phantom:

my brother,is it also possible that the man had diabetes IN ADDITION TO OR COEXISTING WITH cancer

exactly. or it could be that he did not want to scare his family.

datribune:


d chemists take care of nigerians when doctors abandon them & go on their never-ending murderous strikes. They've been on strike for some weeks now. Ask urself what will happen if dis chemists go on a one-day strike?.
d law must always be followed & is being followed. There ar probably more poorly trained, second rate quack doctors than unregistered chemists.

You're unbelievable!
Who is a chemist?
Are they medical professionals?
What do they do, and where do they work?
When your kid has malaria, never mind if he is pale or not, take him to the chemist!
While ee are at it, let him manage your fractures and surgery.
I have seen so many ignorant and uninformed posts on this thread, but yours takes the cake.

ocelot2006:


Sure, because the garbage you've been posting are authentic. Btw, what even your issue with the doctors? 'couldn't make it to medical school with your JAMB score of 101 ? Yeah, that's what happens when you place less focus on your books and more on skelewu. Now buzz off kiddo, you have GCSE to prepare for . Coconut head.

This statement shows how Stu-pid you are, failed product of a failed educational system. I so pity you, see who is calling sm1 kiddo, you that is still in kindergarten. If you so like medicine and like to defend, go and study law and medicine, I can see you are so confused that you don't even know the course to register in jamb. I don't even believe you are a graduate of engineering talkless of going to uni because you reason from the anus. IGNORANCE OF THE 21ST CENTURY.

phantom:

my brother,is it also possible that the man had diabetes IN ADDITION TO OR COEXISTING WITH cancer

.


Truthfully, he had diabetes but is it too much to ask a doctor to do a complete check up and save a life

ebosse: .


Truthfully, he had diabetes but is it too much to ask a doctor to do a complete check up and save a life

......... oga , there are some cancers that are very occult. they creep up on you.
don't argue out of sentiments and emotions.
get the full gist before you argue please.

My fellow Nigerians, which way to go!!!!! Wahala dey. Somebody say something.

THUNDER4real: This statement shows how Stu-pid you are, failed product of a failed educational system. I so pity you, see who is calling sm1 kiddo, you that is still in kindergarten. If you so like medicine and like to defend, go and study law and medicine, I can see you are so confused that you don't even know the course to register in jamb. I don't even believe you are a graduate of engineering talkless of going to uni because you reason from the anus. IGNORANCE OF THE 21ST CENTURY.

Aaaaand the demented baboon just learnt a few new English words . Bravo!! I guess there may be hope for you to remedy that absymal WAEC result of your (F9 parallel), blockhead. And I must say that I do agree with your last sentence, 'cos it basically describes you with all those useless and baseless garbage you've been spewing on this thread. Anyone sane and learned would've thought there was a faulty connection between your brain and your fingers. Then again, with coconut water and air for brains, isn't it obvious?

Now BUZZ OFF and go read your books.

ocelot2006:


Aaaaand the demented baboon just learnt a few new English words . Bravo!! I guess there may be hope for you to remedy that absymal WAEC result of your (F9 parallel), blockhead. And I must say that I do agree with your last sentence, 'cos it basically describes you with all those useless and baseless garbage you've been spewing on this thread. Anyone sane and learned would've thought there was a faulty connection between your brain and your fingers. Then again, with coconut water and air for brains, isn't it obvious?

Now BUZZ OFF and go read your books.

See this mad man, from a family of iliterates. Go and read your book to pass those courses you got f9, I know you are a demented individual that just escaped from yaba left, Go back to school to learn 1 + 1 equals 2. your brain is so drained that you really need to buzz of as you have said and go and read your books. tolo-tolo of 21st century.

Every time the Minister of health is asked about
the strike he'll say that 90% of NMA demands
have been met. No one ever asks him to explain
what 90% meant; some circulars and MoU.
These are documents they offer you and turn
round to contravene and debase. In January they offered circulars and MoU, we took them and
called off threat of strike, 7 months later the
circulars were never implemented and the MoU
have been desecrated by this same government.
Now MoU and Circulars are no longer sacred
government documents. We want commencement of implementation. This
government lies a lot. Today they said they don't
have money to implement but 6 months earlier
when granting the circular we urged them to
send supplementary budget for it's
implementation. The government agents said our business was to do our work as they will pay
from SERVICE WIDE VOTE. Who is fooling who?
Isreal despite being in a constant war zone did
not sack her doctors after 5 months of strike.
All through this strike, doctors under NMA
directive have always scrambled to take care of bomb blasts victims in the North. Several NGOs
commended this gesture, did your government
comment on these?[b] People are bamboozled into
thinking that all doctors are actually needed to
contain ebola (which by the way this
government stood by and watch fly into Nigeria). That’s cheap propaganda.All they need are
infectious disease specialists and the public
health physicians.[/b]Ebola will also not be
managed in Teaching Hospitals, we need
quarantine centres. Not that pako (raw wood)
mama-put structure at Mainland hospital Lagos. After N1.9b release all we have are wooden
structures no airflow controlled tents. No citizen
have asked government questions on these.
NMA have volunteered to send necessary
specialists to the quarantine centres. Where are
the quarantine centres in your state? We don't need Surgeons, Gynaecologists, Dermatologist,
etc for ebola containment. It's all cheap
propaganda. Note that in this strike NMA is going
for broke. We don’t care what Nigerians think
because they are weak. People that worship
those that acquired riches by stealing from them (Nigerians). [/b]We want the health sector privatised
or order restored. People that set up Yayale
Ahmed committee to study international best
practices in health sector and make suggestions
on way forward then turn around and
undermine the same committee, rendering their recommendations useless before they started
(after spending so much to fund it).Nigerians'
capacity for selective amnesia amazes me[b].Well, I
am always consoled by the fact that every
population only gets the leadership they
deserve. [b][/b]Copied from U. R. O

This is to all of you attacking doctors without sound basis but for personal reasons, continue the affront on your sensibility.

I have consulted some of you, your parents, family or loved ones over the phone, at odd hours and while off duty, some of you even called me from abroad. I have pursued lab tests, harassed nurses and lab staff on your behalf, I have written unimaginable number of medical reports and filled in medical certificates for you to look for jobs or be redeployed from places of NYSC you never wanted to be... I thought I was helping; never would have thought you held me and my noble colleagues to such disdain and ignominy.

Now, I understand where I belong since my issues are my personal issues and nobody wants to understand with me and everyone feels I don't deserve to complain when I am not comfortable with my work environment.

I will now look at how to take care of my issues in my own way since you feel threatened whenever you remember that I am a doctor and so you believe that I collect huge salary and so I should not complain.

Thank you for reminding me of who truly I am.

Copied from a colleague

ziga:

If Docs didn't think anybody else was important, they would do everything by themselves. Which is not the case. A lot of team members have a problem with doing what the Doc says because "they are taking orders from him and they know more than he does".

Everybody in their mind knows more than GEJ, but he is our president, and until that changes, we have to take orders from him.

What is the sense in wasting resources like that? (Having Docs do everything) Economically, it costs too much to train a Doc, to have them doing certain things. It is like employing a university professor to teach a nursery school or a employ a hotel manager only to have him/her serve food.

Everybody is important, and each member has a role to play. Most Docs are only saying that other players should play their part.

Michel should play no 10
Enyeamma should stay at the goal post
Musa should stop falling etc.

If truely the Drs considered everyone important like you outlined there would be no problem at all. As a matter of fact no one would even be contesting their headship of hospitals

Wish all Drs think at least like you do about team work.

One correction though: It is not right to say Drs give ORDERS to be followed by others. That thinking is not correct and it's part of the problem destroying the health sector. What happens in the health sector is passing on work to the professional who is responsible.

A DR IS NOT ORDERING A LAB SCIENTIST TO CARRYOUT LAB TEST NEITHER IS THE LAB SCIENTIST ORDERING THE DR TO PRESCRIBE WHEN HE SENDS A SENSITIVITY TEST RESULT TO HIM. IT'S CALLED TEAM WORK OR PASSING THE BALL.

LIKE THE EXAMPLE YOU GAVE, WHEN A TEAM MATE PASSESS THE BALL TO ANOTHER IT IS NOT REGARDED AS AN ORDER NEITHER IS IT CONSIDERED AS RECIEVING INSTRUCTIONS. ALL OFFENSIVE TERMS AND MENTALITY SHOULD BE TAKEN OUT OF HEALTH.

LETS THINK LESS OF OURSELVES AND MORE OF HOW WE CONTRIBUTE TO THE WELL BEING OF PATIENTS

TRUE, SOME PLAYERS ARE SO CENTRAL TO A TEAM EG MESSI OR RONALDO, YET, THEIR PASSESS TO FELLOW TEAM MATES ARE NOT CONSIDERED ORDERS neither do the star players see it as such

Judah1986: Every time the Minister of health is asked about
the strike he'll say that 90% of NMA demands
have been met. No one ever asks him to explain
what 90% meant; some circulars and MoU.
These are documents they offer you and turn
round to contravene and debase. In January they offered circulars and MoU, we took them and
called off threat of strike, 7 months later the
circulars were never implemented and the MoU
have been desecrated by this same government.
Now MoU and Circulars are no longer sacred
government documents. We want commencement of implementation. This
government lies a lot. Today they said they don't
have money to implement but 6 months earlier
when granting the circular we urged them to
send supplementary budget for it's
implementation. The government agents said our business was to do our work as they will pay
from SERVICE WIDE VOTE. Who is fooling who?
Isreal despite being in a constant war zone did
not sack her doctors after 5 months of strike.
All through this strike, doctors under NMA
directive have always scrambled to take care of bomb blasts victims in the North. Several NGOs
commended this gesture, did your government
comment on these?[b] People are bamboozled into
thinking that all doctors are actually needed to
contain ebola (which by the way this
government stood by and watch fly into Nigeria). That’s cheap propaganda.All they need are
infectious disease specialists and the public
health physicians.[/b]Ebola will also not be
managed in Teaching Hospitals, we need
quarantine centres. Not that pako (raw wood)
mama-put structure at Mainland hospital Lagos. After N1.9b release all we have are wooden
structures no airflow controlled tents. No citizen
have asked government questions on these.
NMA have volunteered to send necessary
specialists to the quarantine centres. Where are
the quarantine centres in your state? We don't need Surgeons, Gynaecologists, Dermatologist,
etc for ebola containment. It's all cheap
propaganda. Note that in this strike NMA is going
for broke. We don’t care what Nigerians think
because they are weak. People that worship
those that acquired riches by stealing from them (Nigerians). [/b]We want the health sector privatised
or order restored. People that set up Yayale
Ahmed committee to study international best
practices in health sector and make suggestions
on way forward then turn around and
undermine the same committee, rendering their recommendations useless before they started
(after spending so much to fund it).Nigerians'
capacity for selective amnesia amazes me[b].Well, I
am always consoled by the fact that every
population only gets the leadership they
deserve. [b][/b]Copied from U. R. O

If government privatizes all the hospitals today, it will be because of in house fighting and un reasonable NMA demands. It is easier for gov to sell all the hospitals than to answer your prayers against your fellow workers who are not drs.

Even suspending residency is easier than the demands NMA is making. FG is just trying to follow the easier path!

re appraise your demands objectively and see if FG will not answer you.

The problem is not the salary increment or improved facilities that the FG is concern over, It is the un reasonable request to subdue everyone in the health sector who is not a Doctor

If ASUU had told FG that no one apart from its members be promoted to the post of registrar, they would still have been on strike or all the universities privatized by now.

You Drs make demands even against court orders like the issue of other health workers becoming Consultants. You also want FG to take decision on some other issues which are before competent law courts or yet to be determined before a duely appointed committee for the purpose thereof. HOW DO YOU WANT TO ACHIEVE ALL THESE?

SURGEON GENERAL was thrown out in national confab and if my memory serves me right even in national Assembly yet you expect FG to unilaterally appoint one even without the backing of the law. HOW IS THAT POSSIBLE?

The nation assemblies accelerated the passage of the National health bill because it wad one of your demandS.

FG tells you they don't have money to pay all your arrears as agreed in January ( even though i think FG was not telling the truth) but they will pay you for two months and then capture the rest in next years budget.

FG says issue of MD and CMAC are already before an adhoc committee, maintain status quo pendin determination, JOHESU says OK, NMA says no way!

NMA wants scheme of service altered to stop others from becoming directors while allowing them to start their carreers in civil Service on GL 13 step 3. Govt refers NMA to relevant schemes of service.

I can go on analysing NMA DEMANDS and govt Responses and solutions...........

FELLOW NIGERIANS, WHAT MORE SHOULD FG DO?

what else.........

THUNDER4real: See this mad man, from a family of iliterates. Go and read your book to pass those courses you got f9, I know you are a demented individual that just escaped from yaba left, Go back to school to learn 1 + 1 equals 2. your brain is so drained that you really need to buzz of as you have said and go and read your books. tolo-tolo of 21st century.

So it's my family now? 'guess you lack proper home training (bad parents ). But hey, keep barking like rabies-infested-s#@t-eating-local-dog, it sure fits your description perfectly . But when you're done, please go and read your books 'cos your 4th GCSE/WAEC attempt ain't doing you any favours AT ALL . 'still don't know why I waste my time with an A-grade buffoon like you though .

Now go look for attention from your mommy.

@ aztruth

thanks for bringing out these ridiculous demands of doctors. funny enough, in all their arguments on this thread or any other related thread, they always go on endlessly about the patient and the state of hospitals.

they pretend as Id these their ridiculous demands are nonexistent.

still expecting the doctor to give u a reply.

they keep on shouting they will go to other countries to practise. what they can't do in those countries, they want to be doing it here in Nigeria.

ocelot2006:

So it's my family now? 'guess you lack proper home training (bad parents ). But hey, keep barking like rabies-infested-s#@t-eating-local-dog, it sure fits your description perfectly . But when you're done, please go and read your books 'cos your 4th GCSE/WAEC attempt ain't doing you any favours AT ALL . 'still don't know why I waste my time with an A-grade buffoon like you though .

Now go look for attention from your mommy.

ocelot na wa for you o! calm down a beg. some responses don't need a reply from you

ocelot2006:

So it's my family now? 'guess you lack proper home training (bad parents ). But hey, keep barking like rabies-infested-s#@t-eating-local-dog, it sure fits your description perfectly . But when you're done, please go and read your books 'cos your 4th GCSE/WAEC attempt ain't doing you any favours AT ALL . 'still don't know why I waste my time with an A-grade buffoon like you though .

Now go look for attention from your mommy.

oh you lack proper home training? pls tell us more about your useless self. Failed product of educational system. So you are considering GCE, Pls register. I so pity your pitiable condition. I don't even know I am chatting with a dog eater, I have to lock up my dog before you consume it. Any way I don't blame you but your parents who ended up bringing up a MINUS to the society.

phantom:
ocelot na wa for you o! calm down a beg. some responses don't need a reply from you

My brother, abeg no mind that useless pikin . I blame myself for giving that coconut head to much attention. Lesson learned

ocelot2006:

My brother, abeg no mind that useless pikin . I blame myself for giving that coconut head to much attention. Lesson learned

BRING IT ON...Why run away...we are just starting..Bastard son of a thousand fathers.

aztruth:


If truely the Drs considered everyone important like you outlined there would be no problem at all. As a matter of fact no one would even be contesting their headship of hospitals

Wish all Drs think at least like you do about team work.

One correction though: It is not right to say Drs give ORDERS to be followed by others. That thinking is not correct and it's part of the problem destroying the health sector. What happens in the health sector is passing on work to the professional who is responsible.

A DR IS NOT ORDERING A LAB SCIENTIST TO CARRYOUT LAB TEST NEITHER IS THE LAB SCIENTIST ORDERING THE DR TO PRESCRIBE WHEN HE SENDS A SENSITIVITY TEST RESULT TO HIM. IT'S CALLED TEAM WORK OR PASSING THE BALL.

LIKE THE EXAMPLE YOU GAVE, WHEN A TEAM MATE PASSESS THE BALL TO ANOTHER IT IS NOT REGARDED AS AN ORDER NEITHER IS IT CONSIDERED AS RECIEVING INSTRUCTIONS. ALL OFFENSIVE TERMS AND MENTALITY SHOULD BE TAKEN OUT OF HEALTH.

LETS THINK LESS OF OURSELVES AND MORE OF HOW WE CONTRIBUTE TO THE WELL BEING OF PATIENTS

TRUE, SOME PLAYERS ARE SO CENTRAL TO A TEAM EG MESSI OR RONALDO, YET, THEIR PASSESS TO FELLOW TEAM MATES ARE NOT CONSIDERED ORDERS neither do the star players see it as such

I agree with your principle as well.

I do not work in Nigeria, so I can tell you that I have seen both sides.

The places I have worked (outside Nigeria), when a Doc prescribes or writes an instruction or whatever he wants, It is called a physician order.
So, Lab tests, medications etc are called physician orders.

So, referring to Docs instructions as orders is nothing new and that is what it is called in the part of the world where I work, that Nigerians are trying to emulate.

When I write an "order" here, it has to be performed. If it is not done, the Pharmacist or lab scientist or nurse would appropriately call to let me know if they have recommendations that might differ from mine. However, I still have the final say regarding what is done because I stand as the coordinator of care between all health workers involved and the patient.

A Doctor is trained as a diagnostician and coordinator between other healthworkers and that is why the curriculum overlaps with so many other's. A lot of people have been chanting a Doc can't be a jack of all trades, but he is. Not master of all. But he is the jack of all trades.

Regardless of what we want to cal it. That is order/instructions or anything. We should not create chaos ad we should play our parts in the care of our patients.

And this is the biggest issue I have with everything going on. Even when we work as a team, there is still a process, otherwise there is no team.

Ego is a personality trait, and a lot of people believe Docs have big Egos. Maybe true, maybe not. However, regardless of how you feel about your teammate's personality, we still have to perform our duties.

THUNDER4real: hey why are you beating around the bush? you said before that most doctors are preparing to leave the country now you are saying you pity people like me. Mr man I believe you were affected or some one close to you is. So who among both of us need to be pitied? Just make up your mind: You are jobless as of now or the person you are fighting for is jobless because of the wicked act of strike displayed. Do you think doctors in Nigeria are gods? I believe this is your mentality and its very childish of you. NIGERIANS WILL STILL SURVIVE even if it remains only one sincere doctor to take care of over 120 mil people..

isokuso. One doctor can cater for 120 million people!

PHYSICIAN'S ORDERS

The most common way of delegating authority is to write an order in a hospital chart or otherwise formally record orders for PEs. The physician may write the order in person, or a nurse may enter it in the chart at the physician's direction. Formal orders are valuable for clarifying the delegation of authority in that setting though they are less commonly used in private offices.
Standing orders, which include protocols, are a special case of written physician's orders. A standing order is an order conditioned upon the occurrence of certain clinical events. The important characteristic of a standing order is that all the patients who meet the criteria for the order receive the same treatment. A common use of standing orders is in public health clinics that treat specific diseases. A venereal disease control program will use the Centers for Disease Control (CDC) protocols for antibiotic dosages. Once the specific venereal disease is identified, the nurse administers the antibiotics as specified by the CDC protocol and authorized by the physician directing the clinic. In this situation, the CDC protocol is a standing order from the medical director, and the conditional event is the diagnosis of a specific venereal disease.
It is important to differentiate standing orders from preprinted orders: orders that the physician uses repeatedly and has photocopied to save the trouble and potential errors of rewriting each time they are used. Although the orders are the same for all patients, they are not standing orders because they are not conditional. The physician, not the nurse, determines whether the printed orders will be used in a given case. Unlike a standing order, until the physician incorporates the printed order into the chart, the nurse cannot initiate treatment. Preprinted orders are a useful tool, but they can lead to problems if a patient requires a variation in the usual printed order. These variations must be carefully marked on the orders and the nursing staff notified.
Direct orders are voice orders that are given directly to nonphysician personnel. Sometimes these orders are documented in the medical records, but usually they are carried out at once and not recorded. For example, when a surgeon directs the operating room nurse assisting in a procedure, some of the surgeon's orders will be documented, but most will not. Documenting the individual orders is not a problem in this situation because the physician is directly supervising the nurse's work. The satisfactory completion of the nurse's work will be documented as part of the operative report.
In office practice, neither the voice orders nor their satisfactory completion will necessarily be documented in the patient's chart. This makes it difficult to determine whether the physician has given a direct order, or the nonphysician personnel are acting out of routine. Unless these routine actions are carried out according to a strict protocol, the physician will not be able to ensure that the proper nursing functions have been carried out. If the physician is sued over a question about the nurse's actions, there will be no record to establish what was done to the patient.

Source http://biotech.law.lsu.edu/Books/lbb/x417.htm

Lmao! I'm so grateful to God for making me an excellent doctor; in fact I'm proud to be one and if it is paining some people then that's their business; is it beans to be a doctor? They say we like money abi? Na so I go charge serious fees for my services. I am so happy!

thaqib: isokuso. One doctor can cater for 120 million people!

OF COURSE ONE DOCTOR CAN NA!!! According to Thunder - mugu the ignorant baboon

ziga:

I agree with your principle as well.

I do not work in Nigeria, so I can tell you that I have seen both sides.

The places I have worked (outside Nigeria), when a Doc prescribes or writes an instruction or whatever he wants, It is called a physician order.
So, Lab tests, medications etc are called physician orders.

So, referring to Docs instructions as orders is nothing new and that is what it is called in the part of the world where I work, that Nigerians are trying to emulate.

When I write an "order" here, it has to be performed. If it is not done, the Pharmacist or lab scientist or nurse would appropriately call to let me know if they have recommendations that might differ from mine. However, I still have the final say regarding what is done because I stand as the coordinator of care between all health workers involved and the patient.

A Doctor is trained as a diagnostician and coordinator between other healthworkers and that is why the curriculum overlaps with so many other's. A lot of people have been chanting a Doc can't be a jack of all trades, but he is. Not master of all. But he is the jack of all trades.

Regardless of what we want to cal it. That is order/instructions or anything. We should not create chaos ad we should play our parts in the care of our patients.

And this is the biggest issue I have with everything going on. Even when we work as a team, there is still a process, otherwise there is no team.

Ego is a personality trait, and a lot of people believe Docs have big Egos. Maybe true, maybe not. However, regardless of how you feel about your teammate's personality, we still have to perform our duties.

well said

However your colleagues in Nigeria need to understand that a prescription order means just the same as Ordering things from a supermarket or something. It does not mean ORDERING PEOPLE.
IT REFERS TO ITEMS, CALL THEM DRUGS OR LAB TEST NOT People.

For instance writing a prescription order for drugs to a pharmacist is not the same as Ordering A PHARMACIST

phantom:
please relax...I was refering to the person you quoted not you.

My apologies then, cheers

aztruth:


well said

However your colleagues in Nigeria need to understand that a prescription order means just the same as Ordering things from a supermarket or something. It does not mean ORDERING PEOPLE.
IT REFERS TO ITEMS, CALL THEM DRUGS OR LAB TEST NOT People.

For instance writing a prescription order for drugs to a pharmacist is not the same as Ordering A PHARMACIST

Agreed.

ziga:

Agreed.

I think FG should look at carrying out a massive orientation for ALL health workers in Nigeria on best International practices and Nigerians who have practiced on both sides like you Should be invited as resource persons. It is much NEEDED.

Possible Restructuring Should also be considered if needed according to international best practices.

Whatever can be done, I think the health sector needs help which sadly has to come from without because all aggitations in the Health sector seems to be for the purpose of safe guarding personal interest and not about improving the system. Though always clothed with the later, the true substance is ALL Personal interest.

egopersonified: Hmm, before FG sacks doctors, hope they went to ask fashola and oshiomole what happened when they sacked doctors and teachers respectively?

Naaas.nigerians don not learn from history

egopersonified: Hmm, before FG sacks doctors, hope they went to ask fashola and oshiomole what happened when they sacked doctors and teachers respectively?

Naaas.nigerians don not learn from history.how can we keep making thesame move and expecting different result

Obinoscopy: Apologies, the mod didn't sight yours on time. An error on our part.

www.nairaland.com/1857651/fg-suspends-residency-training

Na true.
Abegi tell it to d birds.

aztruth:


well said

However your colleagues in Nigeria need to understand that a prescription order means just the same as Ordering things from a supermarket or something. It does not mean ORDERING PEOPLE.
IT REFERS TO ITEMS, CALL THEM DRUGS OR LAB TEST NOT People.

For instance writing a prescription order for drugs to a pharmacist is not the same as Ordering A PHARMACIST

Actually, most Nigerian doctors don't use or are familiar with the word 'order'.
They don't say "I'll order a CBC", rather, it is usually "I'll request for a CBC".
Laboratory forms in most Nigerian hospitals are called REQUEST forms.
In patients' case notes, PLANS are written, not ORDERS.
The notion that Nigerian doctors 'order' other healthcare professionals around when requesting for investigations is not true.