Monday, September 30, 2013

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

What can I say  to the author of this article  other  than welcome to Nigeria. Next time if you have the money go to Mephis  or Niger Foundation both at Enugu except that the bill is for those earning as much as Legislators. Will you believe that  2013 students in our Universities  contribute money to buy reagents for their practical, sometimes the lecturers assist where the price  is very high. What kind of biochemists and microbiologists (trained with alternative to practical) will  they be after graduation. It is  a known fact that the private laboratory of science based teachers in Europe and America is 100 times better equipped than the various Science Laboratories in our Universities. You may not have been aware of the reputation of UNTH some years back as a pre obituary centre because there was a time almost every obituary announced  on TV or radio  states   that the deceased died after a brief illness at UNTH. That stereotyped UNTH  for a time as a death centre. The situation got worse with the retirement of many good/experienced doctors/medical personnel, Some also flee to Europe and America, even Saudi Arabia because of the frustration of working without facilities. Presently many Nigerians especially in the East go to India for medical treatment. So the middle class  that can complain for things to get better no longer use our teaching hospitals. 
Nkolika 

From: Mobolaji Aluko <alukome@gmail.com>
To: usaafricadialogue@googlegroups.com
Sent: Monday, September 30, 2013 8:41 PM
Subject: 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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