agitator:

My question still remains


Please, respond logically to convince me, not sentimentally by saying we can't afford

As I told you.....if you want a well equipped hospital with good facilities....well, first most of the facilties needed are made abroad. So,importing them will cost money. Next, we have to maintain the facilities. That costs money.Thirdly, because of no light and no water...we have to provide water and light. That costs money (In India....light and water is stable....at least in the big cities because....they have nuclear power. ). Then you have to pay the staff....not just the docs...well. That costs money.

For me....the problem is that we do not have adequate water and power supply....and that eats up most of the running costs of many a hospital. Then....we have to,as I said earlier....import things like theater equipment, x-ray machines, EKG's,dialysis machines, etc.(If Nigeria was an industrial economy....we would be manufacturing these things.). Finally, repairs when they break down. Because we have a scarcity of good technicians (thanks to the fact that everybody thinks that technical school is for dull people)...we have to import techies from outside...and that costs money.

And guess who will be paying for all that (Hint-it isn't the government).

Despite that...we do have some good world class private hospitals (Ekocorp, Cedarcrest, Diff,Nisa). But....if we want more of them....we have to get the light and power back on line. We have to industrialize....so that we can manufacture medical equipment at home. We have to train more master technicians. We have to increase the number of docs,nurses,lab technicians, etc. And we need a truly National Health Insurance scheme....not a scheme for just salaried workers.

And you Nigerians have to be prepared to pay out of pocket costs that would be much higher than what you pay for 'govt hospitals'.

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

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? 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.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). 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.Well, I
am always consoled by the fact that every
population only gets the leadership they
deserve. [b][/b]Copied from U. R. O

It's a display of ignorance to think that consultants will work under Govt when govt sacked resident doctors. What sort of reasoning is that

dalhat14:
ur tone shows u don't understand what residency training is all about and u obviously don't know how teaching hospitals work, so u think MOs no matter their years of experience can do the work of a senior registrar or even a registrar in fields like ENT or Anaesthesia or neurosurgery or plastic surgery, or do u think consultants can run the teaching hospitals and other federal hospitals alone without their residents that do the hard work, no one is arguing the permanent staff status of residents here u know, they obviously aren't permanent staff

I'm a social worker in a FMC, so i'm familiar with all these...At least for now, consultants in federal hospitals will stop lazying around and do the real work they are paid for..Residency has not been suspended in state teaching hospitals right?

toysleek:
I'm a social worker in a FMC, so i'm familiar with all these...At least for now, consultants in federal hospitals will stop lazying around and do the real work they are paid for..Residency has not been suspended in state teaching hospitals right?

Residency has been suspended in all hospitals be it state or federal government. Wherever there is residency is affected. I'm a registrar and I boldly declare that consultants do not lazy around. After they attend clinic, surgery and consultant ward rounds (which entails 3 out of 5 working days), is that lazying around? They were once in my shoes, they have suffered and have paid their dues therefore they should only be disturbed for cases that are beyond us....hence the title CONSULTANT

bushdoc9919:

As I told you.....if you want a well equipped hospital with good facilities....well, first most of the facilties needed are made abroad. So,importing them will cost money. Next, we have to maintain the facilities. That costs money.Thirdly, because of no light and no water...we have to provide water and light. That costs money (In India....light and water is stable....at least in the big cities because....they have nuclear power. ). Then you have to pay the staff....not just the docs...well. That costs money.

For me....the problem is that we do not have adequate water and power supply....and that eats up most of the running costs of many a hospital. Then....we have to,as I said earlier....import things like theater equipment, x-ray machines, EKG's,dialysis machines, etc.(If Nigeria was an industrial economy....we would be manufacturing these things.). Finally, repairs when they break down. Because we have a scarcity of good technicians (thanks to the fact that everybody thinks that technical school is for dull people)...we have to import techies from outside...and that costs money.

And guess who will be paying for all that (Hint-it isn't the government).

Despite that...we do have some good world class private hospitals (Ekocorp, Cedarcrest, Diff,Nisa). But....if we want more of them....we have to get the light and power back on line. We have to industrialize....so that we can manufacture medical equipment at home. We have to train more master technicians. We have to increase the number of docs,nurses,lab technicians, etc. And we need a truly National Health Insurance scheme....not a scheme for just salaried workers.

And you Nigerians have to be prepared to pay out of pocket costs that would be much higher than what you pay for 'govt hospitals'.

OK lets go private hospitals, since th government can't fund the govt hospitals.

Nitel already had towers in all major cities and LGA in Nigeria, all networked through microwave was given free license to operate GSM services while others paid million of dollars for the licences yet they couldn't compete with the private telcos. Today they have gone into oblivion.

Same thing is happening to Nipost, others are making a killing Nipost with offices in all major towns and cities cant compete just becuase the employees think they are next thing to God in Nigeria.

The government should privatize the hospitals

You fight for bad conditions in government hospitals whereas some private hospitals/clinics are nothing to write home about. AFter running test and doing most of the diagnosis in the government hospitals then patients are referred to the private hospitals/clinics

Its a good thing I don't go close to hospital.

This action will only affect people who have been brainwashed to think the living depend on the hospital.

laplace12:
There are more than 16000 unemployed doctors waiting to take that job

in all ramification, there's nothing like unemployed doctors
Guys and girls rush doctors especially, for marriage, because of two reasons. First, is the prestige, second is that at every point in time, you have something entering your account, something that can sustain a family. What matters now is how much one desire to make monthly. You make a choice to step up.

Hmm

agitator:

OK lets go private hospitals, since th government can't fund the govt hospitals.

Nitel already had towers in all major cities and LGA in Nigeria, all networked through microwave was given free license to operate GSM services while others paid million of dollars for the licences yet they couldn't compete with the private telcos. Today they have gone into oblivion.

Same thing is happening to Nipost, others are making a killing Nipost with offices in all major towns and cities cant compete just becuase the employees think they are next thing to God in Nigeria.

The government should privatize the hospitals

You fight for bad conditions in government hospitals whereas some private hospitals/clinics are nothing to write home about. AFter running test and doing most of the diagnosis in the government hospitals then patients are referred to the private hospitals/clinics

Its a good thing I don't go close to hospital.

This action will only affect people who have been brainwashed to think the living depend on the hospital.

That's why, re hospitals....I support increased funding,as well as an expansion of NHIS.

Thing is....we are an oil dependent economy....and the only oil dependent economies I know of that can provide social services for most of their people are either diversified industrial economies,or have populations less than 20million people.Nigeria is neither.

But anyway....as I have said earlier....privatisation wouldbe burdensome on the average Nigerian. So.....what are the alternatives.

1.Increase health care spending.(And I have a formula....remove 30% of the state allocations...remove the fuel subsidy...and use the money to build power and public transport infrastructure...as well as increase funding for health and education.).And improving power means that hospitals will have more money to spend on proper things.

2.Promote the growth of industries so that we can manufacture lab,and medical/scientific equipment here in Nigeria...which would make them cheaper.

3.Create a NHS that would help alleviate the costs for poor people

4.Promote increased funding for health care related research...and preventive medicine.

3.

Judah1986:

Residency has been suspended in all hospitals be it state or federal government. Wherever there is residency is affected. I'm a registrar and I boldly declare that consultants do not lazy around. After they attend clinic, surgery and consultant ward rounds (which entails 3 out of 5 working days), is that lazying around? They were once in my shoes, they have suffered and have paid their dues therefore they should only be disturbed for cases that are beyond us....hence the title CONSULTANT

I am quoting your post for posterity before the content is changed.
Coming to a public forum like nairaland to unknowingly acknowledge the allegation of fellow Nigerians that consultants don't come to work is really something to be marvel at . If working 3 out of 5 working days isn't lazying about then I wonder what is.
No matter how exhausted you are, you're duty bound to perform in your line of duty or resign. The bankers and all those that works in private firms will attest to this but the chase is different in government owned firms.
Being a consultant equivalent of attending physicians in US entails a lot of responsibilities and less luxury time for self and family.

Morotov1: I am quoting your post for posterity before the content is changed.
Coming to a public forum like nairaland to unknowingly acknowledge the allegation of fellow Nigerians that consultants don't come to work is really something to be marvel at . If working 3 out of 5 working days isn't lazying about then I wonder what is.
No matter how exhausted you are, you're duty bound to perform in your line of duty or resign. The bankers and all those that works in private firms will attest to this but the chase is different in government owned firms.
Being a consultant equivalent of attending physicians in US entails a lot of responsibilities and less luxury time for self and family.

God bless you my brother.

Morotov1: I am quoting your post for posterity before the content is changed.
Coming to a public forum like nairaland to unknowingly acknowledge the allegation of fellow Nigerians that consultants don't come to work is really something to be marvel at . If working 3 out of 5 working days isn't lazying about then I wonder what is.
No matter how exhausted you are, you're duty bound to perform in your line of duty or resign. The bankers and all those that works in private firms will attest to this but the chase is different in government owned firms.
Being a consultant equivalent of attending physicians in US entails a lot of responsibilities and less luxury time for self and family.

What my colleague told you about consultants is not entirely true.....I work in a private hospital where the consultants are busy all throughout the week(and one of them even comes weekends). Plus...in a teaching hospital....if you are a consultant....you are busy not only attending to patients...but lecturing students, and training residents(which means coming out on weekends sometimes!). Plus...you have to do research,and keep up your knowledge by attending conferences, and studying(One of the pediatric consultants where I trained would sometimes come back to his office in the evenings, and do a bit of studying.). And if you are a consultant in paediatrics in the North....na work be that!

Plus being on call as a consultant means coming out in the night to see patients. And,in the case of the surgical consultant...and the obs/gyn...doing operations on them....sometimes as late as 2 pm.

toysleek:
I'm a social worker in a FMC, so i'm familiar with all these...At least for now, consultants in federal hospitals will stop lazying around and do the real work they are paid for..Residency has not been suspended in state teaching hospitals right?

oohh, I should have known, now I know where u are coming from, a johesu person, I wouldn't even have responded if I had known, I don't expect objectivity, certified doctor haters. Mr consultant social worker

Morotov1: I am quoting your post for posterity before the content is changed.
Coming to a public forum like nairaland to unknowingly acknowledge the allegation of fellow Nigerians that consultants don't come to work is really something to be marvel at . If working 3 out of 5 working days isn't lazying about then I wonder what is.
No matter how exhausted you are, you're duty bound to perform in your line of duty or resign. The bankers and all those that works in private firms will attest to this but the chase is different in government owned firms.
Being a consultant equivalent of attending physicians in US entails a lot of responsibilities and less luxury time for self and family.

The remaining 2 days are registrars and senior registrars ward rounds. As for call duty, the 2006 guidelines of the Royal College of Obstetricians and gynaecologists does not require consultants to always be on ground. Let's not forget that they give lectures and training to medical students. They also have clinical meetings with the residents every morning to review the previous day's activities. SO THEY DO NOT LAZY AROUND

dalhat14:
oohh, I should have known, now I know where u are coming from, a johesu person, I wouldn't even have responded if I had known, I don't expect objectivity, certified doctor haters. Mr consultant social worker

Is that all you have to say? I see you are the one that is being objective.

bushdoc9919:

What my colleague told you about consultants is not entirely true.....I work in a private hospital where the consultants are busy all throughout the week(and one of them even comes weekends). Plus...in a teaching hospital....if you are a consultant....you are busy not only attending to patients...but lecturing students, and training residents(which means coming out on weekends sometimes!). Plus...you have to do research,and keep up your knowledge by attending conferences, and studying(One of the pediatric consultants where I trained would sometimes come back to his office in the evenings, and do a bit of studying.). And if you are a consultant in paediatrics in the North....na work be that!

Plus being on call as a consultant means coming out in the night to see patients. And,in the case of the surgical consultant...and the obs/gyn...doing operations on them....sometimes as late as 2 pm.

I work in a teaching hospital and what you posted here is the partial truth. Listing all those things won't save them because they knew it is part of the joB before signing up.

Judah1986: The remaining 2 days are registrars and senior registrars ward rounds. As for call duty, the 2006 guidelines of the Royal College of Obstetricians and gynaecologists does not require consultants to always be on ground. Let's not forget that they give lectures and training to medical students. They also have clinical meetings with the residents every morning to review the previous day's activities. SO THEY DO NOT LAZY AROUND

I have friends that didnt see their consultants due to their non availability all through their period of pregnancy (booking till delivery)..they are most times in their private hospitals..What do you call that?

Judah1986:

Residency has been suspended in all hospitals be it state or federal government. Wherever there is residency is affected. I'm a registrar and I boldly declare that consultants do not lazy around. After they attend clinic, surgery and consultant ward rounds (which entails 3 out of 5 working days), is that lazying around? They were once in my shoes, they have suffered and have paid their dues therefore they should only be disturbed for cases that are beyond us....hence the title CONSULTANT

From all the news i've heard, it has only been suspended in federal hospitals, hence the termination of only federal resident doctors... I stand to be corrected.

Judah1986: The remaining 2 days are registrars and senior registrars ward rounds. As for call duty, the 2006 guidelines of the Royal College of Obstetricians and gynaecologists does not require consultants to always be on ground. Let's not forget that they give lectures and training to medical students. They also have clinical meetings with the residents every morning to review the previous day's activities. SO THEY DO NOT LAZY AROUND

Don't try to rationalize this. Truancy cannot be quantified and excuses in a sensitive sector as health.


Those are the duty expected of any consultants.

dalhat14:
oohh, I should have known, now I know where u are coming from, a johesu person, I wouldn't even have responded if I had known, I don't expect objectivity, certified doctor haters. Mr consultant social worker

And by the way, i have twin sisters who are both doctors(brilliant ones for that matter)..So, i dont hate docs.

toysleek:
I have friends that didnt see their consultants due to their non availability all through their period of pregnancy (booking till delivery)..they are most times in their private hospitals..What do you call that?

What's your point? Are all consultants like that? If I was cheated on by my girlfriend does that make all girls bad? All these attempts to prove to be right will help no one. I've stated what obtains in the places I've worked. If you believe all consultants are lazy then so be it. And by the way, not all pregnant women must be seen by a consultant (except for high risk pregnancies); in fact in this country with such a large population and so few doctors it is not even feasible.

Morotov1: Don't try to rationalize this. Truancy cannot be quantified and excuses in a sensitive sector as health.


Those are the duty expected of any consultants.

What's your point? All these attempts to prove to be right will help no one. I've stated what obtains in the places I've worked. If you believe all consultants are lazy then so be it. And with no offence intended: you are not in any position to tell me what is expected of my consultants; that is why we have a book entitled "CODE OF MEDICAL ETHICS"

laplace12:
Chill bro.
Fashola fought and won it.
Those guys forget too quick they are employees.

.

OP will usually block my crisp comments on pungent national issues like this, so let me pass quietly and watch. Good day all.
Meanwhile can anybody refer me to another social media that is 'open hearted and neutral'?

toysleek:
And by the way, i have twin sisters who are both doctors(brilliant ones for that matter)..So, i dont hate docs.

oh great, are they into the residency training programme?

dalhat14:
oh great, are they into the residency training programme?

What does it matter?

toysleek:
I'm a social worker in a FMC, so i'm familiar with all these...At least for now, consultants in federal hospitals will stop lazying around and do the real work they are paid for..Residency has not been suspended in state teaching hospitals right?

consultants are primarily employed by universities. most of their works are in universities.

Malawian:
mr doctor, it is " you are mature" ok?

Correction noted with many thanks...still doesn't change the childishness of your quotes...nagani ko?

toysleek:
What does it matter?

ok nau, c ya

thepathologist:
consultants are primarily employed by universities. most of their works are in universities.

I don't get you..the fmc where i work is not a teaching hospital,yet we have close to 50 consultants..

laplace12:

Stop belittling yourself bro. Practice in every profession is beyong paper qualification.

In the labour market, I don't think anybody is indispensable. It will only cost a little more cash and inconvenience.

It would have been better if you had not written anything,now everybody knows you're an olodo rabata,a Dr is telling you reality on ground,you 're disputing it, can you be more Catholic than the pope?