@DrObum ....... I commend the effort u invested in writing this lot. Unfortunately I am so disappointed because you are very very bias. I wonder how you can still sleep well having posted these wreckage of falsehood to the public without blinking an eye.

Where is your conscience man?

The public needs to read this too...


It is indeed a great service to humanity to
be informed so as to reform those who are
already deformed due to their
misinformation, insatiable creed for power
and wealth, arrogance, ego as well as
overconfidence. The propelling impetus for
writing this few lines is nothing but to
correct the abnormalities embedded in an
article titled: Medical Doctors’ Sttrike and
the Problem in Nigerian Health Sector’
written by Dr Dagba, Agwaza Maxwell, a
Senior Registrar at the Dept of Obstetrics &
Gynaecology (ObGyn) at the Jos University
Teaching Hospital, Jos, Nigeria.

I need to summarise this response within
four points: Criteria for CMD/MD
appointment, Academic qualification of
health professionals, Abuse of Professional
practice in the Health Sector and finally the
way forward.

Criteria for CMD/MD appointment
Frankly speaking, the criteria for these
leadership positions in the health sector is
sacrosanctly enunciation by the law of
University Teaching Hospitals
(reconstruction of boards) cap U15, LFN
2004 commonly called decree 10 of 1985
stated as follow: The candidate for the post
of Chief Medical Director is expected to be
a person who is medically qualified and
registered as such for a period of not less
than 12 years, 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 date of this advert.

Furthermore such a candidate:-

(a) Must show evidence of high-level
managerial and executive capacity in the
administration of a tertiary medical
institution.

(b) Should hold professional and academic
standing that must be sufficiently high to
command national and international
respect, particularly in the professional
medical world, such that it would enhance
the good reputation already established
for the Teaching Hospital.

(c) The appointee must be a person of
courage who can take decisions on the
merit of facts and principles, and not on
the basis of pressures from individuals or
groups. He/She must be also be a person
of unassailable integrity.

(d) The appointee should possess such
personality as can attract funding from both
the local and international community to
supplement government subventions.

The section of the above Law as distorted
by Dr Dagba and those who share his
school of thought that “medically qualified”
means only the holders of MBBS is nothing
but personal interpretation of Nigerian Law
without any jurisdiction to do so.

Similarly,
it is your personal opinion that the phrase
“post-graduate medical qualification” only
means “postgraduate fellowship, which is
peculiar to doctors.” The flawlessness of
your supportive analogy as applied to
other professions is another indication of
your wrong perception; I would like to ask
you sincerely which of Nigerian University
that is awarding a degree certificate called
legal clerk? Likewise, those in the field of
engineering know that both brick laying and
welding are part and parcel of civil engineer
procedures and not different profession.
Contrarily, what is obtainable is that a civil
engineer will never claim superiority over
mechanical or electrical on the field work.

As a law abiding professional in the
country, I expect NMA to supply court with
its legal exhibits since the case instituted in
the Federal High Court Awka by Comr. A. A
Obi a distinguished Medical Laboratory
Scientist with the suit number is FHC/AWK/
CS/38/2013 on interpretation of those grey
areas is on-going.

NMA and Dr Dagba et. al should know that
orthodox medicine is not indigenous to
this country. Hence we must conform to the
international best practice where the
headship of health facilities is not limited
to Medical Doctors rather, in most places;
it is a qualified hospital/health
administrator that manages hospitals.

For
your information, this international best
practice was the norm in Nigeria when the
quality of our health service was ranked 4th
in Africa until 1985 when the then Military
Head of States, General Ibrahim Babangida,
appointed Professor Olukoye Ransome Kuti
as the health minister who chased away all
the health administrators among whom was
Col. Austin Akobundu (rdt), the then
chairman of the Board of UCH, Ibadan, in
1987 and since then there have been
progressive deterioration in our health
system.

In 2013, Mo Ibrahim foundation
ranked Nigeria health section 41st out 52
countries in Africa under the administration
NMA members!!! (What a gross display of
incompetence). Alas! This managerial
ineptitude of NMA members formed the
basis of exodus medical tourisms among
the Nigerian elites with the cost of 1.7
billion US dollars, according the recent
research.
Academic Qualification of Health
Professionals
It is an incontrovertible fact that all
professions have their humble beginning,
MBBS holders of today started in this
country with award of Licentiate Diplomas
as a medical assistant in 1939 at Yaba
Medical College (Lagos state) which was the
first medical school in Nigeria. Likewise,
medical laboratory practice had its origin in
ancient Europe well documented; that
medical laboratory science has been
practiced in Nigeria since 1922. The same
thing is applicable with other professionals
in the health section not only in Nigeria
even among the developed nations of the
world. If NMA’s campaign of calumny against
other professions can be jettisoned,
others can as well quickly rise to the zenith
of their career. Recently, NMA’s lobby swipe
at the award of D- pharm. and tried
frantically to truncate BMLS degree in
Nigerian University (but God Almighty
Voided its plot) using its puppet -NUC
Chairman (at the seat of power).
Broad –based medical knowledge mentality
is another issue that needs urgent
clarification. Dr Dagba and others should
be informed that the practice a single man
claiming to know all in health sector is only
traced back to medieval era when health
care delivery was at throes of birth, this is
not and cannot be productive in 21st
century of ours. For your information sir,
WHO’s concept of health service provision
puts the patient in the centre of a circle
formed by healthcare professionals. The
old concept of the patient belonging to
the doctor is now outdated which is based
on guess work and at best the practice of
polypharmacy.
Furthermore, this broad–based medical
knowledge mentality is an insult to the
Nigeria educational system that as well
produced you. In fact, it is highly
inconceivable that someone who spent
good five years of cognate university study
in pursuance of a professional couse (as it
is applicable to Bsc, Nursing, MLS, PHAM.,
PHYSIO., Optometry) and you with the
broadness of modern day clinical
knowledge now claiming to be more
knowledgeable than all of them just
because you spent six years in the school.
Nigerian physicians should learn to the
difference between being trained to
practice a profession and being train to
have an idea so as to recognize where your
own professional practice interdependent
with that of others. That is why we have
many borrowed courses in our university
system, the fact that you did philosophy or
law as a borrowed course can never make
you to be a philosopher or lawyer. But
Nigerian physicians want to be physicians,
professional nurse, medical laboratory
scientists, pharmacists, physiotherapists at
the same time. Your unquenchable longing
for leadership, if not checked, will soon be
extended to being the head of cleaning
services, security services, gardner’s
services in our public hospitals. As a MLS, I
have not seen a Nigerian first degree MBBS
holder that can accurately crossmatch
donor blood for an authoimmune patient, I
challenged.
Abuse of Professional Practice in the Health
Sector
This syndrome cut across all health workers
without exception, physicians claim to be
jack of all trade and master of them all,
nurses are running diagnostic procedures,
medical lab. Scientists want to be clerking
patients and so on. As we speak now, the
Nigerian doctors lead the pack in the
training of Quacks because they run private
clinics without complementary services of
other healthcare team. As at today, they
hire barely literate people and 'train' them
to be auxiliary nurse!!Where is that done in
the world!!
It is the statutory function of all councils
present in the health sector to maintain a
sustainable standard of practice among
their respective members. However,
Medical doctors will never allow MLSCN,
PCN, Nursing council of Nigeria to inspect
the laboratory, pharmaceuticals and nursing
staff of their facilities to even perform
these legal statutory functions in public
hospital sometimes is a tug of war.
JOHESU members had suffered a lot of
assaults from Nigeria physicians; they abuse
their position as CEO of governmental
facilities against other professional
members. In your facility at Jos Teaching
Hospital, Dr Dagba, the physiotherapists
were harassed yesterday (4/07/2014) and

bumfem: @DrObum ....... I commend the effort u invested in writing this lot. Unfortunately I am so disappointed because you are very very bias. I wonder how you can still sleep well having posted these wreckage of falsehood to the public without blinking an eye.

Where is your conscience man?

What exactly do you want him to say except exulting his profession and undermining yours, it is an age long tactics.
All of a sudden graduates are debating why my career and profession is better than yours with these few points of mine nonsense........I am sorry but this is shameful, hilarious and at the same unfathomable to say the least.
CONCERNED CITIZEN.

benjichuks: FRONT PAGES PLEASE!

Please Sir NMA needs people like you to educate the public on the real issues in the health sector!
I recommend Chief, that this lovely piece of genius writeup be published in the national dailies... It will go a real long way!

Mods, when is this getting to the front page? Nigerians have been misinformed for far too long. And falsehood heard over and over soon is perceived as the truth. @OP, have U heeded NLs on the newspaper publication of your brilliant piece? I can assure you that, even johesu-bought platforms will find it publishable. God bless Ur bright soul

Morotov1: What exactly do you want him to say except exulting his profession and undermining yours, it is an age long tactics.
All of a sudden graduates are debating why my career and profession is better than yours with these few points of mine nonsense........I am sorry but this is shameful, hilarious and at the same unfathomable to say the least.
CONCERNED CITIZEN.

All U guys need do is point out the lies in his write-up. I think everyone deserves to be heard without resort to insults

echarlz:

All U guys need do is point out the lies in his write-up. I think everyone deserves to be heard without resort to insults

I am not part of the you guys either JOHESU or NMA. Just a bench warmers who is ardently interested on how the fierce debates plays out.
But I work the most hours line is bullshit unless you're a student because that is the most common slangs of student. For an employee to be using those words sounds like a breach of public service act, if you don't like it get out. Most doctors, nurses and pharmacists etc got out when they can't handle it.

echarlz:
All U guys need do is point out the lies in his write-up. I think everyone deserves to be heard without resort to insults

I've pointed out the lies in his biased write-up, why haven't any of you responded?

bumfem: @DrObum ....... I commend the effort u invested in writing this lot. Unfortunately I am so disappointed because you are very very bias. I wonder how you can still sleep well having posted these wreckage of falsehood to the public without blinking an eye.

Where is your conscience man?

My conscience is satisfied that I've done a good job!
Facts can't be embellished and the public needs to know the truth.
We've kept quiet for a long time and some funny peeps think it's an avenue to bring down the whole health sector.

DrObum:
My conscience is satisfied that I've done a good job!
Facts can't be embellished and the public needs to know the truth.
We've kept quiet for a long time and some funny peeps think it's an avenue to bring down the whole health sector.

Respond to my posts abeg!!

Teaching hospitals are set up to train primarily medical doctors and dentist. The honorary Consultant is a lecturer from the College of Medicine who in exchange for using the patients to teach his students, renders service to the patient. Many of the honorary Consultants you see in teaching hospitals would not be there if there was no academic activity going on. The residents on the other hand are post graduate medical doctors. While taking exams of the various post graduate faculties are required to undergo training under specific Consultants who most of the time can only be found in teaching hospitals. The standards of a teaching hospital at least in Nigeria are different from those in general hospitals and other none training institutes for the simple fact that they regularly undergo accreditation by various bodies NUC, post graduate medical colleges etc to retain the privilege to train both medical students and post graduate students. If you take away the teaching aspect from these hospitals they will revert to General hospitals as many of the rare specialist who are academically inclined will move over to wherever training is going on. Presently more private hospitals and private teaching hospitals are beginning to get accreditation to train Medical students both at the under and post graduate levels and there is a quiet but steady drain of lecturers and consultants from the government teaching hospitals to these places. I foresee a future in this country where some specialties will only be found in private institutions and the services will be unaffordable to the average Nigerian. I give an example. In lagos State Health service there were only two cardio thoracic surgeons. Since the last round of strikes and counter strikes one has left for a private institution, and he was the only Paediatric Cardiologist I government employment. And although he was not doing many earth shattering surgeries, the small he was doing made a lot of difference to the lives of many children with heart conditions.
In India the top hospitals we all rush to are all private and most of their post graduate medical training is done in private institutions, the difference there is their health insurance is a vibrant industry. Maybe that is the direction we are heading to.

Morotov1: What exactly do you want him to say except exulting his profession and undermining yours, it is an age long tactics.
All of a sudden graduates are debating why my career and profession is better than yours with these few points of mine nonsense........I am sorry but this is shameful, hilarious and at the same unfathomable to say the least.
CONCERNED CITIZEN.

. What else do you want. He has stated facts and even opined where he differs from NMA. Argue against his points intellectually oga if u can
I bet u can't ...

thaqib: . What else do you want. He has stated facts and even opined where he differs from NMA. Argue against his points intellectually oga if u can
I bet u can't ...

Yea I can't, a futile waste of time indeed.

mintyx: The public needs to read this too...


It is indeed a great service to humanity to
be informed so as to reform those who are
already deformed due to their
misinformation, insatiable creed for power
and wealth, arrogance, ego as well as
overconfidence. The propelling impetus for
writing this few lines is nothing but to
correct the abnormalities embedded in an
article titled: Medical Doctors’ Sttrike and
the Problem in Nigerian Health Sector’
written by Dr Dagba, Agwaza Maxwell, a
Senior Registrar at the Dept of Obstetrics &
Gynaecology (ObGyn) at the Jos University
Teaching Hospital, Jos, Nigeria.

I need to summarise this response within
four points: Criteria for CMD/MD
appointment, Academic qualification of
health professionals, Abuse of Professional
practice in the Health Sector and finally the
way forward.

Criteria for CMD/MD appointment
Frankly speaking, the criteria for these
leadership positions in the health sector is
sacrosanctly enunciation by the law of
University Teaching Hospitals
(reconstruction of boards) cap U15, LFN
2004 commonly called decree 10 of 1985
stated as follow: The candidate for the post
of Chief Medical Director is expected to be
a person who is medically qualified and
registered as such for a period of not less
than 12 years, 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 date of this advert.

Furthermore such a candidate:-

(a) Must show evidence of high-level
managerial and executive capacity in the
administration of a tertiary medical
institution.

(b) Should hold professional and academic
standing that must be sufficiently high to
command national and international
respect, particularly in the professional
medical world, such that it would enhance
the good reputation already established
for the Teaching Hospital.

(c) The appointee must be a person of
courage who can take decisions on the
merit of facts and principles, and not on
the basis of pressures from individuals or
groups. He/She must be also be a person
of unassailable integrity.

(d) The appointee should possess such
personality as can attract funding from both
the local and international community to
supplement government subventions.

The section of the above Law as distorted
by Dr Dagba and those who share his
school of thought that “medically qualified”
means only the holders of MBBS is nothing
but personal interpretation of Nigerian Law
without any jurisdiction to do so.

Similarly,
it is your personal opinion that the phrase
“post-graduate medical qualification” only
means “postgraduate fellowship, which is
peculiar to doctors.” The flawlessness of
your supportive analogy as applied to
other professions is another indication of
your wrong perception; I would like to ask
you sincerely which of Nigerian University
that is awarding a degree certificate called
legal clerk? Likewise, those in the field of
engineering know that both brick laying and
welding are part and parcel of civil engineer
procedures and not different profession.
Contrarily, what is obtainable is that a civil
engineer will never claim superiority over
mechanical or electrical on the field work.

As a law abiding professional in the
country, I expect NMA to supply court with
its legal exhibits since the case instituted in
the Federal High Court Awka by Comr. A. A
Obi a distinguished Medical Laboratory
Scientist with the suit number is FHC/AWK/
CS/38/2013 on interpretation of those grey
areas is on-going.

NMA and Dr Dagba et. al should know that
orthodox medicine is not indigenous to
this country. Hence we must conform to the
international best practice where the
headship of health facilities is not limited
to Medical Doctors rather, in most places;
it is a qualified hospital/health
administrator that manages hospitals.

For
your information, this international best
practice was the norm in Nigeria when the
quality of our health service was ranked 4th
in Africa until 1985 when the then Military
Head of States, General Ibrahim Babangida,
appointed Professor Olukoye Ransome Kuti
as the health minister who chased away all
the health administrators among whom was
Col. Austin Akobundu (rdt), the then
chairman of the Board of UCH, Ibadan, in
1987 and since then there have been
progressive deterioration in our health
system.

In 2013, Mo Ibrahim foundation
ranked Nigeria health section 41st out 52
countries in Africa under the administration
NMA members!!! (What a gross display of
incompetence). Alas! This managerial
ineptitude of NMA members formed the
basis of exodus medical tourisms among
the Nigerian elites with the cost of 1.7
billion US dollars, according the recent
research.
Academic Qualification of Health
Professionals
It is an incontrovertible fact that all
professions have their humble beginning,
MBBS holders of today started in this
country with award of Licentiate Diplomas
as a medical assistant in 1939 at Yaba
Medical College (Lagos state) which was the
first medical school in Nigeria. Likewise,
medical laboratory practice had its origin in
ancient Europe well documented; that
medical laboratory science has been
practiced in Nigeria since 1922. The same
thing is applicable with other professionals
in the health section not only in Nigeria
even among the developed nations of the
world. If NMA’s campaign of calumny against
other professions can be jettisoned,
others can as well quickly rise to the zenith
of their career. Recently, NMA’s lobby swipe
at the award of D- pharm. and tried
frantically to truncate BMLS degree in
Nigerian University (but God Almighty
Voided its plot) using its puppet -NUC
Chairman (at the seat of power).
Broad –based medical knowledge mentality
is another issue that needs urgent
clarification. Dr Dagba and others should
be informed that the practice a single man
claiming to know all in health sector is only
traced back to medieval era when health
care delivery was at throes of birth, this is
not and cannot be productive in 21st
century of ours. For your information sir,
WHO’s concept of health service provision
puts the patient in the centre of a circle
formed by healthcare professionals. The
old concept of the patient belonging to
the doctor is now outdated which is based
on guess work and at best the practice of
polypharmacy.
Furthermore, this broad–based medical
knowledge mentality is an insult to the
Nigeria educational system that as well
produced you. In fact, it is highly
inconceivable that someone who spent
good five years of cognate university study
in pursuance of a professional couse (as it
is applicable to Bsc, Nursing, MLS, PHAM.,
PHYSIO., Optometry) and you with the
broadness of modern day clinical
knowledge now claiming to be more
knowledgeable than all of them just
because you spent six years in the school.
Nigerian physicians should learn to the
difference between being trained to
practice a profession and being train to
have an idea so as to recognize where your
own professional practice interdependent
with that of others. That is why we have
many borrowed courses in our university
system, the fact that you did philosophy or
law as a borrowed course can never make
you to be a philosopher or lawyer. But
Nigerian physicians want to be physicians,
professional nurse, medical laboratory
scientists, pharmacists, physiotherapists at
the same time. Your unquenchable longing
for leadership, if not checked, will soon be
extended to being the head of cleaning
services, security services, gardner’s
services in our public hospitals. As a MLS, I
have not seen a Nigerian first degree MBBS
holder that can accurately crossmatch
donor blood for an authoimmune patient, I
challenged.
Abuse of Professional Practice in the Health
Sector
This syndrome cut across all health workers
without exception, physicians claim to be
jack of all trade and master of them all,
nurses are running diagnostic procedures,
medical lab. Scientists want to be clerking
patients and so on. As we speak now, the
Nigerian doctors lead the pack in the
training of Quacks because they run private
clinics without complementary services of
other healthcare team. As at today, they
hire barely literate people and 'train' them
to be auxiliary nurse!!Where is that done in
the world!!
It is the statutory function of all councils
present in the health sector to maintain a
sustainable standard of practice among
their respective members. However,
Medical doctors will never allow MLSCN,
PCN, Nursing council of Nigeria to inspect
the laboratory, pharmaceuticals and nursing
staff of their facilities to even perform
these legal statutory functions in public
hospital sometimes is a tug of war.
JOHESU members had suffered a lot of
assaults from Nigeria physicians; they abuse
their position as CEO of governmental
facilities against other professional
members. In your facility at Jos Teaching
Hospital, Dr Dagba, the physiotherapists
were harassed yesterday (4/07/2014) and

This is an orbed truth... This idle fellow from JUTH has refused to tell the public why the spoilt brat of a house officer was slapped by a Med Lab Scientist just to cheaply blackmail the noble profession. How can a medical toy who just graduated from UniJos and was given a waiver on the alter of indigeneship to do his house job in JUTH dare abuse to the marrow a Principal Lab Scientist and think he'll go scot free...let the public be aware that JUTH management who of course are 99 per cent Doctors treated it with kids gloves as the intern med doc was summarily @ fault. Broh u need understand that we have a lot of ur rivals, doctors on this forum and won't support ur objective views...

A h/o slapped a pmls ??

armadeo: A h/o slapped a pmls ??

Damn,
to hell with medical ethics....what the hell is happening? It is getting personal and I don't like it one bit.

No a scientist slapped aN H/O, when he was on porter duty ferrying blood samples and results to and for from the lab.

allycat: No a scientist slapped aN H/O, when he was on porter duty ferrying blood samples and results to and for from the lab.

Interesting.

mintyx: Piece of crap from a biased mind! Who lied to Doctors that they are at the heart or the most importantant in patient care? When they keep spewing all these lies, you'd actually think some of them really care about thier patients.

Again why would ur lame brains think that its only you folks that understand or know medicine wholly?

When a Lab scientist does a PCV for instance and issue out a result, do you guys for a second think that he doesnt know factors that can cause a raised, low or normal PCV?

When a pharmacist manufactures a drug and tells u skank head how many dosage you'd use to effect a cure, u term him a support staff huh?

God is watching you all and he has heard the cries of His oppressed children in which you guys have been trying to annihiliate all ds while.

But get this into your heads, the post of minster of health and other heads are purely administrative roles and should be opend to all so you should get afraid cos very soon, you would start getting directives from the so called "support staff".. lmfao

You're such a deluded halfwit . You don't know shit about medicine

HAZARD ALLOWANCE, RURAL POSTING AND OTHER ALLOWANCES
Let me start with the hazard allowance. I will simply ask a question here to any member of the public. Is five thousand naira (about 28 USD or 18 GBP) enough compensation for any of the following risks to your life (and by extension, the life of your immediate family) every single day? People coughing into your face; blood splashing onto your clothes, skin, eyes and mouth; handling human faeces, urine, flesh and other fluids; working with razors, knives and needles around patients with highly infective conditions (HIV, Hepatitis B, Hepatitis C, Lassa Fever, Tuberculosis and others)?
If anyone would say yes to the question, or argue that they are more exposed to these dangers than the Doctor or Nurse, let them come out. I will stop at that.

Pls kindly educate the public who plays with those aforementioned human secretions, faeces, urine, blood and blood products in the course of diagnosis. It's shameful to say the least that u guyz wil even claim to be peeing and pooing 4 d patients too in the course of prognosis and diagnosis. Hw do u knw a patient has hepatitis, Hiv, lassa fever n d recent Ebola virus without proper Laboratory test? Maybe the Lab Scientists do it by Infrared or better still bluetooth hence they r not exposed to biological hazards as u claim.... What of the nurses that take it upon themselves to carter and care for the patients as if they are blood-bonded? If u claim to care about their welfare as u sided them just in this instance in the context of ur write up why didn't u capture them as part of the supposed beneficiaries of the #100,000 Hazard allowance? Shame on u and ur cronies on this platform peddling falsehood to the general public.U must not be a pathologic and pathetic liar to score cheap points. I think the public need to know that the only Laboratory in Nig @ the momnet where the much dreaded lassa fever is diagnosed is owned by a Med Lab Scientist in Edo State in the person of Prof. Agbonlahor
On the issue of dilapidated hospital facilities who is to blame? A Chief Med Director (a thieving Doctor) who awards contracts via the back door in a bid to siphon money or the the FG? I think the FG as every blame has alwayz been on them...I could term u to be worse than Boko Haram if u fail to inform the public that JUTH Labs (Med Microbiology and Chem Path to be precise) are yet to be completed after a decade that presidnt Obj commisioned the new site and the Doctors of a Chief Med Directors that have come and gone are yet unpertubbed. Where is the contracted money meant for it? Obum let me further wash the dirty linen of ur JUTH to the public; refute it if u can, that the Chief Med Dir allegedly hijacked money that was purpotedly meant for workers Dec 2013 bonus and bouth a Range Rover worth millions of Naira. U guyz are regrettably incurably greedy. The Docs are the fundamental problem in the health sector esp the ones that were trained here in Nig. I hv graciously observed that Docs trained abroad are more cultured, humble, dedicated and mannered than their counterparts in Nig. Obembe ur NMA boss is still living in anachronistic disillusionment and hence misleading u guyz. I pray the court settle all this injustices in the health sector soonest as it remains the last hope of the common man. Endeavour to oblige to court ruling in toto and not treat it with unhealthy comtempt. I wish u luck!

^^^^^^^^^

aluunoble: HAZARD ALLOWANCE, RURAL POSTING AND OTHER ALLOWANCES
Let me start with the hazard allowance. I will simply ask a question here to any member of the public. Is five thousand naira (about 28 USD or 18 GBP) enough compensation for any of the following risks to your life (and by extension, the life of your immediate family) every single day? People coughing into your face; blood splashing onto your clothes, skin, eyes and mouth; handling human faeces, urine, flesh and other fluids; working with razors, knives and needles around patients with highly infective conditions (HIV, Hepatitis B, Hepatitis C, Lassa Fever, Tuberculosis and others)?
If anyone would say yes to the question, or argue that they are more exposed to these dangers than the Doctor or Nurse, let them come out. I will stop at that.

Pls kindly educate the public who plays with those aforementioned human secretions, faeces, urine, blood and blood products in the course of diagnosis. It's shameful to say the least that u guyz wil even claim to be peeing and pooing 4 d patients too in the course of prognosis and diagnosis. Hw do u knw a patient has hepatitis, Hiv, lassa fever n d recent Ebola virus without proper Laboratory test? Maybe the Lab Scientists do it by Infrared or better still bluetooth hence they r not exposed to biological hazards as u claim.... What of the nurses that take it upon themselves to carter and care for the patients as if they are blood-bonded? If u claim to care about their welfare as u sided them just in this instance in the context of ur write up why didn't u capture them as part of the supposed beneficiaries of the #100,000 Hazard allowance? Shame on u and ur cronies on this platform peddling falsehood to the general public.U must not be a pathologic and pathetic liar to score cheap points. I think the public need to know that the only Laboratory in Nig @ the momnet where the much dreaded lassa fever is diagnosed is owned by a Med Lab Scientist in Edo State in the person of Prof. Agbonlahor
On the issue of dilapidated hospital facilities who is to blame? A Chief Med Director (a thieving Doctor) who awards contracts via the back door in a bid to siphon money or the the FG? I think the FG as every blame has alwayz been on them...I could term u to be worse than Boko Haram if u fail to inform the public that JUTH Labs (Med Microbiology and Chem Path to be precise) are yet to be completed after a decade that presidnt Obj commisioned the new site and the Doctors of a Chief Med Directors that have come and gone are yet unpertubbed. Where is the contracted money meant for it? Obum let me further wash the dirty linen of ur JUTH to the public; refute it if u can, that the Chief Med Dir allegedly hijacked money that was purpotedly meant for workers Dec 2013 bonus and bouth a Range Rover worth millions of Naira. U guyz are regrettably incurably greedy. The Docs are the fundamental problem in the health sector esp the ones that were trained here in Nig. I hv graciously observed that Docs trained abroad are more cultured, humble, dedicated and mannered than their counterparts in Nig. Obembe ur NMA boss is still living in anachronistic disillusionment and hence misleading u guyz. I pray the court settle all this injustices in the health sector soonest as it remains the last hope of the common man. Endeavour to oblige to court ruling in toto and not treat it with unhealthy comtempt. I wish u luck!

Mr medical laboratory scientist( u need not tell us you are one now), you are quite rude in your response but nevertheless u made some valid points. Yes, it is true med lab scientists are exposed 2 blood and other body fluids and should be entitled 2 hazards allowance( I guess u are collecting some).but I make bold 2 say your risk is not more than the doctor who operate on such patient for hours in the theatre or the doctor who come in contact with the extended drug resistant tuberculosis patient every day on the wards. In any case, you can shout too for government 2 pay you more...
You make me laugh when you said a CMD embezzle some money in the hospital. Do you read the news @ all? If that is true, the man should be prosecuted and appopriate discplinaary action taken. However, you and I know corruption is an unwritten law in our constitution. We read about it everyday in the papers so pls shout about it as it occurs in other aspect of the society. It doesn't make a medical lab scientist better eligible for the post. Can you bet, no medical laboratory scientist is corrupt including u? Please I want 2 keep one hundred million in your custody for a month and promise me nothing would happen 2 it..
Pls let's address issues and leave professional sentiments. Dagba has spoken the whole truth.,,

thaqib: Mr medical laboratory scientist( u need not tell us you are one now), you are quite rude in your response but nevertheless u made some valid points. Yes, it is true med lab scientists are exposed 2 blood and other body fluids and should be entitled 2 hazards allowance( I guess u are collecting some).but I make bold 2 say your risk is not more than the doctor who operate on such patient for hours in the theatre or the doctor who come in contact with the extended drug resistant tuberculosis patient every day on the wards. In any case, you can shout too for government 2 pay you more...
You make me laugh when you said a CMD embezzle some money in the hospital. Do you read the news @ all? If that is true, the man should be prosecuted and appopriate discplinaary action taken. However, you and I know corruption is an unwritten law in our constitution. We read about it everyday in the papers so pls shout about it as it occurs in other aspect of the society. It doesn't make a medical lab scientist better eligible for the post. Can you bet, no medical laboratory scientist is corrupt including u? Please I want 2 keep one hundred million in your custody for a month and promise me nothing would happen 2 it..
Pls let's address issues and leave professional sentiments. Dagba has spoken the whole truth.,,

Thanks for ur advice but u might not do less in u were in ma shoe. Remember, not all doctors are surgeons! There is no justification of a more than 1000 per cent increase in hazard allowance. If we should base the justification of the bloated demand for an increase of Harzard Allowance from the current #5000 to a sky-rocketed #100,000, please further tell the public how a Doc gets to know that a patient is resistant to TB...maybe when a TB patient goes to the Lab for a follow-up test or for a doc to know the progression of the Mycobacterium tuberculosis after the patient has been comfirmed TB +Ve he/she by way of 'voluntary action' refuses to cough. Mind u broh, there is no Biological Safety Cabinet (BSC) in Nig in this 21st century that is of Level 3 in any Public Health facility. Yes! I speak with facts! Hence, the Lab Scientist is predisposed to nosocomia infection posed by TB and the like. How do u know a TB patient is drug-resistant if such a patient had not being placed on a therapy? May be a Pharmacist never dispensed drugs and the in-patient was never attended to by a Nurse. Pls let the public be informed of the percentage of surgeons in Nig amidst the doctors. Unfortunately, greed has eaten deep into the fabrics and further beclouded the sense of objective reasoning of NMA. I reserve my comment on the embezzlement saga as I dnt know who to blame for the abysmal performance of EFCC and ICPC because if there had been equal to the task, corruption would have been defaced in Nig Dictionary! All I pray for is sanity in every sector of our national life! Imagine if Nigeria was USA!

aluunoble:


Thanks for ur advice but u might not do less in u were in ma shoe. Remember, not all doctors are surgeons! There is no justification of a more than 1000 per cent increase in hazard allowance. If we should base the justification of the bloated demand for an increase of Harzard Allowance from the current #5000 to a sky-rocketed #100,000, please further tell the public how a Doc gets to know that a patient is resistant to TB...maybe when a TB patient goes to the Lab for a follow-up test or for a doc to know the progression of the Mycobacterium tuberculosis after the patient has been comfirmed TB +Ve he/she by way of 'voluntary action' refuses to cough. Mind u broh, there is no Biological Safety Cabinet (BSC) in Nig in this 21st century that is of Level 3 in any Public Health facility. Yes! I speak with facts! Hence, the Lab Scientist is predisposed to nosocomia infection posed by TB and the like. How do u know a TB patient is drug-resistant if such a patient had not being placed on a therapy? May be a Pharmacist never dispensed drugs and the in-patient was never attended to by a Nurse. Pls let the public be informed of the percentage of surgeons in Nig amidst the doctors. Unfortunately, greed has eaten deep into the fabrics and further beclouded the sense of objective reasoning of NMA. I reserve my comment on the embezzlement saga as I dnt know who to blame for the abysmal performance of EFCC and ICPC because if there had been equal to the task, corruption would have been defaced in Nig Dictionary! All I pray for is sanity in every sector of our national life! Imagine if Nigeria was USA!

First of all , mls deal with human secretion/waste products and contagions present within those secretion are less likely to have any harmful effect on an mls than a doctor who is always in direct contact with the patients from which those secretion are collected. Its very preposterous to compare the risk to which a doctor is exposed to , to that which an mls is exposed ( I need not list them anyone who has ever been to a hospital will know ). Secondly doctors are not responsible for the rot in the healthcare sector , blame the inept government ( how do you expect underfunded institutions setup decades ago to render worldclass services ; this is a dynamic world if you don't upgrade with time you'll become obsolete). An mls , a pharm has no basis whatsoever to aspire to be a C MD as he/she has no knowledge of patient care ( I need not reiterate the dominant importance of a doctor in the healthcare sector as the ongoing strike has proven that beyond every reasonable doubt ,therefore it stands to reason that a doctor by virtue of his training is the most qualified to head the clinical team ) ; nurses , physiotherapists etc are not fit for the post either as their knowledge of patient care is not as allrounded as that of a doctor . Finally I must state that the demands of NMA are in order contrary to the falsehood johesu members are peddling , every claim by NMA is justifiable . There is an urgent need to define every healthworkers role as contained in the national health bill . I will respond to any sound debate regarding any point I've raised here

aluunoble:


Thanks for ur advice but u might not do less in u were in ma shoe. Remember, not all doctors are surgeons! There is no justification of a more than 1000 per cent increase in hazard allowance. If we should base the justification of the bloated demand for an increase of Harzard Allowance from the current #5000 to a sky-rocketed #100,000, please further tell the public how a Doc gets to know that a patient is resistant to TB...maybe when a TB patient goes to the Lab for a follow-up test or for a doc to know the progression of the Mycobacterium tuberculosis after the patient has been comfirmed TB +Ve he/she by way of 'voluntary action' refuses to cough. Mind u broh, there is no Biological Safety Cabinet (BSC) in Nig in this 21st century that is of Level 3 in any Public Health facility. Yes! I speak with facts! Hence, the Lab Scientist is predisposed to nosocomia infection posed by TB and the like. How do u know a TB patient is drug-resistant if such a patient had not being placed on a therapy? May be a Pharmacist never dispensed drugs and the in-patient was never attended to by a Nurse. Pls let the public be informed of the percentage of surgeons in Nig amidst the doctors. Unfortunately, greed has eaten deep into the fabrics and further beclouded the sense of objective reasoning of NMA. I reserve my comment on the embezzlement saga as I dnt know who to blame for the abysmal performance of EFCC and ICPC because if there had been equal to the task, corruption would have been defaced in Nig Dictionary! All I pray for is sanity in every sector of our national life! Imagine if Nigeria was USA!

see,everybody is important in the care of the patient but the doctor by CLINICAL training is the leader. This is a fact,no sentiment. We treat patient, not result. The results confirms diagnosis, guides and modulates treatment. HARDLY makes the diagnosis alone.
N5000 never covers the risk a doctor/mls is exposed 2,so is the 100,000 but there is a difference between the two. Somewhere in our mind, we know the government would probably not pay and yet the strike would end. Those are not the crux of this industrial action.
The crucial issues are those that denigrade the role of the doctor and would create anarchy in the system.
2 believe that all members of JOHESU should be on the same pedestral with the doctor is not only unfair but inhuman. Even among JOHESU members, there are levels...
So my final comment is that if you are not a doctor,why do you want 2 take the doctor's pie?

Because of the increasing complexity and scope of patient problems presenting to the health care environment, patient care now routinely combines the efforts of physicians of different disciplines, skilled nursing professionals, and other health care professionals. Comprehensive patient care often involves trying to solve problems which are beyond the scope of expertise and training of any one provider. Thus, the organization of professionals involved in one patient's care has evolved from that of a hierarchy, with the physician in a "command" position, to that of a multidisciplinary team, interfacing many different kinds of health care professionals, each with separate and important knowledge, technical skills, and perspectives. In a teaching hospital, team membership becomes that much more complex with the presence of students, interns, residents, and fellows.

How do teams work together?
[/b]Working together as a team, professionals must balance responsibilities, values, knowledge, skills, and even goals about patient care, against their role as a team member in shared decision-making. [b]Because many physicians, in particular, are accustomed to a practice environment in which decisions are "made" by the doctor, and "carried out" by other professionals, it is difficult sometimes for physicians to adjust to a team approach, in which majority opinion, deference to more expert opinion, unanimity, or consensus may be more appropriate methods of decision-making than autocratic choice. Further, physicians who maintain a hierarchical concept of medical care may face serious problems when disagreements arise with other physicians of equal "stature" on the medical team. Interdisciplinary conflicts are seen in all areas of medical practice, but the operating room environment is particularly rich in examples in which patient care involves interdisciplinary cooperation, conflict, and compromise.

Who is in charge in the operating room? Isn't the surgeon "Captain of the Ship"?
[b]You will certainly hear at some point in your medical training that the surgeon is "captain of the ship" in the operating room. While recent legal decisions have essentially "sunk" the concept, it is important to understand the ethical and legal terrain. The phrase "captain of the ship" was first used by the Pennsylvania Supreme Court in 1949 in McConnell vs. Williams. In that case, an intern at a charity hospital was responsible for blinding a newborn by improperly applying silver nitrate drops to her eyes. Laws in widespread application at the time provided many hospitals with "charitable immunity" from legal damages, and the parents of the newborn were unable to get money from the intern because he acted as a hospital employee. They therefore brought suit against the obstetrician. The Pennsylvania Supreme Court allowed a finding of negligence against the obstetrician, despite the fact that the obstetrician had had no direct part in the negligent act, specifically so that someone would pay money to the parents. In its decision, the court used an analogy from maritime law, in which a captain can be held liable for the action of all members of the crew of his ship.[/b]
Since 1949, several key changes have taken place. Hospitals are no longer immune from liability in most jurisdictions, in part because hospitals generally carry insurance against the negligent acts of their employees. Courts also recognize that the scope and complexity of medical practice is such that no single provider generally has complete control over a patient's medical care. The diversity of medical practice and the different forms of training and certifications required for specialty practice testify that different professionals have different expertise and therefore diverse levels of responsibility for individual acts in patient care. In this aspect the law is fair: the greater the authority and expertise asserted in a given act, the greater an individual's legal responsibility becomes.

In recent years, many state Supreme Courts have specifically thrown out the "captain of the ship" doctrine in disgust. Cases in which the captain of the ship doctrine has been specifically discarded include those in which plaintiffs have asserted that the surgeon was responsible for the acts of nurses, nurse anesthetists, anesthesiologists, radiologists, and radiology technologists, and in which plaintiffs asserted that the anesthesiologist was responsible for the acts of surgeons, nurses, and nurse anesthetists. Ironically, some recent law suits have been successfully pursued against surgeons for the actions of other operating room personnel, only because the surgeon himself asserted that he had, or should have had, complete control over everyone in the room at the time of the negligent act!

[b]What are the ethical obligations of members of the interdisciplinary team in patient care?
[/b]Ethically, every member of the operating room team has separate obligations, or duties, toward patients, which are based on the provider's profession, scope of practice and individual skills. Team members also have ethical obligations to treat each other in a respectful and professional manner.
Relationships between professionals on the multidisciplinary team are by their nature unequal ones. Different knowledge and experience in specific issues both ethically and legally imparts unequal responsibility and authority to those care providers with the most knowledge and experience to handle them. But also because of differences in training and experience, each member of the team brings different strengths. Team members need to work together in order to best utilize the expertise and insights of each member.
[b]
Do I have to do whatever I am told by the attending physician, even if I disagree with their plans?
[/b]Professional relationships not only exist between different professions, and specialties within similar professions, but between students and teachers as well. [b]The student-teacher relationship is also an unequal one, not merely because teachers generally have more authority than students, based on their training and years of experience, but much greater responsibility as well. An attending physician, for example, may be held both morally and legally liable for the actions of students or residents, whether or not she approved of those actions. Ethically, teachers have obligations to observe and control the actions of junior members of the medical team, both to prevent harm to patients from inexperienced care-givers, and to educate students in appropriate care. Students and residents, conversely, have obligations to their patients and to their teachers, to not act recklessly or without the knowledge and approval of supervisors. Whenever a student or resident disagrees with an attending physician's plans, he should seek input from the attending, both about the reasoning to pursue the attending's plan, and about the reasoning for rejecting her own. A respectful exchange of views may provide both parties with new information, and certainly serves to further education.

[/b]What is meant by "respectful" exchange of views?
[b]Precisely because of the inequality of authority and responsibility in inter-professional, inter-physician, and student-teacher relationships, obligations of mutual respect are particularly important on the multidisciplinary team.
Disagreements between professionals are common and expected, because of different knowledge, experience, values, and perspectives of the various team members. While disagreements might be settled in a number of ways, mutual respectful behavior is a mandatory feature of professionalism. Thus, while it is not only possible, but expected, that members of the patient care team will disagree at times, it is never acceptable for disagreements to be verbalized in an unprofessional manner.
Respectful behavior begins with both listening to and considering the input of other professionals. Ask yourself whether your perception of whether you are respected depends more upon whether the other party agrees with you, or whether, despite disagreeing, they listened and acknowledged your point of view.[/b]

Respect is demonstrated through language, gestures, and actions. Disagreement can and should be voiced without detrimental statements about other members of the team, and without gestures or words that impart disdain. Both actions and language should impart the message: "I acknowledge and respect your perspective in this matter, but for the following reasons. I disagree with your conclusions, and believe I should do something else..."
It should go without saying that disrespectful behavior from a colleague does not justify disrespectful behavior in return.

How can disagreements on the multidisciplinary team be handled?
[/b]In the best situations, disagreement leads to a more complete inter professional discussion of the patient's care, resulting in a new consensus about the best course of action. The new consensus may require compromises from each individual.
When members of a team cannot arrive at a consensus of what should be done, it may be helpful to consult other professionals who are not directly involved in the patient's care team for objective input. If the disagreement still cannot be resolved, another resource may be the hospital's ethics committee, which can listen to disagreements and help suggest solutions.

[b]https://depts.washington.edu/bioethx/topics/team.html

Fernandez01:
You're such a deluded halfwit . You don't know shit about medicine

Tell me about medicine you skank head!

Fernandez01:

First of all , mls deal with human secretion/waste products and contagions present within those secretion are less likely to have any harmful effect on an mls than a doctor who is always in direct contact with the patients from which those secretion are collected. Its very preposterous to compare the risk to which a doctor is exposed to , to that which an mls is exposed ( I need not list them anyone who has ever been to a hospital will know ). Secondly doctors are not responsible for the rot in the healthcare sector , blame the inept government ( how do you expect underfunded institutions setup decades ago to render worldclass services ; this is a dynamic world if you don't upgrade with time you'll become obsolete). An mls , a pharm has no basis whatsoever to aspire to be a C MD as he/she has no knowledge of patient care ( I need not reiterate the dominant importance of a doctor in the healthcare sector as the ongoing strike has proven that beyond every reasonable doubt ,therefore it stands to reason that a doctor by virtue of his training is the most qualified to head the clinical team ) ; nurses , physiotherapists etc are not fit for the post either as their knowledge of patient care is not as allrounded as that of a doctor . Finally I must state that the demands of NMA are in order contrary to the falsehood johesu members are peddling , every claim by NMA is justifiable . There is an urgent need to define every healthworkers role as contained in the national health bill . I will respond to any sound debate regarding any point I've raised here

This RIF -RAF that claims to know all about about medicine, did you watch channels TV yesterday and saw your fellow doctors who work abroad bash you local champions that the ongoing strike is Ego-mediated and not what you claim your fighting for?