omonnakoda:
Nurse practitioners do not always work under a supervising doctor that is not true.Some are independent totally and make or receive referrals. Your assertion

an article is meaningful ONLY within the context it was written

Look at those words again and reflect on them. The word ONLY defines that sentence and makes it ridiculous.
Is a textbook meaningful ONLY within the context within which it was written.

The entire evidence base of medicine would collapse without WRITTEN ARTICLES that often transfer across "contexts".
One thing I know about Nigerian doctors especially those still in Nigeria or recently left is they make very categorical and assertive statements that are often false and lack scientific underpinning and they do not understand the concept of intellectual humility, the practice of saying "I don't know" and admitting that while doctors may know a lot(there are others who do too) , there is a lot more that they do not know. The Nigerian doctor gets most of his knowledge from READING and not from research or any scientific endeavours ,as such the quality of knowledge is as good as the quality of the read material and yet there is no culture of inquiry about how stuff gets into books. coupled with exams that ask TRUE or FALSE questions many fall into the trap of believing everything they read like robots with little capacity for reflection or critical thinking.
The truth is MBBS is just a paper. You have to sharpen the knife every day and if you don't you lose your edge and RELEVANCE.There is a turf war going on in the health industry and the reality is the sum total of what most doctors do can be broken down in bits and done by someone else. It is not impossible to imagine a world without doctors as we know them. Certainly those doctors whose daily practice only involve prescribing, ordering investigations and examination should be very worried about their future

Mbbs is just paper indeed yet many people fail out yearly. Let's even start with jamb scores.

Since, you think medicine without surgery is bleak, tell me how to manage Acute renal failure

omonnakoda:
kikikikiki
Go and ask the person who usually beats you at this time to get busy,you need it!!

This is what happens when a blockhead tries to act smart....

So you actually think that aspect of medicine is actually divided into only two? Sorry to disappoint you, there are more than two subspecialties in cardiology.
There is the cardiologist, who is the basic specialist of them all. Deals with diagnosis and treatment of various cardiovascular diseases. No surgery. No invasive techniques involved.
There is the interventional cardiologist who deals with the invasive aspects of the field. The angiography/angioplasty and the likes.
And there is the part of those whose focus is on Ischemic Heart Diseases. Not all countries has this as a subspecialty.
And the Cardiosurgery field is for any of those three who decides take it further through the use of the scapel.

You gotta read and be sure of things you are arguing about before you come here and start exposing your dumbness.
The fact that any doctor can pick up the scapel and cut people open in Nigeria, does not make it a normal way of medical practice.

InyinyaAgbaOku:


Sharrrap.
What pharmacists suggest to doctors are brand names that they market.
Design drug regimens with doctors indeed. In which village?

They actually do design drug regimen with doctors in some cases. They are some drugs or medical conditions that the doctor has to run his prescription through a pharmacists and get his/her go ahead before it can be administered to the patient. But this is not an everyday occurrence.

InyinyaAgbaOku:


If a doctor is employed as a cardiologist specifically esp in a teaching hospital , he won't perform surgeries because there will be consultant surgeons to take care of surgery cases while he concentrate on heart diseases.
Before becoming a cardiologist, the resident doctor undergoes rotational trainings in different departments including surgery, there and then, you learn the surgeries and even perform some of them.
So, he is actually equipped to perform it and can do if everywhere and anywhere.
He also graduated with mbbs giving him the license to be able to perform surgeries as far as he can learn the skills.
But no matter what, a non doctor is not licensed to do anything doctors do.
So, compare likes for likes.
So, yeah, a cardiologist is empowered to do anything plus surgeries if the opportunity comes up

Seriously? That's how they train specialist in Nigeria?
Just loop everything in a specialty together? .

InyinyaAgbaOku:


Why not compare a nurse intern to a doctor intern, and experienced nurse to an experienced doctor? Everything is wrong with comparing Sb in the lowest cadre to another in the highest cadre, in different professions.
Again, if a nurse likes, let her get PhD, it's still not the same content as to what the doctor studies. Different curriculum, roles, etc.

Many nurses learn stuff from doctors too.

The only thing constant in life is CHANGE and it seems you are unable to accept its existence within your profession.
Yes indeed, as at now the two professions are still quite distinct; yet they are slowly merging in their roles and it is possible to envisage that one day in the distant future they might even become indistinguishable - that is the simple message you are ignoring.
What you thought were direct comparisons were just tiny examples of this very change in progression.

DollyParton1:

This is what happens when a blockhead tries to act smart....

So you actually think that aspect of medicine is actually divided into only two? Sorry to disappoint you, there are more than two subspecialties in cardiology.
There is the cardiologist, who is the basic specialist of them all. Deals with diagnosis and treatment of various cardiovascular diseases. No surgery. No invasive techniques involved.
There is the interventional cardiologist who deals with the invasive aspects of the field. The angiography/angioplasty and the likes.
And there is the part of those whose focus is on Ischemic Heart Diseases. Not all countries has this as a subspecialty.
And the Cardiosurgery field is for any of those three who decides take it further through the use of the scapel.

You gotta read and be sure of things you are arguing about before you come here and start exposing your dumbness.
The fact that any doctor can pick up the scapel and cut people open in Nigeria, does not make it a normal way of medical practice.

The Human psychology and its face saving mechanisms. We are now into name calling? Blockhead? You would rather die than admit you were wrong. You said Cardiologists do not perform surgery,you were wrong ,they do. That is the only point I raised and the only one I am interested in here
Everything else is self indulgent egoism. Get over yourself

InyinyaAgbaOku:

Mbbs is just paper indeed yet many people fail out yearly. Let's even start with jamb scores.

Since, you think medicine without surgery is bleak, tell me how to manage Acute renal failure

You are clearly childish and immature a common problem which many doctors never outgrow even in their 50s. Do you really expect an answer to such a silly question? I will give you one answer though, only an undergraduate mind manages "acute renal failure" someone who has actually "been there and done that" manages patients which is a very different game from writing essays or answering MCQs. The fact is the question is totally irrelevant to the discussion and Most doctors NEVER manage acute renal failure as lead clinician throughout their careers

omonnakoda:
The Human psychology and its face saving mechanisms. We are now into name calling? Blockhead? You would rather die than admit you were wrong.

And you saw nothing insulting in your penultimate post.
I said Cardiologists do not perform surgery and I went ahead to explain myself. All you need to do is come up with your own and tell us how and where cardiologists perform surgeries.

You said Cardiologists do not perform surgery,you were wrong ,they do. That is the only point I raised and the only one I am interested in here
Everything else is self indulgent egoism. Get over yourself

I still maintain that a cardiologist in a sane clime does not perform surgery. You were wrong and you are still wrong. Educate yourself and stop throwing tantrums, it's not cute.

omonnakoda:
You are clearly childish and immature a common problem which many doctors never outgrow even in their 50s. Do you really expect an answer to such a silly question? I will give you one answer though, only an undergraduate mind manages "acute renal failure" someone who has actually "been there and done that" manages patients which is a very different game from writing essays or answering MCQs. The fact is the question is totally irrelevant to the discussion and Most doctors NEVER manage acute renal failure as lead clinician throughout their careers

Which essay again, I am not that stupid to ask you to write sth you can copy from Google, and if you copy I will know.
Ngwa, manage a person with acute renal failure.
See you trying to play humane card with your gods, as if doctors are not the only humane group in the health team

ItsMeAboki:


The only thing constant in life is CHANGE and it seems you are unable to accept its existence within your profession.
Yes indeed, as at now the two professions are still quite distinct; yet they are slowly merging in their roles and it is possible to envisage that one day in the distant future they might even become indistinguishable - that is the simple message you are ignoring.
What you thought were direct comparisons were just tiny examples of this very change in progression.

Comparing a school leaver to an experienced nurse in nursing skills. ,(never clinical knowledge) is now tiny examples ?
Ifele mekwaa unu. Merging roles indeed. Go and merge with mechanics

DollyParton1:


They actually do design drug regimen with doctors in some cases. They are some drugs or medical conditions that the doctor has to run his prescription through a pharmacists and get his/her go ahead before it can be administered to the patient. But this is not an everyday occurrence.

In which village?

DollyParton1:


And you saw nothing insulting in your penultimate post.
I said Cardiologists do not perform surgery and I went ahead to explain myself. All you need to do is come up with your own and tell us how and where cardiologists perform surgeries.



I still maintain that a cardiologist in a sane clime does not perform surgery. You were wrong and you are still wrong. Educate yourself and stop throwing tantrums, it's not cute.

No I said it depends on your definition of surgery giving you an opportunity to explain yourself which you did not seize instead you cynically asked whether surgery has more than one definition. That particular remark was very considered and deliberate. The truth is cardiologists do do surgery. You are a good or(bad) example of the total absence of intellectual humility that Nigerians display. You are too conceited to admit when you are wrong but will try all manner of sophistry to justify the unjustifiable. Well I expect that those reading this thread will see through your artifice. Change your attitude and learn to be humble before it is too late

InyinyaAgbaOku:


Which essay again, I am not that stupid to ask you to write sth you can copy from Google, and if you copy I will know.
Ngwa, manage a person with acute renal failure.
See you trying to play humane card with your gods, as if doctors are not the only humane group in the health team

Your English is embarrassing ,the funny thing is you are very transparent and easy to read.Puffed up with.........nothing,an empty barrel I have seen many of your kind before ,it is almost as if there is a mold used to fabricate you lot. Renal Failure.??Wait for me.........

omonnakoda:
Your English is embarrassing ,the funny thing is you are very transparent and easy to read.Puffed up with.........nothing,an empty barrel I have seen many of your kind before ,it is almost as if there is a mold used to fabricate you lot. Renal Failure.??Wait for me.........

Transparency is the watch word

Lagusta:
You all should remember that this article is talking about AMERICAN NURSES and NURSE PRACTICIONERS, who are nurses that have undergone advanced training to the extent that they can now diagnose common ailments and prescribe drugs, since doctors are scarce everywhere....

Please NEVER compare a foreign trained nurse to one nurse that finished from school of nursing.....

The only nurses I really give respect and regards are the graduate nurses, they went to the university, did a five year course, learned the real art and practice of nursing, there their training can be at par with the American nurses...

All other auxiliaries and those lazy "school of nursing" nurses need to take a chill pill......

Hahahahahq, this ur mouth eh. I concur bro!…