jpphilips:


There you go again, if there are already existing unproductive hierarchy and cadre in nursing, why do you want more by asking for consultancy?
What have the patients benefited from those so called BSc. nurses who fold their legs on front desk while the registered nurses pack all the sh!!t and p!ss? what use are they to us?

I have seen a Bsc nurse who refused to remove an Anal dressing in the name of not wanting to soil her hands and claim it is for the Reg. nurse to do so, meanwhile on another patient, the so called BSc nurse could not put a catheter, it was a doctor who came to her rescue.

BSc nurse vs Reg. nurse is a lot of problem already, the patient don't want more bureaucracy. A Bsc nurse on night duty only chat online in the name of writing report on the system, it is the Reg. nurse that throw away all the p!!s from the P!ss bags, practically they are useless.

Aux. nurse will bathe the patient, fetch water for patients, run around for food, serve drugs, clean the hospital, change diapers etc the BSc will be seating like an oracle dishing out insults on the productive ones.

#Say no to unproductive consultancy# if a nurse, pharmacist or scientist want to be consulted, open a shrine, or store take it outside the Govt hospitals.

jpphilips:

It is done on a daily basis at one trauma center at Emenike street in PH (cant rem the name), both Nigerian consultants and some brown experts work there, you can take a trip there if you like.
for someone who has done Appendectomy, removed tonsil, guess I am not the right candidate for that question, kindly chose another patient.

adeoladrg:

There can't be a neutral opinion. It's either you want to improve patient care(JOHESU), or you want us to maintain the status quo(NMA). Our healthcare is presently ranked 196/198 in the world or so, remember that.

jpphilips:


You cannot be paid as a consultant just because you are responsible for just an ailment, haba! consultant for HIV pharm, consultant Kidney nurse, consultant cosmetic cleaner, the whole thing should sound ridiculous to you (Hope you didn't chip in the HIV clause to scare me ) After all doctors manage HIV patients too or your own HIV now have wings?

please If after your sojourn in the realm of HIV, Pharmacy et al, you cannot own a patient, then it is useless to us. NMA has been able to accept that responsibility and Nigerians are glad to give them the Badge and honor to go with.

adeoladrg:

How come you know so much? You're a patient oo

Surprising huh! after two minor procedures in a space of 10yrs? well, the only thing you need to know is that whenever you are serving the public, someone is watching and remove the impression that all Nigerians are m0r0ns.

It doesn't take anything to see through their politics, you think we don't see all those nonsense you guys do? a Doctor sends a nurse to bring catheter, she sends the Reg nurse. who brings the bigger one for bladder when it is the one for urethra, doctor squeezes face, nurse rushes back to swallow the reg nurse alive
we see all those things I only complain when it is absolutely necessary and yes, I slap when necessary too

GentleMimi:
Ahswear! This kain patient ehn...! Hin dey see ooooo.



Hehehehe...Mr. Patient,really? What do u do when u get to hospitals? Tell nurses to present their certificates and qualifications to you. LMAO! How u take know who be auxillary,B.Sc and registered nurse? Oga patient!!!

It is easy, just ask any friendly nurse which school she finished from especially the one who looked oppressed, you will be surprised how much of her colleague's CV you will have in the end.

adeoladrg:

My brother, pharmacy also has specialty areas just like medicine. HIV pharmacists exist, Endocrine pharmacists exist, I personally know a Renal pharmacist.

All you need to is undergo Residency training provided by WAPCP for a minimum of 6 years depending on your area of specialty. I just got an info from a consultant on FB, that's there's also post residency internship for about 3-4 years depending on the area of specialty too.

This is what makes you a Consultant pharmacist. Now tell me how useful such a person is to patient care. Compare how an ordinary pharmacist would optimize an HIV patients polypharmacy prescription to how an HIV pharmacist that has spent almost 8 years studying the HIV drug would optimize!

This still doesn't destroy the patient-doctor link. It just makes sure the patients get the best drug therapy at whatever time.

centje:
I've wasted my time with a kid. Sorry for quoting you, my dear.

tmontee:

Your attempt at winning the empathy of 'ordinary' patients has been betrayed by your own subsequent posts. Only the undiscerning will fail to see that you are indeed a Doctor.

That being said, I think one sure way out of this mess is privatization. That way, only those who truly have something to offer, including the doctors themselves; will find their way into any hospital. Only then can we begin to talk about putting the 'PATIENT' first. For now it's just politics and ego at work.

GentleMimi:
You call it grammar,i call it facts. No,i aint accusing you. Use your tongue to count your teeth.
I will always be realistic. The first point of call in a hospital is front desk officer/receptionist...then nurse....then a doctor...then a scientist....back to the doctor...and finally a pharmacist. Others come in at certain points. But do not EVER take one unit as insignificant. The last point of call is usually the pharmacy.

jpphilips:

Simple question behooves simple answer, I may not be a health practitioner doesn't mean I left my common sense abroad.

Who does the prognosis and logs in the patients complain?
who tells the scientist which test to run to confirm his prognosis?
who writes the drug prescription and dosage that wakes the pharmacist from coma?
whose signature admits and discharges the patient?
who certifies a patient DEAD?

back to the issue again, who owns the patient??

centje: The first transplant in Nigeria was a kidney transplant done in March 2000. Since then, transplant as a means of managing disease conditions, illnesses or injuries hasn’t really progressed.
Over the last 12 years, less than 250 transplants have been done in the country and there have been thousands of known cases of patients needing transplants. What happened to them? Using kidney transplants as an example, some patients travelled overseas, mainly to India for their surgeries while the majority of them died. It is estimated that for every known case of kidney failure for which a kidney transplant would have been the optimal choice in managing the condition, 3 other cases are either not detected or misdiagnosed.
While transplantation can be via organ or tissue donation, organ transplant is far more common in Nigeria accounting for over 98% of all transplants done. Tissue transplantations are a rarity; the first deceased corneal transplant was done at the Lagos University Teaching Hospital in August 2010 while the first stem transplant was done at the University of Benin Teaching Hospital in October 2011.
TAN’s main objective in providing leadership in this area will in the long term make the option of transplantation viable and safe for those who need it.
Membership is open to all professionals working in the field of transplantation and they can be physicians, surgeons, scientists and other specialists. Non-physicians including coordinators, statisticians and policy makers with the relevant qualifications can also be members.

http://transplantassociation.org.ng/index.html

sakaguchi: 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.

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.

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.

GentleMimi:
Lol. Yet u claim to be a patient. Come out clean,boy!
Nobody ''owns'' any patient. Stop confusing yourself with that phrase. Very funny and naive.
Who does the diagnosis,to confirm the prognosis? Medical scientists.

Who handles patient care in the wards? Nurses.

Who handles therapy in patients with bone issues? Physiotherapists

A patient comes into the hospital with complaints of malaise,nausea,weakness and pain. There are more than ten disease conditions with the same set of symptoms. Automatically,he requests for MP/widal. It comes out negative. What next? If he is a god,let him now determine the cause of the patient's ailment with his ''prognosis''. If he is a god,let him take care of the patient when admitted.
I repeat,nobody owns the patient. It is a collective effort.

Royver:
I am currently in a seminar now where we are discussing purchasing a Genexpert machine for use in the easy diagnosis of tuberculosis. It cost N5.2million to purchase. With this machine it will be easy to specifically diagnose tuberculosis no matter how small the sample is, and this will be of immense benefit in people living with HIV/AIDS especially in a country like ours.
This is a machine that can significantly impact on the health care system among patients in Nigeria. And yet we have only two of these machines in the whole south east. And yet our government would rather pay certain political persons N16million per ?month than buy this device for the populace of Nigeria.
Do you know why they travel abroad? Because they know the true state of our hospitals, our archaiec equipment and outdated machines. But they do nothing about it , instead playing politics and keeping the health sector in chaos for their own greedy gain.
Our doctors are not lacking in knowledge. Our heads are bursting with the knowledge we obtained through 7-8 years of medical school. If we don't do kidney transplants its because we don't have the equipment to do so. We have proved we are capable in doing the complicated surgeries they all rush to India to do, we have proved it and published it in the papers over and over again. its just for them to provide us with equipment.

adeoladrg:

This is the reply I wanted from the op. How do you think it would be if you channeled this energy into provision of equipments for surgery?

sainty2k3:

Sorry bros , but pks stop confusing people, a postgraduate training, that's residency in pharmacy makes u a fellow of the highly esteemed college and not necessarily the title consultant ,if u have any link to prove that is what makes a consultant pharmacist pls lemme know.

Now, what makes a consultant pharmacist . check the link below pls
www.cpe.pharmacy.ufl.edu/courses/consultant/

U can check out the screen munch but , the summary is that the west Africa college of pharmacistn doesn't confer such title on her fellows, the curriculum for a consultant pharmacist is in the link above with is also in that screen munch below


And their role is not within the hospital settings as u can see in the link above and
And also that of America society of consultant pharmacists--

https://www.ascp.com/articles/what-consultant-pharmacist

'A simple answer is that a consultant pharmacist is a pharmacist who is paid to provide expert advice on the use of medications by individuals or within institutions, or on the provision of pharmacy services to institutions.'

'Consultant Pharmacists are now practicing in a wide variety of other settings, including subacute care and assisted living facilities, psychiatric hospitals, hospice programs, and in home and community-based care -- wherever seniors reside. Consultant Pharmacists are defined by their common commitment to enhance the quality of care for all older persons through the appropriate use of medication and promotion of healthy aging'

Prior to this a moment the fellows of west Africa college of pharmacist are not after adding that title consultant cos of obvious reason, they know what the term consultant in hospital settings mean.
Postgraduate training broaden ur knowledge and improve patient care even within hospital settings. Must u claim a title that doesn't belong to you to do ur work

Royver:
Who provides the equipment?

jpphilips: 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;






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.






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.








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.








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.

jpphilips: 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;






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.






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.








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.








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.

silentdon:

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.

jpphilips:


You want to be a consultant but you don't want to own the patient, bros I disagree completely with you, we don't need more bureaucracies in our health sector.

jpphilips:

Even as an Engineer, you cant tell me that crap you spewed up there, before a doctor specializes in Uriology, or gynecology like you alleged, kindly tell us the courses he has to pass to become a consultant at the same time, Juxtapose it with what a Pharmacist has to pass to become a consultant, the last time I checked, a Uniben trained D pharm. was giving a friend of mine with 3rd degree hemorrhoid suppository for 2.5yrs.

Thanks to the consultant who did the magic that relieved him.

If we allow the Pharmacists to rise to consultancy level, will they be able to own the patient? will their consultancy class include surgery? if the answer is "NO" then of what use are they to the patients and the Govt who is expected to pay them a huge amount of money?

How long will it take before a consultant Nurse (who cannot own a patient by the way) will start demanding for a harmonized salary with the consultant doctor?

It is unnecessary bureaucracy and I am with NMA on this one.

Samgreguc:
the guy is simply saying that accuracy in his job description is what matters not fighting to do the work of a Physician and by so doing don't u think the patient will be affected positively?

Samgreguc:
if the bolded is true and u still dont see any reason for specialization then u aint telling urself d truth. You know why I said so? Now, this is it, the Pharm. D guy is just a graduate who hasn't specialize in any of the pharm field. He read alot in pharmacy school(frm farm to industrial to hospital) and you expect him to b a magician? Can a fresh MBBS graduate perform better on their field like the Pharm. D fresh grad.?
.
We need to specialize. . . So, that consultation can be done.

Iwegbadu:


Sad truth. They should go back to baking fake plls called drugs and packing shit buahahahaha

Samgreguc:
if the bolded is true and u still dont see any reason for specialization then u aint telling urself d truth. You know why I said so? Now, this is it, the Pharm. D guy is just a graduate who hasn't specialize in any of the pharm field. He read alot in pharmacy school(frm farm to industrial to hospital) and you expect him to b a magician? Can a fresh MBBS graduate perform better on their field like the Pharm. D fresh grad.?
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We need to specialize. . . So, that consultation can be done.

phantom: that is why the doctor is head and shoulders above.
after a history and exsmination,85% of the time, we have a pretty good idea what our patient has. that is our training.
lab work and radio. are called ANCILLARY investigations. please get it into your head,NO DOCTOR WHAT HIS SALT DEPENDS ON LABS AND RADIO. FOR HIS DIAGNOSIS. take that to the bank!

phantom: a fresh medical graduate can t and dare not give suppositories for 3rd degree hemorrhoids.

jpphilips:

I really didn't want to over flog this issue, let us be clear, the Doctors did not stop you from advancing your studies, I have read their press release over and over, they only asked you to drop the title "consultant" because you don't own the patient, it is clear!

Now, about my friend, neither the D.pharm nor the Patient was wrong, suppository for internal hemorrhoid is not a bad management but the doctor had the only cure!!

the D.pharm has tested the potency, professionalism and his understanding of drugs and landed on suppositories (ANUSOL) to be precise, but the surgeon's knife brought the desired result.

Unless you want to tell me that the advancement you desire will cover surgery and other courses, then you don't need consultancy to achieve that.