Medical Care: The Good, The Interesting, The Dusty

I have had the occasion to visit hospitals in three states here in Northern Nigeria- Bauchi, Kano and Sokoto.  Each state, Bauchi the most recent, has a teaching hospital where according to our insurance provider, a higher standard of care is given. Medical care and facilities here are different in many ways than at home. Some differences are cultural, others local procedures and requirements, lack of adequate power and sanitation, and others, I just don’t have a clue as to why.

Bedside manner and ease of access is definitely a plus for the medical personnel with whom I have had to interact. Of course, since there are no landlines in these parts, one must call the doctor, physical therapist, radiologist, pharmacist, nurse on his/her handset (cell phone)..and they answer! You’re not forced to cue for office visits when a phone discussion can address the problem.

Punctuality is a concern, but its best to be in place before the stated hours because the time of your appointment matters less than the time of your arrival. Get there early and make the cue. I’ve also learned the cue protocol whether at the clinic, bank  or store—just ask who is last in line (usually there is no actual line, just people standing around, but the system works).

Privacy as we know it back home does not exist. I have been in exam rooms where as many as three doctors are seeing patients. Medical staff, nurses, clerks and sundry individuals are in and out of the room. Just knock on the door and enter (you don’t have to wait for permission). Examinations, consultations, related and unrelated problem solving all occur at the same time—it’s amazing. HIPPA infractions abound!

Hygiene and sanitation are different. Sometimes exam gloves are worn, but take your wipes for tables and other equipment. Many places have jalousie windows and are open to the elements so there’s always a layer of dust on everything!

Finally, the cost of medications is very attractive. There is some concern about fake drugs, but certified international drug brands are much less expensive.