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Nairaland Forum / Nairaland / General / Health / Nma Strike: The Patients's Perspective (20895 Views)
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Re: Nma Strike: The Patients's Perspective by jpphilips(m): 3:13pm On Jul 15, 2014 |
Samgreguc: Mistake? kindly tell us his options in such a scenario |
Re: Nma Strike: The Patients's Perspective by GentleMimi: 3:19pm On Jul 15, 2014 |
phantom: a man walks into my clinic and complains of generalized itching and on examination I found him to be jaundiced and maybe with an enlarged liver.If he already knows what he is expecting,why proceed with the request? If u query a lab result showing malaria,it indicates u do not really know what u are doing. Don't u know many Nigerians are asymptomatic parasite carriers? Using QBC to investigate for MP,u'll find it in virtually 70% of Nigerians,with only half being sypmtomatic. Sending a request for Serum bilirubin to investigate jaundice will not only tell u if it is a jaundiced patient,but will also point out if its hepatic,prehapatic or post hepatic. Now,why the hell will u get a malaria test result when u requested for jaundice test(SB,urobilinogen)? It only means u got confused at a certain point. Query indeed. You prolly work in a clinic that employed the services of technicians and SLTs whom u pay peanuts. That is when u can come out to tell us u can ''query'' a result. 5 Likes |
Re: Nma Strike: The Patients's Perspective by phantom(m): 3:25pm On Jul 15, 2014 |
GentleMimi:please don't be funny.I used malaria as an example of a situation where the lab work SUGGESTS ANOTHER DIAGNOSIS.stop grasping at straws. look you don't impress me with your little clinical knowledge. what is obstructive jaundice? pre or post hepatic? my point is my clinical diagnosis is CONFIRMED by the labs.if the lab work suggests another diagnosis, I query it. simple! but if you think I have no idea what is wrong with my patient until I do the labs,YOU ARE DEAD WRONG! that is the beauty of medical training. our greatest gift is our training and our brains. 10 Likes |
Re: Nma Strike: The Patients's Perspective by misterawo: 3:26pm On Jul 15, 2014 |
centje: You are debating with a student. 1 Like |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 3:26pm On Jul 15, 2014 |
jpphilips:what do u think the word consult mean? To own? Please, venture into research and the history of that word and when you are done endeavour to appologise to that word for calling it(consult) another thing. . . |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 3:37pm On Jul 15, 2014 |
sainty2k3:yea, and after going that far and passing the residency, becomes a fellow, u will still recieve same pay package as the normal B.pharm when its obvious ur input is rich and aids the patients alot. . Truth be told, our hospitals believe they are okey with the B.pharm. 1 Like |
Re: Nma Strike: The Patients's Perspective by jpphilips(m): 3:38pm On Jul 15, 2014 |
Samgreguc: NMA demand's 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. Concentrate on the bold part, |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 3:39pm On Jul 15, 2014 |
Samgreguc:To Nigerian physicians it means owning. 1 Like |
Re: Nma Strike: The Patients's Perspective by sainty2k3(m): 3:40pm On Jul 15, 2014 |
Samgreguc: That shouldn't be, those are things that can be fought for, and its legitimate . its not all about title |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 3:42pm On Jul 15, 2014 |
jpphilips:If u can't decipher that statement then, something is wrong. |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 3:52pm On Jul 15, 2014 |
jpphilips:av u researched on the world consult? Or are u going by that bolded without logical reasoning as a learned man? . Make your own research on the world consult and make your deductions and then ask yourselve if it will help our health care delivery. . . I think you fear is job description which, of course can be resolved. |
Re: Nma Strike: The Patients's Perspective by GentleMimi: 3:53pm On Jul 15, 2014 |
phantom: please don't be funny.I used malaria as an example of a situation where the lab work SUGGESTS ANOTHER DIAGNOSIS.stop grasping at straws.Lol. You are giving silly examples which i aim to squash in totality. Impress u? What do i hope to gain? A seven-figure salary? We are trashing out a matter based on the lame example u gave. .....''where a lab work suggests a dignosis''...? Really? Will the scientist go ahead to carry out any test without an agreement with a doctor colleague? For every form,there is an indication for differential prognosis/clinical detail,along side recommended lab tests. If u get a wrong diagnosis,it means u made a wrong prognosis,simple. Wetin concern lab with MP if it was never requested for? Yeah,u have an ''idea'' abt ur patient's condition. That is what i call ''trial and error''. You keep getting ''ideas'' till the scientist tells u ''yes'' or ''no. As for my clinical knowldge,i'll blow ur mind away if i attempt it even. I'll just be ''gentle''. Nobody is an island. Everyday we learn. 1 Like |
Re: Nma Strike: The Patients's Perspective by drered(m): 3:53pm On Jul 15, 2014 |
A doctor here is beating his chest saying any doctor worth his onions will not need lab tests or procedures to make diagnosis. In saner climes where there is availability of medical devices and procedures to carry out tests there is still a high incidence of mis-diagnosis. Most doctors especially in primary/secondary institutions majorly come across malaria, typhoid cases and they automatically feel they can beat their chests and make conclusive diagnosis from symptoms like abdominal pain, periodic fevers, headache etc. The cases that are glaring that can't be handled are exported to india. Shouldn't the bulk of the demand of NMA be on financing, improving infrastructure? Personally I've been misdiagnosed of asthma, a friend of mine has remained childless as a result of complications from surgery. Why are doctors not talking about how to improve their practise? source: www.washingtonpost.com/national/health-science/misdiagnosis-is-more-common-than-drug-errors-or-wrong-site-surgery/2013/05/03/5d71a374-9af4-11e2-a941-a19bce7af755_story.html 1 Like |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 3:57pm On Jul 15, 2014 |
sainty2k3:I agree with you but, why not give to Ceasar what belongs to Ceasar? |
Re: Nma Strike: The Patients's Perspective by drered(m): 3:58pm On Jul 15, 2014 |
Misdiagnosis “happens all the time,” said David Newman-Toker, who studies diagnostic errors and helped organize the recent international conference. “This is an enormous problem, the hidden part of the iceberg of medical errors that dwarfs” other kinds of mistakes, said Newman-Toker, an associate professor of neurology and otolaryngology at the Johns Hopkins School of Medicine. Studies repeatedly have found that diagnostic errors, which are more common in primary-care settings, typically result from flawed ways of thinking, sometimes coupled with negligence, and not because a diseasesource: www.washingtonpost.com/national/health-science/misdiagnosis-is-more-common-than-drug-errors-or-wrong-site-surgery/2013/05/03/5d71a374-9af4-11e2-a941-a19bce7af755_story.html[/quote] |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 4:00pm On Jul 15, 2014 |
phantom: please don't be funny.I used malaria as an example of a situation where the lab work SUGGESTS ANOTHER DIAGNOSIS.stop grasping at straws.bros ehh, talk true say u no go need the lab result to know whether na pre or post. |
Re: Nma Strike: The Patients's Perspective by sainty2k3(m): 4:02pm On Jul 15, 2014 |
Samgreguc: Well that depends on what u mean by 'what belong to Caesar' I term that better recognition and pay for this people who passed through residency training,not title. But I know their very problem will start from their other pharmacist who didn't go through the training. #Well, just saying And thanks for bringing up ur point so far without insult |
Re: Nma Strike: The Patients's Perspective by jpphilips(m): 4:07pm On Jul 15, 2014 |
Samgreguc: Aids the pharmacist pocket you mean? 1 Like |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 4:09pm On Jul 15, 2014 |
sainty2k3:what am saying is that whoever worth the title should get it. . I can remember some lecturers penalizing students for calling them Mr instead of Dr(Ph. D) and I can remember some not reacting. |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 4:12pm On Jul 15, 2014 |
jpphilips:Please dont be a kid. We all know its a three way thing or are u opposing it because it will also aid the Pharmacist pocket? . The patients gain, The pharmacist gain and Nigeria receives the glory. U c d 3 way? |
Re: Nma Strike: The Patients's Perspective by armadeo(m): 4:15pm On Jul 15, 2014 |
adeoladrg: this your line is stale. |
Re: Nma Strike: The Patients's Perspective by babat89: 4:22pm On Jul 15, 2014 |
[quote author=adeoladrg] What about when you have an eye surgery? Organ transplant? Would you allow a Nigerian medical doctor perform magic on you? Op pls answer! Eye surgery? Organ transplant? Seriously? U talk like an illiterate. 1 Like |
Re: Nma Strike: The Patients's Perspective by sainty2k3(m): 4:23pm On Jul 15, 2014 |
Samgreguc:
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Re: Nma Strike: The Patients's Perspective by armadeo(m): 4:35pm On Jul 15, 2014 |
GentleMimi: Except in the hospital setting ( you know what ownership means so don't pretend) which johesu has kept ignoring. pls links to evidence that shows these various consultants exist in places where best international practices are carried out. we are waiting. |
Re: Nma Strike: The Patients's Perspective by armadeo(m): 4:48pm On Jul 15, 2014 |
adeoladrg: no it doesn't, yes i have seen pharmacist correct Drs no biggie particularly on dosage of drugs. what do you mean by better route of administration its oral iv topical, the severity/type of the illness depends on the route of administration. Does a pharmacist need further training for that? Alternative therapy you can all do that in your drug presentation, again any need for further studies, EVEN IF, Mr pharmacist if you want to make changes as you claim go into research and get drugs cheaper, more effective with lower side effects for the benefit of the patient. no one stops you from a Msc or Phd and be called Dr pharm, In an academic setting Yes, in a private setting Yes, in the hospital WE SAY YOU ARE NOT A CONSULTANT. PERIOD!!!! |
Re: Nma Strike: The Patients's Perspective by drered(m): 4:57pm On Jul 15, 2014 |
armadeo:Period? Who made you author and finisher? Kindly swerve.. |
Re: Nma Strike: The Patients's Perspective by armadeo(m): 4:59pm On Jul 15, 2014 |
phantom: look brother....if you want to import from the US do it well.if your consultancy entails a residency training,go ahead and do it.if it entails a masters and PhD,go ahead and do it. |
Re: Nma Strike: The Patients's Perspective by adeoladrg(m): 5:06pm On Jul 15, 2014 |
armadeo: work.chron.com/clinical-nurse-consultant-13912.html www.prospects.ac.uk/hospital_pharmacist_salary.htm www.nhscareers.nhs.uk/explore-by-career/pharmacy/pharmacist/hospital-pharmacist/ Some experienced hospital pharmacists working in advanced roles are able to meet the criteria needed to be recognised as consultant pharmacists. |
Re: Nma Strike: The Patients's Perspective by armadeo(m): 5:09pm On Jul 15, 2014 |
jpphilips: |
Re: Nma Strike: The Patients's Perspective by armadeo(m): 5:11pm On Jul 15, 2014 |
chucs: Mr man its not every nurse that packs faeces. There is hierarchy and carder in nursing profession which is also found in other profession. U seem to be a patient that has vast knowledge in medical field but[b] found it difficult to acknowledge the existence of nurse consultants as seen all over the world.[/b] I find it difficult to understand why a professional will not be allowed to get to the peak of his/her career. The issue on ground is not about ownership of the patients but the a clear knowledge of what consultant stand for. According to wikipedia "a consultant is a professional who provides professional or expert advice in a particular area such as security(electronic or physical),management,accountancy,law,human resources,marketing(and public relations),finance,engineering or any of many other specialized fields" again another term for best international practice, provide your links to this statement that these consultants operate in the hospital setting!!!! |
Re: Nma Strike: The Patients's Perspective by armadeo(m): 5:12pm On Jul 15, 2014 |
GentleMimi: stage 1 denial!!! |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 5:18pm On Jul 15, 2014 |
[quote author=sainty2k3][/quote] The first definition defines the consultant Pharmacist and others. . If Consultant Pharmacist had being in existence earlier just like the Consultant Physician then, the dictionary will have said something of such. . Besides, did you see the word expert there(the full definition)? The Pharmacists are drug experts so, dont dat also qualifies him too? . . The reason why the dictionary refuse putting the Physician in their full definition is because the Consultant Physician doesn't fully define Consultant but, rather it defines a Consultant in a particular field of Medicine |
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