₦airaland Forum

GentleMimi: LMAO! @ jpphilips. I can see you are really hurt by the fact that i countered phantom's lousy and lame examples with so much ease. You want me to shut up? Really? Loooool! Why not shut me up with an adequate argument rather than hiding behind your ''patient'' status. It is obvious you hate challanges. I've met people like you who are eager to trample on others just to exhibit superiority. I will not use insults to shut u up, but wld rather pick on your brain.
You claim to be a neutral body,yet u're too sensitive and make comments which do not support that fact. Come clean,boy. Why the tin dey pain u na? Abi ''phantom'' na ur alternate NL account?
Now,this is a confirmation of the fact that you are in the system,hiding as a ''patient'' just to get cheap sympathy. I dey lie? Lol! Do not be ashamed of ur profession na!
You made a vague statement as ''phantom'',right? If u wanna give examples,why wld it be a lame and vague one? Why not give us something applicable and realistic? Vague comments aimed at making others seem inconsequential.

Abagworo: . I don't know why some supposedly sane people are here putting themselves to ridicule. The OP wrote developed and not modern or fine. Ibadan is largely an ancient city but by far one of the most developed in Nigeria. Building 3 roads and flyovers. And 2 hotels is not all it takes to develop. Maybe if beauty was to be used then Owerri, Calabar, Enugu, Uyo. Etc. "could be" rated above Ibadan but never in development.

banega: Uyo? Undeveloped?? Guy try and travel outta the south western part of the country please!!

banega: Uyo? Undeveloped?? Guy try and travel outta the south western part of the country please!!

customized13: Wait oooo, I don't understand what ibadan is doing up there ooooo, please replace ibadan with asaba or uyo.

drbigdaddyg: Does your aunt behave like you?

Morotov1: Who says jaundice is uncommon in obstetrics cholestasis and that it occurs only after 25 weeks of gestation,it can occur anytime during pregnancy. Please update your textbooks. And even if your patient is either male or female, you will have a list of differential diagnosis that you have to rule out.
Not all jaundice with itching is post hepatic. WHAT ABOUT BRIC- benign recurrent intrahepatic cholestasis.

GentleMimi: @ phantom,my sister..
Is your explanation so bogus that even you cannot make yourself understood? You sound like a quack in the process of trying to come across as an ''independent'' worker.
Oh you do obtain diagnosis by physical examination only? Interesting. Or u are subjected to mild cases only,while the top guns handle more challanging cases. What the hell has this discussion got to do with rural hspt? We are talking of an average hospital,dude. Even if u find urself in a rural area,certain cases will require u to refer ur patient to the city for proper investigations. Rural hospitals have limits,so stop giving me lousy and lame examples.
You are the one running round in circles in an attempt to seem effective. Prior to sending ur patient out for investigations,what you have made is simply a guess work. If u get called up tomorrow,can u defend your guess work boldly?
It is peeps like u that are giving ur fellow doctors a bad name. A doc thinks he he can diagnose based on symptoms and interrogation only. Lol.
The Ebola virus has quite similar symptoms to acute malaria. I guess u'll give ur patient antimalaria to deal with such a case,right? Loool! Quackery village dokinto.

Morotov1: Intrahepatic Cholestasis of pregnancy presents with icterus and intense pruritus. So there is need for the bilirubin level both conjugated and unconjugated, serum alanine and aspartate , and all the works.
Don't start doing trial and error because you think you can do it alone or to assert your authority.

adeoladrg: Answer the question! Would you have him transplant his organ in Nigeria or go abroad! Yes? No?

adeoladrg: If you, or les say your cousin (God forbid) has a kidney or liver transplant to do, will you allow your colleagues perform magic on him or send him abroad?

Samgreguc: bros ehh, talk true say u no go need the lab result to know whether na pre or post.

GentleMimi: Lol. You are giving silly examples which i aim to squash in totality.
Impress u? What do i hope to gain? A seven-figure salary? We are trashing out a matter based on the lame example u gave.
.....''where a lab work suggests a dignosis''...? Really? Will the scientist go ahead to carry out any test without an agreement with a doctor colleague? For every form,there is an indication for differential prognosis/clinical detail,along side recommended lab tests. If u get a wrong diagnosis,it means u made a wrong prognosis,simple. Wetin concern lab with MP if it was never requested for?
Yeah,u have an ''idea'' abt ur patient's condition. That is what i call ''trial and error''. You keep getting ''ideas'' till the scientist tells u ''yes'' or ''no.
As for my clinical knowldge,i'll blow ur mind away if i attempt it even. I'll just be ''gentle''.
Nobody is an island. Everyday we learn.

matify: Bigotry loquaciously displayed with pernicious and malicious intent to sway the uninformed into a frenzy of mental torture.

You have twisted facts to suit you depravity and your penchant to denigrate the nobility of the physician using flawed resource is unconvincing.

The purulent vile spewed in the write-up only typifies your ignominy for the medical doctor for whom you have displayed an innate rancour for.

We leave you to your doomed fate!!

skelewu74: The guy knows what he is saying. Nigerian doctors in UK and US are in thousands. And you know what? They are doing us proud. Some are president of various medical specialist ' boards.

http://nationalmirroronline.net/new/8000-nigerian-doctors-in-america-uk-27000-practice-at-home-nma/

And mind you Nigerian doctor is the president of American society of Neurosurgeons. This guy trained in UCH Ibadan, and still coming to teach occasionally. There are many more like that.

http://diasporacommittee.com/index.php/media-center/diaspora-of-the-month/90-dr-oyesiku-

You guy are semi illiterate. If you ask an average Nigerian what the problem of Nigerian health system is, he would blame it on doctors. That's the highest level of ignorance. An average Nigerian doesn't know his left hand from the right, and the corrupt govt we have are profiting from that. Because instead of realizing that the problem we have is from bad governance, you keep blaming the wrong person because he has an edge over you, and before you open your eyes, your money is further stolen.

Is it a Nigerian that doesn't know what the problem is that will be able to solve it?

GentleMimi: If he already knows what he is expecting,why proceed with the request? If u query a lab result showing malaria,it indicates u do not really know what u are doing. Don't u know many Nigerians are asymptomatic parasite carriers? Using QBC to investigate for MP,u'll find it in virtually 70% of Nigerians,with only half being sypmtomatic.
Sending a request for Serum bilirubin to investigate jaundice will not only tell u if it is a jaundiced patient,but will also point out if its hepatic,prehapatic or post hepatic. Now,why the hell will u get a malaria test result when u requested for jaundice test(SB,urobilinogen)? It only means u got confused at a certain point.
Query indeed. You prolly work in a clinic that employed the services of technicians and SLTs whom u pay peanuts. That is when u can come out to tell us u can ''query'' a result.

Kunlexic: @ zeezahbee,Adeoladrg etc...pls what can cause blood stain in faeces and what is d solution to it

Samgreguc: if the bolded is true and u still dont see any reason for specialization then u aint telling urself d truth. You know why I said so? Now, this is it, the Pharm. D guy is just a graduate who hasn't specialize in any of the pharm field. He read alot in pharmacy school(frm farm to industrial to hospital) and you expect him to b a magician? Can a fresh MBBS graduate perform better on their field like the Pharm. D fresh grad.?
.
We need to specialize. . . So, that consultation can be done.

GentleMimi: Lol. Yet u claim to be a patient. Come out clean,boy!
Nobody ''owns'' any patient. Stop confusing yourself with that phrase. Very funny and naive.
Who does the diagnosis,to confirm the prognosis? Medical scientists.

Who handles patient care in the wards? Nurses.

Who handles therapy in patients with bone issues? Physiotherapists

A patient comes into the hospital with complaints of malaise,nausea,weakness and pain. There are more than ten disease conditions with the same set of symptoms. Automatically,he requests for MP/widal. It comes out negative. What next? If he is a god,let him now determine the cause of the patient's ailment with his ''prognosis''. If he is a god,let him take care of the patient when admitted.
I repeat,nobody owns the patient. It is a collective effort.

jpphilips: Simple question behooves simple answer, I may not be a health practitioner doesn't mean I left my common sense abroad.

Who does the prognosis and logs in the patients complain?
who tells the scientist which test to run to confirm his prognosis?
who writes the drug prescription and dosage that wakes the pharmacist from coma?
whose signature admits and discharges the patient?
who certifies a patient DEAD?

back to the issue again, who owns the patient??

GentleMimi: You call it grammar,i call it facts. No,i aint accusing you. Use your tongue to count your teeth.
I will always be realistic. The first point of call in a hospital is front desk officer/receptionist...then nurse....then a doctor...then a scientist....back to the doctor...and finally a pharmacist. Others come in at certain points. But do not EVER take one unit as insignificant. The last point of call is usually the pharmacy.

jpphilips: I disagree with that, now this quote below is what will save the patient's life, an excerpt from my original post.





you guys form Unions and organizations to make money but up there you can read what JCAHO is doing for the Americans, when will JOHESU and NMA start legal action against its members in the interest of the patient?

You cannot convince me beyond reasonable doubt that a Nurse consultant who cant own a patient will improve my welfare except you are referring to the welfare of her economy, then i agree completely.

adeoladrg: nother ignorant fellow on the street. Having a PhD doesn't make you a consultant. Residency training does! Meanwhile, we have the technicians and robots (in advanced countries) to dispense. It's called pharmaceutical care, get it!!!

centje: To make it simple, there's difference between laboratory medicine and clinical medicine.




Good, you recognised 'Relativity'. We are asking for the same thing. Every paramedic whose work involves call gets call duty allowance, don't deceive the public. And the call may or may not be the same length of time but definitely not the same volume of work. The issue here is that certain health workers, like the nurses, want a call duty when they run shift. Shift work is far less stressful and it's designed in such a way that you get your benefit immediately. A nurse works 8hours for some days and get some days off. If he or she works 8hours at night, then more days off follow. A doctor works from monday morning to friday. On saturday, call duty begins till another monday morning, he or she manages to go home to change cloth( which in some cases the person may continue in the same cloth) and hit the hospital again for the monday's work. It's a stressful system, sometimes i call it archaic, but that's what's on ground, hence the call duty allowance. A senator will fart all day on that red cushion and collect millions at month end.



Really!!!! yours is 10k you're really enjoying.
Doctors' hazard allowance is 5k, after mingling with blood of a HIV, Hepatitis B and C patient, after standing for hours beside a TB patient in the ward, after blood splash on the eyes, getting knife cut, and needle prick, from HIV patient during surgery

why are you scared of privatisation, could it be that everyone's position will be well defined and rewarded accordingly...could it be that everyone will now know who works more...oh, maybe the private owner will know who has more vast skills and calculate wages based on that. The possibilities are endless.
Everyone knows how it works in private hospitals. It's only in government hospital, where the salary comes from oil revenue and not based on productivity, that such things can happen.
No matter how subsidized healthcare is, the Government (both federal and state), appreciates the huge amount they generate from the sector.
And just like power sector, people are prepared to pay more provided they get uninterrupted and good quality service.

skipping has always been there for everyone, heavily enjoyed by paramedics. The only problem was that some paramedics wanted additional skipping. Personally, skipping is bull$hit, whether for Doctors or Non-doctors. I am of the opinion that every level is earned.
Professional courtesy is reciprocal. It's natural to fight and oppose those in authority. The same way we fight the president, is the same way paramedics fight and oppose doctors, 'cause they head hospitals, tag them arrogant. A doctor, politely tells a nurse what to do for a patient, he or she first looks the doctor from head to toe. If the work is not done as directed, and the doctor complains, he is tagged arrogant. In the aim to gain relevance, a lot of Nurses have grown so aggressive, in recent times, that patients are too scared to approach them when in the ward.
Professional courtesy is more of a personally imbibed trait not stamped to a specific profession or occupation.

adeoladrg: Simple as ABC!!!

jpphilips: sorry bros, just help me put the right phrase, while doing that, Kindly read meaning into the rest of the message to garner support for our doctors, like I told a friend of mine, it is we the patients that will suffer most if the status quo is not restored.

Look at the competition between the BSc Nurses and the Registered nurses (all JOHESU members) and now they want consultancy?
I don't want a nurse to tell me she is a consultant who can no longer pack sh!!t in the ward.

GentleMimi: Sai! Patient's perspective indeed.
I weep for this country. I've followed this strike ish for quite some time,even had a debate with some colleagues.
I read an article online abt the requests of the doctors. Nobody is disputing it. They want increase in hazard allowance to N100,000 per month,and some other things too. That is fine by us. But for NMA to boldly come out,stating it will not condone ''blackmail'' by health workers is so annoying. How does the title of ''Consultant'' result to blackmail? Is it something that has never been done before? Is it strange in other countries? Why are the doctors hell bent on being an obstacle to the progress of other health workers?
Now,back to the issue of consultant,let it be known that there are conditions attatched to the title. Medical scientists,pharmacists,nurses,physiotherapists attain educational level of Phd in their profession.
For example,a medical scientist specializes in haematology in masters and Phd level,obtains his fellows and satisfies all requirements by the MLSCN council. Why should such a fellow with vast knowledge in haematology not be allowed to consult with the patient and the patient's doctor on matters relating to haematological matters? It irks when i read some comments here.
In terms of salary,lets have a rethink. For example,as an intern,a scientist earns N120K, a doctor/house officer earns N170K-N180. Now JOHESU requests for an increase,relative to CONMESS scale....N150/160k. Why NMA wan come get HBP on top the matter? All JOHESU is asking for is a relative increase. Peeps who are shouting abt job the rigors of the medical duty should not undermine what other health workers go through. Being on call in haematology laboratory in a teaching hospital is like being on a rollercoaster!
It is the same time too. So what is wrong abt JOHESU requesting for shift duty/call duty allowance and other special allowance.
As an intern,hazard allowance was a mere N10k. What d hell! We handle body fluids too and get exposed to all the vile things running amok.
Those who want privatization of other health sectors are living in a fool's paradise. Who can afford it? Services in the health sector is highly subsidized,but still expensive for certain peeps.
Privatization will only make things worse.
And for the skipping of a thing,why are doctors against skipping when they are doing it? They skip from 10 to 12,we want a skip from 9 to 11. Why dem wan get headache? Lol! *SMH*
finally,on the issue of CMD,i will state here boldly that i have no qualms with doctors being the CMDs. All we ask for is professional courtsey.