Dr.Ruby DAILY WITS

18/08/2026

THE PATIENT WHO CAME FOR JUST A HEADACHE

A middle-aged man visits my office, attributing his headache to stress, but after a series of questions, I decide to check his blood pressure, which reveals a concerning 178/104 mmHg.

He's surprised, saying, 'What's the big deal? I don't feel sick.'

That's exactly why proactive care matters - feeling fine doesn't always mean you're healthy.

It turns out he'd stopped taking his medication because he felt fine and was instead taking painkillers for the headache.

We ran some tests, adjusted his treatment plan, and sent him on his way with a newfound understanding.

As he left, he realized, “I had no idea my blood pressure was a ticking time bomb.”

This experience highlights the importance of not ignoring those pesky headaches, dizziness, or unusual fatigue.

Take charge of your health - get your blood pressure checked, ask questions, and listen to your body.

Often, the symptom you're focusing on might be distracting you from the real issue.

Don't wait for a health crisis to strike to take action.

Regular check-ups and a proactive approach can make all the difference.

Check your blood pressure, stay informed, and empower yourself.

18/08/2026

😂 FUNNY THINGS PATIENTS EXPECT FROM DOCTORS

Being a doctor has taught me that patients don't just come to the hospital for medical care…

Sometimes, they come with special requests. 😂

Now, let me tell you a few things patients secretly expect from their doctors:

1. “Doctor, just give me one injection.” 💉
Apparently, every illness becomes serious enough when an injection is available. 😂

2. “Doctor, I need a very strong drug.”
The stronger the drug, the faster the recovery… right? 😭

3. “Doctor, don't worry, I already diagnosed myself on Google.” 😂
And sometimes the diagnosis is something we've never heard of.

4. “Doctor, can you just give me something to sleep?”
Doctor: “Let's find out why you're not sleeping first.”
Patient: “No, doctor. Just give me something.” 😂

5. “Doctor, I don't like tablets.”
Then five minutes later:
“Doctor, can't you give me an injection?” 😭😂

6. “Doctor, I don't want to do any tests.”
But also:
“Doctor, why don't you know exactly what is wrong with me?” 😂

7. “Doctor, prescribe something cheap but very powerful.”
A request every doctor understands. 😂

8. “Doctor, I stopped the medication because I felt better.”
And then comes the sequel:
“Doctor, the problem has come back.” 😭

9. “Doctor, I only want antibiotics.”
Even when the problem is clearly not bacterial. 😂

10. “Doctor, I know my body.”
Fair enough.

But sometimes…

that's exactly why you came to see me. 😂😂

And my personal favourite:

11. “Doctor, I don't have money today. Can I pay later?”

Doctor's face: 😐
Doctor's heart: ❤️
Doctor's wallet: 💀😂

But jokes aside, patients don't need doctors who know everything.

They need doctors who will listen, explain, reassure, investigate properly and genuinely care.

And doctors don't need perfect patients either.

Just give us an honest history, take your medications as prescribed, do the necessary investigations, and please…

STOP USING YOUR NEIGHBOUR'S MEDICATION BECAUSE “IT WORKED FOR HER.” 😂😂

To all my patients:

We laugh, but we care about you more than you know. 🩺❤️

18/08/2026

🩺 20 QUOTES FROM 20 GREAT MINDS IN MEDICINE

For every young doctor, medical officer, resident and medical student;
these words are worth remembering....

1. Hippocrates

“Wherever the art of medicine is loved, there is also a love of humanity.”

2. Sir William Osler

“The good physician treats the disease; the great physician treats the patient who has the disease.”

3. Francis W. Peabody

“The secret of the care of the patient is in caring for the patient.”

4. Atul Gawande

“Better is possible. It does not take genius. It takes diligence.”

5. Harvey Cushing

“A physician is obligated to consider more than a diseased organ.”

6. Albert Schweitzer

“The purpose of human life is to serve, and to show compassion and the will to help others.”

7. Paracelsus

“Medicine is not only a science; it is also an art.”

8. Samuel J. Meltzer

“The fact that your patient gets well does not prove that your diagnosis was correct.”

9. Hermann Nothnagel

“Only a good man can be a great physician.”

10. Martin H. Fischer

“The great doctors all got their education off dirt pavements and poverty—not marble floors.”

11. René Laennec

“The ear is the most valuable instrument of the physician.”

12. Samuel Hahnemann

“The physician’s highest calling… is to make sick people healthy.”

13. Maimonides

“The physician should not treat the disease, but the patient who is suffering from it.”

14. W. H. Auden

“A doctor, like anyone else who has to deal with human beings… is either a craftsman or an artist.”

15. Richard C. Cabot

“Medicine is not a science; it is an art that is applied to a science.”

16. Anton Chekhov

“Medicine is my lawful wife and literature my mistress.”

17. Galen

“That physician will hardly be thought very careful of the health of others who neglects his own.”

18. Mona Hanna-Attisha

“Science is not a luxury. It is a necessity.”

19. Paul Farmer

“The idea that some lives matter less is the root of all that’s wrong with the world.”

20. William Mayo

“The best interest of the patient is the only interest to be considered.”

To every young doctor out there…

You will have difficult days.

You will encounter patients you cannot save.
You will make mistakes.
You will sometimes doubt yourself.
You will work when you are exhausted.
You will study when everyone else is sleeping.

But remember why you started.

Medicine is not just about knowing more. It is about becoming better.

Keep learning.
Keep asking questions.
Keep your humility.
Listen to your patients.
Respect your colleagues.
Protect your integrity.
And never become so experienced that you stop caring.

Your degree made you a doctor.
Your character will determine what kind of doctor you become.

To every young doctor reading this:

Keep going. Your best years may still be ahead of you. 🩺❤️

17/08/2026

17/08/2026

A WEEK IN CLINIC 🩺

Another week of listening, assessing, investigating, treating and learning from every patient who walked through the door.

This week brought a wide range of presentations: antenatal care and pregnancy-related concerns, gastrointestinal complaints, respiratory symptoms, hypertension and cardiovascular risk, infections, pain syndromes, and several cases where seemingly simple symptoms required a deeper look.

One thing that continues to stand out is how often lifestyle, medication use and health education become just as important as the prescription itself.

A persistent cough may not always need an antibiotic.

Poorly controlled blood pressure may sometimes be linked to how medications are actually being taken.

Frequent painkiller use can create problems of its own.

And sometimes, the most important intervention is simply taking the time to listen carefully and ask the right questions.

Medicine is more than diagnosing a disease and writing a prescription.

It is understanding the person behind the symptoms, identifying the risks they may not be aware of, explaining things in a way they can understand, and helping them make sustainable changes.

Every patient teaches you something.

Every consultation is an opportunity to make a difference.

Grateful for another week of service, learning and growth. 🩺

~ Dr. Rubycon ~

OGWULA!!!!

10/07/2026

A SLAP CAN RUPTURE YOUR EARDRUM

Many people think a slap is harmless because “no object was used.”

In reality, a forceful slap directly over the ear can create a sudden pressure wave strong enough to rupture the eardrums.

Common symptoms:
👂 Sudden ear pain
👂 Bleeding from the ear
👂 Hearing loss
👂 Ringing sounds (tinnitus)
👂 Dizziness

Never insert cotton buds into a bleeding ear.

If you notice bleeding or hearing loss after a slap or blow to the head, seek medical attention immediately.

Not every injury leaves a bruise. Some leave a permanent hearing problem.

Dr. Rubycon
OGWULA!!!

'sHealth #

04/03/2026

“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.

FIND THE REST IN THE COMMENT SECTION.
AND MAKE SURE YOU DON'T STOP TILL YOU GET TO THE END. DON'T FORGET TO SHARE, LIKE, AND COMMENT.

21/02/2026

Let me tell you a short story ❤️

A pregnant woman once asked me, almost in tears: “Doctor, I’m 36 weeks… but I have fibroids. If my baby comes now, will my baby survive?”

That fear is real. And very common.

So let me answer it simply 👇

At 36 weeks, your baby is strong. The lungs are mostly ready. The brain has developed well. Over 98–99% of babies born at this stage survive and do well with proper care.

Now about fibroids... this is the part many people misunderstand.

Fibroids mostly affect the mother’s womb, not the baby’s strength. They can affect how the baby lies or how delivery happens, but they do not stop a baby from surviving once born.

I’ve seen many women with fibroids deliver healthy babies; some va**nally, some by CS, and go home smiling with their babies in their arms. 😊

Sometimes, a 36-week baby may need a little observation, help with feeding and monitoring for jaundice. These happen in a small number of babies, and most go home within days.

But survival? Very high. Very reassuring.

So if you’re reading this and you’re worried…
Breathe.
Ask questions.
Attend your antenatal visits.

Fear reduces when knowledge comes in ❤️

Dr. Rubycon

OGWULA

12/02/2026

Today at Antenatal Care (ANC) Clinic, something funny and very real happened 😄

A pregnant patient came with her husband, and it was actually his first time ever sitting in front of me during ANC. You know that look some husbands have, half serious, half shy, fully determined? That was him. After listening quietly for a while, he cleared his throat and asked the question that had clearly been burning inside him.

“Doctor, is it okay to have s*x during pregnancy? And when is the right time?”

At that point, the wife turned and looked at him. The kind of look that says “So this is what brought you here today?” 😅

I smiled and told them the truth. Yes, s*x during pregnancy is generally safe, as long as there are no complications. Then I broke it down in a way they would never forget. I told them pregnancy s*x must follow three simple Cs: Comfort, Consent, and Consideration. Nobody should be in pain, nobody should be forced, and both partners must think about each other. Pregnancy is not a competition. It is teamwork. Sometimes you meet in the middle. Sometimes you slow down. Sometimes you pause completely.

I explained that for many women, the second trimester is the sweet spot. Morning sickness has relaxed, energy has returned, and the tummy has not fully taken over the bed yet. First trimester can come with nausea and tiredness, while third trimester needs more creativity and pillows than usual 😄

We talked about positions too. Nothing that puts pressure on the belly. Side lying, rear entry, or the woman being on top so she controls the movement. I told them if at any point it feels like wrestling a watermelon, it is time to change position or stop 😂 Timing, frequency, and intensity all matter.

I also explained the benefits. Better bonding, better mood, better sleep, and less stress. And no, in a healthy pregnancy, s*x does not cause miscarriage.

DON'T MISS OUT ON THE REST OF THE STORY
JUMP INTO THE COMMENT SECTION, DON'T INJURE YOUR NEIGHBOUR O🤣

11/02/2026

⚠️ UNRIPE PAWPAW & PREGNANCY: A WORD FOR LAGOS WOMEN

Dear sisters, aunties, mamas-to-be in Lagos 🧡
Let’s talk about something very common but often misunderstood: unripe pawpaw (green papaya) during pregnancy.

Unripe pawpaw is not just “food.” It has uterotonic properties; meaning it can stimulate uterine contractions.

What does this mean in pregnancy?

When taken during pregnancy (especially in the first and second trimesters), unripe pawpaw may:

1. Trigger uterine contractions

2. Increase the risk of abdominal pain, bleeding, miscarriage, or preterm labour, and prelabour, preterm rupture of membranes (PPROM), and/or ineviatable abortion.

3. Aggravate an already sensitive or irritable uterus

This effect is linked to substances in unripe pawpaw like papain and latex, which can act on the uterus.

⚠️ The dangerous chain reaction (PLEASE READ)

When unripe pawpaw causes the womb to start contracting before time, it can lead to the water around the baby breaking too early or leaking for a long time (what we call PPROM - Prelabour Preterm Rupture of Membranes).

Once this water breaks early, the baby loses its natural protection. This makes it easy for germs from the va**na to travel up into the womb (Ascending Vaginal/Genital Tract Infection), causing a serious infection called chorioamnionitis.

🔥 Chorioamionitis is an emergency

For the mother, it can cause:
• Very high fever
• Painful or tender womb
• Bad-smelling water or discharge
• Severe infection of the blood (sepsis)
• Heavy bleeding after delivery (postpartum haemorrhage)
• Infection of the womb after birth (Endometritis)

For the baby, it can cause:
• Baby coming too early (preterm birth)
• Serious infection in the newborn (neonatal sepsis)
• Chest infection (pneumonia)
• Brain infection (meningitis)
• Baby dying before or shortly after birth (stillbirth or neonatal death)

MORE IN THE COMMENT SECTION 👇🏾
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