olusegxz:


You are a joker. Fake. Aburo ode. You say you know CMUL and don't know mandate. Even Professors know. Foolish man. Getout.

aribisala0:
What has that got to do with the issues we were debating .Do you admit that you have lost the debate?
Is mandate the issue now?
You say you are a doctor .Where is your certificate. I do not believe you. Or your knowledge of mandate is how you prove you are a doctor?

olusegxz:


What debate. You are fake I knew from the moment you started talking about codes. No doctor will. I don't have anything to say to you. What medical school did you go. Start there.

aribisala0:
You are clearly frustrated. did I even tell you I went to primary school?
This is an anonymous forum any idiot can claim to be anything,I prefer anonymity so let us pretend I am a BOT or computer program . That should not stop the debate. Stick to the issue
You are the one with ego claiming to be this and that.You claim to be a doctor and all other kinds of stories . Who asked you your biography?
I made a comment and you foolishly came on to say
"Headache is not a diagnosis"
I educated you and you are talking about mandate. Mandate ko June 12 ni.
Imagine the nonsense you are saying that no doctor will talk about codes?
How do doctors get paid in the USA without diagnostic codes?

Let us discuss issues without all these fake personal claims that cannot be verified

olusegxz:


Illiterate. Mr. UK. So UK is your achievement Ode. And I don't need to claim. You are the one talking about codes. A diagnostic related tariff is payment based. It was created so diagnosis can be used to make payments for health insurance. It is not one that determines how you should diagnose a patient clinically.

See all what you are saying can be googled. If you want to know if I went to CMUL or to UCL ask anyone who is medical. Even the word mandate will let you know what year I was there.

I guess you are no longer talking about medical hierarchy anymore. To you everything is ego. Mr. Uk Ego. Lol

aribisala0:
You claim to be a doctor .I do not believe you.
I do not have to repeat myself like a retard. I have already said what needs to be said about Hierarchy. If you want more schooling ask questions
You said no doctor will talk about codes I said that doctors talk about codes in the USA with EVERY SINGLE patient you are here spewing more rubbish. Codes are crucial not only for payment but epidemiology. That is the only way that we can say how many cases of appendicitis or breast cancer were treated in a certain period in a specific hospital in order to talk about incidence or prevalence and that is fed to the WHO which studies trends world wide. You are ignorant of all this and proud of it

olusegxz:


You are a joker lol. I think I know your problem. You are fixated on your own theoretical ideologies and trying to make sense of medical coding. I just told you what a payment code is and what it was primarily created for, i never said it was the only thing. And you are talking about epidemiology lol. Or you want to teach me that too lol. Mr Nurse. When I say no doctor will focus on coding, I mean clinically it can hinder diagnosis and that is because there is a lot of controversy in the coding diagnostic system. If you are in the system you will know. And that is why the USA health care system has a lot of downfall. Look Oga Nurse that is my Fathers age mate lool I am going to sleep.

aribisala0:

I am not talking about payment codes but diagnostic codes specifically ICD 10 codes of the WHO
So do not try to change the subject
The ICD 10 codes are not designed for payments they are designed for the whole world to have internationally standard criteria for diagnoses. It just happens that countries like the US use them for payment
Ignorantly you claimed doctors never use them. I schooled you and you are talking rubbish about payment codes

No that is not the issue.

The diagnostic code for headache is R51 , you claimed it is not a diagnosis, I schooled you and you continue wriggling like a condemned point and kill fish

olusegxz:


Lol funny.

Well you have not made one clinical application, all you are saying is just theory. Things you can google. You are not talking like one with clinical experience.


Most symptoms have a diagnostic code. Because as i clearly said if a symptom like headache is a presenting complaint it is the duty of the doctor or clinician to eliminate all other possible scenarios. A HEADACHE is not one that you want to mis diagnose. What if you diagnose a headache and it is eventually found to be a small growing tumour. That is the sole reason why in clinical practise it is commonly treated as a symptom but oga you can be arguing.


You can put your own signature to headache as a sole diagnosis. Mind you with the way panadol is readily available over the counter, if a patient who is likely a worker leaves work and drives, walks, takes public transport or whatever and presents to your clinic and waits the line and tells you all I am there for is a headache that is a RED FLAG for further investigation because that headache should not be taken for granted.

Don't kill patients with misdiagnosis. Oga UK. That patient can leave your practise and passout or even worse.

That is where clinic experience is different from theory and book and reciting code.


But you can treat your nursing or clinical patients as you want.

aribisala0:

You are just squirming. I do not know what you mean by "most symptoms have a diagnostic code"

That is just nonsense
Anything that has a diagnostic code is a diagnosis. There is nothing to argue there
Yes so why don't you also use Google to make sense if it is that easy
You are the one lying that you are a doctor.
Me I did not go to primary school but I can use Google to make more coherent contributions than you the liar claiming to be a doctor. Is that not a shame?

olusegxz:


Again talking like a Illiterate. But then you are one so that is fine. There is no exhaustive list of diagnosis. New diseases come up all the time. We are still dealing with one.


Diagnosis is not about looking into a book. That is robotic.

So this your anything that has a code has a diagnosis. You can tell that to nurses.

I do not need to lie to be a doctor. It is you that is hating and being at awe.

Because it is nairaland you think everyone is as stupid. Answer the CMUL question. Should I ask another. Wait you are in the UK let me probe you there. Idiot.

I will come to your level don't worry. This is nairaland. You are forgetting I am from Nigeria. If I talk to a respectable colleage that is different, like I referenced some here. But you this slowpoke I will address you fully. Old enough to be my father. You this stupid aburo.

aribisala0:

You are not a doctor stop lying
Show us your certificate

olusegxz:


Oga you are so dumb. Show who?? Are you sick. I now know that you are stupid.

aribisala0:
You are a liar
Mandate doctor
Show us your certificate

olusegxz:


Oga you are so dumb. Show who?? Are you sick. I now know that you are stupid.

Answer the College of Medicine Question. Don't go far. Or tell me the medical school you went I will probe you. I should show you a certificate you are stupid.

olusegxz:


Oga you are so dumb. Show who?? Are you sick. I now know that you are stupid.

Answer the College of Medicine Question. Don't go far. Or tell me the medical school you went I will probe you. I should show you a certificate you are stupid.

aribisala0:
So because you were a squatter at CMUL and know "Mandate" that makes you a doctor? You are a liar

Show us your certificate

aribisala0:
I already answered the question. I do not know mandate or is there another question?
You are the one claiming to be a doctor I do not believe you.
You were squatting in the hostels in CMUL and spending time at "mandate" and you imagine you are a doctor? Show us your certificate and stop lying

Did I tell you I went to primary school?

I am using Google to make you look daft

olusegxz:


Mr. UK lol. Show us your nursing certificate.

That's how much you are hating being a doctor lol. You want to see certificate. Stupid. You don't even have any experience. If you are a doctor or a medical person you won't be asking me that stupidity. Mr. Statistics.

olusegxz:


Well let me make it clear. You are one looking daft here. And not just that but stupid. Look at the trend. I didn't message you first, you messaged me. If you are that pained then go and do medicine. It's not that hard right.

olusegxz:


Well let me make it clear. You are one looking daft here. And not just that but stupid. Look at the trend. I didn't message you first, you messaged me. If you are that pained then go and do medicine. It's not that hard right.

Don't worry it's not only certificate it is gown join. Ode.

aribisala0:
I have no certificate. Google is enough for me
I did not go to school

You also admit that you are lying
You were a squatter at CMUL
but you are not a doctor
Je wo
Confess

olusegxz:


Well I know you are not one. Whatever you are that's your business.

Two points are clear. Hierarchy exists in healthcare. Which ofcourse is hard for you to accept.

Two headache or no headache, I treat it as a symptom and you can diagnose yours with codes. That's your business. Mr. UK.

aribisala0:
Show us proof that you are actually a doctor? Any one can come to Nairaland and claim to be a brain surgeon
You are a liar

aribisala0:
I never claimed to be anything.
You are the liar claiming to be a doctor being made to look ridiculous by a person that never went to primary school using Google

olusegxz:


Well I know you are not one. Whatever you are that's your business.

Two points are clear. Hierarchy exists in healthcare. Which ofcourse is hard for you to accept.

Two headache or no headache, I treat it as a symptom and you can diagnose yours with codes. That's your business. Mr. UK.

aribisala0:
I never claimed to be anything.
You are the liar claiming to be a doctor being made to look ridiculous by a person that never went to primary school using Google

olusegxz:


Is it only certificate you want idiot. You have only recited two things. Hierarchy and diagnosis. And both you made no clinical sense. As I said you talk like someone with no clinical experience. Or even nursing experience. Wait for certificate.

aribisala0:
What is the lesson. Learn to rely on the force of your argument
What you are trying to do is called
argumentum ad verecundiam =
Argument from authority=
I am this/ I am that therefore accept what I am saying

So where is the proof you are a doctor?
I do not believe you

Lol another inferiority complex talk. This is a medical forum and it was a constructive discussion. And under anonymity you can introduce your field to support whatever you are discussing. It is a forum Mr. I am old enough to be your father. I knew you had a complex about this whole doctor thing but I didn't know it was this much. Do you know when I graduated undergrad. Aburo Ode.

This is an anonymous forum
Any fool can claim anything

olusegxz:


You are making yourself look ridiculous. Mr. I am old enough to be your father. Idiot.

aribisala0:
What qualifies you to be a judge of what makes clinical sense? What qualifies you to judge who has clinical experience?
Did I claim anywhere to have clinical experience?
At least I have Google
What do you have?