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Mishydoo: Doctors are rapidly loosing their relevance!Seems no one cares anymore...!#tune out the noisy cry baby

Kini eleyi?

TreasuredGlory: .

Owk ooh

Oga honestly what r u talking about?

Ochek: NMA STRIKE, THE NURSES' PERSPECTIVE. Let the comments pou[email][/email]r...

Nothing in the world is more dangerous than sincere ignorance and conscientious stupidity. - Martin Luther King, Jr.

Historically, the first documented envy-ridden feud between Nurses and Doctors was during the Crimean War (1853-1856), when Florence Nightingale was commissioned to go to Scutari barracks in order to join military doctor...s to combat the high mortality rate in the military hospitals. The doctors, feeling threatened, resisted the help of Nightingale and her Nurses until they became overwhelmed with casualties and succumbed to reality.

This pattern of doctors being threatened by the educated and empowered Nurse has continued to plague the working relationship in the healthcare system till today. I am therefore not surprised as the current situation is not peculiar to Nigeria.

The war between Nurse Practitioners and Doctors is still on even in the country with the supposedly most advanced nursing practice in the world, USA. However, it is being done using tact, legislative lobbying and empirical evidence. In Nigeria, professional civility and self respect has been thrown to the winds as some Nigerian doctors handle this situation in an appalling manner, using a combination of verbal brawl, comical assertions and frustrated rants. This betrays their characteristic ego-servicing claims of being the most knowledgeable member of the healthcare team.

I have been silent about the ongoing row between Doctors and other health professionals since its beginning. While my colleagues and friends from other health professions have continued to spit fire and brimstone deriding the doctors, my social media walls have been squeaky clean, devoid of such tirades. This is not because of lack of professional patriotism or inability to lay the bricks of words to construct a towering harangue about the issue. But, due to many reasons – personal, interpersonal and professional, I have kept my cool and refused to give in to cheap ineffective social media rants. However, when someone like the author of this article publicly displays crass ignorance of the nursing profession through a charisma-laden, highly bombastic but grossly information-deficient and intellectually-flawed article like this; I feel
forced to talk, better still, write.
READ: Ayokunle Ayk Fowosire: NMA Strike: Consultant, My Foot!

The incessant strikes in the health sector have rendered the system moribund over the years. The ongoing feud has further grounded the ailing system. This article is not meant to expatiate and justify the (absolutely justifiable!) position of nurses and other health professionals (that is reserved for another day), but to answer Mr Fowosire’s beautifully-written article, an A-rated effort in sincere ignorance and conscientious stupidity. As much as I am highly disconcerted and extremely irritated reading Mr Fowosire’s article, I will try not to walk the dishonourable path of name calling. Therefore, in order to answer his pathetic rants, I do not intend to join issues with him or stoop low to trade banters, but this article will address the misrepresentation of facts presented by the previous writer.

On this background I can begin to address Mr Fowosire’s points. Firstly, the author’s effrontery to undermine the knowledge base of graduate nurses in basic medical science courses is a display of nescience. I still remembered that when I was in second year in the university, we attended the same lectures and wrote same exams for Reproductive and Digestive physiology and Neuroanatomy courses with third year physiology and Biochemistry students. Are doctors not being taught physiology and Biochemistry by graduate physiologists and Biochemists? Maybe a graduate nurse can now boast that s/he was taught in the same class with your teacher. Also in our third year, we were taught pathology with the same note used for part four Medical student. My transcript still says I scored 77% on the same Histo and chemical pathology MCQ given to part four Medical students. How did I know this? We used part four medical students’ past MCQ questions to prepare for
exams.

I will not forget to let you know that as a part 4 undergrad, I led Nursing department team to victory over senior part 6 medical students’ team in an interdepartmental debate on bothering national and international health issues; not to talk of the fact that we attended the same lectures with medical student colleagues during first year in the university and some of us clearly surpassed most of them in first year academic performance. And this is not as a result of ‘la cram la pour’ as you said, because the consistency I, specifically and many of my colleagues have shown in academic and intellectual performance over the years could not have come by that. In addition, this ironing of facts should not be misconstrued for vain ego aggrandisement but to let Mr Fowosire, many other doctors like him and the general public know that many
Nurses (especially degree holders) did not do nursing because they are academically-impaired but because of their love for the profession and some because of the socio-political environment of securing admissions into University in Nigeria.

The question of who should lead the healthcare team has also been a long-standing one. While many developed countries have undergone the health management structure-shift from vertically structured systems to a matrix structure, Mr Fowosire and many Nigerian doctors like him still live in the dark ages clamouring for ‘oga- omo ise’ relationship within the healthcare team. They want the Medical doctor to be even the director of Hospital security. This is inane absurdity. The National Health Service UK has been named as the best performing national health system in the world many times. The NHS and Hospitals in the UK are being managed by managers who are recruited through the NHS management trainee scheme. These trainees come from myriads of field, from geography to history, what matters in their recruitment is intelligence and ability to provide creative solutions to health system problems. These are recruited into the management cadre and grow through the ranks mastering the dynamics of the health system until reaching the highest managerial post of the hospitals and NHS trusts. Space will fail me to talk about the US, Canada, Sweden and so on. However, a six hours flight down south to Nigeria, we have the best medical professors and consultants
wasting human resource by sitting down romanticising administration as CMDs, instead of taking care of the patients they claim to own. A predilection fuelled by the position-consciousness, power-hungry-proclivity, greed and corruption eating the fabrics of our society.

It is on ‘debatable‘ record that the best ever Minister for Health in Nigeria in performance was an economist not a Medical Doctor, Prof Eyitayo Lambo. The reason for that is not surprising, it is just common sense. A simple google-oracle consultation will show all his achievements as the longest serving Minister for Health in Nigeria. I will like to highlight that majority of my colleagues in graduating class 2012, Master in Health Planning and Management, University of Maiduguri, were seasoned consultants in different medical and surgical speciality from all over Northern Nigeria. However, I finished in top three out of the over forty six members of the class. Therefore, if the CMD position is filled based on performance and best management knowledge, skill and expertise, why should I not be lined up for consideration for such alongside my classmate medical consultants? Nevertheless, going by the meaning of CMD (Chief Medical Director), the inherent nominalistic connotation in this position is the reason why the doctors have made the position their exclusive preserve; a domain they plan to extend to commissioner for health and Minister for health positions too. As a responsible professional, in my personal opinion (which many of my colleagues may differ with) it will be clearly unreasonable to make a nurse the chief medical director. Notwithstanding, my proposition has always been, ‘why do we need a CMD if we have a CMAC?’ Therefore, I think the name CMD should be ditched and changed to favour international best practices. I think something like Chief Executive Officer or Chief Operating Officer as used in developed world should be adopted. This de-clutters the name and removes any exclusive preserve that medical doctors may lay hold on.

In trying to disparage and clarify Mr Fowosire’s embellished bombastic views of the superiority of the doctor over other health professionals, I mentioned my previous consultant classmates who I respect for their professional achievements in their field. I do not in any way use this to mean that I know what the consultants know about medicine, but I bet the consultants do not know what I know about nursing too. You do not compare grapes to mango. There is no basis for such. They are two different fruits. However, in your five-a-day dietary plan, you need to have both; one cannot replace another.
On this premise, if the dictionary meaning of the term consultant, which has been selfishly usurped by doctors, is ‘a specialist’; then, why should a nurse, pharmacist or Laboratory Scientist not be called a consultant in their field if they have gathered enough knowledge, skill and pompetency to attain such specialised level. An expert who gives advice on business even if he has never managed one single start-up is called a business consultant. This is the case in many other professions and vocations. Why will doctors refuse to face their own effectiveness in their profession? Why are they trying so hard to bar other professions from progressing?

The ludicrous height of Mr Fowosire’s display of crassude was the un- informed assertion that there are no male midwives in Nigeria. There is
nothing like tradition in an Evidence-driven age and there is nothing like Midwifery being the exclusive domains of female nurses. I am a male midwife registered and licensed to practice by the Nursing and Midwifery Council of Nigeria. Male midwives have been produced and registered in Nigeriita since 2007 and I was one of the early set of male midwives to be registered in the country in 2009. I am proud to be who I am and I am striving to be the best at what I do. I only wonder where Mr Fowosire is undergoing his medical education if he is boldly casting such un-informed aspersion about Nigerian Nursing in 2014. Your stereotyped labelling of all male nurses as wanting to become a doctor can be forgiven as another symptom of your ‘hypo-exposure-induced myopia’.

Furthermore, Mr Fowosire tried to lark about, tinkering with words. He used a comparison of ‘doctored’ and ‘nursed’ as a contextual basis to make an assertion that we live in a society clouded by vanity. What a comedy? What a good understanding of English language? Nevertheless, I will ask, ‘why do we nurse children and not doctor them?’ ‘Why do we nurse ambitions…?’ ‘Why do we nurse wounds and pain…?’ I guess ‘nurse’ is not a bad verb after all; but why does the verb- ‘doctor’ sound like someone falsified claims, adulterated the original and committed fraud. This is exactly what the doctors in Nigeria are currently doing raising unfounded propaganda and spreading intentional half-truths and falsified claims about the essence of the ambitions of the other health professionals, an archetype of fraud.

Mr Fowosire, your fear and concern for the society and posterity in this issue is highly unnecessary and totally misplaced. Empirical evidence has it that Nurse-Led Units are making the difference in patient’s life in the developed world. In the UK, a Nurse led unit, Barking Community Hospital (Yes a nurse- led hospital) close by my apartment has MRI machine. How many Professor of Medicine-Led teaching hospitals in Nigeria have that? That is what you should be concerned about, the fact that our hospitals are ill-equipped for 21st century medical practice. What you should be getting concerned about is the fact that Community Health Extension Workers (CHEWs) are consulting at Paediatric Out-patient departments in State Owned supposed Specialist Hospitals in Nigeria. The fact that after government spend lots of money to train a doctor (common in Northern Nigeria) till he becomes a consultant in a rare speciality then he goes to sit in the office as a CMD while all the money
spent and specialist knowledge gained wastes. What you should be concerned about is the jungle medicine still being practiced in Nigerian teaching hospitals and many other cases of malpractice and negligence (documented by Olatunji Ololade in the Nation of 5th April, 2008), where doctors spent one month diagnosing a brain tumour as a sinusitis problem. And, most of all you should be very concerned about the fact that, after spending nine years for a six years course, you still have your part six MBBS exams to write. Until you become a fully certified medical doctor, your contributions in this debate are rather unwelcomed.

- Oladayo Afolabi is a trained Nurse-Midwife Researcher, Health Management
Consultant and Idea Driver for MACHE initiative Nigeria. He is currently
studying M.Sc. at London Metropolitan University on Dr. Muritala Muhammed
Postgraduate Scholarship. Twitter handle @deeone6603

Stop thinking....

ignis: Are medical practitioners supposed to even embark on strike?
I thought the major driving force to the profession is passion to save lives.

Alryt, Tnkyou sir

9icetoo: The color you see are probably dyes or colors from the additives added to the petrol such as detergents (Not omo and klin oo, lol). Petrol in its natural state is colorless. I do not know the color of leaded petrol but I do not think all pink petrols are leaded petrol.

Only u made sense from all this comments above

daviddambo: Saw this coming...

But to frankly speaking, some people feel GEJ regime is the most corrupt regime, which I disagree too... Amount of money beyong this have been going under the carpets in past regimes! But because there has never been true democracy in Nigeria until now, so you dare not talk in the past regimes or you will be killed and we the youths never really knew how alloacations, resources and Nigerian treasury was been spent in the past. But now Goodluck now does some things in the open. People now make any kind of comment. You can't totally eradicate corruption it will take a while to curb it... And exposure is one way to do that too... Opolo eye no be open eye! Finally SLS, 49.8billion dollars is too much to be missing! Thank God u rephrased it back to 20billion doallars. Stop making poiliticised statements .

Pls i need clarification. What is the colour of lead and unleaded fuel respectively.

sleekman: Why all these misinformation. If d fuel is real pinkish then that's our 9ja fuel straight from our refineries. They are d best cos it unleaded and d octane content is very high. This means ur engine delivers much better optimally with our fuel. In d west there is leaded and unleaded fuel with a remarkable difference. So please check ur engines or fuel tanks.

So red is the leaded fuel? Asked wan ignoramus @ a fuel station, told me it was the best and doesn't burn fast. Now i knw tnks.

Ikenna351: Last month, I Drove into NNPC fuel station at Zone 1, Wuse (not mega station) to refuel. Saw a guy who just bought a fuel in a white can on one of the pumps. The fuel color was dark red, meaning Lead fuel (bad for EFI system). I quickly turned round and drove out.

Unfortunately, I have been buying fuel from that station. Never knew what I was buying until that day. Now my 2 upstream sensors of my SV D9 are dead. Reason has become obvious to me.

Ikenna

Tnk u sir

adanny01: You need an aux adopter like in the picture below. Its available on ebay.

Pls gurus in the house is it possible to play music on Honda Accord 2005 using your phone? This is because I can't see any auxiliary port. Tnks in anticipation of your responses.

Oga dats why ders is relativity in those demand. The oda health wrkers get ders relative to that of the doctor.

Amhappy: I thought the doctor is like the team lead in a hospital. If that is the case,the leader carried everybody along including their support staff,well thats how its done in Engineering profession. How can doctors be demanding hazard allowance only for themselves when their support staff are exposed to the same hazards or even more?

Oga u cann go and take the oath too ooh. If that's what the oath is about as u highlighted

lurvy: [size=17pt]Its very unfortunate that people who took an oath to save lives are now involved in politicking for ridiculous reasons!

I think those leading the NMA are leading the doctors in the wrong direction and should be called to order.

It would have been better if doctors are striking for more money, but rather striking for flimsy reasons like... "I spent a long time in the medical school, I should always be the BOSS in the hospital ", "Nobody except doctors should be bear the title- CONSULTANT, etc... all these are uncalled for!

Everyone in the hospital is important, no matter what (even the cleaners).

Everyone should be more concerned about doing what he/she was employed to do in the first place!

Everyone is supposed to work together for unity, everyone is virtually important!

Nobody should say Mr. A. is not important or Mr. B. is not important, that's gross!

I wonder when doctors began taking so much interest in a title rather than in research work!

Please if there is any good and strong reason given by the doctors for the strike, then please educate me, aside that I think the strike is ridiculous and TOTALLY uncalled for!



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No u r. Sick

symbianDON: these doctors are sick!

Janjaweedism

True!!

d king123: most likely 419

That boy shuld b interrogated perhaps the terrorist Sent him to look like.........

Talkcentral: again? I'm tired of this country









13-year-old Boy Discovers Massive Bomb near Kano Mosque (PHOTO)

>>> http://www./nigerian-politics-news/13-year-old-boy-discovers-massive-bomb-near-kano-mosque/

Piktures

Seconded

Luks cleans, wish it culd wait for me

Pix please

ilugunboy:

I totally agree....the Northerners are all Boko Haram and gworo chewing abokis.

Beside...we should stick to merit. Let's do away and break the hegemony of the Northerners once and for all...let's do away with the born to rule mentality.

This kind of comment wuld prevent d christain north from voting jonathan. Note jonathan is president today jst because he is christian nd nothing else.

Manual 1.3, too much man

duno ohh

Beaf!:
My DSTV has always been absolutely FREE

Q11G things

fckyourman: Why not, is not a comedy movie ?

If they cast children in the movie, it wouldn't be a comedy movie then.

for example the movie LITTLEMAN American hollywood blockbuster, the actor was cast to play a children role to.

http://en.wikipedia.org/wiki/Little_Man_(2006_film)
https://img.dooyoo.co.uk/GB_EN/orig/0/6/2/9/3/629316.jpg
You Nigerians are the worst set of hypocrites on earth.

and the name of the movie is little MAN. Did u see that?

Pls fellow Nigerians I want to knw amaechi's offence in all dis saga. Cos if its jst because he teamed with lamido, dat wuld b nonsense. Every Nigeria has freedom to vote nd b voted for with whoever he wishes.

howfarwhatagwan: So that when something goes wrong the doctors can tell his family to take heart it was God's will? not trying to downplay Nigerian doctors expertise in fact I think they are doing very well considering the state of our hospitals it must be very difficult for them but believe me the number of people who die from 'minor ailments' is disheartening and makes every one afraid

Mr man, patients die everywhr. Weda USA, Germany, britain etc. If u present late or complications devp, u die.

Okiki_Oluwa: I think we don't trust our hospitals. Don't blame them much, expecially people who v bad experience in Nigerian hospitals.
Moreso, I think people ll not want to gamble with their lives, expecially with a case like kidney transplant.
But with time, Nigerians ll still appreciate their own hospitals.

Of course, but when drs embark on strike for beta wrking condition, every Nigerian murmurs or calls dem heartless

chei: Anyway, this question is irrelevant and out of place. OJB decides where he wants his transplant to be done all he wants is support. If he wants to go to the moon for the transplant, thats his business.
If you want to undergo a kidney transplant in nigeria, thats your business.

Qst is relevnt, cos they wnt Nigerians to wste money donating whilst culd b done @ cheaper rate.

druid06: I don't think medical surgeries of this complexicity could be done in Nigeria. It's too advance for our surgeons and moreover I don't think there is any hospital equipped for such surgery in Nigeria. If anyone thinks otherwise, please name one institution..

Mr man read prev comments b4 dropping urs. Successful kidney transplants done in AKTH, UITH, beninTH.