₦airaland Forum

ziga: It is funny how you choose to be rational whenever it suites you.

I love how you analyzed the article to show that maybe you can't prove cause and effect from it.

But please show me what studies you have done to show that non-medical CEOs are the solution to Nigeria's health problems.

Please prove it to me after correcting for "extraneous variables"

All this shout about CMD or no CMD is bourne out of bad belle.

Let us work together to improve healthcare in Nigeria.

Let us fulfill our individual responsibilities. Nobody should do more than he has been trained to do. And if you no fit, commot for road!!!

What studies have been done in Nigeria to show that MD's are effective CEO's? What breakthroughs have been made with MD's as CEO's? What novel ideas have been born?.. Fulfil what individual responsibilities? At what point does your training intersect with heading hospitals? Talking bout training, pharmacy students take a whole course on management + the rigorous training they undergo so what bad belle are you talking about? If the cap fits you shouldn't wear it cuz traditionally MD's have been CEO's in Nigeira.? People can't be repressed for too long..

Zeus777: what's ur opinion on professor of pharmacy becoming a federal university vice chancellor

Seriously? Lool. Pharmacists can do that too?

235 out of 6500 hospitals, a meagre 0.04% is led by physicians and you don't think its for a reason? Even the physicians that lead this hospitals have added qualifications and leadership skills or you think this qualities are by default inherent in doctors? In saner climes they apply what works.. And what works isn't making dr's CEO just cuz they are doctors cuz if that was it, it will be expressed in the number of hospitals led by MD's..

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We can keep going on and on about this but the truth is the MD's and the Pharms, Nurses will both maintain their positions no matter how convincing your argument is so what is the point then?

Wow. Heartbreaking.. This is just an example of what goes on every day in the health sector. The system is messed up and its not looking like its gonna get better soon.. Faulty equipments here and there, for you to even see a doctor in UCH the waiting time is about 6 hours. When you do see them they either don't have the machine to run tests and they sometimes make diagnosis based purely on symptoms. This is the trend in most hospitals and this is what I expect doctors to be agitating about, the dearth of equipments, the need for more/better structured hospitals, better funding! Mandatory Continuing Professional development, Raising competency level,carrying out ground breaking procedures, developing these procedures even not a silly power tussle over who should be god and who should be subject and covering each others asses about... Smh

Hero. God Bless You Sir.

Samueldo: Please my best friend babe is having a serious problem she's pregnant but not willing to be a mother now and my friend not willing to be a father yet too. So they decide to get ride of the pregnancy. Now after 2weaks of the arbortion his babe is experiencing a none stop menstruational bleed, body weekness, blore vission and fever. Please fellow nairanders how can this stop. God bless

What kind of abortion did she have?

sisiafrika: thot u were in DELSU

Lol. Did I ever infer that?

shakirahpweety: Hello, i am shakeerah 500level pharmacy student , university of lagos. It's nice to be here.

....

Zeus777: mr "Dr" how could u be practicing in the UK and expect ur view on health issues in Nigeria to make much sense. Have u ever heard of the word "peculiarity"??

That's your excuse? What happened to global best practise doctors clamour for and using what attains in developed countries as a framework? Only when it suits doctors yeah? But quoting relatively and remuneration from UK/US hospitals is no problem at all..

The government isn't too smart though. I expected a round table discussion of reps from NMA, JOHESU and various stake holders in the government. They know what is likely to happen after meeting the demands of NMA and they still decide to tow that line. Hope they have contigency plans though cuz its the patients that will still suffer..

Shiii

Waiting to see how this plays out

Idiataqueen: hepatitis b is some time hereditary if u are positive pls go and carry out a test becos of ur liver d test name is ltf

Hepatitis B? hereditary? When did you make this ground breaking discovery?

This here is the kinda repression that i've been going on and on about..

drkay: Doctor owns the patient. Why will I keep them on bed when am nt going to be around to follow them up? This man is a character.

So you'd rather kick them out to the streets than let them stay where they can get care even without you there? What version of the hippocratic oath did you take?

Lol. Well. I don't see any reason why a doc shouldn't own a private hospital while working in a tertiary institution as long as other doctors will be on ground full time in his hospital and he wouldn't try and divert patients there and then rip them off. What I have an issue with his a doctor owning a pharmacy. Its almost like a conflict of interest cuz patients will almost always be diverted to their pharmacy and then even drugs that may not be needed/indicated might be prescribed just to keep business moving. Also the patient might be mis-informed about the superiority of the drugs in his pharmacy that might come at a way higher price when this drugs are really just therapeutic equivalents with drugs at any other pharmacy thus trampling on the patients right to make informed decisions..

What test?

Hmmm..

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heykims: me a daft?
At least its good u admitted managing patients on life support isn't d kids JOHESU play.
But d issue of fresh patients being placed on life support doesn't come to play here, consultants will merely manage those already in d delimna before onset of strike..

*sigh. Mis-informed people are so exasperating!. Nobody, including JOHESU is down playing the importance of doctors. Doctors are very important! But so is every other member of the health care team. Why won't it come into play? Abi isn't it status quo? or Its house officers that will abi?

heykims: O boy, abeg when did Johesuite start keeping patients on life support machines in d absence of doctors' orders?

Don't be daft. Nobody was on those machines before they went on strike? + Consultant doctors are supposed to maintain status quo pending their court case with PCN so why can't fresh patients be placed on life support?

donpeey22: I think the CMD's decision was right. Why waste so much money on diesel when commensurate profit is not being generated? Abeg FG should act on the demands of the doctors, i don't want to go to the hospital and instead of seeing a consultant doctor, i will be confronted by a 'consultant' lab technician. What a perversion! Mind you, i'm not a doctor but a concerned Nigerian.

So the diesel keeping patients on life support is a waste? You really are concerned sir!

thegeneral84: I'm not surprised at the news since its coming from medicalworldnigeria.com, a JOHESU-run website. If it was the so-called Health Administrator running the hospitals, as JOHESU is clamoring for, the power would have been shut off before now. That is the hard decisions a leader of any organisation needs to make. For the quoted monetary allocation, I would like to say that nobody should be carried away by the huge figures. I know a teaching hospital that spends close to 50 million naira alone on diesel monthly. The hospital runs two sites (temporary and permanent) plus additional satellite outposts. Also the budgetry allocation to hospitals are decreasing yearly. Federal hospitals this year had to slash some amount off the salaries of their workers because the govt. gave less money to them. JOHESU should take this as a challenge and make the hospital profitable in the absence of Doctors. I don't think any CMD would shut off the generating set if the hospital is making profit. This news was a propaganda to put Doctors in a bad light but it ended up showing how helpless JOHESU is in absence of Doctors. I thought they claimed to make up 80% of the hospital staff and they couldn't make profit while the 20% they regard as irrelevant is absent. I'm sorry for the patients who would have to suffer for this but that is the hard truth about capitalism, the paradigm Nigeria is gradually moving towards.

When did JOHESU members ever regard doctors as irrelevant? You sure u know what the agitation is about?

So apparently, members of NMA came to a harsh realisation that the government isn't all jitters cuz they on strike and now they are taking more drastic measures. Thought doctors pride themselves that they leave with only their brain and experience during strike actions unlike JOHESU that locks up everywhere? What ever happened?

The federal government of Nigeria has failed its people and nothing is being done about it.. Health care could be comparable to what obtains in saner climes with the input of government but thinking about it we never even had no govt. No electricity, we got generators. Bad roads, we get bigger cars. Truth is the output of doctors would be way better if basic machineries were in place but then. It isn't just the hospitals. Its in all sector.. The only functioning ministry infact is the ministry of propaganda and the only thing that is constantly being improved on is corruption.. Smh

igboboy3: The ACT requires that the individual have a good knowledge of Pharmacy and even though Pharmacology is not Pharmacy, you can't deny they are not mutually inexclusive.
If Paul Orhii didn't have a Pharmacology degree, it would be a different matter.

Going by your logic a pharmacist being appointed as CMD should be a non issue and a pharmacist can also be president of NMA since the pharmacists and doctor's knowledge is not mutually in exclusive yeah?

ijoseda: There is a very big difference between the college of medicine and the university teaching hospital!

It still boils down to my question as to if pharmacists are employed as consultants in universities..

Mishydoo: NORMAL...after taking the lyf of an inocent baby,she wants normal?she'll pay fr her evil and so will u if u dnt stop supporting rubbish...if der ws anythn lyk hell u both r well on ur way there!

stfu

Mishydoo: NORMAL...after taking the lyf of an inocent baby,she wants normal?she'll pay fr her evil and so will u if u dnt stop supporting rubbish...if der ws anythn lyk hell u both r well on ur way there!

stfu!

leo1234: I don't really get u.
Please, in the west-
Are the medical directors medical doctors?(not chief executives)
Do the consultant nurses consult in the hospital?(I mean a patient who goes to the hospital can see a consultant nurse because he/she knows what the doctors know.)

Stop being ignorant and insecure cuz nobody is trying to take "your patients" from you.. The doctor should always be the first point of call by a patient and nothing is going to change that. You should objectively look at what consultancy by other members of the healthcare team in saner climes entails.