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HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:59am 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.
the west African college of pharmacists has been in existence for years.HOW MANY OF YOUR SENIORS ARE FELLOWS?
you prefer to open pharmacies and sell drugs.
you, adeola when did you qualify as a pharmacist? have you considered a residency in pharmacy??
We argued all this while on NL and uon know? Well, I'll first love to secure the PharmD degree, works for a few years then undergo residency to become an Endocrine pharmacist.

Oh well, we have a lot of fellows, the PSN president is one, we have lots of them.
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:58am 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.
the west African college of pharmacists has been in existence for years.HOW MANY OF YOUR SENIORS ARE FELLOWS?
you prefer to open pharmacies and sell drugs.
you, adeola when did you qualify as a pharmacist? have you considered a residency in pharmacy??
We argued all this while on NL and uon know? Well, I'll first love to secure the PharmD degree, works for a few years then undergo residency to become an Endocrine pharmacist.
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:51am On Jul 15, 2014
5minsmadness: Bullshit.
Everybody makes mistakes. The nurse or pharmacist doesn't have to become consultants to correct a doctors mistake. And even if they become consultants mistakes will still be made.
Dear patients, just imagine the kind of doctor you want to entrust your life with!!!
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:49am On Jul 15, 2014
jpphilips: @ Ade

You are shifting the goal post, is Residency the latest demand now? haba! I think I will have to abandon this thread because the whole furore don pass patient.

this is the NMA's demand that poised me to open this thread, I did not see any residency there, or do I need a glass?
My brother, pharmacy also has specialty areas just like medicine. HIV pharmacists exist, Endocrine pharmacists exist, I personally know a Renal pharmacist.

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

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

This still doesn't destroy the patient-doctor link. It just makes sure the patients get the best drug therapy at whatever time.
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:25am On Jul 15, 2014
Iwegbadu: Opebi what truth is that? U sound like a well mannered reasonable girl. Why are you guys not in the hospital taking over. Hasnt the rule been passed
The rule has been passed, I won't tell you its not about taking over the doctors again.. Bye!

Moreover, I'm a guy!!!
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:20am On Jul 15, 2014
phantom: theory! oga go and get a masters and PhD in an area of pharmacy then I will call you a consultant BUT if you people think you will get your CONSULTANCY while you sit and dispense drugs all day,please think again.
Another ignorant fellow on the street. Having a PhD doesn't make you a consultant. Residency training does! Meanwhile, we have the technicians and robots (in advanced countries) to dispense. It's called pharmaceutical care, get it!!!
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:17am On Jul 15, 2014
jpphilips: I have seen a lot of residents whom the experienced nurses direct on how best to apply their knowledge, it is nothing new and I wont lose anyone over it except you.

In companies it happens and we don't complain, Management can decide to bring a small boy expert who knows nothing, mandate you to teach him while I end every lecture with "YES SIR", kini big deal!!

If you want to be like the small boy, by all means, become an expatriate.
Oh cool, you must have also seen experienced pharmacist correct doctors on the use of drugs! Probably tell the doctor or a not-so-expensive drug to use for a particular condition, or device a better route of administration or an alternative therapy and lots more. We want more knowledge, we want more specialization! WE WANT TO UNDERGO RESIDENCY TRAINING FOR 6 YEARS? 7? 8? WHATEVER!

It adds to patient care! IT'S NOT ABOUT OWNING THE PATIENTS!
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:11am On Jul 15, 2014
GentleMimi: Young man,being a consultant does not mean ''ownership'' of a human being. It means being an expert in ur field of work,so as to be able to give advice and top notch contributions towards the improvement of services.
the posts have four key functions: expert practice (max. 50%); research, evaluation and service development; education, mentoring and overview of practice; professional leadership.
Simple as ABC!!!
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:10am On Jul 15, 2014
Iwegbadu: Then go to the hospital and go and treat patients now, what are you waiting for? Doctors are not in the hospital setting now so go and kill sorry treat the patients. People claim they can do better till they are in the position. Better shut up oh ye female
No one is claiming to be better than the doctor.. No one will ever be better than the doctor. You've failed to admit the truth staring you in the face. I have no words for you!
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 11:02am On Jul 15, 2014
Iwegbadu: Doctors are not Gods patients that would die would die anyways stop worshiping doctors They do their best but sometimes situations dont permit saving
Admit that they make mistakes that kill patients! Mistakes that would have been avoided if we had an all-inclusive system with experts of pharmacist consultants and nurse consultants! Just admit!
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 10:59am On Jul 15, 2014
adekayo1234: fixed


By the way, I am glad people are beginning to reason with some of the NMA's demand. I am also surprise the minister is begging the doctors to report back to work. My people, let's do this calculation
A) Remove the lab scientist from the teaching hospital, would the hospital still function. Yes!
B) Do same for the pharmacist who IMO is not different from the chemist nearby and ask the same question. Am sure your answer will tally with mine

Only the nurse remains vital in patients' care next to the doctor in the hospital setting. So what are we talking about?
My last question goes thus: Is a professor of medicine equivalent to a consultant?
Let my people think
You're a Nigerian doctor? You will never understand!
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m): 10:51am On Jul 15, 2014
jpphilips: You want to be a consultant but you don't want to own the patient, grin grin bros I disagree completely with you, we don't need more bureaucracies in our health sector.
You think this is a fight about owning the patient? You'll understand better when you lose a loved one to a doctor's mistake that could have been corrected by a pharmacist or nurse.
HealthRe: Nma Strike: The Patients's Perspective by adeoladrg(m):
NMA has confused the public with this 'own the patient' talk. TF? Who cares?

Been a consultant pharmacist doesn't mean I want to own the patient!!! It just means I want to undergo residency in a particular field say endocrinology just like my colleagues all over the world to have a robust knowledge on drug optimization.

I don't care if you own the patient or not! So far I can't make my impact felt in the patients drug profile, make sure there's no drug interaction, no side effect, no overdosage or underdosage and the myriads of adverse effects associated with polypharmacy.

Own the patients! Who careshuh!!!

Moreover, you've owned the patients over the years! What do you have to show? Wrong diagnosis, wrong prescription, unnecessary surgery, and all iatrogenic issues. Doctors abroad know the value of other health professionals undergoing residency, that's why we keep running there for treatment. Own the gullible patients!!!

And if after all these, you still think it's about acquiring TITLES or SALARIES, I have no words for you!

This is a doctor's perspective jor!!!

I'd be waiting for the day the patients would form an association, sue the doctors, sue the pharmacists, sue the nurses, sue the med lab scientists, sue everybody in healthcare. That day and only on that day would salvation visit the health of Nigerians.


Best comment so far:

Before you write on any issue I'd advice that you
make proper research into the subject matter. One
thing you must realise is that the only constant
thing in life is change and when. In today's
medical world due to the ever growing health
challenges and nEed for better care other
professionals in the health sector don't just stop at
getting first degrees, they are specializing in
different areas in their chosen fields to better eqyip
them do peform their fxn better. All this is geared
towards better patients care. Unfortunately
Nigerian Drs see it as a threat to them because
they feel if others are granted consultancy rights
they will come to their level. There is no point
disputing the fact that Drs are leaders in the health
care team. The mark of a true leader is to do your
job and ensure that ur team mates also do theirs.
They cannot do so if they are nor trained to.
Nigerian Drs should come down from their
egocentric world and emulate what other countries
are doing then we would be the better for it. I'll
ask why is it that they are always quick to go on
strike with any liTtle misunderstanding? Why can't
they try every other possible means b4 resrting to
strike? I'd advice readers to visit this website
www.ascp.com/articles/what-consultant-pharmacist

and understand that what JOHESU is
demanding for Is not out of place but it is
happening all over the world. As far as I'm
concerned this matter is not worth the lives that
have been lost and are still being lost everyday due
to this strike.
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 7:23am On Jul 14, 2014
AmyJacob: These arguments are really very infantile. No profession dictates to any other profession in the developed world. There is the national association of boards of pharmacy in the US that regulates the practice of the profession in 50 states and Guam and US Virgin Island. There is the American Board of Physicians, board of nursing etc. None takes orders from the other. It might interest folks to know that CMD or Medical director is not the overall boss in most hospitals in the USA. The president or CEO of most hospitals here may not even be in any of the health care professions, he or she is usually an MBA or PhD in healthcare administration. The arguments are uncalled for. Here the size of the pie is grown by running these facilities profitably though most hospitals are non profit. The big pie allows healthcare in America to be the sector with highest no of professions making 6 figures.
A nurse Anaesthetist here can make as high as$180000, more than a family physician or pediatrician or some psychiatrists.

I worked in a hospital where a psychiatrist friend was written-up (what we call query) by the boss who happened to be a healthcare administration graduate and was the director. Please let's enlighten each other and improve each other's intrinsic value with factual conversations. Pharmacists here don't even flaunt pharm D . Physical therapists don't flaunt their Dpt while optometrists don't flaunt their O.D. Everyone just works. You will all be so busy that you will not remember titles and ego. Professions evolve. Architecture in Nigeria used to be a diploma but it's now a masters in architecture with a D.Arch in its heels. Lawyers now get a J.D

Let us not drag our country back with all these petty talk. Any nigerian pharmacist who wants to emigrate to the us must meet certain criteria. Let's keep improving so that those degrees will be useful for them. As for the title craze, no one should be called Engr or Pharm etc it's a sign of how low our society is that people even buy doctorate degrees from some dubious paper mills here and nigerians address them as "dr"
Well said, God bless you!!!
HealthRe: Piles (haemorrhoids) – Basics, Symptoms And Treatment by adeoladrg(m): 7:16am On Jul 14, 2014
Cool something.
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 12:28am On Jul 14, 2014
Iwegbadu: So far we, the general public and patients know the truth their mere title dont mean a thing they would even be suprised when patients start insisting to see identification cards proving that only doctors should touch or treat them, do this pharmacists know how to check for vital organs and translate what it means? The only point since morning has been iatrogenic, continue in this fooloshness pharmacists, i pray doctors should resume bac and fold their arms while enjoying the stupidity unfold it will be very funny cqnt wait
You probably didn't read op's post. Rather, you rushed here to air ur unneeded opinion!

Who is talking about vital signs? Did anyone tell you pharmacists are overtaking doctor's roles by becoming a consultant?
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 12:22am On Jul 14, 2014
Iwegbadu: So tell me why you want to be even with other peoples profession knowing that it (pharmacy) is completely different and unique in its own way
Does the push for residency training for pharmacists make them even with the 'other people' in ur post?
HealthRe: FG Challenges NMA To Public Debate. by adeoladrg(op): 11:35pm On Jul 13, 2014
tobias4real: Yes, I support d debate. I believe doctors are really selfish and self-centred. Activities in hospital is a team job and no single unit could claim d all too impt. dey can demand for an all-round doctor hospital whr dey will do all d work. Remember, approving d doctors demand will only result to an unhealthy rivalry in our hospitals. Foolish doctors.
HealthRe: FG Challenges NMA To Public Debate. by adeoladrg(op): 11:34pm On Jul 13, 2014
Dancasina: Whether we engage each other in public debate or not, the fact is that health system is collaborative. Apart from the professional licence that enables you to practice your profession while restraining others, you cannot do other people's work because you are deficient in training as far as other professions is concerned. No Nurse can do the work of a doctor. No doctor can do the work of a laboratory scientist. No pharmacist can do the work of a Radiography. For God's sake these are disticnt professions with laid down professional juridiction and boundaries. Because of the uniqueness, no one conveys superiority over another. Is there any confusion to a patient when he/she sees on a door tag "consultant pharmacist", "consultant gynaecologist", "consultant Haematologist",etc. I dont think NMA/NARD are fair to the suffering masses.
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 11:30pm On Jul 13, 2014
drmat02: I used to think pharmacists were a bunch of well trained professionals but I ve had reasons to change that opinion since this crisis. They just keep spewing ignorance to poorly informed Nigerians. I tweeted a question to your president on channels TV and he couldn't say a word. Sincerely every doctor is tired of this struggle. Once this is all over, Nigerians will be the losers eventually. You want yo put your lives in the hands of these people who have little or no clinical training whatsoever and can't even tell you what the body does to drug and vice versa. Rubbish. People get the kind of health care they deserve.
What dirty tweet are you talking about? Is it our fault the channels presenters didn't read your tweet?

Your whole post is void of logical reasoning. You accuse a profession of having no clinical training, when that same profession decides to improve the practice through residency which is enough clinical training, you go on strike. Who does that?
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 8:58pm On Jul 13, 2014
Iwegbadu: Pharmacy is a place for discarded medical wanna bes. So we cannot blame them
Pharmacy boasts as much requirements to study as medicine and even more as it is in IFE. Your thinking is misplaced!
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 5:22pm On Jul 13, 2014
NaMe4: Therapeutic pharmacy has always been an important part of pharmaceutical practice involving pharmaceutical studies and researches within the hospital and clinical trials of various drugs, I would be quite astonished if that has never been within the Nigerian curriculum. But these are different from what I see our dear pharmacists agitating for.

I believe therapeutic pharmacy is what pharmD is all about. But it has always been a part or subspecialty of pharmacy, Why make a big deal out of it? Cos Americans called theirs pharmd? Why can't we incorporate this aspect of pharmacy as a subspecialty in our pharmacy curriculum if indeed it hasn't been so in the past?
You see, you're correct. PharmD brings therapeutic monitoring along with it. I don't need to start all over explaining how this also benefits the patients.

But sadly, Nigeria is still struggling to incorporate the program.
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 5:18pm On Jul 13, 2014
yegbamee: For the 1st time I think someone has said something meaningful and convincing. In view of your explanation above, I think having consultant pharmacist will help improve the quality of healthcare. I just wish the nurses and lab scientists could come up with their own logical reasons too. And honestly, I think the pharmacists (perhaps unknowingly) made a mistake of joining forces with nurses to form JOHESU. I mean, u guys ain't on the same level at all.
We've been marginalized way too much by the doctors over the years sir, I don't want to go into that debate again.

God bless you!
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 5:15pm On Jul 13, 2014
echarlz: Thanks for your contributions. I don't agree docs are irrational human beings like the world is being made to believe. Most will not refuse quality advice and input to patient care. Even now, I call pharmacist for advice and information but what I get in return is appalling so I've learnt to stop. What obtains in most centres today is health professionals working at cross purposes. There is so much antagonism in the care delivery process with every category in a hurry to assert their superiority. I do not have problems with any one being tagged a consultant in as much as the system requires his/her services but with only ADVISORY roles. This will prevent duplication and/or conflict of roles. The doctors should take responsibility for patient care. Anyone may refuse to get or accept advice to his own peril.
I think the fundamental problem with the JOHESU agitation is in the gang up against doctors and their quest to pull them down to get their demands met. That probably explains NMA's opposition to some of the requests. Doctors won't reasonably stop anyone from progressing, getting to the peak or acquiring more knowledge through the right channels. I will be glad to work with you with your postgraduate fellowship of 6years as a pharmacist once it is for the good of my patient and of course myself. Lol
Thank you! God bless you!
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 5:12pm On Jul 13, 2014
saxywale: A doctors prescription is not final. I had a pharmacist recommend/change a different prescription from that of the doctor here in Canada, that was after he asked more questions about my medical history.
This is all I'm saying! I quite agree it's strange to Nigerian doctors, this is why I'm taking my time to explain.
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 5:05pm On Jul 13, 2014
joker5180: Is the "ordinary pharmacist's" job ONLY to DISPENCE?
The key word in all this is ADVICE, are our CONSULTANT PHARMACISTS ready ADVISE or will they enter wards and start cancelling prescription or even worst open shops and start consulting patients?
The ordinary pharmacist can also participate in ward rounds. But just like there is a wide knowledge gap btw and ordinary MD and a consultant, so is it with pharmacist.

I've said it over and over. No pharmacist would go canceling prescriptions. Its not done! Yes, they do more interaction with patients at his bedside and during questioning, they discover some loopholes the patient didn't tell the doctor at diagnosis. You know how complex people are. The consultant pharmacist can also take a very wide view of the patients medication profile and history. There might be an alternative route of administration, alternative therapy, or alternative drug etc. Just write ur recommendations and move on to the next patient.
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 12:59pm On Jul 13, 2014
bjtinz: lol! Your babe dey deny you punny/? grin

funny i know of some doctors married to nurses and pharmacist. I wonder if Na so Dem go fight for house. . grin

among the health people, Na nurses fine pass with dia big yanshes which they always shake. Followed by pharmacists, but una dokinta babes dey worwor shaa grin
grin grin grin Smh
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 12:50pm On Jul 13, 2014
FEMIMACRO: Nigerian Doctors b Like: leave us alone n let us keep experimenting on our rats(uneducated and powerless patients). grin
Arrogant cowards.. Killing patients since God knows.. No problem continue.Daris God.
I pray soon enough that medical litigations will take a strong effect in this nation and when most of u (doctors) start losing ur license n cough out big money from ur empty pockets then U will see the need for the expertise of oda health care professionals in achieving improved and wholistitic patient care...
FEMIMACRO: Nigerian Doctors b Like: leave us alone n let us keep experimenting on our rats(uneducated and powerless patients). grin
Arrogant cowards.. Killing patients since God knows.. No problem continue.Daris God.
I pray soon enough that medical litigations will take a strong effect in this nation and when most of u (doctors) start losing ur license n cough out big money from ur empty pockets then U will see the need for the expertise of oda health care professionals in achieving improved and wholistitic patient care...
This is sad part. This is probably why they don't want other health professionals to become consultant. Asiri ma tu! grin All the death coverups would result to revoked licenses. I can't wait.
HealthRe: Ask The Pharmacist (If you have any questions,(FEEL FREE TO ASK ME) by adeoladrg(m): 11:43am On Jul 13, 2014
Pls just keep ignoring. And do enjoy your stay in the US.
HealthRe: FG Challenges NMA To Public Debate. by adeoladrg(op): 11:38am On Jul 13, 2014
dumodust: consultant pharmacist! Go and admit patients na... or forever remain in ur boring cubicle, thats if u have graduated grin
You've been noticed
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 11:35am On Jul 13, 2014
NaMe4: Now I'm really getting tired of these baseless arguments.

The so-called senior colleagues in this Johesu group know the limitations and restrictions of these 'consultant Bleep' in these handful of Countries they love citing every second.

I would advise they desist from presenting half-truths to the public in order to gain sympathy online.

Anybody can be a consultant in any field, even a dry cleaner. It is whether the creation of such appointment in a hospital or clinic would make any sense at all.

First of all, I have never seen where someone would be fully employed and still be a consultant in the same job.

Secondly, would the consultant pharmacist have to check every drug prescription from an outpatient clinic? What exactly would be his job description in the hospital?
Consultant pharmacists I know are those who consult in sectors like production, research and their services are employed taking into consideration evident academic qualification of the candidate to be appointed for the specific purpose.

I don't even see any sense in a pharmacist walking round a ward checking and rechecking the prescription of a patient placed on admission.
If the dosage has to be checked after prescription, this can be done at the point of collection of the drug at the pharmacy and if the pharmacist requires clarification regarding the dosage he would contact the doctor for that.

There are certain drugs that can be taken at certain doses for short term for certain conditions. There are certain conditions that may warrant the same drug to be taken for long term and may be at a different dose. Remember the pharmacist is not making the diagnosis and even if he is brought to see every patient for himself, he isn't trained as a doctor to know the pathophysiology, progression, complications and even varying presentations of the same condition!
So what the hell is he occupying space in the ward for? Not to talk of unnecessarily altering prescriptions which would definitely be inevitable and definitely affect the patient's management.

Please, I think every person should genuinely think of improving his own field, with innovative solutions to our healthcare problems instead of all these funny arguments.

If it is about better welfare, working conditions and renumeration, everyone knows the healthcare professionals are poorly paid in Nigeria. That should be directed to the government who should take a bold step for onve to do the right thing. Reduce the cost of governance, divert appropriate funds to the development of key sectors and tackle corruption head-on without fear or favour.
You brought a brilliant argument, which I expected from a brilliant doctor.

About them consulting, you need to know that consultant status is not exclusively for therapeutic fields, it's very diverse. From community to industry to the psychiatric homes to the hospitals.

Somehow, I'm disappointed with your 7th paragraph. If you were a MD, you would know what they call therapeutic monitoring. I admit it's strange to you Nigerian medics that why I'm not surprised by your ignorant contributions.

The key part of your argument says:
Remember the pharmacist is not making the diagnosis and even if he is brought to see every patient for himself, he isn't trained as a doctor to know the pathophysiology, progression, complications and even varying presentations of the same condition!

Yes! Pharmacists are trained in pathology, pathophysiology, progression, complications of the conditions. For those that acquired the PharmD degree. Then undergoing residency is even more training in that same aspect. Pls use Google!
HealthRe: Consultant Pharmacists; The Impetus For Improved Nigerian Quality Of Health by adeoladrg(m): 11:21am On Jul 13, 2014
ogawisdom: No I think u r jst a pathological fool dt needs help
Okay.

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