1. Introduction
The attention of the Nigerian Medical Association (NMA) has been drawn to a newspaper adverorial by the Joint Health Sector Unions (JOHESU) and Assembly of Healthcare Professional Associations (AHPA) on pafes 56 & 57 of the Punch Newspaper of January 7 2015. We are deeply concerned that a report just submitted to Mr . President has allegedly found its way into the hands of JOHESU and AHPA even before the government has had time to study its contents. We consider the comments on the report at this stage as rude, sad and highly regrettable.

2. Confidence and respect for the Yayale Ahmed Committee:
Notwithstanding this worrisome and ugly development, the NMA wishes to restate its trust and confidence in the ability and capacity of the distinguished members of the honourable committee chaired by a highly seasoned world class public servant and patriot, and membership drawn from Nigeria's best in their various disciplines to have, most probably, done an honest, clean and great job.


We observe with disbelief that the brazen transparency, unparalled accommodation of all stakeholders' input and strict compliance with global best practices which necessitated the Committee's study tour of various local health institutions and several countries of the world with efficient healthcare delivery ,didn't strike a note of reckoning to our agitating friends. We therefore, condemn in its entirety without any equivention the aspersions cast on the integrity of the members of the Committee.

3. Bane of the Nation's Public Health Sector:
It should be of great concern to any well-meaning citizen or organisation in this country that our health care system has been reduced to a pariah of an ideal health care system by persons entrusted with the responsibility of discharging the duty of care, due to inordinate ambitions, agitations and self-serving mentality of what the health care system should be as against international best practices. We wholeheartedly refuse to accept that Nigeria is a bababa republic where noting good can happen, and where anything good can happen, and where anything goes. As leaders in the health sector and the custodian of the people's health, we wish to assure Nigerian public that we shall do all in our powers to safeguard their health. Without order in the sector and strict adherence to best practices, all waste. We thank Mr President for finding space and time to seek out fundamental solutions to a protacted clogging issue crippling the Health sector.

4. Global Best Practice:
The Insitutionlisation of international best practice and clincal governance in our health care system will be one of the uncommon transformations currently going in different sectors of the economy in the country. We urge all workers, unions and associations in the health sector to align themselves with progressive move initiated by Mr. President, Dr Goodluck Jonathan in the overall interest of our people.
We shall reserve our comments on the main work of the Honorable Committee until government makes a pronouncement on the recommendations or we are obliged with a copy. Once again we stress our high regard for all the essteemed members of the Committee, and patriotically commend Mr. President, Dr Goodlust Jonathan for this bold step towars bringing to an end the intractable but avoidable crises in the health sector, and the many strides in innovative governance despite the so many inherited and emergent challenges facing the country.



5. Yayale Ahmed Committee Report:
We are not in a position right now to comment on the veracity or otherwise of the comments, allegations and suggestions put forward by JOHESU since we do not have a copy of the report and have not read it.
Nonotheless, the Terms of Reference given the Committee at their inauguration leaves no one in doubt as to the genuine desire of Government to take the issues in the Public Health Sector most fundamentally and holistically. However, going by our understanding of the character of the agitating organisations and the principal actors, we would not be surprised to learn that they would have misrepresented or outrightly falsified the alleged contents of the report in an effort to curry underserved and unnecessary sympathy of members of the public as well as influence the white paper. This is a stratey that has falled to achieve any positive result over the years, and has brought the health care system to its knees. Continuing along this line will be giving life to the widely held view that the agitators have an agenda of ensuring that the health sector under President Goodluck Jonathan's administration will never know peace. Their penchant for fueling unrests in the sector is a well-known phenomenon, but we do not see them succeeding this time.

6. Attack on the Yayale Ahmed Committee's Report:
This unprovoked attack occasioned by very premature insinuation of whatever lapses which only JOHESU and AHPA have allegedly seen has also gone far to confirm to all Nigerians the true identity of those truly engineering and fueling the crises in the sector. We had since 2011 posited that some demands and strikes by majority of Allied health workers have political undertones as these demands were self-serving, egocentric and of on value whatsoever to the advancement of health care. A situation where every professional or health worker in the health sector aspires to be designated a Consultant without clear definition of roles and command of authority continues to beat the imaginations of well-meaning citizens of this great nation and beyond. . It is verifiable globally that whatever roles any health worker plays in the care of the patient, the buck stops on the Consultant's table, who is accountable for the care of the patient. It sounds even more legally meaningful than logical for the patients, our clients, to have a particular professional to be held accountable and responsible for the care s/he receives. This is a global best practice which puts the responsibility of ultimate decision making and therefore culpability on the Consultant. Nigeria should not be an exception to this system of organisation which is natural in the healthcare setting. It is also pertinent to note that whereas the term Consultant may cannote some other meaning in the secular world, it has a single strictly applied meaning in the hospital. Since this is what JOHESU and AHPA are fighting against, our assertion that they do not mean well for Nigeria cannot be faulted. We have appealed times without number that the Health sector is uniquein structural and functional organisation and nomenclature. The whole world respects this, let's do same in Nigeria.

7. Public Private Partnership in Public Health Sector:
Let us once more use this opportunity to call on government to hasten the implementation of institutions taking a deep look at areas for public private partnerships (PPP). The closure of pharmacies and in some areas, laboratories, since thest two unions embarked on stike for about teo months now have provided a golden opportunity to truly determine what service areas that could be targeted for concession and for other PPP arrangements to enhance quality care, reduce cost of governance, drastically reduce service interruptions and without any adverse consequences. Patients have procurred their drugs from registered pharmacies outside the hospitals without pains and in settings blessed with pathologists and laboratory medicine resident doctors, laboratory services have gone unimpeded. There are lessons to be learnt from this.

8. Job Description:
We have also posited and advised that job designations/descriptions and professional roles should be defined by the direct employing authority at the point of engagement rather than being left to a broad assumption in the mind of the newly recruited. The era of generic job description and universality of schemes of service and cadres which is susceptible to all forms of abuses has become obsolete.
Borrowing from international human resource management ideals in this regard would save the nation so must pains and anguish festered on it by the suffocating fight for recognition, award of roles and appellations and other self-seeking agitations which are witnessed in the public health sector today.
Private health institutions in Nigeria, as elsewhere, have long adopted these international best practice, which explains the peace, harmony and efficient service delivery witnessed in that setting which is also serviced by the same admixture of professionals as in the Public health sector. This is the time for government to call JOHESU/AHPA to order and tell all enemies of Nigeria that enough is enough.

9. Appreciation of Nigerian Doctors:
NMA wishes to appreciate all her members in the public health sector who have continued to render medicare to Nigerians to the best of what the prevailing circumstances could allow and reassure our compatriots that we would continue to give our all to care for them. All doctors are urged to remain vigilant, and to ensure they participate fully in the forthcoming elections by ensuring that they exercise their franchise according to their convictions.

10. 2015 Elections
We also appeal to all Nigerian youths to refuse to be used by any politician, no matter how highly placed or related, to foment trouble or violence before, during or after the elections. Your families need you. Some of the children of the politicians are probably already abroad for political reasons. Let all losers in the election seek recourse to the law for redress. Violence is not an option.

Finally, we call on all candidates for the forthcoming elections to base their campaigns on issues and not on personality or resort to use of foul languages.

We wish Nigeria and all Nigeirans a very peaceful and prosperous 2015.

Signed
Dr Obitade OBIMAKINDE
Chairman, Publications and Publicity Committee,
Nigerian Medical Association.

SOURCE

take not of the bolded parts.... ** MODS,please consider this thread for the frontpage to make for a more robust discourse,thanks**

JOHESU had better come to their senses AND ON TIME TOO. The FG is not negotiating until after the elections and if JONATHAN WINS AGAIN, the recommendations of that report will be implemented.The FG is quiet and calm BUT i think THIS IS THE CALM BEFORE THE STORM!!
The FG will privatize many ancillary departments.... the pharmacies and labs especially.
JOHESU should IN THEIR BEST INTEREST call of this strike otherwise i forsee the different constituent groups pulling out one by one.
If the nurses decide to pull out,the strike is over!
JOHESU be realistic and return to work!

NMA went on strike for over 3 months last year, NARD too went on strike too for over 3 months Same last year and their demands too were also met, now JOHESU have been on strike for just 2 month and they are crying foul, blabbing all sort of jargon.

Concise enough!
But the white paper should be released soon abeg. Let ijo esu tuka ASAP

Whether Jonathan wins or not the comitee recommendation is likely gona be adopted

Its alright. Logic and reason cannot be made to stand on its head to please a few.


Johesu privatization will tell you all the truth. Pharmacies and labs will be the first to fall.

armadeo:
Its alright. Logic and reason cannot be made to stand on its head to please a few.


Johesu privatization will tell you all the truth. Pharmacies and labs will be the first to fall.

nd is privatization in best interest of d public? it jst shows u also re among those wit beef. Sori fr smhow takin it personal bt d last sentence in ur comment cald fr it

Classic case of charcoal calling pot black

optm:
nd is privatization in best interest of d public? it jst shows u also re among those wit beef. Sori fr smhow takin it personal bt d last sentence in ur comment cald fr it

I have no beef with anyone. I know how things work. Is johesu having the best interest of the public with their demands.

IMO some demands are their right others are ridiculous.
Privatisation if some of those areas will reduce some of this nonsense and every body would know his place. After all the private labs and pharmacies know how they run. Nobody misbehaves there.

Incase

phantom:
1. Introduction
The attention of the Nigerian Medical Association (NMA) has been drawn to a newspaper adverorial by the Joint Health Sector Unions (JOHESU) and Assembly of Healthcare Professional Associations (AHPA) on pafes 56 & 57 of the Punch Newspaper of January 7 2015. We are deeply concerned that a report just submitted to Mr . President has allegedly found its way into the hands of JOHESU and AHPA even before the government has had time to study its contents. We consider the comments on the report at this stage as rude, sad and highly regrettable.

2. Confidence and respect for the Yayale Ahmed Committee:
Notwithstanding this worrisome and ugly development, the NMA wishes to restate its trust and confidence in the ability and capacity of the distinguished members of the honourable committee chaired by a highly seasoned world class public servant and patriot, and membership drawn from Nigeria's best in their various disciplines to have, most probably, done an honest, clean and great job.


We observe with disbelief that the brazen transparency, unparalled accommodation of all stakeholders' input and strict compliance with global best practices which necessitated the Committee's study tour of various local health institutions and several countries of the world with efficient healthcare delivery ,didn't strike a note of reckoning to our agitating friends. We therefore, condemn in its entirety without any equivention the aspersions cast on the integrity of the members of the Committee.

3. Bane of the Nation's Public Health Sector:
It should be of great concern to any well-meaning citizen or organisation in this country that our health care system has been reduced to a pariah of an ideal health care system by persons entrusted with the responsibility of discharging the duty of care, due to inordinate ambitions, agitations and self-serving mentality of what the health care system should be as against international best practices. We wholeheartedly refuse to accept that Nigeria is a bababa republic where noting good can happen, and where anything good can happen, and where anything goes. As leaders in the health sector and the custodian of the people's health, we wish to assure Nigerian public that we shall do all in our powers to safeguard their health. Without order in the sector and strict adherence to best practices, all waste. We thank Mr President for finding space and time to seek out fundamental solutions to a protacted clogging issue crippling the Health sector.

4. Global Best Practice:
The Insitutionlisation of international best practice and clincal governance in our health care system will be one of the uncommon transformations currently going in different sectors of the economy in the country. We urge all workers, unions and associations in the health sector to align themselves with progressive move initiated by Mr. President, Dr Goodluck Jonathan in the overall interest of our people.
We shall reserve our comments on the main work of the Honorable Committee until government makes a pronouncement on the recommendations or we are obliged with a copy. Once again we stress our high regard for all the essteemed members of the Committee, and patriotically commend Mr. President, Dr Goodlust Jonathan for this bold step towars bringing to an end the intractable but avoidable crises in the health sector, and the many strides in innovative governance despite the so many inherited and emergent challenges facing the country.



5. Yayale Ahmed Committee Report:
We are not in a position right now to comment on the veracity or otherwise of the comments, allegations and suggestions put forward by JOHESU since we do not have a copy of the report and have not read it.
Nonotheless, the Terms of Reference given the Committee at their inauguration leaves no one in doubt as to the genuine desire of Government to take the issues in the Public Health Sector most fundamentally and holistically. However, going by our understanding of the character of the agitating organisations and the principal actors, we would not be surprised to learn that they would have misrepresented or outrightly falsified the alleged contents of the report in an effort to curry underserved and unnecessary sympathy of members of the public as well as influence the white paper. This is a stratey that has falled to achieve any positive result over the years, and has brought the health care system to its knees. Continuing along this line will be giving life to the widely held view that the agitators have an agenda of ensuring that the health sector under President Goodluck Jonathan's administration will never know peace. Their penchant for fueling unrests in the sector is a well-known phenomenon, but we do not see them succeeding this time.

6. Attack on the Yayale Ahmed Committee's Report:
This unprovoked attack occasioned by very premature insinuation of whatever lapses which only JOHESU and AHPA have allegedly seen has also gone far to confirm to all Nigerians the true identity of those truly engineering and fueling the crises in the sector. We had since 2011 posited that some demands and strikes by majority of Allied health workers have political undertones as these demands were self-serving, egocentric and of on value whatsoever to the advancement of health care. A situation where every professional or health worker in the health sector aspires to be designated a Consultant without clear definition of roles and command of authority continues to beat the imaginations of well-meaning citizens of this great nation and beyond. . It is verifiable globally that whatever roles any health worker plays in the care of the patient, the buck stops on the Consultant's table, who is accountable for the care of the patient. It sounds even more legally meaningful than logical for the patients, our clients, to have a particular professional to be held accountable and responsible for the care s/he receives. This is a global best practice which puts the responsibility of ultimate decision making and therefore culpability on the Consultant. Nigeria should not be an exception to this system of organisation which is natural in the healthcare setting. It is also pertinent to note that whereas the term Consultant may cannote some other meaning in the secular world, it has a single strictly applied meaning in the hospital. Since this is what JOHESU and AHPA are fighting against, our assertion that they do not mean well for Nigeria cannot be faulted. We have appealed times without number that the Health sector is uniquein structural and functional organisation and nomenclature. The whole world respects this, let's do same in Nigeria.

7. Public Private Partnership in Public Health Sector:
Let us once more use this opportunity to call on government to hasten the implementation of institutions taking a deep look at areas for public private partnerships (PPP). The closure of pharmacies and in some areas, laboratories, since thest two unions embarked on stike for about teo months now have provided a golden opportunity to truly determine what service areas that could be targeted for concession and for other PPP arrangements to enhance quality care, reduce cost of governance, drastically reduce service interruptions and without any adverse consequences. Patients have procurred their drugs from registered pharmacies outside the hospitals without pains and in settings blessed with pathologists and laboratory medicine resident doctors, laboratory services have gone unimpeded. There are lessons to be learnt from this.

8. Job Description:
We have also posited and advised that job designations/descriptions and professional roles should be defined by the direct employing authority at the point of engagement rather than being left to a broad assumption in the mind of the newly recruited. The era of generic job description and universality of schemes of service and cadres which is susceptible to all forms of abuses has become obsolete.
Borrowing from international human resource management ideals in this regard would save the nation so must pains and anguish festered on it by the suffocating fight for recognition, award of roles and appellations and other self-seeking agitations which are witnessed in the public health sector today.
Private health institutions in Nigeria, as elsewhere, have long adopted these international best practice, which explains the peace, harmony and efficient service delivery witnessed in that setting which is also serviced by the same admixture of professionals as in the Public health sector. This is the time for government to call JOHESU/AHPA to order and tell all enemies of Nigeria that enough is enough.

9. Appreciation of Nigerian Doctors:
NMA wishes to appreciate all her members in the public health sector who have continued to render medicare to Nigerians to the best of what the prevailing circumstances could allow and reassure our compatriots that we would continue to give our all to care for them. All doctors are urged to remain vigilant, and to ensure they participate fully in the forthcoming elections by ensuring that they exercise their franchise according to their convictions.

10. 2015 Elections
We also appeal to all Nigerian youths to refuse to be used by any politician, no matter how highly placed or related, to foment trouble or violence before, during or after the elections. Your families need you. Some of the children of the politicians are probably already abroad for political reasons. Let all losers in the election seek recourse to the law for redress. Violence is not an option.

Finally, we call on all candidates for the forthcoming elections to base their campaigns on issues and not on personality or resort to use of foul languages.

We wish Nigeria and all Nigeirans a very peaceful and prosperous 2015.

Signed
Dr Obitade OBIMAKINDE
Chairman, Publications and Publicity Committee,
Nigerian Medical Association.

SOURCE

JOHESITEs....should just go back to work...what is ahead won't be palatable...they shld learn from NARD Fg has 1 option left if johesu rejects this committee s reports. .they especially nurses shld leave that amorphous grp..and go back to work.dats d wise thing to do

JOHESU should know that their demands will definitely not be met so they should do the right thing and go back to work.What lies ahead if they fail to do so will not be funny.
I pity majority of their members who'll suffer as a result of selfishness on the part of their few leaders.Cant understand why nurses,pharmacists will be in the same union with cleaners,messengers et al in the name of fighting doctors.

I had been thinking for months how this unnecessary power tussle could be solved, and so clear now the answer pops up.
Privatise the laboratory and pharmacy services and it's a JOHESU knock out for life.
Omo! I pity JOHESU wallahi..

heykims:
I had been thinking for months how this unnecessary power tussle could be solved, and so clear now the answer pops up.
Privatise the laboratory and pharmacy services and it's a JOHESU knock out for life.
Omo! I pity JOHESU wallahi..

In fact, privatize the whole health care system and let everybody rest!!¡!

Lagusta:


In fact, privatize the whole health care system and let everybody rest!!¡!

Exactly, that would have been the best solution but privatizing all will skyrocket d cost of care.
I believe limiting d privatization to laboratory and pharmacy services will still be the best coz many patients and even hospitals are already used to patronizing these private establishments even when the whole hospital is functioning, no strike.
And to all fairness, their services are much better than what their counterparts in the hospitals offer though most of the private laboratories are owned by d hospitals' lab scientists...

heykims:

Exactly, that would have been the best solution but privatizing all will skyrocket d cost of care.
I believe limiting d privatization to laboratory and pharmacy services will still be the best coz many patients and even hospitals are already used to patronizing these private establishments even when the whole hospital is functioning, no strike.
And to all fairness, their services are much better than what their counterparts in the hospitals offer though most of the private laboratories are owned by d hospitals' lab scientists...

You have a point tho....

Hmmm... Privatization's in the best interest of the masses! What's the benefit of an 'incessant strike paralyzed hospital' to the masses?

heykims:

Exactly, that would have been the best solution but privatizing all will skyrocket d cost of care.
I believe limiting d privatization to laboratory and pharmacy services will still be the best coz many patients and even hospitals are already used to patronizing these private establishments even when the whole hospital is functioning, no strike.
And to all fairness, their services are much better than what their counterparts in the hospitals offer though most of the private laboratories are owned by d hospitals' lab scientists...

armadeo:
Its alright. Logic and reason cannot be made to stand on its head to please a few.


Johesu privatization will tell you all the truth. Pharmacies and labs will be the first to fall.

heykims:

Exactly, that would have been the best solution but privatizing all will skyrocket d cost of care.
I believe limiting d privatization to laboratory and pharmacy services will still be the best coz many patients and even hospitals are already used to patronizing these private establishments even when the whole hospital is functioning, no strike.
And to all fairness, their services are much better than what their counterparts in the hospitals offer though most of the private laboratories are owned by d hospitals' lab scientists...

what do see hospital pharmacy as, drug store right..... let's allow pharmaceutical care in hospitals and see if privatization of hospital pharmacy will not be in par with that of clinical services

kennedymonk:
what do see hospital pharmacy as, drug store right..... let's allow pharmaceutical care in hospitals and see if privatization of hospital pharmacy will not be in par with that of clinical services

Well, i can't waste my time lecturing u on what d word 'clinical' means...
BTW, it will be better if u can convince our salesmen pharmacists to rather pursue d implementation of pharmaceutical care rather than d 'consultant' title.
Abi what do u think?

heykims:

Well, i can't waste my time lecturing u on what d word 'clinical' means...
BTW, it will be better if u can convince our salesmen pharmacists to rather pursue d implementation of pharmaceutical care rather than d 'consultant' title.
Abi what do u think?

, I didn't ask for any lectures, there are several easier ways to gather definitions of "clinical" that is if didn't know, and I was stating the very obvious if you will be true to your self
NB I mean you no offence

kennedymonk:
, I didn't ask for any lectures, there are several easier ways to gather definitions of "clinical" that is if didn't know, and I was stating the very obvious if you will be true to your self
NB I mean you no offence

1. Chief, the might in that word is not just a function of definition but what it encompasses which obviously you ain't knowledgeable of because if u do, u won't post to a public forum that pharmaceutical care will compete with clinical care.
Sorry, I still got no time for the lecturing
2 You never made any comment as regards which the hospital pharmacists be preoccupied with, becoming a Consultant drugs salesmen or this your pharmaceutical care implementation?
Thank u.

heykims:

1. Chief, the might in that word is not just a function of definition but what it encompasses which obviously you ain't knowledgeable of because if u do, u won't post to a public forum that pharmaceutical care will compete with clinical care.
Sorry, I still got no time for the lecturing
2 You never made any comment as regards which the hospital pharmacists be preoccupied with, becoming a Consultant drugs salesmen or this your pharmaceutical care implementation?
Thank u.

u nw use such derogatory wrds as drug sales man to qualify a pharmacist? U c whts stirrin up d problem in d health sector? No mutual respect dis is nt obtainable outside d country where tins re dn rightly. An NSAID was prescribed fr my sista in d hospital nd she wz havin stomach ulcer if nt fr d pharmacist dat chose to ask if she wz havin an ulcer she wld hv took d nsaid wich wz contraindicative in ha case nd a drug sales man wldnt hv cared to ask bt sold d drug. Heard of some oda cases where med dr prescribe wrong drugs nd d drug is changed on gettin to d pharmacist. Every health care provider shld hv mutual respect nd wrk in harmony therez no superiority evry actn shld be fr d pts interest

optm:
u nw use such derogatory wrds as drug sales man to qualify a pharmacist? U c whts stirrin up d problem in d health sector? No mutual respect dis is nt obtainable outside d country where tins re dn rightly. An NSAID was prescribed fr my sista in d hospital nd she wz havin stomach ulcer if nt fr d pharmacist dat chose to ask if she wz havin an ulcer she wld hv took d nsaid wich wz contraindicative in ha case nd a drug sales man wldnt hv cared to ask bt sold d drug. Heard of some oda cases where med dr prescribe wrong drugs nd d drug is changed on gettin to d pharmacist. Every health care provider shld hv mutual respect nd wrk in harmony therez no superiority evry actn shld be fr d pts interest

No offence bro, but the obvious fact is still that the hospital pharmacists act substantially as salesmen in the hospitals. The fact that that the doc prescribed NSAIDs for a PUD patient only shows negligence on the part of the doc, he might just have been so overwhelmed by patients that he ignored taking basic medical history before the prescription which unfortunately actually happens a lot. But nevertheless, a pharmacist still has no power to change the prescription but to send the patient back to the doc with a note. Docs ain't God, they ain't perfect, we all make mistakes.
I never said pharmacists don't know their job, but that they neglected their presumed duty and rather prefer going after a Consultant title.
So now answer my question, which should be their priority?

heykims:

No offence bro, but the obvious fact is still that the hospital pharmacists act substantially as salesmen in the hospitals. The fact that that the doc prescribed NSAIDs for a PUD patient only shows negligence on the part of the doc, he might just have been so overwhelmed by patients that he ignored taking basic medical history before the prescription which unfortunately actually happens a lot. But nevertheless, a pharmacist still has no power to change the prescription but to send the patient back to the doc with a note. Docs ain't God, they ain't perfect, we all make mistakes.
I never said pharmacists don't know their job, but that they neglected their presumed duty and rather prefer going after a Consultant title.
So now answer my question, which should be their priority?

The truth is there are some instances where you can prescribe NSAIDs to a PUD patient....

But this scenario will crack you up!!!

During one of the gastroenterology clinics, a consultant prescribed a particular nsaid to a known PUD patient that had osteoarthritis.... The nurse challenged the consultant that why would he make such a blunder, but the consultant laughed and said "that is why I'm a consultant, I know what I'm doing"

Later, that same nurse goes outside, sees another patient with headache, then prescribes nsaids, the wise patient says "I'm an ulcer patient" and she says "don't worry, there is no problem"

Two days after, the nurse's patient comes to the emergency unit with excruciating abdominal pains, vomiting, etc....

When we took history, we got to know the facts....

That nurse was queried....

In my above post, the consultant gave ibuprofen, which is a less potent nsaid than diclofenac, which the nurse gave...

Se even gave diclofenac in high doses.....

optm:
u nw use such derogatory wrds as drug sales man to qualify a pharmacist? U c whts stirrin up d problem in d health sector? No mutual respect dis is nt obtainable outside d country where tins re dn rightly. An NSAID was prescribed fr my sista in d hospital nd she wz havin stomach ulcer if nt fr d pharmacist dat chose to ask if she wz havin an ulcer she wld hv took d nsaid wich wz contraindicative in ha case nd a drug sales man wldnt hv cared to ask bt sold d drug. Heard of some oda cases where med dr prescribe wrong drugs nd d drug is changed on gettin to d pharmacist. Every health care provider shld hv mutual respect nd wrk in harmony therez no superiority evry actn shld be fr d pts interest

Read my scenario above...

You and I know that all health workers have their own jobs.....

Is is NEVER the right of a pharmacist to change the prescription of a doctor...

In developed countries, if what you posted really happened, the pharmacist would quickly have a short meeting with the doc, where he would either explain his rationale or adjust his prescription...

Look at my own scenario, a woman has osteoarthritis and is also a known PUD patient, but the drugs used to treat osteoarthritis viz steroids and nsaids, are all contraindicated in acid peptic disease....

Its the job of the doctor to reason and prescribe the drugs that would benefit the patient, and the pharmacist must make sure he gets those drugs in due time. And those drugs must be up to standards....

Now let's talk about the pharmaceutical care you have been mentioning since

I really love pharmacists, in fact, I won't mind if their salary is at par with doctors (that's how it is overseas, with a slight difference) but why would they stoop so low to mix themselves with nurses (not BNSC nurses, those guys now have sense) porters and cleaners that struggled to have school cert

This is why johesu is just a clownish association....

When the lab scientists joined the strike, they forgot that we also have doctors that specialized in lab medicine.....

In fact, this country ehhhhnnnnn......

These are the things they dont understand.
THE PHARMACISTS KNOW THEIR DRUGS- EFFECTS ON THE BODY,THE BODY'S EFFECT ON THE DRUG,SIDE EFFECTS ETC.....

.......BUT WHEN YOU INTRODUCE A DISEASE,THE PICTURE CHANGES......



the DOCTORS KNOW THE EFFECT OF A DISEASE ON THE BODY AND THE BODYS RESPONSE TO THE DISEASE.
IT IS THIS KNOWLEDGE THAT GIVES THE DOCTOR THE EDGE BY FAR! HE KNOWS HOW TO USE THE FULL PROPERTIES OF DRUGS INCLUDING THEIR SIDE EFFECTS TO GET RESULTS.

A WOMAN WITH A VERY PAINFUL ABDOMEN(acute) GOES TO A PHARMACIST. HE GIVES HER A STRONG PAINKILLER AND SENDS HER TO THE HOSPITAL.
A SEASONED DOCTOR WILL NOT DO THAT!

phantom:
These are the things they dont understand.
THE PHARMACISTS KNOW THEIR DRUGS- EFFECTS ON THE BODY,THE BODY'S EFFECT ON THE DRUG,SIDE EFFECTS ETC.....

.......BUT WHEN YOU INTRODUCE A DISEASE,THE PICTURE CHANGES......



the DOCTORS KNOW THE EFFECT OF A DISEASE ON THE BODY AND THE BODYS RESPONSE TO THE DISEASE.
IT IS THIS KNOWLEDGE THAT GIVES THE DOCTOR THE EDGE BY FAR! HE KNOWS HOW TO USE THE FULL PROPERTIES OF DRUGS INCLUDING THEIR SIDE EFFECTS TO GET RESULTS.

A WOMAN WITH A VERY PAINFUL ABDOMEN(acute) GOES TO A PHARMACIST. HE GIVES HER A STRONG PAINKILLER AND SENDS HER TO THE HOSPITAL.
A SEASONED DOCTOR WILL NOT DO THAT!

This is what is happening in some pharmacies.....

I went to purchase a sthetoscope in one big pharmacy, I saw the "pharmacist" attending to patients like a doctor, even misdiagnosing them, prescribing the wrong drugs, etc....

It was quite annoying, but I can't say a word, because it isn't my service to render....

Lagusta:


This is what is happening in some pharmacies.....

I went to purchase a sthetoscope in one big pharmacy, I saw the "pharmacist" attending to patients like a doctor, even misdiagnosing them, prescribing the wrong drugs, etc....

It was quite annoying, but I can't say a word, because it isn't my service to render....

I guess that what they call ''pharmaceutical care''

Lagusta:
In my above post, the consultant gave ibuprofen, which is a less potent nsaid than diclofenac, which the nurse gave...

Se even gave diclofenac in high doses.....

thank you. medicine is not maths.

bola555:
Incase

Same here.