qualify as a doctor's visit!! If you are told you have a fibroid, it is not a death sentence. See a qualified gynaecologist for proper consultation and treatment. More often than not, you don't need treatment for fibroid unless it poses a big problem to you. Besides, you can only see a fibroid during a scan of the abdomen, not by looking at fine face!! Be guided.

Also, learn about any medication you are given. And note any side effects so you can report back to the doctor and the treatment regimen can be reviewed. Never ever take anything at face value with regards to your health. You are not a house planted on a spot. You have a brain and a smart phone access. Use them!!

Organ failure is a major complication of drug misuse. People have even died from reactions to medications prescribed for them without any thought to side effects and other issues. Then, why would someone prescribe medications for you without you doing due diligence? You sure need a shrink.

Remain healthy and wise, my people.

Till next post...

Friday 6 January 2017

CERVARIX

Remember that gist I told you about yesterday I had with a friend that birthed two posts? Well, this is the second post.

We were talking about Cervical Cancer and prevention and I told her about Cervarix. In case you have not heard, Cervarix is a vaccine against certain types of cancer-causing human papillomavirus (HPV). Cervarix is designed to prevent infection from HPV types 16 and 18, that cause about 70% of cervical cancer cases. These types also cause most HPV-induced genital and head and neck cancers.(Wikipedia)

Well, I took my son to get his vaccination when I learned from the nurse that the vaccine was available at UNTH Old Site ( for those who live in Enugu) but you must have screened and found to be negative before you go for the vaccine. So, armed with this info, I went to spread the good news to all who cared to listen to me. 

Imagine my surprise when my friend told me she went to get the vaccine and was told by the doctor that she couldn't get as she was too old!!! Well, I went back to some doctor friends of mine to find out why this was so and I was informed that it was because the vaccine gets less effective with age and may not be useful if you have been sexually exposed.

That notwithstanding, the vaccine is available for females from the ages of 9-25 years. It is given in 0,1 and 6 months.That means that you get the vaccine now, then a month later, you collect the second dose. 6 months later, you get the last dose. You pay for each dose though, so go prepared. 

Whether you get the vaccine or not, you still need a pap smear or Liquid based cytology (a better option, if you ask me) test done every other year to screen for HPV and for cervical cancers. Remember, a stitch in time, saves nine. There are some centres that offer the test at a very subsidized rate but a few places where they are available charge a fee for it. 

Till next post,

Your Friendly Health Worker...

Thursday 5 January 2017

HEALTH INTERVENTION SCHEME IN NIGERIA 1

My e-friend, Aishatu ( I hope to meet her in person this year, insha Allah), does some awesome work with an NGO and she gets to travel to cool places to monitor compliance to treatment and how Global funds are used to fight the scourge of TB. She shares some detail about her work which is quite interesting. This was originally featured on her Facebook page and will come as a series. Read and be informed...

So Community Health :
Let me start at the beginning :
A household survey was conducted among the poorest of the poor, and the major causes of death among the poorest of the poor via hospital records were discovered to be Malaria, complications from HIV infections and Tuberculosis. Childhood diseases that are mostly preventable through vaccination were leading causes of infant mortality in children, malnutrition among the most vulnerable population .
To this end Global Fund, Clinton Foundation, Bill and Melinda Gates Foundation, the United States Presidential Intervention Fund, and lately Dangote and TY Danjuma Foundation ( TY Danjuma Foundation also concentrates on Eradication of River Blindness as it is quite common in Taraba the state the Founder of the Foundation is from) decided to focus resources to fight these disease areas.
Funding and communication with Global Fund and other donors is coordinated through the country coordinating mechanism CCM, it is made up of members of Civil societies, government agencies and labor organization. It is headed by a Chairman and Secretary. There is a secretariat that sees to the day to day running. CCM meets regularly to ratify decisions like engagement of Principle Recipients and Sub Recipients. They also monitor and supervise activities by PRs and SRs
First step was to renovate and revive the Primary Health Care System because these are the centers closest to the people in the community. This was done in partnership with the world Bank, Federal Government of Nigeria at that time through the Millinuenm Development Goals Project Headed by the New Un Deputy Secretary Amina Mohammed, at that time she was the special Assistant to President Obasanjo on MDGs. We were lucky to have her as she ensured that these Primary Health Care Centres were indeed built or renovated as contracted no Magu Magu.
The terms of the partnership was Government provides 30 percent, renovating and building the centres, deploying staff to the hospital and paying Staff Salaries while the NGOs listed above do 70 percent ; Pay for the drugs, pay for the services which will be received free by the clients, pay for project vehicles, pay salaries of the NGO workers who will ensure compliance, pay for community mobilization and information dissemination to ensure behaviorial change among the population, pay for the feeding intervention to ensure the Orphaned and Vulnerable Children get the most support in intervention states, pay for support group meetings of infected clients, pay for after school club meetings for vulnerable kids, kids orphaned by HIV so they can meet play, support each other and learn skills.
At the beginning of the intervention there were many challenges which would be discussed later.
It initially kicked off in all 36 states including FCT making 37 but due to dwindling funds, failure of some state Governments to pay their own part of the counterpart funding intensive intervention has been reduced to 20 priority states including FCT. Services and drugs are provided in the remaining states but there is no community mobilization or behavioral communication change.
The Global Fund works through Principal, Sub Recipients and Sub Sub Recipients ; Meaning NGOs can apply to be Principal Recipients receive funding directly from Global Fund and Manage Sub Recipients, the Sub Recipients work with Community Based Organizations in the Grassroots to directly implement. This has created employment to thousands of people including me.
Kaduna and Lagos are the First states to become Principal Recipients, meaning they receive funds directly from Global Fund to Implement in their states. This is a pilot scheme
In summary these are some of the services received free at Primary Health Care Centers due to this intervention :
1. HIV TESTING AND SERVICES
2. MALARIA TESTING AND SERVICES
3. TB TESTING AND SERVICES ( IN DOTS SITES)
4. FAMILY PLANNING SERVICES
5. FREE VACCINATION AGAINST CHILDHOOD DISEASES
6. PRIORITY IS PREVENTION OF MOTHER TO CHILD TRANSMISSION BY TESTING PREGNANT WOMEN AND COMMENCING IMMEDIATE ENROLLMENT TREATMENT OF PREGNANT WOMEN WHO ARE POSITIVE TO PREVENT TRANSMISSION TO FOETUS.

By Aishatu Ene Ella-John

To be continued...

Servicing The Recession

I know I will be sounding like a broken record when I say, "There is a recession" but, hey, there IS a recession. And it is no longer news that jobs are being cut on the regular. Families can longer sustain themselves, bills are mounting and inflation is at an all time high.

This phenomenon has mostly affected the young, productive demographic, I mean, those that are either working and able to or those able to work and seeking employment. You can imagine the stress on a lot of families.

So, while trading lamentations on issues of being a full time work-out-of-home-mum-without-help and the dearth of reliable live in helps in the country coupled with the rate of unemployment and its attendant issues with a friend, a few thoughts came to me on how I can encourage young people to think creatively about ways to create value in their immediate community and at the same time, make money and I will share it with you.

You know the beauty of being a value adding entity in your community? It is in finding a NEED and filling it!! That simple. And there is a huge gap in Domestic services. You think I am lying? Find out the number of households in your neighbourhood that have househelps or maids or some other sort of domestic help.

Now, this is where you come in. You and a few friends can team up and decide to provide help (not the MMM kind of help o) temporarily for families in your neighbourhood for a token. That is a start. Your team can put word out that you can clean the house, do laundry, go shopping  and wash cars for a token fee. On the said day, you all can appear at your client's house with your cleaning supplies and clean the heck out of that place and even help the client organize their space. Do it well and conscientiously for one or two families and you would get a stream of jobs in the neighbourhood. One of you can keep the books. You can have a schedule of jobs you offer and days you will be available for each job and the time frame for such jobs. You could add shopping to your list. A team member who can drive an awesome bargain can undertake that. Another team member can undertake car washing for a fee.

Keep your pricing reasonable. And make it fun while at it. Be very prudent in spending and as your profile grows, grow your little "business" until it becomes something big. My only advice is, please be HONEST. Always deliver on promises. For example, if you say it takes you two hours to clean a house, you will get better referrals if you do the job in under two hours and do a very good job. That is called under promising and over delivering (if there is anything like that. We just use it at my office to communicate value to staff).

Getting ideas, yet? Aha! Trust me, do a good job, then you will be making enough revenue to help yourself out of recession in no time.

Never say I never gave you anything good this new year.

Faithing it out...Not!!!

I had a very interesting conversation with a dear friend today that inspired me to put up this post. Being in the health profession puts one front and center of some of the most harrowing life changes one can experience. In fact, if one is not careful, you become desensitized and start questioning your humanity but I digress.

So, our interesting conversation birthed two posts and this is one of it.

Ogbeni, it is a real wa for you o!!! Ah!!!! Na so e dey hungry you to play with your life?! The doctor has looked you up and your diagnosis requires that you get regular dialysis to remain in good health and possibly reverse your condition but what do you do? You decide in your infinite "wisdom" that going home and "living by faith and positive confessions" was the best way to go. Good luck to you. So, what was your distraught family members looking for in the hospital when your situation was past what dialysis can resolve.

Do you know that there are times when dialysis is not enough? So, why didn't you just stick to the treatment plan with your doctor at least until it doesn't work anymore? Coming back when your organs had completely failed and you were this close to pack up is just another psychological trauma on your doctor and carers o. Or do you think health workers are not humans with feelings too? So, you did not realize that failure to keep you alive impacts on their careers. Years later, they are still reviewing your case to find out where the ball dropped while maybe your family is still mourning and blaming them when the blame should be placed where it belongs- Your Criminally Insane Decision to Ignore Medical Advice. Chai!!! Ogbeni, stop eet!!!!!

Please!!! This is a new year o!! Resolve today to take your health seriously. Talk with your doctor about your condition, if you have one. Discuss diagnostic and treatment options and choose the best one with the best prognosis. Trust me, your life is also important to the doctor. Do it today and enjoy a great quality of life.

Till next post, remain healthy and wise.

You know I love you, right?

Your Friendly Health Worker...