DebateNigeria:

Wow.. You can really drive home your point without being too emotional.
I have been able to witness the schedule of a medical doctor and I was marveled. The next question that came to my mind was what is the life expectancy of an average Nigerian doctor.
Sincerely speaking, those in the teaching hospitals and general hospitals are working like machines.

i guess you are one of the informed nigerians that have been on the wards before and watched what happens... thanks for understanding and may God bless you

DebateNigeria:
Most times, they are Vice President of Nursing services... You can re-check. But when it comes to administration, there is usually a meeting. Even when disciplinary actions want to be taken against doctors, I am sure non doctors are made members of such panels.
Yes, even in our hospitals, some nurses rank higher than doctors, eg the head of nursing services or clinical services (if a nurse) will definitely be higher than other health workers (doctors inclusive). But looking at it in a broader perspective, the doctor will always take the lead, from leading the clinics and or ward visits, to making final decisions concerning patients, to administrative hierarchy in the hospital.

..

1. Ward visits are hospital dependent, A pharmacist can initiate a ward visit on his/her own, so also other therapists, they do a permit from anyone as long as they document their findings

2. In modern medicine doctors only make decisions where there compitence lies... in most modern hospitals these days, all the MD does is diagnose and leave the drug, dosage and etc to the pharmacist.... also, Physician assistants even cover for the doctors in most cases.

Things have changed since the 18 century

kmariko: .

I believe that the schedule of a general practioner is so because the NMA wants it as such... Many countries have moved on. in some places there are Nurse practioners, Physician assistants, Advanced Pharm.Ds that see patients, diagonise and prescribe medications. Introduce that in the country and reduce the load with the resultant wider access to health care in the country

Beautiful, I agree. But will the doctor have the power to make final decision concerning such patients.
I am not a medical doctor but have friends who are doctors and I used to have ulcer which I am sure the pain is at the upper part of my abdomen. But to my surprise, there was a thread on health section, a pharmacist was consulting for nairalanders and was asked to advise someone with pain on her right lower abdomen, to my surprise, she said it was ulcer. She probably have more knowledge than me, but I am not sure any doctor will make such a mistake.
She tried so hard to show that pharmacists can do it, but she got it wrong. Yo me, that is not clinical pharmacy. I will take time to read about clinical pharmacy and make comments when the time is right.
I agree that the workload is too much. Are you aware that in this country we have CHEWS(Community Health Extension Workers) and they attend to patients and help reduce workload, but they have never been a threat to doctors, pharmacist or others.
The way JOHESU is going about theirs, it's as if they are going to pose as threats...... The patients are at the receiving end.

creativeEngr:

In other words, since other 'professionals' cut corners, doctors shouldn't be left out of the business of unethical practices that is killing society...

It's unfortunate the extent to which our society has deteriorated inspite of how 'everyone' believes in God. That said, there's nothing wrong with working extra hours regardless of your profession but when a substantial number of Doctors in the employ of Govt abandon their duty post during official work hours to attend to their private patients who obviously pay more, it's saddening to put it mild.. Except, we want to feign ignorance, this we know is the standard practice.... Tell me how health care in Govt hospitals can grow under these circumstance... Note that I haven't mentioned the art of diverting equipment, medicines, vaccines, etc from Govt hospitals... The decision makers who are also key players in NMA, JOHESU, etc are the same ones who force others on strike...

Yes, other professionals outside the medical field are also guilty where applicable but besides ASUU, others don't hold the country to ransom with frivolous demands... What is wrong is wrong... Perhaps, the only effective means to get their voices heard is strike action and as such, I wouldn't blame Doctors but what is ironic to a thinking mind is how the same profession that should save lives abandon their noble calling on a consistent basis over welfare demands, chieftancy titles SORRY, CONSULTANCY titles, etc while people are dying... Hmm, why should we worry about the state of public hospitals when God will always heal us 'miraculously' , only believe ...

Every society gets the leadership it deserves, ours inclusive. I rest my case

Yea, I want to join you in thanking God that heals us miraculously and besides, we have house of God and people of God who can also pray for us and miracles are free by the way. None has ever been turned back from seeking divine healing my friend.
Now you talk of doctors holding all to ransom, when PENGASSAN go on strikes, I don't believe any section of the public is exempted at such times of scarcity. Just as you have alternatives in black markets, private hospitals are one of the many alternatives in this time of doctors' medical-input scarcity. You see the demands as frivolous but someone said it earlier- what faces someone backs another and I want to leave it at that.
Substantial number of doctor see patients at their private facilities during working hours- how substantial? And how did you arrive at your conclusion? Besides, how did you know their working hours? You may not necessarily understand certain things except you are in the system and scheme of things. If you are so sure they were wrong in that sense, you could do all some good by getting them reported and seeing everything to a logical conclusion.
Yes, doctors swore to an oath. So? They should 'die' or 'suffocate' and be silent so long as he keeps 'saving' lives. To me I think that is a bit self-centred cos everybody gives his best when the working environment permits. We hammer oaths, just as doctor take oaths, so do our legislators, president, including you. The national pledge you recited could be viewed same way and yet, when that is flouted, are you saying it doesn't matter? I lost my dad months back with months of his pension running to years unpaid because someone sat on it, yet the labor of our heroes past shall never be in vain you shout daily! If Hippo were to be around in Nigeria of today, do you thing he would have come up with such lofty well meant oath? My friend, my 'noble calling' will not pick anything free or obtain free service from you and if the law sees it as within my right to use strike to press home my demand(s), well let's leave it at that cos 'ideal' is different from 'REALITY'.

kmariko: ..

1. Ward visits are hospital dependent, A pharmacist can initiate a ward visit on his/her own, so also other therapists, they do a permit from anyone as long as they document their findings

2. In modern medicine doctors only make decisions where there compitence lies... in most modern hospitals these days, all the MD does is diagnose and leave the drug, dosage and etc to the pharmacist.... also, Physician assistants even cover for the doctors in most cases.

Things have changed since the 18 century

Ok. Noted. Will do some research. But not a bad idea.

kmariko: ..
1. Ward visits are hospital dependent, A pharmacist can initiate a ward visit on his/her own, so also other therapists, they do a permit from anyone as long as they document their findings
2. In modern medicine doctors only make decisions where there compitence lies... in most modern hospitals these days, all the MD does is diagnose and leave the drug, dosage and etc to the pharmacist.... also, Physician assistants even cover for the doctors in most cases.
Things have changed since the 18 century

who changed them? please give examples, especially about number 2 in your post, and stop writing conjectures like they are confirmed info... STOP MISINFORMING THE PUBLIC FOR YOUR OWN PERSONAL GAIN...
diagnose and leave drug and dosage to the pharmacist? who does that? never heard about that ever so you're talking bullocks... and every doctor develops his own practice and style, apart from the documented protocols, he knows what works for him...
even on the educative medical shows on tv... i've never heard about this

DebateNigeria:

Beautiful, I agree. But will the doctor have the power to make final decision concerning such patients.
I am not a medical doctor but have friends who are doctors and I used to have ulcer which I am sure the pain is at the upper part of my abdomen. But to my surprise, there was a thread on health section, a pharmacist was consulting for nairalanders and was asked to advise someone with pain on her right lower abdomen, to my surprise, she said it was ulcer. She probably have more knowledge than me, but I am not sure any doctor will make such a mistake.
She tried so hard to show that pharmacists can do it, but she got it wrong. Yo me, that is not clinical pharmacy. I will take time to read about clinical pharmacy and make comments when the time is right.
I agree that the workload is too much. Are you aware that in this country we have CHEWS(Community Health Extension Workers) and they attend to patients and help reduce workload, but they have never been a threat to doctors, pharmacist or others.
The way JOHESU is going about theirs, it's as if they are going to pose as threats...... The patients are at the receiving end.

So also are doctors who confuse anxiety for indigestion or aggravated a simple food poisoning with a bucket load of antibiotics.. It all depends on who you are talking to. BTW there is this thing called second opinion.

kmariko:

So also are doctors who confuse anxiety for indigestion or aggravated a simple food poisoning with a bucket load of antibiotics.. It all depends on who you are talking to. BTW there is this thing called second opinion.

Ok. I really do not want you to get emotional. But you know she is not licensed for what she is doing. Until the law is changed and necessary institutions put in place, she is not suppose to be consulting patients. Do you agree it is a crime as at this moment (knowledge apart).
Bro, it was nice chatting with you. I really enjoyed it. Hope we can do this some other time. It's late and I have to sleep.
Have a lovely night.
Cheers.

kmariko:

So also are doctors who confuse anxiety for indigestion or aggravated a simple food poisoning with a bucket load of antibiotics.. It all depends on who you are talking to. BTW there is this thing called second opinion.

please stick to what you know and stop shooting in the dark for answers to things you dont understand... confuse anxiety for indigestion? aggravated simple food poison with bucket load of antibiotics? dude stop trying to impress people by exaggerating, you actually sound weird, no doctor will talk like this, none... the guy you replied is right, stop diverting attention and ranting. a pharmacist trying to treat potentially serious right lower abdominal pain is WRONG! patients may even require emergency surgery and she's there pouring over her EMDEX. anything is possible with abdominal pain, when i say anything, i mean anything.doctors make mistakes just like everybody, they are human too, but your examples are wide off the mark
besides that, second opinion from who? second opinion from a pharmacist about a diagnosis? never heard about that... i can go ask questions at the pharmacy about a particular drug i intend to prescribe but i wont go discussing abdominal pain and it causes with a pharmacist... he doesnt know jack shyte about it and the possibilities

dumodust:
i'm being nice if i call you a ranting fool... you are one of the worst cases of clear ignorance forming knowledge, cant even write clear english and correct tenses

see... public hospitals are overwhelmed by too many people in nigeria and too little doctors. go and check the WHO doctor patient ratios and ask you father whether he kept your personal slave in the hospital . doctors like me 'stroll' into your little myopic frustrated world/viewpoint at the clinic by 9am because we have been working till then on the wards , accident and emergency and in the theatres even before you entered the hospital. thats why i always say that patients that have problems that get them admitted in the hospital wards understand what happens in the morning before clinics.
people of little intelligence perceive others as arrogant... that's normal, inferiority complex can be conquered with a little counselling which you certainly need... i can feel the weight of your cerebral cortex in your dribble... it feels like blended mush in the carton you call skull
if you feel doctors are incompetent... stop crying on this page and take action,its a free world and nobody forced you to wait long hours in public hospitals to see them... go and pay more in private hospitals like lagoon or go and see your herbalist...simple

Sorry to burst your bubbles!

Everything I wrote was done in less than 2min as I was already at work, did not even have time to prove read and I bet you can't do better.

I challenge you to a contest.

Oh, I don't contest with babies. Sorry about that silly. To hell

PerfectFortune:

Sorry to burst your bubbles!

Everything I wrote was done in less than 2min as I was already at work, did not even have time to prove read and I bet you can't do better.

I challenge you to a contest.

Oh, I don't contest with babies. Sorry about that silly. To hell

hahahaha ... here he goes again, now who's the baby... see inferior being being weighed down by his complex... u need a fight to validate yourself abi? if that was your default state even in a rush... you suck. and you're still doing it again... please who else is seeing what this guy is typing . go and fight to improve your self so that you can contribute meaningfully to the development of nigeria... not ranting

dumodust:
please stick to what you know and stop shooting in the dark for answers to things you dont understand... confuse anxiety for indigestion? aggravated simple food poison with bucket load of antibiotics? dude stop trying to impress people by exaggerating, you actually sound weird, no doctor will talk like this, none... the guy you replied is right, stop diverting attention and ranting. a pharmacist trying to treat potentially serious right lower abdominal pain is WRONG! patients may even require emergency surgery and she's there pouring over her EMDEX. anything is possible with abdominal pain, when i say anything, i mean anything.doctors make mistakes just like everybody, they are human too, but your examples are wide off the mark
besides that, second opinion from who? second opinion from a pharmacist about a diagnosis? never heard about that... i can go ask questions at the pharmacy about a particular drug i intend to prescribe but i wont go discussing abdominal pain and it causes with a pharmacist... he doesnt know jack shyte about it and the possibilities

The point of the conversation is not about mistakes in diagnosis... Very common I might add. It is the ability to of different areas to work based on learned aspect of their work. We are not talking about a physician asking an RN about a diagnosis but patients asking others besides MDs about a problem. Please don't confuse the two

dumodust:

hahahaha ... here he goes again, now who's the baby... see inferior being being weighed down by his complex... u need a fight to validate yourself abi? if that was your default state even in a rush... you suck. and you're still doing it again... please who else is seeing what this guy is typing . go and fight to improve your self so that you can contribute meaningfully to the development of nigeria... not ranting

Go and die

What I could pick from your name is " dumb".

kmariko:
The point of the conversation is not about mistakes in diagnosis... Very common I might add. It is the ability to of different areas to work based on learned aspect of their work. We are not talking about a physician asking an RN about a diagnosis but patients asking others besides MDs about a problem. Please don't confuse the two

ok, just one question. are you trained and licensed to be receiving questions about a patient's illness? what exactly were you trained to do? you claim drug, you claim patient oh boy, which one you dey
in the uk, your GP must first see and even decides whether you need specialist care.
do you know that if i havent seen a patient directly and examined, i cant even prescribe. how do you ask a pateint a few questions then safely decide? you guys think its easy ba? its high time nigerians started suing everybody, doctors inclusive, so that all the rubbish quackery in nigeria because of poor enforcement of regulations will stop.
even, sending prescriptions by sms etc to patients you have not seen directly is wrong... patient-physician relationship is personal

PerfectFortune:

Go and die

What I could pick from your name is " dumb".

hahahaha... guess i hit an exposed sore spot... and all you do is swear instead of meaningful arguement, and you want us to take you seriously

IzyLuv:


Be sure to visit a herbalist next time u need medical attention Dear... let us know how it goes

You are not making sense if sarcasm dosent make any sense to you.

dumodust:

hahahaha... guess i hit an exposed sore spot... and all you do is swear instead of meaningful arguement, and you want us to take you seriously

Go and die!

PerfectFortune:
Go and die!

hahaha... chant of the illiterate oppressed, keep it up, your herbalist will be impressed

dumodust:

hahaha... chant of the illiterate oppressed, keep it up, your herbalist will be impressed

Go and die!

dumodust:
ok, just one question. are you trained and licensed to be receiving questions about a patient's illness? what exactly were you trained to do? you claim drug, you claim patient oh boy, which one you dey
in the uk, your GP must first see and even decides whether you need specialist care.
do you know that if i havent seen a patient directly and examined, i cant even prescribe. how do you ask a pateint a few questions then safely decide? you guys think its easy ba? its high time nigerians started suing everybody, doctors inclusive, so that all the rubbish quackery in nigeria because of poor enforcement of regulations will stop.
even, sending prescriptions by sms etc to patients you have seen directly is wrong... patient-physician relationship is personal

That is UK, in some other climes, A nurse practioner, a Physician assistant or and advanced Pharm.D or Nurse can see you first before the MD... It is the choice of the patient not the doctor who the patient sees first...
Medicine is a product and like any product it is the patients to choose and not be forced into a choice they dont have to make.

warrior01: Hate doctors? The fact is those people in Nigeria that parade themselves as Doctors, don't know what it really means to be a mreal doctor. No ethics, no compassion and no proffessionalism. All we have is a bunch of greedy people that is full of unnecessary pride. If you doubt me, why do our people rush to India for proper treatment?

Ask those that go to India how much they pay the Doctors over there for the care they receive.

You can't break the laws of life.

Soup wey sweet... Na something dey inside am?

Ask your Government to do the right thing.

kmariko:

That is UK, in some other climes, A nurse practioner, a Physician assistant or and advanced Pharm.D or Nurse can see you first before the MD... It is the choice of the patient not the doctor who the patient sees first...
Medicine is a product and like any product it is the patients to choose and not be forced into a choice they dont have to make.

You don't really understand the rules.

Healthcare over there is wholistic and cooperative.

A pharmacist will see a patient to discuss his medications, make sure he is taking them right and also to make sure there are no potential drug-drug interactions or errors.

A physician assistant has to work with a Doctor. Everything they do has to be supervised and countersigned by the MD. They see patients first so that healthcare can be cheaper and the Doctor only has to oversee and would only spend time on very sick patients who need a lot of care.

Nurse practitioners in certain situations are the only ones that can replicate the duties of a doctor in a very limited capacity. It is all about reducing cost. It is easier to employ 2 doctors and 1 nurse practitioner than 3 docs.

A lot of work goes into the training of a Nurse practitioner, and this system works only in a place where people know their limits and laws are enforced. Not in a place like Nigeria where a quack nurse is parading himself as a Doctor and killing poor Nigerians.

Nigerias health system just like most systems run by the FG is totally crap. PRIVATISATION!!!

ziga:

You don't really understand the rules.

Healthcare over there is wholistic and cooperative.

A pharmacist will see a patient to discuss his medications, make sure he is taking them right and also to make sure there are no potential drug-drug interactions or errors.

A physician assistant has to work with a Doctor. Everything they do has to be supervised and countersigned by the MD. They see patients first so that healthcare can be cheaper and the Doctor only has to oversee and would only spend time on very sick patients who need a lot of care.

Nurse practitioners in certain situations are the only ones that can replicate the duties of a doctor in a very limited capacity. It is all about reducing cost. It is easier to employ 2 doctors and 1 nurse practitioner than 3 docs.

A lot of work goes into the training of a Nurse practitioner, and this system works only in a place where people know their limits and laws are enforced. Not in a place like Nigeria where a quack nurse is parading himself as a Doctor and killing poor Nigerians.

Nigerias health system just like most systems run by the FG is totally crap. PRIVATISATION!!!

Sir I beg to disagree, In california Pharm.Ds with advanced training can see patients not just drugs ( a new legislation )

Secondly, a doctor does not have to countersign a prescription written by a physician assistant. Some physician assistants own their clinic and a collaborative MD ( who are just there on paper).

No... Nurse practioners are not the only ones that can replicate doctors,. they do not replicate doctors but function within the limitations of their training just like doctors.

It will be nice if you can read up on each states specific laws.... they are not uniform.

Lastly, it does not matter the field a lot of work is required in training in any professional field, it is not limited to health care.

thanks

kmariko: CEO of Herman memorial Hospital ( one of the largest in Houston) is not an MD



Craig Cordola Named CEO of Memorial Hermann-Texas Medical Center
HOUSTON, TX (September28, 2010)



Memorial Hermann Healthcare System recently announced the promotion of Craig Cordola to CEO, Memorial Hermann-Texas Medical Center, following his successful and widely respected seven-year tenure as Assistant Vice President and then CEO of Children's Memorial Hermann Hospital . Cordola is also the Associate Dean for Hospital Affairs and Community Partnerships at The University of Texas Medical School - Houston. He succeeds Juanita Romans, who is retiring.

He joined Memorial Hermann in 2003 as assistant vice president of operations for the Children's Hospital, with additional responsibilities overseeing volunteer, environmental, facility and chaplaincy services for the Memorial Hermann-TMC. Previously, he worked as A Director of Operations for Texas Children's Pediatric Associates and Texas Children's Hospital after serving in management capacities for other healthcare organizations.

Cordola has served as an adjunct faculty member of the University of Houston Clear Lake Healthcare Administration Program and a board member of the university's alumni association. He holds master's degrees in business and healthcare administration from the University of Houston at Clear Lake and a bachelor's degree in psychology from the University of Texas at Austin. Cordola is a fellow in the American College of Healthcare Executives, and serves on numerous community boards.

I honestly thought that your first example with Methodist was a mistake, but then you proceeded to continue displaying your ignorance in a very dangerous way. Those people is your write are CEOs, not chief medical directors. In Nigerian, their equivalence would be the substantive secretary of the hospital like they used to have at UNTH. This secretary or CEO is usually a successful business manager with in depth knowledge of accounting, finances, and management etc, his job is to make a business success out of the hospital.
On the other hand, we're talking about CMD, definitely a well trained and well regarded physician whose own job is to make a successful medical practice out of the hospital.
Unfortunately, ignorant paramedical workers like you are fixated on the CMD's job, and somehow can't even understand the CEO's job

kmariko:


Sir I beg to disagree, In california Pharm.Ds with advanced training can see patients not just drugs ( a new legislation )

Secondly, a doctor does not have to countersign a prescription written by a physician assistant. Some physician assistants own their clinic and a collaborative MD ( who are just there on paper).

No... Nurse practioners are not the only ones that can replicate doctors,. they do not replicate doctors but function within the limitations of their training just like doctors.

It will be nice if you can read up on each states specific laws.... they are not uniform.

Lastly, it does not matter the field a lot of work is required in training in any professional field, it is not limited to health care.

thanks

You see what happens when "smart people" interpret American rules and regulations from Nigeria

naijaking1:

I honestly thought that your first example with Methodist was a mistake, but then you proceeded to continue displaying your ignorance in a very dangerous way. Those people is your write are CEOs, not chief medical directors. In Nigerian, their equivalence would be the substantive secretary of the hospital like they used to have at UNTH. This secretary or CEO is usually a successful business manager with in depth knowledge of accounting, finances, and management etc, his job is to make a business success out of the hospital.
On the other hand, we're talking about CMD, definitely a well trained and well regarded physician whose own job is to make a successful medical practice out of the hospital.
Unfortunately, ignorant paramedical workers like you are fixated on the CMD's job, and somehow can't even understand the CEO's job

So in Nigeria a secretary is the equivalent of a CEO in other countries...the question is what is the secretary abroad equivalent to in Nigeria..,.,

And if you dont mind can you define to your understanding the term CEO and secretary separately.

Lastly yes am an illiterate paramedic dropped out of class 3....hope we can then move on with the conversation

naijaking1:

You see what happens when "smart people" interpret American rules and regulations from Nigeria

oh you mean you live in the USA

Naija Nurses Forum

Igbojionu Ijeoma Joy >
Pls what is d best treatment to a 14wks primip who complains of having lower uterine contraction

Edafeadhe Onome:
Now that the doctors are on strike what will you do? Are you going to their houses and call them that a patient is having pre-term contractions. Say something reasonable.
This is the opportunity Nurses
have to prove their worth in the hospital.
Thanks for all your
contributions. What of Ergometrin or dexamethasone. These drugs helps to reduce spasms.

DebateNigeria:
Ok. Noted. Will do some research. But not a bad idea.

You dont need to do any research...that guy doesn't know squibs about what obtains in any country. He is just pulling those figures from thin air.
Doctors do the prescription.
But for me.....it's quite surprising the way Nigeria is now being compared to the US health system by mischief makers.
We must have really gone far in our hospitals.

kmariko:


Sir I beg to disagree, In california Pharm.Ds with advanced training can see patients not just drugs ( a new legislation )

Secondly, a doctor does not have to countersign a prescription written by a physician assistant. Some physician assistants own their clinic and a collaborative MD ( who are just there on paper).

No... Nurse practioners are not the only ones that can replicate doctors,. they do not replicate doctors but function within the limitations of their training just like doctors.

It will be nice if you can read up on each states specific laws.... they are not uniform.

Lastly, it does not matter the field a lot of work is required in training in any professional field, it is not limited to health care.

thanks

And those laws that are not uniform is what you want to bring to Nigeria?
Traditional birth attendants are empowered by law to take simple deliveries of pregnant women inNigeria in RESOURCE POOR settings.......so someone on the internet shouldn't get confused and think that's the norm.
In United States(New York).....nurses with Doctorate degrees in Nursing care are allowed to see patients in emergency care and treat the ones that won't need specialist care in places where there are no GP. And yes ...the United States don't have enough Doctors. It's already a source of debate over there at the moment and that's a well developed settings.
We're doctors not lawyers and you give be giving examples of international best practices not based on some states in us. Check the UK, check Germany, check RSA. Don't throw a Minnesota law at a country.

kmariko:

oh you mean you live in the USA

Hey bro, good morning. How was your night.

Cityguy:
Yea, I want to join you in thanking God that heals us miraculously and besides, we have house of God and people of God who can also pray for us and miracles are free by the way. None has ever been turned back from seeking divine healing my friend.
Now you talk of doctors holding all to ransom, when PENGASSAN go on strikes, I don't believe any section of the public is exempted at such times of scarcity. Just as you have alternatives in black markets, private hospitals are one of the many alternatives in this time of doctors' medical-input scarcity. You see the demands as frivolous but someone said it earlier- what faces someone backs another and I want to leave it at that.
Substantial number of doctor see patients at their private facilities during working hours- how substantial? And how did you arrive at your conclusion? Besides, how did you know their working hours? You may not necessarily understand certain things except you are in the system and scheme of things. If you are so sure they were wrong in that sense, you could do all some good by getting them reported and seeing everything to a logical conclusion.
Yes, doctors swore to an oath. So? They should 'die' or 'suffocate' and be silent so long as he keeps 'saving' lives. To me I think that is a bit self-centred cos everybody gives his best when the working environment permits. We hammer oaths, just as doctor take oaths, so do our legislators, president, including you. The national pledge you recited could be viewed same way and yet, when that is flouted, are you saying it doesn't matter? I lost my dad months back with months of his pension running to years unpaid because someone sat on it, yet the labor of our heroes past shall never be in vain you shout daily! If Hippo were to be around in Nigeria of today, do you thing he would have come up with such lofty well meant oath? My friend, my 'noble calling' will not pick anything free or obtain free service from you and if the law sees it as within my right to use strike to press home my demand(s), well let's leave it at that cos 'ideal' is different from 'REALITY'.

I'm afraid you're just beating around the bush and stating the obvious in your reply... Except you're from another planet, even a learner knows there is no sector of Nigeria that is functioning and from my comments including those from previous posts, you should get a better perspective on this - https://www.nairaland.com/creativeengr/posts

Let's stay within the issues please..

1. It's hypocrisy of the highest grade, coupled with arrogance when the same people who play a major role in killing the health sector also turn around to hold everyone ransom for more pay, more titles, etc. PENGASSAN doesn't embark on strike action like NMA, ASUU do incessantly, if that's worth anything sir... Anyways, I guess the hypocrisy is still justified in Nigerian context since we are all living under failed political leadership...

2. Thankfully, an article currently on the front page (i.e. last paragraph especially) that highlights my thoughts and concerns too... https://www.nairaland.com/1809328/nma-strike-nurses-perspective. Would like your response on this article...

3. The real issues behind the strike have more to do with the quest for a larger slice of the national cake not professionalism. I really don't blame doctors for asking for more, it's the system of governance and our society at large... the same society that gives Doctors the illusion that their course is the most difficult and as such, they feel they are doing us all a favour bbecause they chose to study medicine...