₦airaland Forum

Kcinho:
other conditions like Parkinson's disease, hemorrhoids and a whole lot of other surgical conditions, most of the psychiatric conditions. not forgetting conditions that require only radiological investigations.

Thanks bro. So much more. I wanted to sleep but had to let him know that doctors can make many diagnoses without laboratory investigation without condemning the lab. I don't know why their problems always begin and end with doctors?

spacefreak:
You do know that diagnosis is very different from actually running a test? You can't confirm diagnosis without running accurate tests. Going from your initial statement doctors can diagnose and run accurate tests which I vehemently disagree still.

i have just one question for you. what laboratory investigation confirms a patient has Parkinson's disease?

Send your CV to faithkuf@yahoo.com if you reside around Ikorodu axis in Lagos:

1. Medical Laboratory Scientist
2. Medical Laboratory Technician
3. Radiographer
4. Receptionist

A medical diagnostic centre in Ikorodu recruiting.

you got it wrong.A qualified doctor is equal to a lab scientist + a nurse + a pharmacist + microbiologist + a biochemist + a pharmacologist +a psychologist. This is where we coined d word general practitioner.

babosky2008:
you got it wrong.A qualified doctor is equal to a lab scientist + a nurse + a pharmacist + microbiologist + a biochemist + a pharmacologist +a psychologist. This is where we coined d word general practitioner.

you need help

elobyobi:
I believe someone who is willing to consult a textbook before making a diagnosis is more concerned about your welfare than his ego. Learn to appreciate people's sacrifices and humility; you'll live longer. If him no look book now, come give u headache merecine for gono u go start to dey complain. Nigerians can be insatiable sometimes!!!

What are you talking about? so you believe checking a book is not a crime. you need to be flog, so even if the doctor is in the operating room, he will also check a book for step by step procedures.

Sctests:
Dear friend, There is no discrimination between a B.MLS and B.Sc.
MLS is a professional degree by international standard while the Chemistry/ Biology degrees are academic/research-based. A degree in pharmacology here and in many parts of the world can get you a research assistant position but you can't practice as a Pharmacist. Pharmacy degrees are professional. That's how it goes. Research positions and Professional positions are both important but are not the same.
www.unb.ca/academics/programs/undergrad/fr/medical/

1. MLS have a lot in their curriculum that B.Sc biology/chemistry does not. Anatomy, Physiology are key basic medical courses that must be learned as you'll need to understand structure and functions of what you studied in school and apply them in the lab Scenario- When you told to explain the collection of endocervical smears at squamo-coloumnar junctions, how do you explain that as a chemist?.

2.There are drugs that interact and alter medical laboratory results giving false-positives or false-nagatives, it is the Lab. Scientist's job to know this and factor it in before signing and releasing lab results. This is one of the many reasons Pharmacology is taught to Lab. Scientists. This course is absent in Biologist's/chemist's curriculum.

We also have medical counseling, medical ethics and jurisprudence. CLS are also sued by patients for malpractice(e.g giving out wrong results that may endanger patient's lives), they also testify in court in rape cases. Is the chemist/biologist equipped with this knowledge. That's why it is regulated and it's practioners licensed. Lives are involved. Those aforementioned courses are missing in Biology and chemistry curriculums.
We need to stop seeing the medical laboratory as an afterthought kitchen where any joe can come in and run medical tests. The Medical Laboratory now plays a central role. Infact the HIV battle was fought and won in the laboratory.

3. Importation of diagnostics by law is supposed to be regulated by Medical Lab profesionals through the MLSCN, but our wardmen in labcoats believe otherwise. CBN have released a circular to that effect in accordance with the law.

Scientists and pathologists can work together but on different frequencies, in different offices towards a better health for the patient but they are distinct professions and none should seek to head the other. Pathologists should head theirs while MLS should also head theirs. That's what the law says.

When amls used to offer the associate degree for b.sc students, most students who went to friendly schools, like vom were trained adequately and therefore comparable to bmls students. The problem with most other schools is most of the lab scientists have a sort of inferiority complex and will because of that blatantly refuse to help b.sc students doing the amls associate degree. Eventually, these b.sc students ended up practically training themselves.

In essence, I don't think you can entirely blame these bsc students for the problems in the profession.

Also, I think the corruption in the amlscn also needs to be reduced. I know it is a general Nigerian problem, but we must talk abt it. I don't want to go into all the details but I am sure you know were I am going.

Peace.

Sctests:
Go back to the link you posted and peruse it
carefully, your asm-ascp website does not say it confers on
you "Medical laboratory Scientist" competencies. Let me quote an excerpt from your source

"Those who pass the exam are certified as a
Technologist in Microbiology (M) or Specialist in Microbiology (SM) by the ASCP and
are issued a certificate with both organizations' names on it."-----http://www.asm.org/index.php/nrcm-cert

Did you notice they were careful not have added the word "Medical"
in front of the "Technologist"? The medico-legal issues surrounding the practice can not
be wished away in countries where they are serious about this practice. Do non-biomedcal scientists(BMS)
in the UK work with patient's samples to achieve results aimed at diagnosis. Do you know that the title "BMS" is a protected title
in the U.K?

Again on your website let's take a look at the functions of a Registered Microbiologist and Specialist Microbiologist.
Is there any job description there with any semblance of working in a Medical laboratory for diagnostic purpose?

You guys have your fields, how many Medical lab Scientists are employed as Food microbiologists, industrial chemists, Environmental biologist and so on?
Do we run the environmental testing laboratories too?. You need to stop seeing the Medical lab Scientist as an ordinary 'Operator' not eligible to differentiate between a hyperglycemic sample caused by DM and a contaminated sample.


Listen the physician's here will click likes and applaud you, but if have any sense of history you will understand
that during the days of biologist/chemist in IMLT, almost every clueless physician will point to the lab and blame it when they butcher a patient.

The lab guys where the fall guys in those days. When a patient dies, it's the lab that delayed results. They prescribe the wrong
antibiotics- "oh that numbskull in the lab didn't run the AST effectively".

Well those "lab guys" have taken responsibility, built capacity, and equipped themselves with enhanced knowledge,
now regulate the laboratory with the full backing of the law. Why should that be a problem? Our national/state hospitals now have very few cases of misdiagnosis traceable to the laboratory. Nowadays, we no longer get frequent finger-pointings for giving bad results and endangering patients as it was in the 70's and 80's, Now we only get finger-pointing for asking to head the medical laboratories we developed-OUR PRIMARY CONSTITUENCIES in accordance with the law. It is a positive turn-around if you ask me.

Wide consultations were made before that ACT was passed as Law, people who thought the "kitchen"/labs should be thrown to the
backyard and blamed it for all their malpractice misfortunes are the ones crying foul today. Our Medical laboratories are getting strengthened,
the Medical Lab.Scientists will keep building capacities through enhanced knowledge and application of same and the patients can only be the greatest winner.

If you are looking to get us back to that age where the "Lab guy" is the fall guy for everyone else and is expected to gladly accept that, then i'm sorry the Law disagrees with you.

In the 50s' and 60's we had medical assistants treating patients because we didn't have enough Physicians, today we have more than ?40,000 physicians.
In the 70's we didn't have enough MLS/Biomedical Scientists. The biologists/chemists without basic knowledge in medical science were drafted in. These were all stop-gap complementary efforts.
Today Nigeria has at least 8,000 Medical Laboratory Scientists. Why go back to the inglorious era?

I am new on this forum, been reading as a guest for months, attracted by lots of misinformation about the MLS profession
and not a reincarnation of anyone. I will also like to meet fellow MLS on these forum. They seem to be very few on this website.

We ar nt few, we av sme Medical laboratory Technicians in d house and dey ar registered with the council. Most of dem ar frm Vom Jos plateau state. Great vomites! Great vomites!! Great vomites!!!

nobilis:
Diagnosis starts before the lab. Not in, or after the lab.

Secondly, a pathologist is always in charge of laboratories anywhere in the world. It is not encroachment, it is how things ought to be. Until Medical Laboratory Scientists in Nigeria learn to humble themselves and work in conjunction with the pathologists, they will always feel cheated and raped.

Know your position in a place and gladly and proudly occupy it. That's the best way to gain pride and recognition for your profession.

good talk. Tell them...

Uncleodi:
1. UTI
2. Malaria
3. Pregnancy
4. Typhoid
5. Anaemia
6. Sepsis
7. Ureamia
8. Hepatitis
9. Immunosuppression
10. Renal failure
11. Heart failure
12. Eclampsia
13. Neonatal tetanus
14. Sickle cell disease
15. Schizophrenia
16. Lymphoma
17. Ca P
18. Increased ICP
19. Fracture
20. Labour
21. Meningitis
22. Pneumonia
23. Helminthiasis
24. PID
25. Ectopic preg
26. Multiple myeloma. Dont ask me how
27. Diarrhoea
28. Stroke
29. Asthma
30. Osteomyelitis
.
.
100. Diabetes

With a good knowledge of Pathologic basis of diseases, any doctor in the rural area can make accurate diagnosis without needing a Lab test for mere confirmatory purposes.

MLS is over rated if I may say. They don't make diagnosis for doctors. Nah! Rather the doctor can use his clinical skill to manage his patients without mortality.

This explains why more doctors are employed than MLS in any hospital.

U can imagine when u have serious emergency as a doctor and u keep waiting for the MLS or technician to run samples for u without starting some treatments for the patient. Hmmm that would be disastrous.

Abeg, make I sleep. This my auto check just de spoil my spellings.

We all need each other in the medical field and not all these hatred.

These are the tests that are associated with the conditions your reeled out as not needing lab tests. If a course has to do with lives it can not be overrated or irrelevant. When you start your own practice, i'm sure you'll need incantations in place of lab investigations like a magician that you really are.

1. UTI--- urine m/c/s, urinalysis.
2. Malaria--- M.P smear, malaria molecular tests
3. Pregnancy- HCG test
4. Typhoid- Serolgy
5. Anaemia- Hb tests, PCV, CBC
6. Sepsis- direct gram, blood culture
7. Ureamia-E/U/Cr,Blood urea Nitrogen(BUN), Creatinine clearance
8. Hepatitis- AST, ALT, HCV, HbsAg
9. Immunosuppression-FBC, ?HIV test
10. Renal failure- E/U/Cr
11. Heart failure- Lipids, cardiac markers(troponin), pericardial fluid analysis,
12. Eclampsia-platelet count and function, protein/creatine ration estimation.
14. Sickle cell disease- Genotype, Hb,
15. Schizophrenia- Blood screening for drugs and alcohol to rule out conditions with similar symptoms.
16. Lymphoma- cbc, blood smear, lymph aspiration
18. Increased ICP-Serum bile acid
19. Fracture- Radiography(it is not a lab test, the imaging scientists coming in here)
21. Meningitis- CSF analysis
22. Pneumonia-bacteria sputum culture, influenza test
23. Helminthiasis-stool microscopy
24. PID- HVS m/c/s
26. Multiple myeloma- BJ proteins
27. Diarrhoea- stool analysis,
28. Stroke- PT, INR, for rule outs.
29. Asthma-tests for allergens will help rule out causes
30. Osteomyelitis- blood culture
100. Diabetes- RBS, FBS, gycosylatd Hb

AS A BARRISTER WITH CREDIBLE TRACK-RECORD....I BELIEVE IN JUSTICE. AM NOT FIGHTING DOCTORS BUT TRYING TO GET THINGS ARIGHT. DOCTORS, ON A SERIOUS NOTE, SHOULD GIVE MORE ATTENTION TO PATIENTS AND RESEARCH THAN FIGHTING OTHER HEALTH WORKERS. PLZ LET ME SOUND A BITTER TRUTH HERE....WHEN U FIGHT FOR HEADSHIP U LOOSE IT AND EVEN FURTHER BE UNDER-RATED, BUT WHEN U LOOSE SIGHT OF FIGHTING OF THESE PETTY HEADSHIP TUSSLE , PEOPLE WILL COME TO U ON THEIR OWN BEGGING U TO LEAD THEM. NAWADAYS DOCTORS ARE ACTUALLY BRINGING THE PROFESSION TO THE MUD BY FIGHTING CONSTANTLY IN THIS MANNER. I REST MY CASE HERE.

babosky2008:
you got it wrong.A qualified doctor is equal to a lab scientist + a nurse + a pharmacist + microbiologist + a biochemist + a pharmacologist +a psychologist. This is where we coined d word general practitioner.

Was that what you were taught in med school?. Oh God!

zeezahbee:
What are you talking about? so you believe checking a book is not a crime. you need to be flog, so even if the doctor is in the operating room, he will also check a book for step by step procedures.

I think u need to be flog instead ,for believing that physician Ego should come before patient care, how will checking or confirming something from your book be a crime. A typical consulting room should have some key reference materials ,like drug formulary, protocols of management etc. Do u think that is for fun. Just as u earlier ask someone, may I ask u, how old are u pls

Onyiridike:
Is it B. Sc. Biochemistry that you are referring to as B. Sc Biology/Chemistry?

What makes you different from an illiterate?

Mr. Man every course is professional. You can ONLY be a lab. Scientist and that doesn't make you more professional than a Biochemist, Microbiologist. Economist, Chemist, Zoologist e.t.c.

You think a Biochemist, Chemist or Microbiologist is NOT a professional?

You think working in the hospital in a nice lab coat is what professionalism is all about?

This MADNESS only happens in Nigeria.

Obviously, you guys are overrated and you should learn to respect other disciplines.

why u come dey cry?

zeezahbee:
What are you talking about? so you believe checking a book is not a crime. you need to be flog, so even if the doctor is in the operating room, he will also check a book for step by step procedures.

Now this is disappointing. Checking a book is a crime? If you have never cross checked anything in your career then you have caused harm somewhere.

Jonwesley:
OP, there is also a question I have. The Nigeria Institute of Science Lab Tech (NISLT) and Nigeria Medical Lab Science (NMLS) by operation, which is better recognised? Tell me why the Medical Lab separated themselves from NISLT, or is the Medical Lab a separate science that can't be under the umbrella of NISLT? Just enlighten me on this dichotomy please.

Go to the 1st page and read the whole thread afresh. May you be blessed with understanding.

Jeflox:
AS A BARRISTER WITH CREDIBLE TRACK-RECORD....I BELIEVE IN JUSTICE. AM NOT FIGHTING DOCTORS BUT TRYING TO GET THINGS ARIGHT. DOCTORS, ON A SERIOUS NOTE, SHOULD GIVE MORE ATTENTION TO PATIENTS AND RESEARCH THAN FIGHTING OTHER HEALTH WORKERS. PLZ LET ME SOUND A BITTER TRUTH HERE....WHEN U FIGHT FOR HEADSHIP U LOOSE IT AND EVEN FURTHER BE UNDER-RATED, BUT WHEN U LOOSE SIGHT OF FIGHTING OF THESE PETTY HEADSHIP TUSSLE , PEOPLE WILL COME TO U ON THEIR OWN BEGGING U TO LEAD THEM. NAWADAYS DOCTORS ARE ACTUALLY BRINGING THE PROFESSION TO THE MUD BY FIGHTING CONSTANTLY IN THIS MANNER. I REST MY CASE HERE.

Dr are not fighting other members if the health team neither are they fighting for headship.

Sctests:
These are the tests that are associated with the conditions your reeled out as not needing lab tests. If a course has to with lives it can not be overrated or irrelevant. When you start your own practice, i'm sure you'll need incantations in place of lab investigations like a magician to you truly are.

1. UTI--- urine m/c/s, urinalysis.
2. Malaria--- M.P smear, malaria molecular tests
3. Pregnancy- HCG test
4. Typhoid- Serolgy
5. Anaemia- Hb tests, PCV, CBC
6. Sepsis- direct gram, blood culture
7. Ureamia-E/U/Cr,Blood urea Nitrogen(BUN), Creatinine clearance
8. Hepatitis- AST, ALT, HCV, HbsAg
9. Immunosuppression-FBC, ?HIV test
10. Renal failure- E/U/Cr
11. Heart failure- Lipids, cardiac markers(troponin), pericardial fluid analysis,
12. Eclampsia-platelet count and function, protein/creatine ration estimation.
14. Sickle cell disease- Genotype, Hb,
15. Schizophrenia- Blood screening for drugs and alcohol to rule out conditions with similar symptoms.
16. Lymphoma- cbc, blood smear, lymph aspiration
18. Increased ICP-Serum bile acid
19. Fracture- Radiography
21. Meningitis- CSF analysis
22. Pneumonia-bacteria sputum culture, influenza test
23. Helminthiasis-stool microscopy
24. PID- HVS m/c/s
26. Multiple myeloma- BJ proteins
27. Diarrhoea- stool analysis,
28. Stroke- PT, INR, for rule outs.
29. Asthma-tests for allergens will help rule out causes
30. Osteomyelitis- blood culture
100. Diabetes- RBS, FBS, gycosylatd Hb

the above reeks of ignorance. omg radiography is now a laboratory investigation, i guess u meant an x-ray which isn't a lab investigation. you just had to fix any form of investigation even those that dont exist (e.g blood screening)to back up your claim. even the easiest conditon up there you failed, hcg doesn't confirm a pregnancy, you can quote me anywhere.

nobilis:
a pathologist is always in charge of laboratories anywhere in the world.

I disagree with you Sir.

zeezahbee:
What are you talking about? so you believe checking a book is not a crime. you need to be flog, so even if the doctor is in the operating room, he will also check a book for step by step procedures.

Standard world practices does allow you to check to confirm the dosages of drugs in drug formularies. Even abroad, doctors do that regularly. Even pharmacists that are soaked in pharmacology check up side effects and drug interactions. Its called taking your responsibilities seriously. If you are nor sure of something, why shouldn't you check to confirm? Such a person who feels he knows all is a DANGER to all around him. You kill a patient through negligence, you bring everyone in your team down, yes including other drs, nurses, pharmacists etc

Uncleodi:
1. UTI
2. Malaria
3. Pregnancy
4. Typhoid
5. Anaemia
6. Sepsis
7. Ureamia
8. Hepatitis
9. Immunosuppression
10. Renal failure
11. Heart failure
12. Eclampsia
13. Neonatal tetanus
14. Sickle cell disease
15. Schizophrenia
16. Lymphoma
17. Ca P
18. Increased ICP
19. Fracture
20. Labour
21. Meningitis
22. Pneumonia
23. Helminthiasis
24. PID
25. Ectopic preg
26. Multiple myeloma. Dont ask me how
27. Diarrhoea
28. Stroke
29. Asthma
30. Osteomyelitis
.
.
100. Diabetes

With a good knowledge of Pathologic basis of diseases, any doctor in the rural area can make accurate diagnosis without needing a Lab test for mere confirmatory purposes.

MLS is over rated if I may say. They don't make diagnosis for doctors. Nah! Rather the doctor can use his clinical skill to manage his patients without mortality.

This explains why more doctors are employed than MLS in any hospital.

U can imagine when u have serious emergency as a doctor and u keep waiting for the MLS or technician to run samples for u without starting some treatments for the patient. Hmmm that would be disastrous.

Abeg, make I sleep. This my auto check just de spoil my spellings.

We all need each other in the medical field and not all these hatred.

I do not hate doctors. I have many doctor friends.

So in a case of severe blood loss during emergency You just gonna beat your chest and come up with an accurate blood group for transfusion or you just going to take the patients word for it. This is why patients die even after they seem stabilized.

Arguing with you guys is tiresome. I'm just going to stop. Have a nice day.

zeezahbee:
What are you talking about? so you believe checking a book is not a crime. you need to be flog, so even if the doctor is in the operating room, he will also check a book for step by step procedures.

Yes checking books is not a crime. I have seen a surgeon take a 30 mins break before an operation to consult his textbooks.

idealsico:
Successful treatment of any disease begins with accurate diagnosis. If precise diagnosis can not be guaranteed, no matter the genuineness of drugs administered on the patient, it can not be efficacious. Nigeria should get it right from the roots.

Yes I sopport you

Akdegreat:
I disagree with you Sir.

Don't just disagree with me and keep quiet.
If you disagree with me, you bring proof to support your stand.

http://www.oumedicine.com/pathology/general-program-info/careers

http://work.chron.com/roles-pathologist-1322.html

http://medpathlab.com/lab-letters/the-pathologist-and-the-clinical-laboratory/

Read through all those links. Calm down and read from top to bottom. Read everything.

Do you need more links, sir or you just want to blindly keep disagreeing with me just for the sake of being in opposition?
Or better still, you show me your reasons for disagreeing.

zeezahbee:
What are you talking about? so you believe checking a book is not a crime. you need to be flog, so even if the doctor is in the operating room, he will also check a book for step by step procedures.

Come and flog me make I see. I pray u don't land into the hands of a "confident quack" who will confidently give u an overdose, like 125mg of digoxin instead of emmm...emmm...I dey come make I go check my book.

Sctests:
Go back to the link you posted and peruse it
carefully, your asm-ascp website does not say it confers on
you "Medical laboratory Scientist" competencies. Let me quote an excerpt from your source

"Those who pass the exam are certified as a
Technologist in Microbiology (M) or Specialist in Microbiology (SM) by the ASCP and
are issued a certificate with both organizations' names on it."-----http://www.asm.org/index.php/nrcm-cert

Did you notice they were careful not have added the word "Medical"
in front of the "Technologist"? The medico-legal issues surrounding the practice can not
be wished away in countries where they are serious about this practice. Do non-biomedcal scientists(BMS)
in the UK work with patient's samples to achieve results aimed at diagnosis. Do you know that the title "BMS" is a protected title
in the U.K?

Again on your website let's take a look at the functions of a Registered Microbiologist and Specialist Microbiologist.
Is there any job description there with any semblance of working in a Medical laboratory for diagnostic purpose?

You guys have your fields, how many Medical lab Scientists are employed as Food microbiologists, industrial chemists, Environmental biologist and so on?
Do we run the environmental testing laboratories too?. You need to stop seeing the Medical lab Scientist as an ordinary 'Operator' not eligible to differentiate between a hyperglycemic sample caused by DM and a contaminated sample.


Listen the physician's here will click likes and applaud you, but if have any sense of history you will understand
that during the days of biologist/chemist in IMLT, almost every clueless physician will point to the lab and blame it when they butcher a patient.

The lab guys were the fall guys in those days. When a patient dies, it's the lab that delayed results. They prescribe the wrong
antibiotics- "oh that numbskull in the lab didn't run the AST effectively".

Well those "lab guys" have taken responsibility, built capacity, and equipped themselves with enhanced knowledge,
now regulate the laboratory with the full backing of the law. Why should that be a problem? Our national/state hospitals now have very few cases of misdiagnosis traceable to the laboratory. Nowadays, we no longer get frequent finger-pointings for giving bad results and endangering patients as it was in the 70's and 80's, Now we only get finger-pointing for asking to head the medical laboratories we developed-OUR PRIMARY CONSTITUENCIES in accordance with the law. It is a positive turn-around if you ask me.

Wide consultations were made before that ACT was passed as Law, people who thought the "kitchen"/labs should be thrown to the
backyard and blamed it for all their malpractice misfortunes are the ones crying foul today. Our Medical laboratories are getting strengthened,
the Medical Lab.Scientists will keep building capacities through enhanced knowledge and application of same and the patients can only be the greatest winner.

If you are looking to get us back to that age where the "Lab guy" is the fall guy for everyone else and is expected to gladly accept that, then i'm sorry the Law disagrees with you.

In the 50s' and 60's we had medical assistants treating patients because we didn't have enough Physicians, today we have more than ?40,000 physicians.
In the 70's we didn't have enough MLS/Biomedical Scientists. The biologists/chemists without basic knowledge in medical science were drafted in. These were all stop-gap complementary efforts.
Today Nigeria has at least 8,000 Medical Laboratory Scientists. Why go back to the inglorious era?

I am new on this forum, been reading as a guest for months, attracted by lots of misinformation about the MLS profession
and not a reincarnation of anyone. I will also like to meet fellow MLS on these forum. They seem to be very few on this website.

Here is one MLS in the making

babosky2008:
you got it wrong.A qualified doctor is equal to a lab scientist + a nurse + a pharmacist + microbiologist + a biochemist + a pharmacologist +a psychologist. This is where we coined d word general practitioner.

I do not agree with you not at all.

At least I m sure of one, a doctor equal to a biochemist is laughable. So because you did some courses in biochemistry you have as much knowledge as a biochemist no way.

Its just like a biochemist saying he can do the job of a pharmacologist just because he/she did few courses in pharmacology.

Doctors know biochemistry I agree but to say a doctor is equal to a biochemist I disagree completely.

There are reasons why these courses are studied separately.

I was pondering when the issue of consultants for other health workers came up and what came to my mind is a pharmacist is an authority in his field, so is a labscientist, and a nurse. As far as i m concerned pharmacists know more about their own profession than a doctor anytime anyday.

The earlier the doctors realize its about team work and that no health worker is useless all of them have their jobs to do within the hospital the better for Nigeria's health care sector.

Once again i laugh at the suggestion that doctors are as knowlegable in the field of biochemistry like biochemists.

Kcinho:
yes the lab tests are needed to confirm "some" not all diagnoses. meanwhile some diagnoses are referred to as "clinical diagnoses" where the doctor doesn't need any form of investigation to confirm it. these basically require only good history and physical examination.

what about the ones that need to be confirmed from the lab?
that guy that listed the various illness named malaria, sicklecell (if theres anyway you can confirm sickle cell for sure with all certainity without a test kindly enlighten me).

I understand all the clinical diagnosis ish but what about those that need to be confirmed from the LAB.

National Diploma in SLT and Bsc Microbiology ..#waiting for Nafdac and SON JOB or ain't getting out of my room

nobilis:
My final points on this thread (if u lab scientists can tell yourselves the truth),

1.A doctor doesn't need a laboratory test to make a diagnosis.
A doctor makes a diagnosis, albeit a provisional one, before sending for lab tests.
Even you lab scientists working in government hospitals are aware that you will never accept a lab request if it doesn't bear a provisional diagnosis.
How I wish you guys will educate the Nigerian populace about how things actually are.
Quote me anywhere: a doctor who doesn't have a diagnosis, or several differentials in mind after at least, 20 to 30 minutes of interacting with a patient is a certified quack.

2. A doctor doesn't use a lab result to make a diagnosis. A doctor uses a lab test to confirm a diagnosis.
In most cases, when the lab result doesn't tally with the doctor's suspicions, he may have to either order for another test, possibly from another lab, or [/b] discard that result and work with his diagnosis. [b]




So everybody should know his position. It is as simple as that.

Are you serious with the bolded . Discard a lab result and continue with an unconfirmed diagnosis, its just painful that patients are always at the receiving end.

So if the lab result doesnt tally with the doctors diagnosis, is there not a possiblity that the doctor made a wrong diagnosis since tests are to confirm his "suspision". Cant he "re- visit" his initial diagnosis.

I want to to please explain the bolded, maybe I m misinterpreting the set of statements I quoted