There is no wheelchair on the surface of this earth that costs 8 million

Can an accumulation of sludge inside the engine be cleaned?

GAZZUZZ:


If used well.

Kindly help me understand the term "used well" A little bit definition relative to a pathfinder

Whats you take on a naija used 06 pathfinder? Is it a good car to buy.

Decubitus ulcer, known as bed sores, develop when an individual is incapacitated and unable to move on his own. Such an individual would require assistance in achieveing common activites such as rolling on bed. Due to this inability to move voluntarily, these individuals, without constant attention, are prone to laying on one part of the body for prolonged periods of time. The pressure on the skin on the part of the body on which this indiviudal may have laid for prolonged durations, in addition to the accumulation of sweat and other bodily fluids such as urine, leads to the breakdown of the skin. This is the beginning of bed sores.
Considering its mechanism of formation, prevention is simple; roll/move the individual often to distribute pressure evenly over the body or purchase products that achieve that.
These products are the Anti decubitus water mattress and the Alternating pressure air mattress. Both of these products are effect in 99% of cases under research conditions and are therefore guaranteed to prevent bed sores. These products can be purchased online @ www.everymedical.com.ng

Available

This wont stand for long. Slightly accidented. Probably better than the hellishly crashed but remaked nice one you see from dealers

Full option. Tokunbo

Custom duty fully paid. Just off the container and Available at Ladipo.
1.5m
Bumper Repair only as seen in the picture
07038614025

Hello.
What the cost for clearing
1) Volvo xc60 2010
2) Volvo xc90 2006

What clearing cost for volvo xc60 2010 and xc90 2006

Be careful what I wish for? You have idea what I wish for. If you are a doctor and it's so easy to leave then why are you still here? Loyalty to your nation? I disagree. JOHESU is seeking for adherence to agreements. If you think they are attempting to 'rub shoulders with doctor', whatever that means, then you are spinning tales out of thin air. I mentioned the origin of the title, you didn't get it from going to medical school, you gained it because historical.figures gave it to you both honorary and function derived title. Your qualification after school is very clear. I studied physiotherapy, I didn't cry about the pay, or demand that someone else earn less or ask to get as much pay as the physiotherapist in Canada, I simply resigned, started a business and improved my lot. If you want to earn like the Canadian, go there or resign and start a business. How is it anyone's business that a consultant is managing 10million? And as such the nurse should manage one million?

oyb:
if you want the benefits of being a doctor, go to medical school. most of these johesu guys are in the end also rans who could not become doctors and who somehow feel entitled to the same benefits. its the nigerian way.



be very careful what you wish for. doctors are leaving the country in droves. and if the trend continues, local treatment will only be available to the wealthy.

The mentality that prompted this post is one of the reasons discord keeps arising in the health sector. You mentioned the salaries of doctors in canada, that salary reflects the standard of living in that country. If you want to make 180mil annually, resign and get into business or move to Canada. Because in Nigeria, 180mil is a huge amount of money available only to the very wealthy. It is good also that your mentioned Canada, it is bad however that you chose to mention only Canadian points supporting your argument, you failed to mention that there are nurse surgeons for instance over there (infact a nurse surgeon was once US surgeon general, not a doctor!!!, there are consultant physiotherapists and other consultants. Remember that a Dr is addressed as such historically, only as a result of function, some sort of honorary title. Degree obtained after school is MBBS: Bachelor of medicine bachelor of surgery. There is no doctor attached to that. Functional title can as well apply to a physiotherapist and very well so. A doctor might have a nurse to order around but not a nutritionist whose field he doesn't know, not a physiotherapist whose field he doesn't know either, not a Physiologist whose field he knows only off Guyton and no more.
That's all by the way, what problem does doctors have with what others want to earn,JOHESU embarked on strike partly because they want FG to honour agreements made in the past!!! Why should that bother doctors? I cannot wrap my head around that. Why should doctors attempt to dictate what others earn?!!! Why should there be a static ratio which the government must follow? If a nurse earns x then a doctor must earn 5x. That is ridiculous at best. It smacks of a pathological superiority complex in a system that should.work as a team.
Yes other professionals have a right to consultancy, if they demand for it by virtue of experience gained in a hospital, why not? Does a doctor not become a consultant equally by such experience in addition to passing some exams. If someone is versed enough in his field and is suitably qualified then he can be a consultant. It is not a challenge to doctors, it a title earned!!! As is obtainable in numerous other fields outside the health sector. Subjective ideas about value is great, it is however no deterrent. Concerning intra professional disagreements between RN and Bsc N etc, what has that got to do with anything.
Keep at your grade level 12 and don't tell a health worker to desist from asking the government for agreed emoluments for his grade level 8!!!

OgaInnocent:
I was prompted to script this piece when I read yesterday from the comment of certain moniker here called amarabae, that the problem the Joint Health Sector Union (JOHESU) put themselves is being orchestrated by the Nigerian Medical Association (NMA /Doctors) .
#(screenshot below) #

Inasmuch as the veracity of such claim by such an anonymous online user remains inconsequential, I still wish to educate the unsuspecting public on certain things of paramount and topical significance.

Before I continue, I thought it worthwhile to introduce myself, so that you take cognizance of my biases, if any. I am NOT a medical doctor, at least for now, thus, suffer not yourself in trying to tag this as "espirit des corps" game.

Now, it is no longer news that JoHESu is on strike for reasons bordering on salary and hospital hierarchy.
The news is here:
... https://www.nairaland.com/4456282/federal-health-workers-under-umbrella/3#66805229

ON SALARY:

I wouldn't comment on that because that is the business of the the govt. But let it be on record that if someone should complain of salary, it is the doctors. Nigerian Doctors cannot talk in the presence of their colleagues practicing abroad. They are the most underpaid persons with relation to the value offered. You can imagine the amount Canadian doctors are paid that made them to protest last time. An average consultant doctor in canada receives about 500,000 (about 180 million naira) dollars yearly. A consultant in nigeria is struggling with 10million naira yearly. Hence the reason 90% of Nigerian doctors are jetting out of the country, with many on the way out also. Even the few that are staying, are doing so, due to some supplementation coming from private practice. Otherwise, with the rate at which other countries are ready to issue visa to doctors, Nigeria may soon run out of doctors.
The truth is everyone needs a salary increase because cost of goods have increased, starting from teachers. However, the issue of salary still remains their business with the govt, but note that if your salary is increased to that of a doctor, the doctors will seek their own increase. It is natural to act that way.

ON HOSPITAL HIERARCHY

I heard they want to be given consultant nurse, consultant physiotherapist, consultant Med Lab Scientist etc.

People need to understand something. The hospital is structured in such a way that every treatment /instruction must be directed from the Consultant Physician or Consultant Surgeon. No patient receives anything in the hospital unless the doctor says so. The reason is not far-fetched. It is in the best interest of the patient, so that he/she is not malhandled. Imagine when we introduce a consultant nurse, a doctor will give his own instructions and the nurse will also like to execute his own consultancy expertise by giving his own instructions, at the end, the patient, is at the receiving end. The practice is that the doctor is and must be the head of the patient management team.

Most nurses are clamoring for consultancy because of the knowledge they acquire by virtue of working in hospital for years. They feel they can now challenge the doctor.

I will give an analogy: In Catholic church, we have the parish priest, we have the catechist. By virtue of working at the alter for about 10years, the catechist can comfortably celebrate the mass. Infact he can even celebrate more than the priest if given opportunity. He can also be more prayerful than the priest. But no matter the condition, the catechist can never celebrate mass or be equated to the priest simply because he can do what the priest can do if given the opportunity. There is formal way of becoming a priest, and it is open to everyone, thus, if the catechist wishes to be celebrating mass, he should simply enroll into the seminary, and boom, he becomes a priest. That is the formality.

Nurse vs Nurse Dichotomy

There are two types of nurses, we have those that attended school of nursing(Registered Nurse. RN). we also have those that are studying nursing in university (B. Sc). The truth is that the BSc holders are paid far higher than the RN holders. Why is it so? In terms of work, I need not tell you that, the RN holders are the ones that do the major suffering in the hospital, and JOHESu will not harmonize their salaries so that all nurses are paid parallel amount. But they want to be paid what doctors (mbbs) are paid. That's hypocrisy.


Medical Laboratory Scientists vs Medical Laboratory Technology

The way Medical lab scientist (Bsc) discriminate against the Med lab technologist (HND) is another case study. You and I know that those polytechnic guys are more practical oriented and cannot be equated with university counterparts. But yet, the Bsc holders still lord it over the HND holders. They claim superiority over them, and yet want equality with doctors. Another hypocrisy.


Med Lab Scientist vs Microbiologist.

I happened to study microbiology in my first degree. As a microbiologist, you cannot have a lab on your own. You must work under a med lab Scientist. Even when the knowledge base is the same among the two disciplines.

Last time on Facebook I saw some graduates of med lab from ABSU hanging stethoscope on their neck, calling themselves diagnostic doctors. Thats so laughable. And that has been the delusion that has been making them think they are equal with doctors. That you can see bacteria in urine in the lab does not make you diagnose a patient of infection. A doctor makes 95% of the diagnosis from history and physical examination, just right in the consultation room. The lab tests are to confirm diagnosis and also check for the other systems that the patient may not be complaining of. Also every med lab Scientist works under a Consultant Chemical pathologist, consultant micro biologist, consultant Histopathologist, or Consultant hematologist as the case may be.


The Way OUT

The truth is that, there should not be the need for all these fracas if everyone remains to his job description and prescription. There is already a job description for doctors, nurses, med lab Scientists etc. If you are not comfortable with the job you do, you can switch and follow the formality laid out for that profession. There shouldn't be need for being a nurse and wanting to do the job of a doctor, or being a doctor and wanting to do the job of a nurse.
A doctor needs a nurse, a nurse needs a doctor, a med lab Scientist needs a doctor and vice versa.

In addition to that, every job has a salary scale, most times the salary does not justify the work they do, but only justifies the time and process it took to get there. The people that take the highest salaries in Nigeria are the people that do nothing. They only go to offices to enjoy the AC and go home at the end of the day. When the month ends, they collect millions. Its unfortunate society has made it that way. Let us have a rethink, and be human. Everyone needs salary increase, starting from teachers to doctors to JOHESU (except our senators ***winks***). The problem is getting it right at the electoral polls.

sscripturas@gmail.com

Now this is the woman's side of the story, the man's side is rarely heard. But first let us explore some scenarios, did the man attempt to take some of the kids with him? Most probably he did but of course the woman resisted vehemently, if the children are young, the court will most likely grant the woman custody, so she keeps the kids, has what might be called a stable family, and expects the man to maintain that family while he wallows in loneliness. This isn't about child support, this is unfairness to men, if the woman is incapable of taking care of the children then she should give them up to the man, rather than expecting him to do all the duties from a distance while gaining nothing out of it given that with such duties, he will probably be unable to start another family somewhere else.
This brings us to another usual.scenerio, in which the woman also teaches the children to dislike their father or, often, threatens to do it. What use are children to a man if they hate him. Logic demands, in this case, that he starts another family. Support for the other becomes a matter of discretion, thus he might "support" as he seems fit or as is directed by the court and leaves it at that.
Anyway we rarely hear the man talk, the woman always plays the victim. More often than not though, she is far from that.
We get the picture of a nice considerate woma who refused to bother the man because she thought he wasn't financially stable. A grossly illogical picture because men do not seperate from nice, wonderful women!!!

Have you seen a case of decubitus ulcer? Most probably you haven't. Most people don't know what it is until a relative of theirs develops the ulcers. The knowledge seems reserved for medical students and personnel.
Decubitus ulcers or pressure sores develop when skin and muscles tissues break down in immobile patients due to the constant pressure on that specific part of the body from the patient's weight.
It is an extremely unpleasant condition. And it is extremely difficult to heal, usually requiring surgical procedures.
One of the mundane means of attempting to prevent it is by turning the patient at intervals. However this is a very unreliable method which fails more than 90% of the time. This is because any delay in the interval accumulates over time eventually resulting in formation of the ulcer, and patient relatives delay all the time, some even forget.
If the responsibility lies with nurses, then it is a certainty that the ulcer will develop given their impossible work load in Nigerian hospitals and their attitude to work in Nigeria (this applies to all medical personnel working in Nigeria)
There are methods of preventing these ulcers which are far more reliable.
One is the alternating pressure air mattress. This simple unit moves air through the mattress on different portions of the body at steady intervals. The pumped air lifts that part of the body, transferring pressure to other parts then subsequently does the same for other parts. Effectively, this prevents the accumulation of constant pressure on one part of the body required for the skin and muscle break down seen in pressure sores
The other is medical water mattress. This operates on a principle similar to alternating pressure air mattress but without the electricity and a pump. It is has the added advantage of being "sweatless" given that the resting temperature of water is lower than that of the body, therefore stopping sweating in the patient which is extremely important in pressure sore prevention
These products have a 99.99% prevention rate yet most patients who requre them have no idea that they exist. They also don't frequently get recommended because a lot of doctors do not know about them too. Hopefully this situation will change in the nearest future. Then this unpleasant condition can become a thing of the past
You can purchase alternating pressure air mattress and medical water mattress from www.everymedical.com.ng or WhatsApp 07038614025

Whats the maintenance cost of a 2013 ford Taurus like? Any known issues?

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I need $850 PayPal check out or payoneer at <=360
Contact is on signature

lexxyrule:


Contakt me

CC: Mariesio

lexxyrule:


Contakt me

3rnest
Come escrow between lexxyrule and i

hairyman:
Need 300$ payoneer @ 350.

Contact on signature

Need 300$ payoneer @ 350.

Needing 100$ payoneer @ 345. Contact on signature

Buying Payoneer. Have you got some, give me a whatsapp ping. Contact on signature.

gocare:

sell to me.

I don't sell. I mostly do the buying

KYC (Know your customer)Initiative.
If you have supplied me payoneer before now, this is who I am. If you will in the future, the same applies.
I suppose that a lot of people doing this might decimate scamming.

Can't link my gtb MasterCard to paypal. Does anyone have an idea what I should do

hairyman:


Yes I will. Most certainly. If I receive it. Along with screenshots of time of receipt You really don't seem to get it. Do you?
You need to verify yourself, in a manner of speaking. If you cannot show everyone here screenshots to prove you received my funds late, or that you have even sent the payoneer, I don't see how your being known by "everyone" matters, or your being "not poor".
Unfortunately I have no belief in this god of yours or any other anyway, so his grace means nothing.
Just post the damn screenshots

I have received my funds from victor101 Having been prevailed upon by people who trust him for reasons unstated and baffling to me, I will leave it at that. However note that I stand on my earlier assertion that he is not an A-Lister and will apologies publicly at once for calling him out here if he can show me that he received my funds late and that he sent the payoneer once he received (as he claimed. It wouldnt have mattered if he politely asked for time which I would have granted) I will take this proof as justification for his extreme rudeness and aggression no matter how incongruent (and disgusting) that justification is.
On the other hand I do not expect any other banter from him except where it concerns the showing of this proof and consequent verification of his status thereof as a "brand"

I am still purchasing payoneer so if you have some, hit me up. Escrow is somewhat certain

victor101:



@hairyman I'm not a poor man (By God's grace) come and tell this forum you have received your Payoneer. Ask around for Victor101, I'm a brand here and always will be!!

Yes I will. Most certainly. If I receive it. Along with screenshots of time of receipt You really don't seem to get it. Do you?
You need to verify yourself, in a manner of speaking. If you cannot show everyone here screenshots to prove you received my funds late, or that you have even sent the payoneer, I don't see how your being known by "everyone" matters, or your being "not poor".
Unfortunately I have no belief in this god of yours or any other anyway, so his grace means nothing.
Just post the damn screenshots