Monday, September 30, 2013

Re: USA Africa Dialogue Series - Re: NigerianID | UN-STAR ARTICLE: UNTH as a metaphor of a failed state

Moses:

Oh #$@%&^, FUO is good enough for us.

And there you have it.


Bolaji Aluko
Shaking his head at Moses

On 9/30/13, Moses Ebe Ochonu <meochonu@gmail.com> wrote:
> Bolaji,
>
> Nice, heart warming story there about the clinic. But it seems to me that
> FU Otuoke needs some nomenclatural rebranding. I mean, how can one say the
> name FU Otuoke without feeling a bit dirty or feeling like apologizing to
> the good people of Otuoke or to those within hearing radius? Can one even
> say it with children around? Which brings me to a true story I heard from
> one of my professors at Bayero University Kano when I was an undergraduate
> there. The story is told that when the university was first established
> (made independent of ABU, of which it had been a campus), the pioneer
> officials deliberated on what to call the new institution--it had been
> called Abdullahi Bayero College. As with every federally funded institution
> in Nigeria it had to have the word "federal" in its name, so the task was
> to come up with the other words to constitute the name. Someone suggested
> that it simply be called *F*ederal *U*niversity *C*ollege *K*ano, to which
> everyone agreed. A few short minutes later when the acronym was read out,
> it dawned on everyone that the name did not fit, especially in a
> conservative Islamic culture like Kano. How do you tell someone that you're
> a student at F.U.C.K? Needless to say, the name was rejected, replaced by
> the institution's current name of Bayero University, Kano, or BUK as it is
> popularly known.
>
>
> On Mon, Sep 30, 2013 at 12:07 PM, Mobolaji Aluko <alukome@gmail.com> wrote:
>
>>
>> Ezeana Achusim:
>>
>> The UNTH report is depressing.
>>
>> The ease with which mosquitoes, typhoid and other diseases can ravage in
>> NIgeria is why we have FOUR doctors (two male, two female, 1 each from
>> Anambra (the Medical Director), Bayelsa, Delta and Ekiti States) at FU
>> Otuoke's small medical facilty. We have two clean wards (one for male,
>> one for female), with four beds each, a small operating theater and a
>> full
>> pharmacy unit - and two ambulances, with one big one donated by a
>> Northern
>> Alhaji. The facilty will soon qualify as an NHIS facility, and will
>> therefore get capitation money from NHIS direct.
>>
>> In fact, FUO's clinic is my greatest pride as VC, as I always take
>> visitors there to see the place, describing it as our small "teaching"
>> hospital. When National Assembly legislators saw the clinic, they said,
>> "Hun, students won't leave here o when they get sick..."
>>
>> And all our students and staff are MEDICALLY insured.
>>
>> Now, In my two years plus at Otuoke, I have not had malaria ONCE, or even
>> been sick once, thank God. Rather, the insects had malaria biting me.
>>
>> And there you have it.
>>
>>
>> Bolaji Aluko
>> *
>> *
>>
>>
>> On Mon, Sep 30, 2013 at 12:48 PM, Ezeana Achusim
>> <pachusim@yahoo.com>wrote:
>>
>>> Bolaji:
>>>
>>> Those mosquitoes in Nigeria are beyond control. They can frustrate any
>>> teaching hospital anywhere. Their effects are difficult to diagnose. If
>>> at
>>> all. Here is a man who left Abuja hearty and healthy. And within an hour
>>> of
>>> flight, his health was a big concern. Why? Mosquitoes. Trust me.
>>> Mosquitoes
>>> are to blame.
>>>
>>> My friend Dr. Olowopopo is not here to confirm my story. But every time
>>> I
>>> get a fever after visiting Nigeria with all due precautions, I would run
>>> to
>>> his hospital in Chicago and yell mosquitoes. They would then keep me for
>>> four days until the suckers' effects are obliterated.
>>>
>>> A man was healthy and hearty one day. And after an hour's flight from
>>> Abuja to Enugu, his health was a concern. Serious concern. We should
>>> blame
>>> the British. They forgot to take the mosquitoes with them. And don't
>>> blame
>>> UNTH.
>>>
>>> And I am
>>>
>>> Ezeana Igirigi Achusim
>>> Odi-Isaa
>>> Nwa Dim Orioha
>>>
>>> Sent from my iPhone
>>>
>>> On Sep 30, 2013, at 10:23 AM, Mobolaji Aluko <alukome@gmail.com> wrote:
>>>
>>>
>>>
>>>
>>>
>>> My People:
>>>
>>>
>>> QUOTE
>>>
>>> The doctors and nurses that attended to me continued to wonder why my
>>> blood pressure refused to come down. How could the blood pressure of a
>>> social crusader, as me, come down after witnessing how the teaching
>>> hospital of my alma mater, the first indigenous university of my 53
>>> year-old nation, has become a huge joke and had truly transformed into
>>> the
>>> 'university of Nigeria death hospital'. I had kicked to be discharged
>>> because I knew that if I had stayed longer, I would have developed a
>>> permanent, and perhaps, incurable mental dent. Those 12 days were a
>>> nightmare and without the care of those nurses and my friends, I would
>>> have
>>> gone raving mad.
>>>
>>> UNQUOTE
>>>
>>> Lord have mercy.....gallows humor!
>>>
>>> Maybe this article's attention to UNTH will lead to an improvement, and
>>> introspection in other UTHs....and kick-in of the NEEDS assessment
>>> money.
>>>
>>> And there you have it.
>>>
>>>
>>> Bolaji Aluko
>>> Shaking his head
>>>
>>>
>>> http://sunnewsonline.com/new/columns/unth-as-a-metaphor-of-a-failed-state/
>>>
>>> UNTH as a metaphor of a failed stateOur
>>> Reporter<http://sunnewsonline.com/new/author/webmaster/>
>>> September 30, 2013 3 Comments
>>> »<http://sunnewsonline.com/new/columns/unth-as-a-metaphor-of-a-failed-state/#comments>
>>>
>>> Uche Exechukwu
>>>
>>> I apologise to my teeming readers for this three-week absence. The
>>> reason is encapsulated in my choice of this title which has also become
>>> my
>>> reflection on the 53rd anniversary of Nigeria's independence which we
>>> celebrate tomorrow. It also happens that tomorrow's 'celebration' will
>>> be
>>> the last we shall encounter before the bigger one of next January which
>>> will mark a century of the attainment of Nigeria as a single 'geographic
>>> expression', as one of our founding fathers once described it.
>>>
>>> On Thursday, 5th of this month, I was undertaking a brief routine trip
>>> to
>>> my home state, Anambra State, but could not complete the journey. On
>>> departure, I was feeling hale and hearty, but on alighting at the Enugu
>>> airport on the first leg of my journey, I suddenly took ill. It was with
>>> a
>>> superhuman effort that I could walk down from the aircraft to the
>>> terminal
>>> building to meet my waiting friend, Chief Phil Ezeogu, with whom I was
>>> going to drive to Anambra State. I was panting for breath, became
>>> feverish,
>>> physically drained and overwhelmed. I felt like someone suddenly struck
>>> by
>>> a juju.
>>>
>>> One thing followed the other and a doctor who was contacted promptly
>>> came
>>> to my aid after I had aborted my trip to Awka but had checked into a
>>> hotel
>>> instead, hoping to stabilize and return to Abuja the following day. When
>>> the doctor arrived, he pronounced that my condition was not good at all
>>> and
>>> that I would need to be hospitalized. With his initial observations, he
>>> feared that my heart was failing. I told him that I would prefer to
>>> return
>>> to Abuja where I would have the members of my family to care for me at
>>> the
>>> hospital and where I had doctors who were conversant with my health
>>> history. He doubted if in my condition, I could fly.
>>>
>>> I could also not go by road because I was gasping for air and could not
>>> stay in an air-conditioned car. It was by miracle that I had survived
>>> the
>>> night till the following Friday morning. My friend Phil and I had no
>>> option
>>> than to agree with the doctor to rush, as early as 5.30am, to the
>>> University of Nigeria Teaching Hospital (UNTH) where he worked. We drove
>>> behind the doctor who hardly took his bath, to the teaching hospital
>>> which
>>> is situated over 25 kilometres out of Enugu. The doctor who also worked
>>> there had insisted that we should get there early enough so as to meet
>>> up
>>> with the staff that had not gone away from their night shift.
>>>
>>> We were there at 6 am and Dr. Umeh enjoined on his colleagues at the
>>> Emergency post to take up my case without undue protocol. They did and
>>> besieged me like a swarm of friendly bees, checking my temperature,
>>> pulse
>>> rate, blood pressure, glucose level and every other thing. They ruled my
>>> case a bad one and pronounced that "we shall admit you here". As I lay
>>> there helplessly, I quickly took in the entire environment that was
>>> reeking
>>> with urine and my mind conjured the refugee hospitals that I saw so
>>> often
>>> on the television or a hospital in the war-torn Biafra. I looked around
>>> and
>>> saw patients lying and groaning forlornly in beds scattered in that open
>>> emergency ward. The place was obviously unfit for a Nigerian, I thought,
>>> yet, there they were, hoping, as the doctors and nurses worked around
>>> the
>>> clock, for the best. I silently beckoned to Phil to inform him that
>>> instead
>>> of being admitted there, I should be allowed to die elsewhere.
>>>
>>> Through the magical combination of my friend's wizardry, wits and with
>>> the help and contacts of the Good Samaritan doctor who had brought me in
>>> the first instance, I acquired an 'accommodation' at the five-star-like
>>> part of the hospital, which is actually a place named the 'Private
>>> Suites',
>>> a veritable oasis in the squalid desert environment of the UNTH, the
>>> biggest medical facility in Eastern Nigeria. I had arrived the UNTH at
>>> 6am
>>> on that Friday, but it was not until 5pm that I was finally wheeled into
>>> one of those private suites, long after my worried wife had arrived,
>>> having
>>> driven all the way from Abuja, when she learnt I would no longer return.
>>>
>>> In between, I had been dumped at the Emergency hall, watching two shifts
>>> come and go, and preyed upon by teachers and their medical students who
>>> feasted on me and my misfortunes, with none caring for the extreme pain
>>> and
>>> discomfort that I was physically and psychologically subjected to. One
>>> unit
>>> even callously conducted their practical examination with my condition,
>>> forcing out barrages of answers from me. It was a veritable nightmare.
>>>
>>> But I helplessly accepted my dire situation. Even in that my pitiable
>>> physical and psychological state, my wounded mind roved to my secondary
>>> school days when one tailor whose apprentice had messed up my pair of
>>> shorts had disagreed with me when I queried why he had given my material
>>> to
>>> his apprentice to sew. He had reasoned with me thus: "Should a barber
>>> learn
>>> how to barb with the head of a goat?" Yes, I agreed that medical
>>> students
>>> should learn and conduct their tests with and on people, like me, who
>>> had
>>> the misfortune of being brought, in spite of themselves, into their
>>> clutches, as I had been that morning. But I also imagined that part of
>>> their training should have included ensuring that a patient received a
>>> minimal level comfort before being turned into a specimen. On that day,
>>> I
>>> started understanding what it really meant to be a real-life guinea pig
>>> of
>>> a failed nation and its institutions.
>>>
>>> When as a student of the UNN in the late 70s, I had gone to the original
>>> UNTH to visit a friend who had sustained injuries from a car crash. I
>>> met
>>> him hospitalized in a clean open ward, attended to by happy, chatty and
>>> polite nurses and doctors, in professional gait and mien; I silently
>>> wished
>>> that I should also become a patient there to enjoy such lavish care. A
>>> patient was treated like a king by a happy and contented crop of
>>> professionals. His recovery was quick and assured. But when fate and ill
>>> luck forced me into the bowels of the same UNTH over 30 years later, and
>>> into a VIP suite, expecting 30 years of improvement, there was no
>>> further
>>> proof that Nigeria, as a nation, had been hurtling very rapidly in the
>>> reverse, during these 53 years of its existence as a nation. And lest
>>> you
>>> forget, UNTH is of those places which the Nigerian state regards as 'a
>>> centre of excellence' in health delivery.
>>>
>>> I was hospitalized at the UNTH for 12 clear days and emerged mentally
>>> damaged and psychologically traumatized by my experiences. I must remind
>>> the readers that I obtained the best in personal care and attention that
>>> the equally helpless hands around me could afford under the woeful
>>> circumstances and conditions that they operate. The nurses at my special
>>> ward were perhaps the most professional and polite Nigerians I have
>>> encountered in my life. While I cannot say the same about the dedication
>>> of
>>> some of the puffed-up doctors, I can vouch for the diligence and
>>> application of many younger doctors who attended to me.
>>>
>>> I must however put on record that for the 12 days of my hospitalization,
>>> the consultant who heads the unit that admitted me never turned up for
>>> one
>>> second. Even on several occasions when my case took a turn for the
>>> worse,
>>> and my friend, Phil sent her text messages, she neither replied to any
>>> of
>>> those messages, nor picked the calls, not to talk of ever appearing in
>>> person. Instead, it was the young house officers and young registrars
>>> who
>>> were at my beck and call.
>>>
>>> Needless to say that without the 24-hour care and attention of Phil and
>>> members of his family who shuttled endlessly between Enugu and the
>>> hospital
>>> to ensure that I lacked nothing, I would have died. I need to stress
>>> too,
>>> that at the UNTH, our centre of excellence, if you have nobody with and
>>> around you, 24/7, you will die! And I am not joking. I do not wish my
>>> worst
>>> enemy to be admitted there.
>>>
>>> The doctors and nurses that attended to me continued to wonder why my
>>> blood pressure refused to come down. How could the blood pressure of a
>>> social crusader, as me, come down after witnessing how the teaching
>>> hospital of my alma mater, the first indigenous university of my 53
>>> year-old nation, has become a huge joke and had truly transformed into
>>> the
>>> 'university of Nigeria death hospital'. I had kicked to be discharged
>>> because I knew that if I had stayed longer, I would have developed a
>>> permanent, and perhaps, incurable mental dent. Those 12 days were a
>>> nightmare and without the care of those nurses and my friends, I would
>>> have
>>> gone raving mad.
>>>
>>> Here is a teaching hospital from which we turn out doctors that would
>>> cater to patients, yet it lacks the most basic facilities that are found
>>> even at the small private clinics elsewhere. I was admitted at UNTH as a
>>> cardiac patient, yet there is no ECG machine, cardiac echo machine or
>>> the
>>> other basic investigation facilities. Unbelievable? But it is true. Even
>>> when I could not walk, was ferried by my friend to Enugu, to undergo an
>>> ECG
>>> and heart echo at a facility privately owned by one of the cardiology
>>> consultants at the UNTH. Whether the allegation that the consultants at
>>> the
>>> hospital would not allow the equipment at UNTH to work so that patients
>>> would patronize their private clinics, is true or false, is neither here
>>> nor there. The fact remains that the most basic facilities that one
>>> finds
>>> at the ordinary hospitals are non-existent at the UNTH (and perhaps at
>>> the
>>> other teaching hospitals in the country).
>>>
>>> You would wonder: as modern medicine is mostly technologically based,
>>> and
>>> there are hardly any modern facilities at this federal government owned
>>> 'centre of excellence', why would anyone want to go to any teaching
>>> hospital, except to go there to die, or if, as was my case, going there
>>> was
>>> the final option. What is the notion of 'excellence' by our leaders? For
>>> how long can the patient continue to rely on the 'magical' knowledge of
>>> the
>>> Nigerian doctor at a public hospital, when is trusted to diagnose and
>>> treat
>>> ailments without modern facilities to guide him in investigating them? I
>>> saw the doctors at the UNTH as modern-day dibias, who work through
>>> divination, trusting their limited human faculties. They are like
>>> Nigerian
>>> policemen who crack crimes without the benefit of modern forensics.
>>>
>>> On the very day that I was admitted at UNTH, my blood specimen was taken
>>> for the several tests prescribed by the doctors. The results of those
>>> tests
>>> came out the following Thursday – six clear days after – following the
>>> frenzied interventions and complaints to higher authorities by my
>>> friend.
>>> Yet, for those six days, the doctors had continued 'treating' me,
>>> pumping
>>> me with injections and oral drugs, almost blindly, I daresay. When the
>>> results of the tests came out, the doctors were compelled to start
>>> adding
>>> and subtracting from their copious drug list. Needles to say that when I
>>> returned to Abuja and having now gone to a private and modern hospital,
>>> where the repeat of those and more tests were ordered, it is looking
>>> obvious that my long sojourn at the UNTH had amounted to a mere first
>>> aid,
>>> while most of the tests had proved defective. Hence, your guess as
>>> whether
>>> I would keep the appointment given to me to report at UNTH on October
>>> 2nd,
>>> is as good as mine.
>>>
>>> Nothing that I have said here or will still write later about the
>>> harrowing situation I encountered at UNTH Enugu should be taken as an
>>> aspersion on the diligence and dedication of the men and women who toil
>>> day
>>> and night, trying to enact modern day miracles, with bare hands. You
>>> encounter hundreds of frustrated men and women bumping into each other
>>> on
>>> the poorly –lit corridors, while trying to eke miracles out of nothing.
>>> This is in face of the worsening incidence of the sick and ailing
>>> Nigerians
>>> whose numbers are growing exponentially. Many of them whisper and wonder
>>> why you ever brought yourself there and when you describe the
>>> circumstances
>>> of your coming there, they shake their heads in pity.
>>>
>>> My experience at the UNTH clearly brought to me what the university
>>> teachers are talking about and I became even more mentally wounded as I
>>> contemplated the fate of my two children who are marooned at home by the
>>> ASUU strikes. Yet, I said to myself that if the situation at the UNTH
>>> was
>>> symptomatic of what the university teachers are talking about, then the
>>> teachers are doubly justified in spite of the pains of us parents and
>>> students.
>>>
>>> From these experiences at the UNTH – a situation which I am sure is
>>> replicated at the other tertiary medical institutions, just like at the
>>> government universities – it is obvious that between now and January
>>> when
>>> Nigeria would come a full circle in our hundred years as a country,
>>> Nigerians must have some clear and salient questions to pose to
>>> ourselves
>>> and find answers to in order to save our individual and collective
>>> lives.
>>> No nation can afford to live much longer like this. There is no doubt
>>> that
>>> Nigeria has fallen into two clear nations – one of a few people
>>> swimming
>>> in corrupt and decadent affluence, affording all the good things of life
>>> and mocking the teeming population of the members of the other Nigeria
>>> who
>>> are being despoiled, deprived and bruised daily.
>>>
>>> At 53, Nigerians must make a decision as to how much longer this unjust
>>> situation would be allowed to endure. To think that it could continue
>>> much
>>> longer like this would be sheer illusion.
>>>
>>> ___________________________________________________
>>>
>>> __._,_.___
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