omicron:

You do not understand.

Someone has to take the ultimate responsibilty.

Who do we sue when we get mismanaged? The Hospital. The doctor.

These are the standards all over the world.

Never seen Grey's Anatomy?

citizenisb: may we pray that evil BH does not strike again in Abuja before all you rats ranting understand the importance of doctors in your lives.

doctors are the best paid in the States because they value life and if we are so incompetent why do Nigerian trained doctors get frequently poached to work in the US and UK health sectors

otokx: Medically qualified is not the same thing as medically fit.

People should call a spade a spade. Lab technologist were usually hnd holders then an amorphous and strange B.tech was given by universities to the same lab technologists and dubbed science lab tech.

Now they are calling themselves lab scientists dropping the tech to distinguish themselves fron lab tech but we all know their history. One went to apply for Masters in Microbiology and was told his starting point is post graduate diploma and he took offence.

A man will always be a man and head of the home, the woman will say she is head of the kitchen but it will end in laughter.

barcanista: u are ryt....



All the surgery you naija docs perform on newspapers and social media? Or the ones done in india?

ssultana:

Perhaps if your post made more sense,i"d have a reply.....but as it is,nahhhhh

barcanista: you spoke well. But a situation when RM CF descend to the level of Zamfara FC, then. We shall have no option other than treat them as such.
U earn respect!

olrotimi: I still dont understand all these hoof hoof about we doctors, soo loved yet soo hated. Unfortunately the common man wldnt understand the genesis of the conflict in the health sector. Visit the average lab in teachn hospitals & you'd be shocked abt the incompetence of the technicians (i desist from calling them scientists cos thrz nthng scientific abt their operation). We often times go back to discuss the veracity of the results they gv us which doesnt tally with clinical diagnosis, u'd b shockd to the marrow how hollow an explanation they'd offer. Its commön knowledge that if therz a diagnostic dilema, we take our samples to private laboratories which are directly supervised by doctors .......these are the people who want to be consultants. Consultants of the very chemicals they are confused about?

barcanista: hey dude I'm not member of the health sector. In fact I don't have relative in Johesu but NMA.
You guys wil do the Nigeria Society good by withdrawing your full service permanently and allow the country to breed a new generation of physicians that understand their roles.

Shame on you.
Btw wat is yur business if other professionals decide to provide their members opportunity to rise to the level of Consultant in THEIR own field?
What gave you dumfvcks the impression that "docs own patients"? Senseless dude

ssultana:

Perhaps if your post made more sense,i"d have a reply.....but as it is,nahhhhh

omicron: That awkward and misleading moment when a Lab scientist approaches one in a hospital and says: ''Hi, I'm Dr Bankole Peters, and I will be.....bla bla bla''

It is not a Nigerian thing too

http://www.nytimes.com/2011/10/02/health/policy/02docs.html?pagewanted=all&module=Search&mabReward=relbias%3Ar

phantom: my brother the thing tire me wahali. I blame we doctors.we left these insults for long.we were busy reading books while they were getting bolder and edging us out.look at where too much jacking has lead us.serves us right.

maschivok: (19) NMA accuses Medical Laboratory Scientists of harasment.NMA has shown herself that she is a Joker. The world knows that it is the other way round. That it is members of NMA that are harassing Medical Laboratory Scientists in Nigerian. The number of Medical laboratory Scientist that NMA members have instigated their sack/termination of appointment/suspension is worrisome. But thanks are to the Most High for the Judiciary who brings hope for the common man, by setting aside most of the sack/termination/suspension. Medical laboratory Scientists are people who do not act on impulse, or with impunity. Why is NMA resorting to self help when issues she has with members of Association of Medical Laboratory Scientists of Nigerian are in court? Why is she the judge in her own case? The spirit of Medical Laboratory Scientists can never be broken. We shall always move with great crescendo to protect patients’ interest and the public at large, despite the provocation and lawlessness that is being perpetuated by members of NMA in the Health Sector. The laws of the land shall be our strength, for he who holds the mace of truth and justice can never falter. We cannot be intimidated by her Goliath posturing.
(20) NMA says-‘the endless circles of incomplete salary payment to our members in many hospital in the name of short falls in personal cost must stop’. This is the only legitimate demand out of the 24 demands by NMA because the labourer is worthy of his wages. But NMA cannot call her members out for strike based on this, because she is not a registered Trade Union but a charity. This problem is not peculiar to only Allopathic Medical Doctors but to all personnel working in the Health Sector.
(21) NMA in her number 21 demand states ‘universal application of all establishment circulars on remuneration and condition of service for doctors at all levels of Government must be guaranteed’. NMA is not justified here, because this borders on Constitutional Matter. And the Central Government has some limits to want they can impose on the State, bearing in mind that we are practicing a Federal System of Government, where power is shared among the three tiers of Government, the Federal, State and the Local Government. NMA members should come to terms that they are the employee and not the employer. It is very interesting to note, that NMA who champions the lost battle, insists that the approved Scheme of Service/circulars of other healthcare workers will never be implemented is the one now agitating that even things not given by any Scheme Service/circular must be implemented.
(22) NMA demands that Government must urgently set up a health trust fund that will enhance the upgrading of hospitals.NMA is being sentimental here, the problems of our hospital is not funding but mismanagement and accountability. Even if the Government sets 100 trust funds with billions of naira much will not come out of it, because the hospitals are managed contrary to Government laws and principles. Hospital/health administrators should be the ones to head and manage the hospitals. Our hospitals have been poorly managed under the leadership of Allopathic Physicians. When there is good management and accountability Government set goals/objectives can be actualized.
(23) APPOINTMENT INTO THE OFFICE OF THE CMD/MD.
NMA is always doctoring and adding to organic laws. In her 23rd demand, NMA stated “the position of the Chief Medical Director/Medical Director must continue to be occupied by a medical doctor as contained in the act establishing the tertiary hospitals. This position remains sacrosanct and untouchable.” I can beat my chest and say that the leadership of NMA have never seen nor read the content of University Teaching Hospitals (reconstruction of boards) cap U15, LFN 2004 commonly called decree 10 of 1985.There is no where it stated what NMA quoted above. In fact the term medical doctor was never used in that document or Act. Section 5 of the act provides;
(1) There shall be for each hospital a Chief Medical Director who shall be appointed by the president on such terms and conditions as may be specified in his letter of appointment or as may be determined from time to time by the Federal Government.
(2)The Chief Medical Director shall
(a)Be a person who is medically qualified and registered as such for a period of not less than 12 years, and has had considerable administrative experience in matters of health and holds a post graduate medical qualification obtained not less than 5 years prior to the appointment as chief medical director and
(b)Be charged with the responsibility for the execution of the polices and matters affecting the day to day management of the affairs of the hospital.
In the afore-mentioned Act, there is no place it said that the person must be a Medical Doctor. The International best practice is that, it is not only Medical Doctors that head Hospitals rather, in most places; it is a qualified hospital/health administrator that manages the Hospital. If you do a search on the internet on the criteria to become a truck driver in USA, note that you will see that it says that the person must be medically qualified. So does being medically qualified here mean that one must be a medical doctor to be a truck driver? The capital answer is “no”. It means being medically fit. The term medically qualified as used in the act has been misinterpreted to mean a holder of a certificate registrable by MEDICAL AND DENTAL COUNCIL OF NIGERIA.(MDCN). Currently there is a case instituted in the Federal High Court Awka by Comr. A. A Obi a distinguished Medical Laboratory Scientist and the suit number is FHC/AWK/CS/38/2013.The suit is to interpret the meaning of who is medically qualified as used in section 5 of the act. So why is NMA and her members jumping the gun to go on strike on an issue before the Court is that not subjudice? All along NMA has used acts of impunity to undermine the rule of law. The organic law did not say the person will be a Medical Doctor or be registrable with MDCN even though all adverts for the posts of CMD/MD have come to illegally say so.
It is lucid that from the foregoing, certain questions arise. Can NMA as an Association declare and call for strike, when it is not a Trade Union? Is NMA above the law, that it can undermine the provisions of the Constitution of the Federal Republic of Nigeria, by trampling on the code of conduct for Public Officers as stated in the constitution? Section 2 subsections 1,2 and 3 of the Trade Union Act, states “A trade union shall not perform any act in furtherance of the purpose for which it has been formed unless it has been registered under this act……………..”
section 2 subsection 2-where a trade union registered under this act ceases to be registered, it shall not there after perform any action in furtherance of this purpose…………….
section 2 subsection 3-if any act which is prohibited by section (1) or (2) of this section, is performed by a trade union, then
(a)The Union and every official thereof; and
(b) Any member thereof who, not being an official thereof, took any active part in the performance of that act, shall be guilty of an offence against this act.
NMA is not a registered Trade Union, so she cannot be doing this, entrenching sabotage and acts of impunity against the State. Above all, endangering the lives of the citizens, she swore on oath to protect. A situation where NMA is going on strike as a result of these frivolous demands is gross misconduct and acts of negligence. Section 3 of 030301( h) of the Public Service Rule terms negligence as a misconduct.030402 (e) terms absence from duty without leave as serious acts of misconduct. Sabotage in 030402(t) is also stated as serious misconduct. Section 33(1) of the Nigerian Constitution 2011 as amended provides every person has a right to life and no one shall be deprived intentionally of his life………section 172 of the same Constitution states “A person in the Public Service of the Federation shall observe and conform to the code of conduct of the Federation “.The fifth schedule part 1 code of conduct for Public Officers says:
(1) A public officer shall not put himself in a position where his personal interest conflicts with his duties and responsibilities.
(9) A public officer shall not do or direct to be done, in abuse of his office, any contrary act prejudicial to the rights of any other person or contrary to.
It is so glaring that what NMA is asking is prejudicial and tramples on the rights of Nigerian Citizens.
(24) IN her 24 demand NMA forgot that she is an employee of the Government and it is not for her to dictate on how Optometrist or Medical Physicist should be paid. Nigeria is not Govern by the whims and caprices of NMA but by laws and polices made by the Government.
CONCLUSION.
NMA and her members are not justified on going on strike. The only reasonable demand is demand number 20 haba! A student who scored one out of twenty four is not doing well at all. NMA members should know that as workers they have duty of Fidelity, they as Civil Servants are bound to only obey rightful orders from NMA. They also have duty of care and skill to the patient. And above all their loyalty/allegiance is to the Nigerian state. A situation where NMA gives her members unlawful orders undermines the rule of law and as such, such orders cannot hold sway.
NMA has become a fifth columnists working against the state. It is sad that NMA and her members who have benefitted so much from the state are now turning themselves against the Nigerian state to become the killer of the Nigerian People, instead of being the Physician who is to be the healer of the patient and people. Nigerians must rise and say no to this medical imperialism by using the instrumentality of the law to stop NMA from inflicting untold hardship on her citizenry. The Federal Government through the Ministry of Health under Prof Onyebuchi CHukwu must act to maintain law and order, now that NMA has told the world that it is because of some of the things She granted to JOHESU on merit, is the reason NMA is going on strike. She should seek an injunction restraining NMA from going on strike just as he did to JOHESU, pending the determination of the motion on notice to know if NMA has the locus standi to go on strike when she is not a Trade Union. JOHESU should be firm to seek a legal redress to restrain NMA in this acts of lawlessness,if the Government does not act.There must be a total restructuring of the Health Sector. All Nigerians from all works of life must condemn these acts of sabotage against the State by doctors of Allopathic Medicine under the auspices of NMA. The Nigerian Government as a matter of urgency should support the Natural Medicine Development Agency Kofo Abayomi Victoria Island, to reposition our Traditional Medicine to be like what is seen in China, USA, U.K, India, Korea etc. And it should be integrated into the mainstream Healthcare System in Nigeria. Allopathic Monopolistic Medicine should give way to Pluralistic Medicine. Government should create an enabling environment for the practice of the different Medical Systems like, Functional Medicine, Holistic Medicine, Ethnomedicine, Ayurvedic Medicine, Homeopathy, Osteopathy etc. All over the world, no country is currently solely dependent on one Medical System. Nigerians must say no to NMA that has become anti people. The Nigerian Government should not allow herself to be blackmailed by NMA. She should first and foremost challenge NMA for acts of impunity against the state. The federal Government should take a leaf from Governor Fashola of Lagos State, for enough is enough. The Government should also take a queue from the former governor of Anambra state, Mr Peter Obi
AJUFO, BENJAMIN CHUKWUNONSO-

barcanista: To hell with those touts in NMA and NARD. Government should implement the No Work-No Pay policy.

Bunch of Glorified First Aid caregivers.





Bunch of cowards

phantom: THE TROUBLE WITH THE NIGERIAN HEALTH SECTOR
For a longtime now I have come across so many articles and reports in the national dailies and in online social media on the rife in the health sector which centers mainly on the row between doctors and non-doctors working in the healthcare system. Most of these reports and articles, mostly lopsided, have one common denominator, presenting the Doctor as an enemy of the people and the manner of their submissions is such as to draw undue sympathy from the unsuspecting public. But for the neutral members of the society who have had cause to have sufficient contact with the hospital environment, I’m not talking of some quasi journalists, they need not be told, if there are, who the Angels and Demons are.
This article is not aimed at indicting or exonerating any of the two combatant parties as both have had a fair share of the blame, and honestly, the deplorable state of our healthcare system is not as a result of the performance of the health workers, but it is a component of an overall failed system called Nigeria which the current government is still trying to salvage amongst other difficult challenges. Considering the lines along which the divide has been made, I shall delve into an inquest of some of the key issues at stake, mostly those that affect the general public, and this I will do by placing the Nigerian Doctor on one side to be reviewed alongside a few of the numerous “health professionals” working in the healthcare system with due consideration to the most important person in the system, the Patient. I shall concentrate mostly on the tertiary healthcare institutions where the bulk of the rivalry is most felt.
The Patient and the Hospital:
Let us begin from the beginning. A healthy person falls sick and needs to regain his health and function properly. He says to himself, “I don’t feel well enough, I need to see a Doctor. May be I should go to the hospital tomorrow”. He sets out of his house with this principal aim. On getting to the hospital, he first gets to the reception, obtains a card at the Out Patient Department and then proceeds to see a Doctor (usually a Medical Officer) if his condition is one that necessitates a Specialists attention, he is then Referred to another Doctor, the Specialist (Consultant) for further treatment. On getting to the point of referral, the Record staff assist him in opening a folder containing case notes, and in the process of this, a Doctor (Consultant) is assigned to him. The entire process of obtaining a card and folder have no direct effect on the patient’s condition but help ensure proper documentation and recording within the hospital. He is then directed to the designated Specialist or Consultant Clinic where he is received by a Nurse who does further documentation and records his vital signs which may or may not be repeated by the Doctor. Then the patient enters the clinic to see the Doctor, his primary aim for coming to the hospital ab initio.
The Patient, the Doctor and Other Health Workers:
The Doctor begins by taking a complete history of the patient which includes his current complaints, previous health challenges, living condition, social habits, family history, drug history, financial capacity, religious and cultural beliefs, and then proceeds to do a complete physical examination of his entire body system, at the end of which the Doctor would have verified the patients complaints and identified any other problems unknown to the patient, before arriving at a Provisional Diagnosis. He then counsels the patient, draws up a treatment plan, which is to be strictly adhered to provided the patient is within the hospital environment, and automatically takes full responsibility for any problems encountered along the line. He finally schedules him for a follow-up visit to ascertain his response to treatment. This process of history taking creates a personal relationship between the Patient and the Doctor and this is where the confidence of a patient on the Healthcare system of a Nation is built; the Doctor-Patient Relationship.
The treatment plan of the Patient, drawn by the Doctor, may or may not include; the investigations (or tests) both laboratory or radiological to be carried out, the drugs to be dispensed and the appropriate prescription, the additional care to be rendered outside the basic nursing care and the treatment orders to be followed, some of which he does himself (or via his subordinate Doctors) and others by the Nurses. There is no stereotyped outline of what must be done for every patient; investigations to be carried out, treatment to be administered or drugs to be prescribed lies solely at the discretion of the Patient and his Doctor.
Apart from the Nurses, all other “Health Professionals” come into patient care when the Doctor’s plan involves them. Clearly, a patient has no business with the Radiographer if the Doctor’s plan does not involve radiography, neither does he have any business with the Pharmacist if the patient does not require any drugs, of course, not every patients require drugs. Therefore, it is safe to assert that if Patient Care is the sole interest of everybody in the Health sector, then the Doctor takes the Central stage in this service to Patients and must carry the Nurses along at every point in time, and together they look out for any other “Health Professional” that should be roped into patient care. Why then should the Doctor take the Central stage? Very simple. He has been trained thoroughly to do so. Invariably, the Doctor is naturally the undisputed leader of the Health team and only two classes of people can challenge this standing; the criminal minded ones pursing their selfish interests and the dim-wits incapable of any logical reasoning.
On the Headship of the Hospital:
Over time, the functional head of the tertiary hospital setting has been the office of the Chief Medical Director, CMD, and part of the Act establishing the hospitals specified that this position be held by a Medical Doctor. However, there has recently been a loud cry from other “Health Professionals” under the auspices of the Joint Health Workers Union (JOHESU) for the chance to also partake in the “enjoyment” of this office, as if to say it is a political office, a “National Cake” which should be shared equally to everyone in the scene, whereas, it is the most sensitive of all positions in the hospital setting, one with huge implications on the health of patients. The Medical Doctors on the other hand, insist that the office of the Chief Medical Director and the headship in general, of the Hospitals is their exclusive reserve.
How true is this claim by the Doctors? Again, it is very simple. Healthcare is all about patient care, and in rendering care to the patient who is the main focus of everyone, the Doctor is the arrow head. He brings together the activities of all in the health care delivery system to bear fruit on the health of the patient. He has a broad-based and yet in-depth medical knowledge that enables him to function as a leader in patient management and take responsibility for the outcome. It is then indeed a funny ideology to expect the Doctor to maintain leadership of Patient Management and then cede the leadership of the Hospital Management to a Non-Doctor. Right thinking people would agree that whoever takes the blame should take the lead. Leadership is about responsibility, and Doctors embrace such responsibility mainly as it involves lives which they have sworn an oath to protect.
Furthermore, JOHESU, a body comprising of other “health professionals”, support staffs and in fact all in the Hospital setting except Doctors, claim to be equal and allied to Medicine. But my question is, how is the clerical staff allied to Medicine? How can a support staff head the core members of the organization? Also, why should a “profession” that is “allied” to Medicine surmount Medicine? Can a Non-Lawyer become the Attorney General of the Federation? Why isn’t the office of the Vice-Chancellor made open to every staff in the University system since ASUU and NASUU both consist of “professionals”? How would ceding hospital leadership to JOHESU improve the health indices of our country? These are people that do not deal directly with patients, people that do not really understand the agony of patients which Doctors do. The saddest part is the extent they can go to press home their irrational demands. We have a documented occurrence of how they turned off power supply to the Intensive Care Unit during a JOHESU orchestrated strike action in a southeastern Teaching Hospital leading to death of patients on life support. This was an attempt to frustrate the Doctors’ effort to keep hospital services running while they were “striking”. How can people who have displayed this level of irresponsibility be allowed to head the Health sector? Again, God forbid!
It is a common saying that Doctors are “proud”, and I insist, they have very just reasons to be, and when it comes to arrogance, the patients can tell who amongst Doctors and Nurses are more approachable. Doctors are a select class of elite and comprise the best brains of the society. Yes, the entry requirements into the profession and the medical training ensure that only the best emerge as Doctors. As such, the government has to understand that any arrangement that sees a Non-Doctor in a sensitive position to head Doctors in any Health related issue would be met with fierce resistance and the never ending tussle it will ensue will have detrimental effects on our nation’s healthcare delivery. In the interest of peace and decorum, the Federal Government has to dig in and ensure that the status quo is been maintained. The ear that will hear needs not be the size of a raffia palm.
On conferment of Consultancy on other “Health Professionals”:
A Consultant (Medical) is the title for a senior hospital-based physician or surgeon who has completed all of his/her specialist (Residency) training and has been placed on the specialist register (Fellow) in their chosen specialty. This level of Doctor joins the Civil service as a Consultant and automatically leads a team of Doctors comprising Residents, Medical Officers and House Officers who train under him.
Currently, there has been an outcry by JOHESU to also be awarded Honorary Consultancy based on the fact that Doctors are been appointed as Consultants, why not they too. The concession of the government to this particular demand has led to the entire hospital going berserk in some centers. This was done against the warning of the Nigerian Medical Association that the introduction of such “alien” practices would be detrimental to the lives of patients and the results are showing.
At the Nnamdi Azikiwe University Teaching Hospitals, it is been said that a “Consultant Pharmacist” invaded the wards with his team, cancelling patients prescriptions and also demanded that a Consultant Cardiologist remove a key drug in an inpatient prescription, on grounds that the drug has some known adverse effects. Another report has it that in Abuja University Teaching Hospital, the Ante-Natal Clinic was invaded by Nurses who decided to consult patients and make prescriptions, of which the Doctors left the clinic and the Patients were confused. Patients who sought to see their Doctors were told that there was a “Consultant Nurse” who does whatever a Consultant does. Also, in University College Hospital, Ibadan, stories had it that a Consultant Plastic Surgeon was barred from reviewing the surgical wound he created post-operatively because a “Consultant Nurse” had reviewed the wound earlier and was satisfied with her findings.
Let us address one of these occurrences. It is grave ignorance for a Pharmacist to tamper with a drug prescription simply because he has looked through his drug formulary and has identified a known adverse effect of the drug when he/she has no knowledge of the processes involved in the making of diagnosis and prescriptions. Patient management is highly individualized. To make a prescription, the Doctors put many things into consideration viz; patient’s history and examination, financial cost of the drug, benefits against the risk of using the drug, other drugs to be administered etc. Sometimes the side effect of a drug is the desired effect needed in one patient but would remain a serious adverse effect in another patient. But no, the Pharmacist didn’t think in that line before cancelling prescriptions. I am not saying every doctor’s prescription is infallible. No. But if a pharmacist wishes to express concern over a patient’s prescription, he should discuss with the Doctor to sort out their concerns.
This whole consultancy for non-doctors arose as a result of their quest to have better remuneration. I am not opposed to better remuneration for other health workers, but looking for cheap means to it at the expense of the lives of patients is grossly unacceptable. Why would you want to be a Specialist (Consultant) when you have no specialty, or you have a specialty in an area whose service is not needed? Even if a non-doctor must be a consultant that does not automatically make him/her a Doctor. We all know how to become a Doctor and age is no barrier.
If non-doctors must immutably be made consultants, their duties and jurisdictions must be clearly spelt out and understood by all involved. A Consultant Nurse should be confined to Nursing Practice and she will be expected to enhance it, not to invade Medical Practice. She must ensure that the management plan of a Doctor is properly carried out, even if he is a House Officer. Unfortunately, the idea of non-doctor consultant emanates from the desire of these other “health Professionals” for position and better pay than the desire to meet any specific needs. For instance, a ward Nurse that does her duties properly becomes a Consultant, what extra services and improvement does that bring to nursing care? The fact that there exist non-doctor consultants in a few foreign countries does not explain why the government should channel huge sums of money into the payment of honorarium to consultants that add nothing to the existing system but chaos. The NMA have identified these unhealthy health policies and should do all it can to prevent it from killing Nigerians.
On relativity of Wages:
Another very important object of discord is the demand by JOHESU for a unified salary scheme for everyone in the health sector and that will see a close approximation of the eventual earnings of all in the sector. What else can be sillier? Need I remind us that in every organization there is usually an established strata. Even in heaven, there are Angels and Arch angels, and the angels are content with their positions and would not want to usurp the duties of the Arch angels either. People cannot obtain different qualifications, different expertise, subserve different needs and end up earning similar pay. No. That cannot happen. Why would a non-specialist insist on being paid specialists allowance? Why would a Non-doctor terrorize the government because he wants to be paid like Doctors? Where in the world is that obtainable? Relativity is sacrosanct and must be reflected both on the basic salaries and all allowances.
Granted. Doctors are few. Very very few. The World Health Organisiation recommends that a Doctor should consult not more than seven patients in a clinic session and should pay maximum attention to their needs, but our environment see us in a situation where a Doctor consults over 40 patients in one clinic session, yet, he is underpaid compared to his colleagues even in nearby Ghana. There are less than 30,000 Doctors currently practicing in Nigeria subserving over 170 million Nigerians, and there is a dire need for more, but that will not push the Medical schools to take in everybody and churn out unqualified people as Doctors, neither will the Nigerian Doctor allow a Non-Doctor to tamper with the lives of patients. Doctors swore an oath to preserve lives and the NMA must see to it that the lives of Nigerians are safeguarded. If the Hippocratic Oath is to be taken serious, then the NMA must win this battle.
More often than not, we are clear on the knowledge that it is injustice to treat equal people unequally, but it fails to come to our minds that, it is graver injustice to treat unequal people equally. This is not pride, it is a statement of fact. Doctors and Non-doctors in the Health sector are not equal and they cannot be treated as equal. There is a reason why some students work harder than others to become Doctors. Some sat for JAMB several times to achieve that, although many fail to do so and even some do fail out of medical school and end up as “other Health Professionals”. To eventually anticipate to be rewarded equally with those who triumphed where you failed is simply madness. The government must see to it that relativity is maintained. For if a Nurse or Pharmacist consults patient, not regarding quality of the consult, earns equally with a Doctor and even get a chance to head the Doctor, why then would one need to work harder to become a Doctor when he can easily become a Pharmacist? Tampering with relativity is a conscious attempt at breeding mediocrity, again at the expense of lives. If the Nurses and Pharmacists accept to be paid equally with the Lab “Scientist” and Janitors, it’s their own cup of tea, but paying Doctors and Non-doctors equally? God forbid!
On the Physiotherapists’ demand to make first contact with Patients:
According to Prof. K. E. Obidike, there are three reasons why patients go to see Doctors. Firstly, is to ascertain the causes of their complaints and resolve them. Secondly, is to identify any other health problems unknown to the patient, and again, resolve them timely, and finally, to have a baseline documentation of the patient as a reference for subsequent health issues. The second reason especially, answers the question as to why a Physiotherapist cannot make first contact with patients. Medicine is holistic, and the initial assessment of a patient takes the entire body system into account not just the presenting complaints. Therefore, Physiotherapists should remain Physiotherapists and should come into action when consulted. Simple.

oskaaay: Na wa for Nigeria........Well if you are a MEDICAL DOCTOR or NURSES....while not try FOREIGN GOVERNMENT JOB OFFERS from countries like Saudi Arabia and Qatar...I have two bosom brother and friends there now as medical doctor doing fine and they did the interview in Nigeria this year and now there working fine. It is disheartening that professionals like these that are sort after elsewhere are been mishandled in Nigeria.

If you are interested as a Doctor/Nurse jobs in the above named country jobs(fat salary, free accommodation, modern equipments etc.)...then whatsapp or contact me on 0 7 0 6 6 0 5 2 2 2 8...I have a comprehensive guide on it for interested people....God save NAIJA one day... or what is your take on this?

olrotimi: my guy, no need for hate messages, bt......who do u go to the hospital to see? The consultant record officer, the consultant nurse or the consultant ward ordely? Buhahahahaha lafing in hausa

citizenisb: may we pray that evil BH does not strike again in Abuja before all you rats ranting understand the importance of doctors in your lives.

doctors are the best paid in the States because they value life and if we are so incompetent why do Nigerian trained doctors get frequently poached to work in the US and UK health sectors

barcanista: u nigerian docs are bringing the medical profession to an unprecedented all time low!


Btw: even wen we go to see you in the hospital, all you do is ask few questions (and give some advanced first aid) before exporting us to india for "proper" treatment!

YourHealthlabs:

Sorry your last paragraph is another common fallacy you guys sold to the unsuspecting public.

A Nigerian-trained mbbs doctor won't be allowed touch an American patient. Never!. Even U.S medical Interns and Resident Docs are not allowed to treat patients, that's why they are paid far lower that Pharmacists, Nurses and Scientists in the States. Go check the relativity. American lives are too precious.

Now statistically, In the U.S the chances of a foreign-trained doctor passing MCAT and practicing in the U.S is a paltry 3% and that includes Britons, Indians, Italians, Nigerians, Filipinos and the rest of the world....all sharing a paltry 3%!. 97% is for U.S-trained Docs.

My uncle is a Nigerian-born US-trained doc practicing in the U.S.
Many Nigerian-born docs practicing there are US-trained. Nigerian-trained docs are only fit to be phlebotomists and lab specimen collectors in the U.S until they more training and try passing MCAT.

Please let endeavour to tell the world the truth.

barcanista: u nigerian docs are bringing the medical profession to an unprecedented all time low!


Btw: even wen we go to see you in the hospital, all you do is ask few questions (and give some advanced first aid) before exporting us to india for "proper" treatment!

YourHealthlabs:


I got this from your link.

"Studies have shown that
nurses with master’s level training
offer care in many primary care
settings that is as good as and
sometimes better than care given by
physicians, who generally have far
more extensive training. And
patients often express higher
satisfaction with care delivered by
nurses, studies show. Physicians say
they are better at recognizing rare
problems, something studies have
trouble measuring."

Functionality is more important than titles. Healthcare is becoming more multi-disciplinary. Nigerian physicians can't stop a global trend.

barcanista: u nigerian docs are bringing the medical profession to an unprecedented all time low!


Btw: even wen we go to see you in the hospital, all you do is ask few questions (and give some advanced first aid) before exporting us to india for "proper" treatment!

otokx: Medically qualified is not the same thing as medically fit.

People should call a spade a spade. Lab technologist were usually hnd holders then an amorphous and strange B.tech was given by universities to the same lab technologists and dubbed science lab tech.

Now they are calling themselves lab scientists dropping the tech to distinguish themselves fron lab tech but we all know their history. One went to apply for Masters in Microbiology and was told his starting point is post graduate diploma and he took offence.

A man will always be a man and head of the home, the woman will say she is head of the kitchen but it will end in laughter.

olrotimi: and u dnt think d advanced first aid kept u living til u got to india? BTW, who do u meet in india, uk, us, germany when u go thr? Its still we naija docs, making waves in a better working environment where we are respectd

phantom: were you able to keep a straight face while typing the above lie?? na wa o! the heights you ll go to.....lol

phantom: somebody should please answer this very important question.