₦airaland Forum

Fernandez01: Always talking trash

johnwarax: .

It will not. It will act as a form of compensation to them.

And moreover an average doctor works 24hours for 15days in a month and 12hours for the other 15days, that is to say they have only another 12hours for 15days to spend with their family, so me think they should be paid N1million for hazard.

And these nurses only works based on night/day shift for 5days in federal hospitals.

Lecturers receives not less than 40k in my school as hazard allowee.

armadeo: A h/o slapped a pmls ??

thaqib: . What else do you want. He has stated facts and even opined where he differs from NMA. Argue against his points intellectually oga if u can
I bet u can't ...

5minsmadness: Aw c'mon sophie. You know you like it rough
Of course PDA like kissing and fucking in public is not in our culture, but that doesnt make us ridiculously conservative, just different. Its the same with the japanese. They rarely show public displays of affection. It doesnt make them inferior. That's the point I was trying to make.



Call me Cave-man again. I find it strangely arousing

meipsum1: @both of you, I won't abuse you because we were taught manners in Medical school. We are not uncouth and ill-mannered as you people. I wouldn't have dignify you with a comment but I think you need to know what I'm about to say that is why I choose to comment. Listen attentively, every where in the world, QUALITY TRUMPS QUANTITY, though JOHESU members are many, the Government and the Nigerians know who is more important. When you people went on consecutive strikes, one of them was even close to a month, nobody bat an eyelid, not many people noticed however not up to a week that NMA'S STRIKE started, THE SENATE, THE HOUSE OF REPS AND EVEN THE FG HAVE BEEN RESTLESS, SEVERAL NEWSPAPER HEADLINES ON THE STRIKE, SEVERAL PLEA FOR IT TO END. That is QUALITY. If not that we know that our position is a privilege given by God and because we have a good conscience and do not want the patients to suffer unnecessarily for the indiscretion of the Government, we would have shut down emergency services as well. But thanks to God that the Consultants are attending to emergency cases and people that were already admitted before the strike started. So, I can CONFIDENTLY tell you to continue to daydream and fantasize about your so called revolution, it only exist as a figment of your imagination, WITH GOD ON OUR SIDE, I MAKE BOLD TO TELL YOU THAT WHAT YOU PEOPLE WANT WILL NEVER HAPPEN IN THIS COUNTRY. THE TRUTH WILL PREVAIL OVER POLITICS. AND LASTLY, I PROMISE TO NOT DIGNIFY ANY JOHESU MEMBER ON THIS THREAD WITH COMMENT AGAIN NO MATTER WHAT YOU SAY. ADIOS.

Mastershiffu: And if a doctor recommended a lab test for every possible differential?how affordable would that be for the patient? Which brings me back to my point and that which i think phantom was trying to make, viz: more than 85% of the time, the fact that i recommend xyz investigations for a patient, i have already,by virtue of my training and ability to factor in those confounding variables i mentioned earlier, narrowed down my diagnosis to a working one and a few differentials and require the lab to confirm.

Mastershiffu: this right here is what makes the difference between a doctor's training and yours. You see whereas you are thought to think in concrete terms as regards the pathologic basis of diseases due perhaps to the technical nature of your field, the doctors horizon is broadened by a rigorous training that has stood the test of time. Where you for instance are thinking of a particular disease because your textbooks say so,the doctors mind is trained to entertain variables which will be confounding to you. Variables such as epidemiology of that particular disease. You see it is easy to attempt to bamboozle,or should i say,hoodwink, the unsuspecting public with medical jargon but a closer look at your diagnosis of OBSTETRIC CHOLESTASIS will show that it usually does not occur with jaundice and even though it is the commonest liver-related dx of pregnancy occurs in only 1% of pregnant women which by my training makes it a very low differential diagnosis. I could go on and on but i hope i have attempted to make it clear to you that by the very[color=#006600][/color] nature of our training I am the natural leader of the health team and you my dear friend are what you are. 8

Blockus: You realize that the 'meaningfulness' or lack threrof of any subject is also subject to the 'comprehension capability' of the reciepient right?!

Example: Mr. A reads a Shakespear book and calls it rubbish, Mr. B reads same book and calls it 'fine Art'.

#NoInsultsIntendedEither.

#Thanks.

Oduduwaboy: go get a doctor to marry and stop hating on doctors joor ...

Wetin concern nurse concern Hippocratic oath ?

When did nurses start feeling too big to be nurses ? Assisting a doctor is an undeniable & integral aspect of nursing . If you feel too big for this go and find another profession.
Nurses started getting confused when they started doing B.sc nursing for hospital nursing ...we all know nobody needs a degree for bedside nursing .

thuao: The battle in health sector has taken another turn as johesu has sued nma over the illegality of their strike.
http://www.punchng.com/news/johesu-sues-nma-says-doctors-strike-illegal/

milychocs: For a period of about six months last year at a teaching hospital in the East....all serum electrolytes results for patients were reading hyperkalaemia...high potassium .....then at a point low levels were reported consistently for months...

Do you know the catastrophe that would have resulted if doctors didnt question these results?....we would be looking at a patient and the result would not be in keeping with the clinical manifestations....heart, kidney and other systemic problems would have been rampant.

For me, the greatest danger to the patient in and out of the medical setting is the laboratory JOHESITE
They did not even notice the trend...found nothing wrong with the electrolyte results....for months!
Truly horrible

Then if I had a 100 naira for every time a patient comes from a "doctor" in a private lab...with a wrong diagnosis of typhoid fever, and the attendant antibiotic abuse....I would be veeerry rich...true story
SMH

This thread is meant for the general populace and not medical doctors and other health personnel, so I will
I just remembered that potassium horror and had to share it
(Shudders again)

allycat: I'm sorry someone took offense when a surgeon described how things were done elsewhere and took it as an insult to nurses. There is something called assisted gowning and gloving and that involves the circulating nurse actually putting the gown and gloves on the surgeon,all the surgeon does is stretch out his hand for her or him. This is the standard I saw abroad for most major head and neck surgeries. Unfortunately back home many nurses would think it insultive that a surgeon expects them to dress him up for surgery. It was only after a foreign team of doctors and nurses came to do some surgeries in my local teaching hospital about 2 months ago and our peri op nurses saw this being done that one actually asked me if she should gown me before surgery. I was pleasantly surprised. I know there are many who do this but the vast majority of our nurses would see it as an insult to be asked to put on a surgeons gloves after all the surgeon has hands. What happens to a lot of Nigerian surgeons outside is that we are so used to doing some things by ourselves that when we go outside and try and do the same we are corrected by their nurses because the nursing protocol there is different. You hand your gloves over to the nurse not because she is inferior but because she has to do a count after each case and make sure every consumable from needles to swabs to gloves are accounted for.
I work in a teaching hospital and I can't tell you the number of times I have done emergency surgeries with my house officer or resident acting as my scrub nurse it's not because there is no scrub nurse available. For some reason they will come in and ask "doctor do you need me". Once you ask that question I say no, to me it means you don't want to do that case. I don't believe any trained peri op nurse thinks it is right for a surgeon to operate without a scrub nurse, no matter how small the case is. It just appears to me that the person who asks that has other things to do and I cannot force an unwilling person to be part of my surgery and mess it up for me.

phantom: ........it so obvious why you are a lab scientist and not a doctor.please let's not take this discussion further.best regards.

Oduduwaboy: Wannabe !

Oduduwaboy: Wannabe !

lexib: U r obviously not interested in logical reasoning... I wnt want to argue illogically wif u cos u'll flaw me in dat realm...

lexib: A doctor shd be d CMD... can't imagine a nurse
or lab scientist heading doctors in a hospital...
the hospital is the primary place of work for
Doctors and Nurses... other professionals are
ancilliary or support staffs... the primary place of
work for a Lab. Scientist is a Medical Research
laboratory best within in a University whr dey shd
make reagents n improve on available analytical
procedures, serve as a control for hospital-based
routine labs, carry out researches dat advance medical practice (dats why dey r scientists)... d govt shd look into dat, dey r to
head such places n not fight for headship with
doctors in hospitals, or call demsefs "scientists" wen all dey do is feed samples into auto-analysers (machines) and read out d results...

the primary place of work for pharmacists shd be
in Pharmaceutical companies... if d govt dsnt own
any, it means d country has bin importing drugs
or using those produced by private firms or
both... d pharmacist shd head here, dia job in d
hospital z supportive n not frontline as in these
companies... in hospitals, dey stock n dispense drugs, n r involved in patient drug counselling... dey dnt nid to review patient drug mgt for wen physicians are in doubt, dey invite the Therapeutic n toxicology team of Physicians for a review... Consultant pharmacists in foriegn climes are not hospital-based staffs...

the physiotherapist shd run a Rehabilitation
Home... etc.
the frontline hospital staffs are Doctors and
Nurses n only these two can talk about
headship... buh Nurses take oaths within which
they say "With loyalty, I shall ASSIST the
PHYSICIAN in the performance of HIS job"...
Nightangle pledge. I dnt fink Nurses insist on also
bcoming CMD, most importantly, Doctors shd
respect dem n carry them along.
SO, WHERE IS ALL THIS JOHESU THING COMING
FROM

lexib: u sound like lab tests z all n all... we hv very regular incidences whr lab result state resistance to a certain drug which may hv bin started empirically, yet d patient is getting fine... on some occasions patient may hv taken over the counter antibiotics whc will suppress pathogens below the limit of detection n lab test would say d patient is fine, but d doctor uses his clinical accumen n prescribe a more appropriate drug based on d presentation of the patient n d most probable causative organism... also, for enteric fever, definitive test is d culture in blood, urine or stool at abt d 2nd, 3rd n 4th wks respectively (not d spurious widal test), so wud u sit n wait till 2nd wk of d illness to do a blood culture, wen d patient is dying infront of u... or do u talk abt lab tests b4 intervening in a patient with a medical emergency? ...... I can give u 20 instances whr lab findings fall short of diagnostic value

U CAN'T JUST GO FINKING ITS ALL ABOUT LAB TESTS