How to manage dog bite in the hospital: For the health care givers

The hospital /clinic or health center is a place people come to seek medical help to get better from their sickness or ill-health.  But in Ghana, some health service centers are gradually becoming mere scare crows of what they should be. And instead they are rendering services that are causing more harm to the patients.

One of such harms is the management of patients with dog bites. The trend in most Ghanaian hospitals and clinics is the administration of tetanus injections to people after dog bites and sending them home. 

This act has caused the death of many Ghanaians who thought they had received adequate care after visiting the hospital. The patients who are given tetanus injections end up getting Rabies and then they die.

It is sad to know that these persons took the initiative to go seek medical help but due to the “inexcusable ignorance” of some “health professionals” in Ghana, they lose their lives.

“Tetanus does not prevent rabies after a dog bite! “

So here is what should be done after a patient comes with a dog bite. 

  1. Ask when the dog bite happened. 
  2. Where it happened. Most dog bites that are often reported happen outside of the victim’s home. Some happen in the bush, in the farm, in the vicinity where they live or in someone’s house. Knowing where it happened gives you an idea as to the kind of dog that bit the patient if the dog is a stray dog (which is mostly the case) or has an owner. Stray dogs have a high probability of carrying rabies.
  3. What was done after the bite. The right thing to do is to wash the area affected with soap under running water. But if something else was done, the area should still be washed thoroughly at the clinic with povidine iodine.
  4. Give anti-rabies post exposure prophylaxis. This is an injection given after the bite. It may not be available in some health care centers so if you can’t get it in your hospital or clinic, please write it for the patient to buy from a pharmacy or refer them to another hospital higher than your facility.
  5. Ask them to monitor the dog: If a dog with rabies bites a person,  the dog usually dies after a few days. By monitoring the dog, you can know if the dog has rabies or not.

Let’s learn together to save lives.

Share with a friend.

Advertisements

5 risks associated with Stress and 5 ways to de-stress.

It’s STRESS AWARENESS MONTH!
We all go through some kind of stress in life. From a job interview to a financial  debt, a sick child to a troubled relationship, even planning a wedding to writing an exam.  These stressors can negatively affect your health if not dealt with properly.
When stress is allowed to take control, it prevents you from living your normal life and can lead to
1. anxiety disorders
2. High blood pressure
3. Increase your risk of obesity
4. Increase risk of diabetes
5. Depression, etc.

But stress can be controlled by;
1. Learning to laugh it off!  Not every situation needs a serious approach. You have to laugh at some things just to keep your sanity. Plus laughter definitely looks better on you than moodiness.

2. Sharing with someone; Yeah I know ….by now you’re probably saying Priscilla you don’t know what people can do with your stuff. But I do. I know it can be difficult to trust sometimes but you need to let your guard down sometimes to share with someone just to lighten your load.

3. Let it go! It is enough, you have held on to this thing for too long and the stress of it is killing you. Learn to let somethings go. Not everything and everyone has to get an apartment in your head. Some people just have to spend a day, an hour or even some minutes in your mind and then puff!  they’re gone. Don’t stress yourself with temporary things.

4. Find your happy place. Is  it movies, music, prayer, the word of God, or reading stories. Go there. Be happy.

5. Tell yourself this too shall pass. This is actually one of my favourites in times of stress. I say to myself, this too shall pass. Because it is true. Nothing remains the same. If it will pass then there is no need killing yourself over it.

In this month of April, learn to de- stress and stay healthy.

#Raisinghealthwithpriscillao
#Stressawarenessmonth
#EducationInspiresChange

What to do after a dog bite: Follow these first aid steps to prevent Rabies.

After a dog bite, most people do not know the right things to do which can be dangerous if the dog has rabies. But by following these simple steps, you can save your life and that of your loved ones after a dog bite.

First aid after a dog bite

  • WASH WASH WASH: Wash the affected area under running water with soap. Wash thoroughly for about 5 to 10 minutes. luis-tosta-266667-unsplash.jpg
  • You can also wash with povidine iodine.
  • Go to the hospital for the anti rabies post exposure prophylaxis  (PEP).
  • If you are given tetanus, insist on the anti-rabies PEP. TETANUS DOES NOT TREAT/CURE RABIES! 

Spread the word

Share with someone and save a life.

 

Lack of Oxygen almost killed a Student athlete.

In the just ended inter schools sports competition for senior high schools,  one female student aged 19 years was rushed to the emergency department by an ambulance in a statement of unconsciousness.

The girl was given oxygen after her oxygen saturation recorded low values signaling her state as one of hypoxia (a reduced flow of oxygen to the tissues in her body ). She regained consciousness after some minutes of oxygen therapy.

The people who accompanied her to the ED were asked what happened and this was the account.

According to them, the patient was an athlete who had run in the competition that day. She later collapsed and was sent to the clinic in the stadium but there was no oxygen. They (Student red cross society ) were asked to send patient via an ambulance to the hospital. But there was no oxygen in the ambulance too. 

When asked whether they came with a teacher, the red cross guys said no. But the teacher would be coming later.

Here’s the danger;

Hypoxia can result in headaches, dizziness, hallucinations, blurred vision in milder cases. But in severe and prolonged cases, it can result in brain damage and even death.

So the problem is…

1. How can we have a clinic in the Sports stadium without oxygen especially during an athletics competition of students over a  thousand present? So didn’t they anticipate that there will be emergencies? Who is responsible for making sure these things are in place before such programs are conducted? Why was the job not done?

2. An ambulance without oxygen, should it even be put on the road? Much more to service students running and jumping. Of what use is it? A trotro or taxi could have done the same thing the ambulance did. Which is just transporting the patient and nothing else.

3. I believe a teacher should have accompanied her to the hospital. But of course, this is Ghana where we take everything for granted.

 

So who is responsible?

This girl would have died within some few minutes for what?

Lack of responsible behaviour?

A parent would’ve lost his /her child because some offices failed to do their work?

Ghana is gradually becoming a health hazard for its citizens especially the ignorant.

Dear citizen of Ghana, let’s ask for quality because it’s our right.

 

 

A picture of the sickle crisis in Ghana: Conversation with a Sickle Parent

A 23years old girl was referred from a peripheral hospital to the ER in a teaching hospital. She was brought in an ambulance  with her mother and 2 siblings. The patient was dehydrated and very ill-looking. The relatives were anxious. After reading the referral, we found out-patient had been screened for sickle-cell and she was SC.

I called the mother to speak with her after attending to the girl and this is how the conversation went.

Me: Maame please do you know what condition  your daughter is suffering from?

Mother : No I don’t. The doctor didn’t tell me.

Me: Maame did you ask the doctor?

Mother: “She grins shyly”  no I didn’t

Me: Maame what caused you to send your daughter to the hospital?

Mother : She suffers from rheumatism. It comes every time the weather gets cold. She started experiencing rheumatism at an early  age.   She suffers a lot. Her dad also had the same condition but he is dead. But this time she also complained of severe headache.

Me: Maame all these years, how have you been managing  her rheumatism?

Mother : We use local ointments to massage her

Me: Maame your daughter is suffering from a condition called Sickle cell. It affects the blood.

(She cuts in )

Mother: I believe it is spiritual. You see she is a twin. But her twin sister is fine. As for her, she has always been sick. I think someone is behind it spiritually.

Me: No Maame, She inherited it from your husband and you. (Further explanations were given her)

Do you see the picture?

What is wrong with this story?

  • So many Ghanaians are suffering from Sickle-cell without knowing that they have the condition.
  • There are many Ghanaians who go to the hospital when sick, see the doctor in the Consulting room and all they are waiting for are the medications that will be given them at the end. They are not so keen on knowing what the problem is, why they are having the condition and how it can be managed.

But this attitude of “not being bothered” about what could be wrong with you is what is bringing us back to the same conditions over and over again.

So when next you go to the hospital to get treatment, make sure you know these 5 things  before leaving.

1. The condition you are suffering from.

2. What caused you to have the condition?

3. What are the options for managing the condition.

4. What are the side-effects of the management/treatment options.

5. How can you prevent the condition from coming again.

  • On the other hand, the doctors and nurses have a duty to inform and educate you on these five things whenever you visit the hospital to seek treatment. So ask and let them teach you.
  • This girl’s condition was poorly managed due to ignorance on the part of the mother and irresponsibility on the part of the health professionals who treated her before.
  • Parents, be your children’s advocate in the hospital. Ask questions and seek answers on their behalf.

Be informed

 

It’s time to Name & Shame. Check your expiry dates!

The habit of checking product expiry dates is one that is lacking amongst most Ghanaians. But this practice is one that allows companies to produce and import products especially foods with wrong manufacturing dates. And for others, the foods that are expired or near their expiry dates are reduced and sold to the public.

This ill act by some companies exposes the Ghanaian populace to food poisoning and other conditions that affects the health and consequently the economic growth of the nation.

Let’s all make it a part of the buying process to check the manufacturing and expiry dates of products before purchase.

IMG-20180305-WA0003This product was purchased by a friend last week and the manufacturing date is tomorrow 15th March, 2018.

  • Let’s all make it a part of the buying process to check the manufacturing and expiry dates of products before purchase.
  • Tell your family who can’t read to ask someone to check for them before they buy.
  • Always double check the dates on products especially if it’s reduced to clear or promotions.

#BeVigilantonproductDates

#OperationNameandShame

Share and let’s protect our lives

Is your love compatible? : Know your Genotype before “I do” .

As the most common genetic disorder in Ghana and the world at large, Sickle cell plays a major role in the heath, economy,  and overall life many people and not just persons living with Sickle cell.

Knowing your sickle cell status and that of your partner’s  before the big question and saying “I do” will not only prevent a lot of heart ache buy also protect your future children from the possibility of being affected with sickle cell.

In this season of love, make the choice of including sickle cell in your conversations.

  • Talk about it with your partner/beloved/finance.
  • Go and screen together to know your genotype if you haven’t already.
  • Seek for clarification from a health professional if you do not understand your results.
  • Ask for the Hb Electrophoresis. This test will show you exactly what type you are. Example AA, AS, SC, SS, etc.

Knowing your genotype before marriage or child birth is one of the most responsible decisions you can make as a parent.

Let’s be responsible

The KSS Project

K- know it  early , S – share it early,  S- Stop it early

#sicklecellisreal ,  #sicklecellis100percentpreventable

Avoid these mistakes during valentine’s day: Let’s make it a healthy Valentine.

It’s the Love Season. People are giving love and others receiving love. There are a lot more people who will be feeling like they are not a part of the season. But  that can’t be true if you are alive. You can also show someone love.

In the spirit of celebrating love, there are some actions that bring unhealthy and undesirable consequences that may last through a lifetime. It’s a day of love, let’s live it avoiding these mistakes.

1. Having unprotected sex : Most dates will end up in sexual activities at the end of today. If he or she is not your husband or wife, I would advice you abstain. But if you will engage in it, then better be safe than sorry. Protect yourself, protect your partner.  Use a condom.

2. Hooking up with your Ex : I know valentine’s day can be an emotional time for people especially if you’re single. But making a rush decision to hook up with your Ex can be tricky. Old flames need little to spark up again. Engaging in sex with your Ex might seem familiar to you but remember he/she might not be in the same state of health as when you dated. He/she may have had a couple of relationships. Having sex with this person can lead to getting infected with  HIV or other Sexually transmitted infections. Do not take it for granted just because the two of you used to date. HIV is real, protect yourself.

3. Too much Alcohol intake: The healthy amount of alcohol intake is one bottle for women and at most two for men in a day if you want to drink. Don’t turn this day into a drunken night. There are so many Alcohol related injuries  (road traffic accidents, bar brawls, etc) , rape, diseases etc. Watch what you’re drinking and how much.

4. Indulging in Aphrodisiacs : There is a pool of alcoholic drinks in the market in Ghana. Almost every drink is a sex enhancing bitters. Because of nature of the day, most men will be tempted to drink these beverages to “enhance their potency ” sexually on order to crown their day. But beware of these drinks. Most of these bitters are causing harm to kidneys, the liver, prostate and even impotence. You don’t need them. If you feel there is something wrong, go and get checked at the hospital.

5. Having high expectations : It is always better to expect little and be surprised with much than the other way round. Feelings of disappointment can lead to feelings of depression. Depression can cripple you emotionally, physically, mentally  and even spiritually. Allow yourself room for adjustable expectations. You will be saving your health a great deal.

Enjoy your day thinking about your health.

Share with your friends.

A Real Sickle Story

This is Latrice’s story.

Hey my name is Latrice I am 26 years old, and I live with sickle cell anemia. I had my first crisis when I was 3 years old, and from then on I started my not so normal life as a kid in and out of the hospital. Much just like most my mom did not know that much about sickle cell so it definitely surprised her a bit. Even though she was told I had sickle cell, she was also told it could go either way. Well come to find out the way it went didn’t work in her favor, I’m guessing. A single mother who was still taking care of 2 children having to take off of work to either take me to the doctors or set up some type of system so I could be looked after in the hospital.
As I got older I started to feel guilty with inconveniencing others. I felt like it was my sickness, so my responsibility. At a certain age I was able to stay in the hospital myself, and although I liked it because my mom didn’t have to take so much time off dealing with me, and my illness. I had other things to deal with such as dealing with a pediatrician who never really understood sickle cell and because of that she came off very aggressive and mean. I remember telling her I was in pain sometimes and she would ignore me saying there was no reason I was sick, and as I got older and started to go through issues she would basically tell me I didn’t belong in pediatrics. When it came to things that I couldn’t control. I mean Sickle Cell didn’t stop other issues in my life. She couldn’t understand that either. So that left me to have a horrible relationship with my pediatrician. So I felt like when I was sick I had u7u
to keep it to myself because no one would understand.
Becoming an adult I went through even more crisis, some that I couldn’t understand. I tried different jobs one was working at the V.A hospital outside as a valet worker. I had to spend so much time out of work because I was either sick and literally could not make it out of bed, or was spending days to weeks inside of the hospital. Because of one admission that went wrong. I was forced to leave that job. After that, I spent months without work and depressed feeling like I had no control of my life. I was able to get another job after some months but the same thing just kept happening. In and out of the hospital dealing with issues of my life not being where I felt I was supposed to be based on the people around me. I dealt with a lot of depression, and anxiety, which did not help with me constantly getting sick.
Becoming older, experiencing more of what life has to offer. Realizing my dreams and that even though I live with this disease I do not have to suffer with it. I started to go to conferences, and looking up different things that I could do to help my situation. I realized that I love to tell people my story, tell them about this disease that I had dealt with all of my life. I wanted to tell other young people who are dealing with diseases such as sickle cell that your life is not over. I now at 26 years old am ready to live and overcome this thing that seemed to have a hold on my life for so long. I am going back to school, enjoying myself. Taking it one step at a time. Letting God guide my steps, reading more and not just leaving my sickness up to the (so called) professionals to take care of it. I AM TAKING BACK MY LIFE! For the rest of you sickle cell warriors keep fighting, and it is time for you to also take back what belongs to you.

Now let’s talk warriors

1. What can we learn from Latice’s story?
2. What can we seek to change?
3. Can you  relate?

Share with others.

Comments are welcome

Simple ways to Keep school kids from dehydration in this hot season.

Children and the elderly are more at risk of dehydration than any other group. Reducing their risk is therefore important to keep them healthy.

1. Make available good drinking water in the schools or classes. School owners should put in place water dispensers in the corridors to encourage the students to drink more water.

2. Give your child a water bottle filled with water. Parents must put water in the back packs of their wards. Tell them to drink the water.

3. Give frequent water breaks in class. A minute or two break to drink water will go a long way to prevent possible dehydration. It will also encourage all the kids to drink since every one will be taking part.

4. Keep activities indoors : The hot season is good for trying some indoor activities or games. Staying long in the sun to play is not advisable as it causes them to sweat a lot. This leads to tiredness and subsequently loss of attention and interest.

5 . Do not over load students in the school bus: The school buses mostly have more students in it than it is supposed to carry. But in this hot weather, it is more risky overloading students due to reduced air entry to the bus, excessive heat leading to dehydration. Too much Sweating is also not good.

Let’s keep our children healthy in the heat.

#Notodehydration

Picture by Nathaniel Tettey.