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Reflx's Posts j4m3p

Reflx's Posts

(14) (of 15 pages)

reflx(m): 3:04am On Jan 02, 2016
but olamide was right tho.... don't judge next rated by one song... but by the young artists efforts in the year... by that.... lil kesh wins hands down!

1 Like

reflx(m): 12:34am On Jan 02, 2016
crispberry:
Chai! This headies no be am at all. grin grin why d long break cheesy cheesy

Abeg going to sleep...
reflx(m): 11:22pm On Jan 01, 2016
BankManager:
The Headies 2015 should have been
cancelled entirely .. Empty seats
everywhere..
Watching it live on Hip Tv..
They should have used a smaller hall.....#common sense

1 Like

reflx(m): 11:08pm On Jan 01, 2016
Empty hall...what happen!....this is a shame even after postponement!
reflx(m): 9:23am On Dec 28, 2015
groovie:
Its impossible for u to serve God and Mammon. U cant serve God and still be cheating. The 2 don't go.

U must cut loose from the company u keep, since ur close friends are always been advised to withdraw then u must change the company u walk with.

U must take responsibility for your life. U can't keep saying "someone told u to do this or that" find the right thing to do, find out the right way to do it and DO IT!!

Explain things to ur dad and make up ur mind to swallow whatever he tells u. Then go back and make those courses with great determination. Don't stop at that, be determined to be a success in life. Stay close to God and don't deceive urself.


i concur!!!@ bolded
my guy
step 1: take full responsibility for where you are today
step 2: take full responsibility for where you will be by 31st Dec 2016
step 3: sincerely write down in paper what it will take to graduate by the rules..no short-cuts any more---they have proved to be longer anyway undecided
Step 4: sit down and read...go for lectures, discussion classes, buy past questions and revisions
step 5: DELETE SELF PRIDE...YOU ARE OBVIOUSLY PROUD FOR NOTHING!
Step 6: come to God if you will, with an open heart....don't deceive yourself or be delusional.HE KNOWS EVEN THE INTENTS OF THE HEART...HABA.


hope this helps....

reflx!!!

1 Like

reflx(m): 10:24pm On Dec 24, 2015
Dayo3:


Eastwood Gardens Phase 1 is Gazette Extension

While Eastwood Gardens Phase gazette 2 is currently being processed.


what does gazette extention mean please
interested buyer.
reflx(m): 12:12pm On Dec 21, 2015
homesteady:
Lmaoooooooooooo gringrin
See the report card they gave him, I didn't even see where they wrote Philippines until I searched for it over and over.


i seriously agree....why wasn't the phillipines boldened and enlarged as the winner.....

1 Like

reflx(m): 10:20am On Dec 16, 2015
now you understand what we suffered as corpers in the north during the election violence...you cant just reason with these guys....when in a frenzy, they are simply unreasonable.
thank God i left the north biko...watching this sent reminding chills down my spine as we fled to the military base .
sticks quickly become matchets and sickles...they all carry matches and fuel to start fires at will and then the guns are brought out.
see how the officer took time to explain to them...couldn't they have processed by the side of the road as catholics do in station of the cross with traffic personnel guiding traffic...must they use the whole road....
bunch of retards!!!!

3 Likes

reflx(m): 11:08am On Dec 15, 2015
jesu!!!is this nigerian??
o boi eh!!!!
reflx(m): 9:16am On Dec 11, 2015
Porsche sells two 911 Targas: the Targa 4, costing £86,281 and powered by the regular Carrera's 3.4-litre flat six, and the Targa 4S, priced at £96,316 and enjoying the more powerful 3.8 from the Carrera S. It's the more powerful range-topper we test here, in seven-speed manual format.Aug 20, 2014
Porsche 911 Targa 4S (2014) review by CAR Magazine

www.carmagazine.co.uk/car.../porsche/porsche-911-targa-4s-2014-review/

well about 25 Million Naira!!! grin shocked shocked shocked grin

2 Likes

reflx(m): 9:21pm On Nov 24, 2015
yes yes yes!!!!!!COYG!!!!!
reflx(m): 5:43am On Nov 20, 2015
1.4 cash down...can i come? location please!
reflx(m): 9:11pm On Nov 17, 2015
Oga Spyder...well done o!!!
an avid student of yours takes a sit!!!
God's blessings on this project IJN
hope to work with you mid 2016
reflx is the name! cheesy cheesy

1 Like

reflx(m): 9:06am On Nov 07, 2015
saddens me every time i hear such news..."Most of the deaths and disabilities attributable to childbirth are avoidable because the medical solutions are well known,the challenge that remains is therefore not technological but strategic and organisational" (alvarez et al, 2009). we really have a long way to go and may posterity judge us well in the end-that we did all we could at all times
as one involved in providing emergency care, I'll discuss some factors we need to be aware of
1. Where did the woman for her ANC care? if she ed there, then they have all obligation to attend to her once in labour. if not- when it is an emergency she ought to be referred to a specialist hospital due to late presentation and associated maybe unknown negative history such as hypertension etc.
2. Was the ANC care provided adequate and was she educated on the signs of labour and the need for early presentation once she has seen her show or noticed increase in contractions painful or not. then how many ANC sessions did she attend?
3. Our training for nurses and midwives needs to instil confidence in them as to recognise and manage post Partum Haemorrhage.(bleeding after childbirth). we see nurses and midwives that scream "DOCTOR OO" once they see the excessive bleeding and also our young doctors need to simply follow the pathway of management.
4. we all agree that our health facilities are derelict and deficient, but with what we have, some deaths are not justifiable please.

FINALLY
for prospective parents,
once your wife takes in.
1. begin to save monthly towards the childbirth ( as little as 5k or 10k monthly)
2. go on a hospital research- find the one closest to your residence that offers the following
a. specialist care- the ANC is run by a O and G consultant.
b. here is always a doctor on call at night.
c. they have a functional theatre
d. have a track record of safe deliveries - shows nurses and midwives are doing well (maybe)
3. be vigilant for warning signs of labor as at the 8th - 9th month
4. have transport ready especially within the 8th and 9th month
5. keep some cash at home within this period also- so if you ned to deposit any sum- you are able to do so even if in part.

maternal mortality is preventable guys!

7 Likes 1 Share

reflx(m): 2:40pm On Nov 06, 2015
dis na toks??
reflx(m): 4:07pm On Oct 28, 2015
can you deliver to port harcourt?
if yes...then lets talk...
what accessories come with the game?
reflx(m): 5:38pm On Oct 20, 2015
Toksytoks:
Chaz B was a post renal transplant patient, he has had two major medical issues after the transplant which necessitated a laparotomy . Before we kill the hospital and the doctors, few people need to understand prognosis of renal transplant.
In America where best medical care is obtainable, 5 year survival chance is about 80% if post transplant treatment is carried out in the same center. He had his transplant in India, he had to fly back for another surgery few weeks after the transplant in India. Post renal Care in Nigeria was not too good, i am sure he did not get the necessary post renal he needed.


i agree with some points of yours! but also uraemia doesn't present suddenly...and to our colleague saw the previous night. except he missed the signs. what of uraemic encephalopathy: Chaz b was still coherent till demise.
like you said, the doctor shouldn't be bothered with giving fluids-but for me with taking a sample later.
a multidisciplinary team is a far shot in this country so..i would have loved the doc to do the basics...and referral on phone to a doctor that was not present is no referral, they could have moved him to a facility where the specialists were on ground, that is after doing all to stabilize him.
sending him home that night was also wrong IMO
reflx(m): 5:12pm On Oct 20, 2015
Raymondenyi:
will u shut ur stinking traps, what do u know about medical practise? Ur statements here tells how amateur u are; u should concentrate on ing ur exams instead of being silly online... gush; feel like giving u a hot slap!!!

Now I thank God for this forum being an online one...(some persons could make u do some things) **spits**
hello ray,
sad you chose to insult yourself rather. as one doctor to another please mind your language and show respect.
if you clearly read my points, i simply offered my opinion and did not label or cuss anyone.
please if that's all you have to say then don't quote me. our opinions may differ that's why we have clinical conferences but never be rude.
the ABC's of emergency management still apply....
A-Airway: did our colleague ensure that Mr Charles maintained a patent airway?
B-Breathing: did he ensure that his breathing was efficient? was there need for oxygen even via nasal prongs
C-Circulation: did his vitals necessitate augmentation with IV fluids? if not...there was no need battling to set up an IV line just then, except if he wanted to take a sample for blood chemistry.
For your information i'm an emergency medicine specialist.

1 Like

reflx(m): 8:53am On Oct 20, 2015
Etizz:
It's a pity, but things are done with protocol, in this case, Dr kevwe Is not at fault, he wasn't the one who started the treatment, since it's an emergency, he had absolutely no idea about his case, as his file was locked somewhere.... I believe he is just a junior doc, the so called doctor was called upon to come around and refused is at fault, they should know life is more important Dan one night rest,... He should know dat being a doctor, he can be call upon any time,.... These doctors are so annoying,... In my life I have never bin itted in any hospital, God pls, let me grow old and just sleep and be on my way out of this earth without health complications..... Protect us from sickness God.
hello ,
not holding brief or talking down on anyone but the doc on night duty should have followed all emergency protocols (if they had any tho)
question is...
did he have a diagnosis?
did he have the necessary skill and equipment to stabilize the patient?
did he refer when it was beyond his scope?
when he assumed that 11am was late for the senior to arrive why did he not refer immediately?
sadly things are done for gain and not in patients best interest.
so pained to lose Chaz B one of my mentors like this...

1 Like

reflx(m): 8:39am On Oct 20, 2015
dumodust:
They were signs of kidney failure, uraemia... the new kidney had certainly failed... maybe a dialysis would have helped
so the medic that saw the previous evening did not recognise uremic symptoms and discharged home...haba i beg to differ.
reflx(m): 8:24am On Oct 20, 2015
sad that after surviving a kidney transplant, he died due to negligence....
i weep for my country. a state of emergency needs to be declared in the health sector ASAP
as Piers Morgan once said "with this deaths we lose a vital part of our common existence, a part of our collective soul has just been lost"
cry cry cry cry cry cry

as a medic..could easily have been acute abdomen...he could have benefited easily from ission, an Nasogastric tube, a urinary catheter and close monitoring of his vitals through the night, while awaiting blood work and radiology (which should be available 24/7 in emergency centres)
lack of emergency protocols is killing my people! the doctor relies on book knowledge and intuition when medicine is both science and an art. recognise the symptoms and then treat or refer if beyond the scope of your practice. SHIKENA!

23 Likes

reflx(m): 10:05am On Aug 11, 2015
please remind me why this thread was created...and why we keep checking for updated daily...
reflx(m): 3:52pm On Jul 20, 2015
drunk and fast driving most prolly!
that stretch of express in maitama has always been an invitation to racing and speeding!
who know's what i'm talking about?
my driving Motto: NEVER DRIVE AT A SPEED I CANNOT BRING THE VEHICLE TO A SAFE STOP. I'M THE DRIVER AND THE VEHICLE IS NOT DRIVING ME!

1 Like

reflx(m): 2:40pm On Jun 30, 2015
Any updates guys
reflx(m): 1:38pm On Jun 12, 2015
keeping the thread alive....
never give up...never lose hope!!! cool
reflx(m): 9:46am On Jun 12, 2015
i have listened to this man speak on BBC's HARDTALK...very well read and articulate...these are the calibre of men needed in the senate.
reflx(m): 6:28pm On Jun 11, 2015
and then an outbreak of a water borne disease beckons....
not a prophet of doom but...all the factors are already there
reflx(m): 11:12am On Jun 10, 2015
gr8nes:
Hw quiet and peaceful, this thread has become.... NDDC , we await thee patiently.

oh how we wait...come quickly thou NDDC...thy silence maketh the heart sick
yet we keep hope alive, surely good comes to those who wait
we wait....

1 Like

reflx(m): 6:05pm On Jun 07, 2015
grin grin grin SOLD!!! grin grin grin
OROZ keep this car for me o!!!
make my money complete...
reflx(m): 4:33pm On Jun 05, 2015
doncharlso:
[color=#006600][/color]
The invite is 4 real. Besides why would i want to play pranks with a sensitive issue? Honestly i don't think that interview matters much cos i didn't really do well in the interview but i did very well in the cbt, i scored 48 over 50


post a screenshot na or abeg what does the invite look like....
reflx(m): 8:54am On Jun 05, 2015
Oroz how much is the accord....

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