₦airaland Forum

''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.''

Above is the specific demand of the NMA. Methinks it is not an unreasonable assertion.

Yes 'consultant' is used in other sectors but as far as health is concerned it is used in a specific way and to change that use will likely be detrimental and cause confusion.

The buck needs to stop at someone who will own and shoulder responsibility for the patient. We have not unreasonably chosen this 'someone' to be a senior experienced doctor.

Other terminologies such as specialist nurse or nurse practitioners or advanced practitioner should be used. I know in the UK there are consultant nurses but we are far away from where they were when they introduced the concept.

The topic might be an outlandish statement but bear with me for a moment let me explain:

The patient who presumably the health system is set-up for is being short-changed daily.

Hence the ensuing fight between the health unions is somewhat laughable.

The whole system is defective and with such a defective system, no amount of brilliance can produce quality care.

This our system limits brilliant people to mediocrity because like it or not , in healthcare, you can't be better than your system. Just not possible, that's why we always hear about great Nigerian doctors abroad but never in Nigeria.

The unions need to come together and fight the malaise in the system because we're all suffering!

If you disagree ask yourself the following -

Doctors when was the last time your patient with a STEMI had PCI within 12 hours

Pharmacists when was the last time you dispensed a novel oral anticoagulant or a monoclonal antibody to a patient

To nurses when was the last time you nursed that stroke patient in a stroke unit

To lab techs when was the last time you sequenced a gene in your lab and put it on a computer system for clinicians to view

All the above are routine even in countries poorer than Nigeria

Put Dr Sanjay Gupta or Dr Oz in our current system and see them become mediocre like every other Nigerian health worker currently is!

We are a house divided against ourselves and we can never stand. Fight the system together not each other!

That is true that death rates fall acutely with doctor strikes. However if you look over a longer period, you'll see a massive spike in death rates
as the illnesses and death that are being prevented come to a head

Medicine has complications. It's the price to pay for trying to prolong life. Nothing is risk free!

Patients also need to learn to be patient. Trust a doctor who says let's wait and see rather than a cowboy who wants to do everything at once. This is generally speaking of course and probably only applies in a well regulated health system - Read, not in Nigeria.

Toble: or could you please drop and email address or number to contact on

here's the link for the document. My email is listed on my website http://abujahealthpages.com

https://docs.google.com/spreadsheets/d/1bZU0FtD9dYiixJ3mhasjmeh3G_UFSJulWXJW9weyEsc/edit?usp=sharing

AprilTwo: Just got your mail, thanks sire. Is there a way you can put maybe their Number or Email Address? Incase of Change of Address.

i don't understand what you mean

Toble: The doctor said its the pain that trigger the HBP but that not even the problem cos its now normal. Yes, am even feeling the pains now and currently in Abj cos that's where I am hustling. As for the dizziness, no I don't I jst feel weak sometimes which is not usual of me.

look up nigerian cardiologists via this link http://abujahealthpages.com/nairaland.html

see my post on getting better healthcare https://www.nairaland.com/1801444/5-short-tips-improve-healthcare

Contact me via the website if you need help organizing your self to get better results from the doctor

The idea that the original article espouses and i subscribe to is to de-clutter the CMD role.

Like he says, call it CEO so no one feels it's a birthright.

I've worked in hospitals run by financial people, nurses, doctors, administrators etc.

Their success was not dependent solely on medical knowledge.

The other argument he makes is that making doctors executives takes them away from their clinical role, a luxury we can ill afford.

We need all the clinicians we can get.

It's easier and cheaper to learn to manage an organization than it is to learn to treat a patient appropriately

While we all agree that failure is necessary for success, why then do we ridicule and look down on people who fail?

If we are to encourage efforts, then we must help people get back up when they fail rather than disparage and be condescending

Having a healthy lifestyle is essential to staying well and feeling more fulfilled.


In order to be healthy, health professionals advice physical activity that causes one to sweat for at least 30 minutes on most days of the week.


Great! so how does one do this you ask? Particularly when one is tired and motivation is in short supply.


See 6 ways below that will increase your motivation and enjoyment while staying fit and healthy in Abuja


1. Rugby - Pick up the gentleman’s game. It looks like a game for thugs and is certainly not for the faint hearted but it sure does get your heat pumping and the calories dropping. If you’re too much of a chicken, the Abuja rugby club also play touch rugby where no contact is allowed. Learn more at https://www.facebook.com/Abujarugby?fref=ts or https://twitter.com/AbujaRugby


2. Zumba - the latin inspired fitness dance craze taking the world by storm. It is particularly loved by women so don't venture if you're a man not in touch with your feminine side. Classes hold at casalinda in wuse 2 find an instructor at zumba.com or follow this Abuja instructor on twitter https://twitter.com/zumbawithkosy


3. Futsal - Get a team together and play the official fifa 5-a-side football game. Planet futsal offer floodlit synthetic all-weather pitches that are a dream to play on. follow them on twitter https://twitter.com/planetfutsal_ng. You may also pick up games on your own


4. Get on Truppr - Truppr is a fun new app where you can connect to fitness events and people exercising around you. They have a 5K run coming up in Abuja and host several other fitness events. https://www.truppr.com/


5. Abuja Fitness Camp - Provides a program that helps you lose weight and stay fit. Their program Includes pylometrics, interval training and kickboxing among others. https://twitter.com/ABJFitnessCamp


6. Salsa - Salsa dancing requires plenty of energy meaning you get to sweat and burn off those excess calories. The Abuja salsa scene is expanding, classes to learn steps and opportunities to dance abound. Sign up for classes and you’ll be dancing and burning calories in your sleep. Follow the Abuja salsa facebook group for more info https://www./29786854577


http://abujahealthpages.com/1/post/2014/07/6-fun-ways-to-keep-fit-in-abuja.html

skeezeeree: PEEPS,
I am trying to create a Podcast on Nigerian issues and some other common topics that shall be freely downloadable from i tune , Facebook and many other online platform .
Suscribe to http://www.naijapipu.com/podcast.rss.txt
You can also subscribe to the RSS Feed and automatically gets updated on your PC, Android, i-pod, i-phone, etc.
Topics so far on the podcast are
1. Alcohol. Use Abuse and misuse http://www.naijapipu.com/Podcast/Alcohol.mp3
2. Fibroids in Black women http://www.naijapipu.com/Podcast/Fibroids.mp3
3. Prostitution on the streets of Abuja http://www.naijapipu.com/Podcast/Prostitution.mp3
4. Calabar Carnival
5. The Benin Moat
6. How Keshi won AFCON 2013
7. Past Nigerian leaders
Suscribe to http://www.naijapipu.com/podcast.rss.txt
I will need your support on topics suggestion
SO WATCH OUT! WATCH OUT !!

What has the reception for your podcasts been?

benbazus: If the northern government are sincere in their pursuit of giving their people quality education, I will suggest like you wrote employing quality teachers no matter the part of the country they come from, support them, pay them well so that they can deliver. Implementing “universal primary and secondary schooling” are all mnemonics.
I may not know how the system works (traditional) in the north, I want to belief that if the traditional and religious leaders will make a law for parents to send their wards to school, things will change.
But I found out the emirs and the elites will send their wards to the best schools (even aboard) and yet brain wash the followers that western education is SIN. The masses have to wake up to see that their leaders are deceiving them. They should not bask in and take pleasure in being labelled “disadvantaged” and wait for federal government to do everything for them.

We are saying the same thing in essence.

Only thing i would emphasize however is that when there is a disparity, there is always an inherent difficulty in bridging the gap. Requiring often times more effort than a community of people can muster. We will do well to have some empathy and encourage programs that will bridge the gap

benbazus: My brother you wrote about targeting resources in those "disadvantaged" areas. In the "advantaged" areas, did federal government commit more resources than those of "disadvantaged" areas?

I guess it has to do with mentality not religion. By encouraging this practice to continue, the federal government is inadvertently killing education system in those parts of the country.

I agree that lack of education is a contributory factor to the spread of BH in North East, but who is to be blamed? The state government of course! You cannot bring the best out pupils if they do not and cannot challenge themselves. There has to be competition.
I refuse to belief that northerners are dull, no sir! But the government and their elites are encouraging and perpetuating mass illiteracy because it suits their purpose of continuous domination of their people.
Northerners in the south compete with their counterpart and to a large extent do well. Their parents spent a lot of money in sending them to both public schools and private schools.
I will advise any northerner who wants his/her ward to have quality education should them to the south.

The origin of an advantage is somewhat irrelevant in the sense that it already exists.

Similarly blaming a state or any government does not change the clear disparity in educational attainment. What is clear however is that encouraging more education does and will increase the development of the local area.

While i don't necessarily agree with the current methods, one must admit that at the very least it is a recognition of and an attempt to remedy the disparity. The hopeful result being that more role models for educational attainment are created in these areas. Most agree that students who have no role models around find it difficult to challenge themselves de novo to achieve more than their parents or peers.

Personally I would be more in favour of implemented universal primary and secondary schooling, better quality teachers, better quality environment and materials etc

Ultimately you are right that there is no political will to change the current situation. Hopefully we can make that change happen in the future

Sounds a lot like propaganda. Difficult to believe it actually happened

benbazus: The above does not follow. Who disadvantaged those States? Who discriminated against those northern States?
In essence it is the states in south that are been discriminated against.
How do you encourage meritocracy?
How do you encourage hard work?

How do you explain to child in Anambra that got 138 that he/she will not get admission while child in Zamfara (Male(4) Female(2)) does. How fair is it to you?
Where is justice?

This goes to the root of the problem we have in Nigeria – “quota system”. Until the government decides to do things by merit Nigeria may found herself lagging behind in every facet of live in the committee of nations.
If they want to do quota system in education, they should also replicate it by the same measure, in admission to NDA, employment into federal and State parastatals, government agencies etc.

Well there is the federal character principle that applies in govt and its quangos. You are right that we need merit to progress but the way our country is structured it will be difficult to implement. Nigerian merit is based on proximity to the village of the leader

With the kid in Anambra that got 138, s/he needs less support to progress generally speaking. The '4' form Zamfara on the other hand needs more of a push. Like it or not we need to target resources to increase the general literacy of an area. The flipside is what we have now in the North East where one can argue that lack of education has encouraged the spread of BH

Nigerian politician resign!!!

The day it happens repent sharp sharp because world don end be that

Attend AA's 12 step group therapy

Consistently shown to work time and time again

Just drink water!

God provided us with the best drink!

Call the ambulance services via 911, 999 or 112 depending on what country you're in

If in Nigeria call God because your chance of surviving a heart attack is quite slim!

What this is is an affirmative action

wikipedia - Affirmative action or positive discrimination[1] (known as employment equity in Canada, reservation in India, and positive action in the UK) is the policy of providing special opportunities for, and favoring members of, a disadvantaged group who suffer from discrimination.

The areas that have lower scores is to encourage more people to take up education and hopefully go on to improve the general literacy rate in the local area

Many of us are uncomfortable speaking with people of higher status. We can feel self-conscious, unsure of what to say, and afraid what we’re going to say — or what we’re saying — is the wrong thing. After these conversations, we often replay in our heads what we said, analyze what we shouldn’t have said, or realize what we should have said but didn’t.

But imagine what communicating up the hierarchy is like for people from countries and cultures where notions of hierarchy are much deeper and much more ingrained than ours. Where even as a small child you are taught to speak only when spoken to, and that in the presence of authority figures, like your parents, your teachers, or your boss, you should remain quiet, put your head down, do solid work, and hope to be noticed.

I teach and work with people from such cultures on a daily basis, and I can tell you that it is extremely challenging to learn how to function outside your cultural comfort zone when interacting with authority figures in different cultures, especially in cultures where the rules are much more lax and you are actually expected to voice your opinions, be assertive, and even establish relationships with these taboo figures. I call this the liability of deference: the fact that people from deferential and polite cultures often struggle quite significantly trying to make their way in less hierarchical cultures. This problem can be debilitating to the individuals and their careers, and it also hampers their organizations’ capacity to leverage the human capital that they have worked so hard to select, train, and cultivate.

The problem is a pervasive one. It manifests itself in the classroom, where students from cultures where participation is not a typical feature of classroom dynamics are forced to participate in the U.S. and some other cultures, and they struggle to make the cultural switch. Here, for example, are the words of a former MBA student from Vietnam who struggled with the difficulties of classroom discussion: “I know participating in the U.S. is required to get good grades but somehow deep inside I felt like I was doing something very wrong. I was trembling, sweating. I just couldn’t look at the professor or my classmates in the eyes. I felt guilty.”

This same issue also manifests itself during the job search process. The following is a quote from one of my former MBA students from Nigeria about the challenges of overcoming the liability of deference at networking events:

It felt very uncomfortable and artificial to be expected to participate in an informal conversation with this senior person. Thoughts going through my head were, “What can I possibly have to say to this man who has much more experience than I do?” The values that were instilled in me were to “speak when spoken to” and “children are to be seen and not heard.”

Finally, this liability of deference also impacts people at work. They can struggle to participate in meetings, can avoid calling senior partners by first names (and, as a result, can appear quiet or standoffish), and can struggle to cultivate rapport and relationships with senior colleagues, which is critical for their advancement.

So what can organizations and particularly leaders of organizations do to lessen the brunt of this liability of deference for their employees from other cultures?

The first critical thing is to educate themselves and their employees about these differences, and to develop a solid level of empathy for the challenges that their employees may face — especially those from hierarchically-oriented cultures — in adapting to the American workplace.

Sensitizing managers to these differences is critical for them to be able to make accurate attributions for their employees’ behavior. For example, if an employee doesn’t speak up in a meeting, it may not be because the employee doesn’t have anything to say. Or if an employee offers to take on a new assignment, but without the unbridled, “go-getter” type of enthusiasm the manager is used to from his American employees, this may just be a difference in communication style instead of a difference in motivation to do the work.

On the employee side, companies should develop robust training and mentoring programs to help their employees take the leap and learn to act outside their cultural comfort zone. Such programs should of course highlight the cultural differences that employees face in adapting their behavior to a new cultural environment. But to be successful, they must go beyond that, helping employees actually take this knowledge of cultural differences and then go the next step, learning to translate it into effective behavior in a new cultural setting.

Employees need to have opportunities to practice and hone their new skills, make mistakes in a forgiving environment as they work on customizing a style for interacting with authority figures that is effective and feels authentic, and then, having cultivated a new style, have opportunities to practice that new approach in realistic and challenging situations, ideally with feedback from a mentor or cultural coach. Intellectual understanding of differences and the capacity to develop global dexterity and actually shift their behavior are two very different challenges and skill sets. Training and education should follow accordingly.

For organizations to thrive in a global economy, everyone needs to pitch in. But when pitching in means speaking out, don’t forget the liability of deference.

From http://blogs.hbr.org/2014/07/learning-to-speak-up-when-youre-from-a-culture-of-deference/

AprilTwo: You're right. The ones I've visited are really not serious about it. They even lost my record and asked me to restart the whole investigation. Why am asking here is because I've seen someone with the same issue and was also told to be OK after tests. I want to know if it's hard for the Docs to know when someone is having Angina Pectoris. I 'll look up the links. But please can this be cured? Thanks sir! EDIT: There's nothing on Abuja Health Page, maybe it's my Browser.

you need to click the link directly as the page is hidden. copy and paste into your address bar the link you find there.

You will need further assessment before a cure can be suggested.

Contact me via the website if you need help organizing your information

Lordabas: It is normal not to have a period for some time after an abortion.This can be because pregnancy hormones can still be in your body. But If ur period doesn't come in d next 6 weeks, see your doctor.
Sometimes they may have to put you on birth control pills to make you start menstruating again.

As above

Also important to use better birth control rather than abortion

What are the symptoms you experience from this 'staphyllococcus' and how did you get diagnosed with it

Your case appears to not be straight forward. What you need to do is to get the doctors to take you more seriously. Advise via this forum is inherently dangerous as there's no physical interaction and opportunity to view your tests etc. My advice is as follows -

See this post https://www.nairaland.com/1801444/5-short-tips-improve-healthcare to see how to get more from a hospital visit

It basically says to go prepared with all your tests results and history and be clear what you want from your visit

visit the link below to see a link to a list of all cardiologists in the nigerian cardiac society

http://abujahealthpages.com/nairaland.html

Pick one on the list.

Attend him and explain that you are very concerned about your symptoms

Also ask the following questions

- Do i appear Marfanoid to you?

- Could my pain be from a dissection?

- Would you recommend a CT scan of my blood vessels

The above questions will encourage the doctor to explore further causes of your pain and help rule them in or out

Thread closed

We are not yet hiring but will be in the future. We're just unsure how easy it will be to access the kinds of developers we want

i'm working on a naija tech co that promises to be huge! watch this space!

We're building a solution with .net and mssql and wondering how easy it will be to recruit suitable programmers when we want to scale

Shame that private messages between 2 individuals can end up on the net like this. where's the privacy?

Shey state lodges follow for this directive too! no be for one state lodge dem catch one BH leader like dat!

Where the intelligence dey? I tire Ohh!!!

Dramadiddy: abt d salary part do u mean..when the employee is abt to b employed?

Yes. Often employers ask you what your salary expectation is. This way they don't offer you more than you are willing to work for.

Your response should be i'm open to any offers.

You of course need to have done your home work on the market rate for the skills your offering. The employer would have done his and will likely offer you below market rate. They want you to speak first to see if you have done your homework. I know in some cases employers that won't offer a job because the potential employee has priced their skill to low.