Sam: you don go hospital?
Bright: Dem gimme drugs but i dey go buy Typhoid drugs,that doctor young,e never sabi work
Sam: But the doctor nor talk say you get typhoid na
Bright: How you take know say i nor get? You be Doctor?
Why does everyone in Nigeria have Typhoid?
#IssaThread
Doctor: So we would give you these antimalarials.
Take them for 3 days anf you would feel better.

Iya Ibeji : Doctor, no Typhoid medicine?

Doctor : No you dont have Typhoid

Iya Ibeji : Doctor? You sure? Na me know my Body o. This one pass ordinary Malaria o
These are just a couple of Everyday scenarios that are commonplace in our Clime.

If you are ill and haven't been treated for Malaria and Typhoid...have you even started.

But should it really be so?

What is Typhoid Fever?
Why is it so common?
Typhoid Fever is an Acute bacterial Illness, Spread by eating Contaminated food or Water.

It could be Fatal if untreated with Over 200,000 people dying yearly from the disease world wide.
Also Called Enteric Fever, It is caused by ingestion of Food or Water , Which has been contaminated with the Bacteria.

This Bacteria when ingested could cause a severe illness or a mild one in which the individual might not get sick but just become a "carrier" infecting others.
The Bacteria enter into the intestine, and are carried by the blood cells to the Spleen and Bone Marrow, where they multiply and Re invade the Biliary tract, and lymphatic system of the Bowel.

It is excreted in the stool, which contaminates Water and Food
The Symptoms of Enteric Fever include.

Headaches
Poor appetite
Lethargy
Generalized body pains
High Fever
Diarrhoea
Dry Cough
Right Upper Quadrant Pain
If untreated, These symptoms could progress quickly to Delirium, Intestinal Perforation and Death within one month.

Yes it is that serious.

Treatment for Enteric Fever is Antibiotics.
Choice of which depends on severity of illness and the pattern of resistance
How do you Diagnose Enteric Fever.

Diagnosis is made by Culture
Stool,Blood or Bone marrow or Lymph node.

To increase Specificity, Large Volume Blood Cultures (20ml) or multiple stool samples are encouraged.
Serology e.g Widal used to be the mainstay of therapy but it is no longer accepted due to its lack of Specificity or Sensitivity.

It is easily swayed by antibody sensitisation.

So "Widal" reactive for Typhoid doesnt mean you have typhoid.
N.B - An individual suffering from typhoid fever is Very Sick (Toxic).

So if you dont just feel too well, you probably dont have Typhoid.

Questions, Comments, RT are appreciated.
#DrJohnAfam

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More from @DrJohnAfam

Aug 21, 2018
Hello Sister?
Yes ! You should pee after Sex !

Its significantly reduces your chances of getting a UTI, especially for people who have recurrent UTI's.

#DrJohnAfam
#Issathread

The Urinary tract is made up of Kidneys, Bladder,....
....Ureter (Kidney to bladder) and Urethra ( Bladder to "outside"). Most Infections affect the Lower part, i.e Bladder and Urethra, but it can sometimes ascend to the Kidneys.

A variety of Microorganisms can cause UTI. And UTI's are quite common.

Women are more prone to UTI's..
..than men, because thier Urethra is shorter.

Symptoms of UTI, include,

Pain, Burning Sensation when Urinating,
Urgency (inability to hold pee),
Frequency ( urinating more often),
Cloudy, Bloody Urine,
Lower abdominal pain,
Pain in the Sides (Flank)
Fever, etc
Read 7 tweets
Aug 10, 2018
Something a Little "Mature" for the Evening.

Sex could improve memory in women.(Aerobics can too, but Sex is way more fun)

Sperm is Fast (For its size, Imagine a Fish, swimming 5000mph)

Apples are Aphrodisiacs (Healthy and Sexy)

#TGIF
#FridayFeeling
#RT
#RETWEEET
Size doesn't really matter! (Yup, She really doesnt care)

Women are more likely to Orgasm when they wear Socks (Keep the feet warm)

Drinking Water will make you "Wetter" (3L!!!)

Sex can help with Headaches and Migraines (Not everytime Paracetamol)
A Buddhist master, named his Penis 'ThunderBolt of Flaming Wisdom'.

Studies have shown that Arts and Social Science Students have most Sex, while Science and Engineering Students had least Sex.

By Department however,Medical Students were said to be having the most Sex
Read 4 tweets
Aug 6, 2018
"We need to do an Operation"

Those "evil" Words that no pregnant woman wants to hear..

But why is it so bad?
Why is it "not my portion"?
Why do we need to do an Operation?
What are the complications?
What are the other options?

Ladies and Gentlemen...

#IssaThread
#DrJohnAfam
Ceaserean Delivery ( C-Section, Surgical Birth, Abdominal Delivery) is the delivery of a baby or babies, through an incision (cut) in the abdomen, and the Womb. This is often indicated when a Vaginal birth ( Normal delivery) would put the mother or baby at risk
#DrJohnAfam
Its one of the most frequently performed surgical procedures.
There are a LOT of reasons, why your Doctor would recommend a C-Section and not all of them can be covered in this thread (That's how many there are).
But lets look at a few.
#DrJohnAfam
Read 23 tweets
Jul 27, 2018
Amaka : I have been having unprotected sex and now i am itching down there , how do I tell my Mom, i need to see a Dr

Inner Amaka : Tell her you have Toilet Infection

Stop Lying on Toilet!

THERE IS NOTHING LIKE TOILET INFECTION!!!

#Issathread
#DrJohnAfam
But but ..

It was after i used that dirty toilet i started having symptoms.

Still No ..

ITS NOT THE TOILET THAT GAVE YOU THE SYMPTOMS!
STOP LYING ON THE TOILET!
#DrJohnAfam
You have heard now abi?

Okay!
We would treat this from 3 angles.

1 What do we actually have when we say toilet infection?

2 Why cant i get infection from the toilet?

3 How can you prevent the things we call toilet infection, that is not toilet infection?

#DrJohnAfam
Read 16 tweets
Jul 19, 2018
Do Girls Mature Earlier than Boys?

Is it Scientific? Or Just a Social Construct?

If they do, why do they?

If they dont ,why do we think they do?

Fam,
#IssaThread
#DrJohnAfam
Girls actually Mature earlier than Boys,it is a Scientific and Cultural fact

Here's why,

Girl hit puberty earlier than boys, at this stage you body starts preparing for the possibility of having and raising a child.

There is an increase in the "woman" hormones
#DrJohnAfam
With puberty and its corresponding physical change, there also are many emotional and psychological changes that a woman experiences.
It is also during this time that the gray matter develops in a woman's brain.
Social awareness sets in during this whole process.
#DrJohnAfam
Read 16 tweets
Jun 19, 2018
As a Sickle Cell Warrior there are Five things you must do to have a long and happy life!

Easily remembered by the Acronym.

WISE - K

Spread the Word!

Be WISE K!?

#Tweet4SickleCell
#BeWISE
W - Water!

You need water! Lots of Water.
Dehydration is one of the most easily recognisable Crisis triggers.

As a Warrior you should aim for at least 3-4 litres daily and even more when you have diarrhea.

Drink some water,and drink some more!
#Tweet4SickleCell
I - Infection Prevention/Immunization
Warriors are prone to Infections,so its important they get immunised against the Vaccine preventable ones and Take extra steps to prevent infection.

Hand washing,Good food hygiene, Good Sexual Hygiene,
#Tweet4SickleCell
1/2
Read 12 tweets

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