Nma Strike: The Patients's Perspective - Health - Nairaland
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| Nma Strike: The Patients's Perspective by jpphilips(m): 4:05pm On Jul 14, 2014 |
It has been a week since the Nigerian doctors down tools, and ever since, health care delivery in Nigeria have not remained the same. Before I decided to open this thread, I wanted to holistically fix culpability where it belongs, from the "for" and "against" threads here, I got hold of the following demands by the doctors. I am not in anyway undermining the other demands of the Doctors, but for the purpose of emphasis I wish to dissect the demands that will directly or indirectly affect the patients. While I implore the Doctors to quickly resolve their differences in the interest of the patients, there are some demands I consider legitimate and should not be compromised under any guise. The reason I hold tenaciously to this opinion is the fact that those demands if not met, will likely put the lives of the patients in grave danger. these demands are as follows; The title “Consultant” in a hospital setting describes the relationship between the Specialist Medical Doctor and his patient. It will be a source of confusion if the title is applied to any other health worker who statutorily does not own patient. NMA therefore declares with unmitigated emphasis that if “non-doctor consultants” are appointed, it will lead to chaos and anarchy in the health sector. This should not happen. I was meant to understand that JOHESU is at the fore front of demanding for the position of "consultant" in their various fields. As a patient who care less about medical politics and bureaucracy, I was meant to understand that the Doctor consultant actually owns the patient, by "owning" I mean calls the final shot on the treatment regime of a patient. The big question is; what qualifies a consultant doctor (not any charge and bail doctor) to own a patient? Research has proven that the Consultant doctor is one who has a general knowledge of every aspect of medicine who later specializes in a single aspect. That gives him the academic superiority to claim responsibility on the welfare of a patient, then I ask; what is wrong with that? who else in the Hospital is a contender, JOHESU is demanding that the Lab scientist can become a consultant, then in my Medical naive I asked on what grounds? Till date (probably the outcome of this thread will give me a convincing answer) I am yet to hear any logical reason as to why that needs to happen. the first question I asked was, will the consultant Lab scientist own the patient? If the Answer is "YES" then why will I entrust the last call on my treatment in the hands of a lab scientist who knows nothing about my pulmonary disease which requires a surgery he cannot perform? If the answer is "NO" then why do we need that "half baked consultant" that cannot own a patient? Further more, I was meant to understand that the consultant position is highly respected and it comes with benefits and perks (economic motivation), could it be that JOHESU is targeting these benefits? let us find out. Permit me to reproduce a conversation I had in a radio phone programme where a theater nurse was a guest in the said programme: From the above conversation, you can easily deduce that the whole strike is just petty politics and unmerited power tussle, my own annoyance is that people who want to live and earn like consultants refuse to broaden their curriculum to acquire more knowledge but they want to enjoy like people who have accomplished theirs. If a theater nurse who have spent countless years in a Theater with a surgeon will not go on strike for the Govt to extend her curriculum to cover other areas of health care delivery, why will she be interested in being a consultant? The second argument is that it is obtainable outside Nigeria (of course, countries not plagued by nepotism and corruption like ours), this is the most ridiculous because every country has the reserve to make laws that suit their environment, juxtaposing foreign health care delivery with Nigeria's is laughable. Let us quickly look at the following facts to dissect the actual medical practice we need to import from abroad; The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - have initiated countless cases against nurses in the United States, between 1998 and 2001, they have initiated well over 413 cases of malpractice,http://www.nursingcenter.com/lnc/journalarticle?article_id=423284 Fellow Nigerians, I am still waiting for the day JOHESU will go on strike to demand for a law or act that will empower it to prosecute its members for "Negligence" as it is obtainable elsewhere viz a viz "International best practices" or are we saying that Nigerians don't loose their lives in the care of JOHESU members? JOHESU in their infinite wisdom is demanding for the big title "consultant" but uninterested in taking responsibility for the welfare of the patient, neither are they interested in a broad curriculum for effective health care delivery that will benefit the patient in the long run, all they are interested is "GIVE THEE THY TITLE OH! GOVT, FOR WE SHALL CHOP LIKE THE DOCTORS AT ALL COST" it is a shame, nothing in it for the patients. Since JOHESU is kind enough to borrow "international best practices" let us look further; In the United states, nurses are entitled to great tax benefits, reimbursements for academic career advances/school loans-sign on and relocation bonuses for less work! The bold part is an incentive that will motivate a nurse to improve academically for a better health care delivery, I am yet to hear that JOHESU wants to strike for the inability of the Govt. to provide such academic soft landing. At this verge I am forced to conclude that JOHESU is not interested in anything that will advance their members academically but that big name that will guarantee more money in their pockets. it is a shame. Relativity in health sector is sacrosanct. The NMA hereby demands for immediate implementation of the January 3rd, 2014 circular. The NMA also demands the immediate payment of the arrears of the corrected relativity for 22 years during which her members were short changed. As much as I am of the opinion that the controversial arrears should be negotiated in the interest of patients with terminal illness, however ,NMA "MUST" not compromise on Relativity. Relativity I was meant to understand is the parity in earning between doctors and other health care providers. Nature follows the path of least resistance, the reason people still study hard to aspire to go through the rigors of medical school is because of the perks that comes with being a doctor, those privileges "MUST" never be compromised. Any attempt to harmonize their benefit will not only enthrone incompetence in health care delivery but will make medicine unattractive. why will i go through medical school when I will enjoy same benefit with a doctor as a parasitologist? We lost most of our best Doctors to Saudi Arabia in the 80's in related circumstance. On what grounds should an air hostess earn the same as the Pilot? just because she feels she serves coffee to the passengers? what kind of logic are we throwing around in Nigeria? If an air hostess want the same perks and privilege as a Pilot, by all means the Aeronautic school is open for anyone to go through the stress. There must be parity in benefit for all the health care workers, If you want to chop like a consultant, kindly go through medical school, you cannot reap where you did not sow. To believe that people who ended up in Nursing, Physiotherapy, Bio chemistry, Medical lab science were actually people who couldn't make it past MB exams or some who the JAMB cut off truncated their desire to be doctors, In the Hospital you want "Harmonized salaries" with doctors, what an ambition!! If you like the official vehicle or the house incentive given to your CMD, by all means go to the medical school. we don't honor hard work in this country, The super eagles trained consistently for over 3yrs to qualify and prosecute the Nations cup qualifiers, the Nation's cup, the world cup qualifiers and the world cup proper, in the middle of the tournament, the FA is still haggling with their bonuses. when are we going to enthrone merit and hard work in this country? nobody wants to work hard but they want the best life, look at the judiciary furore in this country, the judiciary is handicapped because there are so many loop holes in our laws, to believe it is our highest paid public servants that made those s!lly laws is disheartening. You cannot give a doctor his deserved honor but we spend billions on militants, thieves whose radicalism nearly crippled our economy. The position of Chief Medical Director/Medical Director must continue to be occupied by a Medical Doctor as contained in the Act establishing the tertiary Hospitals. This position remains sacrosanct and untouchable. On what grounds is JOHESU members interested in the CMD (chief medical director) position? hope we are not looking at another monster resembling "federal character", "rotation of office" in our health care delivery system? Permit me to borrow this perspective from Aura to buttress on this ill the people who are supporting JUHEsU or whatever are people who have not realized why the doctors are striking, they are still laced with the emotion that doctors abandoned their patients but i tell you guys, if you have the least idea what these nurses and paramedicals are asking for, you will weep for this country. If the NMA should return to work, the following situations are likely gonna play out. 1 as a patient under a consultant radiographer whose curriculum is limited to radiography and a few basic medical courses will have the final say on how you will be treated, before now, it used to be a doctor's call. 2, the leadership of the hospital, hitherto have been doctors, now these charlatans want to head a hospital too, what it simply means is that a physiotherapist CMD can tell a doctor how to treat you when he knows nothing about surgery that a doctor knows, or an Aux nurse CMD can ask a surgeon to conduct a surgery with flash light aka "torch" after all, it is a minor surgery, what does she know? Solution: The Govt through the NOA should embark on a sensitization campaign, outlining the implications of this transition, after which there will be a referendum where we the patients will vote. I cant Imagine a registered nurse who have been packing sh:t and p:ss all her life in the ward will one day become a CMD and decide for a doctor how to conduct his surgery. The patients that will die on this senseless beuraucracy will be far higher than what will die now as a result of this industrial action, as a result, I implore the NLC, the TUC, PENGASSAN, NUPENG to join the NMA in solidarity because the politicians will take their wards abroad while we suffer for this senseless directive. We run a doctors only CMD hospitals in Nigeria. Now I want the paramedicals to base their arguments on the following points. 1 The UME and post UME cut off points for doctors and paramedicals for the last 10yrs, by schools with recognized college of medicine. 2 School fees: medicine vs others (since remuneration have become an issue) 3 The curriculum of a doctor from part 1 to consultancy vs the others. 4 from point 1,3 above, we can now decide whom the CMD cap fits. 47 Likes |
| Re: Nma Strike: The Patients's Perspective by phantom(m): 4:17pm On Jul 14, 2014 |
JP I wanted to suggest you open a new thread when I read your comment in the other thread.I am happy you ve done the needful. mods please move this to the front page. thanks 5 Likes |
| Re: Nma Strike: The Patients's Perspective by Morotov1(m): 4:29pm On Jul 14, 2014 |
NMA perspective again. Haven't seen a writeup here that doesn't smell of NMA, and JOHESU handwork. 12 Likes |
| Re: Nma Strike: The Patients's Perspective by Omexonomy: 4:44pm On Jul 14, 2014 |
Nigerian doctors are fond of going on strike over trivial isrues since 1823. When doctors and their co workers fight the patience suffer. Seun Osewa 1769 3 Likes |
| Re: Nma Strike: The Patients's Perspective by anselm791(m): 4:48pm On Jul 14, 2014 |
Morotov1: NMA perspective again. it doesn't matter, as long as solid points are being raised. Lets just say it as it is, "doctors are more important than other health workers", shikena! Can NMA now call off the strike? 5 Likes |
| Re: Nma Strike: The Patients's Perspective by drered(m): 5:08pm On Jul 14, 2014 |
LOL. This is supposed to be a patients opinion? Bleh! *modified* The word "Teamwork" is foreign to Nigerian MD's.. Pharmacists in hospital settings don't make independent decisions. For the MD's nobody is trying to take "your patients" from you. The idea is for all of you to work collectively in improving patient care and therapeutic outcome. Everyone will have the scope of their duties clearly stated to prevent encroaching. The pharmacist will advise you on drug therapy, measure drug serum concentrations, manage medication regimens in polypharmacy, give inputs to optimise use of medication, identify potential and adverse drug reactions, give suitable alternatives in contra indications. The pharmacist still ends up running this by you. Basically, you put heads together and at the end improved therapeutic outcome!. For those asking "why the need for consultant pharmacists?" Same reason you need specialists in different fields of medicine. Same reason there are nurse anaesthetist and nurse oncologists and a wide array of other specialist nurses or you think pharmacy is not diverse enough? People that say pharmacists can't be consultant and in essence mean pharmacists can't specialize are ignorant of how diverse pharmacy is. I see what NMA is doing though. Its the same reason the Pharm. D programme is being kicked against. MD's argue that Nigeria is not ready for enhanced pharmaceutical input in the hospitals or pharm. D programmes but somehow Nigeria is ripe for every other thing that suits the MD's. 21 Likes |
| Re: Nma Strike: The Patients's Perspective by jpphilips(m): 5:43pm On Jul 14, 2014 |
drered: LOL. This is supposed to be a patients opinion? Bleh! No, it is a monster's Opinion. 6 Likes |
| Re: Nma Strike: The Patients's Perspective by Morotov1(m): 6:19pm On Jul 14, 2014 |
anselm791:As you see it not as it is. So long, please. 1 Like |
| Re: Nma Strike: The Patients's Perspective by prettyprettywow: 6:26pm On Jul 14, 2014 |
Another Dr weeping thread. Pele. opening new threads every now and then will not solve the problem at hand jpphilips: 20 Likes |
| Re: Nma Strike: The Patients's Perspective by jpphilips(m): 6:40pm On Jul 14, 2014 |
prettyprettywow: Another Dr weeping thread. Pele. opening new threads every now and then will not solve the problem at hand So we are clear, if you read that thing I wrote up there and mistake me for a doctor then, if you are a medical practitioner, your sense of judgement is greatly impaired, If you want to know how doctors write read Phantom's post. Like the Thread title suggests, this is for the patients, the Doctors and the "Doctor wanna be" can excuse us!! Just in case "you" (assuming you are one of the doctor wannabe) who want to own patients, be rest assured that will only happen in the vertinary clinics because I can bet you that patient wont be me. 31 Likes |
| Re: Nma Strike: The Patients's Perspective by Nobody: 7:22pm On Jul 14, 2014 |
prettyprettywow: Another Dr weeping thread. Pele. opening new threads every now and then will not solve the problem at hand Address the very salient issues he raised and stop using tautology to avoid facts. Just checked ur profile nd posts, 9 of your 10 topics are about doctors and 98% of your posts are also about them so it's you that need to stop whining nd ranting, and go and get a (meaningful) life. 25 Likes |
| Re: Nma Strike: The Patients's Perspective by sogodihno: 7:35pm On Jul 14, 2014 |
Relativity in health sector: Dia's enough relativity now, other start frm grade 9 or 10. u guys start frm grade 12, yet wat do u want? is it dat u want other to start frm grade 6 and u guys start frm grade 15? Consultant? ao does it affect u guys, dz A d pple yoruba called "ANIKANJOPON". If u put yrself in a position of respect nobody will dishonor u. In OAU, all health sciences and pharmacy pay d same sch fees. am not sure of others. so if d sch fees for medical students is higher dan others in ur sch, dt's ur own cup of tea. U shud av come to OAU if u fink others paying less dan u is a problem Again and again, not all health professional wan to study medicine, and dont say all other health profesional fail out of medical sch, in OAU wen u fail out of medical sch u cant go to other all health science. Once again, patient view? patient view indeed. u dont talk abt dia demand of apointin surgeon general yet dz A d pple dt dont want other to b apoint as consultant. 100,000 for health hazard alowance, A u d only one dt av contact wth d patient? wat abt nurses and medical lab scientist dt mostly do d dirty work, wat abt dia special plate no? dey wil son ask for special road so dt dia wont b odd up, in case of emergency. Wat u said u dont want for others u A claiming it for yrself. SMH. D point is NMA is loosing it dignity and valu gradually, u A in stike for almost 2 wks and u still cant achieve anytin, dey tink wen dey stike for even 2 days FG wil come to dem begging. Wen u pple A tire u will go back to work. GREEDINESS at it peak 24 Likes |
| Re: Nma Strike: The Patients's Perspective by malbruno: 8:03pm On Jul 14, 2014 |
sogodihno: Relativity in health sector: Dia's enough relativity now, other start frm grade 9 or 10. u guys start frm grade 12, yet wat do u want? is it dat u want other to start frm grade 6 and u guys start frm grade 15?my dear, u have Said it all, just an addition d consultants are meant to specialize in a particular area of study like consultant gyenocologist, consultant urologist etc. Their role differ, so it will be for Consultant chem pathologist, consultant haematologist consultant pharmacist when they have got the requisit qualification. How is it affecting other consultants who shld face their own specialty. what kind egocentric set of human beings 19 Likes |
| Re: Nma Strike: The Patients's Perspective by armadeo(m): 8:33pm On Jul 14, 2014 |
malbruno: my dear, u have Said it all, just an addition d consultants are meant to specialize in a particular area of study like consultant gyenocologist, consultant urologist etc. Their role differ, so it will be for[b[b]] Consultant chem pathologist, consultant haematologist[/b][/b] consultant pharmacist when they have got the requisit qualification. How is it affecting other consultants who shld face their own specialty. what kind egocentric set of human beings the bolded already exist here in Nigeria in teaching hospitals. 5 Likes |
| Re: Nma Strike: The Patients's Perspective by armadeo(m): 8:36pm On Jul 14, 2014 |
sogodihno: **** finished reading this and i had to take panadol*** 22 Likes |
| Re: Nma Strike: The Patients's Perspective by adeoladrg(m): 8:49pm On Jul 14, 2014 |
NMA has confused the public with this 'own the patient' talk. TF? Who cares? Been a consultant pharmacist doesn't mean I want to own the patient!!! It just means I want to undergo residency in a particular field say endocrinology just like my colleagues all over the world to have a robust knowledge on drug optimization. I don't care if you own the patient or not! So far I can't make my impact felt in the patients drug profile, make sure there's no drug interaction, no side effect, no overdosage or underdosage and the myriads of adverse effects associated with polypharmacy. Own the patients! Who cares  !!!Moreover, you've owned the patients over the years! What do you have to show? Wrong diagnosis, wrong prescription, unnecessary surgery, and all iatrogenic issues. Doctors abroad know the value of other health professionals undergoing residency, that's why we keep running there for treatment. Own the gullible patients!!! And if after all these, you still think it's about acquiring TITLES or SALARIES, I have no words for you! This is a doctor's perspective jor!!! I'd be waiting for the day the patients would form an association, sue the doctors, sue the pharmacists, sue the nurses, sue the med lab scientists, sue everybody in healthcare. That day and only on that day would salvation visit the health of Nigerians. Best comment so far: Before you write on any issue I'd advice that you make proper research into the subject matter. One thing you must realise is that the only constant thing in life is change and when. In today's medical world due to the ever growing health challenges and nEed for better care other professionals in the health sector don't just stop at getting first degrees, they are specializing in different areas in their chosen fields to better eqyip them do peform their fxn better. All this is geared towards better patients care. Unfortunately Nigerian Drs see it as a threat to them because they feel if others are granted consultancy rights they will come to their level. There is no point disputing the fact that Drs are leaders in the health care team. The mark of a true leader is to do your job and ensure that ur team mates also do theirs. They cannot do so if they are nor trained to. Nigerian Drs should come down from their egocentric world and emulate what other countries are doing then we would be the better for it. I'll ask why is it that they are always quick to go on strike with any liTtle misunderstanding? Why can't they try every other possible means b4 resrting to strike? I'd advice readers to visit this website www.ascp.com/articles/what-consultant-pharmacist and understand that what JOHESU is demanding for Is not out of place but it is happening all over the world. As far as I'm concerned this matter is not worth the lives that have been lost and are still being lost everyday due to this strike. 29 Likes |
| Re: Nma Strike: The Patients's Perspective by prettyprettywow: 11:15pm On Jul 14, 2014 |
I didn't even bother reading the nonsense after the first line. Patient's perspective indeed. If you are a patient, I advise you first take care of your deteriorating health before making any contribution on issues you know nothing about. Go back to your hospital bed biko. jpphilips: 20 Likes |
| Re: Nma Strike: The Patients's Perspective by ACM10: 12:39am On Jul 15, 2014 |
FP please! Let the debate continue |
| Re: Nma Strike: The Patients's Perspective by Morotov1(m): 6:10am On Jul 15, 2014 |
ACM10: FP please! Let the debate continueDebate indeed, if this is called a debate then I bow out. Debate are built on facts, empirical evidence, critical reasoning, thinking and logic but these NMA and JOHESU brouhaha is lacking the vital characteristics instead it has excess of sentiments, semantics, derogatory remarks and name calling. I'd rather debate on strategies that will get Nigerian health indices above other countries in Africa than this. 4 Likes |
| Re: Nma Strike: The Patients's Perspective by phantom(m): 7:54am On Jul 15, 2014 |
Morotov1: Debate indeed, if this is called a debate then I bow out.very funny. because you ve seen a Nigerian who is asking the right questions. you people are lucky we are in Nigeria,a country with dull leaders and dull people.a country where insane things are given consideration. its a pity really 3 Likes |
| Re: Nma Strike: The Patients's Perspective by ebullientV(m): 7:57am On Jul 15, 2014 |
Long as the leaders can easily sneak abroad for d treatment of even common headache.. Then there's no cause for alarm as far as they're concerned.. |
| Re: Nma Strike: The Patients's Perspective by ultrazone(m): 7:57am On Jul 15, 2014 |
Is this a patient's perspective? I'm disappointed. 5 Likes |
| Re: Nma Strike: The Patients's Perspective by Yoney007(f): 7:57am On Jul 15, 2014 |
Everyone definitely has an opinion in this regard.....My concern is "What's the govt's opinion??".... |
| Re: Nma Strike: The Patients's Perspective by olaezebala: 7:57am On Jul 15, 2014 |
As we always turn to God for everything in this part of the world, make me too follow join pray. Baba God, pls touch the heart of the doctors and government so that the can reach a win win condition. Patients are suffering. |
| Re: Nma Strike: The Patients's Perspective by 9jvirgin(m): 7:58am On Jul 15, 2014 |
GEJ till Nigeria collapses. |
| Re: Nma Strike: The Patients's Perspective by smudge2079(m): 7:58am On Jul 15, 2014 |
Who need a doctor? Am my own doctor |
| Re: Nma Strike: The Patients's Perspective by Nobody: 7:58am On Jul 15, 2014 |
patient's perspective? who polled the patients? 2 Likes |
| Re: Nma Strike: The Patients's Perspective by Edwardhead(m): 7:59am On Jul 15, 2014 |
Brimg Back Our Doctors |
| Re: Nma Strike: The Patients's Perspective by mifavour(f): 8:00am On Jul 15, 2014 |
Space booked... |
| Re: Nma Strike: The Patients's Perspective by sakaguchi(m): 8:02am On Jul 15, 2014 |
The issue of a consultant has being overflogged isn't it? What will a consultant nurse do? What the hell is a consultant pharmacist? The doctors who are consultants specialise in a particular field of medicine and specialize holistically in it. Consultant urologist, consultant cardiologist, consultant nephrologist is more like it. The difference between a consultant pharmacist and a pharmacist is clearly non-existent. Even a novice like me knows that there must be a difference between a doctor (medical officer) and a cardiologist. Please! I think government should call JOHESU, NMA to a round table. NMA need to shelf that ego that it can't sit together with JOHESU as it as become apparent that they are relevant stake holders. The truth is, no matter what NMA or JOHESU says, this whole brouhaha is all politics. Nigerian doctors are underpaid even if we all hate their greed. Same thing too with nurses. To maintain parity, relativity must be enshrined. This is what I think is more important. Government should make that sit of CMD less attractive. For instance, let anybody who is a CMD will have no improve package whatsoever. If you are a doctor before being appointed CMD , your pay package will remain the same. Then anybody whatsoever can vie for CMD as I seriously think that post of CMD is not the sole right of doctors. They should all strife for improve pay package and the doctors must earn higher than the nurses and pharmacists as this is how it is universally. Pharmacists earn lots of money outside the hospital. Inside the hospital, their remuneration must be lower than doctors own. Then FG should make JOHESU illegal. How can all unions in a setting gang up to face just one. Patients are dying because of needless politics. This to me is a patient's perspective. 23 Likes |
| Re: Nma Strike: The Patients's Perspective by Funbii(m): 8:04am On Jul 15, 2014 |
end the strike abeg.... Patients perspective?? oh if you care to know, they are dying 1 Like |
| Re: Nma Strike: The Patients's Perspective by publicenemy(m): 8:04am On Jul 15, 2014 |
@op dont even bother the Doctors wont listen.They care more about their Ego and pockets than human lives. And the Ngeirian Government...well those ones are even worse. 3 Likes |
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