Dnaz:


How can u prescribe wen u dnt knw wats wrong with the pt. May a pharmacist administer intrathecal triamcinolone to u wen u eventually cme down with osteoarthritis of d lumbosacral spine, may a pharmacist administer intravenous aminophylline to ur child wen he develops breathlessness and Iv hydralazine to ur wife. Wen she has pre eclampsia

pride goes before a fall..God resist d proud and giv grace to the humble..u beta learn hw to choose ur words wen relating wit ppl..life is not all abt getin a fulfilled carrer in medicine..i knw of a doctor dat afta doin his BDS,he spent 18months or so to get mbbs funny enough he is nw a BANK MANAGER in benin..pls swallow ur pride and stop lookin down on oda professionals..i pray u be in a situation where only a pharmacist/nurse/mls wil be d only person around to help u..

Dnaz:

Dnt u wish ur girlfriend was hot like ♏E,
Dnt u wish ur girlfriend was a doctor like ♏E
Don't u even wish u were a doctor like ♏E
Don't yaaaa! Don't yaaaa?

sorri to disappoint u sweetie,i wil soon be on my PATH to the PHARM..i guess u knw wat dat means

Dnaz:

Dnt u wish ur girlfriend was hot like ♏E,
Dnt u wish ur girlfriend was a doctor like ♏E
Don't u even wish u were a doctor like ♏E
Don't yaaaa! Don't yaaaa?

It's not like u also won't die someday.. It's not like u'll live forever cos u're a doc. Better embrace humility b4 it's too late..
I tell u what? People need ur advice, ur knowledge on the 'free medical advise' thread. Let us see what u av.

at osahon,joshua pharm and co don't forget the adage that says '`silence is the best answer for a fool`' . lets apply that maxim in dnaz' case
U will never reach ur destination if u stop to throw stones at every dog that barks -winston churchill

f.babs:
at osahon,joshua pharm and co don't forget the adage that says '`silence is the best answer for a fool`' . lets apply that maxim in dnaz' case
U will never reach ur destination if u stop to throw stones at every dog that barks -winston churchill

f.babs:
at osahon,joshua pharm and co don't forget the adage that says '`silence is the best answer for a fool`' . lets apply that maxim in dnaz' case
U will never reach ur destination if u stop to throw stones at every dog that barks -winston churchill

one million likes

@dnaz, and all ,now that is the typical Nigeria doctors and med students behavior and I hate to be associated with such people.
Dnaz, your reasoning is way off, people are reading this and forming their conclusions about doctors. we might be special but for how long. we have conflicts in our camp then another conflicts brewing outside our camp all because of ego and arrogance.

Dr young: @dnaz, and all ,now that is the typical Nigeria doctors and med students behavior and I hate to be associated with such people.
Dnaz, your reasoning is way off, people are reading this and forming their conclusions about doctors. we might be special but for how long. we have conflicts in our camp then another conflicts brewing outside our camp all because of ego and arrogance.

Chillax what do I care besides de ve already made deir conclusions before this thread started. If I am accused of something I am not den I ll like to try dat thing

mr health minister, please obey first ( the court ruling) and then complain!

skabber2: mr health minister, please obey first ( the court ruling) and then complain!

he can't cause d court ruling is confusing and ll destabilize the health sector

@all of u arguing on this thread. our arguement could not solve the problems. i know all profession allied to medicine wants. more recognition. my position are:
1.the world consultant is mainly applied to specialist doctors in medicine. check wikipedia. there is nothing wrong if eligible health workers become consultants. however there must be a national policy on this to sort out job responsibilities to address problems of overlap in duties. for examples clinical pharmacists prescribe for chronic condition like diabetes after a doctor has made initial assessment and prescription. also in hospices clinical pharmacists prescribe after a doctor has listed all problems. in that case pharmacists do ward round in conjuction with. consultant palliative care nurse.
2.doctors would allow cmd and minister job to be open to all but health workers must not stop creation of office of surgeon-general of federation since u guys make reference to us.

3.assessment of shortages of personnels must be done in health sector. govt should employ personnels that are needed in hospitals.

4.pay policy should be introduced. in usa and uk salaries are varied. surgeons are highest paid health workers. salaries must be based on demands and needs.

5.ppp must be introduced. for example private investors should invest in hospitals
and involve in management of them.

@joshua pharm,i agree with u in most of ur thread does not mean i would always agree with u. in this case health workers are fighting for more money. i would have supported them if fight has to do with better funding of hospitals and improve in healthcare delivery. this fight is selfish.
if it is doctors that are on strike u hypocrites would be complaining and abusing doctors. last time resident doctors strike demanding for better funds for hospitals u guys are abusing them.

@on the good day,i reserve my comments.

note that it is minister of justice and fmoh lawyers that advised appeal against the court ruling.
i would advise johesu to wait for appeal court or even supreme court judgement b4 u complain. if ur case has merit then exercise patient.

Laalamed: note that it is minister of justice and fmoh lawyers that advised appeal against the court ruling.
i would advise johesu to wait for appeal court or even supreme court judgement b4 u complain. if ur case has merit then exercise patient.

is that how it works? when a lower court rules, the verdict is disregarded until appeal court or supreme court rules. please enlighten us.

skabber2:

is that how it works? when a lower court rules, the verdict is disregarded until appeal court or supreme court rules. please enlighten us.

u can ask ur lawyer. that is what my lawyer told me. decision of lower court stays if there is no appeal against it.

Pls have d strike been called off. I ve an appointment wit dentist moro @ fed med hospital Lagos

Cheks01: Pls have d strike been called off. I ve an appointment wit dentist moro @ fed med hospital Lagos

it didnt affect d dentists..dey r NMA members

[quote author=pendusky]this is no joking mata!!! though doctors are working!!![/quote
If truly the Drs are working, why are patients not being attended to?

Osahon7:
it didnt affect d dentists..dey r NMA members

Osahon7, tnx

Laalamed: note that it is minister of justice and fmoh lawyers that advised appeal against the court ruling.
i would advise johesu to wait for appeal court or even supreme court judgement b4 u complain. if ur case has merit then exercise patient.

my brother,those are delay tactics,imagine the report on harmonisation of health sector,that is almost 3 years old,has not been looked into,why?, it was discarded after such a wonderful findings http://mypharmacymydream./2013/09/04/why-discard-somthing-as-beautifuls-as-this-if-not-for-personal-gain/

on a good day:

my brother,those are delay tactics,imagine the report on harmonisation of health sector,that is almost 3 years old,has not been looked into,why?, it was discarded after such a wonderful findings http://mypharmacymydream./2013/09/04/why-discard-somthing-as-beautifuls-as-this-if-not-for-personal-gain/

i read the link. my view is that both nma and johesu have valid points. office of surgeon-general should be created and demands of johesu should be met. if that could not be done. we can copy health system one of country with good health indices e.g malaysia,south africa etc. copying uk and usa healthcare model would create more problems for us due to poor funding of health sector.

Laalamed:
i read the link. my view is that both nma and johesu have valid points. office of surgeon-general should be created and demands of johesu should be met. if that could not be done. we can copy health system one of country with good health indices e.g malaysia,south africa etc. copying uk and usa healthcare model would create more problems for us due to poor funding of health sector.

can you give me ten genuine reasons for the creation of the office of the surgeon general!!!

CHALLENGES AND SOLUTIONS TO THE CRISIS FACING THE PRACTICE OF MEDICINE BY DOCTORS IN NIGERIA.

The medical profession evolves, it grows and the doctor is the leader. This self-evident fact will not change. The profession did not start in Nigeria and will not end in Nigeria. It is universal. The Nigerian aberration of the universal norm in the healthcare industry, like other aberrations will only add to the reasons we are the world’s laughing stock.
The present challenges are a manifestation of failures of members of the profession starting especially from the 1980s .
We went against the grain of government policy in the mid-1970s designed to train doctors who at the end of medical
school would be mini specialists in the four broad fields of Medicine viz: medicine, surgery, paediatrics and obstetrics and gynaecology. He is meant to be able to hold his
ground in any of the four fields and provide primary and secondary expertise with ease.
Everyone who went to medical school in Nigeria will attest that the training is along this policy. However, as we as a people in Nigeria have done in all sectors, we put personal
ego and interest over and above the common interest and trivialized the MBBS
What we are using today as the basis for how medical doctors are trained in medical school’s in Nigeria, bore in mind the all import fact that once you graduate from medical school you are already a BASIC SPECIALIST in every field, this is the system that is employed in the UK and we simply carried it over in Nigeria,
Whereby your medical training is divided into two parts, the 1st part being the pre-clinical where you do anatomy, physiology, biochemistry and community health. Then, you now proceed to the clinical where you do medicine, surgery and community medicine.. the rotation is such that to go through all the different subspecialty‘s under these three including pharmacology and pathology.!
So once you leave medical school your degree isn’t the same thing as some-one who went to for example, school of nursing and midwifery, a diploma certificate or even a 1st degree(Bsc).
You become a General Practitioner with Basic specialist knowledge in every field and as you progress along the GP cadre also known as the medical officer cadre the expectation is on promotion to an SMO, PMO and finally CMO. You will have acquired commensurate surgical and medical skill to make you poly-efficient and self-sustaining to provide satisfactory health services to an average Nigerian who lives in the rural setting, without making it binding on him(the rural dweller) to mandatorily come to an urban centre before he can access such quality health care, and also serves as the basis for referrals from the rural/semi-urban centre’s to the cities when the services of a specialist in a particular field are required.
This is the reason and still remains the only reason why medical training as a student is so stressful and vigorous, because the founding fathers have seen that the medical and surgical needs of the Nigerian Nation will not be achieved adequately if the system that produced the doctors is not properly tailored in a direction that is sustainable.
And they also acknowledged the fact that producing unidirectional specialist in every field is not self-sustaining in meeting the multiple health needs of the nation. Since it is not realistic to have every specialist in all the fields, all in the same place, at the same time and in every health facility in the country.
But it is possible and very practicable to have a well experienced General Practioner in all the rural health facilities in every local government area of this country meeting the health needs of Nigerians.
98% of SR’s, Consultants, Profs and Medical Elders today as has being stratified by themselves will on no account want to work in a rural setting, so they have concentrated themselves in the Big cities/Urban centres and have with so much disdain and utter disrespect trivialized the MBBS that is the basis of medical practice in Nigeria.
We went against the grain of government policy and trivialized the MBBS. We carry on like being a Consultant is sine qua non for a "proper" doctor and Medical Officers/General Practioners are retards that managed to become doctors and should not be taken seriously. Everything was for and about the Consultant in this country whether or not he had the “Expected” skill, exposure and knowledge on how to handle the Job, it was principally about acquiring the title of consultant, not because they wanted to get their hands dirty by being more involved at the levels of healthcare where different cadre of medical officers are working to further boost on their job capacity building but because it was seen as a relaxation spot where you get more salary purely because of status.
A young doctor who is convinced from his observation of the treatment meted out to non consultants, that the fastest way to making the elusive" it" is by becoming a consultant. He seeks out the fastest and easiest path to becoming a consultant usually residency in laboratory medicine (less Histopathology) or public health. To worsen matters they leave all procedures to the JOHESU people while they just flaunt their doctorhood. Leadership that is not based on anything other than status can never be sustained, especially not in a knowledge and skill based environment.
The JOHESU people recognized the fact that there is nothing the doctor in the laboratory brings to the table which they don't have and probably even more. They set out to take over the laboratory via hard nosed politicking, lobbying and bare faced impunity. They have achieved this. Now they seek to take over the hospital because they misconstrue the other hospital doctors to be the same as their laboratory colleagues and all they need do is acquire the title" Dr." via genuine and phony PhDs and get appointed Consultants. By virtue of decree 10, that is what you must be to be appointed Chief Medical Director of a Federal Teaching Hospital. Next they will have the decree amended to accommodate consultants other than medical doctors.The JOHESU people took a cue from that. They don't just want to be equal to doctors ( they have achieved that through CONHESS) ; they want to be consultants. The medical officers also didn't help matters. They tacitly accepted that they're second rate and not good enough. Thus you see a doctor 15 years post registration, on the rank of PMO1 going "back to school" to commence residency. Subconsciously he is convinced that the decade and half he has practiced is useless because he didn't have the designation "Consultant", obviously because he has noticed that an average consultant feels he has sacrificed “too much” to become one so he believes he is entitled to special treatment and demands for it. He treats all who are not with disdain and utter disrespect.
Because as it stands today the is practically no financial difference between CONMESS and CONHESS, by the actions of our consultants and medical elders who have over trivialized the hard earned MBBS by making it look cheap in the eyes of other professionals.
The honest truth is that even our colleagues’ who assume the top positions of the medical profession as doctors have contributed significantly to where we are today, unfortunately the residency programme as it is designed today ends up producing timid doctors instead of giants.. Doctors who don't have the guts to standup for their fellow colleagues’ purely because they want to pass an exam or the want a certain favour from the so-called "oga at the top".Residents in my centre are totally un-aware of what is going on in the health sector, simply because they believe that once they become consultants they are on-top of the world..so they don't even know what is happening around them, an allied professional asked the question that how many even pass to become consultants and the answer is a staggering few..Has passing the exams become a tribal/religious affair? Where doctors from a certain part of the country pass while other from some other part fail, must a doctor turn another fellow doctor to a houseboy or a driver so that he can influence what happens when he goes for exams? Must i dress shabby to show that i am a resident doctor?during my houseman-ship my own consultant said that house officers shouldn't be paid salary, shouldn't have teaching allowance, should have their call duty allowance halved in two or better still removed.! The SR's under them agreed that we where "medical students+"..and this is the degrading and sadly unhealthy view of over 85% of residents, because they have become cowards instead of giants, and carrying over the myopic mentality of our senior colleagues’..2/3rds of NARD is composed of house-officers and medical officers.. And incidentally this unacceptable thinking of consultants has infiltrated afew members of this noble body to begin to act like the leadership of NARD belongs only to Resident doctors.. Undermining the real reason why NARD was setup..!It breaks my heart to see how low we have fallen in the general scheme of things..Our allied professionals are doing internship [nurses/pharmacist/physiotherapist/radiotherapist. etc..], receiving shift & call allowance, Specialist allowance, Offs[PH, Night Off, etc], going on career developing courses..yet my own doctor colleague who is my senior in this noble profession of medicine believes i should remain a slave under the guise of what i am doing is humanitarian? as such i don't need to be paid salary or receive any allowance? are we the only persons doing humanitarian service??It will never be well with these individuals, because i can name Doctors [SR's/consultants/profs] who are still advocating for other cadre of doctors to remain as beggars till today and who are still practicing in our hospitals.. and unfortunately want to be policy makers in the health sector.Every other sector is protecting their own except our highly protected and over-ratted "OGA's/Chiefs/Consultants/Medical Elders" when there is a salary increase. Theirs is 10times that of any other person.. Nobody is complaining about that.. we are simply saying protect us because we are one and the same body.? but this is to big a request to make and therefore our elders cannot accept.nurses moved from grade level 5 to 7, their own Oga's didn't say that the salary was to much for those young nurses..when our own Oga's where approached for us to move from grade level 9 to 11, they said that the salary will be too much for the young doctors, and instead of the move to 11, our salary should be halved and all allowances stripped off, some even advocated that we start paying school fees??for God's sakes...At-times i really regret why i even read medicine and why i am even a resident to begin with.?it has become a cause to be a doctor in this country..

Today all a nurse needs as qualification to become a CNO (Chief Nursing Officer) is RN&RM i.e Registered Nurse & Registered Midwife, which is not even equal to a diploma not even to mention a Bsc and yet they are on the same rank as a PMO or a Consultant and this has being the weather forecast in almost every sector of the hospital as it stands today.
The solution lies in reforming the system of remuneration of doctors. As it stands now doctors' remuneration is not geared to the complexity, the skills and training needed to carry out procedures . A neurosurgeon gets paid the same amount as a chemical pathologist if they both are on CONMESS 5. A Chief Medical officer who carries out surgeries like thyroidectomy and hip replacement gets paid less than a public health physician on CONMESS 7 because he doesn't get paid specialist allowance. Each procedure should be evaluated and costed by Actuaries and a doctor who performs them should get a percentage of the cost according to his rank , expertise and experience. What we have now CONMESS should be the base pay each doctor earns.
2. We must all skip 1 level and for those already on 7, CONMESS 8 must be created to accommodate them3. Retirement age for all doctors at 75ys
4. Specialist allowance for all doctors5. Excess workload allowance commensurate with the work we are doing6. Revert to call duty being a percentage of our basic salary7. All doctors on salary grades equivalent to that of assistant directors and above should get the things that come with such offices such as allowances for domestic servants, drivers, newspaper, vacation etc.
This I believe will finally put to rest all the agitation going on in the health sector as all their aspirations can be reduced to asking for a bigger portion of resources allocated to emolument of healthcare labour Provided.
DR. JIMMY IDAMA [FORMER ARD PRESIDENT KSSH LOKOJA-KOGI STATE].

Can u give 10 reasons for meeting Johesu demands. I do not have time for people like u want to have it all. Bye bye

on a good day:

can you give me ten genuine reasons for the creation of the office of the surgeon general!!!

kinkymax: yu re a fool. Dis is hw it is done evrywhr not onli in nig. D med doctor is d head of a med team. Under no conditn wil a nurse or pharmacist or lab techni head d health sector neva done. Hw wil dey b receivin same salary wt d doctors. Neva!! Den dey av to go bak to skul to study hard for medicine nt all dos 3yr nursin skul dey went to or half baked health tech skul dey wnt to and nw dey av d guts to say dey wana receiv same salary wt doctors. Dey wana bcom cmd of hosp dey re bunch of ididots. Dos nurses wey no sabi anytn other dan to gist n gossip in d wards dey talk too. Total rubbish FG can neva ansa des stupid ppl. If u wana b doctors medical skul is opened for evrybodi is neva too late. Rubbish

You talk like a nincompu cum madman and I knw u r nt, so watch ur tongue

on a good day:


you call me a fool because of you stupdity,and ignorance,who made the doctor head of the medical team,how can you lead someone who does not want to be led by you,you foolishness is legendary to think that that a nurse,a scientist or a pharmacist cannot head the hospital,you operate with a kid's brain to argue that nurses do 3yrs schooling,my friend you have lost touch with reality to think that a clinical pharmacist does not/should not see the patient, infact you are ignorance personified to call any other professional an idiot. since you think the government should not ansa this "stupid ppl",then i wish you well..meanwhile this strike continues

SECONDED!

D_Ben: if the FG accepts this proposal then they will be ready for total collapse of health sector.health workers work like a unit,even the orderly in the hosp. is very important. Doctors do almost all the courses of other health profesional in med. school so dat they can manage hospital .the reason for d strike is useless.very insensitive grp of people .

medical doc. Only do just 5 courses of the faculty of pharmacy.

adeola_drg: @Dnaz, Pharmacists do more pharmacology than medical doctors, so what crap are you talking about? FYI, pharmacists in developed countries(im only sure of UK) obtain prescribing rights after pharmacy school.. FYI, nurses also do pharmacology, anatomy, physiology in school, so pls tell me(be professional here) what course doctors do in skul, that members of other professions didnt do.. They av no idea about pharmacognosy, we(Rxcists) do, we also do clinical rotations and ward rounds they do.. I know something for sure, something is wrong with the mentality of Nigerian med docs and even studs.. *smh*

SECONDED!

Osahon7: if u paid attention to ur medical ethics lecturers,u would hav knw dat each medical specialist are restricted only to dere speciality..dats why a consultant opthalmologist can only be alowed to treat fever if he is d only doc. Available.. Am a future member of NMA bt i strongly beleive dat witout oda professions we ar also handicaped.PLS LETS respect professionality abi because of d path and pharm dat makes u tink we can do wat a pharmacist can? I beleive dere shuld be consultant opthalmic nurse,etc,consultant clinical pharmacist.pls mind d words u use on oda proffesionals.we nid dem

SECONDED!

Dnaz:


@ least I scored way higher dan u In U.M.E , had better scores dan u in W.A.S.C and have a better knowledge of healthcare dan u. If I am ignorant, den I wonder wat I shuld call u

the fact that he isn't a med dr. Dosn't mean he scored low. Do u knw that presently pharmacy is more competitive than medsurg?

Samgreguc:
the fact that he isn't a med dr. Dosn't mean he scored low. Do u knw that presently pharmacy is more competitive than medsurg?

i concur...and in pharmacy dere are some courses dat eveb a C is fail

Dnaz:

If it comes to pharmacology pls pharmacists don't knw more dan doctors, I dnt blame u, u culdnt even qualify to knw abt d medical curriculum. I agree we dnt knw anything abt drug production and distribution, but pharmacology oh pls! We even do post graduate courses in dat.

YES, just as BOTANIST knows BIOLOGY more than a BIOLOGIST ryt? Think twice!