₦airaland Forum

Good, but he should be prosecuted and jailed.

Tallesty1:
What is cheating?

When you pretend that you have a lot of hair and you actually don't, and the hair on your scalp is fake and can fall off when dancing.

90% of all beans in Nigeria is grown in the North. But see who is poisoning beans in order to make money.

nobsalis:
which school accept pass for their Msc program in Nigeria?

Come back to me when you eventually receive your pass degree.

WHY DO DOCTORS COMMIT SUICIDE?

Credit Anna Parini
NEW HAVEN — TWO weeks ago, two medical residents, in their second month of residency training in different programs, jumped to their deaths in separate incidents in New York City. I did not know them, and cannot presume to speak for them or their circumstances. But I imagine that they had celebrated their medical school graduation this spring just as my friends and I did. I imagine they began their residencies with the same enthusiasm for healing as we did. And I imagine that they experienced fatigue, emotional exhaustion and crippling self-doubt at the beginning of those residencies — I know I did.

The statistics on physician suicide are frightening: Physicians are more than twice as likely to kill themselves as nonphysicians (and female physicians three times more likely than their male counterparts). Some 400 doctors commit suicide every year. Young physicians at the beginning of their training are particularly vulnerable: In a recent study, 9.4 percent of fourth-year medical students and interns — as first-year residents are called — reported having suicidal thoughts in the previous two weeks.

Hospitals and residency programs recognize the toll residency takes on the mental stability and physical health of new doctors. In 2003, work hours were capped at 80 hours a week for all residency training programs. Residents are provided confidential counseling services to help cope with stress. My residency program offers writing workshops and monthly reflection rounds. We have a wellness committee that organizes social events such as bonfires on the beach and visits from therapy dogs.

But despite these efforts, people still fall through the cracks. While acute stress, social isolation, pre-existing mental illness and substance abuse may be obvious factors to consider, we must also ask if there are aspects of medical culture that might push troubled residents beyond their reserves of emotional resilience

There is a strange machismo that pervades medicine. Doctors, especially fledgling doctors like me, feel pressure to project intellectual, emotional and physical prowess beyond what we truly possess. In his famous essay “Aequanimitas,” Sir William Osler, who founded the first American residency program at Johns Hopkins Hospital in 1889, stressed the importance of equanimity in a physician.

While steadiness in tense situations is an important quality for doctors to have, I believe that the imperturbability that Osler extolled has been misinterpreted to a dangerous degree. We masquerade as strong and untroubled professionals even in our darkest and most self-doubting moments. How, then, are we supposed to identify colleagues in trouble — or admit that we may need help ourselves?

Interns are often bewildered at how rapidly things change for us from May to July. As medical students, while we felt compelled to work hard and excel, our shortfalls were met with reassurances: “It will all come in time.” But as soon as that M.D. is appended to our names in May, our self-expectations skyrocket, as if the conferral of the degree were an enchantment of infallibility. The internal pressure to excel is tremendous: After all, we are real doctors now.

In fact, very little about us changes, apart from our legal ability to prescribe medications. But meanwhile, our workload increases along with the expectations and demands we place on ourselves. Most fourth-year medical students are expected to take care of four patients at a time. But within a month of graduation, without any additional training or practice, we are required to have a comprehensive understanding of up to 10 patients on any given day.

This drastic increase in responsibility can and does overwhelm most interns. Despite the support of my supervisors, my first two months were marked by severe fatigue, numerous clinical errors (that were promptly caught by my supervisors), a constant and haunting fear of hurting my patients and an inescapable sense of inadequacy. I kept up a charade of composure and humor to blend in with my talented colleagues, believing that I was struggling alone. Inside, however, I felt as if I would be found out all too soon.

It was over a dinner of Thai food that I finally opened up. One of my most accomplished colleagues in residency had complimented me on my clinical knowledge a couple of times during the meal. Sick of feeling like a charlatan, I told him about the trouble I was having with collecting clinical data and presenting it in an organized way on rounds. I confessed that I did not think I belonged in the program. He listened thoughtfully, and then uttered the three most beautiful words I had ever heard: “Dude, me too!”

We need to be able to voice these doubts and fears. We need to be able to talk about the sadness of that first death certificate we signed, the mortification at the first incorrect prescription we ordered, the embarrassment of not knowing an answer on rounds that a medical student knew. A medical culture that encourages us to share these vulnerabilities could help us realize that we are not alone and find comfort and increased connection with our peers. It could also make it easier for residents who are at risk to ask for help. And I believe it would make us all better doctors.

Some stoics may invoke Osler’s creed to argue that physicians must push aside our personal burdens to care for the sick. But a tired and depressed doctor who is an island of self-doubt simply isn’t as likely to improve the outcomes of his or her patients — or ever truly care for them.

Pranay Sinha is a physician in his first year of residency in the department of internal medicine at Yale-New Haven Hospital.

A version of this op-ed appears in print on September 5, 2014, on Page A27 of the New York edition with the headline: Why Do Doctors Commit Suicide? .

chuose2:
Is this the son he took to America at Nigeria tax payers expense?

As if you pay tax

Despite you having a pass degree a number of universities can consider you for a masters postgraduate in epidemiology or demography or even statistics. But then you must be determined and concentrate, you must aim for an excellent performance from the word go. When you have a very good masters degree, you will be in demand especially in subjects such as epidemiology and statistics. These subjects are highly valued by international organizations who know the importance of data and figures. Don't be discouraged and sky is the limit for you.

SirWere:




Why are all the universities mentioned mostly from the

You mean the immoral .... who believe miracles but not in God ?

Eddygourdo:
Activities up north in the next six months will be proof of claims just made. Those with wisdom on affairs of this matter, understand what I have said and the time line I have given. When dealing with barbarians one should never anticipate forgiveness nor listen to speeches. Its wise to observe the actions of the aggrieved and possible inactions of those mandated to protect lives and property (religious and political leaders inclusive).

So who are the babarians here. You really cannot be a good person. When the authorities are trying to hush up the matter and let the aggrieved innocent people forget, you are coming with irresponsible inciting comments.

You forgot alcohol

psucc:
Nigeria and Nigerians are known for insincerity.

The war in the North will never go at least in the nearest future because our northern brothers are playing double standards and role in the war: on one hand supporting the insurgents and feeding them with vital info which is one if the best weapons in war prosecution and on the other hand 'supporting' the govt.

Even the army themselves has more Boko Haram apologists than fighters.

You are so insincere yourself. To join the army is not by force. It is only those highly patriotic and brave men and women who can do it not a wailer and a coward like you. Those brave young men and women know the full consequences of war but they love Nigeria that's why they fight.

chuka5000:
pls note that he's not a minister but the comptroller of a para military org in Nigeria. his office demands that he wears the uniform. or should the custom officers start wearing agbada like him? And I will not be surprised if he offered his resignation letter.

The corrupt legislature are working hard to frustrate any serious and focused person in this government, it's the same with Ibrahim Magu's rejection

thinkdip:
This man is too proud and irritating! Buhari government just showed us that subsequently we can actually demean the National Assembly. We've lost our democracy my people.
The poster above me forgot something important.
Then tell the IGP to stop wearing uniform.
Tell the COAS to stop wearing his uniform for Jean and shirt.
Tell the Air force chief to trow away his uniform
Tell the Navy chief to start wearing agbada.
He must have forgoten their job description.
A lot of people have being quoting me since, but all I can deduce is that they don't know custom job is also a military job. It seems thats why they are spilling nonsense
Ali also sworn to the same oath the other did, so he is biding to every custom rules.

He is not a customs officer , he is an interim administrator, a political appointee to get customs working effectively and fight corruption within.
All those you mentioned are professionals. We are missing the point. Wearing khaki has absolutely got nothing to do with what is required at the moment. If I were Hameed Ali , I would resign rarther than wear uniform against my conscience.

LastSurvivor11:
And the badluck dullard just resumed unleashing untold hardship to Nigerians again..

God dey shaa

Are you disappointed that he is alive?

ElsonMorali:
Is Magu the only Nigerian that can head that parastatal?
If he has integrity problems let Buhari nominate someone else now.
Must the position be headed by a Northerner?

It's not about north and south it's about who can fight corruption and I think Magu has demonstrated his capability. Unfortunately corruption is fighting him fiercely. Corruption may win.

Corruption fighting back , fighting for it's life and seems to be winning.

Who is it going to impress?

Did he appear like this? Or like that?

mantosa:
Bro, did you read my post? I am disappointed in you.
You mean exposed? Exposed without evidences but because he has the pastor title, we should believe without evidences?
I am truly disapppinted. Give us solid proofs!

1. Just beacause an event happened two years ago doesn't mean reporting it now is a lie. If you are truly a journalist as you claim you will know that stories that happened 10 or 20 years ago can be uncovered and can even lead to prosecution.

2. If you are actually a journalist and you listen when politicians speak , you will know that El-Rufa'i never threatened to close churches. El- Rufa'i threatened to REGULATE PREACHING to ensure that preachers both Muslim and Christian do not breach the peace by inciting the public through their preaching. In other words he wants good preaching and not bad one from all religions.

3. About Danielle Okeke - this is verifiable. Does such a woman exist? Was she Suleiman's girlfriend? Did he give her those presents ? If Stephanie hesitated in her narrative to recollect her thought it doesn't mean she was telling lies. Are you too lazy to go and find out?

4.Yes, Promise of marriage is not a criminal offense but when a so called Pastor is seen to be jumping from hotel to hotel in adulterous extravagant relationship with several women. The congregation and public at large must ask questions, after all the finance his immorality with the tithe they give every Sunday. Is that consistent with the life of a priest?

Study Islamic rules of engagement with women that are not your wives or your blood relatives.

thinkdip:
It still comes down to the fact that this Buhari government is useless, clueless and full of hypocrisy. Later they would tell us it was GEJ that made this happened under his nose

Pipe down man, GEJ couldn't tackle Boko Haram. We are beyond GEJ now. Who will even hear about this in the days of that ineffectual president ?

ZombieTERROR:
They know why they went there
To celebrate being unemployed
To celebrate a man who promised no overseas medical vacation for government during campaign
To celebrate a man who has nothing to show since taking over power
They know why they went there
To be one thousand naira richer
God bless Nigerian youths

Are you related to a thief?

The hardworking Jews again

It is the crack talking. Anyone who is looking for this man's proof of insanity has it here and now.

delpee:
Overflogged issue! We don tire!! E don do!!!
They're all adults, what they do together is their problem.

The issue is not overflogged.
It is of public interest as this man takes money from unsuspecting public to pay for his womanizing.
We must establish the facts.

Is he a man of God or a conman?
Is he a priest or a swindler?
Is he upright or crooked?
Is he a pious man or villain?
Is he an apostle or a devils disciple?
This is for public interest and there are too many fake pastors like him in Nigeria. We need to sanitize the church.

ich Sultan

bedspread:
WHY PRETEND !! CLOSING THE SCHOOL IS HYPOCRITICAL!!! THEY ONLY PRACTICALIZING WHAT HAS BEEN DONE ALL THESE YEARS!!

NO BE YERIMA MARRY 13yrs old??
No be Sultan marry smallie?

ABEG LIVE MATTER!!

Which Sultan ?

Sanchez01:
The president should take a bow at this time since he would no longer be able to function as he used to. They shouldn't push him by forcing him to die on the seat. If he is not fully fit, healthwise, some other person should take over. After all, the person who would do so is also from the APC.

Now that it's known to all ( including the retarded ones) that the President is not dead, it's time for you wailers to invent another lie.

Pastors and Sex scandals

Is the dog married or single?

You mean Biafran masquerade?

stinggy:

Live in peace and there wouldn't be problems, do anyhow and u go see anyhow
The message is loud and clear!

Abokina if you ever find your way back to the south, for your own sake don't go around fomenting troubles.

You have killed them in hundreds and you ask the few survivors to stay?

SuperBlack:
Mama Peace and her Husband was/has been the best Couples to have been In Aso-Rock as President and First Lady, the Age defference wasn't much to compare with Buhari and Aisha, unlike 74year old man marrying a 43year old Girl. How do you think there won't be a Cheat among them?

Because they are not your type