₦airaland Forum

skelewu74: You are a little fair though. That may be because you are not one of these Johesuites. Can't find bitterness and persecution complex in your post.

But let me highlight some points. When you said Radiologist, I guess the word you are looking for is radiographer. Radiologists by the way are doctors. They are consultants after their initial medical degree, 8years, and underwent further residency training for another 6years in the field of radiology. Radiographer is that guy you meet in that X-ray room shooting radiographs as requested by the doctor. Radiologist interprets the work of a radiographer. Got that?

To the second part, all these allied professionals pharmacist, Med lab guy, nurses, Radiographers, and what have you...believe me they are important and contribute one way or the other to the patients care. Ofcourse that's why they are entitled to their salaries. Problem starts when they want to place themselves in the same league with the doctor. You too, look at that. If you were a doctor, would you accept that? No I guess you won't; not because you don't like them or want them progress, but because you feel cheated; it offends all sensibility.

I don't know why people want to blame doctors. OK see, see, if you go to the ATM and queue up, you have been there standing for long, and all of a sudden somebody comes, no respect for you or due process, attempts to insert himself into the queue right in front of you, would you just look away, smile and say, after all, he doesn't disturb me ? If 5 others people come and do the same, would you still rather smile and drink to it? Or would you frown at the first guy who wants to cheat to deter other potential cheats? I would appreciate you answer me sincerely if you are going to reply to this.

Doctors maturity is being taken for granted over the years. They are even forming a rebel group against doctors --JOHESU. All of them gang up in an amorphous group against their only one common enemy. Do you see beef there?

Interesting thing is that this envy has started right from their student days. Most couldn't meet up with the rigorous selection process of university admission, some who did got frustrated out of medical school. Can you blame doctors for that? That's the reality of life my brother. You can't always get what you want, and have to be contempt with the one life gives you.

Some of them hold eternal grieve in their heart, and will spit bile on any successful doctor at any rate. Only few of them actually chose their course and you won't see these ones insulting doctors.

We love all of them; doctors are only frawning at any attempt of some people trying to come through the backdoor.

and many of them are busy opening threads about benevolent doctors on nairaland every single day like if their lives depend on it

sisiafrika: u have awkward fantasies. Visit a psychologist.

you urgently need it too

The profile grabs of yourhealthlabs are shown below... almost all threads and posts are about doctors or attacking them
Are u obsessed or just frankly psychotic
See your pathetic life... jobless scrouge

YourHealthlabs: Long epistle, same nonsense.

You really wanna have the last word abi?
Alright i'll let you do but not before letting you understand that everyone can visualize how pained you are that a supposedly "ordinary lab guy" is giving you an "ultra-super-specialist" a cerebral beat-down in public glare. Mr wardboy, my job has taken me to places you may only dream of, with some awards in my kitty to prove it. Where i work i enjoy schooling your seniors, but they stand behind me when i mount my bench whispering in low tones while i do my job and then teach them only what they need to know in order to request the right lab tests. Now who "bows to the other"( borrowing your words).


There are cool wardguys, and we do each other certain favours. If Mr doc A, a friend brings his or (his family member's sample) begs to have it run i can decide to push it forward, ignoring my records and stipulated turn-around-time and sign off his results without paying a dime, off-record.
It's within my power. He also returns the favour in the ward if need be. Boy, it's mutual. You see?

I'm not too confident you'll grasp these little stuffs as everyone can see you have thick berlin walls as a skull. I'll leave here so you can have your last word my friend.

adios.

like I previously said, if I need favours from the lab... they have knowledgeable doctors called pathologists to help me... you will be hiding behind as usual in your dimly lit corner
if you like talk from here to morocco, you can never be more than what you are
Now go hang out with your cleaner buddies... before you taint me with your low quality life

sisiafrika: d harder u try, d clearer it shows dat u are actually dumber dan u virtually seem. Try harder, d truth dey say, is always BITTER. Dejected stethoscope hangers.

I dont converse for long with people with serious identity issues... stupid ranting transvestite or rather trans-sexual that has refused to clearly state the profession of which she is clearly proud if

YourHealthlabs: haha!
how does someone who doesn't understand simple scientific question about wet-mount and catalase-variables even with google supervise my work.
Boy, go to bed, you'll be late for lectures tomorrow.

..and brush up your lingual skills, they are too poor for an "Ultra-super-specialist" that you claim to be. If you wan be 419 at least try and be smart in it.

Nurse your pain. Wardmugu.

keep looking for vindication... sorry , u wont find it on earth, my qualifications are internationally tried, tested and settled , yours on the other hand is an issue of what exactly you are and thst is why you've been shouting yourself hoarse on all the threads....lol... keep hustling, you may make it

YourHealthlabs: Mr, there are advances in medical sciences, the curriculum was evaluated and it was clearly understood that being a Generalist-Scientist will entail the filling of pre-existing knowledge gaps. B.MLS was borne on that premise. It is an Internationally recognized degree.

http://www.unb.ca/academics/programs/undergrad/fr/medical/
https://www.qut.edu.au/study/courses/bachelor-of-medical-laboratory-science
http://www.massey.ac.nz/massey/learning/programme-course-paper/programme.cfm?prog_id=92410

Let me ask you a simple question. How do you expect someone with just a degree in physiology to understand the isolation of different Vibro sp and biotypes?. How do you expect someone with a degree in microbiology to carry out the principles and procedures of microtomy, fixation, and the study of hemoglobinopathies in the lab. Use your head now. If he fails in his duty, won't your allo-guys be the first to ridicule him and call him demeaning names? Won't you be the first to call for his head if does a wrong cross-match and kills a patient with a wrong pint of blood.

Stop pretending you are fighting for them, some of them have become industrial and public analysts and they are very smart to understand that you are simply looking for cheap allies to carry your baggage in your war against Scientists. Trust me they are not fooled by your "fake sympathy".

As for running autopsy and what not, i work within the ambit of my profession, i don't cross lines like you lots. I won't do the job of a pathologist in morbid section, have never claimed to. I also do not expect you a pathologist to do my job, it is illegal can only be seen as quackery.

suddenly you are not the pathologist and everything is revealed... i thought you knew everything? as far as i know, medical microbiology is still part of pathology and i have a senior resident microbiologist and consultant that i discuss with not technicians that have been shown how to culture bacteria and they are all over the moon about it. the pathologist oversee any work you do... true or false?

YourHealthlabs: Contine to twists facts. I took your pathologists to court on the leadership of the medical laboratory. I threw them my books, and the courts upheld that i manage and control my lab as encapsulated in the federal gazette of the Medical Lab Council laws adopted by both the senate and HOR and signed by the President as a Nigerian law. It is a simple matter but you just want to dance around.

The court's verdicts---> run your clinical services as pathologists under your directorate, The Scientist should run their medical laboratory under their directorate. Anyone who understands this simple verdict should question the contents of his skull. We Scientists didn't make the law. Are we lawmakers.

Simple question What's the difference between an MLS and a pathologist--->

An MLS runs all the tests in the lab in the different departments: hematology, blood bank, micro, chemistry etc. The pathologist interfaces with the other clinical providers, and does autopsy. PATHOLOGISTS DO NOT RUN LAB TESTS.

They are different professionals, one does not seek to forcibly head the other.
This is for those who are still confused.

lies lies lies... the problem is that you underestimate the public, they have google! you are a trained technician who always needs to be supervised...simple, deal with it
i havent seen doctors opening threads and trying to market themselves, if you are that important, people will bloody well know... see agbero wan be VC...lol

YourHealthlabs: Lmao!, Bruises all over your boyish ego,

I'll have you dragged on the ground all over this thread, and i mean it.

You say you are super-specialist? . let me have a good laugh for a sec.

Oh come on! 200L medical students will cover their faces in shame at your horrible level of grasp and brain power. Just read up the babbles you stringed up there.

My specialty is not just to know bottles, i pointed out that a Med. lab assistant is even more qualified than your puffy goons with empty skulls in technical lab matters and was able to school your stethoscope-hanging types who can't bend down and learn.

You say you a "super-specialist"?, brother the signs are not there. What am i saying? Whatever is in an empty gourd is more valuable than what's in that cranium you carry up there. Everyone can see that.
I want to still believe the wardguys are more intelligent than this so desist from calling yourself one and dragging them in thick mud with you. Ok?

Boy, I've asked your seniors who claim to know everything in the lab few 200L questions but with their high population and supposedly "high I.Q" here, none have been able to even attempt. I'm damn sure if it were a question about sample bottles and PCV(an assistant's job), they'll pounce on it.

I'll reproduce it here

----> "Why do we preferably run H-D
method on wet mounts?, Can you
also tell us the role of trimethoprim in
the constitution of S-medium for
isolation of microaerophilic, catalase-
variables?".
............................................................................................................................................................................

Now Mr fake, attempt it and prove to us you are an "Ultra-super-specialist" or go hide in your classroom, till you pass your first ever "in-course". Bloody scamp!

blah blah blah... trying hard to prove yourself with even stuff the public know is googled and regurgitated on the thread, setting questions like a primary school student....it even shows how dumb you are, stupid child... talking about trimetoprim etc like if he knows what exactly it is... thank God for the internet, we now know you exist...consultant MLS shebi? hahahahahahahahhahahahahahah...dumb

everything you do betrays your IQ and it is not surprising that you are where you are, buried in one recess in the hospital, unnoticed, rightly neglected and grasping for straws to prove relevance.

when i say i am something, i dont need to repeat it, if you need more info, you'll have to pay for it. no free intel o for you to impress your 'patients'. people like you are the ones that usually sneak in through the back door in clinics trying to get your relations to jump the queue, maybe you should have set up a clinic with your limited knowledge of culture media and start killing them one by one.
i can see you have a need to prove yourself to the gallery, i guess the pressure is intense mr or rather pharm. consultant 'whatever'... go ahead. what kind of person opens an account on an anonymous site with the moniker 'yourhealthlabs'? and right off the bat starts mouthing off nonsense
You have been the one opening threads like you have no other job, ranting here about people that will ALWAYS BE ABOVE YOU no matter what you do...all your posts are doctors this, doctors that ... they'are giving you nightmares shebi? if you fail out and cant make the cut, stop trying hard to prove that you should have been it... it's painful, we know, but if you need counselling, go the right places not nairaland... pls remain in your cubicle in the lab and retain your quackery there with your cleaner, painter and gatemen buddies in JOHESU...
to get to where i am will feel like an unending marathon for your low quality brain, guess that is why you are so old as you emphasize without having achieved anything.
NOTE: after you finish copying and pasting, and when the strike ends with us strolling back in our pristine ward coats while you bow as usual, and i hope to continue hearing your wailing on the thread anytime i log in, damn town crier

YourHealthlabs: Bwhahahahaha, you are pained, i keep deflating your bloated ego, i do it online and offline.

Let me play your game, i'm your ORACLE in the medical laboratory, you gerrit?

Let me tell you a story, one of your Seniors(i know you are still in school), a medical intern with absolutely nothing in his head, wrongly queried one of my lab assistants about collection of 2HPP/FBS sample in a F.O bottle, he insisted he'll collect it an L.H bottle in the ward. I told my assistant to allow him do the collection but ensure that he signs. Of course the puffy goon signed.

I collected the sample and ordered the documentation of the blunder with his name and threatened to write and copy to the CMLS, C.M.D, D.A, health board and other important offices with photocopies of the incidence attached. The brat came begging like a wet puppy. I wouldn't listen to him until his supervising consultant came to make peace. His name is still in that incidence register for posterity sake. Due process.
He learn't humility the hard way. Guess who avoids the other today. Your guess is as good as mine.

Now boy, if you don't bend down humbly and study your books, similar fate awaits you when you graduate, you might not find a person as forgiving as i am when you dig yourself into that pit. imp!

Me pained... hahaha...nigger stays in his corner in the lab and whines about his role like he knows anything... what the heck are u talking about bottles? Everyone knows about the green(edta), yellow etc if an intern makes a mistake that is his business but you havent talked about even 5% of what is in his brain that u dont know So your specialty is to know bottles now? Hahaha.., If I started writing letters from where I am about u quacks, there will be a long line from my office to the gate waiting to beg me.
and negro... we are not at the same level, I graduated aeons ago, a super specialist in my field and guys like u beg me for favours so shut your recently graduated ass and quit talking about elementary sample bottles like if they are supposed to be important,they are even colour coded to the forms...psst. See olodo that hides away in the lab, someone that is not even noticed when important decisions are being taken, I dont discuss with lab technicians... I have chemical pathologists, etc to talk to... buzz of, mechanic and bottles...lol
consultant mls my foot , go and tell them that in private international labs like pathcare and clina....lol

adeoladrg: You've been noticed

before nko...

adeoladrg: You brought a brilliant argument, which I expected from a brilliant doctor.

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

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

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

Yes! Pharmacists are trained in pathology, pathophysiology, progression, complications of the conditions. For those that acquired the PharmD degree. Then undergoing residency is even more training in that same aspect. Pls use Google!

You yourself have not used the google well... stop stating theoretical situations and show us real life human examples of your hospital consultant pharmacists... not should, could be

Mishydoo: Its a pity where this country is heading...! I strongly suggest we privatise the health sector,in this way we'll be too busy fighting each oda and focus ȱȠ our duties!

I completely agree with you

Xtranoble: Are you serious, you ain't aware pharmacist are addressed as Pharm.? added to their names. just wondering which planet you are in.

you my friend are in the nigerian created planet...lol, pharm ko, farmer ni

adeoladrg: 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.

so, pharm, a cliche according to you, is now formal shebi? ... yes or no... lol...

YourHealthlabs: You definitely don't know the personality you are dealing with, go ask your lazy pathologists who spearheaded work-to-rule action we initiated years ago that is presently paying off. That work-to-rule was the precursor to JOHESU.

Little man, you can't even string up a comprehensive statement and what level did you say are in the uni, boy?..200L?

@bolded
Boy, did you know that Aeronautic engineering is relatively younger than Mechanical engineering. Ever heard the Mech. Engineers fight to deny them their rights because "they are young'?

Why am i even typing?, intellectually you are still an embryo. So you can never understand, but who cares anyway?

Ask your "all-knowing" bosses to answer the question i put down up there then you can naff off after that. Silly allo-wannabe.

and who is the personality I'm dealing with Are u God? See who is calling someone an embryo....hahahahaha... wetin person no go see... ..., inferiority complex ridden, mush for a brain, noncoherent pillar to post, seeking for relevance twaaat... you go about nairaland opening threads everyday about doctors, you are more pre-occupied with evaluating people way ahead of you than evaluating your quackery... I've sounded out your kind and I'm sorry to say that there was no match, all you do is mouth bug grammar and use terminologies recently learnt like you know jack shyte about them... if you're so important, let other people open threads about u and extoll your sterling qualities
doctors have never had it this good on nairaland...somuch publicity that it may even lead to some talk show deal like the 'doctors' ... kip opening them threads, we're around

adeoladrg: 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.

consultant pharmacist! Go and admit patients na... or forever remain in ur boring cubicle, thats if u have graduated

bigass: Have you ever seen on CNN when they interview a pharmacist and refer to him/her as Pharm. Something/ Its Mr Mrs or Dr

Keep telling them... maybe they're doing it to impress their illiterate village people, the same people that will go on cooing about international best practices like they know wat it is...lol

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

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

sisiafrika: yes o. We enjoy it dat way, we never complain but some silly. Insecure people won't let us be. If e pain u, commit suicide, d point is, stop killing patients up and down. Certified killers.

oh... so you admit, why argue like a fool... I bet you're one of those timid , insecure quacks with 'online' mouth...
if u are satisfied with ur dumb mediocrity and national quota job, please remain there beneath me... you can never rise above the people you constantly talk about here... now I guess thats a chilling thought eh

YourHealthlabs: Doctor's in pathology/lab medicine have no business running lab procedures. Those who spent 5+1+1Nysc years learning the application of science in the medical laboratory are KINGS in that area and they are the SCIENTISTS, THE ORACLE IN THE LAB. The little pcv and gram staining you know was taught to you by these SCIENTISTS, and if you think MLS starts and ends there, you are a joker.

A pathologist's job is to help interprete the result to confused medical officers in the ward and suggest clinical solutions if need be. It is utterly inappropriate and illegal for any doctor to mount a lab bench and start lab procedure which demands the use a Scientist's INTELLECT, HANDS AND PEN. It is pure quackery and criminal in the eyes of the law. A doctors training does not cover that scope.

Morever, pick up the Med Lab council federal gazette which contains LAWS governing the medical laboratories, read it and tell us who should run,control, regulate and accredit Public and private labs. We've dragged you to court and thrown you the books. The court disagreed with you.

http://www.mlscn.gov.ng/files/
mlscn_docs/MLSCN_ACT.pdf

Oga Louis pasteur wasn't a doctor, he was a chemist, he developed lab methodologies and came up with solutions. Remember pasteurization?
How about Robert Koch, a botanist and a mathematician, whose breakthrough in anthrax came in the 1870s, did he study medicine?. Your lecturers deceived you a lot. I'll give you a sound lesson here.

And we Scientists are not involved in research? Guy you should run a clown-house part time. You are funny.
I won't go far, go to uniben Nigerian MLScientists developed a new cost-effective method of diagnosing parasitemia. The doctors as usual are running all over the place trying to either discredit him or take the glory while the working model has been adopted in some african countries. Go to google type in FIBMS and see contributions of Biomedical Scientists who are "Chartered Scientists" in UK. Know your place.

My heartfelt sympathy goes out to any lazy doctor who decides to specialize in pathology or opthamology in the nearest future because he feels he can hide in the lab,/eye clinic collect the same pay as gynaecologists, surgeons and still the rule over the Scientists and optometrists. I bet you it won't be funny as other doctors have started abandoning them to their fate in UCH and some other federal hospitals.

Oga all-knowing doctor,I'm holding you to your words. You said you all know everything in the lab.
Oya answer this small 200L question. At least you have google(expo) there with you.
--->Why do we preferably run H-D
method on wet mounts?, Can you
also tell us the role of trimethoprim in
the constitution of S-medium for
isolation of microarophilic, catalase-
variables.
............................................................................

Nigerians are reading.

my man stopping talking rubbish in long texts... mlscnand there mls that are a few years old ...lol. olodo, stop beefing pathologists and opthalmologists, they are not your peers in any way, u see them, hide away and run off to the internet to post this...lol

sisiafrika: as expected, u vegetables. Shouting, screeming, nagging all over like a bereaved soul. Be a man and stop disgracing manhood.

I thought u were a man before on this forum... are u a tranvestite? Changing your sex as it suits u

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

what exactly do you do as a pharmacist in nigeria that is extra-ordinary? You sit arou d all day in the pharmacy issuing the paracetamol tablets that the docs have prescribed gleefully....face your boring work, shopkeeper

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

stop beating about the bush and give specific examples in the hospital environment abroad.... you can consult for a pharmaceutical company research wise, at the oil rig, be a consultant to a project but sorry, not in hospital
Your traditional roles have not changed... Nigerian pharmacists want to be something they weren't trained for... smh

adeoladrg: 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!

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

kmariko: .

I do not see much future in mere diagnosis as the match of technological innovation is beginning to take a shine off it. Computers are in the cusp of replacing some of the drudgery involved... so those years of "cultural apprentice" as you aptly put it will lie inside a chip less than the size of the human hair. The medicine as we know it will be unrecognizable in a few years.. what people in the field should be focusing is on the art of medicine that is "The art of medicine—the art of dealing with the unanticipated, unwanted, and less-than-optimal—can’t be programmed into a computer and, for that matter, can’t be taught in medical school but real life experiences.

i feel no machine can replace human beings in making a diagnosis.... you mentioned the unanticipated, the less than optimal, may unnoticed things pt didnt didnt even complain about... that is exactly my point... i have patients that come talking about one thing but their real problem is something else they are too embarrassed to talk about, there are emotional, psychological aspects, encouraging pts is part of therapy, the human feel and empathy is why most of my patients want to see me again, and again... not just rigidly responding like a computer and dishing out drugs. showing that you care and counselling is 90% of care, most pts should 'feel' better about what they have after leaving the consulting room. medicine is changing rapidly...yes... but computers have not replaced humans yet. we have robot assisted surgeries, computerised machines for investigations BUT they are still under human control
in med school you will see all these aspects on real humans in teaching hospital, no simulation... you get to talk to pts, get corrected over and over again, clerk, present, examine... then you are shown how by very old colleagues. community medicine takes you out to rural areas etc
knowledge doesnt fall from the sky and history and scenarios will surely repeat themselves. even lawyers bank on old cases, the rulings and experiences of their predecessors to make decisions.
that is why even consultants are in grades depending on their level of experience... it is only learnt and accumulated over many years of special training...

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!

and guess who the perfect role model is? Mr go and die... hilarious ... your case dey complicated o, very

kmariko: Crux of the argument is that the prefrence to engage the services of any of the healthcare workers for their services lies on the ADULT patient not on the directive of any of the professioanl. secondly insurance is a choice in many places UNLESS where the government mandates it ---thus removing individual ability to control their healthcare decisions....The famous steve jobs was basically self treating his pancreatic cancer..

Most professions ( including prostitution) are regulated to protect the general public---- the regulation is merely a limitation in areas of practice as defined by ones training within the local laws. But it is not the function of other professionals to regulate how people within or related profession organize themselves... that is the function of legislation by elected officials... If MDs feel others are enchroaching on their field all is required is formulate a bill and push it through legislation... USA went through this period when physician, nursing practioners were being introduced, it was through legislation that it was watered down to the effect that there must be collaborative engagement with MDS..not that the Physician Assistants cant do it alone.
Again , physicians resisted immunisation in the pharmacy, New York state was the last that allowed it after the local AMA lobbied against it through their representatives....Now most immunisations in the US are being done in the local pharmacies very soon this will be followed by lab test.... a pilot program is being carried out in Nevada as we discuss.

I'm not against other professions but I'm against spilling without regulation unto things that they are not supposed to do... vaccinations have a strict regime and for the sake of its promotion, pharmacist s can administer it. My problem is with diagnosis, primary pt care...
u cant spin from a drug focussed training to understand other issues, pt care is way beyond drugs, most pts think u must prescribe something for them... seeing someone who trained in drugs will always lead to a drug related solution and the inability to detect when something else is going badly wrong. The medical training is an apprenticeship handed over generations, cultures with continuous evolution till this point... pharmacists et al have their own roles and training, they dont cross and shouldnt because no msc or phd can teach u clinical skills learnt by being actively involved in pt care from undergraduate education to residency and onwards, the magnitude of the experience is beyond books and titles... that is why I wonder why we love titles so much. I for one dont love the doctor tag, it puts a lot of strain on me socially.
acquiring another degree makes u better in your field (like specialist nurses trained in icu care, renal care, theatre etc) not to cross lines and acquire roles you werent trained for ab initio

ziga: Well, we learn everyday, and I have tried to search for the new legislation that makes pharmacists able to see patients in California. If you have the link to that info, I wouldn't mind to be educated on this.

And within certain limits, and also with additional training, I think it is reasonable for pharmacists to be able to prescribe certain things. However, in countries where that can happen, there has to be a way of enforcing laws to make sure they do not go beyond their scope of practice and that patients are protected.

In Nigeria, you don't even know if the person claiming to be a Doc in front of you is adequately qualified. Adding to that mess will definitely be a problem. Nigeria's health sector has a lot of problems and it is the people who suffer.

PAs (physician assistants) can not bill by themselves. If I said they can't prescribe, I apologize. They definitely have limited prescriptions rights.
About owning a clinic, anybody can own anything, but you have to operate within the limits of the law and as a PA, you always need to have a supervising physician.



I just copied a part of the PA(physician assistant) code of conduct from California.

It is true that each state might have slightly different rules, but the backbone is always the same with variations from state to state.

The only people besides MDs who have limited ability to diagnose and treat are Nurse practitioners and they are adequately trained for that role, with limitations, and they do NOT parade themselves as doctors or compete to earn Doctors wages.

That being said, it only makes sense that if you increase a Nurse practitioners wage, you have to also increase a Doctors wages appropriately.
Our Government or whoever is making these decisions is the one causing all these problems. If you increase JOHESU, you have to increase CONMESS.

They tried separating them, but they are tied together.

I'm quoting this full post (check previous) to buttress my point

kmariko: Patients I can assure you go to people they can
1. Trust ...people still go to native doctors

2.. Afford..
3./available...Aka the local pharmacy

4 recommended by friends etc.

So the psychology of a patient choosing a healthcare provider is like choosing any other product in the market

You just answered some questions yourself without knowing it... what you listed are the reasons for universal insurance and globally Accepted guidelines to ensure uniformity of standards and safety of citizens. That is why responsible governments make sure the patients are seeing the right people by having the right legislation and arresting criminals. I agree with the cost aspect, costs differ worldwide but some treatment have no substitutes and any other person tampering with the patient may actually on the long run in terms of recovery time (morbidity), life (death) and economically (cost to the nation because of loss of manpower). I'm not against alternative care, I gave examples using CHEWS and we also have trained traditional birth attendants to ensure universal healthcare are standards are maintained in remote and unreacheable areas
an msc and phd are strictly academic (thesis, dissertations in a particular limited aspect) and even the title 'professor' though it connotes an authority on a subject, does not confer special skills that are needed on the field. The best surgeons are not necessarily academics and doctors also refer based on reputation.
you see the havoc that these unregulated options including churches have caused, you will understand. Doctors by law of mdcn dont advertise... but these charlatans go about misinforming people with loudspeakers. When it is bad, they will come and die in the hospital and another man's deeds now count against the doc when they die.
In summary, it is the responsibility of govts to protect there citizens even when they want to harm themselves... even if a consenting adult refuses treatment, he should be by law bound not to subject his dependants like innocent children to his ill informed decisions. For foreign doctors to train in another country, the local med council sets exams both theoritical and practical to test your suitability for practice in their country... your degrees dont count then. Doctors get suspended etc for malpractice, that is tbe example of regulation
case comes to mind about a child that died at home because the parents didnt believe in orthodox care and were praying till it got too bad to salvage. The child died and I think they were charged for manslaughter or something... and they lost custody of other kids

: I 'm enjoying our discussion, no beef

elohorayodele: Pls before you jump into a discussion and make funny conclusions try to ask questions so you get the whole picture. He did all the scans and tests possible at all hospitals. Reddington hospital bill was very hefty. He had muscular spasms resulting in severe Shoulder and back pain. Exact word used was alcoholic neuropathy due to depletion of Ca and some other key vitamins and minerals. Since he didn't suffer any injury affecting his bones, his muscles where the most likely culprit. This made the 2nd dr diagnose a muscle tear. He is not on any pain killers at the moment. If the injections worked he wouldn't have been looking for a 3rd hospital due to the pain. Nigerian trained doctors practice abroad just like Indian trained doctors practice in Nigeria and contrary to your claim he's licenced.

it is you that did not state your facts well, reading your previous post, you painted them like clueless, like if they didnt search. That is why doctors work in groups in teaching hospitals so that they can put heards together, nothing prevents doctors from referring to better specialists when the cause beats them. Sometimes the cause is never ever found and it is termed idiopathic.
myalgia (muscle pain) can result from a lot of things, even malaria can cause localised muscle ache. Alcoholism also leads to a lot of things... the guy probably had a prolonged hangover

elohorayodele: My friend has had pain on his left shoulder for 2weeks, Reddington diagnosed HBP, Cedarcrest said its a muscle tear, both gave him several injections, drugs n lotions to use in massaging it but the pain only grew worse. He found an indian doctor by chance who diagnosed acute Ca deficiency , gave him some drugs. Indian dr was so furious the last Nigerian doctor injected him at the back muscles that he insisted he calls him to ask why! The Naija dr could not defend himself when confronted. My friend after some hours used that arm to lift stuff for the first time in two weeks. Beware of Naija doctors and misdiagnosis.

indians and their gboju gboju medicine... acute calcium deficiency occurring over 2 weeks? and instead of causing tetany (generalized muscle spams) it is causing isolated shoulder pain?
what happened to xrays, mri and other basic tests? So now they detect calcium deficiency by just looking at people? See babalawoo! Thats the way they play to the gallery, ship u guys off to india and milk u dry
no nigerian doctor will answer an indian doc unlicensed in nigeria... orthopaedics is a complicated field, are u sure the injections he gave didnt work.your friend has just bin conned with analgesics ie painkillers