Dr.Ruby DAILY WITS

“DOCTOR, I'VE ALREADY DONE ALL THE TESTS." The Hidden Danger of Unnecessary Investigations

As a doctor, one of the most common things I hear is

“Doctor, I did a full body test before coming.”
Or worse
“I just went to the lab to check everything.”

Let us talk about this because it is becoming a serious problem.

The Culture of Self Requested Tests

In today’s world, you can walk into a lab and request:
●Full body check
●Hormonal panels
●Tumor markers
●Multiple scans
●Random blood tests

Without seeing a doctor first.

It sounds proactive. It sounds responsible. But very often, it is not.

The Disadvantages of Running Unnecessary Tests

1. Wrong Tests Equal Wrong Direction

Medicine is not a guessing game.
Investigations are ordered after proper history and examination.

If you do the wrong test:
●It may miss the real problem.
●It may falsely reassure you.
●It may create panic over something insignificant.

Tests do not diagnose patients. Doctors diagnose patients.

2. False Positives Create Unnecessary Fear

Some tests can show abnormal results even in healthy people.

For example:
●Slightly raised tumor markers.
●Borderline thyroid levels.
●Mildly elevated liver enzymes.

Now anxiety sets in. Google becomes your doctor. And suddenly, you think you are dying. All from a test that was not even indicated.

3. Wasted Money

Healthcare is already expensive.

Running random panels:
●Full hormonal profile
●Full abdominal scan
●Multiple blood panels

Without clinical indication is simply money wasted. And many times, we still need to repeat proper tests the right way.

4. Overdiagnosis and Overtreatment

This is dangerous.

You may:
●Be placed on medications you do not need.
●Start lifelong drugs unnecessarily.
●Undergo procedures that were avoidable.

Not every abnormal number needs treatment. We treat patients,not lab results.

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THE CRAZIEST THINGS I’VE HEARD AS A NIGERIAN DOCTOR (FROM PATIENTS) 😮‍💨

Medicine in Nigeria is not just science.
It is culture, fear, rumours, WhatsApp broadcasts, aunties, neighbours, and “my village people said…”

Some of the things patients tell you will make you pause, breathe in, and ask yourself: “Who started this?”

Let’s talk.

1. Harmful family practices & ethnic traditions

Some families still insist on practices that are clearly dangerous...

Refusing hospital care because “this is how our people do it”. Scarification for illnesses. Force-feeding herbs to children. Delaying treatment until spiritual steps are taken first.

Tradition is not evil. But tradition that kills is not tradition, it’s neglect.

2. “My husband said no,” when women don’t own their health

Many women cannot:
Start family planning.
Do surgery.
Attend ANC.
Take medications.
…because their husband, mother-in-law, or family head refused.

This cuts across religions, tribes, and cultures. Yes, some cite Eleha in Islam, but it also happens in Christianity and traditional settings.

Health should never be a permission-based privilege.

3. “Herbs cure what hospital medicine cannot”

Ah yes.
The holy grail: Agbo Jedi.
Agbo for: Fibroids, Infertility, Infections, Weight loss, Blood purification, and the list goes on and on. Agbo for everything.

“Anything doctors say needs surgery”

And the popular claim: “English medicine doesn’t work for fibroid.”

Yet the same fibroid disappears only after surgery. Interesting! 😃

4. Pushing the abdomen to “reset the tummy”

Very common, especially in parts of Delta State.

Traditionalists vigorously press the abdomen to:
“Arrange the womb”
“Correct displaced organs”
“Flush dirt”

Meanwhile, internal bleeding, organ injury, and worsening pain, but patients still return for more.

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Dr. Rub🩺con

OGWULA!!!

WHY PEOPLE BELIEVE PATIENTS GO TO TEACHING HOSPITALS TO DIE

Many people whisper it. Some say it loudly. Others believe it silently.

Once a patient is taken to a teaching hospital, death is close. That belief did not come from nowhere.

It was built. Slowly. Painfully. And the problem is a triad. Three powerful forces working against one sick human being.

The Patient.
The Peripheral.
And the Pinnacle of care.

1. THE PATIENT

Most patients do not arrive early. They arrive exhausted. Drained. Broken by time.

They present late, after days, weeks, or months of symptoms. They shop from hospital to hospital, searching for the cheapest reassurance, not the safest care. They swallow herbs, roots, leaves, and mixtures with no names, no doses, and no accountability. They trust traditionalists who promise healing without understanding disease.

By the time they arrive at the teaching hospital, they are no longer sick. They are crashing.

Organs are failing. Blood is depleted. Infections are widespread. Time has already done its damage. And when death comes, the blame is placed on where they arrived, not on how late they came.

2. THE PERIPHERAL

This is where the real betrayal often happens.

Primary and secondary facilities that know their limits but refuse to admit them. Centers that delay referrals because they want to keep the patient’s money. Facilities practicing quackery by employing underpaid, poorly trained, or completely unqualified staff.

They attempt what they are not equipped to handle. They improvise where expertise is required. They hold on when they should let go.

Patients are kept for days in places that lack blood, oxygen, monitoring, or specialists. Referrals are delayed until the situation becomes hopeless.

And then, when the patient is finally sent out, it is with a dying body and a referral letter that says, "Please do the needful."

The teaching hospital inherits the damage and the death.

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