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The Patient Comes To The Hospital To See The Doctor. - Health - Nairaland

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The Patient Comes To The Hospital To See The Doctor. by mediclife1987(m): 2:20pm On May 09, 2018
THE PATIENT COMES TO THE HOSPITAL TO SEE THE DOCTOR.

There are three group of people in the Hospital worldwide;

1. Doctor
2. Patients
3. Hospital support staff.

-A patient comes to a medical emergency unit rushed by his relatives.
-The DOCTOR sends for his file/folder to be retrieved by the MEDICAL RECORDS STAFF.
-The DOCTOR takes history from PATIENT and examines the PATIENT.
-The DOCTOR makes a diagnosis (or set of diagnosis-differential diagnosis).
-The DOCTOR asks the PHARMACIST to supply the drugs for the particular disease.
-The DOCTOR asks the NURSE to administer the drugs.
-The DOCTOR asks the PATIENT to go to Radiology department to do an X-RAY/CT-SCAN.
-The DOCTOR in the Radiology department (RADIOLOGIST) asks the RADIOGRAPHER to do the X-ray. The DOCTOR in the Radiology department (RADIOLOGIST) interpret the X-ray in the light of the clinical information gathered from the requesting DOCTOR and write a report to be taken to the DOCTOR in the Emergency. The radiographer has no training to interpret this test.
-The DOCTOR in the Emergency unit use the X-ray report to further treat the patient.
-The DOCTOR sends the patient blood/tissue samples to the laboratory and requests the LABORATORY SCIENTIST or LABORATORY TECHNICIAN to do the test . He may even request the DOCTOR in the Lab(PATHOLOGIST) to do the test/more sophisticated tests himself if necessary.
The DOCTOR in the laboratory (PATHOLOGIST) interprets the report in the light of clinical expertise and sends the patient back to the doctor in the emergency. He may choose to go to the emergency himself to evaluate the patient further and liases with the index doctor on the need for more or a different type of test to help treat the patient better. The medical laboratory scientist HAS NO CONTACT with the patient and is not trained to interpret results as they are not medically qualified to do so.

-The DOCTOR evaluates the patient and ask for more drugs from the PHARMACY for the NURSE to administer.

-The DOCTOR admits the patient to the ward if patient is not fit to go or discharge the patient if he is good.

-THE DOCTOR in the ward keeps on seeing the patient and evaluating his needs. THE DOCTOR instructs the NURSE on the treatment plan and type of nursing care required for the patient. The PHARMACIST, LABORATORY SCIENTIST/TECHNICIAN, RADIOGRAPHER are involved only when the need arise only as support staff. They can never take a decision on the CARE of the patient.

If Surgery is required, the DOCTOR CARRIES IT OUT and bears the risk and responsibility it requires including litigation.

But there is always a need for the DOCTOR to be in CONTACT with the progress of the patient.

-THE DOCTOR DISCHARGES the PATIENT home or CERTIFY him dead as the case may be.

IT BEGINS WITH THE DOCTOR and PATIENT from admission and ends with DOCTOR and PATIENT on discharge from the hospital.

1. DOCTORS WORLDWIDE are LEADERS of the health sector in the best of centers.
-Google LIST OF BEST HOSPITALS IN THE WORLD.
A list of many hospital according to ranking would come up.
-Take the first 5, or 10, or 20 hospitals ONE BY ONE.
-For each hospital Google it's leadership.
-All would show you that the doctor is the head.
The CEO/CHIEF EXECUTIVE OFFICER of all the hospitals have MD or MBBS as their basic qualification. (Most of these doctors have no any other non-medical qualification).

PLEASE GOOGLE FOR YOURSELF
-THE BEST HOSPITALS in the world.
-Then LEADERSHIP OF EACH HOSPITAL.

2.)DOCTORS ARE PAID FAR BETTER THAN OTHER SUPPORT STAFF WORLDWIDE.
This pay gets far different when the DOCTOR is a SPECIALIST: CONSULTANT (UK/INDIA) or an ATTENDING PHYSICIAN (USA).

Google the best hospitals in the world and the salary of the workers.

Google for yourself.
Do not be fed with lies.

3.) CAREER PROGRESSION for DOCTORS.
Doctors have two pathways for progression in Nigeria:
i. NORMAL CIVIL SERVICE where you are promoted to the next grade after every 3years.
ii. POSTGRADUATE MEDICAL EDUCATION, where you enroll into residency and is only promoted after rigorous academic and practical training and passing of professional examinations.
After NYSC the doctor pays heavily to write an exam called primaries. After the primaries he/she undergoes extensive training as a REGISTRAR and after 3-5years write the PART 1 exams to become a SENIOR REGISTRAR. After another 3-5years he writes another exam to become a FELLOW/CONSULTANT. Each of PART 1 and 2 exams advance the doctor only one grade level (e.g Part 1 exam after 3-5 years moves a DOCTOR from grade 12 to 13. Part 2 after another 3-5moves a doctor from grade 13-14).
The pass rate of these exams generally is between 10-30%.
Its difficult to progress through the postgraduate pathway. You may spend more than 6years without promotion.

GOOGLE THE TRUTH.

THE DRAMA PLAYING IN THE NIGERIAN HEALTH SECTOR IS A FALL OUT OF ENVY AGAINST THE MEDICAL DOCTOR.

NO WONDER THE SUPPORT STAFF WOULDN'T TELL PATIENT'S THEY ARE NOT DOCTOR'S, BUT CONTINUE MASQUERADING AS ONE WHEN THE PATIENT'S IGNORANTLY CALLS THEM.

YOU CANNOT GAIN THE BENEFITS OF A DOCTOR AS A SUPPORT STAFF THROUGH THE BACK DOOR. THE UNIVERSITY DOORS ARE STILL WIDE OPEN.

OUR MEDICINE CANNOT BE DIFFERENT FROM WHERE WE BORROWED IT.
LET'S COPY FROM THE BEST.

4 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by thesicilian: 2:28pm On May 09, 2018
If you want to be the boss, set up your own organization.

5 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by mediclife1987(m): 2:33pm On May 09, 2018
thesicilian:
If you want to be the boss, set up your own organization.

So the government hospitals can continue to be ran haphazardly without a head

Noted...
Re: The Patient Comes To The Hospital To See The Doctor. by Amarabae(f): 3:42pm On May 09, 2018
When a slowpoke talks, you will know.
This whining and crap of a post dont move johesu.
What will hit you, you will not know.
Hospital support staffs my foot!

4 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by nelszx: 4:06pm On May 09, 2018
mediclife1987:
THE PATIENT COMES TO THE HOSPITAL TO SEE THE DOCTOR.

There are three group of people in the Hospital worldwide;

1. Doctor
2. Patients
3. Hospital support staff.

-A patient comes to a medical emergency unit rushed by his relatives.
-The DOCTOR sends for his file/folder to be retrieved by the MEDICAL RECORDS STAFF.
-The DOCTOR takes history from PATIENT and examines the PATIENT.
-The DOCTOR makes a diagnosis (or set of diagnosis-differential diagnosis).
-The DOCTOR asks the PHARMACIST to supply the drugs for the particular disease.
-The DOCTOR asks the NURSE to administer the drugs.
-The DOCTOR asks the PATIENT to go to Radiology department to do an X-RAY/CT-SCAN.
-The DOCTOR in the Radiology department (RADIOLOGIST) asks the RADIOGRAPHER to do the X-ray. The DOCTOR in the Radiology department (RADIOLOGIST) interpret the X-ray in the light of the clinical information gathered from the requesting DOCTOR and write a report to be taken to the DOCTOR in the Emergency. The radiographer has no training to interpret this test.
-The DOCTOR in the Emergency unit use the X-ray report to further treat the patient.
-The DOCTOR sends the patient blood/tissue samples to the laboratory and requests the LABORATORY SCIENTIST or LABORATORY TECHNICIAN to do the test . He may even request the DOCTOR in the Lab(PATHOLOGIST) to do the test/more sophisticated tests himself if necessary.
The DOCTOR in the laboratory (PATHOLOGIST) interprets the report in the light of clinical expertise and sends the patient back to the doctor in the emergency. He may choose to go to the emergency himself to evaluate the patient further and liases with the index doctor on the need for more or a different type of test to help treat the patient better. The medical laboratory scientist HAS NO CONTACT with the patient and is not trained to interpret results as they are not medically qualified to do so.


-The DOCTOR evaluates the patient and ask for more drugs from the PHARMACY for the NURSE to administer.

-The DOCTOR admits the patient to the ward if patient is not fit to go or discharge the patient if he is good.

-THE DOCTOR in the ward keeps on seeing the patient and evaluating his needs. THE DOCTOR instructs the NURSE on the treatment plan and type of nursing care required for the patient. The PHARMACIST, LABORATORY SCIENTIST/TECHNICIAN, RADIOGRAPHER are involved only when the need arise only as support staff. They can never take a decision on the CARE of the patient.

If Surgery is required, the DOCTOR CARRIES IT OUT and bears the risk and responsibility it requires including litigation.

But there is always a need for the DOCTOR to be in CONTACT with the progress of the patient.

-THE DOCTOR DISCHARGES the PATIENT home or CERTIFY him dead as the case may be.

IT BEGINS WITH THE DOCTOR and PATIENT from admission and ends with DOCTOR and PATIENT on discharge from the hospital.

1. DOCTORS WORLDWIDE are LEADERS of the health sector in the best of centers.
-Google LIST OF BEST HOSPITALS IN THE WORLD.
A list of many hospital according to ranking would come up.
-Take the first 5, or 10, or 20 hospitals ONE BY ONE.
-For each hospital Google it's leadership.
-All would show you that the doctor is the head.
The CEO/CHIEF EXECUTIVE OFFICER of all the hospitals have MD or MBBS as their basic qualification. (Most of these doctors have no any other non-medical qualification).

PLEASE GOOGLE FOR YOURSELF
-THE BEST HOSPITALS in the world.
-Then LEADERSHIP OF EACH HOSPITAL.

2.)DOCTORS ARE PAID FAR BETTER THAN OTHER SUPPORT STAFF WORLDWIDE.
This pay gets far different when the DOCTOR is a SPECIALIST: CONSULTANT (UK/INDIA) or an ATTENDING PHYSICIAN (USA).

Google the best hospitals in the world and the salary of the workers.

Google for yourself.
Do not be fed with lies.

3.) CAREER PROGRESSION for DOCTORS.
Doctors have two pathways for progression in Nigeria:
i. NORMAL CIVIL SERVICE where you are promoted to the next grade after every 3years.
ii. POSTGRADUATE MEDICAL EDUCATION, where you enroll into residency and is only promoted after rigorous academic and practical training and passing of professional examinations.
After NYSC the doctor pays heavily to write an exam called primaries. After the primaries he/she undergoes extensive training as a REGISTRAR and after 3-5years write the PART 1 exams to become a SENIOR REGISTRAR. After another 3-5years he writes another exam to become a FELLOW/CONSULTANT. Each of PART 1 and 2 exams advance the doctor only one grade level (e.g Part 1 exam after 3-5 years moves a DOCTOR from grade 12 to 13. Part 2 after another 3-5moves a doctor from grade 13-14).
The pass rate of these exams generally is between 10-30%.
Its difficult to progress through the postgraduate pathway. You may spend more than 6years without promotion.

GOOGLE THE TRUTH.

THE DRAMA PLAYING IN THE NIGERIAN HEALTH SECTOR IS A FALL OUT OF ENVY AGAINST THE MEDICAL DOCTOR.

NO WONDER THE SUPPORT STAFF WOULDN'T TELL PATIENT'S THEY ARE NOT DOCTOR'S, BUT CONTINUE MASQUERADING AS ONE WHEN THE PATIENT'S IGNORANTLY CALLS THEM.

YOU CANNOT GAIN THE BENEFITS OF A DOCTOR AS A SUPPORT STAFF THROUGH THE BACK DOOR. THE UNIVERSITY DOORS ARE STILL WIDE OPEN.

OUR MEDICINE CANNOT BE DIFFERENT FROM WHERE WE BORROWED IT.
LET'S COPY FROM THE BEST.

If you must quote Google please make research about it before you come out in a public forum to disgrace yourself (that's one for the road).
Back to the bolded, like you said we cannot be different from where we borrowed it.
So you mean the MLS just conducts tests and doesnt/can't interpret his/her result? So what differentiates them from the conventional quacks on the lose?
I will come back to modify this

4 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by mediclife1987(m): 4:33pm On May 09, 2018
nelszx:


If you must quote Google please make research about it before you come out in a public forum to disgrace yourself (that's one for the road).
Back to the bolded, like you said we cannot be different from where we borrowed it.
So you mean the MLS just conducts tests and doesnt/can't interpret his/her result? So what differentiates them from the conventional quacks on the lose?
I will come back to modify this

If you got a counter, state it instead of arguing blindly and proving to the world how unintelligent you are.

MLS interprete results only in a contraption like Nigeria where a doctor orders a test for a blood film and the lab scientist in a bid to prove himself- or his folly- presents a full blood count result as one to a doctor.

Pathology that a doctor after spending 7years in Medical School goes for an additional 5-6years of residency(a total of 12-13years) is what a Lab scientist who spent 5-6years learning without even a proper footing compared to a Medic wants to interpret.

Nigeria with their shortcut and backdoor mentality and we continue to wonder why patients die anyhow, we continue to wonder why our mortality indices skyrockets annually.

The average Nigerian has the dangerous faith that he can do anything another person does, which is a good thing in itself, but will never want to pay his dues, yet still want the same accolades or even more.

A nurse will claim to be doing USS and cheapen it to beat the he doctor to his game only to diagnose Enteritis on USS, so many rubbish going on in the country.

Any personnel that does what is beyond his Jurisdiction is practising quackery EVEN if he does it better than the staff who is licenced to do it, and we know how rare that is, however Nigerians prefer miracles to actual science, a country where people celebrate a Yoruba graduate who got a job in a bank!

Why won't we come out boldly and say MLS should intepret results, a lot of rubbish has permeated Nigeria and has obviously come to stay.

Nigeria is a lost cause, a dilapidated building waiting to implode, everyone doing all they can to run out before it crashes on their heads, hence the free madness engulfing and consuming every sector in the country.

Try googling Havard where a case study was made about Nigeria being an example/epitome of a failed country. Perhaps you'll have mercy on Nigeria and rethink your mindsets.

1 Like

Re: The Patient Comes To The Hospital To See The Doctor. by mediclife1987(m): 4:37pm On May 09, 2018
Amarabae:
When a slowpoke talks, you will know.
This whining and crap of a post dont move johesu.
What will hit you, you will not know.
Hospital support staffs my foot!

If you have a reasonable rebuttal, state it here.

I've got no time for guttertalks.

5 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by nelszx: 4:59pm On May 09, 2018
mediclife1987:


If you got a counter, state it instead of arguing blindly and proving to the world how unintelligent you are.

MLS interprete results only in a contraption like Nigeria where a doctor orders a test for a blood film and the lab scientist in a bid to prove himself- or his folly- presents a full blood count result as one to a doctor.

Pathology that a doctor after spending 7years in Medical School goes for an additional 5-6years of residency(a total of 12-13years) is what a Lab scientist who spent 5-6years learning without even a proper footing compared to a Medic wants to interpret.

Nigeria with their shortcut and backdoor mentality and we continue to wonder why patients die anyhow, we continue to wonder why our mortality indices skyrockets annually.

The average Nigerian has the dangerous faith that he can do anything another person does, which is a good thing in itself, but will never want to pay his dues, yet still want the same accolades or even more.

A nurse will claim to be doing USS and cheapen it to beat the he doctor to his game only to diagnose Enteritis on USS, so many rubbish going on in the country.

Any personnel that does what is beyond his Jurisdiction is practising quackery EVEN if he does it better than the staff who is licenced to do it, and we know how rare that is, however Nigerians prefer miracles to actual science, a country where people celebrate a Yoruba graduate who got a job in a bank!

Why won't we come out boldly and say MLS should intepret results, a lot of rubbish has permeated Nigeria and has obviously come to stay.

Nigeria is a lost cause, a dilapidated building waiting to implode, everyone doing all they can to run out before it crashes on their heads, hence the free madness engulfing and consuming every sector in the country.

Try googling Havard where a case study was made about Nigeria being an example/epitome of a failed country. Perhaps you'll have mercy on Nigeria and rethink your mindsets.

Like I have said, medicine isn't practised alone in Nigeria
You mouth Google why not use it and ask relevant questions. If you like I can furnish you with links where all these are practiced worldwide.

2 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by mediclife1987(m): 5:09pm On May 09, 2018
nelszx:


Like I have said, medicine isn't practised alone in Nigeria
You mouth Google why not use it and ask relevant questions. If you like I can furnish you with links where all these are practiced worldwide.

It's not a matter of if I like, I'm sure you read my opening statement in my response.

Furnish, Replenish or Lavish, whatever, just give a rebuttal if you have an intelligent counter, not coming here to beat around the bush.

That's how intelligent arguments are made.

I've stated mine- state yours and stop being an evasive coward!

1 Like

Re: The Patient Comes To The Hospital To See The Doctor. by nelszx: 5:14pm On May 09, 2018
mediclife1987:


It's not a matter of if I like, I'm sure you read my opening statement in my response.

Furnish, Replenish or Lavish, whatever, just give a rebuttal if you have an intelligent counter, not coming here to beat around the bush.

That's how intelligent arguments are made.

I've stated mine- state yours and stop being an evasive coward!
smiley be sure I will as soon as I'm free

2 Likes 1 Share

Re: The Patient Comes To The Hospital To See The Doctor. by nelszx: 5:39pm On May 09, 2018
mediclife1987:

THE PATIENT COMES TO THE HOSPITAL TO SEE THE DOCTOR.

There are three group of people in the Hospital worldwide;

1. Doctor
2. Patients
3. Hospital support staff.

First your heading is wrong, no patient(s) come to the hospital to see a doctor but rather to get well. In the process of getting well, they come in contact with few health personnel (doctor, nurses, pharmacists, mls, physiotherapist etc) each with distinctive role(s) to play.

From your analogy it shows what we practice in our hospital is just traditional medicine from the medieval era (little wonder we're ranked 187/190).

N.B: You can see the image below to know how this operates.

Now to whomever you categorised under support staff, I'm very sure you don't even know whom they are. In order to ridicule them you ended up messing up yourself. Now who are hospital/clinical support staff? Simple Google revealed who(m) they are;

What do clinical support staff do?

You just have to take your hat off to clinical support staff (a.k.a. healthcare assistants). They spend their careers helping doctors, nurses and other healthcare professionals. Their roles are so selfless that you often wonder if they ever actually think of themselves.

Do you now know who are they? They are healthcare assistants and not whoever it is you categorised under it.

If they come to see the doctor, why not after examination send them home? Healthcare is now patient centred with every professional a role to play in bringing the patient back to normalcy.

Have you ever heard of patient centred healthcare delivery? Well the places we borrowed medicine from, that's what's been practiced.

The DOCTOR in the laboratory (PATHOLOGIST) interprets the report in the light of clinical expertise and sends the patient back to the doctor in the emergency. He may choose to go to the emergency himself to evaluate the patient further and liases with the index doctor on the need for more or a different type of test to help treat the patient better. The medical laboratory scientist HAS NO CONTACT with the patient and is not trained to interpret results as they are not medically qualified to do so.

Yes the medical laboratory scientist may have no contact with patients but hey just to burst your bubble, a medical laboratory scientist can interpret whatever result he/she generates. Really I'm yet to see a medical laboratory scientist who cannot interpret his/her result from simple to complex/sophisticated tests. Recently we have scientists who can view and interpret cytology and histopathological slides.
To come out in public to say this is the height of ignorance or selective omission on the subject matter.

MLS interprete results only in a contraption like Nigeria where a doctor orders a test for a blood film and the lab scientist in a bid to prove himself- or his folly- presents a full blood count result as one to a doctor.
No medical laboratory scientist will give you a full blood count result in place of a blood film even an intern MLS will give you a comprehensive blood film report (thats what we have been trained to do) except that person is masquerading to be a medical laboratory scientist or a professional quack. Even looking at an fbc result I can tell you what the film is like. Do you know with RBC indices you can give a glimpse what the morphology of a RBC is? Let me leave you to ponder about that.

Are these places Nigeria as well where it's their duty to interpret laboratory results? Read through and expand your horizon.

http://www.hpcsa.co.za/PBMedicalTechnology - S/Africa
https://gazette.govt.nz/notice/id/2015-gs7090 - New Zealand

Pathology that a doctor after spending 7years in Medical School goes for an additional 5-6years of residency(a total of 12-13years) is what a Lab scientist who spent 5-6years learning without even a proper footing compared to a Medic wants to interpret.
Pathology as it is, isn't the sole reserve for doctors. Do you know many medical laboratory scientists are fellow royal college of pathology in the UK (FRCPATH). While many still are fellows/members of the American Society of Clinical Pathology (ASCP).If you don't know now you know.

6 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by thesicilian: 6:14pm On May 09, 2018
mediclife1987:


So the government hospitals can continue to be ran haphazardly without a head

Noted...
Let the support staff run the hospitals. When they have run things aground, their employers will come looking for the doctor. I don't see any reason why any doctor should drag a government hospital post with his much distant inferiors when he could easily as well set up his own private establishment and employ those same support staff, or just travel abroad where he is appreciated.
Very soon what happened in Obasanjo's tenure will start happening again: the government officials will have to go abroad to beg our doctors to come back home.

3 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by mediclife1987(m): 6:20pm On May 09, 2018
nelszx:


First your heading is wrong, no patient(s) come to the hospital to see a doctor but rather to get well. In the process of getting well, they come in contact with few health personnel (doctor, nurses, pharmacists, mls, physiotherapist etc) each with distinctive role(s) to play.

From your analogy it shows what we practice in our hospital is just traditional medicine from the medieval era

N.B: You can see the image below to know how this operates.

Now to whomever you categorised under support staff, I'm very sure you don't even know whom they are. In order to ridicule them you ended up messing up yourself. Now who are hospital/clinical support staff? Simple Google revealed who(m) they are;

Do you now know who are they? They are healthcare assistants and not whoever it is you categorised under it.

If they come to see the doctor, why not after examination send them home? Healthcare is now patient centred with every professional a role to play in bringing the patient back to normalcy.

Have you ever heard of patient centred healthcare delivery? Well the places we borrowed medicine from, that's what's been practiced.



Yes the medical laboratory scientist may have no contact with patients but hey just to burst your bubble, a medical laboratory scientist can interpret whatever result he/she generates. Really I'm yet to see a medical laboratory scientist who cannot interpret his/her result from simple to complex/sophisticated tests. Recently we have scientists who can view and interpret cytology and histopathological slides.
To come out in public to say this is the height of ignorance or selective omission on the subject matter.


No medical laboratory scientist will give you a full blood count result in place of a blood film even an intern MLS will give you a comprehensive blood film report (thats what we have been trained to do) except that person is masquerading to be a medical laboratory scientist or a professional quack. Even looking at an fbc result I can tell you what the film is like. Do you know with RBC indices you can give a glimpse what the morphology of a RBC is? Let me leave you to ponder about that.

Are these places Nigeria as well where it's their duty to interpret laboratory results? Read through and expand your horizon.

http://www.hpcsa.co.za/PBMedicalTechnology - S/Africa
https://gazette.govt.nz/notice/id/2015-gs7090 - New Zealand


Pathology as it is isn't the sole reserve for doctors. Do you know many medical laboratory scientists are fellow royal college of pathology in the UK (FRCPATH). While many still are fellows/members of the American Society of Clinical Pathology (ASCP).If you don't know now you know.

Very well spoken, you have really tutored me well on what I had no idea about.

I'm really sorry for my outbursts up there. Please kindly pardon me.

This is the way forward.
Re: The Patient Comes To The Hospital To See The Doctor. by Phayod777: 6:23pm On May 09, 2018
uhmmm......BRAVO to ur ignorance or to ur distorted perception about it. No wonder Nigeria health care system will never progress if ds is aw a conventional hospital shud b and shud b run. In health care NO PROFESSION IS THE LORD....it is a team work (espirit de corp).
There are many cases Pharmacists have to correct doctors prescription either because of wrong combination or dose related problem.....as little a drug is, it is also a poison....besides who gives u detailed information about d drugs to prescribe, who compounds d drug needed in d hospital esp for pediatrics and lots more. if from ur own view d work of a pharmacist is just to dispense then I don't think in developed countries they will see d need to employ clinical pharmacist, consultant pharmacist or even encourage pharmacy residency program.
Every profession is important.... even in developed countries u see a doctor referring a patient to a psychologist but in Nigeria they will say No o psychologist are unskilled and no nothing about patients mgt instead dy refer to a psychiatrist, not knowing dt dy r different entities and trained differently
once again every profession (Nurses, Lab scientists, Medical doctor, optometrist, Pharmacist, Health records, radiologist, Hospital attendant etc) is important and non is independent or master of all
SEEK, GET & APPRECIATE KNOWLEDGE.
Seeing it happen that way in Nigeria doesn't make it a perfect system

2 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by Segeshow: 6:30pm On May 09, 2018
[Lies from the pit of hell. Do you know what it takes to be a fellow of a royal college? You obviously have no clue. I can't waste data arguing with an individual with a huge inferiority complex.quote author=nelszx post=67420789]

First your heading is wrong, no patient(s) come to the hospital to see a doctor but rather to get well. In the process of getting well, they come in contact with few health personnel (doctor, nurses, pharmacists, mls, physiotherapist etc) each with distinctive role(s) to play.

From your analogy it shows what we practice in our hospital is just traditional medicine from the medieval era (little wonder we're ranked 187/190).

N.B: You can see the image below to know how this operates.

Now to whomever you categorised under support staff, I'm very sure you don't even know whom they are. In order to ridicule them you ended up messing up yourself. Now who are hospital/clinical support staff? Simple Google revealed who(m) they are;

Do you now know who are they? They are healthcare assistants and not whoever it is you categorised under it.

If they come to see the doctor, why not after examination send them home? Healthcare is now patient centred with every professional a role to play in bringing the patient back to normalcy.

Have you ever heard of patient centred healthcare delivery? Well the places we borrowed medicine from, that's what's been practiced.



Yes the medical laboratory scientist may have no contact with patients but hey just to burst your bubble, a medical laboratory scientist can interpret whatever result he/she generates. Really I'm yet to see a medical laboratory scientist who cannot interpret his/her result from simple to complex/sophisticated tests. Recently we have scientists who can view and interpret cytology and histopathological slides.
To come out in public to say this is the height of ignorance or selective omission on the subject matter.


No medical laboratory scientist will give you a full blood count result in place of a blood film even an intern MLS will give you a comprehensive blood film report (thats what we have been trained to do) except that person is masquerading to be a medical laboratory scientist or a professional quack. Even looking at an fbc result I can tell you what the film is like. Do you know with RBC indices you can give a glimpse what the morphology of a RBC is? Let me leave you to ponder about that.

Are these places Nigeria as well where it's their duty to interpret laboratory results? Read through and expand your horizon.

http://www.hpcsa.co.za/PBMedicalTechnology - S/Africa
https://gazette.govt.nz/notice/id/2015-gs7090 - New Zealand


Pathology as it is, isn't the sole reserve for doctors. Do you know many medical laboratory scientists are fellow royal college of pathology in the UK (FRCPATH). While many still are fellows/members of the American Society of Clinical Pathology (ASCP).If you don't know now you know.
[/quote]
Re: The Patient Comes To The Hospital To See The Doctor. by nelszx: 6:37pm On May 09, 2018
Segeshow:
Lies from the pit of hell. Do you know what it takes to be a fellow of a royal college? You obviously have no clue. I can't waste data arguing with an individual with a huge inferiority complex.

Next time you choose to quote me please do not bring inferiority into it cos I don't have complex problem. Now to what you asked.
These are the requirement that leads to the award of a fellow royal college of pathology in haematology leading to an being called a consultant in haematology as a clinical laboratory scientist (what is vehemently opposed in Nigerian medicine).
Don't worry I'm in a good mood today I'd lecture you for free.


HAEMATOLOGY CLINICAL SCIENCE

The examinations for Fellowship of the Royal College of Pathologists in Haematology are designed to assess a trainee’s knowledge, skills and behaviour in the fields detailed in the Higher Specialist Training Curriculum for Clinical Scientists in Haematology. Possession of FRCPath in Haematology is increasingly a requirement for appointment to a Consultant Clinical Scientist post in Haematology.

‘Clinical Scientist’ is a title protected by statute, and can only be used by individuals registered with the Health and Care Professions Council (HCPC).  Candidates for the FRCPath examinations for haematology clinical scientists should be HCPC-registered.

Clinical Scientist training is now structured through the Scientist Training Programme (STP).  Entry to this programme in  England and Wales is managed through the National School for Healthcare Science (NSHCS, http://nshcs.org.uk/stp-recruitment), and can either be directly as an external candidate through the NSHCS recruitment process, or through the in-service route, where applicants (usually Biomedical Scientists) are sponsored by their employer. In Scotland and NI candidates follow very similar programmes towards an equivalence process (see below).

Learning is delivered through approved and accredited three years of workplace-based training, with the first year in a range of settings before specialisation in the last two years of training. Scientist trainees are also required to undertake a specifically commissioned master's degree in their chosen area. 

There are a number of other routes to HCPC registration as a Clinical Scientist.  The Association of Clinical Scientists (http://www.assclinsci.org/acsHome.aspx) assesses candidates who have gone though non-standard training in the UK and have worked in Laboratory medicine for a minimum of 6 years.   Similarly, the Academy for Healthcare Science (AHCS, http://www.ahcs.ac.uk/) has developed an equivalence assessment process for scientists who have undertaken training, hold qualifications and/or have considerable professional experience, and who wish to show that these are equivalent to the STP programme.

Individuals who have trained outside the UK can make direct application to the HCPC for registration.

PART 1

HMCS PART 1 EXAMINATION

PART 2

HMCS PART 2 EXAMINATION

https://www.rcpath.org/trainees/examinations/examina8tions-by-specialty/haematology-for-clinical-scientists.html


Are you okay now?

1 Like

Re: The Patient Comes To The Hospital To See The Doctor. by Segeshow: 6:39pm On May 09, 2018
Do you know that in the United States, Doctors have special parking reserved in public places for their cars? I wonder why that is?

1 Like

Re: The Patient Comes To The Hospital To See The Doctor. by Segeshow: 7:02pm On May 09, 2018
Nincompoop! Haematology is not Pathology. Do the lab scientists perform autopsies? Do they do histopathology and cytology of biopsies? Are you on any medication for your inferiority complex?

Next time you choose to quote me please do not bring inferiority into it cos I don't have complex problem. Now to what you asked.
These are the requirement that leads to the award of a fellow royal college of pathology in haematology leading to an being called a consultant in haematology as a clinical laboratory scientist (what is vehemently opposed in Nigerian medicine).
Don't worry I'm in a good mood today I'd lecture you for free.



Are you okay now?[/quote]
Re: The Patient Comes To The Hospital To See The Doctor. by Amarabae(f): 7:30pm On May 09, 2018
mediclife1987:


Very well spoken, you have really tutored me well on what I had no idea about.

I'm really sorry for my outbursts up there. Please kindly pardon me.

This is the way forward.
Oh you are apologising?
You see how you embarrassed yourself and got schooled by a distinguished medical laboratory scientist.
.
I still don't know what is the problem with most of you guys,
It is now looking like a complex issue.
Stay on your lane,,
Johesu no de see una, by the time we are through with that criminal in labour ministry and the minister of *medicine *(no longer health) , they will know where they are.
Rubbish.

1 Like

Re: The Patient Comes To The Hospital To See The Doctor. by mediclife1987(m): 8:10pm On May 09, 2018
Amarabae:

Oh you are apologising?
You see how you embarrassed yourself and got schooled by a distinguished medical laboratory scientist.
.
I still don't know what is the problem with most of you guys,
It is now looking like a complex issue.
Stay on your lane,,
Johesu no de see una, by the time we are through with that criminal in labour ministry and the minister of *medicine *(no longer health) , they will know where they are.
Rubbish.



I am very sorry for my article up there.

Ill actually know how to delete it off....
Re: The Patient Comes To The Hospital To See The Doctor. by nelszx: 8:12pm On May 09, 2018
Segeshow:
Nincompoop! Haematology is not Pathology. Do the lab scientists perform autopsies? Do they do histopathology and cytology of biopsies? Are you on any medication for your inferiority complex?

Now I know who needs medication grin
Pathology in today's contemporary world is divided into 2;
Clinical Pathology and Anatomical pathology.

Clinical Pathology is further divided into
-Medical microbiology
-Chemical pathology
-Haematology
-Virology

It's either you're still in your 100level or you have not written pathology in 2nd mb else you wouldn't have vomitted that statement that haematology is not pathology ( I wonder what they teach you guys in medical school these days).

Though free education has been abolished but I won't mind doing it for free on you grin

1 Like

Re: The Patient Comes To The Hospital To See The Doctor. by Segeshow: 8:54pm On May 09, 2018
[quote author=nelszx post=67424361]

Now I know who needs medication grin
Pathology in today's contemporary world is divided into 2;
Clinical Pathology and Anatomical pathology.

Clinical Pathology is further divided into
-Medical microbiology
-Chemical pathology
-Haematology
-Virology

It's either you're still in your 100level or you have not written pathology in 2nd mb else you wouldn't have vomitted that statement that haematology is not pathology ( I wonder what they teach you guys in medical school these days).

Though free education has been abolished but I won't mind doing it for free on you

Nincompoop! You are a lab scientists, stick to your job description and refrain from these delusions of grandiose. That useless information about Clin Path and Haematology is just balderdash. I had passed that MB before you bought your JAMB form and didn't score high enough to get Medicine. That is where the complex starts from, I'm sorry you aren't intelligent enough for med school but it's not too late, I see a lot of your kind actually go back and Study Medicine. Take a cue from them. A medical pathologist rotates through all the disciplines you so ignorantly listed out. Anatomic pathology is the difference between a lab scientists and a medical pathologist. Have you done an autopsy? Can you be called as a forensic pathologist expert witness in a court of law? Dude give it a rest
Re: The Patient Comes To The Hospital To See The Doctor. by ultron12345: 8:55pm On May 09, 2018
Segeshow:
Do you know that in the United States, Doctors have special parking reserved in public places for their cars? I wonder why that is?
dont mind those johesu warrior, especially that quack nurse, amarabae or what ever she calls herself, whether they like it or not, they will never earn like doctors except they take jamb form and go to med school. If they like, let them strike for 2000 years, private practice is booming for doctors, shey nurses will go and open private practice. Useless people.

1 Like

Re: The Patient Comes To The Hospital To See The Doctor. by Amarabae(f): 9:03pm On May 09, 2018
ultron12345:
dont mind those johesu warrior, especially that nurse, amarabae or what ever she calls herself, whether they like it or not, they will never earn like doctors except they take jamb form and go to med school. If they like, let them strike for 2000 years, private practice is booming for doctors, shey nurses will go and open private practice. Useless people.
dont disturb my mention next time,
I am discussing with doctors here which you are not and can never be.
Stick to your Bsc physiology certificate .
I am sure that you tried pharmacy or medlab but failed, you settled for physiology.
OK.
Anyone who go through your posts will know that you need a psychological help.
People like you are depressed and sadistic in real life.
Don't quote me again

2 Likes

Re: The Patient Comes To The Hospital To See The Doctor. by ultron12345: 9:08pm On May 09, 2018
Amarabae:
dont disturb my mention next time,
I am discussing with doctors here which you are not and can never be.
Stick to your Bsc physiology certificate .
I am sure that you tried pharmacy or medlab but failed, you settled for physiology.
OK.
Anyone who go through your posts will know that you need a psychological help.
People like you are depressed and sadistic in real life.
Don't quote me again
look at this one. It's a pity your childhood dreams to become a doctor were heartlessly crushed by JAMB. Now she has dedicated her life to fight against doctors. See, it's never too late to read medicine, just take Jamb form and study hard this time or you shut your mouth and continue with your job as a quack, maybe that was a bit harsh, as an auxiliary nurse.

1 Like

Re: The Patient Comes To The Hospital To See The Doctor. by Amarabae(f): 9:14pm On May 09, 2018
ultron12345:
look at this one. It's a pity your childhood dreams to become a doctor were heartlessly crushed by JAMB. Now she has dedicated her life to fight against doctors. See, it's never too late to read medicine, just take Jamb form and study hard this time or you shut your mouth and continue with your job .
Repeating a "jamb bla bla bla " line is very boring to the ears.
Mr doctor wannabe a. k.a Bsc physiology.
I understand your jealousy at we prestigious health professionals.
Better go and learn a barbing skill now before it is late.
.
Re: The Patient Comes To The Hospital To See The Doctor. by ultron12345: 9:20pm On May 09, 2018
Amarabae:

Repeating a "jamb bla bla bla " line is very boring to the ears.
Mr doctor wannabe a. k.a Bsc physiology.
I understand your jealousy at we prestigious health professionals.
Better go and learn a barbing skill now before it is late.
.

chai.......e painam

Auxiliary nurse....... ur hatred and envy for doctors can be seen on all your posts. I sympathize with you.

1 Like

Re: The Patient Comes To The Hospital To See The Doctor. by nelszx: 9:26pm On May 09, 2018
Segeshow:


Nincompoop! You are a lab scientists, stick to your job description and refrain from these delusions of grandiose. That useless information about Clin Path and Haematology is just balderdash. I had passed that MB before you bought your JAMB form and didn't score high enough to get Medicine. That is where the complex starts from, I'm sorry you aren't intelligent enough for med school but it's not too late, I see a lot of your kind actually go back and Study Medicine. Take a cue from them. A medical pathologist rotates through all the disciplines you so ignorantly listed out. Anatomic pathology is the difference between a lab scientists and a medical pathologist. Have you done an autopsy? Can you be called as a forensic pathologist expert witness in a court of law? Dude give it a rest

I'm not a lab scientist but a Medical Laboratory Scientist. There are many lab scientist out there but very few are medical laboratory scientists.

Now back to the issue at hand, please always say what you know bruh.
What is Anatomic/Morbid pathology? Simply put histopathology
When you say it's the difference what do you mean?
Because to my knowledge, medical laboratory scientists now excise biopsies, views and interprets histopathological and gynaecological/cytological slides.


Histopathology Reporting

Demonstrate the highest levels of knowledge and skill and advance your career with an Advanced Specialist Diploma 

The RCPath/IBMS Advanced Specialist Diploma (ASD) in Histopathology Reporting - Gastrointestinal Tract Pathology/Gynaecological Pathology/Dermatopathology is a portfolio based training programme covering the broad-based elements of histopathology training. 

The training has three stages each of which will last for a minimum of 12 months covering the broad-based elements of histopathology training and will lead to the RCPath/IBMS Advanced Specialist Diploma (ASD) in Histopathology Reporting - Gastrointestinal Tract Pathology/ Gynaecological Pathology/Dermatopathology.  

https://www.ibms.org/education/advanced-qualifications/histopathology-reporting/

Even in Nigeria, we have forensic scientists who by virtues of MLSCN act are practicing forensic science.


MLSCN Act 29(2)
includes medical microbiology, clinical chemistry, chemical pathology, haematology, blood transfusion science, virology, histopathology, histochemistry, immunology, cytogenetic, exfoliative cytology parasitology, forensic science, molecular biology etc as approved by the council

So what are you going to say next


I used to think doctors are intelligent people but with you the reverse is the case. I may not be intelligent as you claimed cheesy grin but I'm correcting intelligent lots

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Re: The Patient Comes To The Hospital To See The Doctor. by Amarabae(f): 9:30pm On May 09, 2018
ultron12345:
chai.......e painam

..... ur hatred and envy for doctors can be seen on all your posts. I sympathize with you.
damage control at work .
Stop impersonating as a doctor or medical student,
You are not one.
Be proud of your bsc physiology.
.
I am done with you.
Re: The Patient Comes To The Hospital To See The Doctor. by ultron12345: 9:32pm On May 09, 2018
Amarabae:
damage control at work . Stop impersonating as a doctor or medical student, You are not one. Be proud of your bsc physiology. . I am done with you.
sikence is the best answer to a fool
Re: The Patient Comes To The Hospital To See The Doctor. by Amarabae(f): 9:33pm On May 09, 2018
nelszx:


Please always say what you know bruh
What is Anatomic/Morbid pathology? Simply put histopathology
When you say it's the difference what do you mean?
Because to my knowledge, medical laboratory scientists now excise biopsies, views and interprets histopathological and gynaecological/cytological slides.
Even in Nigeria, we have forensic scientists who by virtues of MLSCN act are practicing forensic science.



So what are you going to say next
You are really out for these people.
Fire on.
The heat is on them.
They want to suppress other profession in the health sector but they will keep failing..
Re: The Patient Comes To The Hospital To See The Doctor. by nelszx: 9:45pm On May 09, 2018
mediclife1987:


Very well spoken, you have really tutored me well on what I had no idea about.

I'm really sorry for my outbursts up there. Please kindly pardon me.

This is the way forward.

We learn everyday bruh
I don't have qualms with doctors oo they are my friends but when the truth need to be said I say it as it should be.
The sky is too big to accommodate every bird.....live and let's live
Good night

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