₦airaland Forum

jpphilips: I hope that starting your comment with my name is not an invitation, the last time I checked, I opened the thread so feel free to come into the ring, If after going through my posts and you still think I am a doctor then I must have over stated your IQ, I must warn you, with this IQ of a tadpole, what Phantom served you will be child's play to what I will dish out for you.
At your age and education (night studies by the way) you cannot even construct an argument let alone throw effective punches, yet you want to argue with JP Philips, you are not even scared!!

Loool! What the hell is ''jpphilips''? The name of a sanitary pad or detergent? The IQ of a tadpole beats that of a human with an IQ of a negative integer.
Dude,u opened a thread to state ur opinion. We came in to counter it. All of a sudden ,u are foaming in the mouth. Yet u claim to be a neutral patient. Lol!
Scared of what? I guess that is what u guys want. For peeps to shiver in ur presence and bow to ur thin azz. Nope,dear. Not this time.
Night education sure pass na. Are u a learner?.
You seem to take this all soo personal,no? To the extent u want to be feared. Mucheche!.
Once again,what is jpphilips? A noun,verb or an adverb?

@ phantom,u cannot give what u lack. You aint capable of teaching what u have no knowldge about.

phantom: **shakes head**
madam,please take it easy before you pop an artery. if you can't counter him,don't post.
when you get to the level of beginning to counter arguments with 'alternate moniker', it doesn't speak well of your intelligence.

What makes you think i aint calm? Talking of alternate moniker,why are peeps trying to decieve themselves,thinking they can decieve others? Ehn?
Patient indeed. Lol!

jpphilips: In my ignorance I stand with the NMA gidigba!! feel free to report me to the gods

You sure do. Most of us saw through you from the start. Mr. Patient.

LMAO! @ jpphilips. I can see you are really hurt by the fact that i countered phantom's lousy and lame examples with so much ease. You want me to shut up? Really? Loooool! Why not shut me up with an adequate argument rather than hiding behind your ''patient'' status. It is obvious you hate challanges. I've met people like you who are eager to trample on others just to exhibit superiority. I will not use insults to shut u up, but wld rather pick on your brain.
You claim to be a neutral body,yet u're too sensitive and make comments which do not support that fact. Come clean,boy. Why the tin dey pain u na? Abi ''phantom'' na ur alternate NL account?
Now,this is a confirmation of the fact that you are in the system,hiding as a ''patient'' just to get cheap sympathy. I dey lie? Lol! Do not be ashamed of ur profession na!
You made a vague statement as ''phantom'',right? If u wanna give examples,why wld it be a lame and vague one? Why not give us something applicable and realistic? Vague comments aimed at making others seem inconsequential.

This was his comment,and he was very clear. Why go further to ask him if he cld apply it in all medical cases?

that is why the doctor is head and shoulders above.
after a history and exsmination,85% of the time, we have a pretty good idea what our patient has. that is our training.
lab work and radio. are called ANCILLARY investigations. please get it into your head,NO DOCTOR WHAT HIS SALT DEPENDS ON LABS AND RADIO. FOR HIS DIAGNOSIS. take that to the bank!

lexib: Mr. "Scientist"... What research hv u carried out b4... changing name from technician to scientist is not just enough... be an actual scientist.

It is a ''Miss'',young man.
Research: lol! Are you living in a bubble? Or just being pseudo-smart?

I'm sure u are aware that full research requires further training and finance. Can your country make it available for all teaching hospitals? Even the professors with doctorates and federal grants find it difficult to carry out research with the limited resources and little or no encouragement,yet u want scientists to do it for u for free,so ur CMD will beat his chest and boast of progress. Lol! If u want research,pay for it.
Let it be known that the primary and basic function of a scientist is ''diagnosis''. Research is secondary. Yes,we carry out research. There is a research lab at the council and NIMR,Yaba.

As for the nomenclature,there are medical technicians,assistants and scientists. Google about the different professions. You aint paying me for educating u.

phantom: I give up. trying to make you see my point is akin to fetching water with a basket.
best regards.

Oh,i get your point alright. but it is as lame as soggy spaghetti.
You are an independent entity that can take care of his patient without input from any other. You already know the problem once u have a chat with them. I mean,singlehandedly. You'll look at them and know if its a mere UTI,rather than renal Dx,or if infertility is due to the man's azospermia,rather than the woman's hormonal imbalance...or chest pain and tightening due to CHD rather than a hundred other possible reasons....or if it is prostatic cancer rather than infection.,.
Mini mini mani mo...guess guess,rule out..lol.

@ phantom,my sister..
Is your explanation so bogus that even you cannot make yourself understood? You sound like a quack in the process of trying to come across as an ''independent'' worker.
Oh you do obtain diagnosis by physical examination only? Interesting. Or u are subjected to mild cases only,while the top guns handle more challanging cases. What the hell has this discussion got to do with rural hspt? We are talking of an average hospital,dude. Even if u find urself in a rural area,certain cases will require u to refer ur patient to the city for proper investigations. Rural hospitals have limits,so stop giving me lousy and lame examples.
You are the one running round in circles in an attempt to seem effective. Prior to sending ur patient out for investigations,what you have made is simply a guess work. If u get called up tomorrow,can u defend your guess work boldly?
It is peeps like u that are giving ur fellow doctors a bad name. A doc thinks he he can diagnose based on symptoms and interrogation only. Lol.
The Ebola virus has quite similar symptoms to acute malaria. I guess u'll give ur patient antimalaria to deal with such a case,right? Loool! Quackery village dokinto.

phantom: please don't be funny.I used malaria as an example of a situation where the lab work SUGGESTS ANOTHER DIAGNOSIS.stop grasping at straws.
look you don't impress me with your little clinical knowledge. what is obstructive jaundice? pre or post hepatic?
my point is my clinical diagnosis is CONFIRMED by the labs.if the lab work suggests another diagnosis, I query it. simple!
but if you think I have no idea what is wrong with my patient until I do the labs,YOU ARE DEAD WRONG! that is the beauty of medical training. our greatest gift is our training and our brains.

Lol. You are giving silly examples which i aim to squash in totality.
Impress u? What do i hope to gain? A seven-figure salary? We are trashing out a matter based on the lame example u gave.
.....''where a lab work suggests a dignosis''...? Really? Will the scientist go ahead to carry out any test without an agreement with a doctor colleague? For every form,there is an indication for differential prognosis/clinical detail,along side recommended lab tests. If u get a wrong diagnosis,it means u made a wrong prognosis,simple. Wetin concern lab with MP if it was never requested for?
Yeah,u have an ''idea'' abt ur patient's condition. That is what i call ''trial and error''. You keep getting ''ideas'' till the scientist tells u ''yes'' or ''no.
As for my clinical knowldge,i'll blow ur mind away if i attempt it even. I'll just be ''gentle''.
Nobody is an island. Everyday we learn.

phantom: a man walks into my clinic and complains of generalized itching and on examination I found him to be jaundiced and maybe with an enlarged liver.
I don't need any bloody lab work to tell me the dude has obstructive jaundice.
if I do the lab work and it says malaria, I will query the lab work because what I saw clinically supports obstructive jaundice.
the lab scientists are claiming they diagnose. if that was true I the doctor would treat malaria and not obstructive jaundice SO IN EFFECT MY DEAR LAB SCIENTISTS,WHEN A DOCTOR REQUESTS FOR LAB WORK,HE ALREADY KNOWS WHAT RESULT HES EXPECTING. YOU DO NOT DIAGNOSE FOR US RATHER YOU CONFIRM OUR DIAGNOSES. THAT IS WHY WE CAN QUERY YOUR RESULTS.

If he already knows what he is expecting,why proceed with the request? If u query a lab result showing malaria,it indicates u do not really know what u are doing. Don't u know many Nigerians are asymptomatic parasite carriers? Using QBC to investigate for MP,u'll find it in virtually 70% of Nigerians,with only half being sypmtomatic.
Sending a request for Serum bilirubin to investigate jaundice will not only tell u if it is a jaundiced patient,but will also point out if its hepatic,prehapatic or post hepatic. Now,why the hell will u get a malaria test result when u requested for jaundice test(SB,urobilinogen)? It only means u got confused at a certain point.
Query indeed. You prolly work in a clinic that employed the services of technicians and SLTs whom u pay peanuts. That is when u can come out to tell us u can ''query'' a result.

phantom: that is why the doctor is head and shoulders above.
after a history and exsmination,85% of the time, we have a pretty good idea what our patient has. that is our training.
lab work and radio. are called ANCILLARY investigations. please get it into your head,NO DOCTOR WHAT HIS SALT DEPENDS ON LABS AND RADIO. FOR HIS DIAGNOSIS. take that to the bank!

Sure,you do. Same way u determine if the patient's abnormality is malignant or benign. Same way u use great powers to know if all clotting parameters are in order before slicing a patient open on the table. Same way u determine renal and hepatic dysfunction just by staring hard at the patient. Same way u can easily determine the cause of infertility.
Ooops,i forgot,almighty all-knowing. You can diagnose every every.
Lol. If u all can do dat shiiit,why are scientists employed in Pathcare and payed good salaries,while patients troop in with various lab requests from their doctors in pvt hsptls?
Laughable.
Tell that to the man on the street. I'm in the system and i know ''trial and error'' being demonstrated so many times. No matter how hard u try to sound like u know it,we all know that u can only keep guessing about a case until the scientists confirms ur suspicions..
A typical case occured while i was on call. The woman was rushed in unconcious. The medical officer requested a routine blood screen,the consultant requested a comprehensive assay. They only pumped the patient with antibiotics and some other drugs,waiting patiently for lab results.
It is Naija that a doc thinks antimalaria is the messiah for every medical complaint. Sai!

adeoladrg: How come you know so much? You're a patient oo

Ahswear! This kain patient ehn...! Hin dey see ooooo.

jpphilips: There you go again, if there are already existing unproductive hierarchy and cadre in nursing, why do you want more by asking for consultancy?
What have the patients benefited from those so called BSc. nurses who fold their legs on front desk while the registered nurses pack all the sh!!t and p!ss? what use are they to us?
I have seen a Bsc nurse who refused to remove an Anal dressing in the name of not wanting to soil her hands and claim it is for the Reg. nurse to do so, meanwhile on another patient, the so called BSc nurse could not put a catheter, it was a doctor who came to her rescue.
BSc nurse vs Reg. nurse is a lot of problem already, the patient don't want more bureaucracy. A Bsc nurse on night duty only chat online in the name of writing report on the system, it is the Reg. nurse that throw away all the p!!s from the P!ss bags, practically they are useless.
Aux. nurse will bathe the patient, fetch water for patients, run around for food, serve drugs, clean the hospital, change diapers etc the BSc will be seating like an oracle dishing out insults on the productive ones.
#Say no to unproductive consultancy# if a nurse, pharmacist or scientist want to be consulted, open a shrine, or store take it outside the Govt hospitals.

Hehehehe...Mr. Patient,really? What do u do when u get to hospitals? Tell nurses to present their certificates and qualifications to you. LMAO! How u take know who be auxillary,B.Sc and registered nurse? Oga patient!!!

jpphilips: Simple question behooves simple answer, I may not be a health practitioner doesn't mean I left my common sense abroad.

Who does the prognosis and logs in the patients complain?
who tells the scientist which test to run to confirm his prognosis?
who writes the drug prescription and dosage that wakes the pharmacist from coma?
whose signature admits and discharges the patient?
who certifies a patient DEAD?

back to the issue again, who owns the patient??

Lol. Yet u claim to be a patient. Come out clean,boy!
Nobody ''owns'' any patient. Stop confusing yourself with that phrase. Very funny and naive.
Who does the diagnosis,to confirm the prognosis? Medical scientists.

Who handles patient care in the wards? Nurses.

Who handles therapy in patients with bone issues? Physiotherapists

A patient comes into the hospital with complaints of malaise,nausea,weakness and pain. There are more than ten disease conditions with the same set of symptoms. Automatically,he requests for MP/widal. It comes out negative. What next? If he is a god,let him now determine the cause of the patient's ailment with his ''prognosis''. If he is a god,let him take care of the patient when admitted.
I repeat,nobody owns the patient. It is a collective effort.

jpphilips: were you the person who accused me of being a Doctor? why are you generous to explain to a doctor what ordinarily he should know?
After all the grammar you spoke, who has the last call on what happens to a patient as regards his treatment?
let us skip the colloquial "owning" "having" etc.

You call it grammar,i call it facts. No,i aint accusing you. Use your tongue to count your teeth.
I will always be realistic. The first point of call in a hospital is front desk officer/receptionist...then nurse....then a doctor...then a scientist....back to the doctor...and finally a pharmacist. Others come in at certain points. But do not EVER take one unit as insignificant. The last point of call is usually the pharmacy.

@ centje.
Call duty in tertiary hospitals varies from place to place. Ours was 4pm-8am and occassional weekends too.Dn't talk like its every weekend doctors are subjected to call duty. If it is shift work,then give an allowance for it!
Hazards,5k was prolly far back. I only heard that amount during my NYSC. We need an increase of hazard allowance for health workers too. There should be no argument on this matter.
Privatization,i have no fear. I work in a private hospital that is very' expensive compared to other places. CS is nothing less than a million for ''Deposit''. Now u wish to privatize the pharmacy and lab. A simple test of MP using QBC would prolly cost N3k. How many peeps can afford MP test (only) for such amount? This is a test done for N300 in teaching hsptl using normal staining methods. N3,000 and N300,there is a huge difference.
You talk about people willing to pay at any cost,just to get quality services. Now,let me ask you. We have affordable health services in Nigeria,but still get faced with mortality and complications due to poverty. The average man takes '' agbo'' when he suspects malaria. Think abt it for a second.
As per skipping,what is good for the goose....

Professional courtsey...hmmm. I'm glad to be in a private sector where everyone knows their job specification and limits. Yes,it is reciprocal. And the way one portrays himself will determine hw he'll be regarded.

jpphilips: Of course I am not a patient, I am brandishing a patient's point of view, why do you want me to become a patient at this my prime and what do you want to infect me with to endear such demeaning status?

Owning a patient? any body who is not conversant with that parlance has never been admitted before, what does it take to figure it out? On admission the nurse says wait for doctor for this, wait for a doctor for that, Is it not commonsense to decipher who owns the patient?
why do you people really think that every Nigerian is a m0r0n?

Young man,being a consultant does not mean ''ownership'' of a human being. It means being an expert in ur field of work,so as to be able to give advice and top notch contributions towards the improvement of services.
the posts have four key functions: expert practice (max. 50%); research, evaluation and service development; education, mentoring and overview of practice; professional leadership.

Tbamo: So you think a house officer and an intern in the lab or pharm intern do the same things or have the same responsibilities? And so should earn the same?
During your internship can you be sued for malpractice as a pharmacist?
What do you do during your calls?
How many life threatening cases do you engage as a pharmacy intern?
And you want to earn the same as the doctor?

LMAO! This is what we are talking about. Arrogance! I'm not a pharmacist. But can u carry out ur work effectively,emergency and all,without pharmaceutical supplies? Lol. Theatre cases,accident? Even a mere stitch,minor surgeries,patient monitoring?
We paid over N20K for liscence this yr. I had a provisional liscence as an intern. Yes,interns are also subject to libel action. Please get ur facts straight. As long as u have a liscence,u are subject to libel.
If an intern haematologist crossmatches the wrong blood for a patient,who get sued? The resident doctor? Lol.

@ phantom
A masters and fellows degree is vital.
Using pharmacy for example.http://cpe.pharmacy.ufl.edu/courses/consultant/
yes,being a consultant pharmacist requires one to undergo adequate training.
But why so much emphasis on this matter? Being a consultant is not new to various fields and careers out there.
Checking out a simple definition...
http://en.m.wikipedia.org/wiki/Consultant

consultant(from Latin:consultare"to discuss" is a professional who provides professional or expert advice [ 1 ]in a particular area such as security ( electronicor physical), management, accountancy, law, human resources, marketing(and public relations), finance, engineering, scienceor any of many other specialized fields.

For crying out loud,nobody wants to rub shoulders! Just give everyone their due. When one is an expert in his/her field,why not permit the fellow to be referred to as ''consultant''?
http://ejhp.bmj.com/content/19/2/251.3.abstract
check out that abstract.
Consultant pharmacist is a restricted title in the National Health Service (NHS). They were introduced in 2005 to provide best care for patients and to retain experienced pharmacists in clinical practice. The posts have four key functions: expert practice (max. 50%); research, evaluation and service development; education, mentoring and overview of practice; professional leadership.

jpphilips: .

What patient? You aint a patient,dude. Lol! Some of us aint naive.
You brandish the health workers as people fighting for inconsequential needs. All i did was point them out to the alleged ''patient'' who has been convinced into believing that health workers are a set of egocentric individuals who want to war with doctors. As for ur thread title,oh really? Lol.
For the record,i'm a female.

And what do u mean by ''own'' a patient? U see why i have doubts abt u being a neutral mind? Patient indeed! *scoffs*.
Obviously,making quality health services available to ur ''patients'' at an affordable and attainable cost seems to come at the bottom of ur list.
Do not give me the ''patient'' line. You expect good services when the service provider is subjected to a non-condusive working environment and deprived of basic incentives. Oh wow!

We are in the system,we know the drill.

Sai! Patient's perspective indeed.
I weep for this country. I've followed this strike ish for quite some time,even had a debate with some colleagues.
I read an article online abt the requests of the doctors. Nobody is disputing it. They want increase in hazard allowance to N100,000 per month,and some other things too. That is fine by us. But for NMA to boldly come out,stating it will not condone ''blackmail'' by health workers is so annoying. How does the title of ''Consultant'' result to blackmail? Is it something that has never been done before? Is it strange in other countries? Why are the doctors hell bent on being an obstacle to the progress of other health workers?
Now,back to the issue of consultant,let it be known that there are conditions attatched to the title. Medical scientists,pharmacists,nurses,physiotherapists attain educational level of Phd in their profession.
For example,a medical scientist specializes in haematology in masters and Phd level,obtains his fellows and satisfies all requirements by the MLSCN council. Why should such a fellow with vast knowledge in haematology not be allowed to consult with the patient and the patient's doctor on matters relating to haematological matters? It irks when i read some comments here.
In terms of salary,lets have a rethink. For example,as an intern,a scientist earns N120K, a doctor/house officer earns N170K-N180. Now JOHESU requests for an increase,relative to CONMESS scale....N150/160k. Why NMA wan come get HBP on top the matter? All JOHESU is asking for is a relative increase. Peeps who are shouting abt job the rigors of the medical duty should not undermine what other health workers go through. Being on call in haematology laboratory in a teaching hospital is like being on a rollercoaster!
It is the same time too. So what is wrong abt JOHESU requesting for shift duty/call duty allowance and other special allowance.
As an intern,hazard allowance was a mere N10k. What d hell! We handle body fluids too and get exposed to all the vile things running amok.
Those who want privatization of other health sectors are living in a fool's paradise. Who can afford it? Services in the health sector is highly subsidized,but still expensive for certain peeps.
Privatization will only make things worse.
And for the skipping of a thing,why are doctors against skipping when they are doing it? They skip from 10 to 12,we want a skip from 9 to 11. Why dem wan get headache? Lol! *SMH*
finally,on the issue of CMD,i will state here boldly that i have no qualms with doctors being the CMDs. All we ask for is professional courtsey.

shymexx: Mimi, don't disrespect my crown - I was crowned by Igbo chics.

I never asked for it, they just gave it to me, ya dig?

The nyggah who put the satin in all Igbo chics' panties.

Lol. Keep dreaming,bro. It just might come through. **Toodles**

shymexx: Iheoma is fine, that's my asanwa baby.

I'm the Duke of Igbo chics, and I've to judge if every Igbo chic is good looking or not.

You,my friend,can best be described as the Duke of bullshiiiit. Igbo chicks indeed. I love ur sense of adventure and imagination. You certainly have ur fantasies... Humour it is.

fijiano202: bad girl..nice counterattack

shymexx: Can we see a picture, Mimi Faust?

You are so predictable,shymexx the menace. How's Iheoma by the way?

*face to palm*
chai! OP,shame dey catch me on ur behalf. Did u go through your writeup before clicking ''submit''? LMAO! For ur mind u dey talk. Omo,na okpas u dey yarn. Taaaaah!

Largas: I love your e-personality.

Thank u ,i'm loyal.

sirwilly1: Rochas

Lol! My ambient governor? Chineke.

@ RebelLeader15...lol@ public gbagaun. Nna mehn!

@ shymexx
Oh,shymexx....what knoweth thou? Hmmm...?
Your niggur raphead aint capable of differentiating his mouth from his azz.When i asked for a ''go ahead'' to post his fuglies collection, he ran so fast that burn marks were left on asphalt. You do have so much love for him,ehn? You itch to pat him and whisper sweet words,just to console his grieving spirit. Loool!
Sweerie,i'm as ugly as sin,u code?

@ bokoslayer
Lol! Ahswear! Due process on the go.

Decibel: Edo State shoe shiner.

LMAO! I have some respect for Oshiomhole...actually. And his reputation has been above average so far.

Nyako...Al-Makura....who is next?
Nigerian politics: rugged and crazy. A case of survival of the fittest and the baddest godfather.
If u aint ready to play dirty,keep away.
All those peeps shouting PDP,lol!
It is a ''notice'' that will ''follow due process''.
Let the facts speak for themselves...Res ipsa loquitus. Defend yourself,your Excellency.

ultrazone: One thing I'm clear about the igbos is that a lot of them do not understand the yorubas. Many of them have preconceived notions that yorubas are untrustworthy. Unfortunately, yorubas care less. We do not have special hatred or make judgment about any tribe. We make decisions based on situation per time. That's why other tribes think we are unreliable. It's a principle of no permanent friend or enemy.

Same way the yorubas label the igbos as fraudsters and money lovers without even knowing them....and trust me,igbo man no send u. If u like call am he-goat,no wahala. Just do not tamper with his source of income or business. Face ur lane is the watchword.
Speak for yourself. Do not say ''we''. I've lived in yoruba land all my life and i've heard people say it to my face sef ...''Me,marry omo igbo? God forbid''. Its pathetic.
Igbos also have a few some tribalists too. Conc ones.


@ Topic,the truth is that this hatered is deep-rooted in the average tribalist and gets unleashed on the internet,especially a faceless anonymous forum like this.
In the real world,nobody gats time for that rubbish. Hussle and make a success out of the things u do,shikena. The dislike is kept in hibernation.

They say vengeance is best served cold. I'll say justice is best after the tides and downpour.
Am i impressed? Ohh yes!
This is a slap on the face of those pessimistic cynical beings who have lost faith in Nigeria.
A normal employee would have accepted the sack letter without a fight cos most banks have high rate lawyers in their pockets. But this guy was bold enough to take the risk...and he won! I love this gist. Best for a monday morning.

Ile-Ife...true. Very calm,quiet and affordable place. After living in %Lagos all my life,a time off at Ife was well deserved. From Lagere to General(teaching hsptl) was N20. Lol. The highest T-fare then was N50.
But talk of boring....mehn!!!