₦airaland Forum

dumodust: you're already occupying the space in the cage with ur baggage of titles...
pharm. Adeola!... hahahahaha... farmer obasanjo shebi .... title addled brains and tribal chiefs...lol

I don't know what your problem is. You accused us of wanting to bear 'Dr' on the PharmD thread. It's a cliche for pharmacists to address themselves as Pharm This. And if this bothers you, you can jump into the nearest lagoon!


That said, you doctors always think and say someone clamouring for Better practice is doing it for the sake of the TITLE or SALARY. What if you were in the same position? Would you just sit there and remain irrelevant? I'm tired.

sublimes: I don't see why doctors should go on strike over this petty issue.

If not for fear.. It shouldn't be.

dumodust: bush man, you should vamoose to the bush as well, it is only in nigeria you hear pharmacist, engr, surveyor, architect in front of people's names....bunch of title loving low cerebral content twats... smh

You've been noticed. You can now go back to your cage.

ogawisdom: If d doctors prescription is final in all medical conditions then why call a pharmacist a consultant. Wat role exactly is he expected to play or is he looking for titles without role. I believe we r on d same page nw

You still don't understand simple English? Smh

sisiafrika: d same way most nigerian doctors have reduced demselves to paracetamol prescribers, so so disapointing. Mis diagnosis upon mis diag.... Stfu already and face ur work

Unnecessary surgery, wrong prescription, and always referring patients to India.

Only if they took half of the energy they exude hating fellow health professionals to improve their practice, we won't be wasting our money on Indiana trips.

matify: Thank you.

That is why we keep emphasizing that Nigeria is not ripe for this "consultancy" tag applied to non-doctors in the health industry of Nigeria.

Our craze for title is gluttonous, imagine titles like pharm, Arch, Alh. Etc which have no place in saner climes are being paraded here with ignominy.

The truth is that we are just not ripe for this ill-wind in the health sector.

A qualitative study of causes of prescribing errors
among junior medical doctors in a Nigeria in-
patient setting
Adetutu A Ajemigbitse 1, Moses K Omole2, Ogugua
F Osi-Ogbu 3, Wilson O Erhun 4
1 Department of Pharmacy, National Hospital
Abuja, University of Ibadan, Ibadan, Nigeria
2 Department of Clinical Pharmacy and Pharmacy
Administration, University of Ibadan, Ibadan,
Nigeria
3 Department of Medicine, National Hospital Abuja,
Federal Capital Territory, Ile Ife, Nigeria
4 Department of Clinical Pharmacy and Pharmacy
Administration, Obafemi Awolowo University, Ile Ife,
Nigeria


Aims: The aims of this study were to identify and
understand the factors underlying prescribing
errors in order to determine how to prevent them.
Materials and Methods: A prospective qualitative
study that involved face-to-face interviews and
human factor analysis in a Tertiary Referral
Hospital in Central Nigeria, from July 2011 to
December 2011.
Pharmacists in the study hospital prospectively
reviewed prescription orders generated by doctors
in selected wards (male and female medical,
pediatric and the private wing wards) and identified
prescribing errors. The 22 prescribers involved in
the errors were interviewed, and given
questionnaires to discover factors causing the
errors. A model of human error theory was used to
analyze the responses.
Results: Responses from the doctors suggest that
most errors were made because of slips in
attention. Lack of drug knowledge was not the
single causative factor in any incident. Risk factors
identified included individual, team, environment,
and task factors. Junior doctors were affected by
the prescribing habits of their seniors.
Organizational factors identified included
inadequate training/experience, absence of
reference materials and absence of self-awareness
of errors. Defenses against error such as other
clinicians and guidelines were absent or deficient,
and supervision was inadequate.
Conclusions: To reduce the risk of prescribing
errors, a number of strategies addressing
individual, task, team, and environmental factors
such as training of junior doctors, enforcing good
practice in prescription writing, supervision, and
reviewing the workload of junior doctors must be
established. Aims: The aims of this study were to
identify and understand the factors underlying
prescribing errors in order to determine how to
prevent them.
Materials and Methods: A prospective qualitative
study that involved face-to-face interviews and
human factor analysis in a Tertiary Referral
Hospital in Central Nigeria, from July 2011 to
December 2011.
Pharmacists in the study hospital prospectively
reviewed prescription orders generated by doctors
in selected wards (male and female medical,
pediatric and the private wing wards) and identified
prescribing errors. The 22 prescribers involved in
the errors were interviewed, and given
questionnaires to discover factors causing the
errors. A model of human error theory was used to
analyze the responses.
Results: Responses from the doctors suggest that
most errors were made because of slips in
attention. Lack of drug knowledge was not the
single causative factor in any incident. Risk factors
identified included individual, team, environment,
and task factors. Junior doctors were affected by
the prescribing habits of their seniors.
Organizational factors identified included
inadequate training/experience, absence of
reference materials and absence of self-awareness
of errors. Defenses against error such as other
clinicians and guidelines were absent or deficient,
and supervision was inadequate.
Conclusions: To reduce the risk of prescribing
errors, a number of strategies addressing
individual, task, team, and environmental factors
such as training of junior doctors, enforcing good
practice in prescription writing, supervision, and
reviewing the workload of junior doctors must be
established.


This is the reason for more knowledgeable pharmacists. Now tell me again how unripe we are for consultant pharmacists.

BluIvy: Nigeria is falling apart! Are these not issues that are supposed to have been decided long time ago by both medical association, health ministry, leadership organizations of medical institutions etc?

And what is it with Nigeria and titles? Only in Nigeria do one find Eng. So & So, Pharm. this & that etc. Meanwhile theire work is in shambles.

Mmmm :-Xsomething is really wrong

If you see this as a bid to acquire titles, you might be correct cos it's an abysmal Nigerian thinking. But I wonder why you didn't look at how it benefits the patients. Why?

Raymondenyi: I have read tru ur argument; it is lucid, cogent n convincing; n if I say u anything short of an intellectual, den I'll be doing d general public a grave injustice...
But yet; u rightly wrote something up there; U unequivvocally agreed, dat "d doctor statutorily owns d patient" n its d prerogative of the doctor to invite any specialist to review or co -manage d patient as d case mmay be; now under dat same premise. : Don't U think, u should raise diust or stir up any battle (whether legal or otherwise) If dat same Doctor (who owns d patient) choose not to allow dat program, or incorperate any other consultant, cus he strongly believes it 'll do no good 4 his patient.?

Thank you.


See ehn! Only doctors abroad know the value of a pharmacist. One of the very channels to optimize a patients medication is to have a pharmacist around and not just a pharmacist, a consultant pharmacist who has undergone residency in the aspects that correlates to the patients illness.

That said, a doctor cannot determine whether or not he wants a pharmacist, the hospital system places him to fill that optimization role. You know most times, a lot of drugs prescribed are unnecessary but in naija theres no expert to optimize and it results in waste of money, drug burden, adverse effects and the likes.

For doctors to go on strike because of this, sir! It's inimical to the rights of the patients.

ogawisdom: Nigeria is different from other climes. Besides we shld nt copy everytin we see elsewhere, wen ll other climes ever copy us. We shld do things dt will work in our own environment. Doctors r d captains in d health industry n their training r d broadest, having a consultant pharmacist is needless bc it ll lead to a situation where he ll b contesting doctors prescriptions so who is d boss. Nw dts d confusion we r talking abt.

I thought I explained that part in my first post on this thread. If you find any pharmacist change a prescription, you have the right to report him to PSN or WAPCP. Pls reread my post.

speckless: I wonder what kind of spirit that has descended on Nigerian pharmacist of this days. can't imagine an Indian pharmacist thinking this way struggling with doctors in the hospital where their main role is actually a dispenser?
it was initially a title fight pharm wazobia, now they want to be Dr pharm so and so, of late consultant pharm Dr..........
You guys should get busy and focus on drug manufacturing and research.
we are still waiting for oral insulin hmmm.

We all fight for international best practices, if it coincides with your ego, then it's your cup of tea.

Dispensing is the traditional role of pharmacists, not anymore!

infolekan: Yes.....you should be a Consultant.
But in the Nigerian setting, it's a whole kettle of fish and YES, a Consultant Pharmacist has changed the prescription of a Medical Consultant.
What's are the other 20 states in US still waitng fe

That shouldn't be. There is a better way to hurt a doctor like I explained.

ogawisdom: I think d doctors r right, u can't ve two captains in one ship. Creating a consultant pharmacist ll cause confusion. A pharmacist is under d doctor in health care delivery n so it shld b n dt is y its only doctors dt can b CMD, comm for health, minister of health etc
My tots

And why hasn't it caused confusion in the other climes?

bigass: to the bolded, There is No college called like that in existence currently and none like that anywhere in the world

You see? When I call you uninformed I'm actually correct. The industrial court passed the law establishing that college years. It's located at Yaba and I heard Prof Erhun established a branch at OAUth at Ife.


Just to let you know, dispensing is the traditional role of pharmacists. If you get, That's what we used to do. Pharmacists in other countries have moved forward, we also have the right to. Dispensing nowadays is done by pharmacy technicians and robots. In the UK, pharmacists are into MTM(Medication Therapy Management).



This is not to remove the roles of pharmacists in the communities and industries, their roles haven't changed. So if you don't have any useful contributions, just move on to the next thread!

bigass: When did pharmacist become a title?. You are Mr Sesan Kareem.

Sorry to burst your bubble, it's actually a title. Why not tell an Engineer who spent 5 years in school his title is Mr? Dumb doctors sha! Vamoose jor!

If you say that consultant pharmacists don't work in hospitals, what will you say about the consultant nurses, med lab scientists and physiotherapists? They don't work in hospitals too?


Stop the propaganda pls!


I mean, this doctors already rate one of the highest in the world when it comes to wrong diagnosis, wrong prescriptions and iatrogenic disorders which is better called doctor-induced disorders. Others health professionals are done with that and want to improve their practice and what do we have? A nationwide strike. Uninformed set of people!

Check out the statistics given on this thread, you'll be shocked.

www.nairaland.com/1809323/when-doctors-go-strike-death

Dnaz: akintayo was frustrated out of medicine by Jamb. if u say na lie ask him urself

Mumu like you. His parents wanted him to study medicine, he rebelled and went for pharmacy whose requirements were higher than medicine that year. Use Google plsss!

Was that even the question I asked? Why Obembe skip the interview?

1k001: ''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.''

Okay, I graduate from a pharmacy school, undergo the compulsory internship and NYSC. Then I got a job in a teaching hospital. While at that, I applied to the West African Postgraduate College of Pharmacy for a specialty in say Paediatrics or CVD. I spend 6 years undergoing the process and graduate from the college.

I noticed you medical doctors are emphasizing the nursing home thing, that's misplaced thinking. The advent of consultant pharmacy started in nursing home, yes! But the roles of consultant pharmacists have since expanded.

You said this urself:

Consultant Pharmacists are now practicing in a
wide variety of other settings, including subacute
care and assisted living facilities, psychiatric
hospitals, hospice programs, and in home and
community-based care --

Go to YouTube and see what obtains, and let me clear another misconception you guys have held on tightly to.

Been a consultant pharmacist doesn't destroy the doctor-patient link. The doctor everywhere is the owner of the patient, as u like to say it. It only makes pharmacist more knowledgeable and be a force in his specialty. Never have I seen or heard that a consultant pharmacist changed a prescription, never! It's not allowed. You guys never even bothered to ask what the synergistic effect takes place. The practice is to confer recommendations on the prescription(myt be change in dose or suggest a more effective drug or delete an unnecessary drug, or correct drug interactions, suggest alternative therapy and lot of other things) with good reason and document the intervention. I tell you what? A doctor must therefore be cocksure of his prescription b4 the pharmacist comes to scrutinize. Those documented interventions are even more dangerous for the arrogant doctors cos if anything worse happens to the patient and the consultant pharmacist decides to publish his recommendation that wasn't taken by the doctor, he could lose his job or even his license.

Meanwhile, it's feel different when a doctor seeks an opinion from a consultant pharmacist, other than an ordinary pharmacist who just dispenses.

That's the reality of things. Our doctors want to boss everything, now tell me how this is unnecessary and won't help patient care.

Have you read that book? Title:

'Our doctors have gone mad again'. Interesting book, I tell you!

phantom: you really wanted obembe to go screaming and arguing with PEOPLE WHO ARE BENEATH HIM on national TV?

And what is the proof that they're beneath him? Just by been a medical doctor, everyone is beneath you?

He just couldn't match the brilliance and eloquence of Pharm Akintayo and the physiotherapist. Simple!

phantom: smh.....only in Nigeria!! you come online and get prescriptions from unknown persons who have not physically assessed you. anything you see at the end of the day,don't complain o! don't rush down here to open threads crying o!
if you are sensible, you will not take prescriptions from unknown persons. if yawa gas,you no go fit hold anybody here o! infact op go deactivate im account sharp sharp. a word is enough. let us leave the beef between doctors and johesu and say the truth. no one knows how far his advice will go outside naira land.
@seun, you could get sued for wrong prescriptions given on your forum. be wise!

I expect the sensible pharmacists to condemn this in its entirety. enough said.

I've seen medical doctors dish out prescriptions on Nairaland, who say it can be wrong? I've seen doctors dish out poly pharmacy prescriptions too, who says there can't be drug interactions? Nigerian doctors rate one of the highest in the world when it comes to wrong diagnosis, wrong prescription and iatrogenic disorders. Do you want to stress this further?

Why not open ur own thread and give free consultation? Why pull someone who does down?

I also expect sensible medical doctors to correct her diagnosis or prescription, instead of trying to bring down the thread!

If all these happen in hospitals in developed countries, just imagine how the statistics would be in Nigeria. Self acclaimed demi gods killing patients, hating other fellow professionals, worthless thwarts.

moshoodn: Israel FG deployed Military doctors to the General Hospitals and FMCs....

Ours are practically shut down..

I wanted to cry when I saw the beds in the teaching hospital where I school. All empty! Pediatrics, A&E, everywhere is void of patients. Govt has a large part to be blamed tho.

zeezahbee: . Adeola why can't they go to all pharmacy website and blog and tell them not to give advice to people again and they must see a doctor. The people coming here to ask question know the way to the hospital but they want an alternative. Still after all my quotes and reply, I still told them to see a doctor , go for scan or tes(m what more do they want me to do.

You know the nature of Nigerians with drugs and treatment. We always want to shortcut every thing without seeing the doctor. Expert advise is welcomed, but the 'see ur doctor' advice for me is necessary but hypocritical. They come online because they want to avoid the costs of seeing the doctors. Still, the issue of patient compliance is the real issue with over-the-internet prescription, they could end up taking the drugs the wrong way, who knows? God bless!

dalhat14: What qualifies u as a consultant pharmacist, go check who the consultant pharmacist is in the United States which your likes readily point at, they work no where near a teaching hospital or anything like a teaching hospital, they specifically work with geriatri patients giving advice on their drug management, u can fool a gullible audience with lies but certainly not us

Google is still your friend. Consultant pharmacists started are were exclusively in the nursing homes, goan read about the expanded roles of consultant pharmacists in California and other jurisdictions. That consultant don't work in hospitals where they are most useful? Pls spew that phlegm out!

And what would you say about consultant nurses? They don't work in hospitals? Use ur brain!

zeezahbee: adeola , was waiting for you to come in here and save me from the hands of this beefers. She's calling somone quack but she's has check herself. I will let it slide. I don't even visit the doctors's thread because am too busy but if I have a different opinion, I will kindly give it not coming open am calling somone else a quack. How have you been and how's OOUth ?

My sister, this is the third of its kind I'm experiencing. I'd give you the name of the other two threads opened by a pharmacist they invaded insha Allah. I was quite scared the first time I saw the thread, remembering what happened to the last guy. They always shout quackery and never had a better idea or correction of the situation. They came in en masse, reported us, threw insults, got us banned, I was actively involved during the fight, so was 'onagoodday1', samgreguc, nouveaux, joshuapharm and few names I can't recollect. The end story is that the op got tired of the whole thing and gave up.

My sister, oouth is balling, 300L is not beans oo! It's just been one week of lectures and its been like one year. There is God sha.


Check this out!

www.nairaland.com/192442/pharmacist-house-free-medicines-advice

Koksy never came back online, her efforts got shattered.

Firimador too:

www.nairaland.com/1374647/pharmacists-drug-experts/3

He also never came back online. This is the reason I was scared when I first saw this thread. Though its been nice reading your answers, I'm proud of you!!!

phantom: my brother he has said the truth.its a pity pharmacists have reduced themselves to dispensing drugs. tomorrow when the nurses and lab scientists start poking fingers in your eyes,you will start complaining like doctors are doing now.mark my words!
sickle cell is endemic in our region.what have our pharmacists come up with as per research to improve the lives of sicklers.absolutely nothing! no research whatsoever.

Most times you talk about things you completely know nothing about. Thank God you spoke about sickle cell.

The National Institute of Pharmaceutical Research and Development under Prof Gamaliel discovered a drug used to treat sickle cell. I cant remember the name buh Google is still your friend. But there's an issue with FMOH with marketing and distribution of the drug. So just STFU!!!!

CONSULTANT PHARMACISTS; THE IMPETUS FOR
IMPROVED NIGERIANS QUALITY OF HEALTH
Did you know that over 80 percent of health
conditions are treated with drugs and other
pharmaceutical products? It is a well known fact
by all health professionals that medications play
a significant role in patients care. Are you aware
that there are over 25,000 prescription products
available in the World today compared to 650
prescription products available in 1960’s?
According to United States Food and Drug
Administration (USFDA), there are over 25,000
registered prescription products as of June,
2014. Did you know that over 50 percent of
patients with chronic illnesses are non-compliant
with their medications? Are you aware that lack
of compliance by patients, drug interactions,
drug misuse, drug abuse, failing interaction in
the health services and prescription errors
contributed to over 80 per cent of treatment
failures? In a research conducted by Farup PG et
al, the cumulative of these factors contributed 84
percent to treatment failure. Did you know that in
Nigeria there are over 10,000 Nigerians to one
pharmacist far above World Health Organization
recommendation of one pharmacist to a 1000 of
the population? According to Mrs Gloria
Ebumere, the Acting Registrar of Pharmacists
Council of Nigeria, there are 16,970 registered
Pharmacists as of May 2012 (Punch Newspaper).
Are you aware that in over 30 states of the
United States, physicians enter into agreements
with pharmacists to jointly manage patients’
drug therapy? Did you know that the ONLY health
care professional that has comprehensive,
exclusive and expert knowledge about drugs,
cosmetics and other pharmaceutical products
are pharmacists? Are you aware that one of the
most trusted, accessible and reliable
professionals (not just in the health care sector
but in all professions) in the World are
Pharmacists? In an annual poll conducted by
Gallup In 2013, pharmacists placed second
among the professions listed, with 75% of
respondents expressing a high or very high
opinion of their honesty and ethical standards.
Pharmacists retain a spot in the top 3 for the
tenth consecutive year.
Who are Pharmacists? According to Wikipedia,
Pharmacists are health care professionals, who
practice in pharmacy, the field of health science
focusing on the safe and effective medication
use. A pharmacist is a member of the health
care team directly involved in patient care.
Pharmacists undergo university-level education
to understand biochemical mechanisms of the
action of drugs, drug uses, and therapeutic roles,
side effects, potent drug interactions and
monitoring parameters. This is mated to
anatomy, physiology and pathophysiology.
Pharmacists interpret and communicate this
specialized knowledge to patients, medical
practitioners and other health care providers.
Pharmacists are involved in every aspect of the
preparation and use of medicines, from research
and development to eventual supply to a patient.
In a nutshell, pharmacists are drug experts.
Who are Consultant Pharmacists? According to
America Society of Consultant Pharmacists, a
Consultant Pharmacist is a Pharmacist who is
paid to provide expert advice on the use of
medication by individuals or within institutions,
or on the provision of pharmacy services to the
institution. Consultant Pharmacists ensure that
their patients’ medication is the most
appropriate, most effective, most cost-effective,
the safest possible, and are used correctly. They
are saddled with the responsibility to identify,
resolve and prevent medication-related
problems. They accomplish this through a
comprehensive consultation that provides a
thorough, one-on-one review of all your
medications;prescription, over-the-counter,
herbal and nutritional. A Consultant Pharmacist
has studied and acquired extensive knowledge
and experience in observing and properly
assessing the health of patient, advocating
healthy living practices and diseases prevention
for patients, identifying medication-related
problems that can cause, aggravate or contribute
to common patient problems, making it easier
for patient to take their medications properly by
labeling, packaging and organizing prescription
drugs better and understanding the role of care
giver, the financial challenges that patients can
face, and the importance of choosing appropriate
care.

IMPROVING YOUR QUALITY OF LIFE
In addendum to possessing skills specifically
tailored to individual patient’s need, Consultant
Pharmacists have a different perspective from
most Doctors to dispense medication for a
patient. A consultant Pharmacist would first look
if the symptoms might itself be a side effect of a
current medication.
For clarity purpose, what does the above
statement imply; Does your medication make
you drowsy? Do you feel anxious, confused or
depressed? Do you sleep poorly at night? Is your
thinking foggy? Are you having a severe
headache? Do you have dry cough?
All of the above symptoms may be pretty related
to taking your medications. For example, a high
blood pressure patient taking Agiontensin
Converting Enzyme Inhibitors (ACEI) like Ramipril,
Lisinopril or Enalapril to mention a few may have
dry cough as a side effect. A consultant
Pharmacist will evaluate the overall picture of
how your medication is affecting your quality of
life. This will make a huge difference for you and
your loved ones. Consequently, it generally
affects the well-being of the society.
In addition, to the above services, a consultant
Pharmacist helps to identify and reduce
medication related problems such as drug
interactions and side effects with his extensive
knowledge in Structural Activity Relationship
(SAR) and pharmacology. A typical example is
when you take your paracetamol with alcohol.
Paracetamol, also known as acetaminophen
chemical structure contained a benzyl ring with
NHCOCHʒ and OH at the Para positions. In other
words, it is a phenolic group (alcoholic group),
which when used with any other type of alcohol
increases the work load of the liver, therefore
causing increased liver metabolism which can
subsequently lead to liver diseases. Consultant
Pharmacists help to eliminate unnecessary
medication due to poly pharmacy, simplify the
system of taking medication therefore eliminating
complex medication, reduce medications cost,
serve as your advocate with your Doctor to
ensure the use of most appropriate medications,
promote wellness and help in identifying
untreated problems.
For hundreds of millions of people across the
world, especially in America with chronic
illnesses, Consultant Pharmacists play a vital
role in ensuring optimal drug therapy thereby
improving patients’ quality of life. In their role as
medication therapy experts, consultant
pharmacists take responsibility for their patients
medication-related needs, they ensure that they
receive the optimal care.

AN ATMOSPHERE OF MISCONCEPTION!
Let me also use this medium to clear the air on
those people who believe that 80 per cent of
people who eventually studied pharmacy failed to
gain admission to study medicine. Consultant
Pharmacist and the current President of the
Pharmaceutical Society of Nigeria, Pharmacist
Olumide Akintayo gave an insighful and factual
response in an interview with Punch Newspaper
on October 26, 2013, "The fourth estate of the
realm (The Press) has a sacred responsibility to
report and put issues in their right perspective.
Your question is an obvious fall-out of deliberate
propaganda orchestrated by some stakeholders
in healthcare. At the First Doctors Summit in
Asaba, Prof. Wole Atoyebi, a past President of
the Nigerian Medical Association submitted that
part of the problems in health care was that
people who could not gain admission for
medicine settled for other courses in health care
and now want to enjoy the benefit of what they
could not attain as students. Graciously they
allowed me to participate at that session and in
the full glare of the over 1,000 delegates from
across the country, I submitted that the entry
point for pharmacy was higher in the great
University of Ife (now OAU) than any other
course in the university system. Ife is the best
rated in this country and despite all hiccups, it is
still highly rated both in the Commonwealth and
Africa.
I openly challenged the delegates at the
conference like I am still doing even now to
controvert evidence that the entry point for
pharmacy is not one of the top five in any
Nigerian university that it is offered. In my days,
the entry point for direct entry students was a
minimum of 12 points in physics, chemistry and
biology. You may want to find out, no student is
admitted into a pharmacy faculty except
pharmacy is the course of first choice. So, the
chance of opting for pharmacy if you cannot
study medicine does not even arise most times.
As prelim students in Ife, when pharmacy
students take courses in mathematics and excel
because you are not allowed to carry over,
medical students took courses in sociology and
economics because they were failing
mathematics in numbers.
These are verifiable facts. Do find out what it
takes to study pharmacy in our universities and I
can boldly confirm to you that the rigour is
second to none. Just find out from any neutral
person who passed through a university where
pharmacy is offered. This is why a pharmacist
who is worth his salt cannot be consumed by a
persecution complex or siege mentality. Why
else do you think pharmacists excel in all
sectors? Go to the telecoms and check out the
number of pharmacists who are at the top
echelon at MTN, Airtel, Glo and Etisalat. In
banking, pharmacists are directors and vice
presidents and so on. Do find out how many
pharmacists are in charge of oil and gas
companies in Nigeria."

NIGERIANS HEALTH ARE IN THEIR HANDS
I firmly believe with every fibre of my being that
discerning Nigerians of all ages, tribes and
regions who are keen about improved quality of
life for all Nigerians regardless of the
geographical location will key in to the necessity
of having consultant Pharmacists in Nigerian
hospitals. Barrister Tosin Ayo, in his wisdom
gave us a better clue on the meaning of
consultancy when he wrote, "The word
'Consultant' is derived from the Latin word:
'consultare' meaning "to discuss". A consultant
is thus a professional who has a wide knowledge
of a subject matter and who provides
professional and expert advice in a particular
area such as security (electronic or physical),
management, accountancy, law, human
resources, marketing, public relations, finance,
health, media practice and journalism,
engineering, science or any of many other
specialised fields. From the foregoing definition,
it means any health professional can be a
Consultant in his/her own field so long as the
medical doctors are not only also made
Consultants but remain the traditional
Administrative heads of medical institutions."
There is wisdom in the words of Albert Einstein
when he opined, "In matters of truth and justice,
there is no difference between large and small
problems, for issues concerning the treatment of
people are all the same."


Pharm. Sesan Kareem is a young Nigerian
Pharmacist and Author. He writes from Lagos.
Sesankareem2@gmail.com — with Dauda
Sunday Afolayan-adeyeye .

Stupid liar! Biochem, anatomy and physiology is done for 18 months not 3 years. Pathology and pharmacology is also for 18 months not 3 years.


Moreover, it takes about 6-8 years to finish from West African Postgraduate College of pharmacy depending on the discipline. I don't just know the breakdown, Goan sit down oga!

allycat: I am a consultant in my field of medicine and I think twice about prescribing Prednisolone because of its potential side effects if not properly monitored. Also when stopping the drug it has to be tailed off, so imagine my shock when I saw someone prescribing online Prednisolone tabs one daily, no duration, no dosage. So if the patient finds a quack to sell him Prednisolone without a prescription he may end up with either 2.5 or 5 or 10 mg. When he gets cataracts or adrenal failure or cushiness disease Sheba it's one useless doctor like me he will rush to and expect miracles. And yes I said quack because no well trained pharmacist will sell these drugs to anyone off the street without a valid prescription. It's before I used to have pity on such patients now when I see them I ask them why they don't go back to the initial "Doctor", why come to me now there are complications that most times are irreversible. From the replies to the doctor pointing out what is wrong here, I am justified in my attitude. Please go and read the Doctors thread an tell me how many times you see them actually prescribe drugs for patients they have not seen.

Mr doctor, it's Cushing's disease(pituitary) or Cushing's syndrome (adrenal). It's not cushiness disease. See the quack consultants we're breeding! Vamoose jor!!!!

All you doctors coming here to complain about her prescribing anti TB drugs and prednisolone, see ehn! God will so punish you!!!!


If you know better, why not open a thread and give these patients free consultation? What's wrong if you correct the diagnosis and she attends to the drug issues?

cococandy: Scallywag
Are you sure you can even spell the prescriptions correctly?

Easy on him aunty. He's prolly one of those medical students.

Emmaesty: I don find husband oh I attend Winners Chapel in Ago-Iwoye cos i study there

Wooww! Cool.. Great oouite!