Doctors’ Strike Cripples Hospitals Nationwide - Health (13) - Nairaland
Nairaland Forum / Nairaland / General / Health / Doctors’ Strike Cripples Hospitals Nationwide (27003 Views)
Doctors’ Strike Paralyses Ekiti Teaching Hospital / Ebola Cripples West African Economies As Fearful Workers Stay Home / Jonathan Moves To Prevent Doctors' Strike (Meets With NMA) (2) (3) (4)
(1) (2) (3) ... (10) (11) (12) (13) (14) (15) (Reply) (Go Down)
| Re: Doctors’ Strike Cripples Hospitals Nationwide by upuphim(m): 2:07am On Jul 04, 2014 |
To every obstacles there is always a way out. With obstacles of sustaining medical treatment for your loved ones while doctors are on strike, I present to you Swissgarde supplement. The supplement will help bridge the gap, facilitate healing while strike lasts hospital patient especially those undergoing treatment. Why not try the product. They are no drugs, hence using it does not amount to self medication. I am yet to see anyone regret taking this product. Call us on 08056336827, 08035199678 if you are in Lagos |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by eaglechild: 3:09am On Jul 04, 2014 |
Slimchy09: In my opinion...NMA demands are just truckload of crap. Its nt even patient-focussed...just adminstrative battle between them and JOHESU. its the patient that will suffer in this whole brouhaha...and they are jus too greedy to see that.What a monumental display of ignorance. 2 Likes |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by eaglechild: 3:32am On Jul 04, 2014 |
WHEN THE NURSE WANTS TO BE CALLED A 'DOCTOR'. NASHVILLE — With pain in her right ear, Sue Cassidy went to a clinic. The doctor, wearing a white lab coat with a stethoscope in one pocket, introduced herself. "Hi, i am Dr. Patti McCarver and i'm your nurse,” she said. And with that, Dr. McCarver stuck a scope in Ms. Cassidy’s ear, noticed a buildup of fluid and prescribed an allergy medicine. It was something that will become increasingly routine for patients: a someone who is not a physician using the title of doctor. Dr. McCarver calls herself a doctor because she returned to school to earn a doctorate last year, one of thousands of nurses doing the same recently. Doctorates are popping up all over the health professions, and the result is a quiet battle over not only the title “doctor,” but also the money, power and prestige that often comes with it. As more nurses, pharmacists and physical therapists claim this honorific, physicians are fighting back. For nurses, getting doctorates can help them land a top administrative job at a hospital, improve their standing at a university and win them more respect from colleagues and patients. But so far, the new degrees have not brought higher fees from insurers for seeing patients or greater authority from states to prescribe medicines. Nursing leaders say that their push to have more nurses earn doctorates has nothing to do with their fight of several decades in state legislatures to give nurses more autonomy, money and prescriptive power. But many physicians are suspicious and say that once tens of thousands of nurses have doctorates, they will invariably seek more prescribing authority and more money. Otherwise, they ask, what is the point? Dr. Roland Goertz, the board chairman of the American Academy of Family Physicians, says that physicians are worried that losing control over “doctor,” a word that has defined their profession for centuries, will be followed by the loss of control over the profession itself. He said that patients could be confused about the roles of various health professionals who all call themselves doctors. “There is real concern that the use of the word ‘doctor’ will not be clear to patients,” he said. So physicians and their allies are pushing legislative efforts to restrict who gets to use the title of doctor. A bill proposed in the New York State Senate would bar nurses from advertising themselves as doctors, no matter their degree. A law proposed in Congress would bar people from misrepresenting their education or license to practice. And laws already in effect in Arizona, Delaware and other states forbid nurses, pharmacists and others to use the title “doctor” unless they immediately identify their profession. The deeper battle is over who gets to treat patients first. Pharmacists, physical therapists and nurses largely play secondary roles to physicians, since patients tend to go to them only after a prescription, a referral or instructions from a physician. By requiring doctorates of new entrants, leaders of the pharmacy and physical therapy professions hope their members will be able to treat patients directly and thereby get a larger share of money spent on patient care. As demand for health care services has grown, physicians have stopped serving as the sole gatekeepers for their patients’ entry into the system. So physicians must increasingly share their patients — not only with one another but also with other professions. Teamwork is the new mantra of medicine, and nurse practitioners and physician assistants (sometimes known as midlevels or physician extenders) have become increasingly important care providers, particularly in rural areas. But while all physician organizations support the idea of teamwork, not all physicians are willing to surrender the traditional understanding that they should be the ones to lead the team. Their training is so extensive, physicians argue, that they alone should diagnose illnesses. Nurses respond that they are perfectly capable of recognizing a vast majority of patient problems, and they have the studies to prove it. The battle over the title “doctor” is in many ways a proxy for this larger struggle. For patients, the struggle has brought an increasing array of professionals trained to deal with their day-to-day health woes, but also at times confusion over who is responsible for their care and what sort of training they have. [b] Six to eight years of collegiate and graduate education generally earn pharmacists, physical therapists and nurses the right to call themselves “doctors,” compared with nearly twice that many years of training for most physicians. [/b]For decades, a bachelor’s degree was all that was required to become a pharmacist. That changed in 2004 when a doctorate replaced the bachelor’s degree as the minimum needed to practice. Physical therapists once needed only bachelor’s degrees, too, but the profession will require doctorates of all students by 2015 — the same year that nursing leaders intend to require doctorates of all those becoming nurse practitioners. Dr. Kathleen Potempa, dean of the University of Michigan School of Nursing and the president of the American Association of Colleges of Nursing, said that the profession’s new doctoral degree, called the doctor of nursing practice, was simply about remaining current. “Knowledge is exploding, and the doctor of nursing practice degree evolved out of a grass-roots recognition that we need to continuously improve our curriculum,” she said. Last year, 153 nursing schools gave doctor of nursing practice degrees to 7,037 nurses, compared with four schools that gave the degrees to 170 nurses in 2004, when the association of nursing schools voted to embrace the new degree. In 2008, there were 375,794 nurses with master’s degrees and 28,369 with doctorates, according to a recent government survey. Dr. Potempa said that nurses with master’s degrees were every bit as capable of treating patients as those with doctorates. Nursing is filled with multiple specialties requiring varying levels of education, from a high school equivalency degree for nursing assistants to a master’s degree for nurse practitioners. Those wishing to become nurse anesthetists will soon be required to earn doctorates, but otherwise there are presently no practical or clinical differences between nurses who earn master’s degrees and those who get doctorates. Nurse practitioners must generally graduate from college and take an additional 12 to 16 months of classes, which include months of treating patients for both mild and serious illnesses in clinics and hospitals under the watchful eyes of instructors. Those earning doctorates must generally take a further four semesters or 12 to 16 months of additional classes. While instruction at each school varies, Dr. McCarver took classes in statistics, epidemiology and health care economics to earn her doctor of nursing practice degree. These additional classes, at Vanderbilt University, did not delve into how to treat specific illnesses, but taught Dr. McCarver the scientific and economic underpinnings of the care she was already providing and how they fit into the nation’s health care system. 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. The benefits to patients of nurses receiving doctorates is unclear, since there is no evidence that nurses with doctoral degrees provide better care than those with master’s degrees do. Given the proven effectiveness of nurses with master’s degrees, even some nursing leaders have asked why nurses should be required to get doctorates. “If it ain’t broke, why fix it?” asked Dr. Afaf I. Meleis, dean of the University of Pennsylvania School of Nursing. Some health care economists say the push for clinical doctorates across health professions could be misguided. They argue that anything requiring students to spend more time and money getting trained will invariably result in longer waits and increased costs for patients, because fewer students will meet the increased requirements and those who do will eventually demand higher compensation. “Everyone’s talking about improving patients’ access to care, bending the cost curve and creating team-based care,” said Erin Fraher, an assistant professor of surgery and family medicine at the University of North Carolina School of Medicine. “Where’s the evidence that moving to doctorates in pharmacy, physical therapy and nursing achieves any of these?” [b]Depending on their area of specialty, nurse practitioners earn a median salary of $86,000 to $90,000 annually, according to the Medical Group Management Association — a bit less than half of what primary care physicians earn. [/b]Nurses with doctorates generally earn the same salaries as those with master’s degrees since insurers pay the same rates to both. Physician groups fear that the real reason behind the creation of the doctor of nursing practice degree is to persuade more state legislatures to grant nurses the right to treat patients without supervision from doctors. [b]Twenty-three states allow nurses to practice without a physician’s supervision or collaboration, and most are in the mountain West and northern New England, areas that have trouble attracting enough physicians. [/b]Nursing groups have lobbied for years to increase that number. “This degree is just another step toward independent practice,” said Louis J. Goodman, chief executive of the Texas Medical Association. Not true, Dr. Potempa said — the new degree simply ensures that nurses stay competent. “It’s not like a group of us woke up one day to create a degree as a way to compete with another profession,” she said. “Nurses are very proud of the fact that they’re nurses, and if nurses had wanted to be doctors, they would have gone to medical school.”http://www.nytimes.com/2011/10/02/health/policy/02docs.html?pagewanted=all&_r=0 When the Nurse Wants to Be Called ‘Doctor’ We must be careful not to allow unwholesome practices that are now a thorn in the flesh of even developed healthcare systems in the world rear up its ugly head. Many states in the US are now passing laws that limit what non doctors can do or titles they can bear. Trying to undo what was unwittingly done. We on the other hand must nip it in the bud. 2 Likes |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by infolekan(m): 7:13am On Jul 04, 2014 |
Elythron16zero4: If you are a doctor as i presume that u are one taking a lead from your stance on this matter and you don't know what a prognosis is and when it's wrong then it leaves much to be desired of you and calls to credibility the source of your certificate. visit MedicineNet.com I'm sure you have also tried to google the word faulty prognosis and was surprised to discover that it is actually a wrong word. While it might not really call into question anything about your medical inclination, it however does call into question your ability to speak good English which doesn't mean squab as we say in Nigeria |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by CircleOfWilis: 7:24am On Jul 04, 2014 |
infolekan:kindly ignore him... |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by daygeee(m): 7:59am On Jul 04, 2014 |
I saw this long post but was captivated to read to the very end. This throws light on the problem in the health sector that led to a Nation wide strike by Doctors. Pls read! D a v i d M a s h o r T u e · 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 med 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 staffs assist him in opening a folder containing case notes, and in the process of this, a Doctor (Consultant) is assigned to him. The entire processes of obtaining a card and folder have no direct effect on the patient’s condition but helps 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 identify 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 in 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 selected class of elites and comprise the best brains of the society. Yes, the entry requirements into the profession and the medical training ensure that only the bests 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 have 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 have 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 have 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. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by daygeee(m): 8:00am On Jul 04, 2014 |
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. On adoption of Foreign Healthcare Structure: The fundamental idea behind the establishment of Tertiary Healthcare centers (Teaching Hospitals) in Nigeria was primarily for training of Medical Practitioners, Research, and provision of specialized healthcare at very affordable rate. It is not a business venture, and if this aims and objectives are to be met, then the hospital must be made to operate under the very Act that established it. Comparing our Healthcare practices with that of foreign nations without a review of the aim and objectives viz-a-viz that of our country is practically insane. Granted, a few hospitals in Canada are headed by Non-Doctors, and there are few Non-Doctor Consultants with well-defined jurisdictions in a few foreign countries, but that does not in any way directly improve their health indices. After all, high quality health care is still not affordable for a large proportion of Americans despite their very potent health insurance system. Our very first interest should be to assist the government, which some members of the health sector have chosen to distract, to ensure there is affordable healthcare services to all its citizenry, seek ways of improving the training of the medical personnel and carry out Research programs that will elevate the quality of healthcare delivery in our own nation. Yes. We can go abroad and observe what obtains from there, but instead of disrupting order in the already existing system, by trying to blindly implement it over here, we can see how best to fit a few of them into our system and get the best out of it. The Government should concentrate on policies that will better the lives of the larger population of Nigerians, not those that pacify some disgruntled group of individuals fighting for position and their own other personal interests. There are many other issues that do not only need Government attention, but also its speedy response. Some of these areas include: the appointment of Directors in the hospitals which distorts the chain of command in the hospitals, induces anarchy and expose patients to conflicting treatment and management directives; the passage of the National Health Bill, and extension of Universal Health Coverage to cover 100% Nigerians and not 30% as currently prescribed by the National Health Insurance Scheme; the appointment of the office of the Surgeon General of the Federation alongside many other pressing needs. These are health issues of paramount importance and the Government cannot afford to be lackadaisical about them. No. Not this time. My Recommendations: First of all, JOHESU is an amorphous body comprising of different entities with varying agitations, concerns, qualifications, expertise, and eligibility status and should not be confronted in that front by the government. Our government has to recognize the various constituents independently and verify their individual complaints as some parts of it have no moral standee to withdraw its services because of the unmet demands of another. For instance, The Medical and Health Workers Union (MHWU) comprising of Clerks, Messengers, Record Officers, Admin staffs, Janitors, Engineers, Security etc., an association of different people with absolutely no training in any Health related courses should not dare to aspire for headship positions in the hospital let alone been prevented from doing so. We do not have to give reasons why they should not. Therefore, the five different associations and unions under JOHESU should be made to make their specific submissions independent of one another for clarity. Secondly, the Nigerian Labour Congress and Trade Union Congress should look beyond Unionism and focus on the ultimate goal of everybody in the health sector which is adequate Health care for the Nation. They should relinquish their parochial stand in the dispute between JOHESU and NMA, and as well desist from all forms of hooliganism and attempt to bully the Government and NMA on this matter. Finally, the Government should resist all attempts to coerce it into yielding to the demands of one party in the dispute when the matter is still in court. There should be absolute regard for the Rule of Law. And all previous “concessions” should be stalled, and pending till a decisive ruling by the court. We can go on and on to address so many other issues in the health sector that require attention but I have decided to throw light at just some parts of it before the Doctors under the auspices of the Nigerian Medical Association, an association of all certified Medical Doctors practicing in Nigeria down their tools as proposed come July 1st, 2014. Before the health of the nation would be thrown into the hands of Non-Doctors in the Health sector that usually prefer the exclusive services of Doctors when they and their loved ones take ill. Before the general public begin to lash out on Doctors and blame them for lives lost as a result of the forthcoming massive industrial action. The onus lie on the general public to call out on the Government to resolve these life threatening issues before the Doctors take to this hurtful last resort of theirs. God bless Nigeria. By, Basil, C. B. – M.B.B.S (Nigeria), Department of Clinical Chemistry and Metabolic Medicine, Benue State University Teaching Hospital. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by PharmGreg: 8:50am On Jul 04, 2014 |
johnbosco97: [fo[color=#006600][/color]r]just one case over thousands pharmas and u say most? U are a disappointment. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by phantom(m): 9:03am On Jul 04, 2014 |
[email][/email] eaglechild: WHEN THE NURSE WANTS TO BE CALLED A 'DOCTOR'.sane nations are already seeing the future and the problems this will cause. they are already checkmating it |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Nobody: 10:11am On Jul 04, 2014 |
infolekan: Mister...In UNTH, the Chief Nursing Officer is a Medical Doctor and has always been so.... Go figure |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by infolekan(m): 10:20am On Jul 04, 2014 |
Slimchy09:These Doctors are real wow. That's a new one really  That's a good enough reason to downtool really if you ask me. He can't fight for the Nurses the way a trained Nurse would but wouldn't be surprised if there are no Nurses with a Bsc or Masters. That's the problem with not updating. When all these brouhaha is over..the average Jones in JOHESU would be surprised with the speed with which sharper Junior colleagues who had the sense to obtain Masters and run their PhD programs abroad would come and unseat them form their diploma wielding years counting CNO positions. You cant expect a young eager Nurse with a PhD in a bag to be working under a Diploma nurse...that's when the next round of fights will start. Ask our former old CMOs and PMOs then before the advent of consultants. Its painful though 1 Like |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by armadeo(m): 10:41am On Jul 04, 2014 |
Slimchy09: This statement in would inquire into. But am very sure its a lie. I would return to update this post if I find otherwise. Modified#### i have made inquiries and the outcome is YOU ARE A LIAR!!!!!! AGAIN MODIFIED:: let me state the conversation between me and a friend at UNTH me: guy how far friend: i dey strike tins me: how many chief nursing officers una get wen be Drs friend: chief medical officers i dont know why do you want to know me: no chief nursing officers who are Drs friend: chief nursing officers DRs are you high. me: no " a friend told me that CNOS are Drs Friend: na wa for you oh other gist not important to this thread you can now go and deactivate your account. 1 Like |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Nobody: 11:09am On Jul 04, 2014 |
armadeo: Be my guest |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by CircleOfWilis: 12:39pm On Jul 04, 2014 |
Slimchy09:lol,haba sis thr is God o! 2 Likes |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Elythron16zero4: 2:39pm On Jul 04, 2014 |
infolekan:I am really surprise at the type of doctor you are and i also pity those patients at your mercy that is if you are even a doctor. Your post really shows that there are some idiots as doctors in the medical fields. People like you are one of the many consolations those who cannot study medicine have and that gives them the courage to proceed in studying such courses. I even thought you carried out an extensive findings on the word FAULTY PROGNOSIS before replying this post but i was wrong to see that you did not. There are a thousand and one places where such word were used in the internet. Get your facts right. what is the difference between a wrong prognosis and a faulty prognosis? that you consider it a wrong English, we don't need a professor of English language to know that this word is correct. I challenge you and your cohorts to subject it to a public opinion and lets see who is wrong here. Again, you won't tell me that a wrong opinion on the development of a diseases made by a doctor does not in its entirety amount to a faulty/wrong prognosis. If a disease development is caused by a virus and a doctor says it is caused by a bacteria, is that a correct opinion? What do you call that; a correct prognosis ? Numbskull .May God save our patients from doctors of your likes if at all you are one. where do I start from; prognosis according to Batman medical dictionary is a prediction or forecast of the course or outcome of a disorder/disease/illness. Oxford advance learners dictionary defines it as an opinion, based on medical experience of the likely development of a disease or illness; the judgement about something is likely to develop in the future. Diagnosis according to the same source is the process of identifying a disorder by examining its signs and symptoms;an identification of a disorder reached by such a process. Going by the above it is evidence that diagnosis leads to prognosis because a disorder is first identified before its effect/outcome can be predicted. for example, when patients tells you what they feel then you relate that to the signs and symptoms of a particular ailment/kinds of illness which helps you to identify the disorder during clerking. for further confirmation patients are sent to the laboratory. Now having identified the disorder, your ability as a doctor to relate the effects of the disorder or what lead to it is germane in knowing the type of medication to prescribe to either cure, treat/manage the patient. where a doctor forms a wrong opinion/gives a faulty prediction and then gives a wrong medication based on that amounts to a faulty/wrong prognosis. sometimes doctors give wrong opinion about an illness and then give prescriptions based on the wrong opinion. An instance is were a friend was told that an inflammation on a part of his body was likely going to lead to cancer and was booked for chemotherapy but on a second thought to visit another physician it was discovered that its an infection that lead to the inflammation. If a doctor cannot know the outcome of a disorder/it's effect, how can he identify the disorder after diagnosis. Now i want you, phantomi and your cohorts to disprove this argument;providing credible evidence that it is wrong. NL are taking note of the crop of some doctors we have in Nigeria. I do know that there are very good ones among you but i am also of the opinion that if an audit of doctors in Nigeria especially those in government health institution least to say private hospitals is carried out many of you will be weeded out of those institutions. you certainly need a "grammatical surgery" to say that the word FAULTY PROGNOSIS IS A WRONG ENGLISH LEAST TO SAY THAT IT HAS NO MEDICAL CORRELATION. I am an allied health worker. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by phantom(m): 2:51pm On Jul 04, 2014 |
armadeo:  2 Likes |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Elythron16zero4: 3:52pm On Jul 04, 2014 |
Circle-Of-Wilis:a wrong opinion formed/made by a doctor on the development of a disease or illness which forms his basis for drug prescriptions. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by armadeo(m): 3:57pm On Jul 04, 2014 |
Elythron16zero4: a wrong opinion formed/made by a doctor on the development of a disease or illness which forms his basis for drug prescriptions. diagnosis and prognosis are different. there is |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Elythron16zero4: 4:20pm On Jul 04, 2014 |
armadeo:I have said they are different in one of my post and do you also say there is also no wrong prognosis because you are bias , then disprove these synonyms of faulty ˈfɔːlti,ˈfɒlti/ adjective adjective: faulty; comparative adjective: faultier; superlative adjective: faultiest not working or made correctly; having defects. "a faulty brake" synonyms: malfunctioning, broken, damaged, defective, not working, not functioning, in disrepair, out of order, out of commission, inoperative, unsound, unusable, useless; More informalon the blink, on its last legs, kaput, bust, busted, conked out, acting/playing up, gone haywire, gone hut, done for, wonky, dud; informalknackered, duff; informalon the fritz "a faulty electric blanket" antonyms: working, functioning (of reasoning and other mental processes) mistaken or misleading because of flaws. "faulty logic" synonyms: defective, flawed, unsound, distorted, inaccurate, incorrect, erroneous, imprecise, fallacious, wrong; More impaired, weak, invalid "her logic is faulty" antonyms: sound having or displaying weaknesses. "her character was faulty" Translate faulty to Use over time for: faulty |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by armadeo(m): 4:55pm On Jul 04, 2014 |
Elythron16zero4: I have said they are different in one of my post and do you also say there is also no wrong prognosis because you are bias , then disprove these synonyms of faulty Christ don't you ever learn. The issue here is not grammar but in relationship to the patient who is foremost before a prognosis can be considered a diagnosis MUST have been made so if a wrong diagnosis is made it follows that the prognosis following that would be wrong. however if a diagnosis is made then the prognosis is ALMOST a guarantee depending on what studies have shown. e.g stroke patients have a 70% chance of survival (an example not actual figures) then the prognosis is that out of every 10 patients with stroke 7 would survive. so this is in play once a diagnosis of stroke is made, however if the patient doesn't have a stroke and is misdiagnosed and given same prognosis isn't it wrong from the onset. what is wrong here the prognosis or the diagnosis. the above post is just for example stop playing with words not all readers here are put off with links or long drawn explanations. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Elythron16zero4: 5:23pm On Jul 04, 2014 |
armadeo:I Agree with you on the no(2)meaning of prognosis. of prognosis but @bold can you explain prognosis from the no(1) meaning from the dictionary and i will be cleared. It means prognosis has two meanings.prognosis according to Batman medical dictionary is a prediction or forecast of the course or outcome of a disorder/disease/illness. Oxford advance learners dictionary (1)defines it as an opinion, based on medical experience of the likely development of a disease or illness;(2) the judgement about something is likely to develop in the future. please, what is the meaning of this phrase; THE DEVELOPMENT OF A DISEASE OR ILLNESS? |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by armadeo(m): 5:31pm On Jul 04, 2014 |
Elythron16zero4: I Agree with you on the no(2)meaning of prognosis. of prognosis but @bold can you explain prognosis from the no(1) meaning from the dictionary and i will be cleared. It means prognosis has two meanings.prognosis according to Batman medical dictionary is a prediction or forecast of the course or outcome of a disorder/disease/illness. JESUS CHRIST!!!! AGAIN? |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Elythron16zero4: 5:34pm On Jul 04, 2014 |
Q |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Elythron16zero4: 5:35pm On Jul 04, 2014 |
armadeo:WHY ARE U EXCLAIMING JUST PLEASES EDUCATE ME AS A NOVICE PLS! |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by armadeo(m): 5:43pm On Jul 04, 2014 |
Elythron16zero4: WHY ARE U EXCLAIMING JUST PLEASES EDUCATE ME AS A NOVICE PLS! [/quote] before a prognosis can be considered a diagnosis MUST have been made so if a wrong diagnosis is made it follows that the prognosis following that would be wrong. however if a diagnosis is made then the prognosis is ALMOST a guarantee depending on what studies have shown. e.g stroke patients have a 70% chance of survival (an example not actual figures) then the prognosis is that out of every 10 patients with stroke 7 would survive. so this is in play once a diagnosis of stroke is made, however if the patient doesn't have a stroke and is misdiagnosed and given same prognosis isn't it wrong from the onset. what is wrong here the prognosis or the diagnosis. the above post is just for example stop playing with words not all readers here are put off with links or long drawn explanations. only after a diagnosis is made can a prognosis come into play therefore there is literally no such thing as a faulty prognosis because a prognosis cant be faulty it is iron clad with respect to the disease in question. however if a diagnosis is wrong the prognosis for that particular patient as informed by the dr is also wrong. There is no such thing as faulty prognosis only 1)defines it as an opinion, based on medical experience of the likely development of a disease or illness;(2) the judgement about something is likely to develop in the future i believe that i have explained however info me if more clarification is required. sorry about the exclamation. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Nobody: 8:55pm On Jul 04, 2014 |
Slimchy09:i don't know how old you are, but there are certain lies that even a 3-month-old baby can detect. Is this the kind of lies you teach your children?? CNO is for nursing and nursing alone, a doctor has no business in that office. I schooled in UNTH. Imagine a doctor strolling in and out of CNO office i can't stop laughing with my friend here...make una dey take style lie nah 3 Likes |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Nobody: 9:12pm On Jul 04, 2014 |
Elythron16zero4: Quite laughable but what do you have to say when some doctors give wrong medication to patients from their faulty prognosis ; an error eh? just that single incidence you gave God knows how true does not rubbish all the pharmacist,with your ambiguous fallacy of "MOST PHARMACIST IN TEACHING HOSPITAL ARE NOT KNOWLEDGEABLE IN THEIR FIELD" I have seen doctors committing real blunders in the hospitals. methinks the idea of not being knowledgeable in a field also cut across doctors too.sometimes, one may need to go back to refocus. Even the context where you used that word 'prognosis' is wrong. It would have died along the discussion but kept exposing your ignorance. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by drobadebayo: 9:55pm On Jul 04, 2014 |
propofol: personally i feel that those non-doctors that want to be consultants are just exploiting the fact that majority of Nigerians are not literate . If you go to an average Nigerian and say 'Hello im Dr so and so the person immediately assumes that he is talking to a medical doctor but the problem this 'Dr' is NOT going to correct that assumption any time soon. So a nurse or a lab scientist can be treating you and will not tell you his real profession. This is something that has been happening for a long time. Now the government wants to make it official. Tell the patient that you are a consultant nurse and see if he will allow you treat him.And Nigerians are hailing d idea.i pity una |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by babat89: 10:43pm On Jul 04, 2014 |
Elythron16zero4: a wrong opinion formed/made by a doctor on the development of a disease or illness which forms his basis for drug prescriptions. My friend atimes its best to keep quiet instead of displaying ur level of ignorance. Development- means how something evolves or the course it will take. Prognosis- from 2 words: pro and gnosis. Pro- before/ fore Gnosis- knowledge Prognosis- foreknowledge, in this case of how a disease will develop (evolve, grow...) No one is a know it all. Stop the agidi |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Elythron16zero4: 8:20am On Jul 05, 2014 |
centje: sometimes, one may need to go back to refocus. Even the context where you used that word 'prognosis' is wrong. It would have died along the discussion but kept exposing your ignorance.it is not wrong. it's you doctor on this platform that are trying to cover the fact that sometimes you guys can be wrong. can there be a wrong prognosis without a wrong diagnosis? I asked that when a doctor says the development of a disease was caused by a virus whereas it was caused by a bacteria, does that represent a correct opinion? i want to know. none of you are seeing it from my point of view you are claiming i am ignorant because you felt doctors knows it all. i will make no further comment on this but be it known to all doctors that sometimes you guys can make mistakes and give wrong medications to your patients but for your egos you people will not admit it. That is the point i am making especially that the post that generated this argument condemned all pharmacist with one incidence that only God knows how true that they don't know their jobs. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Elythron16zero4: 8:40am On Jul 05, 2014 |
babat89:keep quiet on what? that doctors are right all the time. Thank God you said nobody knows it all. your definition of those words has not helped me in any way because i gave same before so spare yourself that deal. if a doctor says that the etiology of the development of a disease or illness like diphtheria was caused by varicella-zoster [/i]virus(vzu) whereas it was caused by [i]Cornebacteriun [i]diphtheriae [/i]is that a correct opinion about that disease and this may form the basis for his drug prescription. I want to know in my ignorance what mechanisms/procedures do doctors use to detect a wrong diagnosis and prognosis. Provide an answer if you know better. |
| Re: Doctors’ Strike Cripples Hospitals Nationwide by Nobody: 9:06am On Jul 05, 2014 |
Elythron16zero4: it is not wrong. it's you doctor on this platform that are trying to cover the fact that sometimes you guys can be wrong. can there be a wrong prognosis without a wrong diagnosis? I asked that when a doctor says the development of a disease was caused by a virus whereas it was caused by a bacteria, does that represent a correct opinion? i want to know. none of you are seeing it from my point of view you are claiming i am ignorant because you felt doctors knows it all. i will make no further comment on this but be it known to all doctors that sometimes you guys can make mistakes and give wrong medications to your patients but for your ego you people will not admit it. That is the point i am making especially that the post that generated this argument condemned all pharmacist with one incidence that only God knows how true that they don't know their jobs.yes, doctors makes mistakes, sometimes. Like pharmacists, Doctors are also humans. Just like a pharmacist can make mistakes so can a doctor. It is also true that doctors take most of the blame for most mistakes made in patient care so also does pharmacist take less of the blame. It just shows which shoulder carries most of the responsibilities of patient care. If Mr president can get rewards and honors due for him, for taking up the country's responsibilities why would a doctor be denied his. Why won't other healthcare workers keep to their various responsibilities and take the rewards and honors due for such responsibilities. Well, all these are attempt by you to shift attention. The issue at hand is 'faulty prognosis' in relation to the context you used it. So, I quoted you again so that we re-orient the discussion devoid of emotion and deviation of attention. To you, doctors jump to prescribe based on prognosis before diagnosis. Some people have tried explaining this thing to you, in dept, but the same 'ego' you tag doctors won't allow you to accept your mistake, to learn and move on. |
(1) (2) (3) ... (10) (11) (12) (13) (14) (15) (Reply)
9 Most Searched Health Questions On Google In 2018 / 389 New COVID-19 Cases, 130 Discharged And 9 Deaths On June 6 (1,442 Tested) / Only 10 Medical Labs In Nigeria Produce Reliable Results, Says Ninas
(Go Up)
| Sections: politics (1) business autos (1) jobs (1) career education (1) romance computers phones travel sports fashion health religion celebs tv-movies music-radio literature webmasters programming techmarket Links: (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Nairaland - Copyright © 2005 - 2024 Oluwaseun Osewa. All rights reserved. See How To Advertise. 197 |