₦airaland Forum

He became too lazy to do his work, probably playing truancy with his consultancy title, giving them chance to acquire degrees and learn the rudimentary of medicine, tried to supress them when they already self made and then bang he stepped on a sleeping rattlesnake, viper, dog ,lion and etc. So they are going to have at him and tore him to shreds, his only saving grace will be the government policy.
I wonder what he will do if the government got tired of his antics. He better peddle softly because many hands are on his throat. Very ironical and rhetoric indeed.

H

Well...it seems the allopathic model of care is no longer working because with it we are currently ranked 191th by WHO. So I think it's time to review the National Health Policy and include complementary medicine too,other global health trends,.....why do Kenya, Tanzania, Malawi ranked above us....what did they do.
Quoting global trends......I don't see global trends on the post that will significantly reduce morbidity and mortality in Nigeria. Its just like the other posts that are staff centered not patient centered.
This is not the time of seeking
Who will lead....
Who will answer consultant......but
How much I should be paid for service I rendered should be more like it.

ebiskem: Guy just to inform you, a doctor's training is holistic and therefore no support staff is indispensable. For your reminder, the last time JOHESU embarked on their strike action, doctors admitted patients, did surgeries and ran all specialist clinics in all public hospitals. i wonder where in this country you were during that strike that you're saying "without these people a doctors practice is zero". On the contrary, just think for a moment....if doctors abandon their duty post on a permanent basis, JOHESU members will all suffer retrenchment. Hope this sinks deep into your skull

Doctors do all that because they have no respect for law and ethics maybe they are not taught that in school. Law will show you your boundary and the penalty for breaking it in sane climate but not in Nigeria. If others start encroaching into medicine, doc tors won't have anything to do again.
Please take time and study the curriculum of other professionals and see how you too is dispensable. Honestly JOHESU needs to be banned because their cohesiveness and with their collective and individual responsibilities, time will come when they will usurp more of the physicians position as the NPs and PAs are doing in US.

allycat: My dear colleague Phantom, don't worry when the new order of medicine in Nigeria takes over a patient who has just had a stroke and is comatose and having seizures will be rushed to the lab or is it the pharmacy or is it the physiotherapist. Oh I forgot the Nurse consultant will put her in a bed and start administering her drugs. After all who needs a silly Consultant Cardiologist or Neurologist. The Consultant radiographer will see the patient and decide for himself if he or she needs a CT scan or an MRI or a Ct angio and when the results come out he will send them next door to the pharmacist to prescribe. The fact that someone wrote" most Nigerians know what a stroke is or can even diagnos it themselves" shows you how shallow that persons knowledge is. By the time a stroke victim is fit for physiotherapy, the acute phases are usually over or do the physiotherapist now have a management for ischemic strokes. It is obvious the person who wrote that does not know how strokes usually present because there is no way a patient in the acute phases of a stroke will be in any condition to take himself or herself to a physiotherapist. Are the neuro muscular PRACTITIONALS, now the ones that manage the cardiac issues associated with strokes or seizures or those in comas.
The reason Doctors are defending their turf so hard is that on a daily basis we are confronted with patients who have seen a "doctor" somewhere and have been mismanaged. After these people have mismanaged, delayed diagnosis etc when the patient dies or there are complications who bears the blame the actual Doctors.

Oh please, what other management do you give to a CVA patient whether hemorrhagic ( cerebral aneurysm etc) or ischaemic after the initial stabilization.?? Most people don't have stroke at the hospital but at home only to be taken to the hospital when the deed has been done where the condition is confirmed, patient stabilised and send for rehabilitation. While some people opt for the hospital route , some go straight for rehabilitation. And to think that a stroke victim takes himself to the hospital is funny .....well maybe in mild cases.
Don't attack my knowledge but the Nigerian factor, ever done a survey research This is not textbook version but Nigerian reality.

Between 5.28 and 5.35 pm these evening, I was logged in and out while trying to open a thread with the cloudfare error 504 and 502...and server timeout message showing. The cloudfare opened 03 July 2.22pm page.
Please look into it. Just started a new cyber life and I don't want any hitch.

phantom: nobody goes to the physiotherapist FIRST except as part of a treatment plan INITIATED by a doctor. do most Nigerians even know who a PT is and what he does?

You've been buried far deep in your books for too long. Most Nigerian knows what stroke is and can even diagnose it without going to hospital.
So we do know about physiotherapist because Nigerians at least knows that taking care of your sick parents with the diagnosis of stroke and other joint stuff in a hospital is waste of time. It spreads like wildfire......visit the rehabilitation officer blablabla.....who will remind you to keep your physicians appointment. Then my question-- do you remind them to keep their physiotherapists appointment or do you deem it as not important ?

echarlz: All U guys need do is point out the lies in his write-up. I think everyone deserves to be heard without resort to insults

I am not part of the you guys either JOHESU or NMA. Just a bench warmers who is ardently interested on how the fierce debates plays out.
But I work the most hours line is bullshit unless you're a student because that is the most common slangs of student. For an employee to be using those words sounds like a breach of public service act, if you don't like it get out. Most doctors, nurses and pharmacists etc got out when they can't handle it.

bumfem: @DrObum ....... I commend the effort u invested in writing this lot. Unfortunately I am so disappointed because you are very very bias. I wonder how you can still sleep well having posted these wreckage of falsehood to the public without blinking an eye.

Where is your conscience man?

What exactly do you want him to say except exulting his profession and undermining yours, it is an age long tactics.
All of a sudden graduates are debating why my career and profession is better than yours with these few points of mine nonsense........I am sorry but this is shameful, hilarious and at the same unfathomable to say the least.
CONCERNED CITIZEN.

phantom: you are missing my point. I DECIDE when the treatment will be conservative,surgical or rehabilitative.don't you get it? any patients you see, I SEND TO YOU. its not arrogance but fact! no offense.

I am not missing the point at all.
I am not a physiotherapist but I have visited one, so must of their patient are not from you. You're probably based in a teaching hospital where this is the norm and doctors are the centre and the galaxies of patients revolving around you instead of the other way round. You DECIDE........it should be I decide with my patient...I mean that comment is so egocentric.

phantom: o please don't be shallow.what is the wonderful thing your physiotherapy does for a progressive degenerative condition like osteoarthroses other than marginal palliative care. the pain is still managed by nsaids or in the case of drug induce gastritis, COX inhibitors.these are all prescribed by a doctor and I choose when and when not to involve YOU the physiotherapist in the management of the patient. that is the crux of the matter.

This is ego talking.....right because a physician trained and board certified will know that in treating anything joint, there is conservative, surgical and rehabilitation....so relying on only NSAIDS, STERIODS AND COX INHIBITORS is not a good management plan. Please, this is one of the global best practices we are begging for.

drcakes: Here it is

Chart of US highest paid professionals ......according to your chart air traffic controllers, etc in reference to Nigerian sector is a member of JOHESU. counting Optometrist too as a JOHESU member too ?
They operate on the economic principle of demand and supply whereby the most sort after earns the highest which is never gonna happen in our own climes. Surgical specialist earn higher than others cos the NPs and the physicians assistant abounds in those fields making it less lucrative.
They also factors in the years of study viz
.....undergrad...4
.....medical school...4
......residency.......3-7
subspecialty..... 2-3
Now, by the time these guys started making the big bucks their mate are making retirement plans .

the general84: Your statement is a complete show of ignorance. Doctors learn about the human body in-depth and extensively. In addition, they learn bits of the other health professionals' courses. Why do u think Doctors' claim that they are indispensable in the health sector? That "pride" must have been backed with a firm standing and not just empty noise. FYI, it's the other health professionals that learn only bits about the human body (bits just necessary for them to understand their course). In years 2 and 3 in university, medical students attend ALL the courses offered by anatomy, biochemistry and physiology before their 1st professional exams. Other health professionals usually offer only selected topics in the above courses in 1st semester year 2 and at most an additional few topics in 2nd semester year 2.
A medical doctor, after learning that extensively about the human body, will after graduation go into a post graduate residency program. Here, the medical Doctor now chooses a particular specialty(body system) and learns even more in-depth on that particular system in the body, so that by the time the med Doctor is through with residency, he/she knows EVERYTHING in every knowledge bank about the system he specialised in.

If you learnt biochemistry, microbiology, pharmacology and the rest which all encompassed into one takes a total of 12 years to complete in 3 years and even has the effrontery to call it extensively then you're one of the major pproblem we have in health sector.
On Nurse practitioners issue 18 state have given them independent, and some of them works in tertiary institution

the general84: Your statement is a complete show of ignorance. Doctors learn about the human body in-depth and extensively. In addition, they learn bits of the other health professionals' courses. Why do u think Doctors' claim that they are indispensable in the health sector? That "pride" must have been backed with a firm standing and not just empty noise. FYI, it's the other health professionals that learn only bits about the human body (bits just necessary for them to understand their course). In years 2 and 3 in university, medical students attend ALL the courses offered by anatomy, biochemistry and physiology before their 1st professional exams. Other health professionals usually offer only selected topics in the above courses in 1st semester year 2 and at most an additional few topics in 2nd semester year 2.
A medical doctor, after learning that extensively about the human body, will after graduation go into a post graduate residency program. Here, the medical Doctor now chooses a particular specialty(body system) and learns even more in-depth on that particular system in the body, so that by the time the med Doctor is through with residency, he/she knows EVERYTHING in every knowledge bank about the system he specialised in.

If you learnt biochemistry, microbiology, pharmacology and the rest which all encompassed into one takes a total of 12 years to complete in 3 years and even has the effrontery to call it extensively then you're one of the major pproblem we have in health sector

armadeo: For you to deny this you are a liar!!! Not the dining table stuff thiugh .

Stop being sensational and debate constructively. Nigerian health sector needs a revolution and this is the starting point, refute argument intelligently because we the masses are sieving out lies, sentiments and are ready for the truth.

Clamoring for titles, peanuts and what the heck while Ebola is getting close. When it eventually get in none of these workers will remember NMA or JOHESU strife. All scientist should get back to base and product something that will safeguard Nigerians for the meantime. International scientist community says no breakthrough yet maybe cause it is not their concern, West Africa can go and die.
. For what it is worth these NMA and JOHESU bullshits will never end not while the Taraba state specialist hospital assistant director of nursing service is a consultant radiologist. I was like what the heck.
It won't end at all except privatization policy is instituted and the law of supply and demand enforced. Then every employees will be paid according to their billings, this is why not all doctors, nurses,pharmacist etc are paid the same in the US. Your output has to count......not I am entitled to it.
GET BACK TO RESEARCH BASE PLEASE...AS BIOMEDICAL, LAB, CLINICAL,QUALITY CONTROL SCIENTIST or whatever is your title nomenclature and produce Ebola vaccine pleaseeeeeeeeeee