₦airaland Forum

pacino26:
Since you're asking for suggestions;

1. Don't limit the offer to Lagos only
2. Folks like me prefer money making machines to luxury rides at the moment so consider haulage/construction trucks too.
3. Someone suggested Remitta or standing orders. That's very important. Your contract should be tied to the party's account number at least two of such.
4. Set up a customer service team to investigate sincere excuses on amortization defaults and work with your clients closely.
5. Be open to the possibility of lease partnership and maintenance of such vehicles with selected workshops.
6. Remember you're in Nigeria and things can go south even with the most thought out plans.

Call me if you need more and better have Heineken with you.

Never been more apt and insightful... Kudos

Fhemmmy:
I am sure we all know what Hired Purchase is all about and if we don't please ask questions and we will be more than willing to answer...

Apart from the contract that will be legally binding, the Tracker that will be installed on the car, the insurance to make sure that all goes well against accidents and theft, what else will make it smooth and easier for both the seller and the buyer of the hired purchase vehicles?

And we will use this page to do few hired purchase and we will be open to ideas and suggestions.

For all inquiries and concerns, please feel free to call, whatsapp or even send us email but i will rather we use this page so we can all learn

This is a very commendable idea and quite favourable for civil servants to own their cars comfortably.
Here's my ten kobo: Incorporate the use of remita for your monthly deductions or agreed payments so that they're made from source

Anitaayo68:
Whatever choice of car you can desire, we will try to serve you better.... Visit us or give us a call and be glad you did!

I like this concept of Auto dealership and would like to do business with you but I'll need some convincing... Do you have a WhatsApp contact?

God bless your heart for this wonderful teaching my dear and I'll like to be permitted to chip in something God taught me of Him that Salvation (His gift to man) has two sides that must work together; Grace(which is entirely God's) and Faith (which is entirely man's) Ephesians 2:8-9, i.e God's grace is accepted through faith (hence Salvation) and this grace-accepted faith doesn't stay idle, it works righteousness. James 2:14-26. This means that Salvation is simply the product of Grace and Faith not Grace and Works as erroneously taught. But there's something else very interesting, we ignore that God drew my attention to;

Faith in action is in the doing (that's Works) but these works aren't works of the sin-consciousness (keeping the law; they only magnify sin and unbelief), they're works of the faith-consciousness (anything done borne out of faith in God). God's Salvation is all encompassing, in it is Grace, Faith, Love, Hope even Works... It's not just hyper grace!

Food for thought: Did you know that David enjoyed Grace while still living under the Law?

LuvSwollenPussy:
Na her mama boyfriends dey ping her for Fb so..

What a name! Do you have kids?
I feel led to pray for you... God bless your hustle!

Thank God that responsible parents still exist to bring up responsible children... #ProtectOurFuture

As part of the summer holidays goal of learning extra curricular activities, 3 year old Aquila tries to do the dishes in household chores... A great way to educate our children on African values of family, responsibility and ethics

https://www.youtube.com/watch?v=6Rr8FhCujfc

https://www.youtube.com/watch?v=lvmFG_gJ3lg

CC Lalasticlala
CC Lalas247

Can I get a web hosting provider with anonymity?

olaife80:
Bro its a tale I don't like talking about but I will share it in short..

After this man told me about the goods he brought, he saw how I showed feelings on it and thought of his mind in one stupid language that I am doomed.
Following our conversation right from start this mad Samaritan hasn't been speaking English but Yoruba convincing me hardly he can't speak English language, then drama now start freshly after all the Mr nice guy I have done to him.
You start to wonder how someone can live Lagos for over twenty years and doesn't understand broken English. Anyway I continued to be calm and watchful.

Man; (Talking and stammering for the first time, now I started the full study on them) I see you are a good and responsible somebody unlike your friend that doesn't understand my language, the way he looks even scared me and he doesn't trust him that was why he called me forward. I hope he's a good man also sha? Hey, see see, I mean see the guy, you too see how hes looking like a stupid somebody, I hope you are not the type?said by the beast. I replied the guy is a good man he needed not be scared.

>>>>>>Mind you, I have asked the Oloriburuku Samaritan his biography after the beast gave us the money to share just for me to know how I will handle him and the money.
When we had conversation together he talked in Yoruba but with little broken english but how fool he was for him not to noticed I knew he understand English.
Believe me the money is original dollar note because I can spot the difference between it and fake. So I tried to convince him for me to get the dollar, the oloshi man didn't leave it..<<<<<

We started talking walked along from Allen Avenue to Mobolaji Bank Anthony way, he said so far he hope I didn't ask the Samaritan any question... Hahahaha buahahah..I said No, he said am I sure I said no that I will like to stop here and move forward to my Journey.
He said the goods he brought are only for me not for Samaritan that he would also give something's add up to it.
Can you please make it fast please? he said we should walked close down to olowu str, I obliged. Mind you I don't have interest at first but I really want to know their ways to fullest whereas also my time is going.

Before getting to Olowu Str he said we should sit somewhere under a tree. The man left to a den place which I knew part and cronies of there after so much years I spent in computer village.

I asked the Samaritan that is there any hotel along the place the beast went to, he said yes. I lol in my mind and frown face then he asked me why did I asked I said nothing that the hotel must be a stars one,the mumu said yes.
He started telling me that he has no idea of what is going on again that I didn't relate what the man said, I calm him down that nothing special so far that I will be going now if he continue disturbing me. Lol....this idiot start to beg me that to collect the goods from the man is main important to him.

The man arrived, >>>before he left he has talkled about the chemical money making and how Obasanjo, Tinubu and the rest billionaires are tripping to Togo for it, that he is privileged as a son of the ex president seeing how Nigerians are suffering whereas his father and our politicians have clue together in using this chemical for money making that was the main reason he came to Nigeria to expose them<<<.

I started to ask myself questions?
Chemical for money making?
How can a president son brought goods to sell?
You came to Nigeria to expose your dad and his crooks. How is that possible?

And how can someone live in Lagos for 20 yrs + and doesn't understand pigin even agberos and area boys can speak to some extent.

I hope I didn't ask the Samaritan any further questions, I should stay away from him? I replied in my mind, am I stupid, You gave the oloshi called Samaritan the dollar, the man you said he isn't a trustworthy man now telling me I should stay away hes a bad person. OK oo

Omg, this is beautiful, showing excitement to their stupidity.. Thank God I will have money in life, I have put my enemies into shame. I must make it..
The dunce thought in their stupid mind I am a beautiful maga whereas I don come down from their bus so tey..

Chemical money making drama started!
If you want to get rich fast, go as well and asked your well wishers to dig your grave fast.

While sitting I saw two rogue guys walked along going back to Allen, few minutes came back again. I smiled and talked to myself I have just few minutes to spend or else it will be another story.

419: sorry it took me so long, I was scared of coming out because I saw some weird people. Brought out the chemical and showed me( it was a white grease wrapped with white nylon, said as I am seeing it, it will produce millions of naira).

Me: start to produce the money nah, I can't wait.

419; how much do I have with me that he will multiply the money now.

Me: I am cashless this 200 naira left with me is tp fare.(whereas left with me was #700)
>>>likewise also, I just sold the new phone I bought worth 60+ few days ago to my colleagues in office same day when my sister called me she is in need of money. I choose of selling my phone and not giving her the one in my account. Thought I can't afford sending such a money and still be using a big phone. I would get broke.<<<

Werey Samaritan: #200 ke? That's too small. Iyen kere fun iru eyan bitie now.

Me: Haha oloshi, I said to myself did he just speak this English " That's too small". Can you kindly give him some money to multiply it because I don't have much.

Werey Samaritan: mi o ni owo lowo, o de dunmi.(i dont have money and its paininh me).

Me: kilowade toni #200 ti mofun kere abi chemical kole multiply ni? Afterall o ma multiply (why now saying #200 is small after all the chemical will multiply it or it cant')

419: okay bring it.

Me: I looked at him I gave him and hold on to my folder firmly.

419: (Magic moment with jazz), he took out of the grease and gave me, asked me to rubbed it with my #200 and with the handkerchief, I did. He collected my #200 back, brought a plain sized paper just like the one removed from a sticker, gave me to rubbed with handkerchief for 10 seconds, behold it turned to #200. Fast and sharply he collected the converted money..
ohoh.. what the hell? but still looking like mumu whereas I should have talked to my leg.

Me: let me see my own #200. He showed me with the converted one. Okay you guys are good with this chemical, I just have to leave now am running late, I will see you tomorrow. Can I now have my #200 naira? He said they will use it for me tomorrow, after I have #500 left.

I was astonished, he then placed his hand on my shoulder,immediately I lost my sense but not fully. He said I should give him the #500 which I did and said that tomorrow the #500 would have ready in multiple or do I have my ATM card with me to try and get cash and start doing it all night I will just come for it tomorrow morning.

I told him I don't have, he collected my folder, and said I am lying that I wanted to bridge the trust he has, then I told him the one with me has expired that I don't have money in it, he said am I sure. I said yes, he collected my folder searched and found it.

Mind you my second ATM was inside my id card holder whereby anytime I leave office I will put it under my cloth.

followed; the beast asked me of my phone in English ooo, the werey Samaritan that claimed of not understanding English replied in yoruba" Omo ode de lowa lowoe"( with him is a Nokia touch light phone)


Now set to leave, it was already 11:15pm. As I wanted to leave I regained back my sense. Now two men were standing few metres away from us, I couldn't see any passerby again after all its late.
The man said I can see the chemical works fine I said yes with smile, meanwhile I was using style putting my hand into pocket I noticed my #700 is no more there.

How do i get home? I told the beast that there isn't a way I can get home and bring the rest of the money tomorrow that he should give me #500 for tfare and expect me by 6am tomorrow morning. He obliged but gave me #200. I didn't argue with him.

Don't tell anybody oo or you die said by beast. I replied you mean mo ma Ku.. the beast said yes.
I said to myself haaaa werey alalubosa, and he was speaking ancient and confused language before.

$100, the oloshi Samaritan handed the money to the beast to convince him we are surely coming tomorrow.

Werey Samaritan: You know what Sir,take this money to convince you we are coming tomorrow.I am happy we meet you.. Oloriburuku somebody.
I didn't even say a word, I quietly leave.

Werey Samaritan: duro now, shebi ajowa ni( wait now after all we came here together).
I was just going, he ran close and said hes going to airport that where am I going, I frown replied him Ojota. He left.. I head towards the overhead bridge at the glass house to board a bus going to berger I just sensed someone ran back where we were coming from. I stopped , I quickly run follow to have a glimpse of who ran fast as the person resemble this Samaritan. Omg behold he was the one.

Let me stopped here but sha I was the one that brought up the drama to myself which out of my foolishness I went so length ..

since then I cultivate the habit of putting headset into my ears without playing music when walking along the road or inside the bus.

They make use of charm, I am telling. don't just fall victim of any.

That's not charm. It's hypnosis and the tap on your shoulder was the trigger

OgaInnocent:
Thank you for responding. No ,I wouldn't rather we lower the standard of training. Neither do I subscribe to making non-doctors doctors b/c of low doctor-patient ratio.

Your tact and intellect is admirable and I hope at the end of our discourse, you'll see what enlightenment I've seen. Non doctors can't be made doctors without the due process of MBBS-that's undisputed, we are just afraid of loosing our "misinformed power grip"- whose cure is KNOWLEDGE! It's just like saying a Surgeon being afraid a Physiotherapist will take over his job(I find it absurd, he's not even trained to do that). When a Pharmacist says he knows everything a Physician knows except surgery(which most often than not, is said out of this same old resentment unfortunately infused into us from our egocentric educational systems), I don't trade words because I know better, I just enlighten him why what he knows and what I know don't matter to each other but to the patient. In the end we share a mutual understanding why we are team mates for a common cause. Some of my best surgical outcomes came about with huge inputs from Nurses and Physiotherapists and vice versa.

OgaInnocent:
I agree with :
HOSPITAL MGT
HAZARD ALLOWANCE

I disagree:
With NON MEDICAL CONSULTANTS

Nigeria is a country where a med lab Scientist prefers to be adressed as a doc than who he is. This is not UK where there is law and self worth. In UK a nurse cannot take it from you calling him a doctor. A med lab Scientist cannot allow you call him a doc. They want you to call them who they are, they don't want you doc. The reverse is the case in Nigeria.


I'm telling about a Nigeria where a med lab Scientist who operates a private lab gives admits patients and give in patient care, just because the patient tested positive to malaria Parasite. It is maddening. Then imagine, when you allow these same people who want to be doctors by all means to become CONSULTANTS... my dear, you have killed the system...you will not understand what doctors are preventing until it happens. This is not UK pls. If you claim your family and friends are in Nigeria, and u r wishing for a JOHESUite to be made consultant, then pray they do not fall sick, or be ready for the unthinkable.

Secondly, that the doctor - patient ratio in Nigeria is low should not be a yardstick to convert a non-doctor to a doctor. You should rather root for more medical graduates and more medical schools and more quota. This is where your Hypocrisy came to limelight and puts your being a doctor in doubt. That we do not have enough pilots is not enough reason to convert an air hostess to a pilot. That we do not have enough Rev Fathers is not a necessity to convert a catechist to a rev father.

A word is enough for the wise.

I'm impressed you agree with hospital management and hazard allowance, it proves we still have doctors who know the truth and aren't beguiled by utter self serving sentiments currently pervading our health sector. For this I say congratulations! However, regarding consultancy, (I believe what you mentioned about other health care professionals trying to do the doctor's job as is already seen wouldn't even be talked about if this divide wasn't created years ago) I think you probably didn't fully understand the context that the "consultant"-as applied in medicine has it legal, disciplinary and structured framework that embraces merit & exceptionality while shunning mediocrity- if applied across other health care professionals where it should will do the same and check quackery. A doctor is a doctor, everyone knows that and his importance can never be taken away from him yet he needs to understand that he shouldn't be afraid of others excelling in their roles and job description even if it means deservedly bearing a consultant title. On increasing the number of medical graduates, we both know that MBBS is not an easy course and that the number that came out are far lesser than those that got in because of its intellectually demanding nature. Now would you rather we lower training standards and churn out multitude of half baked medics because we want to increase our doctor to patient ratio? Your guess is as good as mine!

Contrary to what some of our selfish leaders in NMA are trying to make us believe, I'm glad some of us doctors have seen and experienced the truth about global best practice ... To get the respect we deserve, we must earn it, not cajole others for it. We need to rise above petty tirades to save our ailing health sector.
Revisiting The NMA Strike -*
The Candid Opinion Of A UK-Based Doctor
By *Dr. Ijabla Raymond*
Although I practise abroad, I should point out
that this strike affects me too. My family and
friends all live in Nigeria.
I feel compelled to write on this subject
because of its seriousness and the dearth of
objective analyses on our social media. It is
an emotive subject for both *NMA* and
*JOHESU* members, and I can understand
why punches fly around, but both parties must
rise above petty and emotional considerations
if we are to find a way forward.
For clarification purposes, the *NMA*
represents medical doctors whilst *JOHESU*
is a union of all health workers who are not
doctors.
The NMA has a list of *24 demands* but I will
limit myself to the most contentious ones. At
this stage, it is probably best that I introduce
myself. _*I am medical doctor of Nigerian
heritage practising in the UK.*_
*WHO SHOULD HEAD THE HOSPITAL*
There is no contention – the medical doctor is
the head of the *clinical team.* He/she leads
the ward rounds, clinics, surgical operations,
multidisciplinary meetings and so on because
the ultimate and final responsibility for patient
care rests in his/her hands.
The headship of the hospital is a different
matter. This is an *administrative* office,
which needs not be occupied by a medical
doctor. This job is better in the hands of
people who have administrative or business
management skills. _This is the case in
countries like the UK, Canada and the US,_
which heavily influence our health system.
Therefore, it is difficult to reason with the
NMA why this job should be the exclusive
right of medical doctors.
*NON-MEDICAL CONSULTANTS*
The doctor-patient ratio in Nigeria is
_dangerously low._ In my view, the roles of
non-medical professionals such as nurses,
physiotherapists, pharmacists etc need to
expand to cope with the demands on doctors.
It is important that this is done in a _safe
way_ by providing the appropriate level of
training for these individuals. *This is the case
in countries such as the UK, Canada and the
US where consultant nurses, pharmacists etc
have existed for a few decades now.* I do not
see any problem with non-medical consultants
as long as these individuals are appropriately
trained and can practise both competently and
safely within an *agreed framework* . These
professionals have separate (but
complimentary) job descriptions and their
roles are not designed to replace or dispense
with the services of the doctor. If this
arrangement enhances patient care, then
where is the problem with it? The NMA needs
to demonstrate to the public and to the
government how the creation of these non-
medical consultant positions will adversely
affect patient care, otherwise, its demands will
be perceived as obstructing the professional
development of JOHESU members, and I don’t
think this is helpful to anybody.
*HAZARD ALLOWANCE*
The types of hazard and the level to which
healthcare workers are exposed vary
considerably and depend on the type of job
they do. For instance, psychiatrists are hardly
exposed to body fluids and their risks for
contracting diseases like HIV and hepatitis are
much less than for a theatre scrub nurse. The
risk of physical assault by a patient is higher
for a psychiatrist than for a surgeon. And
because psychiatric nurses spend more time
with patients, their risks of assault are
arguably higher than those of consultant
psychiatrists.
The people who work in radiology
departments such as radiologists,
radiographers, nurses, porters and so on have
greater exposure to radioactive materials than
everyone else in the hospital.
The current health hazard allowance of
N5,000 is unconscionable – it needs to
increase. However, I think it is imperative to
get an independent risk assessor for impartial
advice.
*MISCELLANEOUS*
I have read far too many emotional arguments
on these issues and very little of an objective
discourse. It is important that I draw your
attention to a few of these.
What has become obvious is the lack of
understanding of the *concept of teamwork* .
There is a pervasive notion among doctors
that the other healthcare workers are there to
serve them. JOHESU members think that
doctors have become too conceited for their
own good and are determined to put them in
their “places”. *The most important person in
the hospital is the patient* – it is *not* the
_doctor_ , _nurse_ , _pharmacist_ or
_laboratory scientist_ or anyone else. Every
team member is important and must be
respected, including the people who do the
least clinical jobs like cleaning. I don’t
imagine that any hospital will remain open for
longer than a week if its cleaners went on
strike and dirt was allowed to accumulate to
the point where it constitutes a health risk.
I have heard so many anecdotal accounts of
nurses not joining doctors on ward rounds or
pharmacists altering prescriptions without first
discussing these with the prescribing doctors
or laboratory scientist slapping doctors; and
these accounts are being given as reasons
why doctors must continue to head hospitals.
These are *disciplinary matters,* which should
be managed according to existing procedures.
These excuses are emotional and should not
be used to block the professional development
of others.
The other reason I have heard doctors give for
not wanting our non-medical colleagues to
bear the "consultant" title is the fear that
patients will confuse them or anybody else in
a white-coat for a doctor and give such people
an excuse for autonomous practice.
This reason is *not good enough* because
this problem can be solved by wearing names
badges and/or colour coded uniforms. Also
health professionals should introduce
themselves to patients at the start of
consultations. But more significantly, this can
be an issue of regulation - any one found to
be (criminally) practising over and beyond
their job description, competence level or
professional registration becomes liable to
disciplinary procedures.
Our health system suffers from poor
regulation. This is why anyone can open a
chemist and dole out antibiotics
indiscriminately. It is the reason doctors are
scared that consultant pharmacists, nurses
and physiotherapists will steal their patients.
But it is also the reason why doctors may
recommend an operation to a patient where
none is necessary just so they can charge
more. This is a problem that is in urgent need
of attention.
I hope that this something both NMA &
JOHESU will flag up in the near future.
Another recurrent theme in these debates is
the abuse of junior doctors by both medical
and non-medical staff, which appears to be
endemic. There is a consistent narrative of
junior doctors being asked to do other
people’s jobs such as collecting blood from
blood banks, taking samples to laboratories
etc. In extreme cases, these doctors are asked
to undertake non-clinical tasks by more senior
doctors. This is simply unacceptable! I think it
is fair to place the blame for this at the hands
of consultants who are supposed to be
responsible for junior doctors. But this in
itself is not a good argument for blocking
JOHESU members from becoming consultants
in their specialties or for stopping them from
heading hospitals if they have the right
qualifications.
I am concerned that the NMA is losing public
sympathy. Increasingly, I hear people describe
doctors as selfish and heartless. This is very
sad and rather unfortunate. They say doctors
do not have any motivation to end the strike
because patients are forced to pay exorbitant
fees to them in their private hospitals. Those
patients who cannot afford these fees are left
to suffer or die. If the NMA has made any
efforts to change this public perception, then
these do not appear to have been effective.
*CONCLUSION*
The current strategy (i.e., recurrent strikes) is
not working. Over the last decade or two, the
NMA and non-medical health workers (more
recently represented by JOHESU) have taken
turns to go on strikes. Perhaps, it is time for
both parties to sit together, talk to each other
and resolve these contentious issues once
and for all. _It’s pointless for the government
to enter into agreements with one party
knowing fully well that the other party will ask
for a reversal of those agreements._
I think the time has come to incorporate
Ethics, Teamwork and Communications into
undergraduate curricula. The various online
comments I have read from medical and non-
medical colleagues show that whilst many
easily mouth off "team work", a practical
understanding of what this means is lacking.
Disciplinary procedures are there for a reason.
They must be followed when necessary.
Although I practise abroad, I should point out
that this strike affects me too. My family and
friends all live in Nigeria. And who says I am
not planning to come home to practise?
Lastly, we must all be mindful of our own
mortality. Most of us will be ill someday.
And when this happens, the only thing that
will matter to us is to be looked after by
caring and competent health-workers
regardless of their individual specialisation.
We can create that environment if we forget
our individual egos and work as a team.
*Ijabla Raymond,* a medical doctor of
Nigerian heritage writes from the UK. Contact:
_ijabla.raymond@facebook.com._

Some of us have seen and experienced the truth... We need to rise above petty tirades to save our ailing health sector
Revisiting The NMA Strike -*
The Candid Opinion Of A UK-Based Doctor
By *Dr. Ijabla Raymond*
Although I practise abroad, I should point out
that this strike affects me too. My family and
friends all live in Nigeria.
I feel compelled to write on this subject
because of its seriousness and the dearth of
objective analyses on our social media. It is
an emotive subject for both *NMA* and
*JOHESU* members, and I can understand
why punches fly around, but both parties must
rise above petty and emotional considerations
if we are to find a way forward.
For clarification purposes, the *NMA*
represents medical doctors whilst *JOHESU*
is a union of all health workers who are not
doctors.
The NMA has a list of *24 demands* but I will
limit myself to the most contentious ones. At
this stage, it is probably best that I introduce
myself. _*I am medical doctor of Nigerian
heritage practising in the UK.*_
*WHO SHOULD HEAD THE HOSPITAL*
There is no contention – the medical doctor is
the head of the *clinical team.* He/she leads
the ward rounds, clinics, surgical operations,
multidisciplinary meetings and so on because
the ultimate and final responsibility for patient
care rests in his/her hands.
The headship of the hospital is a different
matter. This is an *administrative* office,
which needs not be occupied by a medical
doctor. This job is better in the hands of
people who have administrative or business
management skills. _This is the case in
countries like the UK, Canada and the US,_
which heavily influence our health system.
Therefore, it is difficult to reason with the
NMA why this job should be the exclusive
right of medical doctors.
*NON-MEDICAL CONSULTANTS*
The doctor-patient ratio in Nigeria is
_dangerously low._ In my view, the roles of
non-medical professionals such as nurses,
physiotherapists, pharmacists etc need to
expand to cope with the demands on doctors.
It is important that this is done in a _safe
way_ by providing the appropriate level of
training for these individuals. *This is the case
in countries such as the UK, Canada and the
US where consultant nurses, pharmacists etc
have existed for a few decades now.* I do not
see any problem with non-medical consultants
as long as these individuals are appropriately
trained and can practise both competently and
safely within an *agreed framework* . These
professionals have separate (but
complimentary) job descriptions and their
roles are not designed to replace or dispense
with the services of the doctor. If this
arrangement enhances patient care, then
where is the problem with it? The NMA needs
to demonstrate to the public and to the
government how the creation of these non-
medical consultant positions will adversely
affect patient care, otherwise, its demands will
be perceived as obstructing the professional
development of JOHESU members, and I don’t
think this is helpful to anybody.
*HAZARD ALLOWANCE*
The types of hazard and the level to which
healthcare workers are exposed vary
considerably and depend on the type of job
they do. For instance, psychiatrists are hardly
exposed to body fluids and their risks for
contracting diseases like HIV and hepatitis are
much less than for a theatre scrub nurse. The
risk of physical assault by a patient is higher
for a psychiatrist than for a surgeon. And
because psychiatric nurses spend more time
with patients, their risks of assault are
arguably higher than those of consultant
psychiatrists.
The people who work in radiology
departments such as radiologists,
radiographers, nurses, porters and so on have
greater exposure to radioactive materials than
everyone else in the hospital.
The current health hazard allowance of
N5,000 is unconscionable – it needs to
increase. However, I think it is imperative to
get an independent risk assessor for impartial
advice.
*MISCELLANEOUS*
I have read far too many emotional arguments
on these issues and very little of an objective
discourse. It is important that I draw your
attention to a few of these.
What has become obvious is the lack of
understanding of the *concept of teamwork* .
There is a pervasive notion among doctors
that the other healthcare workers are there to
serve them. JOHESU members think that
doctors have become too conceited for their
own good and are determined to put them in
their “places”. *The most important person in
the hospital is the patient* – it is *not* the
_doctor_ , _nurse_ , _pharmacist_ or
_laboratory scientist_ or anyone else. Every
team member is important and must be
respected, including the people who do the
least clinical jobs like cleaning. I don’t
imagine that any hospital will remain open for
longer than a week if its cleaners went on
strike and dirt was allowed to accumulate to
the point where it constitutes a health risk.
I have heard so many anecdotal accounts of
nurses not joining doctors on ward rounds or
pharmacists altering prescriptions without first
discussing these with the prescribing doctors
or laboratory scientist slapping doctors; and
these accounts are being given as reasons
why doctors must continue to head hospitals.
These are *disciplinary matters,* which should
be managed according to existing procedures.
These excuses are emotional and should not
be used to block the professional development
of others.
The other reason I have heard doctors give for
not wanting our non-medical colleagues to
bear the "consultant" title is the fear that
patients will confuse them or anybody else in
a white-coat for a doctor and give such people
an excuse for autonomous practice.
This reason is *not good enough* because
this problem can be solved by wearing names
badges and/or colour coded uniforms. Also
health professionals should introduce
themselves to patients at the start of
consultations. But more significantly, this can
be an issue of regulation - any one found to
be (criminally) practising over and beyond
their job description, competence level or
professional registration becomes liable to
disciplinary procedures.
Our health system suffers from poor
regulation. This is why anyone can open a
chemist and dole out antibiotics
indiscriminately. It is the reason doctors are
scared that consultant pharmacists, nurses
and physiotherapists will steal their patients.
But it is also the reason why doctors may
recommend an operation to a patient where
none is necessary just so they can charge
more. This is a problem that is in urgent need
of attention.
I hope that this something both NMA &
JOHESU will flag up in the near future.
Another recurrent theme in these debates is
the abuse of junior doctors by both medical
and non-medical staff, which appears to be
endemic. There is a consistent narrative of
junior doctors being asked to do other
people’s jobs such as collecting blood from
blood banks, taking samples to laboratories
etc. In extreme cases, these doctors are asked
to undertake non-clinical tasks by more senior
doctors. This is simply unacceptable! I think it
is fair to place the blame for this at the hands
of consultants who are supposed to be
responsible for junior doctors. But this in
itself is not a good argument for blocking
JOHESU members from becoming consultants
in their specialties or for stopping them from
heading hospitals if they have the right
qualifications.
I am concerned that the NMA is losing public
sympathy. Increasingly, I hear people describe
doctors as selfish and heartless. This is very
sad and rather unfortunate. They say doctors
do not have any motivation to end the strike
because patients are forced to pay exorbitant
fees to them in their private hospitals. Those
patients who cannot afford these fees are left
to suffer or die. If the NMA has made any
efforts to change this public perception, then
these do not appear to have been effective.
*CONCLUSION*
The current strategy (i.e., recurrent strikes) is
not working. Over the last decade or two, the
NMA and non-medical health workers (more
recently represented by JOHESU) have taken
turns to go on strikes. Perhaps, it is time for
both parties to sit together, talk to each other
and resolve these contentious issues once
and for all. _It’s pointless for the government
to enter into agreements with one party
knowing fully well that the other party will ask
for a reversal of those agreements._
I think the time has come to incorporate
Ethics, Teamwork and Communications into
undergraduate curricula. The various online
comments I have read from medical and non-
medical colleagues show that whilst many
easily mouth off "team work", a practical
understanding of what this means is lacking.
Disciplinary procedures are there for a reason.
They must be followed when necessary.
Although I practise abroad, I should point out
that this strike affects me too. My family and
friends all live in Nigeria. And who says I am
not planning to come home to practise?
Lastly, we must all be mindful of our own
mortality. Most of us will be ill someday.
And when this happens, the only thing that
will matter to us is to be looked after by
caring and competent health-workers
regardless of their individual specialisation.
We can create that environment if we forget
our individual egos and work as a team.
*Ijabla Raymond,* a medical doctor of
Nigerian heritage writes from the UK. Contact:
_ijabla.raymond@facebook.com._

I have keenly watched and read how all of you(JOHESU and NMA alike) keep throwing jabs and curses at each other, arguments and counter-arguments on who is right and who is wrong and being quick to yell "International best practice" only when it suits your individual whims and caprices. In the end you're all just a product of a system that failed to teach intra professional tolerance, respect and work place harmony. It beats my imagination to see Med students been taught NMA/JOHESU rivalry (heck I was unfortunate to have emerged from that system but thank God I shed that skin) same goes for students of other equally important health professions; I was even more shocked when two siblings exchanged fisticuffs because of JOHESU/NMA rilvary.
I've been privileged to practice where the patient is truly king and won't hesitate to sue you for all you're worth for unhealthy workplace rivalry/supremacy; so we really had to be a Team-everyone knowing his job description and never claiming to know all. I've learned to love and respect every health worker in my team, because I need them if I'm to offer my best services and if they have a legitimate demand, I support them and vice versa.
If a Surgeon claims he knows better than a Pharmacist or Physiotherapist then he's mediocre and if a Med Lab Sctst or Nurse assumes he knows better than a Physician knows, he's also mediocre. Acrimony like this even leads to intolerance between Surgeons and Physicians so who's fooling who.

TempoJames:
I took oath 9rs ago
already FMCpath
Boy I know you are no where near FWACS.
You are too dumb to be there. You don't even know M.D is equivalent to ph.D.
If you are a Johesu member claiming an M.D you haven't seen anything yet. Especially if you are a medlab scientist I will still be your head as it is obtainable in Britain where we got our medicine from
Boy! The CEO is an accountant. Go and browse the functions of a CEO probably English Language was not part of your training. Also check the meaning of medical director boy!

Really? An FMCPath and you speak without courtesy, facts and tact? Obviously you are a product of a system that infuses unhealthy egocentric hatred within the health care team-little wonder you have something personal against Medical Laboratory Scientists (I was too until I rid myself of that through international experience and I'll advise you as your senior colleague to do the same).
Kindly read your comments to understand how shallow and myopic you sound even when corrected with facts
If you choose to remain incorrigible, fine but don't go about disgracing and openly shaming us like you have been doing- we'll rather you keep quiet.
And oh... I can book you for your bilateral orchidectomy free of charge(After all what are brothers for) - that's what I do you know

TempoJames:
I don't expect someone who knows nothing aboit medical field to hold objective arguement. Ignoramus! You never knew residency towards being sn M.D is a post-graduate program.
Go and sleep you have no arguement to tender.

For the purpose of us having a well meaning conversation without petty name callings, I'll respect the esteemed Medical profession we both belong to and the oath we swore, to set the ground rules for our intellectual discourse-without which I'll totally ignore your rants
So then, an introduction will be in order...I expect you to do the same.
This is me in brief
-I took the oath some 13 years ago(I'll love to know yours)
-Already a FWACS(Are you?)
-Serial entrepreneur
-Sucker for factual and intellectual reasoning(You'll have to prove otherwise that you are)
-Uneconomical with the truth regardless whose Ox is gored
-No, I don't do petty name callings and expletives(can't say the same about you though)
That said, kindly introduce yourself (seeing you recently registered on Nairaland a few days ago) so we can share knowledge and compare notes. Regards

TempoJames:
The chief medical director in Princess grace hospital, London where Buhari travels to has a Dr.sina dorudi, a professor of surgery as chief medical director.
Why should it be different in Nigeria?

From the details you presented,Prof Dorudi is Medical Director while Miranda is interim CEO(it didn't note if she's a doctor though). There's difference between Chief Medical Director and Medical director. There's also a difference between CEO and Medical Director (CEO is more powerful than a Medical Director). Please carefully present facts so you don't make us look bad. Thanks

TempoJames:
M.D = Doctor of medicine= equivalent of ph.D= consultant in the specialty.

Kindly get your facts right. MD is never the equivalent to PhD... Educate the public correctly

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