Skip to main content

DOKITA


EPISODE 9
Today was a Tuesday; and the Diabetic Clinic was as busy as ever.
Were more people becoming diabetic? Bunmi wondered
Or maybe it was her tiredness and apprehension speaking.
She had heard, by word of mouth about the fight between her erstwhile lovers- Fola and Kenny and bewilderment was an understatement as she watched in shock, the youtube video posted by an eager onlooker, detailing the punches they exchanged. Especially Fola’s. They had seemed so intense and laden with soaring bits of emotion.
She had almost cried. Her Fola!
That had happened on Friday.
She hadn’t seen either of them, surprisingly, since then but had heard, also by word of mouth that they had bought for themselves, 3 months of housejob extension. And without pay!
If the ruckus hadn’t been about her, she would definitely be rolling on the floor in laughter right about now.
The patient in front of the endocrinologist in the diabetic clinic today was a 55 year old obese patient who had being diabetic for over 7 years. He had complained of body itching, nausea and vomiting. Bunmi had just rushed in with his urine test results, which showed elevated urea levels, with protein present in the urine. His blood pressure was also significantly elevated. The consultant endocrinologist penned down her diagnosis: ‘Diabetic Nephropathy.’
‘Dr Phillips’, she motioned to Bunmi, who was still standing and thinking of how much she wanted to vomit.
‘Yes ma!’
‘You’ve heard of Kimmelsteil-Wilson’s disease, yeah?’
‘Errhm…it sounds familiar ma. But I’m not too sure…’
The consultant’s face contorted into a frown.
‘What do you mean by you are not sure? You should have learnt that in medical school. By the way, what school did you finish from?’
‘Here…here ma!’
‘Then you should be sounder than this. Please, when next you come to my clinic, freshen up your knowledge on common endocrinological diseases like Diabetes.’
‘Ok ma.’
Bunmi actually felt like strangling this woman. She hated eponyms and never stored any in her brain. ‘Those things aren’t practical’, she’d always told Fola who knew almost all the syndromes in the book. Funny thing it never rubbed off on her. She was way more practical than he was though, she thought as she consoled herself.
Her heart sank as memories of Fola came up once again.
Another Diabetic patient was seated.
This one seemed to be having some form of eye problem and was referred to the Ophthalmologist. She carried the case note and led the patient to the Ophthalmology clinic. She sincerely hoped that she wouldn’t faint today. What with all the referrals and running after test results.
She caught a side view of Kenny and her heart sank even further. She almost recoiled.
She really couldn’t believe she was going to marry this man, who even now was still annoying to her.
‘Babes’, he said as he tried to hold her hand.
‘Leave me! I’m busy now.’
‘Seriously?’ His eyes flashed with a mixture of curiosity and anger.
Fola passed by, seemingly in a rush to wherever it was he was going to.
Bunmi’s face melted instantly.
Kenny shook his head.
‘I can’t believe this, I just can’t. You’re still in love with him?’
****************************************************************************
Linda’s phone was buzzing , but she was in class.
‘This class has been on for over 2 hours, taking a 5 minutes break wouldn’t be so bad’. She rationalized. So she stepped out to receive the weird call from her brother, Chukwuma.
‘Sister, sister can you hear me?’
‘Hello, Chukwuma, what is the problem? You sound distressed.’
‘Sister, hmmn…it is Papa o!’
Linda’s head began to throb.
‘What…what is wrong with Papa?’
She knew he was hypertensive, but he had consistently used his medications, yet she thought about the million and one things that could be wrong with the health of her aged father.
Chukwuma was sobbing.
Linda placed her sweaty palms against the wall
‘Chuks, stop it! What happened to Papa?’
‘He was working on the farm when he just…he just slumped! We took him to the hospital but he is still unconscious. Mama has been crying…I just had to call you.’
Linda braced herself. She had to be strong.
‘Chuks, listen to me. You have to calm Mama down. Stop crying, okay? First thing tomorrow morning, I’d pack my bag and start coming home’
‘Ok.’ Chukwuma was still sniffing as he dropped the call.
‘GOD!’ Linda exhaled softly.
Why were so many things happening to her at the same time? Papa’s health was even more crucial to her than her Pathology posting.
She stepped back into the class and with every ounce of normalcy she had left, managed to get through the class in one piece.
Still lost in thought after the class, she placed her head on the table. Everything seemed so unfair. She prayed under her breath for Papa’s health. That man had toiled too much for him to die now.
She felt a pen thrown at her back. Felix and all his silly jokes!
She couldn’t put her head up, her eyes had welled with tears.
‘Hey stranger!’ Felix stopped in his tracks when he saw her tears.
‘Linda, what is wrong?’
She looked up and with misty eyes, said: ‘My dad is in the hospital. He’s unconscious. I’ll be going home tomorrow.’
‘Oh my God…I’m so sorry dear.’ Felix said as he gave her a hug.
For the next 2 hours, Felix did all he could to cheer her up. It didn’t work.
‘Linda’, he said for the last time, ‘let us pray.’
He uttered a short prayer with her.
The next morning, Linda got to the park and boarded a bus.
As she took her seat near the window, she prayed earnestly.
Prayed that Papa wouldn’t have a stroke, or worse still, die. Prayed desperately that somehow, everything would work out.
Prayed that once again, God would indeed, offer her a bail-out.





Comments

Popular posts from this blog

WANNABE INTERN

Week 2 Message to the Pre-Intern: don’t lose hope! Week 2, for me, was 2 months post-induction. This was when the wait began to sink in. You mean I’ve been home for two whole months? By now, I was literally chewing on my fingernails. Don’t get me wrong, I wasn’t scared of getting a space, but I certainly wasn’t confident about any place anymore. That is when I began to write this book. Today is the 12th of September and I sit at the dining table in my parents’ house, typing at 11:27pm (because well, I have an editing job to finish up, but mostly because I don’t have to go anywhere tomorrow morning). If I don’t want to, I don’t even have to take a bath tomorrow morning because well, I can stay indoors all day! (I most likely will stay indoors, except for those few minutes when I step out to buy hot akara for my akamu). I am spent. You know, I have applied to a couple of places now. Let me start with the first: LS Health Service Commission At the State Health servic

CLINICALLY: CLERKING AND CLECKING

A typical medical practitioner knows all about this process of clerking, this is basically the first thing he does when attending to a patient i.e. he clerks. Clinically, clerking involves: 1.       History Taking- involves taking demographic data, noting the main presenting problems, past medical history, history of main presenting complaint, family history, occupational history, drug history, alcohol history e.t.c. Basically, it helps in determination of symptoms. 2.       Physical Examination- is useful in the elicitation of signs of the disease in question. 3.       Provisional and differential diagnosis: the clinical history and physical examination conducted will help the clinician arrive at provisional diagnosis, from which he arrives at a differential diagnosis. 4.       Management Plan- involves investigative procedures (e.g. haematological investigations) as well as a treatment plan for the diagnosed disease. How about clecking? Clecking is not a word that’s us
ALL THESE ENDLESS STUDYING !… On exams and fear All these comparing and measuring ourselves by ourselves! Its so wrong and self-limiting. All these numerous, bulky, endless exams in medical school can get even the strongest of us  jittery! However, the most successful person isn’t the one whose prime goal is a 100% on the scoresheet but those with the excellent mentality that to be a good doctor, you have to have the requisite knowledge. Just to remind us of our prime focus,  which is true excellence that comes, not from passing an exam from excelling superbly at what you do:  “Medicine is more than the application of scientific facts to treat people. If your highest goal is to simply pass the exams, you may still succeed but the journey will be fraught with much anguish. However, if you remember that someday, you can relieve the suffering of one individual or save just a person’s life from what you’d learn each day as you study, all your efforts will take a new meaning and purp