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Nairaland Forum / Nairaland / General / Health / Nma Strike: The Patients's Perspective (20867 Views)
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Re: Nma Strike: The Patients's Perspective by timowale: 2:05am On Jul 16, 2014 |
All comments are merely accusations and counter accusations.truth be told,a level playground should be set for all practitioners in the health industry to showcase proficiency in their chosen fields, in order to impact on the patients positively. Each practitioner should seek to be best in a particular field. trying to be best in another person's field,is quite unthinkable. whichever professional thinks and crave superiority should prove it by their competencies and expertise on their job not in castigating ,blackmailing of other professional...these i see as barbaric and in no way in the interest of patients and of the nation 4 Likes |
Re: Nma Strike: The Patients's Perspective by allycat: 3:59am On Jul 16, 2014 |
Please educate me, which lab test do I need to diagnose Otitis media with effusion, Ca Larynx, Tonsillities, Sensorineural hearing loss, Tinnitus or epistaxis. These are a few conditions I see everyday and I make my diagnosis based on clinical findings alone. I then investigate my patients to rule out contributing factors but these investigations do not in anyway make my diagnosis for me. 1 Like |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 4:52am On Jul 16, 2014 |
phantom: ......Who says jaundice is uncommon in obstetrics cholestasis and that it occurs only after 25 weeks of gestation,it can occur anytime during pregnancy. Please update your textbooks. And even if your patient is either male or female, you will have a list of differential diagnosis that you have to rule out. Not all jaundice with itching is post hepatic. WHAT ABOUT BRIC- benign recurrent intrahepatic cholestasis. |
Re: Nma Strike: The Patients's Perspective by lexib(m): 5:00am On Jul 16, 2014 |
A doctor shd be d CMD... can't imagine a nurse or lab scientist heading doctors in a hospital... the hospital is the primary place of work for Doctors and Nurses... other professionals are ancilliary or support staffs... the primary place of work for a Lab. Scientist is a Medical Research laboratory best within in a University whr dey shd make reagents n improve on available analytical procedures, serve as a control for hospital-based routine labs... d govt shd look into dat, dey r to head such places n not fight for headship with doctors in hospitals... the primary place of work for pharmacists shd be in Pharmaceutical companies... if d govt dsnt own any, it means d country has bin importing drugs or using those produced by private firms or both... d pharmacist shd head here, dia job in d hospital z supportive n not frontline as in these companies. the physiotherapist shd run a Rehabilitation Home... etc. the frontline hospital staffs are Doctors and Nurses n only these two can talk about headship... buh Nurses take oaths within which they say "With loyalty, I shall ASSIST the PHYSICIAN in the performance of HIS job"... Nightangle pledge. I dnt fink Nurses insist on also bcoming CMD, most importantly, Doctors shd respect dem n carry them along. SO, WHERE IS ALL THIS JOHESU THING COMING FROM 4 Likes |
Re: Nma Strike: The Patients's Perspective by lexib(m): 5:01am On Jul 16, 2014 |
Morotov1: Who says jaundice is uncommon in obstetrics cholestasis and that it occurs only after 25 weeks of gestation,it can occur anytime during pregnancy. Please update your textbooks. And even if your patient is either male or female, you will have a list of differential diagnosis that you have to rule out. Sharrap there! These r d type dat fail exams anyhow... u don come for Nairaland dey ginger... go n release all dat stuff in a wardround let's c how much u know... Nonsense! |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 5:01am On Jul 16, 2014 |
phantom: .........lab scientist........ itching in a patient with jaundice is most likely post hepatic. I don't need your bilurubin levels to distinguish......its not magic.its just my training.u said most likely meaning there is an atom of doubt. |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 5:02am On Jul 16, 2014 |
Iwegbadu:lol. . . The Pharmacist play a very very vital role indeed. 1 Like |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 5:09am On Jul 16, 2014 |
phantom: my brother I don't like arguing with someone who DELIBERATELY decides to MISS MY POINT...You don't want to get sued for that clinical findings, using it alone to diagnose. Rurall centres has limits. Do you know and read about Nigerian referral system? Working without Lab work is an archaic way of practicing medicine, it has been revolutionarised to evidence based medicine. Doctors who knows their onion don't practice like these, even rural populace has started requesting for test to find out what is wrong with them. 1 Like |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 5:18am On Jul 16, 2014 |
lexib:Refute these or keep quiet. I am a college dropout .....fine Failed the MB exams but got to O&G posting......fine I failed JAMB ........fine I don't have time for mediocrities, we learn everyday and I won't descend to your level of reasoning because it won't add to my knowledge. So if there is nothing you might wanna add to the discussion then I advice you kindly back out. Thanks. 2 Likes |
Re: Nma Strike: The Patients's Perspective by lexib(m): 5:27am On Jul 16, 2014 |
Morotov1: You don't want to get sued for that clinical findings, using it alone to diagnose. Rurall centres has limits. Do you know and read about Nigerian referral system? u sound like lab tests z all n all... we hv very regular incidences whr lab result state resistance to a certain drug which may hv bin started empirically, yet d patient is getting fine... on some occasions patient may hv taken over the counter antibiotics whc will suppress pathogens below the limit of detection n lab test would say d patient is fine, but d doctor uses his clinical accumen n prescribe a more appropriate drug based on d presentation of the patient n d most probable causative organism... also, for enteric fever, definitive test is d culture in blood, urine or stool at abt d 2nd, 3rd n 4th wks respectively (not d spurious widal test), so wud u sit n wait till 2nd wk of d illness to do a blood culture, wen d patient is dying infront of u... or do u talk abt lab tests b4 intervening in a patient with a medical emergency? ...... I can give u 20 instances whr lab findings fall short of diagnostic value U CAN'T JUST GO FINKING ITS ALL ABOUT LAB TESTS 1 Like |
Re: Nma Strike: The Patients's Perspective by lexib(m): 5:30am On Jul 16, 2014 |
Samgreguc: Doctors never use terms like, "always", "never", etc. U most put in a certain level of suspicion... "Most likely" implies it is it until proven otherwise. |
Re: Nma Strike: The Patients's Perspective by lexib(m): 5:37am On Jul 16, 2014 |
A doctor shd be d CMD... can't imagine a nurse or lab scientist heading doctors in a hospital... the hospital is the primary place of work for Doctors and Nurses... other professionals are ancilliary or support staffs... the primary place of work for a Lab. Scientist is a Medical Research laboratory best within in a University whr dey shd make reagents n improve on available analytical procedures, serve as a control for hospital-based routine labs, carry out researches dat advance medical practice (dats why dey r scientists)... d govt shd look into dat, dey r to head such places n not fight for headship with doctors in hospitals, or call demsefs "scientists" wen all dey do is feed samples into auto-analysers (machines) and read out d results... the primary place of work for pharmacists shd be in Pharmaceutical companies... if d govt dsnt own any, it means d country has bin importing drugs or using those produced by private firms or both... d pharmacist shd head here, dia job in d hospital z supportive n not frontline as in these companies... in hospitals, dey stock n dispense drugs, n r involved in patient drug counselling... dey dnt nid to review patient drug mgt for wen physicians are in doubt, dey invite the Therapeutic n toxicology team of Physicians for a review... Consultant pharmacists in foriegn climes are not hospital-based staffs... the physiotherapist shd run a Rehabilitation Home... etc. the frontline hospital staffs are Doctors and Nurses n only these two can talk about headship... buh Nurses take oaths within which they say "With loyalty, I shall ASSIST the PHYSICIAN in the performance of HIS job"... Nightangle pledge. I dnt fink Nurses insist on also bcoming CMD, most importantly, Doctors shd respect dem n carry them along. SO, WHERE IS ALL THIS JOHESU THING COMING FROM 3 Likes |
Re: Nma Strike: The Patients's Perspective by Oduduwaboy(m): 5:46am On Jul 16, 2014 |
Morotov1: Who says jaundice is uncommon in obstetrics cholestasis and that it occurs only after 25 weeks of gestation,it can occur anytime during pregnancy. Please update your textbooks. And even if your patient is either male or female, you will have a list of differential diagnosis that you have to rule out.Wannabe ! |
Re: Nma Strike: The Patients's Perspective by Samgreguc(m): 5:57am On Jul 16, 2014 |
lexib:dnt try using words to make the MLScientist useless cos, u myt b making the Pathologist useless also 2 Likes |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 6:15am On Jul 16, 2014 |
lexib:No, I am not thinking that please, in the wworld of evidenced based medicine you can't say absolute without investigations. Then comes the physicians intellectual acumen to discern and sieve out the likely and possible diagnosis, which can't be done with only clinical findings even malaria as somebody wrote has been mimicked. If defensive medicine is being practice where you reside ,where every of your activities is scrutinized by attorneys then you will know the importance of Lab and other investigations. 2 Likes |
Re: Nma Strike: The Patients's Perspective by lexib(m): 6:23am On Jul 16, 2014 |
Morotov1: No, I am not thinking that please, in the wworld of evidenced based medicine you can't say absolute without investigations. Then comes the physicians intellectual acumen to discern and sieve out the likely and possible diagnosis, which can't be done with only clinical findings even malaria as somebody wrote has been mimicked. U r obviously not interested in logical reasoning... I wnt want to argue illogically wif u cos u'll flaw me in dat realm... 2 Likes |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 6:27am On Jul 16, 2014 |
lexib: A doctor shd be d CMD... can't imagine a nurseYou're writeup is good. Nurses no longer swear by that line of Nightingale oath, according to them it has been modified to include collaboration with other health practitioners. Same way Hippocratic oath was modified and allegiance to all the Greek gods mentioned remove. |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 6:37am On Jul 16, 2014 |
lexib:What is logical in citing examples of where lab result failed and then with your trial and error methods patient became okay. Don't expect me to respond the way you want to prove your point. Thought I will learn something new but just like the rest, it is quite unfortunate indeed. |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 6:40am On Jul 16, 2014 |
Oduduwaboy: |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 6:40am On Jul 16, 2014 |
Oduduwaboy:Yeah, I failed fifth MB but I learnt about all that before I became an auxiliary doctor. Can you beat that. Old and Stale. |
Re: Nma Strike: The Patients's Perspective by Nobody: 7:20am On Jul 16, 2014 |
allycat: Please educate me, which lab test do I need to diagnose Otitis media with effusion, Ca Larynx, Tonsillities, Sensorineural hearing loss, Tinnitus or epistaxis. These are a few conditions I see everyday and I make my diagnosis based on clinical findings alone. I then investigate my patients to rule out contributing factors but these investigations do not in anyway make my diagnosis for me. Guess you've never heard of ear swab investigation and Antibiogram sensitivity testing in otitis media. Of course you know everything a Scientist knows. I applaude you. |
Re: Nma Strike: The Patients's Perspective by lexib(m): 7:37am On Jul 16, 2014 |
GentleMimi: Mr. "Scientist"... What research hv u carried out b4... changing name from technician to scientist is not just enough... be an actual scientist. |
Re: Nma Strike: The Patients's Perspective by dakotchic(f): 8:18am On Jul 16, 2014 |
YourHealthlabs: Ignorance exposed again! Who told you an ear swab is done for otitis media with effusion? Or that it is treated with antibiotics? I reiterate, if we all understood the meaning of these terms we are fighting for then there won't be any fight ab initio by either party 1 Like 1 Share |
Re: Nma Strike: The Patients's Perspective by dakotchic(f): 8:27am On Jul 16, 2014 |
I sincerely think the problem, besides the epidemic Nigerian factor, lies with the training of most of these allied health workers. If your teachers make it known that you are not superior, equal or inferior to doctors then all these problems won't even arise. Every specialty is unique, special and different. If you like to be a doctor with all the risks of failing, growing old before graduating, extremely long work hours etc fine, and ofcourse a chance at being cmd, lucky u! If u want to be a nurse with the joys of graduating really young, earning well, still have a lot of time for the pleasures of life fine, and ofcourse chance of being the head matron or ADNS with its plentiful pecks, lucky u too! Everyone has a price to pay and if that is not being CMD and consultants in the hospital, y'all better move on! |
Re: Nma Strike: The Patients's Perspective by GentleMimi: 8:27am On Jul 16, 2014 |
lexib:It is a ''Miss'',young man. Research: lol! Are you living in a bubble? Or just being pseudo-smart? I'm sure u are aware that full research requires further training and finance. Can your country make it available for all teaching hospitals? Even the professors with doctorates and federal grants find it difficult to carry out research with the limited resources and little or no encouragement,yet u want scientists to do it for u for free,so ur CMD will beat his chest and boast of progress. Lol! If u want research,pay for it. Let it be known that the primary and basic function of a scientist is ''diagnosis''. Research is secondary. Yes,we carry out research. There is a research lab at the council and NIMR,Yaba. As for the nomenclature,there are medical technicians,assistants and scientists. Google about the different professions. You aint paying me for educating u. phantom: I give up. trying to make you see my point is akin to fetching water with a basket.Oh,i get your point alright. but it is as lame as soggy spaghetti. You are an independent entity that can take care of his patient without input from any other. You already know the problem once u have a chat with them. I mean,singlehandedly. You'll look at them and know if its a mere UTI,rather than renal Dx,or if infertility is due to the man's azospermia,rather than the woman's hormonal imbalance...or chest pain and tightening due to CHD rather than a hundred other possible reasons....or if it is prostatic cancer rather than infection.,. Mini mini mani mo...guess guess,rule out..lol. 5 Likes |
Re: Nma Strike: The Patients's Perspective by Nobody: 8:30am On Jul 16, 2014 |
dakotchic: Knowledge is a few keystrokes away. -----> www.muschealth.com/lab/content.aspx?id=150486 |
Re: Nma Strike: The Patients's Perspective by phantom(m): 8:35am On Jul 16, 2014 |
Morotov1: Who says jaundice is uncommon in obstetrics cholestasis and that it occurs only after 25 weeks of gestation,it can occur anytime during pregnancy. Please update your textbooks. And even if your patient is either male or female, you will have a list of differential diagnosis that you have to rule out.........it so obvious why you are a lab scientist and not a doctor.please let's not take this discussion further.best regards. |
Re: Nma Strike: The Patients's Perspective by Nobody: 8:42am On Jul 16, 2014 |
Morotov1: No, I am not thinking that please, in the wworld of evidenced based medicine you can't say absolute without investigations. Then comes the physicians intellectual acumen to discern and sieve out the likely and possible diagnosis, which can't be done with only clinical findings even malaria as somebody wrote has been mimicked. The last paragraph is so full of truth. Nigerian Attorneys should get fully involved in medico-legal issues with the right legal framework. Lots of patient's relatives and law-firms have become rich from suing hospitals and scrutinizing erring physicians in advanced countries. The fear of a subpoena is the beginning of wisdom for many Western physicians and hospital. |
Re: Nma Strike: The Patients's Perspective by armadeo(m): 8:52am On Jul 16, 2014 |
God bless the Google guys. |
Re: Nma Strike: The Patients's Perspective by Morotov1(m): 8:52am On Jul 16, 2014 |
phantom: ........it so obvious why you are a lab scientist and not a doctor.please let's not take this discussion further.best regards.You've been trying to find out what I am,so you can ridicule and discredit my post as usual, sorry to burst your bubble.....I am not a Lab scientist...okay. I don't argue passionately about the professions as you guys do because I belong to neither of the professions. Best regards too. 1 Like |
Re: Nma Strike: The Patients's Perspective by Nobody: 8:58am On Jul 16, 2014 |
lexib: Nigerian Scientists and i mean MLScientists have developed testing system and protocols for investigating endemic diseases especially in parasitemia. Do your research oga Doctor,Scientist, prof, Engr., Astronaut lexib. Na you be all. You can also carry placards and protest against Nigerian Constitution for addressing them as 'Scientists' or better still make it the 25th issue on your demands. It's not too late. Greedy allo-man. ----->http://www.mlscn.gov.ng/files/ mlscn_docs/MLSCN_ACT.pdf |
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