₦airaland Forum

Hahaha.....

No b only ordained people dey say prayers nah

"G" is the 7th letter of alphabets,and "Germany"
starts with "G"
-The name "Germany" contains 7 letters
-Germany was in Group "G" or Group "7"
-Germany ended Group stages with "7" points
-Germany scored 7 goals in group stages-4 vs
Portugal,,2 vs Ghana & 1 vs USA
-Germany scored 7 goals against brazil
-And obviously we are in the 7th Month of the
year
- And Germany is playing their 7th match today
-My conclusion is that Germany is anointed to win
Spiritually, 7 is perfection. Anything 7 has God's
hand in it.
So i decree and declare perfection into your life in
this month in Jesus name

PerfectFortune: If you are a Dr then you are one of those bringing disgrace to the profession considering your level of dumbness. The NMA should be ashamed of you. You cannot even argue objectively without raising curses on your generation.

If you are not then your life is just complicated beyond remedy or hope.

Go and die!

I don't have time to waste with you.... Find ur mates under the bridge or in the markets walking naked... You are below human IQ

PerfectFortune: Fruit of a devil. Your prayers are yet to come to pass and you are cursing yourself cos I know you are not aware that "He who curse me shall be cursed forever".

To educate you a bit, there are well educated herbalists who are even profs. The fact that they choose the herbal side of medicine dosnt make them less educated and part of their practice are also recognized which is why student midwives are made to study how to deliver a baby the herbal/traditional way by sending them to "Agbebi/alagbo" (tradition birth attendants). Medical students do the same while on rural posting.

Unfortunately the sarcasm (herbalists being better than most Nigerian Drs) is right owing to the level of incompetence and unprofessionalism displayed by most of them.

Get educated before cursing your unborn generations, half baked infant.

Rat.... If e dey pain you say you no be Doctor, go hug Transformer.... As you show hatred for Doctors, so shall doctors lack in ur lineage... #MUST YOU HATE? JAMB form still dey... Mongoloid

PerfectFortune: The OP may claim not to be biased in his judgment but in my opinion, he is.

To begin with, I don't think ppl hate Drs (cos it's a title anyway) but the attitude of the holder of the title. For your information, majority of the ppl don't like Nurses either part of the reason which has been stressed out already by the OP but they don't often disturb us with Strike actions and selfish demands.

I am not saying there are no competent health care providers(Drs) in the country,I have a quit no of them as friends but the majority of them are incompetent.

I can safely say 70 percent of the so called Drs are incompetent but they want to be treated as gods.

Majority of the Drs working at various govt owned hospitals also work elsewhere either at their own private hospitals or paid private hospitals all to the deteriment of the poor masses who frequent the govt owned hospitals.

In most govt owned hospitals, you hardly find a Dr that practise the true essence of the profession but those who are arrogant, selfish and complete cheats.

Take the FMC Ebute Meta, Lagos for instance, patients rush to the hospital as early as 5.30/6am to pick nos so they can be attended to and return home early enf as nobody likes going to the hospital anyway. The Drs stroll in around 9.30/10am with no apology to the anxious long waiting patients (since they beliv they shld be worshipd) and by 1pm they stop consultation till the next day to resume at their various private hospitals.

If I should start talking about their level of incompetence, the whole page will not contain it . There are even several occassions where they were corrected by Nurses (on medication prescriptns).

In simple terms, ppl don't hate Drs but the attitude of the holder of the title. They are arrogant, selfish, incompetent, cheats and the big bang, "Killers" going on strike to divert patients to their private hospitals.

I keep saying it, herbalists are better than most Nigerian Drs..

May your generations Never produce a Doctor.... May Herbalists reign in ur lineage.
Did I hear you say 'Amen'?

warrior01: Hate doctors? The fact is those people in Nigeria that parade themselves as Doctors, don't know what it really means to be a mreal doctor. No ethics, no compassion and no proffessionalism. All we have is a bunch of greedy people that is full of unnecessary pride. If you doubt me, why do our people rush to India for proper treatment?

Exposing ur Ignorance and lack of decorum

soldierdollar: Miss borno de for sambisa forest

=D ♒ђåª•ђåª•ђåª♒ =)). . . Make she come rep her zone nah... Miss Sambisa!!!

Where's Miss Zamfara and Miss Borno?? Abi they no follow for Nigeria...??

Creamish: If u know her shirt size, u could get her a nice blouse or wristwatch or Perf....or bracelet... just walk into a boutique n look around..

As Op no get money to enta boutique nko? Or do you mean window shopping? ?

And our missing $20billion wud hav taken the 3rd position...

FrancisTony: 1) University of Ibadan.

2) Obafemi awolowo university.

3) University of Ilorin.

4) Ahmadu bello university Zaria.

5) University of lagos.

6) Lagos state University.

7) University of Nigeria Nsukka.

Delta state university Abraka.

9) Niger delta university.

10) Ambrose Alli University ekpoma.

Do you think I am right or wrong? Prove me wrong?

YOU ARE WRONG!!!

I guess this ban will help us have more time to organize our soccer team and pick those that have interest of football and our nation at heart deliver us from this sh*t hole.

I remember when Nigeria wanted to take a 2yr time off to Organize itself... This is that special time...

Acidosis: Tell this to "graduates" who do not know their rights from wrongs

For some of us who are highly learned we understand the entire process

By the way, why do you keep 'shouting' pathologists? How many Nigerian hospitals employ pathologists?

Can a pathologist function without those you condemn so much?
Lol

This aint the issue anyway, why should you and your allied block the progress of others? Insecurity? lol

Most Public offices and Ministries are headed by BSc/MSc holders (i.e Bachelors & Masters). abi una carry wetin pass bachelors?

Why do you keep giving the public wrong impression about Lab guys? Haven't you seen Lab scientist and even technologists with Masters degrees, PhDs?

You think every other person on Lab coat (who isn't a medic) schooled in Health Tech?


Our President is truly weak; people like you should be out of the hospital...

Why is it that you, the lab. Scientists won't allow Biochemists n Microbiologists work with you n the lab? Or do a year course to get licensed to operate a lab? Why the superiority and ego Lab scientists show Lab technologists(that can do everything the lab scientist can do)? So many to point out...

You see?? The lab scientists and this their natural bitterness didn't start today... Pls remove the log in your eyes before removing the spec in anoda person's eye...

#advice

Acidosis: Tell this to "graduates" who do not know their rights from wrongs

For some of us who are highly learned we understand the entire process

By the way, why do you keep 'shouting' pathologists? How many Nigerian hospitals employ pathologists?

Can a pathologist function without those you condemn so much?
Lol

This aint the issue anyway, why should you and your allied block the progress of others? Insecurity? lol

Most Public offices and Ministries are headed by BSc/MSc holders (i.e Bachelors & Masters). abi una carry wetin pass bachelors?

Why do you keep giving the public wrong impression about Lab guys? Haven't you seen Lab scientist and even technologists with Masters degrees, PhDs?

You think every other person on Lab coat (who isn't a medic) schooled in Health Tech?


Our President is truly weak; people like you should be out of the hospital...

You sound so bitter. And you praise urself too much(calling urself 'highly learned' -na who ask you?).

There is no Doctor, NO DOCTOR, that will CONDEMN a lab. scientist... Its a teamwork for patients' wellbeing. But the way you sound, one(those outside the health sector) may think you guys have a special course @ the undergraduate level that tackles Doctors(in Lab. Medicine).

Again, no Doctor will block the progress of any lab scientist(as it stands). Pls stop spreading ur personal hatred on Doctors to the innocent public.

I also understand some of the lab.scientists were withdrawn from medicine @undergraduate level, others were denied admission to study medicine. Pls again, this shouldn't breed hatred for the doctors. Thank you

Iriruaga100: I disagree with the poster when he said doctors are underpaid. In nigeria federal nd state govt pay different amount as salaries to doctors, while some state pay higher than others. Mr poster tell us how much you earn in other to prove that you earn more or less than your ghanaian friends. In any profession there must be a specialist or consultant e.g Doctors, pharmacist, engineers, economist, nd educationist etc. You must have guru's that are better than others in the same field. Doctors should never be the administrative head in the hospital. Someone who read management should be the head.

Pls, try and be informed before posting on ANY TOPIC... Again read articles well before commenting. Thank you.

In a hospital setting(tertiary health institution as a reference), there are top positions for non doctors, like the Director of Administration. Also, Head of Pharmacy etc...

EmeeNaka: @OP,you are taking side and can never be objective. I stopped reading everything you wrote when i read the issue of a pharmacist cancelling Doctor's prescription where you claimed that a pharmacist just read through the drug formulary and cancel doctor's prescription. In fact,that very statement show that everything you wrote are nonsensical. I am a pharmacist. You can never compare doctor's expertise in drug product/medicine to that of a pharmacist. The pharmacist is the chief when it comes to drugs.

Pharm. I understand ur bitterness. But this truly happened. Honestly.
Now, Y wud a pharm cancel a cardiologist prescription on a patient under the Cardiologist unit? Mayb if you r the one, you won't do such. But think of it, its not right @all.
Thr so many Side effects wen you check Emdex etc buh it doesn't limit the use of such drugs n certain situations(alrdy xplained in the post)

My Recommendations:
First of all, JOHESU is an amorphous body
comprising of
different entities with varying agitations, concerns,
qualifications, expertise, and eligibility status and
should
not be confronted in that front by the government.
Our government has to recognize the various
constituents
independently and verify their individual
complaints as
some parts of it have no moral standee to
withdraw its
services because of the unmet demands of
another. For
instance, The Medical and Health Workers Union
(MHWU)
comprising of Clerks, Messengers, Record Officers,
Admin staffs, Janitors, Engineers, Security etc., an
association of
different people with absolutely no training in any
Health
related courses should not dare to aspire for
headship
positions in the hospital let alone been prevented
from
doing so. We do not have to give reasons why they
should
not. Therefore, the five different associations and
unions under JOHESU should be made to make
their specific
submissions independent of one another for
clarity.
Secondly, the Nigerian Labour Congress and Trade
Union
Congress should look beyond Unionism and focus
on the
ultimate goal of everybody in the health sector
which is
adequate Health care for the Nation. They should
relinquish their parochial stand in the dispute
between JOHESU and
NMA, and as well desist from all forms of
hooliganism and
attempt to bully the Government and NMA on this
matter.
Finally, the Government should resist all attempts
to coerce
it into yielding to the demands of one party in the
dispute
when the matter is still in court. There should be
absolute regard for the Rule of Law. And all
previous “concessions”
should be stalled, and pending till a decisive ruling
by the
court.
We can go on and on to address so many other
issues in the
health sector that require attention but I have
decided to
throw light at just some parts of it before the
Doctors under the auspices of the Nigerian Medical
Association, an
association of all certified Medical Doctors
practicing in
Nigeria down their tools as proposed come July
1st, 2014.
Before the health of the nation would be thrown
into the
hands of Non-Doctors in the Health sector that
usually
prefer the exclusive services of Doctors when they
and their loved ones take ill. Before the general
public begin to lash
out on Doctors and blame them for lives lost as a
result of
the forthcoming massive industrial action. The
onus lie on
the general public to call out on the Government to
resolve
these life threatening issues before the Doctors
take to this
hurtful last resort of theirs. God bless Nigeria.
By,
Basil, C. B. – M.B.B.S (Nigeria),
Department of Clinical Chemistry and Metabolic
Medicine.

On the Physiotherapists’ demand to make first
contact with Patients:
According to Prof. K. E. Obidike, there are three
reasons why
patients go to see Doctors. Firstly, is to ascertain
the causes
of their complaints and resolve them. Secondly, is
to
identify any other health problems unknown to the
patient,
and again, resolve them timely, and finally, to
have a baseline documentation of the patient as a
reference for
subsequent health issues. The second reason
especially,
answers the question as to why a Physiotherapist
cannot
make first contact with patients. Medicine is
holistic, and
the initial assessment of a patient takes the entire
body
system into account not just the presenting
complaints. Therefore, Physiotherapists should
remain Physiotherapists
and should come into action when consulted.
Simple.
On adoption of Foreign Healthcare Structure:
The fundamental idea behind the establishment of
Tertiary
Healthcare centers (Teaching Hospitals) in Nigeria
was
primarily for training of Medical Practitioners,
Research, and provision of specialized healthcare
at very affordable rate.
It is not a business venture, and if this aims and
objectives
are to be met, then the hospital must be made to
operate
under the very Act that established it. Comparing
our
Healthcare practices with that of foreign nations
without a
review of the aim and objectives viz-a-viz that of
our country is practically insane. Granted, a few
hospitals in
Canada are headed by Non-Doctors, and there are
few Non-
Doctor Consultants with well-defined jurisdictions
in a few
foreign countries, but that does not in any way
directly
improve their health indices. After all, high quality
health
care is still not affordable for a large proportion of
Americans despite their very potent health
insurance
system.
Our very first interest should be to assist the
government,
which some members of the health sector have
chosen to
distract, to ensure there is affordable healthcare
services to
all its citizenry, seek ways of improving the
training of the medical personnel and carry out
Research programs that
will elevate the quality of healthcare delivery in
our own
nation. Yes. We can go abroad and observe what
obtains
from there, but instead of disrupting order in the
already
existing system, by trying to blindly implement it
over here,
we can see how best to fit a few of them into our
system and get the best out of it. The Government
should
concentrate on policies that will better the lives of
the
larger population of Nigerians, not those that
pacify some
disgruntled group of individuals fighting for
position and
their own other personal interests.
There are many other issues that do not only need
Government attention, but also its speedy
response. Some
of these areas include: the appointment of
Directors in the
hospitals which distorts the chain of command in
the
hospitals, induces anarchy and expose patients to
conflicting treatment and management directives;
the
passage of the National Health Bill, and extension
of Universal Health Coverage to cover 100%
Nigerians and not
30% as currently prescribed by the National Health
Insurance Scheme; the appointment of the office
of the
Surgeon General of the Federation alongside many
other
pressing needs. These are health issues of
paramount
importance and the Government cannot afford to
be lackadaisical about them. No. Not this time.

On relativity of Wages:
Another very important object of discord is the
demand by
JOHESU for a unified salary scheme for everyone
in the
health sector and that will see a close
approximation of the eventual earnings of all in
the sector. What else can be
sillier? Need I remind us that in every organization
there is
usually an established strata. Even in heaven,
there are
Angels and Arch angels, and the angels are content
with
their positions and would not want to usurp the
duties of
the Arch angels either. People cannot obtain
different qualifications, different expertise,
subserve different needs
and end up earning similar pay. No. That cannot
happen.
Why would a non-specialist insist on being paid
specialists
allowance? Why would a Non-doctor terrorize the
government because he wants to be paid like
Doctors?
Where in the world is that obtainable? Relativity is
sacrosanct and must be reflected both on the basic
salaries
and all allowances.
Granted. Doctors are few. Very very few. The
World Health
Organisiation recommends that a Doctor should
consult not
more than seven patients in a clinic session and
should pay
maximum attention to their needs, but our
environment see us in a situation where a Doctor
consults over 40
patients in one clinic session, yet, he is underpaid
compared
to his colleagues even in nearby Ghana. There are
less than
30,000 Doctors currently practicing in Nigeria
subserving
over 170 million Nigerians, and there is a dire need
for
more, but that will not push the Medical schools to
take in everybody and churn out unqualified
people as Doctors,
neither will the Nigerian Doctor allow a Non-Doctor
to
tamper with the lives of patients. Doctors swore an
oath to
preserve lives and the NMA must see to it that the
lives of
Nigerians are safeguarded. If the Hippocratic Oath
is to be
taken serious, then the NMA must win this battle.
More often than not, we are clear on the
knowledge that it
is injustice to treat equal people unequally, but it
fails to
come to our minds that, it is graver injustice to
treat
unequal people equally. This is not pride, it is a
statement
of fact. Doctors and Non-doctors in the Health
sector are
not equal and they cannot be treated as equal.
There is a reason why some students work harder
than others to
become Doctors. Some sat for JAMB several times
to achieve
that, although many fail to do so and even some
do fail out
of medical school and end up as “other Health
Professionals”. To eventually anticipate to be
rewarded
equally with those who triumphed where you
failed is simply madness. The government must
see to it that
relativity is maintained. For if a Nurse or
Pharmacist
consults patient, not regarding quality of the
consult, earns
equally with a Doctor and even get a chance to
head the
Doctor, why then would one need to work harder to
become a Doctor when he can easily become a
Pharmacist? Tampering with relativity is a
conscious attempt at
breeding mediocrity, again at the expense of lives.
If the
Nurses and Pharmacists accept to be paid equally
with the
Lab “Scientist” and Janitors, it’s their own cup of
tea, but
paying Doctors and Non-doctors equally? God
forbid!

It is a common saying that Doctors are “proud”,
and I insist, they have very just reasons to be, and
when it comes to
arrogance, the patients can tell who amongst
Doctors and
Nurses are more approachable. Doctors are a
selected class
of elites and comprise the best brains of the
society. Yes,
the entry requirements into the profession and the
medical
training ensure that only the bests emerge as
Doctors.
. As such, the government has to understand that
any
arrangement that sees a Non-Doctor in a sensitive
position
to head Doctors in any Health related issue would
be met
with fierce resistance and the never ending tussle
it will
ensue will have detrimental effects on our nation’s
healthcare delivery. In the interest of peace and
decorum, the Federal Government have to dig in
and ensure that the
status quo is been maintained. The ear that will
hear needs
not be the size of a raffia palm.
On conferment of Consultancy on other “Health
Professionals”:
A Consultant (Medical) is the title for a senior
hospital-based physician or surgeon who has
completed all of his/her
specialist (Residency) training and has been
placed on the
specialist register (Fellow) in their chosen
specialty. This
level of Doctor joins the Civil service as a
Consultant and
automatically leads a team of Doctors comprising
Residents, Medical Officers and House Officers
who train under him.
Currently, there has been an outcry by JOHESU to
also be
awarded Honorary Consultancy based on the fact
that
Doctors are been appointed as Consultants, why
not they
too. The concession of the government to this
particular
demand has led to the entire hospital going
berserk in some centers. This was done against
the warning of the
Nigerian Medical Association that the introduction
of such
“alien” practices would be detrimental to the lives
of
patients and the results are showing.
At the Nnamdi Azikiwe University Teaching
Hospitals, it is
been said that a “Consultant Pharmacist” invaded
the wards with his team, cancelling patients
prescriptions and also
demanded that a Consultant Cardiologist remove a
key drug
in an inpatient prescription, on grounds that the
drug has
some known adverse effects. Another report have
it that in
Abuja University Teaching Hospital, the Ante-Natal
Clinic was
invaded by Nurses who decided to consult patients
and make prescriptions, of which the Doctors left
the clinic and
the Patients were confused. Patients who sought to
see
their Doctors were told that there was a
“Consultant Nurse”
who does whatever a Consultant does. Also, in
University
College Hospital, Ibadan, stories had it that a
Consultant
Plastic Surgeon was barred from reviewing the
surgical wound he created post-operatively
because a “Consultant
Nurse” had reviewed the wound earlier and was
satisfied
with her findings.
Let us address one of these occurrences. It is grave
ignorance for a Pharmacist to tamper with a drug
prescription simply because he has looked through
his drug formulary and have identified a known
adverse effect of
the drug when he/she has no knowledge of the
processes
involved in the making of diagnosis and
prescriptions.
Patient management is highly individualized. To
make a
prescription, the Doctors put many things into
consideration viz; patient’s history and
examination, financial cost of the drug, benefits
against the risk of using
the drug, other drugs to be administered etc.
Sometimes
the side effect of a drug is the desired effect
needed in one
patient but would remain a serious adverse effect
in
another patient. But no, the Pharmacist didn’t think
in that
line before cancelling prescriptions. I am not
saying every doctor’s prescription is infallible. No.
But if a pharmacist
wishes to express concern over a patient’s
prescription, he
should discuss with the Doctor to sort out their
concerns.
This whole consultancy for non-doctors arose as a
result of
their quest to have better remuneration. I am not
opposed
to better remuneration for other health workers,
but looking for cheap means to it at the expense of
the lives of
patients is grossly unacceptable. Why would you
want to be
a Specialist (Consultant) when you have no
specialty, or you
have a specialty in an area whose service is not
needed?
Even if a non-doctor must be a consultant that
does not
automatically make him/her a Doctor. We all know
how to become a Doctor and age is no barrier.
If non-doctors must immutably be made
consultants, their
duties and jurisdictions must be clearly spelt out
and
understood by all involved. A Consultant Nurse
should be
confined to Nursing Practice and she will be
expected to
enhance it, not to invade Medical Practice. She
must ensure that the management plan of a
Doctor is properly carried
out, even if he is a House Officer. Unfortunately,
the idea of
non-doctor consultant emanates from the desire of
these
other “health Professionals” for position and better
pay
than the desire to meet any specific needs. For
instance, a
ward Nurse that does her duties properly becomes
a Consultant, what extra services and
improvement does that
bring to nursing care? The fact that there exist
non-doctor
consultants in a few foreign countries does not
explain why
the government should channel huge sums of
money into
the payment of honorarium to consultants that add
nothing to the existing system but chaos. The NMA
have identified these unhealthy health policies and
should do all
it can to prevent it from killing Nigerians.

the
Doctor-Patient Relationship.
The treatment plan of the Patient, drawn by the
Doctor,
may or may not include; the investigations (or
tests) both
laboratory or radiological to be carried out, the
drugs to be
dispensed and the appropriate prescription, the
additional care to be rendered outside the basic
nursing care and the
treatment orders to be followed, some of which he
does
himself (or via his subordinate Doctors) and others
by the
Nurses. There is no stereotyped outline of what
must be
done for every patient; investigations to be carried
out,
treatment to be administered or drugs to be
prescribed lies solely at the discretion of the
Patient and his Doctor.
Apart from the Nurses, all other “Health
Professionals”
come into patient care when the Doctor’s plan
involves
them. Clearly, a patient has no business with the
Radiographer if the Doctor’s plan does not involve
radiography, neither does he have any business
with the Pharmacist if the patient does not require
any drugs, of
course, not every patients require drugs.
Therefore, it is safe
to assert that if Patient Care is the sole interest of
everybody in the Health sector, then the Doctor
takes the
Central stage in this service to Patients and must
carry the
Nurses along at every point in time, and together
they look out for any other “Health Professional”
that should be
roped into patient care. Why then should the
Doctor take
the Central stage? Very simple. He has been
trained
thoroughly to do so. Invariably, the Doctor is
naturally the
undisputed leader of the Health team and only two
classes
of people can challenge this standing; the criminal
minded ones pursing their selfish interests and the
dim-wits
incapable of any logical reasoning.
On the Headship of the Hospital:
Over time, the functional head of the tertiary
hospital
setting has been the office of the Chief Medical
Director,
CMD, and part of the Act establishing the hospitals
specified that this position be held by a Medical
Doctor. However,
there has recently been a loud cry from other
“Health
Professionals” under the auspices of the Joint
Health
Workers Union (JOHESU) for the chance to also
partake in
the “enjoyment” of this office, as if to say it is a
political
office, a “National Cake” which should be shared
equally to everyone in the scene, whereas, it is the
most sensitive of all
positions in the hospital setting, one with huge
implications
on the health of patients. The Medical Doctors on
the other
hand, insist that the office of the Chief Medical
Director and
the headship in general, of the Hospitals is their
exclusive
reserve. How true is this claim by the Doctors?
Again, it is very
simple. Healthcare is all about patient care, and in
rendering care to the patient who is the main focus
of
everyone, the Doctor is the arrow head. He brings
together
the activities of all in the health care delivery
system to
bear fruit in the health of the patient. He has a
broad-based and yet in-depth medical knowledge
that enables him to
function as a leader in patient management and
take
responsibility for the outcome. It is then indeed a
funny
ideology to expect the Doctor to maintain
leadership of
Patient Management and then cede the leadership
of the
Hospital Management to a Non-Doctor. Right
thinking people would agree that whoever takes
the blame should
take the lead. Leadership is about responsibility,
and
Doctors embrace such responsibility mainly as it
involves
lives which they have sworn an oath to protect.
Furthermore, JOHESU, a body comprising of other
“health
professionals”, support staffs and in fact all in the
Hospital setting except Doctors, claim to be equal
and allied to
Medicine. But my question is, how is the clerical
staff allied
to Medicine? How can a support staff head the core
members of the organization? Also, why should a
“profession” that is “allied” to Medicine surmount
Medicine? Can a Non-Lawyer become the Attorney
General of the Federation? Why isn’t the office of
the Vice-
Chancellor made open to every staff in the
University
system since ASUU and NASUU both consist of
“professionals”? How would ceding hospital
leadership to
JOHESU improve the health indices of our country?
These
are people that do not deal directly with patients,
people that do not really understand the agony of
patients which
Doctors do. The saddest part is the extent they can
go to
press home their irrational demands. We have a
documented occurrence of how they turned off
power
supply to the Intensive Care Unit during a JOHESU
orchestrated strike action in a southeastern
Teaching Hospital leading to death of patients on
life support. This
was an attempt to frustrate the Doctors’ effort to
keep
hospital services running while they were
“striking”. How
can people who have displayed this level of
irresponsibility
be allowed to head the Health sector? Again, God
forbid!

The Patient and the Hospital:
Let us begin from the beginning. A healthy person
falls sick
and needs to regain his health and function
properly. He
says to himself, “I don’t feel well enough, I need to
see a
Doctor. May be I should go to the hospital
tomorrow”. He sets out of his house with this
principal aim. On getting to
the hospital, he first gets to the reception, obtains
a card at
the Out Patient Department and then proceeds to
see a
Doctor (usually a Medical Officer) if his condition is
one that
necessitates a Specialists attention, he is then
Referred to
another Doctor, the Specialist (Consultant) for
further treatment. On getting to the point of
referral, the Record
staffs assist him in opening a folder containing
case notes,
and in the process of this, a Doctor (Consultant) is
assigned
to him. The entire processes of obtaining a card
and folder
have no direct effect on the patient’s condition but
helps
ensure proper documentation and recording within
the hospital. He is then directed to the designated
Specialist or
Consultant Clinic where he is received by a Nurse
who does
further documentation and records his vital signs
which
may or may not be repeated by the Doctor. Then
the
patient enters the clinic to see the Doctor, his
primary aim
for coming to the hospital ab initio. The Patient,
the Doctor and Other Health Workers:
The Doctor begins by taking a complete history of
the
patient which includes his current complaints,
previous
health challenges, living condition, social habits,
family
history, drug history, financial capacity, religious
and
cultural beliefs, and then proceeds to do a
complete physical examination of his entire body
system, at the end
of which the Doctor would have verified the
patients
complaints and identify any other problems
unknown to
the patient, before arriving at a Provisional
Diagnosis. He
then counsels the patient, draws up a treatment
plan,
which is to be strictly adhered to provided the
patient is within the hospital environment, and
automatically takes
full responsibility for any problems encountered
along the
line. He finally schedules him for a follow-up visit
to
ascertain his response to treatment. This process
of history
taking creates a personal relationship between the
Patient
and the Doctor and this is where the confidence of
a patient on the Healthcare system of a Nation is
built;

THE TROUBLE WITH THE
NIGERIAN HEALTH SECTOR
For a longtime now I have come across so many
articles and
reports in the national dailies and in online social
media on
the rife in the health sector which centers mainly
on the
row between doctors and non-doctors working in
the
healthcare system. Most of these reports and
articles, mostly lopsided, have one common
denominator,
presenting the Doctor as an enemy of the people
and the
manner of their submissions is such as to draw
undue
sympathy from the unsuspecting public. But for
the neutral
members of the society who have had cause to
have
sufficient contact with the hospital environment,
I’m not talking of some quasi journalists, they
need not be told, if
there are, who the Angels and Demons are.
This article is not aimed at indicting or exonerating
any of
the two combatant parties as both have had a fair
share of
the blame, and honestly, the deplorable state of
our
healthcare system is not as a result of the
performance of the health workers, but it is a
component of an overall
failed system called Nigeria which the current
government
is still trying to salvage amongst other difficult
challenges.
Considering the lines along which the divide has
been
made, I shall delve into an inquest of some of the
key issues
at stake, mostly those that affect the general
public, and this I will do by placing the Nigerian
Doctor on one side to
be reviewed alongside a few of the numerous
“health
professionals” working in the healthcare system
with due
consideration to the most important person in the
system,
the Patient. I shall concentrate mostly on the
tertiary
healthcare institutions where the bulk of the
rivalry is most felt.

Sijo01: My dear, it was survival of the fitest. Am glad you made it too.

Real survival of the fittest... And I made it..

[quote author=Katier00 ]Thanks dear, i will do just that, i just pray this implanon has nt failed me o, thought it was the safest means of preventing pregnancy[/quote]Safest means for preventing pregnancy is ABSTEINANCE...

Or U̶̲̥̅̊ go for a bitubal ligation or hysterectomy. Bet U̶̲̥̅̊ won't b pregnant

daryoor: We r all the same, lecturers do it to student, bosses to employees, police to prostitues, producers to actresses . stop all this ranting. I hate complainers and weaklins, deal wit reality u cant change. Capishe?

Park well.

U need change d society. It starts from u n me.

But seems u among those support ds.

Saraben: Hw I wish it is possible to fight dose pot belly men.,.bt d prblm is politics everywhere.....

Honestly, I wish same. Buh we can start ds fight against dem, by not agreeing to thr demands. MoreSo cover thr actions in video or pics and make it go viral.

Are U̶̲̥̅̊ serving? Can U̶̲̥̅̊ remember the̶̲̥̅̊ number of corpers that were posted to your LGA? Can U̶̲̥̅̊ say how many that come around for their CDS programs? Have U̶̲̥̅̊ wondered Y some corp members never get punished(especially the̶̲̥̅̊ females)?


I won't like to mention names or LGvts. But this is a true fact, wch most of my female friends av told me. the̶̲̥̅̊ sexual harassment by this LGI(Local Govt Inspectors, NYSC) towards young female corpers is alarming. It ranges from the̶̲̥̅̊ married ones to d single Officials.

A corper once told me how d LGI tried forcing kissing/caressing ha in his office wen she was just new. Anoda hv also told me hw she has severally bn punished because she refused dating ha LGI.
It goes On and On. Yet these are men with families.

On the̶̲̥̅̊ other hand, the̶̲̥̅̊ ladies who agree to be laid, hv this advantage of not showing up for cds activities. May only come during clearance.
Its also disheartening to see corper ladies hving affair wit this officials(esp d married ones) despite d fact the̶̲̥̅̊ r aware of his promiscuity with oda female corpers.


PLS PLS and PLS... LET US ALL Desist from bn used as object of sexual satisfaction to these men for jst a year. Remmbr, d change gals with each batch and there's increased risk of HIV and other STIs.


MY LOVELY FEMALE CORPERS, PLS LET'S FIGHT AGAINST THIS. IF POSSIBLE WE SHOULD EXPOSE THEM.

Feel free to share ur experience...

slord: oh! I neva knew,thanks so much sir. Wat of National,or is it both that require permanent license

Before now, U̶̲̥̅̊ can write Nationals with ur provisional license. But from latest information(though waiting for national advert) Nationals hv started requesting permanent registration b4 applying from d exam....

slord: Ogas in d house,pls help me out on this. Jst read d WACS APRIL 2014 Exams announcement on PUNCH,one of d conditions stated for PRIMARIES is that ''candidates must posses at least one year post-registration experience'' and that 'provisional registration certificate is NOT acceptable''.pls does that mean one cannot write the exam as an intern doctor!? Pls clarify,thanks in anticipation.

U̶̲̥̅̊ can't write WestAfrican Primaries without permanent license or evidence of permanent license(receipt). So U̶̲̥̅̊ can't write d exam as a houseOfficer. Hope U̶̲̥̅̊ cleared.

Now ds wat is hapnn now to my very good friend. He asked me d above question, so I decided dt intelligent NLders shd contribute.


He got a new job and ds young pretty lady is his jnr staff(she takes orders from him). He has bn so tempted towards hving ds gal(tho I think its lust).
His accommodation is not far frm d young lads own. He confessed dt d gal really looks 'HOTT' wen not in her work uniform.

He's askin if its ok to chyke d lady(note hs just a month old in ds new job) or wil it b embarrassing if d lady turns him down(note he is like a boss).

Pls wats d best approach for ma friend to hv ds lad.?
Ur kind advice is highly needed.

Note: I told him to shun d gal b4 he turns to object of gossip.

Kindly contribute.