₦airaland Forum

chimoz: If the para-medics will be allowed to answer consultants, then there should be a clearly spelt out rule guiding their limitations in the hospital. I wont want a pharmacist to badge into my cubicle and order me around. I will surely strangle him with the tube of my stethoscope.

bushdoc9919: What my colleague told you about consultants is not entirely true.....I work in a private hospital where the consultants are busy all throughout the week(and one of them even comes weekends). Plus...in a teaching hospital....if you are a consultant....you are busy not only attending to patients...but lecturing students, and training residents(which means coming out on weekends sometimes!). Plus...you have to do research,and keep up your knowledge by attending conferences, and studying(One of the pediatric consultants where I trained would sometimes come back to his office in the evenings, and do a bit of studying.). And if you are a consultant in paediatrics in the North....na work be that!

Plus being on call as a consultant means coming out in the night to see patients. And,in the case of the surgical consultant...and the obs/gyn...doing operations on them....sometimes as late as 2 pm.

phantom: residency training on the terms of government? please don't make me laugh.
tell your president he had shot himself on the foot.
this path has been toed before by the military. what happened after? what were the consequences? history is there for you.

phantom: I don't know about the laws establishing the medical and dental council of Nigeria BUT if they can be controlled by the NMA, the next logical step might be a due accreditation of all medical schools.

doctors who take up locum appointments may also have either their licences revoked or their names struck of the doctors register.

silentdon: This is really funny, Nigerian Nurses can't even read ECG and most of what you posted is alien to Nigeria's health sector.
It's best you find a Nigerian nurse and ask of his/her duties.

armadeo: Its not a blame game. Its a statement of fact.

armadeo: Go and find out who is supposed to know how many towels were used in an operation before the dr closes the patient.

Blame game.

That role work best in areas with good surgical team not in a Nigerian theatre with Nigerian doctors and their egoistical conduct. Most surgeons are control freaks, so when another team member has the power for recheck and call for time out before opening and closing the patients he/she is seen as a rival.

With your superior knowledge of anatomy as a surgeon, you should know before closing up the patient that the instruments therein are foreign bodies and needs to be removed.





Thank me later.

dBard: Am aware of d restrictions on MDCAN, but they can rephrase it.. protest, downing of tools, something.
I personally think ARD has a case if they go to court.
The restrictions on MDCAN also, I think, is concerning d JOHESU matter. It won't/shouldn't hold in this situation.
NMA moves are clear tho limited, go to court n shut down totally, all tins pertaining to medicine based on Hippocratic principles

dBard: I don't see it playing out that way.
NMA on behalf of ARD takes d gov't to court. ..
(If) MDCAN n NAGGMD stand their ground n continue d strike, which they by necessity should, d gov't will only get embarrassed@ d end of d day.

This was a Smart altho ultimately a reckless move by d gov't.

**still following**

oyb: The nurse jumped quarantine to go to a wedding. She could have started manifesting symptoms at any time.

It is doubly shocking that this is supposed to be an educated professional.

These are the members of johesu,

Can you imagine imagine if the doctor who died was as irresponsible as this stoopid biatch.

If ebola goes out of control here, Liberia will look like child's play.

Every job comes with its risks. The risk of contracting dangerous diseases is one of them. This woman should be sacked.

Spuggie: Park well joor
did u not see the objective comments only?
In your deluded mind, it is stale and sour and thats why finding a remedy for Ebola does not include calling off the doctors strike and averting the impending JOHESU strike.

YourHealthlabs: Young Oracle, they are waking up already, just do your job diligently, respect every health professional mutually.

If they seek your advice and consultation give them your best shot.

If they encroach on your job, show them a copy of the laboratory organogram and then the exit door.

Treat every patient's sample like that of your family member's.


Peace out.

Incognito Quant: Before we misinform the public and loose focus in this discuss, lets be clear on some issues (some of which I have addressed in previous quotes)
1. who is the head of the medical team? Correct ans: The Doctor
so a senario in which I have a paramedic, an NP, a nurse, a physician assistant and a Physician, who takes charge is the Physician

2. are NPs allowed to prescribe? Correct ans: Yes, but most states in US requires a doctor to co-sign their prescriptions (you understand what that implies).
Also they are expected to consult doctors and specialist when necessary. Clients are even advised to ask their doctors if their case can be handled by an NP.
In Nigeria, BSC nursing has started and I dont see any doctor losing sleep over it. The truth is because Nurses (RN/RM or NPs) are lower in peaking order than the Doctor in training and competence working within the same structure ( be it pediatrics or geriatrics).

3. the Nigeria M.B.B.S senario. the training of any doctor gives him a certain degree of proficiency in Medicine, surgery, Obs/gyn, Child health, Mental health and Public health. Implies that he should be able to handle a wide variety of cases but the training tells him when to refer. Now we have CME/CPDs. The issues of residency space etc and future structure.............sorry you dont have the privilege to share in those information.

4. why the hatred for the Nigeria Doctor? I bet you cant talk about the American Trained the way you disregard Nigerians. You know your place as a nurse or paramedic in US and even revere the doctor

Tobbie9: well said bro, i took time out to do some research on us and others and found out that most of there doctors are consultants causing a dearth of doctors in primary healthcare which is why even the doctors themselves are pushing nurses and co to be more independent so they can focus on their specialties once residency training is properly done in nigeria the chews/nurses/whatever can have primary healthcare to themselves

thepathologist: office of surgeon-general is now a reality. u want us model of health care but u do not want surgeon-general. are u an hypocrite?
for info chews have standing order or treatment protocol. they do not like using it. many of them now use doctors prescription for similar condition.
mbbs doctors doing jack of all trade is bad. that is why nma is saying residency training needs more attention and fund. there are more than 50 specialties in medicine.
anyway, nma is winning gradually.

Incognito Quant: I hate to burst your bubble but many of us know a lot more than you assume. I believe you are referring to Nurse practitioners right. Hope you know the limitations and the variations from one state to the other in US. Can you compare a Nurse practitioner to a Doctor in the US
Nigerians are not as ignorant as you think and it is the doctors here not taking full charge of the health sector? Have you heard of the role of the Surgeon General in the United States and many areas of British Commonwealth?
Now in the case of Clinical officers, Chews,nurses and those working in the primary health care centres where there is limited access to a doctor; who do you think write the medical models and protocols they follow??

aletheia: You actually believe this nonsense you wrote here. Anyway, this will all soon end once the Federal Teaching Hospitals and Federal Medical Centres are privatized or turned over to a Public-Private Partnership. It is an inevitable progression. JOHESU or whatever can only delay it not stop it.